*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M25572 - Pain in left ankle and joints of left foot - as a primary diagnosis code | M25572 - Pain in left ankle and joints of left foot - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.82 | |
| Readmission Rate (%) | 22.36 | |
| Unplanned Readmission Rate (%) | 10.07 | |
| 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 M25572 - Pain in left ankle and joints of left foot | 216 | |
| DRG Share of Total Hospitalizations | 0.13 | |
| % of Total ICD M25572 - Pain in left ankle and joints of left foot in DRG | 76.6 | |
| Avg LOS at DRG | 4.54 | |
| Avg LOS with ICD M25572 - Pain in left ankle and joints of left foot | 3.68 | |
| Readmission Rate at DRG | 18.05 | |
| Readmission Rate with ICD M25572 - Pain in left ankle and joints of left foot | 14.63 | |
| Unplanned Readmission Rate at DRG | 10.73 | |
| Unplanned Readmission Rate with ICD M25572 - Pain in left ankle and joints of left foot | 8.29 | |
| Total Medicare payments at DRG | $293,427,765 | |
| Total Medicare payments with ICD M25572 - Pain in left ankle and joints of left foot | $1,241,566 | |
| Total Medicare payment per Day at DRG | $1,485 | |
| Total Medicare payment per Day with ICD M25572 - Pain in left ankle and joints of left foot | $1,564 | |
| Total Medicare payment per Hospitalization at DRG | $6,739 | |
| Total Medicare payment per Hospitalization with ICD M25572 - Pain in left ankle and joints of left foot | $5,748 | |
| Total Medicare Charges at DRG | $1,161,067,318 | |
| Total Medicare Charges with ICD M25572 - Pain in left ankle and joints of left foot | $4,589,903 | |
| Avg Charges at DRG | $26,665 | |
| Avg Charges with ICD M25572 - Pain in left ankle and joints of left foot | $21,250 | |
| Mortality Rate at DRG | 0.19 | |
| Mortality Rate with ICD M25572 - Pain in left ankle and joints of left foot | NA | |
| SNF Discharge Rate at DRG | 27.91 | |
| SNF Discharge Rate with ICD M25572 - Pain in left ankle and joints of left foot | 29.17 | |
| Home Discharge Rate at DRG | 35.39 | |
| Home Discharge Rate with ICD M25572 - Pain in left ankle and joints of left foot | 42.13 |
*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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD M25572 - Pain in left ankle and joints of left foot | 1,466 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD M25572 - Pain in left ankle and joints of left foot in DRG | 7.84 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD M25572 - Pain in left ankle and joints of left foot | 14.32 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD M25572 - Pain in left ankle and joints of left foot | 30.19 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD M25572 - Pain in left ankle and joints of left foot | 11.78 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD M25572 - Pain in left ankle and joints of left foot | $14,101,494 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD M25572 - Pain in left ankle and joints of left foot | $671 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD M25572 - Pain in left ankle and joints of left foot | $9,619 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD M25572 - Pain in left ankle and joints of left foot | $48,858,043 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD M25572 - Pain in left ankle and joints of left foot | $33,327 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD M25572 - Pain in left ankle and joints of left foot | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD M25572 - Pain in left ankle and joints of left foot | 4.43 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD M25572 - Pain in left ankle and joints of left foot | 82.26 |
*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 690: KIDNEY AND URINARY TRACT INFECTIONS 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 43,543 | ||||
| Total Hospitalizations with ICD M25572 - Pain in left ankle and joints of left foot | 387 | ||||
| DRG Share of Total Hospitalizations | 0.13 | ||||
| % of Total ICD M25572 - Pain in left ankle and joints of left foot in DRG | 2.07 | ||||
| Avg LOS at DRG | 4.54 | ||||
| Avg LOS with ICD M25572 - Pain in left ankle and joints of left foot | 4.06 | ||||
| Readmission Rate at DRG | 18.05 | ||||
| Readmission Rate with ICD M25572 - Pain in left ankle and joints of left foot | 13.93 | ||||
| Unplanned Readmission Rate at DRG | 10.73 | ||||
| Unplanned Readmission Rate with ICD M25572 - Pain in left ankle and joints of left foot | 8.2 | ||||
| Total Medicare payments at DRG | $293,427,765 | ||||
| Total Medicare payments with ICD M25572 - Pain in left ankle and joints of left foot | $2,323,290 | ||||
| Total Medicare payment per Day at DRG | $1,485 | ||||
| Total Medicare payment per Day with ICD M25572 - Pain in left ankle and joints of left foot | $1,480 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,739 | ||||
| Total Medicare payment per Hospitalization with ICD M25572 - Pain in left ankle and joints of left foot | $6,003 | ||||
| Total Medicare Charges at DRG | $1,161,067,318 | ||||
| Total Medicare Charges with ICD M25572 - Pain in left ankle and joints of left foot | $8,921,686 | ||||
