*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M064 - Inflammatory polyarthropathy - as a primary diagnosis code | M064 - Inflammatory polyarthropathy - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.42 | |
| Readmission Rate (%) | 20.56 | |
| Unplanned Readmission Rate (%) | 8.86 | |
| 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 554: BONE DISEASES AND ARTHROPATHIES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 553: BONE DISEASES AND ARTHROPATHIES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 488: KNEE PROCEDURES WITHOUT PDX OF INFECTION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 483: MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 51,757 | ||||
| Total Hospitalizations with ICD M064 - Inflammatory polyarthropathy | 848 | ||||
| DRG Share of Total Hospitalizations | 0.16 | ||||
| % of Total ICD M064 - Inflammatory polyarthropathy in DRG | 72.66 | ||||
| Avg LOS at DRG | 4.41 | ||||
| Avg LOS with ICD M064 - Inflammatory polyarthropathy | 4.13 | ||||
| Readmission Rate at DRG | 17.16 | ||||
| Readmission Rate with ICD M064 - Inflammatory polyarthropathy | 13.72 | ||||
| Unplanned Readmission Rate at DRG | 9.0 | ||||
| Unplanned Readmission Rate with ICD M064 - Inflammatory polyarthropathy | 8.41 | ||||
| Total Medicare payments at DRG | $332,400,259 | ||||
| Total Medicare payments with ICD M064 - Inflammatory polyarthropathy | $4,433,816 | ||||
| Total Medicare payment per Day at DRG | $1,455 | ||||
| Total Medicare payment per Day with ICD M064 - Inflammatory polyarthropathy | $1,265 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,422 | ||||
| Total Medicare payment per Hospitalization with ICD M064 - Inflammatory polyarthropathy | $5,229 | ||||
| Total Medicare Charges at DRG | $1,234,809,519 | ||||
| Total Medicare Charges with ICD M064 - Inflammatory polyarthropathy | $22,448,098 | ||||
| Avg Charges at DRG | $23,858 | ||||
| Avg Charges with ICD M064 - Inflammatory polyarthropathy | $26,472 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD M064 - Inflammatory polyarthropathy | NA | ||||
| SNF Discharge Rate at DRG | 25.37 | ||||
| SNF Discharge Rate with ICD M064 - Inflammatory polyarthropathy | 22.41 | ||||
| Home Discharge Rate at DRG | 42.31 | ||||
| Home Discharge Rate with ICD M064 - Inflammatory polyarthropathy | 47.88 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 11 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 554: BONE DISEASES AND ARTHROPATHIES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 51,757 | ||||
| Total Hospitalizations with ICD M064 - Inflammatory polyarthropathy | 1,236 | ||||
| DRG Share of Total Hospitalizations | 0.16 | ||||
| % of Total ICD M064 - Inflammatory polyarthropathy in DRG | 8.62 | ||||
| Avg LOS at DRG | 4.41 | ||||
| Avg LOS with ICD M064 - Inflammatory polyarthropathy | 4.09 | ||||
| Readmission Rate at DRG | 17.16 | ||||
| Readmission Rate with ICD M064 - Inflammatory polyarthropathy | 13.66 | ||||
| Unplanned Readmission Rate at DRG | 9.0 | ||||
| Unplanned Readmission Rate with ICD M064 - Inflammatory polyarthropathy | 9.02 | ||||
| Total Medicare payments at DRG | $332,400,259 | ||||
| Total Medicare payments with ICD M064 - Inflammatory polyarthropathy | $6,436,839 | ||||
| Total Medicare payment per Day at DRG | $1,455 | ||||
| Total Medicare payment per Day with ICD M064 - Inflammatory polyarthropathy | $1,273 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,422 | ||||
| Total Medicare payment per Hospitalization with ICD M064 - Inflammatory polyarthropathy | $5,208 | ||||
| Total Medicare Charges at DRG | $1,234,809,519 | ||||
| Total Medicare Charges with ICD M064 - Inflammatory polyarthropathy | $32,942,543 | ||||
| Avg Charges at DRG | $23,858 | ||||
| Avg Charges with ICD M064 - Inflammatory polyarthropathy | $26,653 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD M064 - Inflammatory polyarthropathy | NA | ||||
| SNF Discharge Rate at DRG | 25.37 | ||||
| SNF Discharge Rate with ICD M064 - Inflammatory polyarthropathy | 24.03 | ||||
| Home Discharge Rate at DRG | 42.31 | ||||
