*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M130 - Polyarthritis, unspecified - as a primary diagnosis code | M130 - Polyarthritis, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.25 | |
| Readmission Rate (%) | 22.96 | |
| Unplanned Readmission Rate (%) | 12.83 | |
| 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 M130 - Polyarthritis, unspecified | 389 | |
| DRG Share of Total Hospitalizations | 0.16 | |
| % of Total ICD M130 - Polyarthritis, unspecified in DRG | 79.88 | |
| Avg LOS at DRG | 4.41 | |
| Avg LOS with ICD M130 - Polyarthritis, unspecified | 5.37 | |
| Readmission Rate at DRG | 17.16 | |
| Readmission Rate with ICD M130 - Polyarthritis, unspecified | 17.17 | |
| Unplanned Readmission Rate at DRG | 9.0 | |
| Unplanned Readmission Rate with ICD M130 - Polyarthritis, unspecified | 12.19 | |
| Total Medicare payments at DRG | $332,400,259 | |
| Total Medicare payments with ICD M130 - Polyarthritis, unspecified | $2,946,976 | |
| Total Medicare payment per Day at DRG | $1,455 | |
| Total Medicare payment per Day with ICD M130 - Polyarthritis, unspecified | $1,411 | |
| Total Medicare payment per Hospitalization at DRG | $6,422 | |
| Total Medicare payment per Hospitalization with ICD M130 - Polyarthritis, unspecified | $7,576 | |
| Total Medicare Charges at DRG | $1,234,809,519 | |
| Total Medicare Charges with ICD M130 - Polyarthritis, unspecified | $10,581,659 | |
| Avg Charges at DRG | $23,858 | |
| Avg Charges with ICD M130 - Polyarthritis, unspecified | $27,202 | |
| Mortality Rate at DRG | 0.04 | |
| Mortality Rate with ICD M130 - Polyarthritis, unspecified | NA | |
| SNF Discharge Rate at DRG | 25.37 | |
| SNF Discharge Rate with ICD M130 - Polyarthritis, unspecified | 15.68 | |
| Home Discharge Rate at DRG | 42.31 | |
| Home Discharge Rate with ICD M130 - Polyarthritis, unspecified | 48.84 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| HEALTHSOUTH REHAB OF HUMBLE | 19002 MCKAY DR | HUMBLE | TX | 77338 | 15 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. EMILE MATHURIN | 9810 FM-1960 BYPASS RD. W. | HUMBLE | TX | 77338 | 12 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 554: BONE DISEASES AND ARTHROPATHIES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 188,863 | ||||
| Total Hospitalizations with ICD M130 - Polyarthritis, unspecified | 888 | ||||
| DRG Share of Total Hospitalizations | 0.57 | ||||
| % of Total ICD M130 - Polyarthritis, unspecified in DRG | 4.06 | ||||
| Avg LOS at DRG | 11.75 | ||||
| Avg LOS with ICD M130 - Polyarthritis, unspecified | 12.39 | ||||
| Readmission Rate at DRG | 12.14 | ||||
| Readmission Rate with ICD M130 - Polyarthritis, unspecified | 10.5 | ||||
| Unplanned Readmission Rate at DRG | 7.97 | ||||
| Unplanned Readmission Rate with ICD M130 - Polyarthritis, unspecified | 7.4 | ||||
| Total Medicare payments at DRG | $3,216,901,374 | ||||
| Total Medicare payments with ICD M130 - Polyarthritis, unspecified | $15,658,139 | ||||
| Total Medicare payment per Day at DRG | $1,450 | ||||
| Total Medicare payment per Day with ICD M130 - Polyarthritis, unspecified | $1,423 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,033 | ||||
| Total Medicare payment per Hospitalization with ICD M130 - Polyarthritis, unspecified | $17,633 | ||||
