*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M1380 - Other specified arthritis, unspecified site - as a primary diagnosis code | M1380 - Other specified arthritis, unspecified site - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.31 | |
| Readmission Rate (%) | 20.5 | |
| 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 554: BONE DISEASES AND ARTHROPATHIES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 51,757 |
| Total Hospitalizations with ICD M1380 - Other specified arthritis, unspecified site | 15 |
| DRG Share of Total Hospitalizations | 0.16 |
| % of Total ICD M1380 - Other specified arthritis, unspecified site in DRG | 88.24 |
| Avg LOS at DRG | 4.41 |
| Avg LOS with ICD M1380 - Other specified arthritis, unspecified site | 3.2 |
| Readmission Rate at DRG | 17.16 |
| Readmission Rate with ICD M1380 - Other specified arthritis, unspecified site | NA |
| Unplanned Readmission Rate at DRG | 9.0 |
| Unplanned Readmission Rate with ICD M1380 - Other specified arthritis, unspecified site | NA |
| Total Medicare payments at DRG | $332,400,259 |
| Total Medicare payments with ICD M1380 - Other specified arthritis, unspecified site | $70,282 |
| Total Medicare payment per Day at DRG | $1,455 |
| Total Medicare payment per Day with ICD M1380 - Other specified arthritis, unspecified site | $1,464 |
| Total Medicare payment per Hospitalization at DRG | $6,422 |
| Total Medicare payment per Hospitalization with ICD M1380 - Other specified arthritis, unspecified site | $4,685 |
| Total Medicare Charges at DRG | $1,234,809,519 |
| Total Medicare Charges with ICD M1380 - Other specified arthritis, unspecified site | $384,533 |
| Avg Charges at DRG | $23,858 |
| Avg Charges with ICD M1380 - Other specified arthritis, unspecified site | $25,636 |
| Mortality Rate at DRG | 0.04 |
| Mortality Rate with ICD M1380 - Other specified arthritis, unspecified site | NA |
| SNF Discharge Rate at DRG | 25.37 |
| SNF Discharge Rate with ICD M1380 - Other specified arthritis, unspecified site | NA |
| Home Discharge Rate at DRG | 42.31 |
| Home Discharge Rate with ICD M1380 - Other specified arthritis, unspecified site | 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD M1380 - Other specified arthritis, unspecified site | 288 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD M1380 - Other specified arthritis, unspecified site in DRG | 4.17 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD M1380 - Other specified arthritis, unspecified site | 6.12 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD M1380 - Other specified arthritis, unspecified site | 23.69 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD M1380 - Other specified arthritis, unspecified site | 13.65 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD M1380 - Other specified arthritis, unspecified site | $3,569,362 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD M1380 - Other specified arthritis, unspecified site | $2,025 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD M1380 - Other specified arthritis, unspecified site | $12,394 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD M1380 - Other specified arthritis, unspecified site | $15,642,767 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD M1380 - Other specified arthritis, unspecified site | $54,315 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD M1380 - Other specified arthritis, unspecified site | 8.68 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD M1380 - Other specified arthritis, unspecified site | 22.57 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD M1380 - Other specified arthritis, unspecified site | 36.46 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| 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) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD M1380 - Other specified arthritis, unspecified site | 124 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD M1380 - Other specified arthritis, unspecified site in DRG | 1.79 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD M1380 - Other specified arthritis, unspecified site | 5.0 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD M1380 - Other specified arthritis, unspecified site | 19.01 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD M1380 - Other specified arthritis, unspecified site | 14.88 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD M1380 - Other specified arthritis, unspecified site | $885,243 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD M1380 - Other specified arthritis, unspecified site | $1,428 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD M1380 - Other specified arthritis, unspecified site | $7,139 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD M1380 - Other specified arthritis, unspecified site | $4,460,539 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD M1380 - Other specified arthritis, unspecified site | $35,972 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD M1380 - Other specified arthritis, unspecified site | NA | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD M1380 - Other specified arthritis, unspecified site | 25.0 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD M1380 - Other specified arthritis, unspecified site | 50.81 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 364,421 | ||||
| Total Hospitalizations with ICD M1380 - Other specified arthritis, unspecified site | 104 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD M1380 - Other specified arthritis, unspecified site in DRG | 1.51 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD M1380 - Other specified arthritis, unspecified site | 4.38 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD M1380 - Other specified arthritis, unspecified site | 16.67 | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD M1380 - Other specified arthritis, unspecified site | NA | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD M1380 - Other specified arthritis, unspecified site | $638,659 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD M1380 - Other specified arthritis, unspecified site | $1,404 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD M1380 - Other specified arthritis, unspecified site | $6,141 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD M1380 - Other specified arthritis, unspecified site | $3,041,326 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD M1380 - Other specified arthritis, unspecified site | $29,244 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD M1380 - Other specified arthritis, unspecified site | NA | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD M1380 - Other specified arthritis, unspecified site | 13.46 | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD M1380 - Other specified arthritis, 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 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD M1380 - Other specified arthritis, unspecified site | 86 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD M1380 - Other specified arthritis, unspecified site in DRG | 1.24 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD M1380 - Other specified arthritis, unspecified site | 5.16 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD M1380 - Other specified arthritis, unspecified site | 13.92 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD M1380 - Other specified arthritis, unspecified site | NA | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD M1380 - Other specified arthritis, unspecified site | $768,824 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD M1380 - Other specified arthritis, unspecified site | $1,732 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD M1380 - Other specified arthritis, unspecified site | $8,940 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD M1380 - Other specified arthritis, unspecified site | $3,096,404 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD M1380 - Other specified arthritis, unspecified site | $36,005 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD M1380 - Other specified arthritis, unspecified site | NA | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD M1380 - Other specified arthritis, unspecified site | 24.42 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD M1380 - Other specified arthritis, unspecified site | 32.56 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UNIVERSITY OF MARYLAND SHORE MEDICAL CENTER AT EASTON | 300 BYRN ST | CAMBRIDGE | MD | 21613 | 184 |
| NORTH SHORE UNIVERSITY HOSPITAL | 300 COMMUNITY DRIVE | MANHASSET | NY | 11030 | 94 |
| MIDMICHIGAN MEDICAL CENTER - ALPENA | 1501 W CHISHOLM ST | ALPENA | MI | 49707 | 83 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CHRISTOPHER ALLEN ARNOLD | 3900 N PARKVIEW DR | FAYETTEVILLE | AR | 72703 | 16 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ELENA TILLY | 300 BYRN ST | CAMBRIDGE | MD | 21613 | 52 |
| Dr. SURESH LOHANO | 1402 GRAND AVE | WASHINGTON | IN | 47501 | 32 |
| Dr. KORAH MATHAI PULIMOOD | 912 MARKET ST # D | DENTON | MD | 21629 | 29 |