*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M25571 - Pain in right ankle and joints of right foot - as a primary diagnosis code | M25571 - Pain in right ankle and joints of right foot - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.79 | |
| Readmission Rate (%) | 22.4 | |
| Unplanned Readmission Rate (%) | 10.39 | |
| 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 M25571 - Pain in right ankle and joints of right foot | 190 | |
| DRG Share of Total Hospitalizations | 0.13 | |
| % of Total ICD M25571 - Pain in right ankle and joints of right foot in DRG | 78.84 | |
| Avg LOS at DRG | 4.54 | |
| Avg LOS with ICD M25571 - Pain in right ankle and joints of right foot | 3.42 | |
| Readmission Rate at DRG | 18.05 | |
| Readmission Rate with ICD M25571 - Pain in right ankle and joints of right foot | 16.11 | |
| Unplanned Readmission Rate at DRG | 10.73 | |
| Unplanned Readmission Rate with ICD M25571 - Pain in right ankle and joints of right foot | 12.22 | |
| Total Medicare payments at DRG | $293,427,765 | |
| Total Medicare payments with ICD M25571 - Pain in right ankle and joints of right foot | $1,133,969 | |
| Total Medicare payment per Day at DRG | $1,485 | |
| Total Medicare payment per Day with ICD M25571 - Pain in right ankle and joints of right foot | $1,745 | |
| Total Medicare payment per Hospitalization at DRG | $6,739 | |
| Total Medicare payment per Hospitalization with ICD M25571 - Pain in right ankle and joints of right foot | $5,968 | |
| Total Medicare Charges at DRG | $1,161,067,318 | |
| Total Medicare Charges with ICD M25571 - Pain in right ankle and joints of right foot | $4,282,833 | |
| Avg Charges at DRG | $26,665 | |
| Avg Charges with ICD M25571 - Pain in right ankle and joints of right foot | $22,541 | |
| Mortality Rate at DRG | 0.19 | |
| Mortality Rate with ICD M25571 - Pain in right ankle and joints of right foot | NA | |
| SNF Discharge Rate at DRG | 27.91 | |
| SNF Discharge Rate with ICD M25571 - Pain in right ankle and joints of right foot | 28.95 | |
| Home Discharge Rate at DRG | 35.39 | |
| Home Discharge Rate with ICD M25571 - Pain in right ankle and joints of right foot | 43.16 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 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 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD M25571 - Pain in right ankle and joints of right foot | 1,615 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD M25571 - Pain in right ankle and joints of right foot in DRG | 8.33 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD M25571 - Pain in right ankle and joints of right foot | 13.88 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD M25571 - Pain in right ankle and joints of right foot | 30.82 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD M25571 - Pain in right ankle and joints of right foot | 13.65 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD M25571 - Pain in right ankle and joints of right foot | $14,703,261 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD M25571 - Pain in right ankle and joints of right foot | $656 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD M25571 - Pain in right ankle and joints of right foot | $9,104 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD M25571 - Pain in right ankle and joints of right foot | $49,676,516 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD M25571 - Pain in right ankle and joints of right foot | $30,759 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD M25571 - Pain in right ankle and joints of right foot | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD M25571 - Pain in right ankle and joints of right foot | 4.64 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD M25571 - Pain in right ankle and joints of right foot | 82.6 |
*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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 43,543 | ||||
| Total Hospitalizations with ICD M25571 - Pain in right ankle and joints of right foot | 433 | ||||
| DRG Share of Total Hospitalizations | 0.13 | ||||
| % of Total ICD M25571 - Pain in right ankle and joints of right foot in DRG | 2.23 | ||||
| Avg LOS at DRG | 4.54 | ||||
| Avg LOS with ICD M25571 - Pain in right ankle and joints of right foot | 4.0 | ||||
| Readmission Rate at DRG | 18.05 | ||||
| Readmission Rate with ICD M25571 - Pain in right ankle and joints of right foot | 14.67 | ||||
| Unplanned Readmission Rate at DRG | 10.73 | ||||
| Unplanned Readmission Rate with ICD M25571 - Pain in right ankle and joints of right foot | 9.78 | ||||
| Total Medicare payments at DRG | $293,427,765 | ||||
| Total Medicare payments with ICD M25571 - Pain in right ankle and joints of right foot | $2,796,154 | ||||
| Total Medicare payment per Day at DRG | $1,485 | ||||
| Total Medicare payment per Day with ICD M25571 - Pain in right ankle and joints of right foot | $1,614 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,739 | ||||
| Total Medicare payment per Hospitalization with ICD M25571 - Pain in right ankle and joints of right foot | $6,458 | ||||
| Total Medicare Charges at DRG | $1,161,067,318 | ||||
| Total Medicare Charges with ICD M25571 - Pain in right ankle and joints of right foot | $9,705,971 | ||||
| Avg Charges at DRG | $26,665 | ||||
