*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M2550 - Pain in unspecified joint - as a primary diagnosis code | M2550 - Pain in unspecified joint - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.38 | |
| Readmission Rate (%) | 20.52 | |
| Unplanned Readmission Rate (%) | 12.1 | |
| 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 556: SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 555: SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 43,543 | |
| Total Hospitalizations with ICD M2550 - Pain in unspecified joint | 131 | |
| DRG Share of Total Hospitalizations | 0.13 | |
| % of Total ICD M2550 - Pain in unspecified joint in DRG | 78.44 | |
| Avg LOS at DRG | 4.54 | |
| Avg LOS with ICD M2550 - Pain in unspecified joint | 2.94 | |
| Readmission Rate at DRG | 18.05 | |
| Readmission Rate with ICD M2550 - Pain in unspecified joint | 14.75 | |
| Unplanned Readmission Rate at DRG | 10.73 | |
| Unplanned Readmission Rate with ICD M2550 - Pain in unspecified joint | 9.84 | |
| Total Medicare payments at DRG | $293,427,765 | |
| Total Medicare payments with ICD M2550 - Pain in unspecified joint | $628,855 | |
| Total Medicare payment per Day at DRG | $1,485 | |
| Total Medicare payment per Day with ICD M2550 - Pain in unspecified joint | $1,633 | |
| Total Medicare payment per Hospitalization at DRG | $6,739 | |
| Total Medicare payment per Hospitalization with ICD M2550 - Pain in unspecified joint | $4,800 | |
| Total Medicare Charges at DRG | $1,161,067,318 | |
| Total Medicare Charges with ICD M2550 - Pain in unspecified joint | $2,616,058 | |
| Avg Charges at DRG | $26,665 | |
| Avg Charges with ICD M2550 - Pain in unspecified joint | $19,970 | |
| Mortality Rate at DRG | 0.19 | |
| Mortality Rate with ICD M2550 - Pain in unspecified joint | NA | |
| SNF Discharge Rate at DRG | 27.91 | |
| SNF Discharge Rate with ICD M2550 - Pain in unspecified joint | 13.74 | |
| Home Discharge Rate at DRG | 35.39 | |
| Home Discharge Rate with ICD M2550 - Pain in unspecified joint | 55.73 |
*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 621: O.R. PROCEDURES FOR OBESITY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD M2550 - Pain in unspecified joint | 1,784 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD M2550 - Pain in unspecified joint in DRG | 7.49 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD M2550 - Pain in unspecified joint | 11.87 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD M2550 - Pain in unspecified joint | 24.63 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD M2550 - Pain in unspecified joint | 10.01 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD M2550 - Pain in unspecified joint | $14,277,382 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD M2550 - Pain in unspecified joint | $674 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD M2550 - Pain in unspecified joint | $8,003 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD M2550 - Pain in unspecified joint | $46,779,357 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD M2550 - Pain in unspecified joint | $26,222 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD M2550 - Pain in unspecified joint | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD M2550 - Pain in unspecified joint | 5.44 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD M2550 - Pain in unspecified joint | 81.61 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS 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 | 359,935 | ||||
| Total Hospitalizations with ICD M2550 - Pain in unspecified joint | 459 | ||||
| DRG Share of Total Hospitalizations | 1.1 | ||||
| % of Total ICD M2550 - Pain in unspecified joint in DRG | 1.93 | ||||
| Avg LOS at DRG | 12.3 | ||||
| Avg LOS with ICD M2550 - Pain in unspecified joint | 13.56 | ||||
| Readmission Rate at DRG | 16.01 | ||||
| Readmission Rate with ICD M2550 - Pain in unspecified joint | 14.42 | ||||
| Unplanned Readmission Rate at DRG | 9.86 | ||||
| Unplanned Readmission Rate with ICD M2550 - Pain in unspecified joint | 10.47 | ||||
| Total Medicare payments at DRG | $5,883,826,653 | ||||
| Total Medicare payments with ICD M2550 - Pain in unspecified joint | $8,211,155 | ||||
| Total Medicare payment per Day at DRG | $1,329 | ||||
| Total Medicare payment per Day with ICD M2550 - Pain in unspecified joint | $1,319 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
| Total Medicare payment per Hospitalization with ICD M2550 - Pain in unspecified joint | $17,889 | ||||
