*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| I776 - Arteritis, unspecified - as a primary diagnosis code | I776 - Arteritis, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.23 | |
| Readmission Rate (%) | 29.04 | |
| Unplanned Readmission Rate (%) | 18.54 | |
| Mortality Rate (%) | ||
| SNF Discharge Rate (%) | ||
| Home Discharge Rate (%) | ||
| PAYMENTS AND CHARGES | ||
| Total Medicare Payments | ||
| Payment Per Day | ||
| Payment Per Hospitalization | ||
| Total Medicare Charges | ||
| Avg. Charges | ||
| MARKET SIZING & INCIDENCE RATES | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - All) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - All) | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - Yes) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - Yes) | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - Not Y) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - Not Y) | ||
| Total Medicare Hospitalizations after Exclusion | ||
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 546: CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 545: CONNECTIVE TISSUE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 547: CONNECTIVE TISSUE DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 987: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 14,526 | ||||
| Total Hospitalizations with ICD I776 - Arteritis, unspecified | 881 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD I776 - Arteritis, unspecified in DRG | 41.71 | ||||
| Avg LOS at DRG | 5.12 | ||||
| Avg LOS with ICD I776 - Arteritis, unspecified | 4.87 | ||||
| Readmission Rate at DRG | 23.17 | ||||
| Readmission Rate with ICD I776 - Arteritis, unspecified | 26.55 | ||||
| Unplanned Readmission Rate at DRG | 15.83 | ||||
| Unplanned Readmission Rate with ICD I776 - Arteritis, unspecified | 18.36 | ||||
| Total Medicare payments at DRG | $123,348,417 | ||||
| Total Medicare payments with ICD I776 - Arteritis, unspecified | $6,610,750 | ||||
| Total Medicare payment per Day at DRG | $1,658 | ||||
| Total Medicare payment per Day with ICD I776 - Arteritis, unspecified | $1,542 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,492 | ||||
| Total Medicare payment per Hospitalization with ICD I776 - Arteritis, unspecified | $7,504 | ||||
| Total Medicare Charges at DRG | $565,151,481 | ||||
| Total Medicare Charges with ICD I776 - Arteritis, unspecified | $35,397,415 | ||||
| Avg Charges at DRG | $38,906 | ||||
| Avg Charges with ICD I776 - Arteritis, unspecified | $40,179 | ||||
| Mortality Rate at DRG | 0.34 | ||||
| Mortality Rate with ICD I776 - Arteritis, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 16.01 | ||||
| SNF Discharge Rate with ICD I776 - Arteritis, unspecified | 10.22 | ||||
| Home Discharge Rate at DRG | 53.61 | ||||
| Home Discharge Rate with ICD I776 - Arteritis, unspecified | 59.36 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 515: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 517: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 988: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 501: SOFT TISSUE PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 16,044 | ||||
| Total Hospitalizations with ICD I776 - Arteritis, unspecified | 35 | ||||
| DRG Share of Total Hospitalizations | 0.05 | ||||
| % of Total ICD I776 - Arteritis, unspecified in DRG | 1.66 | ||||
| Avg LOS at DRG | 8.82 | ||||
| Avg LOS with ICD I776 - Arteritis, unspecified | 13.34 | ||||
| Readmission Rate at DRG | 32.29 | ||||
| Readmission Rate with ICD I776 - Arteritis, unspecified | 38.71 | ||||
| Unplanned Readmission Rate at DRG | 14.96 | ||||
| Unplanned Readmission Rate with ICD I776 - Arteritis, unspecified | NA | ||||
| Total Medicare payments at DRG | $336,031,207 | ||||
| Total Medicare payments with ICD I776 - Arteritis, unspecified | $991,718 | ||||
| Total Medicare payment per Day at DRG | $2,375 | ||||
| Total Medicare payment per Day with ICD I776 - Arteritis, unspecified | $2,124 | ||||
| Total Medicare payment per Hospitalization at DRG | $20,944 | ||||
| Total Medicare payment per Hospitalization with ICD I776 - Arteritis, unspecified | $28,335 | ||||
