*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M159 - Polyosteoarthritis, unspecified - as a primary diagnosis code | M159 - Polyosteoarthritis, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.26 | |
| Readmission Rate (%) | 20.02 | |
| Unplanned Readmission Rate (%) | 7.16 | |
| 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) | DRG 553: BONE DISEASES AND ARTHROPATHIES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 483: MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 51,757 | |||
| Total Hospitalizations with ICD M159 - Polyosteoarthritis, unspecified | 535 | |||
| DRG Share of Total Hospitalizations | 0.16 | |||
| % of Total ICD M159 - Polyosteoarthritis, unspecified in DRG | 47.77 | |||
| Avg LOS at DRG | 4.41 | |||
| Avg LOS with ICD M159 - Polyosteoarthritis, unspecified | 7.51 | |||
| Readmission Rate at DRG | 17.16 | |||
| Readmission Rate with ICD M159 - Polyosteoarthritis, unspecified | 15.35 | |||
| Unplanned Readmission Rate at DRG | 9.0 | |||
| Unplanned Readmission Rate with ICD M159 - Polyosteoarthritis, unspecified | 10.43 | |||
| Total Medicare payments at DRG | $332,400,259 | |||
| Total Medicare payments with ICD M159 - Polyosteoarthritis, unspecified | $5,350,850 | |||
| Total Medicare payment per Day at DRG | $1,455 | |||
| Total Medicare payment per Day with ICD M159 - Polyosteoarthritis, unspecified | $1,331 | |||
| Total Medicare payment per Hospitalization at DRG | $6,422 | |||
| Total Medicare payment per Hospitalization with ICD M159 - Polyosteoarthritis, unspecified | $10,002 | |||
| Total Medicare Charges at DRG | $1,234,809,519 | |||
| Total Medicare Charges with ICD M159 - Polyosteoarthritis, unspecified | $13,905,960 | |||
| Avg Charges at DRG | $23,858 | |||
| Avg Charges with ICD M159 - Polyosteoarthritis, unspecified | $25,992 | |||
| Mortality Rate at DRG | 0.04 | |||
| Mortality Rate with ICD M159 - Polyosteoarthritis, unspecified | NA | |||
| SNF Discharge Rate at DRG | 25.37 | |||
| SNF Discharge Rate with ICD M159 - Polyosteoarthritis, unspecified | 30.47 | |||
| Home Discharge Rate at DRG | 42.31 | |||
| Home Discharge Rate with ICD M159 - Polyosteoarthritis, unspecified | 20.37 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| HEALTHSOUTH REHABILITATION HOSPITAL OF FORT SMITH | 1401 S J ST | FORT SMITH | AR | 72901 | 38 |
| ORTHOPAEDIC HOSPITAL OF WISCONSIN | 475 W RIVER WOODS PKWY | GLENDALE | WI | 53212 | 31 |
| SAGE REHABILITATION HOSPITAL | 8000 SUMMA AVE | BATON ROUGE | LA | 70809 | 25 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. WILLIAM L LEHMAN | 134 PROFESSIONAL PARK BLVD | ROCK HILL | SC | 29732 | 17 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. BRADLEY MARK SHORT | 3905 BROOKEN HILL DR | FORT SMITH | AR | 72908 | 32 |
| Dr. CHRISTOPHER L BELLEAU | 5000 HENNESSY BLVD | BATON ROUGE | LA | 70808 | 25 |
| Dr. WILLIAM L LEHMAN | 134 PROFESSIONAL PARK BLVD | ROCK HILL | SC | 29732 | 17 |
*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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS 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 | 1,808,415 | ||||
| Total Hospitalizations with ICD M159 - Polyosteoarthritis, unspecified | 5,417 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD M159 - Polyosteoarthritis, unspecified in DRG | 4.18 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD M159 - Polyosteoarthritis, unspecified | 6.25 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD M159 - Polyosteoarthritis, unspecified | 22.48 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD M159 - Polyosteoarthritis, unspecified | 15.09 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD M159 - Polyosteoarthritis, unspecified | $60,937,510 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD M159 - Polyosteoarthritis, unspecified | $1,801 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD M159 - Polyosteoarthritis, unspecified | $11,249 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD M159 - Polyosteoarthritis, unspecified | $272,206,974 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD M159 - Polyosteoarthritis, unspecified | $50,251 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD M159 - Polyosteoarthritis, unspecified | 8.69 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD M159 - Polyosteoarthritis, unspecified | 31.99 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD M159 - Polyosteoarthritis, unspecified | 22.58 |
