*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M1000 - Idiopathic gout, unspecified site - as a primary diagnosis code | M1000 - Idiopathic gout, unspecified site - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.25 | |
| Readmission Rate (%) | 24.04 | |
| Unplanned Readmission Rate (%) | 11.99 | |
| 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) | |
|---|---|---|
| Total Hospitalizations at DRG | 51,757 | |
| Total Hospitalizations with ICD M1000 - Idiopathic gout, unspecified site | 254 | |
| DRG Share of Total Hospitalizations | 0.16 | |
| % of Total ICD M1000 - Idiopathic gout, unspecified site in DRG | 78.64 | |
| Avg LOS at DRG | 4.41 | |
| Avg LOS with ICD M1000 - Idiopathic gout, unspecified site | 4.44 | |
| Readmission Rate at DRG | 17.16 | |
| Readmission Rate with ICD M1000 - Idiopathic gout, unspecified site | 15.14 | |
| Unplanned Readmission Rate at DRG | 9.0 | |
| Unplanned Readmission Rate with ICD M1000 - Idiopathic gout, unspecified site | 9.56 | |
| Total Medicare payments at DRG | $332,400,259 | |
| Total Medicare payments with ICD M1000 - Idiopathic gout, unspecified site | $1,549,390 | |
| Total Medicare payment per Day at DRG | $1,455 | |
| Total Medicare payment per Day with ICD M1000 - Idiopathic gout, unspecified site | $1,372 | |
| Total Medicare payment per Hospitalization at DRG | $6,422 | |
| Total Medicare payment per Hospitalization with ICD M1000 - Idiopathic gout, unspecified site | $6,100 | |
| Total Medicare Charges at DRG | $1,234,809,519 | |
| Total Medicare Charges with ICD M1000 - Idiopathic gout, unspecified site | $6,007,201 | |
| Avg Charges at DRG | $23,858 | |
| Avg Charges with ICD M1000 - Idiopathic gout, unspecified site | $23,650 | |
| Mortality Rate at DRG | 0.04 | |
| Mortality Rate with ICD M1000 - Idiopathic gout, unspecified site | NA | |
| SNF Discharge Rate at DRG | 25.37 | |
| SNF Discharge Rate with ICD M1000 - Idiopathic gout, unspecified site | 18.9 | |
| Home Discharge Rate at DRG | 42.31 | |
| Home Discharge Rate with ICD M1000 - Idiopathic gout, unspecified site | 50.0 |
*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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD M1000 - Idiopathic gout, unspecified site | 1,689 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD M1000 - Idiopathic gout, unspecified site in DRG | 5.46 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD M1000 - Idiopathic gout, unspecified site | 6.13 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD M1000 - Idiopathic gout, unspecified site | 30.76 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD M1000 - Idiopathic gout, unspecified site | 23.89 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD M1000 - Idiopathic gout, unspecified site | $15,593,809 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD M1000 - Idiopathic gout, unspecified site | $1,506 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD M1000 - Idiopathic gout, unspecified site | $9,233 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD M1000 - Idiopathic gout, unspecified site | $74,006,347 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD M1000 - Idiopathic gout, unspecified site | $43,817 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD M1000 - Idiopathic gout, unspecified site | 2.9 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD M1000 - Idiopathic gout, unspecified site | 19.6 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD M1000 - Idiopathic gout, unspecified site | 37.48 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 682: RENAL FAILURE 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) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD M1000 - Idiopathic gout, unspecified site | 646 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD M1000 - Idiopathic gout, unspecified site in DRG | 2.09 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD M1000 - Idiopathic gout, unspecified site | 6.87 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD M1000 - Idiopathic gout, unspecified site | 29.92 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD M1000 - Idiopathic gout, unspecified site | 21.01 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD M1000 - Idiopathic gout, unspecified site | $6,389,303 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD M1000 - Idiopathic gout, unspecified site | $1,440 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD M1000 - Idiopathic gout, unspecified site | $9,891 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD M1000 - Idiopathic gout, unspecified site | $30,609,363 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD M1000 - Idiopathic gout, unspecified site | $47,383 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD M1000 - Idiopathic gout, unspecified site | 4.49 | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD M1000 - Idiopathic gout, unspecified site | 30.03 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD M1000 - Idiopathic gout, unspecified site | 35.29 |
*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 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 554: BONE DISEASES AND ARTHROPATHIES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD M1000 - Idiopathic gout, unspecified site | 428 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD M1000 - Idiopathic gout, unspecified site in DRG | 1.38 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD M1000 - Idiopathic gout, unspecified site | 4.47 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD M1000 - Idiopathic gout, unspecified site | 18.38 | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD M1000 - Idiopathic gout, unspecified site | 11.93 | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD M1000 - Idiopathic gout, unspecified site | $2,519,034 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD M1000 - Idiopathic gout, unspecified site | $1,316 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD M1000 - Idiopathic gout, unspecified site | $5,886 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD M1000 - Idiopathic gout, unspecified site | $12,597,486 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD M1000 - Idiopathic gout, unspecified site | $29,433 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD M1000 - Idiopathic gout, unspecified site | NA | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD M1000 - Idiopathic gout, unspecified site | 16.36 | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD M1000 - Idiopathic gout, unspecified site | 52.8 |
*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 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 885: PSYCHOSES | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD M1000 - Idiopathic gout, unspecified site | 374 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD M1000 - Idiopathic gout, unspecified site in DRG | 1.21 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD M1000 - Idiopathic gout, unspecified site | 4.06 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD M1000 - Idiopathic gout, unspecified site | 24.86 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD M1000 - Idiopathic gout, unspecified site | 15.57 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD M1000 - Idiopathic gout, unspecified site | $1,913,165 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD M1000 - Idiopathic gout, unspecified site | $1,260 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD M1000 - Idiopathic gout, unspecified site | $5,115 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD M1000 - Idiopathic gout, unspecified site | $8,514,685 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD M1000 - Idiopathic gout, unspecified site | $22,767 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD M1000 - Idiopathic gout, unspecified site | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD M1000 - Idiopathic gout, unspecified site | 26.2 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD M1000 - Idiopathic gout, unspecified site | 39.57 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| EDWARD W SPARROW HOSPITAL | 1215 E MICHIGAN AVE | LANSING | MI | 48912 | 190 |
| HAYS MEDICAL CENTER | 2220 CANTERBURY DR | HAYS | KS | 67601 | 148 |
| MCLEOD REGIONAL MEDICAL CENTER | 555 E CHEVES ST | FLORENCE | SC | 29506 | 129 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 25 |
| Dr. AHMAD HASSAN ABURASHED | 27209 LAHSER RD | SOUTHFIELD | MI | 48034 | 25 |
| Dr. RADHA KRISHNA KROTHAPALLI | 4163 LOMAC ST | MONTGOMERY | AL | 36106 | 20 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CHARLES E. COTTLE | 9643 HUEBNER RD | SAN ANTONIO | TX | 78240 | 73 |
| Dr. ABDULLAH ARSHAD | 907 E REED ST | HAYTI | MO | 63851 | 47 |
| Dr. LEONARD EUGENE ELLISON | 17330 NORTHLAND PARK CT | SOUTHFIELD | MI | 48075 | 44 |