| Total Medicare Charges at DRG | $1,654,393,936 | ||||
| Total Medicare Charges with ICD I776 - Arteritis, unspecified | $5,525,942 | ||||
| Avg Charges at DRG | $103,116 | ||||
| Avg Charges with ICD I776 - Arteritis, unspecified | $157,884 | ||||
| Mortality Rate at DRG | 2.56 | ||||
| Mortality Rate with ICD I776 - Arteritis, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 40.52 | ||||
| SNF Discharge Rate with ICD I776 - Arteritis, unspecified | NA | ||||
| Home Discharge Rate at DRG | 19.02 | ||||
| Home Discharge Rate with ICD I776 - Arteritis, unspecified | 42.86 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 464: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|
| Total Hospitalizations at DRG | 34,505 |
| Total Hospitalizations with ICD I776 - Arteritis, unspecified | 11 |
| DRG Share of Total Hospitalizations | 0.1 |
| % of Total ICD I776 - Arteritis, unspecified in DRG | 0.52 |
| Avg LOS at DRG | 7.5 |
| Avg LOS with ICD I776 - Arteritis, unspecified | 8.36 |
| Readmission Rate at DRG | 24.13 |
| Readmission Rate with ICD I776 - Arteritis, unspecified | NA |
| Unplanned Readmission Rate at DRG | 9.59 |
| Unplanned Readmission Rate with ICD I776 - Arteritis, unspecified | NA |
| Total Medicare payments at DRG | $661,706,701 |
| Total Medicare payments with ICD I776 - Arteritis, unspecified | $229,845 |
| Total Medicare payment per Day at DRG | $2,559 |
| Total Medicare payment per Day with ICD I776 - Arteritis, unspecified | $2,498 |
| Total Medicare payment per Hospitalization at DRG | $19,177 |
| Total Medicare payment per Hospitalization with ICD I776 - Arteritis, unspecified | $20,895 |
| Total Medicare Charges at DRG | $3,132,931,207 |
| Total Medicare Charges with ICD I776 - Arteritis, unspecified | $1,067,081 |
| Avg Charges at DRG | $90,796 |
| Avg Charges with ICD I776 - Arteritis, unspecified | $97,007 |
| Mortality Rate at DRG | 0.1 |
| Mortality Rate with ICD I776 - Arteritis, unspecified | NA |
| SNF Discharge Rate at DRG | 38.89 |
| SNF Discharge Rate with ICD I776 - Arteritis, unspecified | NA |
| Home Discharge Rate at DRG | 17.15 |
| Home Discharge Rate with ICD I776 - Arteritis, unspecified | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UNIVERSITY OF NORTH CAROLINA HOSPITAL | 101 MANNING DR | CHAPEL HILL | NC | 27514 | 15 |
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 14 |
| YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 13 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 546: CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 545: CONNECTIVE TISSUE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD I776 - Arteritis, unspecified | 1,768 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD I776 - Arteritis, unspecified in DRG | 6.69 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD I776 - Arteritis, unspecified | 7.57 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD I776 - Arteritis, unspecified | 32.23 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD I776 - Arteritis, unspecified | 21.97 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD I776 - Arteritis, unspecified | $22,212,406 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD I776 - Arteritis, unspecified | $1,660 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD I776 - Arteritis, unspecified | $12,564 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD I776 - Arteritis, unspecified | $134,137,881 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD I776 - Arteritis, unspecified | $75,870 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD I776 - Arteritis, unspecified | 12.95 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD I776 - Arteritis, unspecified | 21.21 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD I776 - Arteritis, unspecified | 29.52 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD I776 - Arteritis, unspecified | 556 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD I776 - Arteritis, unspecified in DRG | 2.1 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD I776 - Arteritis, unspecified | 6.03 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD I776 - Arteritis, unspecified | 31.35 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD