*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M1288 - Other specific arthropathies, not elsewhere classified, other specified site - as a primary diagnosis code | M1288 - Other specific arthropathies, not elsewhere classified, other specified site - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 4.42 | |
| Readmission Rate (%) | 19.98 | |
| Unplanned Readmission Rate (%) | NA | |
| 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 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 554: BONE DISEASES AND ARTHROPATHIES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 473: CERVICAL SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 215,355 | ||
| Total Hospitalizations with ICD M1288 - Other specific arthropathies, not elsewhere classified, other specified site | 27 | ||
| DRG Share of Total Hospitalizations | 0.66 | ||
| % of Total ICD M1288 - Other specific arthropathies, not elsewhere classified, other specified site in DRG | 28.42 | ||
| Avg LOS at DRG | 3.28 | ||
| Avg LOS with ICD M1288 - Other specific arthropathies, not elsewhere classified, other specified site | 2.7 | ||
| Readmission Rate at DRG | 16.7 | ||
| Readmission Rate with ICD M1288 - Other specific arthropathies, not elsewhere classified, other specified site | NA | ||
| Unplanned Readmission Rate at DRG | 4.47 | ||
| Unplanned Readmission Rate with ICD M1288 - Other specific arthropathies, not elsewhere classified, other specified site | NA | ||
| Total Medicare payments at DRG | $5,278,830,730 | ||
| Total Medicare payments with ICD M1288 - Other specific arthropathies, not elsewhere classified, other specified site | $587,444 | ||
| Total Medicare payment per Day at DRG | $7,462 | ||
| Total Medicare payment per Day with ICD M1288 - Other specific arthropathies, not elsewhere classified, other specified site | $8,047 | ||
| Total Medicare payment per Hospitalization at DRG | $24,512 | ||
| Total Medicare payment per Hospitalization with ICD M1288 - Other specific arthropathies, not elsewhere classified, other specified site | $21,757 | ||
| Total Medicare Charges at DRG | $25,567,888,167 | ||
| Total Medicare Charges with ICD M1288 - Other specific arthropathies, not elsewhere classified, other specified site | $2,141,332 | ||
| Avg Charges at DRG | $118,724 | ||
| Avg Charges with ICD M1288 - Other specific arthropathies, not elsewhere classified, other specified site | $79,309 | ||
| Mortality Rate at DRG | 0.03 | ||
| Mortality Rate with ICD M1288 - Other specific arthropathies, not elsewhere classified, other specified site | NA | ||
| SNF Discharge Rate at DRG | 15.71 | ||
| SNF Discharge Rate with ICD M1288 - Other specific arthropathies, not elsewhere classified, other specified site | NA | ||
| Home Discharge Rate at DRG | 51.89 | ||
| Home Discharge Rate with ICD M1288 - Other specific arthropathies, not elsewhere classified, other specified site | 81.48 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 455: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 454: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 473: CERVICAL SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 215,355 | ||||
| Total Hospitalizations with ICD M1288 - Other specific arthropathies, not elsewhere classified, other specified site | 927 | ||||
| DRG Share of Total Hospitalizations | 0.66 | ||||
| % of Total ICD M1288 - Other specific arthropathies, not elsewhere classified, other specified site in DRG | 26.13 | ||||
| Avg LOS at DRG | 3.28 | ||||
| Avg LOS with ICD M1288 - Other specific arthropathies, not elsewhere classified, other specified site | 3.13 | ||||
| Readmission Rate at DRG | 16.7 | ||||
| Readmission Rate with ICD M1288 - Other specific arthropathies, not elsewhere classified, other specified site | 16.48 | ||||
| Unplanned Readmission Rate at DRG | 4.47 | ||||
| Unplanned Readmission Rate with ICD M1288 - Other specific arthropathies, not elsewhere classified, other specified site | 4.54 | ||||
| Total Medicare payments at DRG | $5,278,830,730 | ||||
| Total Medicare payments with ICD M1288 - Other specific arthropathies, not elsewhere classified, other specified site | $23,543,132 | ||||
| Total Medicare payment per Day at DRG | $7,462 | ||||
| Total Medicare payment per Day with ICD M1288 - Other specific arthropathies, not elsewhere classified, other specified site | $8,107 | ||||
| Total Medicare payment per Hospitalization at DRG | $24,512 | ||||
