*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M2560 - Stiffness of unspecified joint, not elsewhere classified - as a primary diagnosis code | M2560 - Stiffness of unspecified joint, not elsewhere classified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 9.35 | |
| Readmission Rate (%) | 14.73 | |
| 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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD M2560 - Stiffness of unspecified joint, not elsewhere classified | 270 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD M2560 - Stiffness of unspecified joint, not elsewhere classified in DRG | 12.41 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD M2560 - Stiffness of unspecified joint, not elsewhere classified | 2.18 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD M2560 - Stiffness of unspecified joint, not elsewhere classified | NA | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD M2560 - Stiffness of unspecified joint, not elsewhere classified | NA | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD M2560 - Stiffness of unspecified joint, not elsewhere classified | $2,603,040 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD M2560 - Stiffness of unspecified joint, not elsewhere classified | $4,419 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD M2560 - Stiffness of unspecified joint, not elsewhere classified | $9,641 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD M2560 - Stiffness of unspecified joint, not elsewhere classified | $11,005,302 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD M2560 - Stiffness of unspecified joint, not elsewhere classified | $40,760 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD M2560 - Stiffness of unspecified joint, not elsewhere classified | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD M2560 - Stiffness of unspecified joint, not elsewhere classified | 11.48 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD M2560 - Stiffness of unspecified joint, not elsewhere classified | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 38,773 | ||||
| Total Hospitalizations with ICD M2560 - Stiffness of unspecified joint, not elsewhere classified | 72 | ||||
| DRG Share of Total Hospitalizations | 0.12 | ||||
| % of Total ICD M2560 - Stiffness of unspecified joint, not elsewhere classified in DRG | 3.31 | ||||
| Avg LOS at DRG | 11.96 | ||||
| Avg LOS with ICD M2560 - Stiffness of unspecified joint, not elsewhere classified | 12.33 | ||||
| Readmission Rate at DRG | 18.12 | ||||
| Readmission Rate with ICD M2560 - Stiffness of unspecified joint, not elsewhere classified | NA | ||||
| Unplanned Readmission Rate at DRG | 14.28 | ||||
| Unplanned Readmission Rate with ICD M2560 - Stiffness of unspecified joint, not elsewhere classified | NA | ||||
| Total Medicare payments at DRG | $739,082,714 | ||||
| Total Medicare payments with ICD M2560 - Stiffness of unspecified joint, not elsewhere classified | $1,306,848 | ||||
| Total Medicare payment per Day at DRG | $1,594 | ||||
| Total Medicare payment per Day with ICD M2560 - Stiffness of unspecified joint, not elsewhere classified | $1,472 | ||||
| Total Medicare payment per Hospitalization at DRG | $19,062 | ||||
| Total Medicare payment per Hospitalization with ICD M2560 - Stiffness of unspecified joint, not elsewhere classified | $18,151 | ||||
| Total Medicare Charges at DRG | $2,416,011,805 | ||||
| Total Medicare Charges with ICD M2560 - Stiffness of unspecified joint, not elsewhere classified | $4,114,428 | ||||
| Avg Charges at DRG | $62,312 | ||||
| Avg Charges with ICD M2560 - Stiffness of unspecified joint, not elsewhere classified | $57,145 | ||||
| Mortality Rate at DRG | 0.2 | ||||
| Mortality Rate with ICD M2560 - Stiffness of unspecified joint, not elsewhere classified | NA | ||||
| SNF Discharge Rate at DRG | 17.34 | ||||
| SNF Discharge Rate with ICD M2560 - Stiffness of unspecified joint, not elsewhere classified | NA | ||||
| Home Discharge Rate at DRG | 21.02 | ||||
| Home Discharge Rate with ICD M2560 - Stiffness of unspecified joint, not elsewhere classified | 23.61 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 559: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 884: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | DRG 556: SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 65,966 | ||||
| Total Hospitalizations with ICD M2560 - Stiffness of unspecified joint, not elsewhere classified | 39 | ||||
| DRG Share of Total Hospitalizations | 0.2 | ||||