*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 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD M159 - Polyosteoarthritis, unspecified | 2,500 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD M159 - Polyosteoarthritis, unspecified in DRG | 1.93 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD M159 - Polyosteoarthritis, unspecified | 3.98 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD M159 - Polyosteoarthritis, unspecified | 18.28 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD M159 - Polyosteoarthritis, unspecified | 11.55 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD M159 - Polyosteoarthritis, unspecified | $13,157,290 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD M159 - Polyosteoarthritis, unspecified | $1,321 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD M159 - Polyosteoarthritis, unspecified | $5,263 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD M159 - Polyosteoarthritis, unspecified | $56,978,695 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD M159 - Polyosteoarthritis, unspecified | $22,791 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD M159 - Polyosteoarthritis, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD M159 - Polyosteoarthritis, unspecified | 32.48 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD M159 - Polyosteoarthritis, unspecified | 32.08 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 885: PSYCHOSES | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD M159 - Polyosteoarthritis, unspecified | 1,978 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD M159 - Polyosteoarthritis, unspecified in DRG | 1.52 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD M159 - Polyosteoarthritis, unspecified | 12.61 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD M159 - Polyosteoarthritis, unspecified | 22.49 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD M159 - Polyosteoarthritis, unspecified | 11.46 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD M159 - Polyosteoarthritis, unspecified | $19,220,992 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD M159 - Polyosteoarthritis, unspecified | $771 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD M159 - Polyosteoarthritis, unspecified | $9,717 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD M159 - Polyosteoarthritis, unspecified | $62,665,254 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD M159 - Polyosteoarthritis, unspecified | $31,681 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD M159 - Polyosteoarthritis, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD M159 - Polyosteoarthritis, unspecified | 15.37 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD M159 - Polyosteoarthritis, unspecified | 65.47 |
*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 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD M159 - Polyosteoarthritis, unspecified | 1,852 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD M159 - Polyosteoarthritis, unspecified in DRG | 1.43 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD M159 - Polyosteoarthritis, unspecified | 4.63 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD M159 - Polyosteoarthritis, unspecified | 17.94 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD M159 - Polyosteoarthritis, unspecified | 12.65 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD M159 - Polyosteoarthritis, unspecified | $12,176,317 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD M159 - Polyosteoarthritis, unspecified | $1,421 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD M159 - Polyosteoarthritis, unspecified | $6,575 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD M159 - Polyosteoarthritis, unspecified | $57,708,660 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD M159 - Polyosteoarthritis, unspecified | $31,160 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD M159 - Polyosteoarthritis, unspecified | 1.24 | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD M159 - Polyosteoarthritis, unspecified | 26.62 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD M159 - Polyosteoarthritis, unspecified | 41.14 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| WILKES-BARRE GENERAL HOSPITAL | 575 N RIVER ST | WILKES BARRE | PA | 18764 | 1,259 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE | 2401 S 31ST ST | TEMPLE | TX | 76508 | 1,017 |
| HEALTHSOUTH WESTERN HILLS REHAB HOSPITAL | 3 WESTERN HILLS DR | PARKERSBURG | WV | 26105 | 877 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID MARK GORDON | 28455 HAGGERTY RD | NOVI | MI | 48377 | 407 |
| Dr. PIYUSH MITTAL | 3801 50TH ST | LUBBOCK | TX | 79413 | 260 |
| Dr. EDWARD J MCPHERSON | 201 S ALVARADO ST | LOS ANGELES | CA | 90057 | 138 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. HEATHER R SCULLIN | 3700 KOLBE RD | LORAIN | OH | 44053 | 534 |
| Dr. PIYUSH MITTAL | 3801 50TH ST | LUBBOCK | TX | 79413 | 501 |
| Dr. EUGENE VICTOR HUDMAN | 6250 REGIONAL PLZ | ABILENE | TX | 79606 | 492 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | E785 | Hyperlipidemia, unspecified |