*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M1A9XX0 - Chronic gout, unspecified, without tophus (tophi) - as a primary diagnosis code | M1A9XX0 - Chronic gout, unspecified, without tophus (tophi) - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.59 | |
| Readmission Rate (%) | 23.61 | |
| Unplanned Readmission Rate (%) | 17.52 | |
| 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 M1A9XX0 - Chronic gout, unspecified, without tophus (tophi) | 201 | |
| DRG Share of Total Hospitalizations | 0.16 | |
| % of Total ICD M1A9XX0 - Chronic gout, unspecified, without tophus (tophi) in DRG | 81.05 | |
| Avg LOS at DRG | 4.41 | |
| Avg LOS with ICD M1A9XX0 - Chronic gout, unspecified, without tophus (tophi) | 4.07 | |
| Readmission Rate at DRG | 17.16 | |
| Readmission Rate with ICD M1A9XX0 - Chronic gout, unspecified, without tophus (tophi) | 20.21 | |
| Unplanned Readmission Rate at DRG | 9.0 | |
| Unplanned Readmission Rate with ICD M1A9XX0 - Chronic gout, unspecified, without tophus (tophi) | 15.03 | |
| Total Medicare payments at DRG | $332,400,259 | |
| Total Medicare payments with ICD M1A9XX0 - Chronic gout, unspecified, without tophus (tophi) | $1,119,694 | |
| Total Medicare payment per Day at DRG | $1,455 | |
| Total Medicare payment per Day with ICD M1A9XX0 - Chronic gout, unspecified, without tophus (tophi) | $1,367 | |
| Total Medicare payment per Hospitalization at DRG | $6,422 | |
| Total Medicare payment per Hospitalization with ICD M1A9XX0 - Chronic gout, unspecified, without tophus (tophi) | $5,571 | |
| Total Medicare Charges at DRG | $1,234,809,519 | |
| Total Medicare Charges with ICD M1A9XX0 - Chronic gout, unspecified, without tophus (tophi) | $4,945,105 | |
| Avg Charges at DRG | $23,858 | |
| Avg Charges with ICD M1A9XX0 - Chronic gout, unspecified, without tophus (tophi) | $24,603 | |
| Mortality Rate at DRG | 0.04 | |
| Mortality Rate with ICD M1A9XX0 - Chronic gout, unspecified, without tophus (tophi) | NA | |
| SNF Discharge Rate at DRG | 25.37 | |
| SNF Discharge Rate with ICD M1A9XX0 - Chronic gout, unspecified, without tophus (tophi) | 17.41 | |
| Home Discharge Rate at DRG | 42.31 | |
| Home Discharge Rate with ICD M1A9XX0 - Chronic gout, unspecified, without tophus (tophi) | 51.74 |
*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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD M1A9XX0 - Chronic gout, unspecified, without tophus (tophi) | 3,954 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD M1A9XX0 - Chronic gout, unspecified, without tophus (tophi) in DRG | 6.45 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD M1A9XX0 - Chronic gout, unspecified, without tophus (tophi) | 5.55 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD M1A9XX0 - Chronic gout, unspecified, without tophus (tophi) | 28.13 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD M1A9XX0 - Chronic gout, unspecified, without tophus (tophi) | 21.62 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD M1A9XX0 - Chronic gout, unspecified, without tophus (tophi) | $37,922,823 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD M1A9XX0 - Chronic gout, unspecified, without tophus (tophi) | $1,727 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD M1A9XX0 - Chronic gout, unspecified, without tophus (tophi) | $9,591 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD M1A9XX0 - Chronic gout, unspecified, without tophus (tophi) | $159,491,758 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD M1A9XX0 - Chronic gout, unspecified, without tophus (tophi) | $40,337 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD M1A9XX0 - Chronic gout, unspecified, without tophus (tophi) | 2.53 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD M1A9XX0 - Chronic gout, unspecified, without tophus (tophi) | 17.43 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD M1A9XX0 - Chronic gout, unspecified, without tophus (tophi) | 41.0 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD M1A9XX0 - Chronic gout, unspecified, without tophus (tophi) | 1,184 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD M1A9XX0 - Chronic gout, unspecified, without tophus (tophi) in DRG | 1.93 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD M1A9XX0 - Chronic gout, unspecified, without tophus (tophi) | 6.49 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD M1A9XX0 - Chronic gout, unspecified, without tophus (tophi) | 29.65 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD M1A9XX0 - Chronic gout, unspecified, without tophus (tophi) | 22.28 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD M1A9XX0 - Chronic gout, unspecified, without tophus (tophi) | $12,009,982 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD M1A9XX0 - Chronic gout, unspecified, without tophus (tophi) | $1,562 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD M1A9XX0 - Chronic gout, unspecified, without tophus (tophi) | $10,144 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD M1A9XX0 - Chronic gout, unspecified, without tophus (tophi) | $55,320,379 