*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M316 - Other giant cell arteritis - as a primary diagnosis code | M316 - Other giant cell arteritis - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.47 | |
| Readmission Rate (%) | 23.78 | |
| Unplanned Readmission Rate (%) | 14.19 | |
| 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 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 546: CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 517: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 547: CONNECTIVE TISSUE DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 515: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 42,559 | ||||
| Total Hospitalizations with ICD M316 - Other giant cell arteritis | 1,024 | ||||
| DRG Share of Total Hospitalizations | 0.13 | ||||
| % of Total ICD M316 - Other giant cell arteritis in DRG | 26.39 | ||||
| Avg LOS at DRG | 4.67 | ||||
| Avg LOS with ICD M316 - Other giant cell arteritis | 4.42 | ||||
| Readmission Rate at DRG | 23.96 | ||||
| Readmission Rate with ICD M316 - Other giant cell arteritis | 18.36 | ||||
| Unplanned Readmission Rate at DRG | 9.89 | ||||
| Unplanned Readmission Rate with ICD M316 - Other giant cell arteritis | 14.54 | ||||
| Total Medicare payments at DRG | $524,182,097 | ||||
| Total Medicare payments with ICD M316 - Other giant cell arteritis | $13,188,599 | ||||
| Total Medicare payment per Day at DRG | $2,636 | ||||
| Total Medicare payment per Day with ICD M316 - Other giant cell arteritis | $2,913 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,317 | ||||
| Total Medicare payment per Hospitalization with ICD M316 - Other giant cell arteritis | $12,879 | ||||
| Total Medicare Charges at DRG | $2,765,571,309 | ||||
| Total Medicare Charges with ICD M316 - Other giant cell arteritis | $49,047,809 | ||||
| Avg Charges at DRG | $64,982 | ||||
| Avg Charges with ICD M316 - Other giant cell arteritis | $47,898 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD M316 - Other giant cell arteritis | NA | ||||
| SNF Discharge Rate at DRG | 33.62 | ||||
| SNF Discharge Rate with ICD M316 - Other giant cell arteritis | 10.35 | ||||
| Home Discharge Rate at DRG | 31.52 | ||||
| Home Discharge Rate with ICD M316 - Other giant cell arteritis | 67.38 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 545: CONNECTIVE TISSUE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 11,608 | ||
| Total Hospitalizations with ICD M316 - Other giant cell arteritis | 294 | ||
| DRG Share of Total Hospitalizations | 0.04 | ||
| % of Total ICD M316 - Other giant cell arteritis in DRG | 7.58 | ||
| Avg LOS at DRG | 8.22 | ||
| Avg LOS with ICD M316 - Other giant cell arteritis | 5.44 | ||
| Readmission Rate at DRG | 31.98 | ||
| Readmission Rate with ICD M316 - Other giant cell arteritis | 30.77 | ||
| Unplanned Readmission Rate at DRG | 20.53 | ||
| Unplanned Readmission Rate with ICD M316 - Other giant cell arteritis | 20.38 | ||
| Total Medicare payments at DRG | $206,660,882 | ||
| Total Medicare payments with ICD M316 - Other giant cell arteritis | $4,422,943 | ||
| Total Medicare payment per Day at DRG | $2,166 | ||
| Total Medicare payment per Day with ICD M316 - Other giant cell arteritis | $2,768 | ||
| Total Medicare payment per Hospitalization at DRG | $17,803 | ||
| Total Medicare payment per Hospitalization with ICD M316 - Other giant cell arteritis | $15,044 | ||
| Total Medicare Charges at DRG | $902,384,310 | ||
| Total Medicare Charges with ICD M316 - Other giant cell arteritis | $15,960,484 | ||
| Avg Charges at DRG | $77,738 | ||
| Avg Charges with ICD M316 - Other giant cell arteritis | $54,287 | ||
| Mortality Rate at DRG | 5.53 | ||
| Mortality Rate with ICD M316 - Other giant cell arteritis | NA | ||
| SNF Discharge Rate at DRG | 19.03 | ||
| SNF Discharge Rate with ICD M316 - Other giant cell arteritis | 24.15 | ||
| Home Discharge Rate at DRG | 38.57 | ||
| Home Discharge Rate with ICD M316 - Other giant cell arteritis | 40.48 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| THOMAS JEFFERSON UNIVERSITY HOSPITAL | 111 S 11TH ST | PHILADELPHIA | PA | 19107 | 51 |
| THE JOHNS HOPKINS HOSPITAL | 600 N WOLFE ST | BALTIMORE | MD | 21287 | 22 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 21 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MARK L MOSTER | 5401 OLD YORK RD | PHILADELPHIA | PA | 19141 | 15 |
| Dr. ROBERT CHARLES SERGOTT | 840 WALNUT ST | PHILADELPHIA | PA | 19107 | 13 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MARK L MOSTER | 5401 OLD YORK RD | PHILADELPHIA | PA | 19141 | 18 |
| Dr. ROBERT CHARLES SERGOTT | 840 WALNUT ST | PHILADELPHIA | PA | 19107 | 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 546: CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 517: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD M316 - Other giant cell arteritis | 1,747 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD M316 - Other giant cell arteritis in DRG | 6.01 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD M316 - Other giant cell arteritis | 6.36 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD M316 - Other giant cell arteritis | 25.07 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD M316 - Other giant cell arteritis | 18.33 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD M316 - Other giant cell arteritis | $20,673,770 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD M316 - Other giant cell arteritis | $1,860 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD M316 - Other giant cell arteritis | $11,834 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD M316 - Other giant cell arteritis | $98,103,941 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD M316 - Other giant cell arteritis | $56,156 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD M316 - Other giant cell arteritis | 10.07 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD M316 - Other giant cell arteritis | 31.77 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD M316 - Other giant cell arteritis | 23.41 |