| Total Medicare payment per Hospitalization with ICD M1288 - Other specific arthropathies, not elsewhere classified, other specified site | $25,397 | ||||
| Total Medicare Charges at DRG | $25,567,888,167 | ||||
| Total Medicare Charges with ICD M1288 - Other specific arthropathies, not elsewhere classified, other specified site | $106,553,636 | ||||
| Avg Charges at DRG | $118,724 | ||||
| Avg Charges with ICD M1288 - Other specific arthropathies, not elsewhere classified, other specified site | $114,945 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD M1288 - Other specific arthropathies, not elsewhere classified, other specified site | NA | ||||
| SNF Discharge Rate at DRG | 15.71 | ||||
| SNF Discharge Rate with ICD M1288 - Other specific arthropathies, not elsewhere classified, other specified site | 13.59 | ||||
| Home Discharge Rate at DRG | 51.89 | ||||
| Home Discharge Rate with ICD M1288 - Other specific arthropathies, not elsewhere classified, other specified site | 57.93 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 520: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 517: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 472: CERVICAL SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 519: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 30,062 | ||||
| Total Hospitalizations with ICD M1288 - Other specific arthropathies, not elsewhere classified, other specified site | 85 | ||||
| DRG Share of Total Hospitalizations | 0.09 | ||||
| % of Total ICD M1288 - Other specific arthropathies, not elsewhere classified, other specified site in DRG | 2.4 | ||||
| Avg LOS at DRG | 2.14 | ||||
| Avg LOS with ICD M1288 - Other specific arthropathies, not elsewhere classified, other specified site | 2.0 | ||||
| Readmission Rate at DRG | 11.6 | ||||
| Readmission Rate with ICD M1288 - Other specific arthropathies, not elsewhere classified, other specified site | NA | ||||
| Unplanned Readmission Rate at DRG | 3.9 | ||||
| Unplanned Readmission Rate with ICD M1288 - Other specific arthropathies, not elsewhere classified, other specified site | NA | ||||
| Total Medicare payments at DRG | $199,571,619 | ||||
| Total Medicare payments with ICD M1288 - Other specific arthropathies, not elsewhere classified, other specified site | $561,145 | ||||
| Total Medicare payment per Day at DRG | $3,102 | ||||
| Total Medicare payment per Day with ICD M1288 - Other specific arthropathies, not elsewhere classified, other specified site | $3,301 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,639 | ||||
| Total Medicare payment per Hospitalization with ICD M1288 - Other specific arthropathies, not elsewhere classified, other specified site | $6,602 | ||||
| Total Medicare Charges at DRG | $1,429,977,155 | ||||
| Total Medicare Charges with ICD M1288 - Other specific arthropathies, not elsewhere classified, other specified site | $3,814,534 | ||||
| Avg Charges at DRG | $47,568 | ||||
| Avg Charges with ICD M1288 - Other specific arthropathies, not elsewhere classified, other specified site | $44,877 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD M1288 - Other specific arthropathies, not elsewhere classified, other specified site | NA | ||||
| SNF Discharge Rate at DRG | 8.82 | ||||
| SNF Discharge Rate with ICD M1288 - Other specific arthropathies, not elsewhere classified, other specified site | NA | ||||
| Home Discharge Rate at DRG | 68.77 | ||||
| Home Discharge Rate with ICD M1288 - Other specific arthropathies, not elsewhere classified, other specified site | 83.53 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 459: SPINAL FUSION EXCEPT CERVICAL WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 554: BONE DISEASES AND ARTHROPATHIES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 16,812 | ||||
| Total Hospitalizations with ICD M1288 - Other specific arthropathies, not elsewhere classified, other specified site | 45 | ||||
| DRG Share of Total Hospitalizations | 0.05 | ||||
| % of Total ICD M1288 - Other specific arthropathies, not elsewhere classified, other specified site in DRG | 1.27 | ||||
| Avg LOS at DRG | 7.66 | ||||
| Avg LOS with ICD M1288 - Other specific arthropathies, not elsewhere classified, other specified site | 6.02 | ||||
| Readmission Rate at DRG | 36.82 | ||||
| Readmission Rate with ICD M1288 - Other specific arthropathies, not elsewhere classified, other specified site | 29.55 | ||||
| Unplanned Readmission Rate at DRG | 8.15 | ||||
| Unplanned Readmission Rate with ICD M1288 - Other specific arthropathies, not elsewhere classified, other specified site | NA | ||||
