*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M25511 - Pain in right shoulder - as a primary diagnosis code | M25511 - Pain in right shoulder - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.02 | |
| Readmission Rate (%) | 21.79 | |
| Unplanned Readmission Rate (%) | 12.59 | |
| 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) | DRG 483: MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | |
|---|---|---|---|
| Total Hospitalizations at DRG | 43,543 | ||
| Total Hospitalizations with ICD M25511 - Pain in right shoulder | 774 | ||
| DRG Share of Total Hospitalizations | 0.13 | ||
| % of Total ICD M25511 - Pain in right shoulder in DRG | 73.36 | ||
| Avg LOS at DRG | 4.54 | ||
| Avg LOS with ICD M25511 - Pain in right shoulder | 3.05 | ||
| Readmission Rate at DRG | 18.05 | ||
| Readmission Rate with ICD M25511 - Pain in right shoulder | 17.48 | ||
| Unplanned Readmission Rate at DRG | 10.73 | ||
| Unplanned Readmission Rate with ICD M25511 - Pain in right shoulder | 10.7 | ||
| Total Medicare payments at DRG | $293,427,765 | ||
| Total Medicare payments with ICD M25511 - Pain in right shoulder | $3,922,812 | ||
| Total Medicare payment per Day at DRG | $1,485 | ||
| Total Medicare payment per Day with ICD M25511 - Pain in right shoulder | $1,662 | ||
| Total Medicare payment per Hospitalization at DRG | $6,739 | ||
| Total Medicare payment per Hospitalization with ICD M25511 - Pain in right shoulder | $5,068 | ||
| Total Medicare Charges at DRG | $1,161,067,318 | ||
| Total Medicare Charges with ICD M25511 - Pain in right shoulder | $16,797,793 | ||
| Avg Charges at DRG | $26,665 | ||
| Avg Charges with ICD M25511 - Pain in right shoulder | $21,703 | ||
| Mortality Rate at DRG | 0.19 | ||
| Mortality Rate with ICD M25511 - Pain in right shoulder | NA | ||
| SNF Discharge Rate at DRG | 27.91 | ||
| SNF Discharge Rate with ICD M25511 - Pain in right shoulder | 23.39 | ||
| Home Discharge Rate at DRG | 35.39 | ||
| Home Discharge Rate with ICD M25511 - Pain in right shoulder | 47.8 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 12 |
*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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD M25511 - Pain in right shoulder | 4,093 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD M25511 - Pain in right shoulder in DRG | 4.41 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD M25511 - Pain in right shoulder | 13.22 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD M25511 - Pain in right shoulder | 26.43 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD M25511 - Pain in right shoulder | 11.91 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD M25511 - Pain in right shoulder | $37,713,710 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD M25511 - Pain in right shoulder | $697 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD M25511 - Pain in right shoulder | $9,214 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD M25511 - Pain in right shoulder | $129,407,814 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD M25511 - Pain in right shoulder | $31,617 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD M25511 - Pain in right shoulder | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD M25511 - Pain in right shoulder | 5.38 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD M25511 - Pain in right shoulder | 79.06 |
*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 483: MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | 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 312: SYNCOPE AND COLLAPSE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD M25511 - Pain in right shoulder | 1,650 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD M25511 - Pain in right shoulder in DRG | 1.78 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD M25511 - Pain in right shoulder | 4.2 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD M25511 - Pain in right shoulder | 18.16 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD M25511 - Pain in right shoulder | 11.52 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD M25511 - Pain in right shoulder | $8,836,286 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD M25511 - Pain in right shoulder | $1,276 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD M25511 - Pain in right shoulder | $5,355 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD M25511 - Pain in right shoulder | $43,881,810 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD M25511 - Pain in right shoulder | $26,595 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD M25511 - Pain in right shoulder | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD M25511 - Pain in right shoulder | 38.73 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD M25511 - Pain in right shoulder | 28.18 |