| Avg Charges with ICD M25571 - Pain in right ankle and joints of right foot | $22,416 | ||||
| Mortality Rate at DRG | 0.19 | ||||
| Mortality Rate with ICD M25571 - Pain in right ankle and joints of right foot | NA | ||||
| SNF Discharge Rate at DRG | 27.91 | ||||
| SNF Discharge Rate with ICD M25571 - Pain in right ankle and joints of right foot | 29.79 | ||||
| Home Discharge Rate at DRG | 35.39 | ||||
| Home Discharge Rate with ICD M25571 - Pain in right ankle and joints of right foot | 34.64 |
*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 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 51,757 | ||||
| Total Hospitalizations with ICD M25571 - Pain in right ankle and joints of right foot | 276 | ||||
| DRG Share of Total Hospitalizations | 0.16 | ||||
| % of Total ICD M25571 - Pain in right ankle and joints of right foot in DRG | 1.42 | ||||
| Avg LOS at DRG | 4.41 | ||||
| Avg LOS with ICD M25571 - Pain in right ankle and joints of right foot | 5.04 | ||||
| Readmission Rate at DRG | 17.16 | ||||
| Readmission Rate with ICD M25571 - Pain in right ankle and joints of right foot | 16.92 | ||||
| Unplanned Readmission Rate at DRG | 9.0 | ||||
| Unplanned Readmission Rate with ICD M25571 - Pain in right ankle and joints of right foot | 9.62 | ||||
| Total Medicare payments at DRG | $332,400,259 | ||||
| Total Medicare payments with ICD M25571 - Pain in right ankle and joints of right foot | $2,067,720 | ||||
| Total Medicare payment per Day at DRG | $1,455 | ||||
| Total Medicare payment per Day with ICD M25571 - Pain in right ankle and joints of right foot | $1,486 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,422 | ||||
| Total Medicare payment per Hospitalization with ICD M25571 - Pain in right ankle and joints of right foot | $7,492 | ||||
| Total Medicare Charges at DRG | $1,234,809,519 | ||||
| Total Medicare Charges with ICD M25571 - Pain in right ankle and joints of right foot | $6,996,936 | ||||
| Avg Charges at DRG | $23,858 | ||||
| Avg Charges with ICD M25571 - Pain in right ankle and joints of right foot | $25,351 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD M25571 - Pain in right ankle and joints of right foot | NA | ||||
| SNF Discharge Rate at DRG | 25.37 | ||||
| SNF Discharge Rate with ICD M25571 - Pain in right ankle and joints of right foot | 23.55 | ||||
| Home Discharge Rate at DRG | 42.31 | ||||
| Home Discharge Rate with ICD M25571 - Pain in right ankle and joints of right foot | 39.49 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 312: SYNCOPE AND COLLAPSE | DRG 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 195,476 | ||||
| Total Hospitalizations with ICD M25571 - Pain in right ankle and joints of right foot | 244 | ||||
| DRG Share of Total Hospitalizations | 0.59 | ||||
| % of Total ICD M25571 - Pain in right ankle and joints of right foot in DRG | 1.26 | ||||
| Avg LOS at DRG | 4.48 | ||||
| Avg LOS with ICD M25571 - Pain in right ankle and joints of right foot | 5.71 | ||||
| Readmission Rate at DRG | 20.57 | ||||
| Readmission Rate with ICD M25571 - Pain in right ankle and joints of right foot | 19.65 | ||||
| Unplanned Readmission Rate at DRG | 9.88 | ||||
| Unplanned Readmission Rate with ICD M25571 - Pain in right ankle and joints of right foot | 9.61 | ||||
| Total Medicare payments at DRG | $1,320,662,237 | ||||
| Total Medicare payments with ICD M25571 - Pain in right ankle and joints of right foot | $2,007,191 | ||||
| Total Medicare payment per Day at DRG | $1,508 | ||||
| Total Medicare payment per Day with ICD M25571 - Pain in right ankle and joints of right foot | $1,441 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,756 | ||||
| Total Medicare payment per Hospitalization with ICD M25571 - Pain in right ankle and joints of right foot | $8,226 | ||||
| Total Medicare Charges at DRG | $6,024,639,461 | ||||
| Total Medicare Charges with ICD M25571 - Pain in right ankle and joints of right foot | $7,916,337 | ||||
| Avg Charges at DRG | $30,820 | ||||
| Avg Charges with ICD M25571 - Pain in right ankle and joints of right foot | $32,444 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD M25571 - Pain in right ankle and joints of right foot | NA | ||||
| SNF Discharge Rate at DRG | 33.36 | ||||
| SNF Discharge Rate with ICD M25571 - Pain in right ankle and joints of right foot | 35.66 | ||||
| Home Discharge Rate at DRG | 30.98 | ||||
| Home Discharge Rate with ICD M25571 - Pain in right ankle and joints of right foot | 23.36 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ENCOMPASS HEALTH REHABILITATION HOSPITAL OF TREASURE COAST | 1600 37TH ST | VERO BEACH | FL | 32960 | 126 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 86 |
| ENCOMPASS HEALTH REHABILITATION HOSPITAL OF TOMS RIVER | 14 HOSPITAL DR | TOMS RIVER | NJ | 08755 | 58 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MICHAEL ANTHONY MAZZIOTTA | 5301 S CONGRESS AVE | ATLANTIS | FL | 33462 | 52 |
| Dr. DAVID MARK GORDON | 28455 HAGGERTY RD | NOVI | MI | 48377 | 41 |
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 40 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JIMMY WAYNE LOCKHART | 1600 37TH STREET | VERO BEACH | FL | 32960 | 102 |
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 44 |
| Dr. DAVID MARK GORDON | 28455 HAGGERTY RD | NOVI | MI | 48377 | 41 |