| Total Medicare payments at DRG | $685,730,928 | ||||
| Total Medicare payments with ICD M1288 - Other specific arthropathies, not elsewhere classified, other specified site | $1,805,083 | ||||
| Total Medicare payment per Day at DRG | $5,325 | ||||
| Total Medicare payment per Day with ICD M1288 - Other specific arthropathies, not elsewhere classified, other specified site | $6,661 | ||||
| Total Medicare payment per Hospitalization at DRG | $40,788 | ||||
| Total Medicare payment per Hospitalization with ICD M1288 - Other specific arthropathies, not elsewhere classified, other specified site | $40,113 | ||||
| Total Medicare Charges at DRG | $3,152,175,405 | ||||
| Total Medicare Charges with ICD M1288 - Other specific arthropathies, not elsewhere classified, other specified site | $7,720,447 | ||||
| Avg Charges at DRG | $187,496 | ||||
| Avg Charges with ICD M1288 - Other specific arthropathies, not elsewhere classified, other specified site | $171,565 | ||||
| Mortality Rate at DRG | 2.12 | ||||
| Mortality Rate with ICD M1288 - Other specific arthropathies, not elsewhere classified, other specified site | NA | ||||
| SNF Discharge Rate at DRG | 31.97 | ||||
| SNF Discharge Rate with ICD M1288 - Other specific arthropathies, not elsewhere classified, other specified site | 28.89 | ||||
| Home Discharge Rate at DRG | 20.62 | ||||
| Home Discharge Rate with ICD M1288 - Other specific arthropathies, not elsewhere classified, other specified site | 28.89 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 457: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 543: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD M1288 - Other specific arthropathies, not elsewhere classified, other specified site | 32 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD M1288 - Other specific arthropathies, not elsewhere classified, other specified site in DRG | 0.9 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD M1288 - Other specific arthropathies, not elsewhere classified, other specified site | 3.34 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD M1288 - Other specific arthropathies, not elsewhere classified, other specified site | NA | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD M1288 - Other specific arthropathies, not elsewhere classified, other specified site | NA | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD M1288 - Other specific arthropathies, not elsewhere classified, other specified site | $145,991 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD M1288 - Other specific arthropathies, not elsewhere classified, other specified site | $1,364 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD M1288 - Other specific arthropathies, not elsewhere classified, other specified site | $4,562 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD M1288 - Other specific arthropathies, not elsewhere classified, other specified site | $744,538 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD M1288 - Other specific arthropathies, not elsewhere classified, other specified site | $23,267 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD M1288 - Other specific arthropathies, not elsewhere classified, other specified site | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD M1288 - Other specific arthropathies, not elsewhere classified, other specified site | NA | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD M1288 - Other specific arthropathies, not elsewhere classified, other specified site | 78.13 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| AURORA BAYCARE MEDICAL CENTER | 2845 GREENBRIER RD | GREEN BAY | WI | 54311 | 86 |
| PROHEALTH WAUKESHA MEMORIAL HOSPITAL | 725 AMERICAN AVE | WAUKESHA | WI | 53188 | 83 |
| FLAGSTAFF MEDICAL CENTER | 1200 N. BEAVER ST. | FLAGSTAFF | AZ | 86001 | 62 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CHRISTOPHER KING | 1111 DELAFIELD ST STE 105 | WAUKESHA | WI | 53188 | 53 |
| Dr. STEPHEN L RITLAND | 1150 N SAN FRANCISCO ST | FLAGSTAFF | AZ | 86001 | 50 |
| Dr. PAUL N BAEK | 2845 GREENBRIER RD STE 330 | GREEN BAY | WI | 54311 | 36 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CHRISTOPHER KING | 1111 DELAFIELD ST STE 105 | WAUKESHA | WI | 53188 | 51 |
| Dr. STEPHEN L RITLAND | 1150 N SAN FRANCISCO ST | FLAGSTAFF | AZ | 86001 | 50 |
| Dr. PAUL N BAEK | 2845 GREENBRIER RD STE 330 | GREEN BAY | WI | 54311 | 37 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | I10 | Essential (primary) hypertension |