| Avg Charges at DRG | $26,665 | ||||
| Avg Charges with ICD M25572 - Pain in left ankle and joints of left foot | $23,053 | ||||
| Mortality Rate at DRG | 0.19 | ||||
| Mortality Rate with ICD M25572 - Pain in left ankle and joints of left foot | NA | ||||
| SNF Discharge Rate at DRG | 27.91 | ||||
| SNF Discharge Rate with ICD M25572 - Pain in left ankle and joints of left foot | 29.46 | ||||
| Home Discharge Rate at DRG | 35.39 | ||||
| Home Discharge Rate with ICD M25572 - Pain in left ankle and joints of left foot | 37.98 |
*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 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 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 195,476 | ||||
| Total Hospitalizations with ICD M25572 - Pain in left ankle and joints of left foot | 264 | ||||
| DRG Share of Total Hospitalizations | 0.59 | ||||
| % of Total ICD M25572 - Pain in left ankle and joints of left foot in DRG | 1.41 | ||||
| Avg LOS at DRG | 4.48 | ||||
| Avg LOS with ICD M25572 - Pain in left ankle and joints of left foot | 5.93 | ||||
| Readmission Rate at DRG | 20.57 | ||||
| Readmission Rate with ICD M25572 - Pain in left ankle and joints of left foot | 20.16 | ||||
| Unplanned Readmission Rate at DRG | 9.88 | ||||
| Unplanned Readmission Rate with ICD M25572 - Pain in left ankle and joints of left foot | 9.49 | ||||
| Total Medicare payments at DRG | $1,320,662,237 | ||||
| Total Medicare payments with ICD M25572 - Pain in left ankle and joints of left foot | $2,151,341 | ||||
| Total Medicare payment per Day at DRG | $1,508 | ||||
| Total Medicare payment per Day with ICD M25572 - Pain in left ankle and joints of left foot | $1,375 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,756 | ||||
| Total Medicare payment per Hospitalization with ICD M25572 - Pain in left ankle and joints of left foot | $8,149 | ||||
| Total Medicare Charges at DRG | $6,024,639,461 | ||||
| Total Medicare Charges with ICD M25572 - Pain in left ankle and joints of left foot | $8,467,176 | ||||
| Avg Charges at DRG | $30,820 | ||||
| Avg Charges with ICD M25572 - Pain in left ankle and joints of left foot | $32,073 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD M25572 - Pain in left ankle and joints of left foot | NA | ||||
| SNF Discharge Rate at DRG | 33.36 | ||||
| SNF Discharge Rate with ICD M25572 - Pain in left ankle and joints of left foot | 31.06 | ||||
| Home Discharge Rate at DRG | 30.98 | ||||
| Home Discharge Rate with ICD M25572 - Pain in left ankle and joints of left foot | 29.17 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 312: SYNCOPE AND COLLAPSE | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 122,730 | ||||
| Total Hospitalizations with ICD M25572 - Pain in left ankle and joints of left foot | 243 | ||||
| DRG Share of Total Hospitalizations | 0.37 | ||||
| % of Total ICD M25572 - Pain in left ankle and joints of left foot in DRG | 1.3 | ||||
| Avg LOS at DRG | 7.61 | ||||
| Avg LOS with ICD M25572 - Pain in left ankle and joints of left foot | 11.02 | ||||
| Readmission Rate at DRG | 21.31 | ||||
| Readmission Rate with ICD M25572 - Pain in left ankle and joints of left foot | 20.61 | ||||
| Unplanned Readmission Rate at DRG | 14.13 | ||||
| Unplanned Readmission Rate with ICD M25572 - Pain in left ankle and joints of left foot | 11.84 | ||||
| Total Medicare payments at DRG | $1,397,885,220 | ||||
| Total Medicare payments with ICD M25572 - Pain in left ankle and joints of left foot | $3,868,514 | ||||
| Total Medicare payment per Day at DRG | $1,497 | ||||
| Total Medicare payment per Day with ICD M25572 - Pain in left ankle and joints of left foot | $1,444 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,390 | ||||
| Total Medicare payment per Hospitalization with ICD M25572 - Pain in left ankle and joints of left foot | $15,920 | ||||
| Total Medicare Charges at DRG | $4,175,290,309 | ||||
| Total Medicare Charges with ICD M25572 - Pain in left ankle and joints of left foot | $9,299,768 | ||||
| Avg Charges at DRG | $34,020 | ||||
| Avg Charges with ICD M25572 - Pain in left ankle and joints of left foot | $38,271 | ||||
| Mortality Rate at DRG | 0.28 | ||||
| Mortality Rate with ICD M25572 - Pain in left ankle and joints of left foot | NA | ||||
| SNF Discharge Rate at DRG | 21.64 | ||||
| SNF Discharge Rate with ICD M25572 - Pain in left ankle and joints of left foot | 20.16 | ||||
| Home Discharge Rate at DRG | 28.06 | ||||
| Home Discharge Rate with ICD M25572 - Pain in left ankle and joints of left foot | 16.46 |
| 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 | 131 |
| REGIONAL REHABILITATION HOSPITAL | 3715 HIGHWAY 280/431 NORTH | PHENIX CITY | AL | 36867 | 61 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 52 |
| 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 | 50 |
| Dr. DAVID MARK GORDON | 28455 HAGGERTY RD | NOVI | MI | 48377 | 42 |
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 42 |
| 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 | 106 |
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 44 |
| Dr. DAVID MARK GORDON | 28455 HAGGERTY RD | NOVI | MI | 48377 | 42 |