*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M158 - Other polyosteoarthritis - as a primary diagnosis code | M158 - Other polyosteoarthritis - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.56 | |
| Readmission Rate (%) | 19.01 | |
| 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) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 51,757 | |
| Total Hospitalizations with ICD M158 - Other polyosteoarthritis | 60 | |
| DRG Share of Total Hospitalizations | 0.16 | |
| % of Total ICD M158 - Other polyosteoarthritis in DRG | 61.22 | |
| Avg LOS at DRG | 4.41 | |
| Avg LOS with ICD M158 - Other polyosteoarthritis | 7.68 | |
| Readmission Rate at DRG | 17.16 | |
| Readmission Rate with ICD M158 - Other polyosteoarthritis | NA | |
| Unplanned Readmission Rate at DRG | 9.0 | |
| Unplanned Readmission Rate with ICD M158 - Other polyosteoarthritis | NA | |
| Total Medicare payments at DRG | $332,400,259 | |
| Total Medicare payments with ICD M158 - Other polyosteoarthritis | $638,911 | |
| Total Medicare payment per Day at DRG | $1,455 | |
| Total Medicare payment per Day with ICD M158 - Other polyosteoarthritis | $1,386 | |
| Total Medicare payment per Hospitalization at DRG | $6,422 | |
| Total Medicare payment per Hospitalization with ICD M158 - Other polyosteoarthritis | $10,649 | |
| Total Medicare Charges at DRG | $1,234,809,519 | |
| Total Medicare Charges with ICD M158 - Other polyosteoarthritis | $1,652,441 | |
| Avg Charges at DRG | $23,858 | |
| Avg Charges with ICD M158 - Other polyosteoarthritis | $27,541 | |
| Mortality Rate at DRG | 0.04 | |
| Mortality Rate with ICD M158 - Other polyosteoarthritis | NA | |
| SNF Discharge Rate at DRG | 25.37 | |
| SNF Discharge Rate with ICD M158 - Other polyosteoarthritis | 28.33 | |
| Home Discharge Rate at DRG | 42.31 | |
| Home Discharge Rate with ICD M158 - Other polyosteoarthritis | 18.33 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 38,773 | ||||
| Total Hospitalizations with ICD M158 - Other polyosteoarthritis | 373 | ||||
| DRG Share of Total Hospitalizations | 0.12 | ||||
| % of Total ICD M158 - Other polyosteoarthritis in DRG | 6.99 | ||||
| Avg LOS at DRG | 11.96 | ||||
| Avg LOS with ICD M158 - Other polyosteoarthritis | 7.61 | ||||
| Readmission Rate at DRG | 18.12 | ||||
| Readmission Rate with ICD M158 - Other polyosteoarthritis | 10.56 | ||||
| Unplanned Readmission Rate at DRG | 14.28 | ||||
| Unplanned Readmission Rate with ICD M158 - Other polyosteoarthritis | 10.28 | ||||
| Total Medicare payments at DRG | $739,082,714 | ||||
| Total Medicare payments with ICD M158 - Other polyosteoarthritis | $2,422,280 | ||||
| Total Medicare payment per Day at DRG | $1,594 | ||||
| Total Medicare payment per Day with ICD M158 - Other polyosteoarthritis | $854 | ||||
| Total Medicare payment per Hospitalization at DRG | $19,062 | ||||
| Total Medicare payment per Hospitalization with ICD M158 - Other polyosteoarthritis | $6,494 | ||||
| Total Medicare Charges at DRG | $2,416,011,805 | ||||
| Total Medicare Charges with ICD M158 - Other polyosteoarthritis | $5,311,426 | ||||
| Avg Charges at DRG | $62,312 | ||||
| Avg Charges with ICD M158 - Other polyosteoarthritis | $14,240 | ||||
| Mortality Rate at DRG | 0.2 | ||||
| Mortality Rate with ICD M158 - Other polyosteoarthritis | NA | ||||
| SNF Discharge Rate at DRG | 17.34 | ||||
| SNF Discharge Rate with ICD M158 - Other polyosteoarthritis | 49.6 | ||||
| Home Discharge Rate at DRG | 21.02 | ||||
| Home Discharge Rate with ICD M158 - Other polyosteoarthritis | 13.14 |
*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 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD M158 - Other polyosteoarthritis | 134 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD M158 - Other polyosteoarthritis in DRG | 2.51 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD M158 - Other polyosteoarthritis | 5.81 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD M158 - Other polyosteoarthritis | 24.11 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD M158 - Other polyosteoarthritis | 19.64 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD M158 - Other polyosteoarthritis | $1,454,495 