| Total Medicare Charges at DRG | $15,374,824,749 | ||||
| Total Medicare Charges with ICD M2550 - Pain in unspecified joint | $19,575,305 | ||||
| Avg Charges at DRG | $42,716 | ||||
| Avg Charges with ICD M2550 - Pain in unspecified joint | $42,648 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD M2550 - Pain in unspecified joint | NA | ||||
| SNF Discharge Rate at DRG | 27.95 | ||||
| SNF Discharge Rate with ICD M2550 - Pain in unspecified joint | 30.5 | ||||
| Home Discharge Rate at DRG | 26.85 | ||||
| Home Discharge Rate with ICD M2550 - Pain in unspecified joint | 26.14 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD M2550 - Pain in unspecified joint | 337 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD M2550 - Pain in unspecified joint in DRG | 1.41 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD M2550 - Pain in unspecified joint | 4.41 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD M2550 - Pain in unspecified joint | 13.13 | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD M2550 - Pain in unspecified joint | 8.44 | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD M2550 - Pain in unspecified joint | $2,206,965 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD M2550 - Pain in unspecified joint | $1,485 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD M2550 - Pain in unspecified joint | $6,549 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD M2550 - Pain in unspecified joint | $9,946,605 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD M2550 - Pain in unspecified joint | $29,515 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD M2550 - Pain in unspecified joint | NA | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD M2550 - Pain in unspecified joint | 14.24 | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD M2550 - Pain in unspecified joint | 59.05 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 167,575 | ||||
| Total Hospitalizations with ICD M2550 - Pain in unspecified joint | 286 | ||||
| DRG Share of Total Hospitalizations | 0.51 | ||||
| % of Total ICD M2550 - Pain in unspecified joint in DRG | 1.2 | ||||
| Avg LOS at DRG | 5.54 | ||||
| Avg LOS with ICD M2550 - Pain in unspecified joint | 7.03 | ||||
| Readmission Rate at DRG | 28.6 | ||||
| Readmission Rate with ICD M2550 - Pain in unspecified joint | 22.39 | ||||
| Unplanned Readmission Rate at DRG | 14.22 | ||||
| Unplanned Readmission Rate with ICD M2550 - Pain in unspecified joint | 8.21 | ||||
| Total Medicare payments at DRG | $830,329,176 | ||||
| Total Medicare payments with ICD M2550 - Pain in unspecified joint | $1,447,398 | ||||
| Total Medicare payment per Day at DRG | $895 | ||||
| Total Medicare payment per Day with ICD M2550 - Pain in unspecified joint | $720 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,955 | ||||
| Total Medicare payment per Hospitalization with ICD M2550 - Pain in unspecified joint | $5,061 | ||||
| Total Medicare Charges at DRG | $3,314,158,261 | ||||
| Total Medicare Charges with ICD M2550 - Pain in unspecified joint | $4,877,914 | ||||
| Avg Charges at DRG | $19,777 | ||||
| Avg Charges with ICD M2550 - Pain in unspecified joint | $17,056 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD M2550 - Pain in unspecified joint | NA | ||||
| SNF Discharge Rate at DRG | 5.67 | ||||
| SNF Discharge Rate with ICD M2550 - Pain in unspecified joint | NA | ||||
| Home Discharge Rate at DRG | 80.01 | ||||
| Home Discharge Rate with ICD M2550 - Pain in unspecified joint | 86.36 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| COOKEVILLE REGIONAL MEDICAL CENTER | 1 MEDICAL CENTER BLVD | COOKEVILLE | TN | 38501 | 259 |
| HEALTHSOUTH REHABILITATION HOSPITAL OF NEWNAN | 2101 NEWNAN CROSSING BLVD E | NEWNAN | GA | 30265 | 251 |
| PAM REHABILITATION HOSPITAL OF SAN ANTONIO | 5101 MEDICAL DR | SAN ANTONIO | TX | 78229 | 156 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZELALEM MAKONNEN | 2200 KERNAN DR | BALTIMORE | MD | 21207 | 82 |
| Dr. JAMOKAY P TAYLOR | 135 S PROSPECT ST | YPSILANTI | MI | 48198 | 78 |
| Dr. ONYEOZIRI RAPHAEL NWANGUM | 825 SECOND AVENUE EAST | BOWLING GREEN | KY | 42101 | 59 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. THOMAS MILTON GANNON | 427 N WILLOW AVE | COOKEVILLE | TN | 38501 | 249 |
| Dr. DEREK S SCOTT | 2727 S. PENNSYLVANIA AVE | LANSING | MI | 48910 | 132 |
| Dr. ZELALEM MAKONNEN | 2200 KERNAN DR | BALTIMORE | MD | 21207 | 98 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | E785 | Hyperlipidemia, unspecified |