*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M3500 - Sicca syndrome, unspecified - as a primary diagnosis code | M3500 - Sicca syndrome, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.36 | |
| Readmission Rate (%) | 21.36 | |
| Unplanned Readmission Rate (%) | 14.67 | |
| 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 546: CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 545: CONNECTIVE TISSUE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 547: CONNECTIVE TISSUE DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 14,526 | ||
| Total Hospitalizations with ICD M3500 - Sicca syndrome, unspecified | 90 | ||
| DRG Share of Total Hospitalizations | 0.04 | ||
| % of Total ICD M3500 - Sicca syndrome, unspecified in DRG | 47.37 | ||
| Avg LOS at DRG | 5.12 | ||
| Avg LOS with ICD M3500 - Sicca syndrome, unspecified | 5.9 | ||
| Readmission Rate at DRG | 23.17 | ||
| Readmission Rate with ICD M3500 - Sicca syndrome, unspecified | 31.82 | ||
| Unplanned Readmission Rate at DRG | 15.83 | ||
| Unplanned Readmission Rate with ICD M3500 - Sicca syndrome, unspecified | 15.91 | ||
| Total Medicare payments at DRG | $123,348,417 | ||
| Total Medicare payments with ICD M3500 - Sicca syndrome, unspecified | $772,040 | ||
| Total Medicare payment per Day at DRG | $1,658 | ||
| Total Medicare payment per Day with ICD M3500 - Sicca syndrome, unspecified | $1,454 | ||
| Total Medicare payment per Hospitalization at DRG | $8,492 | ||
| Total Medicare payment per Hospitalization with ICD M3500 - Sicca syndrome, unspecified | $8,578 | ||
| Total Medicare Charges at DRG | $565,151,481 | ||
| Total Medicare Charges with ICD M3500 - Sicca syndrome, unspecified | $4,124,304 | ||
| Avg Charges at DRG | $38,906 | ||
| Avg Charges with ICD M3500 - Sicca syndrome, unspecified | $45,826 | ||
| Mortality Rate at DRG | 0.34 | ||
| Mortality Rate with ICD M3500 - Sicca syndrome, unspecified | NA | ||
| SNF Discharge Rate at DRG | 16.01 | ||
| SNF Discharge Rate with ICD M3500 - Sicca syndrome, unspecified | 13.33 | ||
| Home Discharge Rate at DRG | 53.61 | ||
| Home Discharge Rate with ICD M3500 - Sicca syndrome, unspecified | 58.89 |
*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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD M3500 - Sicca syndrome, unspecified | 4,473 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD M3500 - Sicca syndrome, unspecified in DRG | 5.78 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD M3500 - Sicca syndrome, unspecified | 2.63 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD M3500 - Sicca syndrome, unspecified | 9.86 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD M3500 - Sicca syndrome, unspecified | 3.75 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD M3500 - Sicca syndrome, unspecified | $52,790,835 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD M3500 - Sicca syndrome, unspecified | $4,487 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD M3500 - Sicca syndrome, unspecified | $11,802 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD M3500 - Sicca syndrome, unspecified | $267,855,139 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD M3500 - Sicca syndrome, unspecified | $59,883 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD M3500 - Sicca syndrome, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD M3500 - Sicca syndrome, unspecified | 27.12 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD M3500 - Sicca syndrome, unspecified | 26.31 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD M3500 - Sicca syndrome, unspecified | 1,333 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD M3500 - Sicca syndrome, unspecified in DRG | 1.72 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD M3500 - Sicca syndrome, unspecified | 3.49 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD M3500 - Sicca syndrome, unspecified | 19.13 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD M3500 - Sicca syndrome, unspecified | 15.07 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD M3500 - Sicca syndrome, unspecified | $6,319,907 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD M3500 - Sicca syndrome, unspecified | $1,359 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD