*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M119 - Crystal arthropathy, unspecified - as a primary diagnosis code | M119 - Crystal arthropathy, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.69 | |
| Readmission Rate (%) | 22.15 | |
| Unplanned Readmission Rate (%) | 9.03 | |
| 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 M119 - Crystal arthropathy, unspecified | 124 | |
| DRG Share of Total Hospitalizations | 0.16 | |
| % of Total ICD M119 - Crystal arthropathy, unspecified in DRG | 76.54 | |
| Avg LOS at DRG | 4.41 | |
| Avg LOS with ICD M119 - Crystal arthropathy, unspecified | 3.37 | |
| Readmission Rate at DRG | 17.16 | |
| Readmission Rate with ICD M119 - Crystal arthropathy, unspecified | 10.17 | |
| Unplanned Readmission Rate at DRG | 9.0 | |
| Unplanned Readmission Rate with ICD M119 - Crystal arthropathy, unspecified | NA | |
| Total Medicare payments at DRG | $332,400,259 | |
| Total Medicare payments with ICD M119 - Crystal arthropathy, unspecified | $621,057 | |
| Total Medicare payment per Day at DRG | $1,455 | |
| Total Medicare payment per Day with ICD M119 - Crystal arthropathy, unspecified | $1,486 | |
| Total Medicare payment per Hospitalization at DRG | $6,422 | |
| Total Medicare payment per Hospitalization with ICD M119 - Crystal arthropathy, unspecified | $5,009 | |
| Total Medicare Charges at DRG | $1,234,809,519 | |
| Total Medicare Charges with ICD M119 - Crystal arthropathy, unspecified | $3,080,491 | |
| Avg Charges at DRG | $23,858 | |
| Avg Charges with ICD M119 - Crystal arthropathy, unspecified | $24,843 | |
| Mortality Rate at DRG | 0.04 | |
| Mortality Rate with ICD M119 - Crystal arthropathy, unspecified | NA | |
| SNF Discharge Rate at DRG | 25.37 | |
| SNF Discharge Rate with ICD M119 - Crystal arthropathy, unspecified | 26.61 | |
| Home Discharge Rate at DRG | 42.31 | |
| Home Discharge Rate with ICD M119 - Crystal arthropathy, unspecified | 54.84 |
*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 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 553: BONE DISEASES AND ARTHROPATHIES WITH 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 M119 - Crystal arthropathy, unspecified | 237 | ||||
| DRG Share of Total Hospitalizations | 0.16 | ||||
| % of Total ICD M119 - Crystal arthropathy, unspecified in DRG | 18.01 | ||||
| Avg LOS at DRG | 4.41 | ||||
| Avg LOS with ICD M119 - Crystal arthropathy, unspecified | 3.81 | ||||
| Readmission Rate at DRG | 17.16 | ||||
| Readmission Rate with ICD M119 - Crystal arthropathy, unspecified | 15.42 | ||||
| Unplanned Readmission Rate at DRG | 9.0 | ||||
| Unplanned Readmission Rate with ICD M119 - Crystal arthropathy, unspecified | 9.69 | ||||
| Total Medicare payments at DRG | $332,400,259 | ||||
| Total Medicare payments with ICD M119 - Crystal arthropathy, unspecified | $1,276,959 | ||||
| Total Medicare payment per Day at DRG | $1,455 | ||||
| Total Medicare payment per Day with ICD M119 - Crystal arthropathy, unspecified | $1,416 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,422 | ||||
| Total Medicare payment per Hospitalization with ICD M119 - Crystal arthropathy, unspecified | $5,388 | ||||
| Total Medicare Charges at DRG | $1,234,809,519 | ||||
| Total Medicare Charges with ICD M119 - Crystal arthropathy, unspecified | $6,641,584 | ||||
| Avg Charges at DRG | $23,858 | ||||
| Avg Charges with ICD M119 - Crystal arthropathy, unspecified | $28,024 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD M119 - Crystal arthropathy, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 25.37 | ||||
| SNF Discharge Rate with ICD M119 - Crystal arthropathy, unspecified | 26.58 | ||||
| Home Discharge Rate at DRG | 42.31 | ||||
| Home Discharge Rate with ICD M119 - Crystal arthropathy, unspecified | 47.26 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | 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 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD M119 - Crystal arthropathy, unspecified | 34 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD M119 - Crystal arthropathy, unspecified in DRG | 2.58 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD M119 - Crystal arthropathy, unspecified | 7.18 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD M119 - Crystal arthropathy, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD M119 - Crystal arthropathy, unspecified | NA | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD M119 - Crystal