*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M059 - Rheumatoid arthritis with rheumatoid factor, unspecified - as a primary diagnosis code | M059 - Rheumatoid arthritis with rheumatoid factor, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.75 | |
| Readmission Rate (%) | 21.68 | |
| Unplanned Readmission Rate (%) | 9.55 | |
| 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 547: CONNECTIVE TISSUE DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 545: CONNECTIVE TISSUE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 14,526 | |||
| Total Hospitalizations with ICD M059 - Rheumatoid arthritis with rheumatoid factor, unspecified | 87 | |||
| DRG Share of Total Hospitalizations | 0.04 | |||
| % of Total ICD M059 - Rheumatoid arthritis with rheumatoid factor, unspecified in DRG | 46.28 | |||
| Avg LOS at DRG | 5.12 | |||
| Avg LOS with ICD M059 - Rheumatoid arthritis with rheumatoid factor, unspecified | 4.76 | |||
| Readmission Rate at DRG | 23.17 | |||
| Readmission Rate with ICD M059 - Rheumatoid arthritis with rheumatoid factor, unspecified | 17.07 | |||
| Unplanned Readmission Rate at DRG | 15.83 | |||
| Unplanned Readmission Rate with ICD M059 - Rheumatoid arthritis with rheumatoid factor, unspecified | NA | |||
| Total Medicare payments at DRG | $123,348,417 | |||
| Total Medicare payments with ICD M059 - Rheumatoid arthritis with rheumatoid factor, unspecified | $768,470 | |||
| Total Medicare payment per Day at DRG | $1,658 | |||
| Total Medicare payment per Day with ICD M059 - Rheumatoid arthritis with rheumatoid factor, unspecified | $1,856 | |||
| Total Medicare payment per Hospitalization at DRG | $8,492 | |||
| Total Medicare payment per Hospitalization with ICD M059 - Rheumatoid arthritis with rheumatoid factor, unspecified | $8,833 | |||
| Total Medicare Charges at DRG | $565,151,481 | |||
| Total Medicare Charges with ICD M059 - Rheumatoid arthritis with rheumatoid factor, unspecified | $2,430,266 | |||
| Avg Charges at DRG | $38,906 | |||
| Avg Charges with ICD M059 - Rheumatoid arthritis with rheumatoid factor, unspecified | $27,934 | |||
| Mortality Rate at DRG | 0.34 | |||
| Mortality Rate with ICD M059 - Rheumatoid arthritis with rheumatoid factor, unspecified | NA | |||
| SNF Discharge Rate at DRG | 16.01 | |||
| SNF Discharge Rate with ICD M059 - Rheumatoid arthritis with rheumatoid factor, unspecified | 21.84 | |||
| Home Discharge Rate at DRG | 53.61 | |||
| Home Discharge Rate with ICD M059 - Rheumatoid arthritis with rheumatoid factor, unspecified | 39.08 |
*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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD M059 - Rheumatoid arthritis with rheumatoid factor, unspecified | 418 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD M059 - Rheumatoid arthritis with rheumatoid factor, unspecified in DRG | 6.7 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD M059 - Rheumatoid arthritis with rheumatoid factor, unspecified | 2.46 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD M059 - Rheumatoid arthritis with rheumatoid factor, unspecified | 9.3 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD M059 - Rheumatoid arthritis with rheumatoid factor, unspecified | 3.52 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD M059 - Rheumatoid arthritis with rheumatoid factor, unspecified | $5,037,764 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD M059 - Rheumatoid arthritis with rheumatoid factor, unspecified | $4,896 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD M059 - Rheumatoid arthritis with rheumatoid factor, unspecified | $12,052 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD M059 - Rheumatoid arthritis with rheumatoid factor, unspecified | $23,813,609 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD M059 - Rheumatoid arthritis with rheumatoid factor, unspecified | $56,970 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD M059 - Rheumatoid arthritis with rheumatoid factor, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD M059 - Rheumatoid arthritis with rheumatoid factor, unspecified | 25.84 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD M059 - Rheumatoid arthritis with rheumatoid factor, unspecified | 32.54 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 885: PSYCHOSES | DRG 546: CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD M059 - Rheumatoid arthritis with rheumatoid factor, unspecified | 114 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD M059 - Rheumatoid arthritis with rheumatoid factor, unspecified in DRG | 1.83 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD M059 - Rheumatoid arthritis with rheumatoid factor, unspecified | 4.06 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD M059 - Rheumatoid arthritis with rheumatoid factor, unspecified | 21.3 | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD M059 - Rheumatoid arthritis with rheumatoid factor, unspecified | 13.89 | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD M059 - Rheumatoid arthritis with rheumatoid factor, unspecified | $708,519 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD M059 - Rheumatoid