| Total Medicare Charges at DRG | $7,709,712,645 | ||||
| Total Medicare Charges with ICD M130 - Polyarthritis, unspecified | $39,168,415 | ||||
| Avg Charges at DRG | $40,822 | ||||
| Avg Charges with ICD M130 - Polyarthritis, unspecified | $44,109 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD M130 - Polyarthritis, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 19.54 | ||||
| SNF Discharge Rate with ICD M130 - Polyarthritis, unspecified | 18.02 | ||||
| Home Discharge Rate at DRG | 19.47 | ||||
| Home Discharge Rate with ICD M130 - Polyarthritis, unspecified | 17.79 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY 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 | 120,351 | ||||
| Total Hospitalizations with ICD M130 - Polyarthritis, unspecified | 550 | ||||
| DRG Share of Total Hospitalizations | 0.37 | ||||
| % of Total ICD M130 - Polyarthritis, unspecified in DRG | 2.52 | ||||
| Avg LOS at DRG | 12.45 | ||||
| Avg LOS with ICD M130 - Polyarthritis, unspecified | 11.57 | ||||
| Readmission Rate at DRG | 17.61 | ||||
| Readmission Rate with ICD M130 - Polyarthritis, unspecified | 15.64 | ||||
| Unplanned Readmission Rate at DRG | 12.6 | ||||
| Unplanned Readmission Rate with ICD M130 - Polyarthritis, unspecified | 12.48 | ||||
| Total Medicare payments at DRG | $2,245,410,425 | ||||
| Total Medicare payments with ICD M130 - Polyarthritis, unspecified | $9,791,830 | ||||
| Total Medicare payment per Day at DRG | $1,499 | ||||
| Total Medicare payment per Day with ICD M130 - Polyarthritis, unspecified | $1,538 | ||||
| Total Medicare payment per Hospitalization at DRG | $18,657 | ||||
| Total Medicare payment per Hospitalization with ICD M130 - Polyarthritis, unspecified | $17,803 | ||||
| Total Medicare Charges at DRG | $5,810,478,166 | ||||
| Total Medicare Charges with ICD M130 - Polyarthritis, unspecified | $22,253,406 | ||||
| Avg Charges at DRG | $48,279 | ||||
| Avg Charges with ICD M130 - Polyarthritis, unspecified | $40,461 | ||||
| Mortality Rate at DRG | 0.55 | ||||
| Mortality Rate with ICD M130 - Polyarthritis, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 14.77 | ||||
| SNF Discharge Rate with ICD M130 - Polyarthritis, unspecified | 12.91 | ||||
| Home Discharge Rate at DRG | 22.27 | ||||
| Home Discharge Rate with ICD M130 - Polyarthritis, unspecified | 22.18 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 885: PSYCHOSES | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 122,730 | ||||
| Total Hospitalizations with ICD M130 - Polyarthritis, unspecified | 324 | ||||
| DRG Share of Total Hospitalizations | 0.37 | ||||
| % of Total ICD M130 - Polyarthritis, unspecified in DRG | 1.48 | ||||
| Avg LOS at DRG | 7.61 | ||||
| Avg LOS with ICD M130 - Polyarthritis, unspecified | 11.07 | ||||
| Readmission Rate at DRG | 21.31 | ||||
| Readmission Rate with ICD M130 - Polyarthritis, unspecified | 18.86 | ||||
| Unplanned Readmission Rate at DRG | 14.13 | ||||
| Unplanned Readmission Rate with ICD M130 - Polyarthritis, unspecified | 14.14 | ||||
| Total Medicare payments at DRG | $1,397,885,220 | ||||
| Total Medicare payments with ICD M130 - Polyarthritis, unspecified | $5,439,414 | ||||
| Total Medicare payment per Day at DRG | $1,497 | ||||
| Total Medicare payment per Day with ICD M130 - Polyarthritis, unspecified | $1,517 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,390 | ||||
