*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site - as a primary diagnosis code | M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.8 | |
| Readmission Rate (%) | 27.39 | |
| Unplanned Readmission Rate (%) | 16.81 | |
| 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 196: INTERSTITIAL LUNG DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 197: INTERSTITIAL LUNG DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 198: INTERSTITIAL LUNG DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 24,541 | ||||
| Total Hospitalizations with ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site | 405 | ||||
| DRG Share of Total Hospitalizations | 0.07 | ||||
| % of Total ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site in DRG | 50.5 | ||||
| Avg LOS at DRG | 6.23 | ||||
| Avg LOS with ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site | 7.04 | ||||
| Readmission Rate at DRG | 26.09 | ||||
| Readmission Rate with ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site | 28.37 | ||||
| Unplanned Readmission Rate at DRG | 18.36 | ||||
| Unplanned Readmission Rate with ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site | 19.1 | ||||
| Total Medicare payments at DRG | $258,475,425 | ||||
| Total Medicare payments with ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site | $4,452,237 | ||||
| Total Medicare payment per Day at DRG | $1,691 | ||||
| Total Medicare payment per Day with ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site | $1,562 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,532 | ||||
| Total Medicare payment per Hospitalization with ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site | $10,993 | ||||
| Total Medicare Charges at DRG | $1,253,316,626 | ||||
| Total Medicare Charges with ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site | $21,116,698 | ||||
| Avg Charges at DRG | $51,070 | ||||
| Avg Charges with ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site | $52,140 | ||||
| Mortality Rate at DRG | 8.32 | ||||
| Mortality Rate with ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site | 7.16 | ||||
| SNF Discharge Rate at DRG | 14.24 | ||||
| SNF Discharge Rate with ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site | 15.8 | ||||
| Home Discharge Rate at DRG | 38.58 | ||||
| Home Discharge Rate with ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site | 39.75 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 164: MAJOR CHEST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 168: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 49,331 | ||
| Total Hospitalizations with ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site | 18 | ||
| DRG Share of Total Hospitalizations | 0.15 | ||
| % of Total ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site in DRG | 2.24 | ||
| Avg LOS at DRG | 5.76 | ||
| Avg LOS with ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site | 5.22 | ||
| Readmission Rate at DRG | 13.39 | ||
| Readmission Rate with ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site | NA | ||
| Unplanned Readmission Rate at DRG | 8.11 | ||
| Unplanned Readmission Rate with ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site | NA | ||
| Total Medicare payments at DRG | $830,506,314 | ||
| Total Medicare payments with ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site | $303,133 | ||
| Total Medicare payment per Day at DRG | $2,922 | ||
| Total Medicare payment per Day with ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site | $3,225 | ||
| Total Medicare payment per Hospitalization at DRG | $16,835 | ||
| Total Medicare payment per Hospitalization with ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site | $16,841 | ||
| Total Medicare Charges at DRG | $4,394,247,481 | ||
| Total Medicare Charges with ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site | $1,306,966 | ||
| Avg Charges at DRG | $89,077 | ||
| Avg Charges with ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site | $72,609 | ||
| Mortality Rate at DRG | 0.32 | ||
| Mortality Rate with ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site | NA | ||
| SNF Discharge Rate at DRG | 6.7 | ||
| SNF Discharge Rate with ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site | NA | ||
| Home Discharge Rate at DRG | 62.23 | ||
| Home Discharge Rate with ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site | 72.22 |
*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 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 196: INTERSTITIAL LUNG DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site | 794 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site in DRG | 10.02 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site | 7.0 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site | 29.38 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site | 19.14 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site | $9,246,192 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site | $1,664 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site | $11,645 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site | $50,075,929 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site | $63,068 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site | 12.09 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site | 20.28 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site | 27.58 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 197: INTERSTITIAL LUNG DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site | 300 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site in DRG | 3.79 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site | 5.42 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site | 23.27 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site | 18.18 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site | $2,214,890 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site | $1,362 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site | $7,383 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site | $12,254,514 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site | $40,848 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site | NA | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site | 14.0 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site | 47.67 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 286,456 | ||||
| Total Hospitalizations with ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site | 144 | ||||
| DRG Share of Total Hospitalizations | 0.87 | ||||
| % of Total ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site in DRG | 1.82 | ||||
| Avg LOS at DRG | 3.75 | ||||
| Avg LOS with ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site | 4.29 | ||||
| Readmission Rate at DRG | 22.9 | ||||
| Readmission Rate with ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site | 23.19 | ||||
| Unplanned Readmission Rate at DRG | 18.29 | ||||
| Unplanned Readmission Rate with ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site | 18.12 | ||||
| Total Medicare payments at DRG | $1,641,467,496 | ||||
| Total Medicare payments with ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site | $839,212 | ||||
| Total Medicare payment per Day at DRG | $1,526 | ||||
| Total Medicare payment per Day with ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site | $1,358 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,730 | ||||
| Total Medicare payment per Hospitalization with ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site | $5,828 | ||||
| Total Medicare Charges at DRG | $8,050,963,680 | ||||
| Total Medicare Charges with ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site | $4,936,012 | ||||
| Avg Charges at DRG | $28,105 | ||||
| Avg Charges with ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site | $34,278 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site | NA | ||||
| SNF Discharge Rate at DRG | 10.84 | ||||
| SNF Discharge Rate with ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site | 14.58 | ||||
| Home Discharge Rate at DRG | 59.73 | ||||
| Home Discharge Rate with ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site | 55.56 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 195: SIMPLE PNEUMONIA AND PLEURISY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site | 88 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site in DRG | 1.11 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site | 3.07 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site | 20.24 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site | NA | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site | $1,023,541 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site | $3,791 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site | $11,631 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site | $5,394,058 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site | $61,296 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site | 32.95 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD M0510 - Rheumatoid lung disease with rheumatoid arthritis of unspecified site | 20.45 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 59 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 40 |
| MILTON S. HERSHEY MEDICAL CENTER | 500 UNIVERSITY DR | HERSHEY | PA | 17033 | 30 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. TURGUT Z ZIA | 2741 W LAYTON AVE | MILWAUKEE | WI | 53221 | 11 |