*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M25531 - Pain in right wrist - as a primary diagnosis code | M25531 - Pain in right wrist - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.88 | |
| Readmission Rate (%) | 22.24 | |
| Unplanned Readmission Rate (%) | NA | |
| 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 M25531 - Pain in right wrist | 81 | |
| DRG Share of Total Hospitalizations | 0.13 | |
| % of Total ICD M25531 - Pain in right wrist in DRG | 81.82 | |
| Avg LOS at DRG | 4.54 | |
| Avg LOS with ICD M25531 - Pain in right wrist | 2.69 | |
| Readmission Rate at DRG | 18.05 | |
| Readmission Rate with ICD M25531 - Pain in right wrist | 16.44 | |
| Unplanned Readmission Rate at DRG | 10.73 | |
| Unplanned Readmission Rate with ICD M25531 - Pain in right wrist | NA | |
| Total Medicare payments at DRG | $293,427,765 | |
| Total Medicare payments with ICD M25531 - Pain in right wrist | $344,581 | |
| Total Medicare payment per Day at DRG | $1,485 | |
| Total Medicare payment per Day with ICD M25531 - Pain in right wrist | $1,581 | |
| Total Medicare payment per Hospitalization at DRG | $6,739 | |
| Total Medicare payment per Hospitalization with ICD M25531 - Pain in right wrist | $4,254 | |
| Total Medicare Charges at DRG | $1,161,067,318 | |
| Total Medicare Charges with ICD M25531 - Pain in right wrist | $1,751,982 | |
| Avg Charges at DRG | $26,665 | |
| Avg Charges with ICD M25531 - Pain in right wrist | $21,629 | |
| Mortality Rate at DRG | 0.19 | |
| Mortality Rate with ICD M25531 - Pain in right wrist | NA | |
| SNF Discharge Rate at DRG | 27.91 | |
| SNF Discharge Rate with ICD M25531 - Pain in right wrist | 24.69 | |
| Home Discharge Rate at DRG | 35.39 | |
| Home Discharge Rate with ICD M25531 - Pain in right wrist | 46.91 |
*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 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 556: SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD M25531 - Pain in right wrist | 662 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD M25531 - Pain in right wrist in DRG | 6.42 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD M25531 - Pain in right wrist | 14.35 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD M25531 - Pain in right wrist | 27.46 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD M25531 - Pain in right wrist | 11.75 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD M25531 - Pain in right wrist | $6,596,292 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD M25531 - Pain in right wrist | $695 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD M25531 - Pain in right wrist | $9,964 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD M25531 - Pain in right wrist | $22,286,850 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD M25531 - Pain in right wrist | $33,666 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD M25531 - Pain in right wrist | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD M25531 - Pain in right wrist | 5.14 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD M25531 - Pain in right wrist | 82.63 |
*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 556: SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 312: SYNCOPE AND COLLAPSE | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD M25531 - Pain in right wrist | 182 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD M25531 - Pain in right wrist in DRG | 1.76 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD M25531 - Pain in right wrist | 4.51 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD M25531 - Pain in right wrist | 18.86 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD M25531 - Pain in right wrist | 10.86 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD M25531 - Pain in right wrist | $1,037,991 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD M25531 - Pain in right wrist | $1,266 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD M25531 - Pain in right wrist | $5,703 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD M25531 - Pain in right wrist | $4,673,560 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD M25531 - Pain in right wrist | $25,679 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD M25531 - Pain in right wrist | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD M25531 - Pain in right wrist | 41.21 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD M25531 - Pain in right wrist | 29.12 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD M25531 - Pain in right wrist | 162 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD M25531 - Pain in right wrist in DRG | 1.57 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD M25531 - Pain in right wrist | 6.43 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD M25531 - Pain in right wrist | 28.39 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD M25531 - Pain in right wrist | 24.52 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD M25531 - Pain in right wrist | $1,566,065 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD M25531 - Pain in right wrist | $1,504 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD M25531 - Pain in right wrist | $9,667 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD M25531 - Pain in right wrist | $7,097,660 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD M25531 - Pain in right wrist | $43,813 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD M25531 - Pain in right wrist | NA | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD M25531 - Pain in right wrist | 33.33 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD M25531 - Pain in right wrist | 27.16 |
*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 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 563: FRACTURE SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE 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 | 51,757 | ||||
| Total Hospitalizations with ICD M25531 - Pain in right wrist | 142 | ||||
| DRG Share of Total Hospitalizations | 0.16 | ||||
| % of Total ICD M25531 - Pain in right wrist in DRG | 1.38 | ||||
| Avg LOS at DRG | 4.41 | ||||
| Avg LOS with ICD M25531 - Pain in right wrist | 3.89 | ||||
| Readmission Rate at DRG | 17.16 | ||||
| Readmission Rate with ICD M25531 - Pain in right wrist | 11.19 | ||||
| Unplanned Readmission Rate at DRG | 9.0 | ||||
| Unplanned Readmission Rate with ICD M25531 - Pain in right wrist | NA | ||||
| Total Medicare payments at DRG | $332,400,259 | ||||
| Total Medicare payments with ICD M25531 - Pain in right wrist | $783,197 | ||||
| Total Medicare payment per Day at DRG | $1,455 | ||||
| Total Medicare payment per Day with ICD M25531 - Pain in right wrist | $1,416 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,422 | ||||
| Total Medicare payment per Hospitalization with ICD M25531 - Pain in right wrist | $5,515 | ||||
| Total Medicare Charges at DRG | $1,234,809,519 | ||||
| Total Medicare Charges with ICD M25531 - Pain in right wrist | $3,084,216 | ||||
| Avg Charges at DRG | $23,858 | ||||
| Avg Charges with ICD M25531 - Pain in right wrist | $21,720 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD M25531 - Pain in right wrist | NA | ||||
| SNF Discharge Rate at DRG | 25.37 | ||||
| SNF Discharge Rate with ICD M25531 - Pain in right wrist | 21.83 | ||||
| Home Discharge Rate at DRG | 42.31 | ||||
| Home Discharge Rate with ICD M25531 - Pain in right wrist | 50.0 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ENCOMPASS HEALTH REHABILITATION HOSPITAL OF TOMS RIVER | 14 HOSPITAL DR | TOMS RIVER | NJ | 08755 | 37 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 33 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 29 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. PADMASHREE S. ADUSUMILLI | 14 HOSPITAL DR | TOMS RIVER | NJ | 08755 | 13 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | Z87891 | Personal history of nicotine dependence |