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD M1A9XX0 - Chronic gout, unspecified, without tophus (tophi) | $46,723 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD M1A9XX0 - Chronic gout, unspecified, without tophus (tophi) | 3.29 | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD M1A9XX0 - Chronic gout, unspecified, without tophus (tophi) | 29.9 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD M1A9XX0 - Chronic gout, unspecified, without tophus (tophi) | 33.53 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH 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) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD M1A9XX0 - Chronic gout, unspecified, without tophus (tophi) | 899 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD M1A9XX0 - Chronic gout, unspecified, without tophus (tophi) in DRG | 1.47 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD M1A9XX0 - Chronic gout, unspecified, without tophus (tophi) | 3.78 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD M1A9XX0 - Chronic gout, unspecified, without tophus (tophi) | 18.52 | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD M1A9XX0 - Chronic gout, unspecified, without tophus (tophi) | 12.78 | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD M1A9XX0 - Chronic gout, unspecified, without tophus (tophi) | $5,510,227 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD M1A9XX0 - Chronic gout, unspecified, without tophus (tophi) | $1,621 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD M1A9XX0 - Chronic gout, unspecified, without tophus (tophi) | $6,129 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD M1A9XX0 - Chronic gout, unspecified, without tophus (tophi) | $21,785,716 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD M1A9XX0 - Chronic gout, unspecified, without tophus (tophi) | $24,233 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD M1A9XX0 - Chronic gout, unspecified, without tophus (tophi) | NA | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD M1A9XX0 - Chronic gout, unspecified, without tophus (tophi) | 17.24 | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD M1A9XX0 - Chronic gout, unspecified, without tophus (tophi) | 53.95 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 250,159 | ||||
| Total Hospitalizations with ICD M1A9XX0 - Chronic gout, unspecified, without tophus (tophi) | 658 | ||||
| DRG Share of Total Hospitalizations | 0.76 | ||||
| % of Total ICD M1A9XX0 - Chronic gout, unspecified, without tophus (tophi) in DRG | 1.07 | ||||
| Avg LOS at DRG | 5.47 | ||||
| Avg LOS with ICD M1A9XX0 - Chronic gout, unspecified, without tophus (tophi) | 5.57 | ||||
| Readmission Rate at DRG | 27.88 | ||||
| Readmission Rate with ICD M1A9XX0 - Chronic gout, unspecified, without tophus (tophi) | 28.32 | ||||
| Unplanned Readmission Rate at DRG | 19.94 | ||||
| Unplanned Readmission Rate with ICD M1A9XX0 - Chronic gout, unspecified, without tophus (tophi) | 21.07 | ||||
| Total Medicare payments at DRG | $2,661,443,545 | ||||
| Total Medicare payments with ICD M1A9XX0 - Chronic gout, unspecified, without tophus (tophi) | $7,283,671 | ||||
| Total Medicare payment per Day at DRG | $1,946 | ||||
| Total Medicare payment per Day with ICD M1A9XX0 - Chronic gout, unspecified, without tophus (tophi) | $1,988 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,639 | ||||
| Total Medicare payment per Hospitalization with ICD M1A9XX0 - Chronic gout, unspecified, without tophus (tophi) | $11,069 | ||||
| Total Medicare Charges at DRG | $13,270,497,724 | ||||
| Total Medicare Charges with ICD M1A9XX0 - Chronic gout, unspecified, without tophus (tophi) | $33,256,778 | ||||
| Avg Charges at DRG | $53,048 | ||||
| Avg Charges with ICD M1A9XX0 - Chronic gout, unspecified, without tophus (tophi) | $50,542 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD M1A9XX0 - Chronic gout, unspecified, without tophus (tophi) | NA | ||||
| SNF Discharge Rate at DRG | 21.63 | ||||
| SNF Discharge Rate with ICD M1A9XX0 - Chronic gout, unspecified, without tophus (tophi) | 19.6 | ||||
| Home Discharge Rate at DRG | 34.87 | ||||
| Home Discharge Rate with ICD M1A9XX0 - Chronic gout, unspecified, without tophus (tophi) | 38.91 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE | 2401 S 31ST ST | TEMPLE | TX | 76508 | 512 |
| BAYLOR UNIVERSITY MEDICAL CENTER | 3500 GASTON AVE | DALLAS | TX | 75246 | 505 |
| DOCTORS' COMMUNITY HOSPITAL | 8118 GOOD LUCK RD | LANHAM | MD | 20706 | 461 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DOUGLAS JAMES BRUNNER | 175 E CHESTER PIKE | RIDLEY PARK | PA | 19078 | 39 |
| Dr. ARJUN PATEL | 301 S 7TH AVE | WEST READING | PA | 19611 | 25 |
| Dr. HAMID MAJDIZADEH | 100 GRAND ST | NEW BRITAIN | CT | 06052 | 23 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. WOJCIECH L. DULOWSKI | 1401 W LOCUST ST | STILWELL | OK | 74960 | 49 |
| Dr. RAJAT PRAKASH | 3050 COMMERCE DR | FORT GRATIOT | MI | 48059 | 46 |
| Dr. GREGORY WAYNE NEAVILLE | 3443 HARRISON ST | BATESVILLE | AR | 72501 | 45 |