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD M158 - Other polyosteoarthritis | $1,870 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD M158 - Other polyosteoarthritis | $10,854 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD M158 - Other polyosteoarthritis | $6,530,384 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD M158 - Other polyosteoarthritis | $48,734 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD M158 - Other polyosteoarthritis | NA | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD M158 - Other polyosteoarthritis | 36.57 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD M158 - Other polyosteoarthritis | 17.91 |
*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 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 554: BONE DISEASES AND ARTHROPATHIES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD M158 - Other polyosteoarthritis | 92 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD M158 - Other polyosteoarthritis in DRG | 1.72 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD M158 - Other polyosteoarthritis | 5.75 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD M158 - Other polyosteoarthritis | 39.76 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD M158 - Other polyosteoarthritis | 21.69 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD M158 - Other polyosteoarthritis | $888,072 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD M158 - Other polyosteoarthritis | $1,679 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD M158 - Other polyosteoarthritis | $9,653 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD M158 - Other polyosteoarthritis | $2,944,619 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD M158 - Other polyosteoarthritis | $32,007 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD M158 - Other polyosteoarthritis | NA | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD M158 - Other polyosteoarthritis | 22.83 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD M158 - Other polyosteoarthritis | 36.96 |
*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 093: OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD M158 - Other polyosteoarthritis | 66 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD M158 - Other polyosteoarthritis in DRG | 1.24 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD M158 - Other polyosteoarthritis | 4.65 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD M158 - Other polyosteoarthritis | NA | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD M158 - Other polyosteoarthritis | NA | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD M158 - Other polyosteoarthritis | $480,050 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD M158 - Other polyosteoarthritis | $1,564 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD M158 - Other polyosteoarthritis | $7,273 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD M158 - Other polyosteoarthritis | $1,418,039 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD M158 - Other polyosteoarthritis | $21,485 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD M158 - Other polyosteoarthritis | NA | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD M158 - Other polyosteoarthritis | 24.24 | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD M158 - Other polyosteoarthritis | 39.39 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ENCOMPASS HEALTH REHABILITATION HOSPITAL OF ABILENE | 6401 DIRECTORS PKWY | ABILENE | TX | 79606 | 511 |
| STRAITH HOSPITAL FOR SPECIAL SURGERY | 23901 LAHSER RD | SOUTHFIELD | MI | 48033 | 380 |
| HEINZ REHAB HOSPITAL | 150 MUNDY ST | WILKES BARRE | PA | 18702 | 303 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID MARK GORDON | 28455 HAGGERTY RD | NOVI | MI | 48377 | 378 |
| Dr. EUGENE VICTOR HUDMAN | 6250 REGIONAL PLZ | ABILENE | TX | 79606 | 28 |
| Dr. MARK MELAMUD | 29001 CEDAR RD | LYNDHURST | OH | 44124 | 14 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. EUGENE VICTOR HUDMAN | 6250 REGIONAL PLZ | ABILENE | TX | 79606 | 511 |
| Dr. DAVID MARK GORDON | 28455 HAGGERTY RD | NOVI | MI | 48377 | 380 |
| Dr. JOHN A. KLINE | 150 MUNDY ST | WILKES BARRE | PA | 18702 | 230 |