I776 - Arteritis, unspecified | 20.44 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD I776 - Arteritis, unspecified | $3,833,264 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD I776 - Arteritis, unspecified | $1,143 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD I776 - Arteritis, unspecified | $6,894 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD I776 - Arteritis, unspecified | $26,036,226 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD I776 - Arteritis, unspecified | $46,828 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD I776 - Arteritis, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD I776 - Arteritis, unspecified | 15.83 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD I776 - Arteritis, unspecified | 53.06 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 547: CONNECTIVE TISSUE DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD I776 - Arteritis, unspecified | 403 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD I776 - Arteritis, unspecified in DRG | 1.52 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD I776 - Arteritis, unspecified | 14.8 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD I776 - Arteritis, unspecified | 42.39 | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD I776 - Arteritis, unspecified | 20.71 | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD I776 - Arteritis, unspecified | $15,406,353 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD I776 - Arteritis, unspecified | $2,582 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD I776 - Arteritis, unspecified | $38,229 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD I776 - Arteritis, unspecified | $80,498,248 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD I776 - Arteritis, unspecified | $199,748 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD I776 - Arteritis, unspecified | 18.36 | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD I776 - Arteritis, unspecified | 24.57 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD I776 - Arteritis, unspecified | 16.38 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 138,345 | ||||
| Total Hospitalizations with ICD I776 - Arteritis, unspecified | 289 | ||||
| DRG Share of Total Hospitalizations | 0.42 | ||||
| % of Total ICD I776 - Arteritis, unspecified in DRG | 1.09 | ||||
| Avg LOS at DRG | 6.92 | ||||
| Avg LOS with ICD I776 - Arteritis, unspecified | 7.81 | ||||
| Readmission Rate at DRG | 32.2 | ||||
| Readmission Rate with ICD I776 - Arteritis, unspecified | 35.5 | ||||
| Unplanned Readmission Rate at DRG | 22.95 | ||||
| Unplanned Readmission Rate with ICD I776 - Arteritis, unspecified | 26.41 | ||||
| Total Medicare payments at DRG | $1,845,581,658 | ||||
| Total Medicare payments with ICD I776 - Arteritis, unspecified | $4,035,215 | ||||
| Total Medicare payment per Day at DRG | $1,929 | ||||
| Total Medicare payment per Day with ICD I776 - Arteritis, unspecified | $1,788 | ||||
| Total Medicare payment per Hospitalization at DRG | $13,340 | ||||
| Total Medicare payment per Hospitalization with ICD I776 - Arteritis, unspecified | $13,963 | ||||
| Total Medicare Charges at DRG | $9,021,459,592 | ||||
| Total Medicare Charges with ICD I776 - Arteritis, unspecified | $21,856,398 | ||||
| Avg Charges at DRG | $65,210 | ||||
| Avg Charges with ICD I776 - Arteritis, unspecified | $75,628 | ||||
| Mortality Rate at DRG | 5.29 | ||||
| Mortality Rate with ICD I776 - Arteritis, unspecified | 7.96 | ||||
| SNF Discharge Rate at DRG | 18.8 | ||||
| SNF Discharge Rate with ICD I776 - Arteritis, unspecified | 14.88 | ||||
| Home Discharge Rate at DRG | 39.78 | ||||
| Home Discharge Rate with ICD I776 - Arteritis, unspecified | 38.41 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 124 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 108 |
| VIDANT MEDICAL CENTER | 2100 STANTONSBURG RD | GREENVILLE | NC | 27834 | 105 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MICHAEL H ANNABI | 4930 OSBORNE | EL PASO | TX | 79922 | 30 |
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 11 |
| Dr. GOPINATH KONGARA | 5425 BRITTANY DR | BATON ROUGE | LA | 70808 | 11 |