| % of Total ICD M2560 - Stiffness of unspecified joint, not elsewhere classified in DRG | 1.79 | ||||
| Avg LOS at DRG | 13.11 | ||||
| Avg LOS with ICD M2560 - Stiffness of unspecified joint, not elsewhere classified | 12.64 | ||||
| Readmission Rate at DRG | 21.08 | ||||
| Readmission Rate with ICD M2560 - Stiffness of unspecified joint, not elsewhere classified | NA | ||||
| Unplanned Readmission Rate at DRG | 14.13 | ||||
| Unplanned Readmission Rate with ICD M2560 - Stiffness of unspecified joint, not elsewhere classified | NA | ||||
| Total Medicare payments at DRG | $1,323,430,782 | ||||
| Total Medicare payments with ICD M2560 - Stiffness of unspecified joint, not elsewhere classified | $800,771 | ||||
| Total Medicare payment per Day at DRG | $1,530 | ||||
| Total Medicare payment per Day with ICD M2560 - Stiffness of unspecified joint, not elsewhere classified | $1,624 | ||||
| Total Medicare payment per Hospitalization at DRG | $20,062 | ||||
| Total Medicare payment per Hospitalization with ICD M2560 - Stiffness of unspecified joint, not elsewhere classified | $20,533 | ||||
| Total Medicare Charges at DRG | $3,810,466,828 | ||||
| Total Medicare Charges with ICD M2560 - Stiffness of unspecified joint, not elsewhere classified | $1,682,644 | ||||
| Avg Charges at DRG | $57,764 | ||||
| Avg Charges with ICD M2560 - Stiffness of unspecified joint, not elsewhere classified | $43,145 | ||||
| Mortality Rate at DRG | 1.49 | ||||
| Mortality Rate with ICD M2560 - Stiffness of unspecified joint, not elsewhere classified | NA | ||||
| SNF Discharge Rate at DRG | 24.48 | ||||
| SNF Discharge Rate with ICD M2560 - Stiffness of unspecified joint, not elsewhere classified | 28.21 | ||||
| Home Discharge Rate at DRG | 12.66 | ||||
| Home Discharge Rate with ICD M2560 - Stiffness of unspecified joint, not elsewhere classified | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 950: AFTERCARE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT 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 | 417,755 | ||||
| Total Hospitalizations with ICD M2560 - Stiffness of unspecified joint, not elsewhere classified | 24 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD M2560 - Stiffness of unspecified joint, not elsewhere classified in DRG | 1.1 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD M2560 - Stiffness of unspecified joint, not elsewhere classified | 4.83 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD M2560 - Stiffness of unspecified joint, not elsewhere classified | NA | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD M2560 - Stiffness of unspecified joint, not elsewhere classified | NA | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD M2560 - Stiffness of unspecified joint, not elsewhere classified | $191,525 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD M2560 - Stiffness of unspecified joint, not elsewhere classified | $1,651 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD M2560 - Stiffness of unspecified joint, not elsewhere classified | $7,980 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD M2560 - Stiffness of unspecified joint, not elsewhere classified | $605,933 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD M2560 - Stiffness of unspecified joint, not elsewhere classified | $25,247 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD M2560 - Stiffness of unspecified joint, not elsewhere classified | NA | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD M2560 - Stiffness of unspecified joint, not elsewhere classified | NA | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD M2560 - Stiffness of unspecified joint, not elsewhere classified | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| COOKEVILLE REGIONAL MEDICAL CENTER | 1 MEDICAL CENTER BLVD | COOKEVILLE | TN | 38501 | 273 |
| ADVANCED SURGICAL HOSPITAL | 100 TRICH DRIVE | WASHINGTON | PA | 15301 | 244 |
| STAMFORD HOSPITAL | 30 SHELBURNE RD | STAMFORD | CT | 06904 | 164 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ARMANDO AVOLIO | 100 TRICH DR | WASHINGTON | PA | 15301 | 86 |
| Dr. JOSEPH PAUL STRACCI | 100 TRICH DR | WASHINGTON | PA | 15301 | 53 |
| Dr. BERNARD R CHARLES | 310 N HAMMES AVE | JOLIET | IL | 60435 | 40 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. THOMAS MILTON GANNON | 427 N WILLOW AVE | COOKEVILLE | TN | 38501 | 273 |
| Dr. EDWIN F RICHTER | 32 STRAWBERRY HILL CT | STAMFORD | CT | 06902 | 114 |
| Dr. ARMANDO AVOLIO | 100 TRICH DR | WASHINGTON | PA | 15301 | 87 |