| Total Medicare payment per Hospitalization with ICD M130 - Polyarthritis, unspecified | $16,788 | ||||
| Total Medicare Charges at DRG | $4,175,290,309 | ||||
| Total Medicare Charges with ICD M130 - Polyarthritis, unspecified | $12,173,444 | ||||
| Avg Charges at DRG | $34,020 | ||||
| Avg Charges with ICD M130 - Polyarthritis, unspecified | $37,572 | ||||
| Mortality Rate at DRG | 0.28 | ||||
| Mortality Rate with ICD M130 - Polyarthritis, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 21.64 | ||||
| SNF Discharge Rate with ICD M130 - Polyarthritis, unspecified | 13.89 | ||||
| Home Discharge Rate at DRG | 28.06 | ||||
| Home Discharge Rate with ICD M130 - Polyarthritis, unspecified | 16.05 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 195,476 | ||||
| Total Hospitalizations with ICD M130 - Polyarthritis, unspecified | 295 | ||||
| DRG Share of Total Hospitalizations | 0.59 | ||||
| % of Total ICD M130 - Polyarthritis, unspecified in DRG | 1.35 | ||||
| Avg LOS at DRG | 4.48 | ||||
| Avg LOS with ICD M130 - Polyarthritis, unspecified | 7.96 | ||||
| Readmission Rate at DRG | 20.57 | ||||
| Readmission Rate with ICD M130 - Polyarthritis, unspecified | 20.73 | ||||
| Unplanned Readmission Rate at DRG | 9.88 | ||||
| Unplanned Readmission Rate with ICD M130 - Polyarthritis, unspecified | 7.64 | ||||
| Total Medicare payments at DRG | $1,320,662,237 | ||||
| Total Medicare payments with ICD M130 - Polyarthritis, unspecified | $3,436,376 | ||||
| Total Medicare payment per Day at DRG | $1,508 | ||||
| Total Medicare payment per Day with ICD M130 - Polyarthritis, unspecified | $1,463 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,756 | ||||
| Total Medicare payment per Hospitalization with ICD M130 - Polyarthritis, unspecified | $11,649 | ||||
| Total Medicare Charges at DRG | $6,024,639,461 | ||||
| Total Medicare Charges with ICD M130 - Polyarthritis, unspecified | $10,448,728 | ||||
| Avg Charges at DRG | $30,820 | ||||
| Avg Charges with ICD M130 - Polyarthritis, unspecified | $35,419 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD M130 - Polyarthritis, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 33.36 | ||||
| SNF Discharge Rate with ICD M130 - Polyarthritis, unspecified | 27.12 | ||||
| Home Discharge Rate at DRG | 30.98 | ||||
| Home Discharge Rate with ICD M130 - Polyarthritis, unspecified | 23.39 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| PRESENCE SAINT JOSEPH MEDICAL CENTER | 333 N. MADISON ST. | JOLIET | IL | 60435 | 1,208 |
| UC SAN DIEGO HEALTH - HILLCREST MEDICAL CENTER | 200 WEST ARBOR DRIVE | SAN DIEGO | CA | 92103 | 468 |
| RIVERSIDE MEDICAL CENTER | 350 N WALL ST | KANKAKEE | IL | 60901 | 367 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RAYMOND D GRITTON | 960 E GREEN ST | PASADENA | CA | 91106 | 160 |
| Dr. HARWINDER SINGH | 1805 E FIR AVE | FRESNO | CA | 93720 | 105 |
| Dr. MEGHAN ANN MAGILL | 310 N HAMMES AVE | JOLIET | IL | 60435 | 104 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. BHAVESH R GANDHI | 16151 WEBER ROAD | CREST HILL | IL | 60403 | 504 |
| Dr. KAIN KUMAR | 540 W PALMDALE BLVD | PALMDALE | CA | 93551 | 203 |
| Dr. PETER MINH NGUYEN | 2710 HOSPITAL DR | VICTORIA | TX | 77901 | 186 |