M3500 - Sicca syndrome, unspecified | $4,741 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD M3500 - Sicca syndrome, unspecified | $33,613,304 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD M3500 - Sicca syndrome, unspecified | $25,216 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD M3500 - Sicca syndrome, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD M3500 - Sicca syndrome, unspecified | 20.33 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD M3500 - Sicca syndrome, unspecified | 49.21 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD M3500 - Sicca syndrome, unspecified | 1,062 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD M3500 - Sicca syndrome, unspecified in DRG | 1.37 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD M3500 - Sicca syndrome, unspecified | 6.07 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD M3500 - Sicca syndrome, unspecified | 24.84 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD M3500 - Sicca syndrome, unspecified | 18.66 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD M3500 - Sicca syndrome, unspecified | $9,592,686 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD M3500 - Sicca syndrome, unspecified | $1,488 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD M3500 - Sicca syndrome, unspecified | $9,033 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD M3500 - Sicca syndrome, unspecified | $49,198,217 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD M3500 - Sicca syndrome, unspecified | $46,326 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD M3500 - Sicca syndrome, unspecified | 5.74 | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD M3500 - Sicca syndrome, unspecified | 17.98 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD M3500 - Sicca syndrome, unspecified | 40.4 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 483: MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 408,103 | ||||
| Total Hospitalizations with ICD M3500 - Sicca syndrome, unspecified | 784 | ||||
| DRG Share of Total Hospitalizations | 1.24 | ||||
| % of Total ICD M3500 - Sicca syndrome, unspecified in DRG | 1.01 | ||||
| Avg LOS at DRG | 3.52 | ||||
| Avg LOS with ICD M3500 - Sicca syndrome, unspecified | 3.48 | ||||
| Readmission Rate at DRG | 17.83 | ||||
| Readmission Rate with ICD M3500 - Sicca syndrome, unspecified | 19.41 | ||||
| Unplanned Readmission Rate at DRG | 13.81 | ||||
| Unplanned Readmission Rate with ICD M3500 - Sicca syndrome, unspecified | 14.82 | ||||
| Total Medicare payments at DRG | $2,416,862,532 | ||||
| Total Medicare payments with ICD M3500 - Sicca syndrome, unspecified | $4,587,288 | ||||
| Total Medicare payment per Day at DRG | $1,682 | ||||
| Total Medicare payment per Day with ICD M3500 - Sicca syndrome, unspecified | $1,683 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
| Total Medicare payment per Hospitalization with ICD M3500 - Sicca syndrome, unspecified | $5,851 | ||||
| Total Medicare Charges at DRG | $13,267,744,847 | ||||
| Total Medicare Charges with ICD M3500 - Sicca syndrome, unspecified | $24,793,386 | ||||
| Avg Charges at DRG | $32,511 | ||||
| Avg Charges with ICD M3500 - Sicca syndrome, unspecified | $31,624 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD M3500 - Sicca syndrome, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 14.1 | ||||
| SNF Discharge Rate with ICD M3500 - Sicca syndrome, unspecified | 10.97 | ||||
| Home Discharge Rate at DRG | 62.97 | ||||
| Home Discharge Rate with ICD M3500 - Sicca syndrome, unspecified | 65.56 |
| 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 | 314 |
| YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 266 |
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 234 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. THOMAS KELLY TKACH | 1110 N LEE AVE | OKLAHOMA CITY | OK | 73103 | 15 |
| Dr. DAVID W ROMNESS | 1635 N GEORGE MASON DR | ARLINGTON | VA | 22205 | 13 |
| Dr. KENNETH J. KRESS | 5671 PEACHTREE DUNWOODY RD NE | ATLANTA | GA | 30342 | 12 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 36 |
| Dr. HEMANT KUMAR SINHA | 35772 US HIGHWAY 231 | ASHVILLE | AL | 35953 | 24 |
| Dr. BRADLEY S MERRITT | 3131 TROUP HWY | TYLER | TX | 75701 | 19 |