*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M353 - Polymyalgia rheumatica - as a primary diagnosis code | M353 - Polymyalgia rheumatica - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.03 | |
| Readmission Rate (%) | 20.8 | |
| Unplanned Readmission Rate (%) | 9.65 | |
| 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 547: CONNECTIVE TISSUE DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 545: CONNECTIVE TISSUE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 515: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 14,526 | ||||
| Total Hospitalizations with ICD M353 - Polymyalgia rheumatica | 1,824 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD M353 - Polymyalgia rheumatica in DRG | 53.85 | ||||
| Avg LOS at DRG | 5.12 | ||||
| Avg LOS with ICD M353 - Polymyalgia rheumatica | 4.44 | ||||
| Readmission Rate at DRG | 23.17 | ||||
| Readmission Rate with ICD M353 - Polymyalgia rheumatica | 18.29 | ||||
| Unplanned Readmission Rate at DRG | 15.83 | ||||
| Unplanned Readmission Rate with ICD M353 - Polymyalgia rheumatica | 10.96 | ||||
| Total Medicare payments at DRG | $123,348,417 | ||||
| Total Medicare payments with ICD M353 - Polymyalgia rheumatica | $13,866,021 | ||||
| Total Medicare payment per Day at DRG | $1,658 | ||||
| Total Medicare payment per Day with ICD M353 - Polymyalgia rheumatica | $1,711 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,492 | ||||
| Total Medicare payment per Hospitalization with ICD M353 - Polymyalgia rheumatica | $7,602 | ||||
| Total Medicare Charges at DRG | $565,151,481 | ||||
| Total Medicare Charges with ICD M353 - Polymyalgia rheumatica | $54,121,218 | ||||
| Avg Charges at DRG | $38,906 | ||||
| Avg Charges with ICD M353 - Polymyalgia rheumatica | $29,672 | ||||
| Mortality Rate at DRG | 0.34 | ||||
| Mortality Rate with ICD M353 - Polymyalgia rheumatica | NA | ||||
| SNF Discharge Rate at DRG | 16.01 | ||||
| SNF Discharge Rate with ICD M353 - Polymyalgia rheumatica | 28.95 | ||||
| Home Discharge Rate at DRG | 53.61 | ||||
| Home Discharge Rate with ICD M353 - Polymyalgia rheumatica | 37.72 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 517: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 43,598 |
| Total Hospitalizations with ICD M353 - Polymyalgia rheumatica | 19 |
| DRG Share of Total Hospitalizations | 0.13 |
| % of Total ICD M353 - Polymyalgia rheumatica in DRG | 0.56 |
| Avg LOS at DRG | 2.56 |
| Avg LOS with ICD M353 - Polymyalgia rheumatica | 3.79 |
| Readmission Rate at DRG | 13.58 |
| Readmission Rate with ICD M353 - Polymyalgia rheumatica | NA |
| Unplanned Readmission Rate at DRG | 5.0 |
| Unplanned Readmission Rate with ICD M353 - Polymyalgia rheumatica | NA |
| Total Medicare payments at DRG | $405,277,239 |
| Total Medicare payments with ICD M353 - Polymyalgia rheumatica | $193,235 |
| Total Medicare payment per Day at DRG | $3,633 |
| Total Medicare payment per Day with ICD M353 - Polymyalgia rheumatica | $2,684 |
| Total Medicare payment per Hospitalization at DRG | $9,296 |
| Total Medicare payment per Hospitalization with ICD M353 - Polymyalgia rheumatica | $10,170 |
| Total Medicare Charges at DRG | $2,108,105,162 |
| Total Medicare Charges with ICD M353 - Polymyalgia rheumatica | $589,311 |
| Avg Charges at DRG | $48,353 |
| Avg Charges with ICD M353 - Polymyalgia rheumatica | $31,016 |
| Mortality Rate at DRG | NA |
| Mortality Rate with ICD M353 - Polymyalgia rheumatica | NA |
| SNF Discharge Rate at DRG | 16.27 |
| SNF Discharge Rate with ICD M353 - Polymyalgia rheumatica | NA |
| Home Discharge Rate at DRG | 57.43 |
| Home Discharge Rate with ICD M353 - Polymyalgia rheumatica | 73.68 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| SOUTH SHORE HOSPITAL | 55 FOGG ROAD | SOUTH WEYMOUTH | MA | 02190 | 16 |
| NUVANCE HEALTH - DANBURY HOSPITAL | 24 HOSPITAL AVE | DANBURY | CT | 06810 | 14 |
| UNIVERSITY OF MARYLAND ST. JOSEPH MEDICAL CENTER | 7601 OSLER DR | TOWSON | MD | 21204 | 12 |
*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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY 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) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD M353 - Polymyalgia rheumatica | 10,032 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD M353 - Polymyalgia rheumatica in DRG | 6.26 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD M353 - Polymyalgia rheumatica | 6.02 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD M353 - Polymyalgia rheumatica | 22.67 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD M353 - Polymyalgia rheumatica | 16.31 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD M353 - Polymyalgia rheumatica | $116,482,471 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD M353 - Polymyalgia rheumatica | $1,927 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD M353 - Polymyalgia rheumatica | $11,611 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD M353 - Polymyalgia rheumatica | $500,252,587 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD M353 - Polymyalgia rheumatica | $49,866 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD M353 - Polymyalgia rheumatica | 9.58 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD M353 - Polymyalgia rheumatica | 32.21 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD M353 - Polymyalgia rheumatica | 23.37 |
