*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M25559 - Pain in unspecified hip - as a primary diagnosis code | M25559 - Pain in unspecified hip - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.5 | |
| Readmission Rate (%) | 22.36 | |
| 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 M25559 - Pain in unspecified hip | 97 | |
| DRG Share of Total Hospitalizations | 0.13 | |
| % of Total ICD M25559 - Pain in unspecified hip in DRG | 75.78 | |
| Avg LOS at DRG | 4.54 | |
| Avg LOS with ICD M25559 - Pain in unspecified hip | 2.94 | |
| Readmission Rate at DRG | 18.05 | |
| Readmission Rate with ICD M25559 - Pain in unspecified hip | 13.33 | |
| Unplanned Readmission Rate at DRG | 10.73 | |
| Unplanned Readmission Rate with ICD M25559 - Pain in unspecified hip | NA | |
| Total Medicare payments at DRG | $293,427,765 | |
| Total Medicare payments with ICD M25559 - Pain in unspecified hip | $444,250 | |
| Total Medicare payment per Day at DRG | $1,485 | |
| Total Medicare payment per Day with ICD M25559 - Pain in unspecified hip | $1,559 | |
| Total Medicare payment per Hospitalization at DRG | $6,739 | |
| Total Medicare payment per Hospitalization with ICD M25559 - Pain in unspecified hip | $4,580 | |
| Total Medicare Charges at DRG | $1,161,067,318 | |
| Total Medicare Charges with ICD M25559 - Pain in unspecified hip | $2,284,072 | |
| Avg Charges at DRG | $26,665 | |
| Avg Charges with ICD M25559 - Pain in unspecified hip | $23,547 | |
| Mortality Rate at DRG | 0.19 | |
| Mortality Rate with ICD M25559 - Pain in unspecified hip | NA | |
| SNF Discharge Rate at DRG | 27.91 | |
| SNF Discharge Rate with ICD M25559 - Pain in unspecified hip | 42.27 | |
| Home Discharge Rate at DRG | 35.39 | |
| Home Discharge Rate with ICD M25559 - Pain in unspecified hip | 30.93 |
*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 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD M25559 - Pain in unspecified hip | 2,066 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD M25559 - Pain in unspecified hip in DRG | 9.36 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD M25559 - Pain in unspecified hip | 12.13 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD M25559 - Pain in unspecified hip | 22.73 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD M25559 - Pain in unspecified hip | 10.47 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD M25559 - Pain in unspecified hip | $17,910,641 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD M25559 - Pain in unspecified hip | $715 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD M25559 - Pain in unspecified hip | $8,669 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD M25559 - Pain in unspecified hip | $59,306,055 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD M25559 - Pain in unspecified hip | $28,706 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD M25559 - Pain in unspecified hip | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD M25559 - Pain in unspecified hip | 3.73 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD M25559 - Pain in unspecified hip | 83.4 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | 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) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 359,935 | ||||
| Total Hospitalizations with ICD M25559 - Pain in unspecified hip | 379 | ||||
| DRG Share of Total Hospitalizations | 1.1 | ||||
| % of Total ICD M25559 - Pain in unspecified hip in DRG | 1.72 | ||||
| Avg LOS at DRG | 12.3 | ||||
| Avg LOS with ICD M25559 - Pain in unspecified hip | 14.66 | ||||
| Readmission Rate at DRG | 16.01 | ||||
| Readmission Rate with ICD M25559 - Pain in unspecified hip | 17.83 | ||||
| Unplanned Readmission Rate at DRG | 9.86 | ||||
| Unplanned Readmission Rate with ICD M25559 - Pain in unspecified hip | 10.03 | ||||
| Total Medicare payments at DRG | $5,883,826,653 | ||||
| Total Medicare payments with ICD M25559 - Pain in unspecified hip | $6,436,934 | ||||
| Total Medicare payment per Day at DRG | $1,329 | ||||
| Total Medicare payment per Day with ICD M25559 - Pain in unspecified hip | $1,158 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
| Total Medicare payment per Hospitalization with ICD M25559 - Pain in unspecified hip | $16,984 | ||||
| Total Medicare Charges at DRG | $15,374,824,749 | ||||
| Total Medicare Charges with ICD M25559 - Pain in unspecified hip | $17,391,605 | ||||
| Avg Charges at DRG | $42,716 | ||||
| Avg Charges with ICD M25559 - Pain in unspecified hip | $45,888 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD M25559 - Pain in unspecified hip | NA | ||||
| SNF Discharge Rate at DRG | 27.95 | ||||
| SNF Discharge Rate with ICD M25559 - Pain in unspecified hip | 33.77 | ||||
| Home Discharge Rate at DRG | 26.85 | ||||
| Home Discharge Rate with ICD M25559 - Pain in unspecified hip | 26.12 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 895: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD M25559 - Pain in unspecified hip | 341 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD M25559 - Pain in unspecified hip in DRG | 1.55 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD M25559 - Pain in unspecified hip | 4.9 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD M25559 - Pain in unspecified hip | 18.35 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD M25559 - Pain in unspecified hip | 12.03 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD M25559 - Pain in unspecified hip | $2,147,065 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD M25559 - Pain in unspecified hip | $1,286 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD M25559 - Pain in unspecified hip | $6,296 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD M25559 - Pain in unspecified hip | $12,453,573 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD M25559 - Pain in unspecified hip | $36,521 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD M25559 - Pain in unspecified hip | NA | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD M25559 - Pain in unspecified hip | 26.39 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD M25559 - Pain in unspecified hip | 37.54 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD M25559 - Pain in unspecified hip | 274 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD M25559 - Pain in unspecified hip in DRG | 1.24 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD M25559 - Pain in unspecified hip | 5.74 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD M25559 - Pain in unspecified hip | 20.72 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD M25559 - Pain in unspecified hip | 17.53 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD M25559 - Pain in unspecified hip | $2,374,866 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD M25559 - Pain in unspecified hip | $1,510 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD M25559 - Pain in unspecified hip | $8,667 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD M25559 - Pain in unspecified hip | $11,217,024 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD M25559 - Pain in unspecified hip | $40,938 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD M25559 - Pain in unspecified hip | NA | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD M25559 - Pain in unspecified hip | 25.55 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD M25559 - Pain in unspecified hip | 35.04 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| TURNING POINT HOSPITAL | 3015 VETERANS PKWY S | MOULTRIE | GA | 31788 | 121 |
| LIGHTHOUSE BEHAVIORAL HEALTH HOSPITAL | 152 WACCAMAW MEDICAL PARK DR | CONWAY | SC | 29526 | 81 |
| PETERSON REHABILITATION HOSPITAL | 20 HOMESTEAD AVENUE | WHEELING | WV | 26003 | 63 |
| 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 | 100 |
| Dr. THEODORE V PARRAN | 2351 E 22ND ST | CLEVELAND | OH | 44115 | 27 |
| Dr. ADEDAPO M ODUWOLE | 1203 48TH AVE N | MYRTLE BEACH | SC | 29577 | 23 |
| 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 | 113 |
| Dr. MARGARET GRAYNOVSKY | 20 HOMESTEAD AVE | WHEELING | WV | 26003 | 53 |
| Dr. ADEDAPO M ODUWOLE | 1203 48TH AVE N | MYRTLE BEACH | SC | 29577 | 35 |