arthropathy, unspecified | $419,268 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD M119 - Crystal arthropathy, unspecified | $1,718 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD M119 - Crystal arthropathy, unspecified | $12,331 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD M119 - Crystal arthropathy, unspecified | $2,622,403 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD M119 - Crystal arthropathy, unspecified | $77,130 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD M119 - Crystal arthropathy, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD M119 - Crystal arthropathy, unspecified | NA | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD M119 - Crystal arthropathy, unspecified | 32.35 |
*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 602: CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD M119 - Crystal arthropathy, unspecified | 16 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD M119 - Crystal arthropathy, unspecified in DRG | 1.22 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD M119 - Crystal arthropathy, unspecified | 4.81 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD M119 - Crystal arthropathy, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD M119 - Crystal arthropathy, unspecified | NA | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD M119 - Crystal arthropathy, unspecified | $89,615 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD M119 - Crystal arthropathy, unspecified | $1,164 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD M119 - Crystal arthropathy, unspecified | $5,601 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD M119 - Crystal arthropathy, unspecified | $474,022 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD M119 - Crystal arthropathy, unspecified | $29,626 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD M119 - Crystal arthropathy, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD M119 - Crystal arthropathy, unspecified | NA | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD M119 - Crystal arthropathy, unspecified | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 565: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 549: SEPTIC ARTHRITIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 488: KNEE PROCEDURES WITHOUT PDX OF INFECTION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 546: CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 23,663 | |||
| Total Hospitalizations with ICD M119 - Crystal arthropathy, unspecified | 12 | |||
| DRG Share of Total Hospitalizations | 0.07 | |||
| % of Total ICD M119 - Crystal arthropathy, unspecified in DRG | 0.91 | |||
| Avg LOS at DRG | 4.81 | |||
| Avg LOS with ICD M119 - Crystal arthropathy, unspecified | 3.67 | |||
| Readmission Rate at DRG | 21.07 | |||
| Readmission Rate with ICD M119 - Crystal arthropathy, unspecified | NA | |||
| Unplanned Readmission Rate at DRG | 11.02 | |||
| Unplanned Readmission Rate with ICD M119 - Crystal arthropathy, unspecified | NA | |||
| Total Medicare payments at DRG | $163,590,689 | |||
| Total Medicare payments with ICD M119 - Crystal arthropathy, unspecified | $79,744 | |||
| Total Medicare payment per Day at DRG | $1,438 | |||
| Total Medicare payment per Day with ICD M119 - Crystal arthropathy, unspecified | $1,812 | |||
| Total Medicare payment per Hospitalization at DRG | $6,913 | |||
| Total Medicare payment per Hospitalization with ICD M119 - Crystal arthropathy, unspecified | $6,645 | |||
| Total Medicare Charges at DRG | $779,108,044 | |||
| Total Medicare Charges with ICD M119 - Crystal arthropathy, unspecified | $365,908 | |||
| Avg Charges at DRG | $32,925 | |||
| Avg Charges with ICD M119 - Crystal arthropathy, unspecified | $30,492 | |||
| Mortality Rate at DRG | 0.29 | |||
| Mortality Rate with ICD M119 - Crystal arthropathy, unspecified | NA | |||
| SNF Discharge Rate at DRG | 39.56 | |||
| SNF Discharge Rate with ICD M119 - Crystal arthropathy, unspecified | NA | |||
| Home Discharge Rate at DRG | 25.13 | |||
| Home Discharge Rate with ICD M119 - Crystal arthropathy, unspecified | NA |
| 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 | 20 |
| NYU WINTHROP HOSPITAL | 259 1ST ST | MINEOLA | NY | 11501 | 19 |
| NEWYORK PRESBYTERIAN - WEILL CORNELL MEDICAL CENTER | 525 E 68TH ST | NEW YORK | NY | 10021 | 17 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOHNNY SHANE ROSS | 2000 MEDICAL DR | LAKEWAY | TX | 78734 | 11 |