*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 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD M353 - Polymyalgia rheumatica | 3,322 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD M353 - Polymyalgia rheumatica in DRG | 2.07 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD M353 - Polymyalgia rheumatica | 3.49 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD M353 - Polymyalgia rheumatica | 17.44 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD M353 - Polymyalgia rheumatica | 12.69 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD M353 - Polymyalgia rheumatica | $16,001,532 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD M353 - Polymyalgia rheumatica | $1,381 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD M353 - Polymyalgia rheumatica | $4,817 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD M353 - Polymyalgia rheumatica | $76,687,963 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD M353 - Polymyalgia rheumatica | $23,085 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD M353 - Polymyalgia rheumatica | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD M353 - Polymyalgia rheumatica | 29.23 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD M353 - Polymyalgia rheumatica | 39.4 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 546: CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 422,757 | ||||
| Total Hospitalizations with ICD M353 - Polymyalgia rheumatica | 2,305 | ||||
| DRG Share of Total Hospitalizations | 1.29 | ||||
| % of Total ICD M353 - Polymyalgia rheumatica in DRG | 1.44 | ||||
| Avg LOS at DRG | 4.14 | ||||
| Avg LOS with ICD M353 - Polymyalgia rheumatica | 4.15 | ||||
| Readmission Rate at DRG | 24.43 | ||||
| Readmission Rate with ICD M353 - Polymyalgia rheumatica | 22.0 | ||||
| Unplanned Readmission Rate at DRG | 18.48 | ||||
| Unplanned Readmission Rate with ICD M353 - Polymyalgia rheumatica | 17.03 | ||||
| Total Medicare payments at DRG | $2,636,135,714 | ||||
| Total Medicare payments with ICD M353 - Polymyalgia rheumatica | $14,428,651 | ||||
| Total Medicare payment per Day at DRG | $1,507 | ||||
| Total Medicare payment per Day with ICD M353 - Polymyalgia rheumatica | $1,508 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,236 | ||||
| Total Medicare payment per Hospitalization with ICD M353 - Polymyalgia rheumatica | $6,260 | ||||
| Total Medicare Charges at DRG | $11,980,955,733 | ||||
| Total Medicare Charges with ICD M353 - Polymyalgia rheumatica | $61,153,954 | ||||
| Avg Charges at DRG | $28,340 | ||||
| Avg Charges with ICD M353 - Polymyalgia rheumatica | $26,531 | ||||
| Mortality Rate at DRG | 1.01 | ||||
| Mortality Rate with ICD M353 - Polymyalgia rheumatica | 1.74 | ||||
| SNF Discharge Rate at DRG | 16.05 | ||||
| SNF Discharge Rate with ICD M353 - Polymyalgia rheumatica | 21.48 | ||||
| Home Discharge Rate at DRG | 47.18 | ||||
| Home Discharge Rate with ICD M353 - Polymyalgia rheumatica | 36.88 |
*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 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD M353 - Polymyalgia rheumatica | 1,899 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD M353 - Polymyalgia rheumatica in DRG | 1.18 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD M353 - Polymyalgia rheumatica | 5.69 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD M353 - Polymyalgia rheumatica | 23.49 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD M353 - Polymyalgia rheumatica | 18.79 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD M353 - Polymyalgia rheumatica | $17,194,482 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD M353 - Polymyalgia rheumatica | $1,593 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD M353 - Polymyalgia rheumatica | $9,054 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD M353 - Polymyalgia rheumatica | $75,153,186 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD M353 - Polymyalgia rheumatica | $39,575 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD M353 - Polymyalgia rheumatica | 6.21 | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD M353 - Polymyalgia rheumatica | 26.07 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD M353 - Polymyalgia rheumatica | 33.75 |
| 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 | 809 |
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 777 |
| ST. CLOUD HOSPITAL | 1406 6TH AVE NORTH | SAINT CLOUD | MN | 56303 | 684 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. EDWARD J STOLARSKI | 6050 CATTLERIDGE BLVD STE 201 | SARASOTA | FL | 34232 | 32 |
| Dr. MONIKA ROLEK | 800 BIESTERFIELD RD | ELK GROVE VILLAGE | IL | 60007 | 26 |
| Dr. ANDREW GLEN YUN | 13160 MINDANAO WAY | MARINA DEL REY | CA | 90292 | 21 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. KENNETH WAYNE DONOVAN | 365 MONTAUK AVE | NEW LONDON | CT | 06320 | 68 |
| Dr. RAJEEV GUPTA | 1621 W MORRIS BLVD STE C | MORRISTOWN | TN | 37813 | 59 |
| Dr. ALEXANDER DEJESUS | 6400 EDGELAKE DR | SARASOTA | FL | 34240 | 53 |