| Home Discharge Rate with ICD M064 - Inflammatory polyarthropathy | 47.09 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 553: BONE DISEASES AND ARTHROPATHIES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 483: MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD M064 - Inflammatory polyarthropathy | 312 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD M064 - Inflammatory polyarthropathy in DRG | 2.18 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD M064 - Inflammatory polyarthropathy | 6.2 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD M064 - Inflammatory polyarthropathy | 24.14 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD M064 - Inflammatory polyarthropathy | 18.97 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD M064 - Inflammatory polyarthropathy | $2,961,560 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD M064 - Inflammatory polyarthropathy | $1,532 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD M064 - Inflammatory polyarthropathy | $9,492 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD M064 - Inflammatory polyarthropathy | $13,616,042 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD M064 - Inflammatory polyarthropathy | $43,641 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD M064 - Inflammatory polyarthropathy | NA | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD M064 - Inflammatory polyarthropathy | 21.47 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD M064 - Inflammatory polyarthropathy | 35.26 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 546: CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD M064 - Inflammatory polyarthropathy | 179 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD M064 - Inflammatory polyarthropathy in DRG | 1.25 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD M064 - Inflammatory polyarthropathy | 4.13 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD M064 - Inflammatory polyarthropathy | 21.39 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD M064 - Inflammatory polyarthropathy | 17.34 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD M064 - Inflammatory polyarthropathy | $860,069 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD M064 - Inflammatory polyarthropathy | $1,164 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD M064 - Inflammatory polyarthropathy | $4,805 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD M064 - Inflammatory polyarthropathy | $4,611,396 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD M064 - Inflammatory polyarthropathy | $25,762 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD M064 - Inflammatory polyarthropathy | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD M064 - Inflammatory polyarthropathy | 33.52 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD M064 - Inflammatory polyarthropathy | 40.78 |
*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 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 422,757 | ||||
| Total Hospitalizations with ICD M064 - Inflammatory polyarthropathy | 146 | ||||
| DRG Share of Total Hospitalizations | 1.29 | ||||
| % of Total ICD M064 - Inflammatory polyarthropathy in DRG | 1.02 | ||||
| Avg LOS at DRG | 4.14 | ||||
| Avg LOS with ICD M064 - Inflammatory polyarthropathy | 4.32 | ||||
| Readmission Rate at DRG | 24.43 | ||||
| Readmission Rate with ICD M064 - Inflammatory polyarthropathy | 25.93 | ||||
| Unplanned Readmission Rate at DRG | 18.48 | ||||
| Unplanned Readmission Rate with ICD M064 - Inflammatory polyarthropathy | 20.74 | ||||
| Total Medicare payments at DRG | $2,636,135,714 | ||||
| Total Medicare payments with ICD M064 - Inflammatory polyarthropathy | $935,768 | ||||
| Total Medicare payment per Day at DRG | $1,507 | ||||
| Total Medicare payment per Day with ICD M064 - Inflammatory polyarthropathy | $1,483 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,236 | ||||
| Total Medicare payment per Hospitalization with ICD M064 - Inflammatory polyarthropathy | $6,409 | ||||
| Total Medicare Charges at DRG | $11,980,955,733 | ||||
| Total Medicare Charges with ICD M064 - Inflammatory polyarthropathy | $4,114,125 | ||||
| Avg Charges at DRG | $28,340 | ||||
| Avg Charges with ICD M064 - Inflammatory polyarthropathy | $28,179 | ||||
| Mortality Rate at DRG | 1.01 | ||||
| Mortality Rate with ICD M064 - Inflammatory polyarthropathy | NA | ||||
| SNF Discharge Rate at DRG | 16.05 | ||||
| SNF Discharge Rate with ICD M064 - Inflammatory polyarthropathy | 19.18 | ||||
| Home Discharge Rate at DRG | 47.18 | ||||
| Home Discharge Rate with ICD M064 - Inflammatory polyarthropathy | 43.84 |
| 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 | 367 |
| SAINT FRANCIS HOSPITAL | 6161 S YALE AVE | TULSA | OK | 74136 | 251 |
| SSM HEALTH ST. MARY'S HOSPITAL - MADISON | 700 S. PARK ST. | MADISON | WI | 53715 | 118 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. LAWRENCE R. HOUSMAN | 5301 E GRANT RD | TUCSON | AZ | 85712 | 85 |
| Dr. ROGER HILL EMERSON | 6020 W PARKER RD | PLANO | TX | 75093 | 17 |
| Dr. RICHARD D REITMAN | 6020 W PARKER RD | PLANO | TX | 75093 | 16 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. LAWRENCE R. HOUSMAN | 5301 E GRANT RD | TUCSON | AZ | 85712 | 71 |
| Dr. JONATHAN D ALLRED | 234 W CENTRAL AVE | JAMESTOWN | TN | 38556 | 45 |
| Dr. THOMAS W. SCHNEIDER | 1241 W STADIUM BLVD | JEFFERSON CITY | MO | 65109 | 25 |