*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 547: CONNECTIVE TISSUE DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD M316 - Other giant cell arteritis | 555 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD M316 - Other giant cell arteritis in DRG | 1.91 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD M316 - Other giant cell arteritis | 4.35 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD M316 - Other giant cell arteritis | 24.28 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD M316 - Other giant cell arteritis | 18.74 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD M316 - Other giant cell arteritis | $3,704,987 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD M316 - Other giant cell arteritis | $1,535 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD M316 - Other giant cell arteritis | $6,676 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD M316 - Other giant cell arteritis | $19,102,016 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD M316 - Other giant cell arteritis | $34,418 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD M316 - Other giant cell arteritis | NA | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD M316 - Other giant cell arteritis | 27.39 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD M316 - Other giant cell arteritis | 39.1 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 515: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 408,103 | ||||
| Total Hospitalizations with ICD M316 - Other giant cell arteritis | 447 | ||||
| DRG Share of Total Hospitalizations | 1.24 | ||||
| % of Total ICD M316 - Other giant cell arteritis in DRG | 1.54 | ||||
| Avg LOS at DRG | 3.52 | ||||
| Avg LOS with ICD M316 - Other giant cell arteritis | 3.71 | ||||
| Readmission Rate at DRG | 17.83 | ||||
| Readmission Rate with ICD M316 - Other giant cell arteritis | 21.8 | ||||
| Unplanned Readmission Rate at DRG | 13.81 | ||||
| Unplanned Readmission Rate with ICD M316 - Other giant cell arteritis | 17.54 | ||||
| Total Medicare payments at DRG | $2,416,862,532 | ||||
| Total Medicare payments with ICD M316 - Other giant cell arteritis | $2,721,798 | ||||
| Total Medicare payment per Day at DRG | $1,682 | ||||
| Total Medicare payment per Day with ICD M316 - Other giant cell arteritis | $1,642 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
| Total Medicare payment per Hospitalization with ICD M316 - Other giant cell arteritis | $6,089 | ||||
| Total Medicare Charges at DRG | $13,267,744,847 | ||||
| Total Medicare Charges with ICD M316 - Other giant cell arteritis | $14,578,539 | ||||
| Avg Charges at DRG | $32,511 | ||||
| Avg Charges with ICD M316 - Other giant cell arteritis | $32,614 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD M316 - Other giant cell arteritis | NA | ||||
| SNF Discharge Rate at DRG | 14.1 | ||||
| SNF Discharge Rate with ICD M316 - Other giant cell arteritis | 18.79 | ||||
| Home Discharge Rate at DRG | 62.97 | ||||
| Home Discharge Rate with ICD M316 - Other giant cell arteritis | 51.45 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 364,421 | ||||
| Total Hospitalizations with ICD M316 - Other giant cell arteritis | 369 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD M316 - Other giant cell arteritis in DRG | 1.27 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD M316 - Other giant cell arteritis | 4.03 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD M316 - Other giant cell arteritis | 22.0 | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD M316 - Other giant cell arteritis | 16.29 | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD M316 - Other giant cell arteritis | $1,993,864 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD M316 - Other giant cell arteritis | $1,342 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD M316 - Other giant cell arteritis | $5,403 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD M316 - Other giant cell arteritis | $8,775,333 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD M316 - Other giant cell arteritis | $23,781 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD M316 - Other giant cell arteritis | NA | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD M316 - Other giant cell arteritis | 18.7 | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD M316 - Other giant cell arteritis | 48.24 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 158 |
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 122 |
| HOUSTON METHODIST HOSPITAL | 6565 FANNIN ST | HOUSTON | TX | 77030 | 111 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MARK L MOSTER | 5401 OLD YORK RD | PHILADELPHIA | PA | 19141 | 15 |
| Dr. IMTIAZ AHMAD CHAUDHRY | 6400 FANNIN ST STE 2220 | HOUSTON | TX | 77030 | 14 |
| Dr. ROBERT CHARLES SERGOTT | 840 WALNUT ST | PHILADELPHIA | PA | 19107 | 14 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MARK L MOSTER | 5401 OLD YORK RD | PHILADELPHIA | PA | 19141 | 18 |
| Dr. SATISH PATEL | 9108 COLUMBIA AVE | MUNSTER | IN | 46321 | 17 |
| Dr. DANNY WAYNE MCFALL | 409 NORTH CEDAR STREET | FLORENCE | AL | 35630 | 17 |