arthritis with rheumatoid factor, unspecified | $1,530 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD M059 - Rheumatoid arthritis with rheumatoid factor, unspecified | $6,215 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD M059 - Rheumatoid arthritis with rheumatoid factor, unspecified | $2,962,347 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD M059 - Rheumatoid arthritis with rheumatoid factor, unspecified | $25,986 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD M059 - Rheumatoid arthritis with rheumatoid factor, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD M059 - Rheumatoid arthritis with rheumatoid factor, unspecified | 14.04 | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD M059 - Rheumatoid arthritis with rheumatoid factor, unspecified | 51.75 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 364,421 | ||||
| Total Hospitalizations with ICD M059 - Rheumatoid arthritis with rheumatoid factor, unspecified | 103 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD M059 - Rheumatoid arthritis with rheumatoid factor, unspecified in DRG | 1.65 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD M059 - Rheumatoid arthritis with rheumatoid factor, unspecified | 3.63 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD M059 - Rheumatoid arthritis with rheumatoid factor, unspecified | 11.11 | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD M059 - Rheumatoid arthritis with rheumatoid factor, unspecified | NA | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD M059 - Rheumatoid arthritis with rheumatoid factor, unspecified | $587,176 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD M059 - Rheumatoid arthritis with rheumatoid factor, unspecified | $1,570 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD M059 - Rheumatoid arthritis with rheumatoid factor, unspecified | $5,701 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD M059 - Rheumatoid arthritis with rheumatoid factor, unspecified | $2,205,854 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD M059 - Rheumatoid arthritis with rheumatoid factor, unspecified | $21,416 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD M059 - Rheumatoid arthritis with rheumatoid factor, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD M059 - Rheumatoid arthritis with rheumatoid factor, unspecified | 18.45 | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD M059 - Rheumatoid arthritis with rheumatoid factor, unspecified | 62.14 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 483: MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 422,757 | ||||
| Total Hospitalizations with ICD M059 - Rheumatoid arthritis with rheumatoid factor, unspecified | 61 | ||||
| DRG Share of Total Hospitalizations | 1.29 | ||||
| % of Total ICD M059 - Rheumatoid arthritis with rheumatoid factor, unspecified in DRG | 0.98 | ||||
| Avg LOS at DRG | 4.14 | ||||
| Avg LOS with ICD M059 - Rheumatoid arthritis with rheumatoid factor, unspecified | 3.79 | ||||
| Readmission Rate at DRG | 24.43 | ||||
| Readmission Rate with ICD M059 - Rheumatoid arthritis with rheumatoid factor, unspecified | 25.45 | ||||
| Unplanned Readmission Rate at DRG | 18.48 | ||||
| Unplanned Readmission Rate with ICD M059 - Rheumatoid arthritis with rheumatoid factor, unspecified | 20.0 | ||||
| Total Medicare payments at DRG | $2,636,135,714 | ||||
| Total Medicare payments with ICD M059 - Rheumatoid arthritis with rheumatoid factor, unspecified | $455,559 | ||||
| Total Medicare payment per Day at DRG | $1,507 | ||||
| Total Medicare payment per Day with ICD M059 - Rheumatoid arthritis with rheumatoid factor, unspecified | $1,972 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,236 | ||||
| Total Medicare payment per Hospitalization with ICD M059 - Rheumatoid arthritis with rheumatoid factor, unspecified | $7,468 | ||||
| Total Medicare Charges at DRG | $11,980,955,733 | ||||
| Total Medicare Charges with ICD M059 - Rheumatoid arthritis with rheumatoid factor, unspecified | $1,753,967 | ||||
| Avg Charges at DRG | $28,340 | ||||
| Avg Charges with ICD M059 - Rheumatoid arthritis with rheumatoid factor, unspecified | $28,754 | ||||
| Mortality Rate at DRG | 1.01 | ||||
| Mortality Rate with ICD M059 - Rheumatoid arthritis with rheumatoid factor, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 16.05 | ||||
| SNF Discharge Rate with ICD M059 - Rheumatoid arthritis with rheumatoid factor, unspecified | NA | ||||
| Home Discharge Rate at DRG | 47.18 | ||||
| Home Discharge Rate with ICD M059 - Rheumatoid arthritis with rheumatoid factor, unspecified | 45.9 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| SANFORD USD MEDICAL CENTER | 1305 W 18TH ST | SIOUX FALLS | SD | 57105 | 102 |
| SANFORD HEALTH | 801 BROADWAY N | FARGO | ND | 58122 | 78 |
| SSM HEALTH ST. MARY'S HOSPITAL - MADISON | 700 S. PARK ST. | MADISON | WI | 53715 | 72 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JACK COLE NOBLE | 355 W HICKORY AVE | BASTROP | LA | 71220 | 19 |
| Dr. OSSAMA AL-ASSAFEEN | 120 HOSPITAL DR | LEBANON | MO | 65536 | 15 |
| Dr. DAMIAN JOSEPH COLLINS | 1700 SPRING HILL AVE | MOBILE | AL | 36604 | 13 |