*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 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 43,543 | ||||
| Total Hospitalizations with ICD M25511 - Pain in right shoulder | 1,356 | ||||
| DRG Share of Total Hospitalizations | 0.13 | ||||
| % of Total ICD M25511 - Pain in right shoulder in DRG | 1.46 | ||||
| Avg LOS at DRG | 4.54 | ||||
| Avg LOS with ICD M25511 - Pain in right shoulder | 3.88 | ||||
| Readmission Rate at DRG | 18.05 | ||||
| Readmission Rate with ICD M25511 - Pain in right shoulder | 17.02 | ||||
| Unplanned Readmission Rate at DRG | 10.73 | ||||
| Unplanned Readmission Rate with ICD M25511 - Pain in right shoulder | 10.15 | ||||
| Total Medicare payments at DRG | $293,427,765 | ||||
| Total Medicare payments with ICD M25511 - Pain in right shoulder | $8,271,187 | ||||
| Total Medicare payment per Day at DRG | $1,485 | ||||
| Total Medicare payment per Day with ICD M25511 - Pain in right shoulder | $1,573 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,739 | ||||
| Total Medicare payment per Hospitalization with ICD M25511 - Pain in right shoulder | $6,100 | ||||
| Total Medicare Charges at DRG | $1,161,067,318 | ||||
| Total Medicare Charges with ICD M25511 - Pain in right shoulder | $32,265,627 | ||||
| Avg Charges at DRG | $26,665 | ||||
| Avg Charges with ICD M25511 - Pain in right shoulder | $23,795 | ||||
| Mortality Rate at DRG | 0.19 | ||||
| Mortality Rate with ICD M25511 - Pain in right shoulder | NA | ||||
| SNF Discharge Rate at DRG | 27.91 | ||||
| SNF Discharge Rate with ICD M25511 - Pain in right shoulder | 25.52 | ||||
| Home Discharge Rate at DRG | 35.39 | ||||
| Home Discharge Rate with ICD M25511 - Pain in right shoulder | 42.4 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 352,097 | ||||
| Total Hospitalizations with ICD M25511 - Pain in right shoulder | 1,157 | ||||
| DRG Share of Total Hospitalizations | 1.07 | ||||
| % of Total ICD M25511 - Pain in right shoulder in DRG | 1.25 | ||||
| Avg LOS at DRG | 3.96 | ||||
| Avg LOS with ICD M25511 - Pain in right shoulder | 5.29 | ||||
| Readmission Rate at DRG | 35.38 | ||||
| Readmission Rate with ICD M25511 - Pain in right shoulder | 37.03 | ||||
| Unplanned Readmission Rate at DRG | 7.63 | ||||
| Unplanned Readmission Rate with ICD M25511 - Pain in right shoulder | 6.28 | ||||
| Total Medicare payments at DRG | $2,360,891,966 | ||||
| Total Medicare payments with ICD M25511 - Pain in right shoulder | $9,512,833 | ||||
| Total Medicare payment per Day at DRG | $1,693 | ||||
| Total Medicare payment per Day with ICD M25511 - Pain in right shoulder | $1,553 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,705 | ||||
| Total Medicare payment per Hospitalization with ICD M25511 - Pain in right shoulder | $8,222 | ||||
| Total Medicare Charges at DRG | $13,014,640,264 | ||||
| Total Medicare Charges with ICD M25511 - Pain in right shoulder | $45,578,986 | ||||
| Avg Charges at DRG | $36,963 | ||||
| Avg Charges with ICD M25511 - Pain in right shoulder | $39,394 | ||||
| Mortality Rate at DRG | 1.54 | ||||
| Mortality Rate with ICD M25511 - Pain in right shoulder | NA | ||||
| SNF Discharge Rate at DRG | 24.0 | ||||
| SNF Discharge Rate with ICD M25511 - Pain in right shoulder | 29.56 | ||||
| Home Discharge Rate at DRG | 26.62 | ||||
| Home Discharge Rate with ICD M25511 - Pain in right shoulder | 19.45 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 315 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 277 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 224 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 60 |
| Dr. DAVID MARK GORDON | 28455 HAGGERTY RD | NOVI | MI | 48377 | 42 |
| Dr. STANLEY R EASTERLING | 104 MCAULEY DR | VICKSBURG | MS | 39183 | 41 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 63 |
| Dr. JIMMY WAYNE LOCKHART | 1600 37TH STREET | VERO BEACH | FL | 32960 | 59 |
| Dr. ADNAN M DAHDUL | 14 CHESTNUT PL | LUDLOW | MA | 01056 | 58 |