*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M25512 - Pain in left shoulder - as a primary diagnosis code | M25512 - Pain in left shoulder - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.91 | |
| Readmission Rate (%) | 21.7 | |
| Unplanned Readmission Rate (%) | 10.4 | |
| 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 M25512 - Pain in left shoulder | 1,079 | ||
| DRG Share of Total Hospitalizations | 0.13 | ||
| % of Total ICD M25512 - Pain in left shoulder in DRG | 79.57 | ||
| Avg LOS at DRG | 4.54 | ||
| Avg LOS with ICD M25512 - Pain in left shoulder | 2.6 | ||
| Readmission Rate at DRG | 18.05 | ||
| Readmission Rate with ICD M25512 - Pain in left shoulder | 12.4 | ||
| Unplanned Readmission Rate at DRG | 10.73 | ||
| Unplanned Readmission Rate with ICD M25512 - Pain in left shoulder | 8.11 | ||
| Total Medicare payments at DRG | $293,427,765 | ||
| Total Medicare payments with ICD M25512 - Pain in left shoulder | $5,257,221 | ||
| Total Medicare payment per Day at DRG | $1,485 | ||
| Total Medicare payment per Day with ICD M25512 - Pain in left shoulder | $1,877 | ||
| Total Medicare payment per Hospitalization at DRG | $6,739 | ||
| Total Medicare payment per Hospitalization with ICD M25512 - Pain in left shoulder | $4,872 | ||
| Total Medicare Charges at DRG | $1,161,067,318 | ||
| Total Medicare Charges with ICD M25512 - Pain in left shoulder | $24,807,071 | ||
| Avg Charges at DRG | $26,665 | ||
| Avg Charges with ICD M25512 - Pain in left shoulder | $22,991 | ||
| Mortality Rate at DRG | 0.19 | ||
| Mortality Rate with ICD M25512 - Pain in left shoulder | NA | ||
| SNF Discharge Rate at DRG | 27.91 | ||
| SNF Discharge Rate with ICD M25512 - Pain in left shoulder | 15.48 | ||
| Home Discharge Rate at DRG | 35.39 | ||
| Home Discharge Rate with ICD M25512 - Pain in left shoulder | 59.87 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MONTEFIORE MEDICAL CENTER | 111 E 210TH ST | BRONX | NY | 10467 | 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 885: PSYCHOSES | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 313: CHEST PAIN | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD M25512 - Pain in left shoulder | 3,611 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD M25512 - Pain in left shoulder in DRG | 4.22 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD M25512 - Pain in left shoulder | 13.56 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD M25512 - Pain in left shoulder | 26.58 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD M25512 - Pain in left shoulder | 12.33 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD M25512 - Pain in left shoulder | $33,816,284 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD M25512 - Pain in left shoulder | $691 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD M25512 - Pain in left shoulder | $9,365 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD M25512 - Pain in left shoulder | $117,190,063 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD M25512 - Pain in left shoulder | $32,454 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD M25512 - Pain in left shoulder | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD M25512 - Pain in left shoulder | 5.79 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD M25512 - Pain in left shoulder | 79.01 |
*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 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS 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 | 43,543 | ||||
| Total Hospitalizations with ICD M25512 - Pain in left shoulder | 1,588 | ||||
| DRG Share of Total Hospitalizations | 0.13 | ||||
| % of Total ICD M25512 - Pain in left shoulder in DRG | 1.85 | ||||
| Avg LOS at DRG | 4.54 | ||||
| Avg LOS with ICD M25512 - Pain in left shoulder | 3.27 | ||||
| Readmission Rate at DRG | 18.05 | ||||
| Readmission Rate with ICD M25512 - Pain in left shoulder | 12.24 | ||||
| Unplanned Readmission Rate at DRG | 10.73 | ||||
| Unplanned Readmission Rate with ICD M25512 - Pain in left shoulder | 7.58 | ||||
| Total Medicare payments at DRG | $293,427,765 | ||||
| Total Medicare payments with ICD M25512 - Pain in left shoulder | $8,849,586 | ||||
| Total Medicare payment per Day at DRG | $1,485 | ||||
| Total Medicare payment per Day with ICD M25512 - Pain in left shoulder | $1,703 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,739 | ||||
| Total Medicare payment per Hospitalization with ICD M25512 - Pain in left shoulder | $5,573 | ||||
| Total Medicare Charges at DRG | $1,161,067,318 | ||||
| Total Medicare Charges with ICD M25512 - Pain in left shoulder | $37,694,244 | ||||
| Avg Charges at DRG | $26,665 | ||||
| Avg Charges with ICD M25512 - Pain in left shoulder | $23,737 | ||||
| Mortality Rate at DRG | 0.19 | ||||
| Mortality Rate with ICD M25512 - Pain in left shoulder | NA | ||||
| SNF Discharge Rate at DRG | 27.91 | ||||
| SNF Discharge Rate with ICD M25512 - Pain in left shoulder | 18.64 | ||||
| Home Discharge Rate at DRG | 35.39 | ||||
| Home Discharge Rate with ICD M25512 - Pain in left shoulder | 52.71 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 312: SYNCOPE AND COLLAPSE | DRG 483: MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD M25512 - Pain in left shoulder | 1,230 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD M25512 - Pain in left shoulder in DRG | 1.44 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD M25512 - Pain in left shoulder | 3.9 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD M25512 - Pain in left shoulder | 23.57 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD M25512 - Pain in left shoulder | 15.49 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD M25512 - Pain in left shoulder | $6,948,622 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD M25512 - Pain in left shoulder | $1,448 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD M25512 - Pain in left shoulder | $5,649 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD M25512 - Pain in left shoulder | $35,498,516 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD M25512 - Pain in left shoulder | $28,861 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD M25512 - Pain in left shoulder | 0.89 | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD M25512 - Pain in left shoulder | 30.41 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD M25512 - Pain in left shoulder | 38.7 |
*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 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD M25512 - Pain in left shoulder | 1,117 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD M25512 - Pain in left shoulder in DRG | 1.3 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD M25512 - Pain in left shoulder | 5.13 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD M25512 - Pain in left shoulder | 16.43 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD M25512 - Pain in left shoulder | 9.7 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD M25512 - Pain in left shoulder | $7,868,815 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD M25512 - Pain in left shoulder | $1,372 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD M25512 - Pain in left shoulder | $7,045 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD M25512 - Pain in left shoulder | $41,300,720 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD M25512 - Pain in left shoulder | $36,975 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD M25512 - Pain in left shoulder | 0.98 | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD M25512 - Pain in left shoulder | 28.11 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD M25512 - Pain in left shoulder | 37.6 |
| 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 | 273 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 255 |
| VIDANT MEDICAL CENTER | 2100 STANTONSBURG RD | GREENVILLE | NC | 27834 | 233 |
| 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 | 64 |
| Dr. REGAN BENNETT HANSEN | 320 WARNER DR | LEWISTON | ID | 83501 | 38 |
| Dr. REVELYN GILOK ARROGANTE | 4401 UNION ST | JOHNSTOWN | CO | 80534 | 35 |
| 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 | 69 |
| Dr. JIMMY WAYNE LOCKHART | 1600 37TH STREET | VERO BEACH | FL | 32960 | 64 |
| Dr. REVELYN GILOK ARROGANTE | 4401 UNION ST | JOHNSTOWN | CO | 80534 | 60 |