*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M359 - Systemic involvement of connective tissue, unspecified - as a primary diagnosis code | M359 - Systemic involvement of connective tissue, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.99 | |
| Readmission Rate (%) | 23.5 | |
| Unplanned Readmission Rate (%) | 16.03 | |
| 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 M359 - Systemic involvement of connective tissue, unspecified | 116 | ||
| DRG Share of Total Hospitalizations | 0.04 | ||
| % of Total ICD M359 - Systemic involvement of connective tissue, unspecified in DRG | 45.14 | ||
| Avg LOS at DRG | 5.12 | ||
| Avg LOS with ICD M359 - Systemic involvement of connective tissue, unspecified | 5.39 | ||
| Readmission Rate at DRG | 23.17 | ||
| Readmission Rate with ICD M359 - Systemic involvement of connective tissue, unspecified | 15.45 | ||
| Unplanned Readmission Rate at DRG | 15.83 | ||
| Unplanned Readmission Rate with ICD M359 - Systemic involvement of connective tissue, unspecified | NA | ||
| Total Medicare payments at DRG | $123,348,417 | ||
| Total Medicare payments with ICD M359 - Systemic involvement of connective tissue, unspecified | $830,232 | ||
| Total Medicare payment per Day at DRG | $1,658 | ||
| Total Medicare payment per Day with ICD M359 - Systemic involvement of connective tissue, unspecified | $1,328 | ||
| Total Medicare payment per Hospitalization at DRG | $8,492 | ||
| Total Medicare payment per Hospitalization with ICD M359 - Systemic involvement of connective tissue, unspecified | $7,157 | ||
| Total Medicare Charges at DRG | $565,151,481 | ||
| Total Medicare Charges with ICD M359 - Systemic involvement of connective tissue, unspecified | $4,631,430 | ||
| Avg Charges at DRG | $38,906 | ||
| Avg Charges with ICD M359 - Systemic involvement of connective tissue, unspecified | $39,926 | ||
| Mortality Rate at DRG | 0.34 | ||
| Mortality Rate with ICD M359 - Systemic involvement of connective tissue, unspecified | NA | ||
| SNF Discharge Rate at DRG | 16.01 | ||
| SNF Discharge Rate with ICD M359 - Systemic involvement of connective tissue, unspecified | 14.66 | ||
| Home Discharge Rate at DRG | 53.61 | ||
| Home Discharge Rate with ICD M359 - Systemic involvement of connective tissue, unspecified | 63.79 |
*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 885: PSYCHOSES | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 546: CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD M359 - Systemic involvement of connective tissue, unspecified | 403 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD M359 - Systemic involvement of connective tissue, unspecified in DRG | 5.24 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD M359 - Systemic involvement of connective tissue, unspecified | 6.34 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD M359 - Systemic involvement of connective tissue, unspecified | 27.49 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD M359 - Systemic involvement of connective tissue, unspecified | 21.05 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD M359 - Systemic involvement of connective tissue, unspecified | $4,718,138 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD M359 - Systemic involvement of connective tissue, unspecified | $1,847 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD M359 - Systemic involvement of connective tissue, unspecified | $11,708 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD M359 - Systemic involvement of connective tissue, unspecified | $24,591,903 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD M359 - Systemic involvement of connective tissue, unspecified | $61,022 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD M359 - Systemic involvement of connective tissue, unspecified | 8.68 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD M359 - Systemic involvement of connective tissue, unspecified | 22.33 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD M359 - Systemic involvement of connective tissue, unspecified | 37.47 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 545: CONNECTIVE TISSUE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD M359 - Systemic involvement of connective tissue, unspecified | 160 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD M359 - Systemic involvement of connective tissue, unspecified in DRG | 2.08 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD M359 - Systemic involvement of connective tissue, unspecified | 3.71 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD M359 - Systemic involvement of connective tissue, unspecified | 18.18 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD M359 - Systemic involvement of connective tissue, unspecified | 14.29 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD M359 - Systemic involvement of connective tissue, unspecified | $726,401 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD M359 - Systemic involvement of connective tissue, unspecified | $1,223 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD M359 - Systemic involvement of connective tissue, unspecified | $4,540 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD M359 - Systemic involvement of connective tissue, unspecified | $4,547,545 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD M359 - Systemic involvement of connective tissue, unspecified | $28,422 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD M359 - Systemic involvement of connective tissue, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD M359 - Systemic involvement of connective tissue, unspecified | NA | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD M359 - Systemic involvement of connective tissue, unspecified | 75.63 |
*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 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD M359 - Systemic involvement of connective tissue, unspecified | 115 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD M359 - Systemic involvement of connective tissue, unspecified in DRG | 1.49 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD M359 - Systemic involvement of connective tissue, unspecified | 4.16 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD M359 - Systemic involvement of connective tissue, unspecified | 24.78 | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD M359 - Systemic involvement of connective tissue, unspecified | 16.81 | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD M359 - Systemic involvement of connective tissue, unspecified | $641,284 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD M359 - Systemic involvement of connective tissue, unspecified | $1,342 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD M359 - Systemic involvement of connective tissue, unspecified | $5,576 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD M359 - Systemic involvement of connective tissue, unspecified | $3,437,206 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD M359 - Systemic involvement of connective tissue, unspecified | $29,889 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD M359 - Systemic involvement of connective tissue, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD M359 - Systemic involvement of connective tissue, unspecified | 11.3 | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD M359 - Systemic involvement of connective tissue, unspecified | 63.48 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 813: COAGULATION DISORDERS | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 196: INTERSTITIAL LUNG DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 44,384 | ||||
| Total Hospitalizations with ICD M359 - Systemic involvement of connective tissue, unspecified | 82 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD M359 - Systemic involvement of connective tissue, unspecified in DRG | 1.07 | ||||
| Avg LOS at DRG | 4.8 | ||||
| Avg LOS with ICD M359 - Systemic involvement of connective tissue, unspecified | 5.89 | ||||
| Readmission Rate at DRG | 25.23 | ||||
| Readmission Rate with ICD M359 - Systemic involvement of connective tissue, unspecified | 26.25 | ||||
| Unplanned Readmission Rate at DRG | 17.62 | ||||
| Unplanned Readmission Rate with ICD M359 - Systemic involvement of connective tissue, unspecified | 21.25 | ||||
| Total Medicare payments at DRG | $631,066,601 | ||||
| Total Medicare payments with ICD M359 - Systemic involvement of connective tissue, unspecified | $1,371,317 | ||||
| Total Medicare payment per Day at DRG | $2,963 | ||||
| Total Medicare payment per Day with ICD M359 - Systemic involvement of connective tissue, unspecified | $2,839 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,218 | ||||
| Total Medicare payment per Hospitalization with ICD M359 - Systemic involvement of connective tissue, unspecified | $16,723 | ||||
| Total Medicare Charges at DRG | $2,703,173,885 | ||||
| Total Medicare Charges with ICD M359 - Systemic involvement of connective tissue, unspecified | $7,449,472 | ||||
| Avg Charges at DRG | $60,904 | ||||
| Avg Charges with ICD M359 - Systemic involvement of connective tissue, unspecified | $90,847 | ||||
| Mortality Rate at DRG | 2.97 | ||||
| Mortality Rate with ICD M359 - Systemic involvement of connective tissue, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 17.37 | ||||
| SNF Discharge Rate with ICD M359 - Systemic involvement of connective tissue, unspecified | NA | ||||
| Home Discharge Rate at DRG | 52.04 | ||||
| Home Discharge Rate with ICD M359 - Systemic involvement of connective tissue, unspecified | 68.29 |
| 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 | 47 |
| DUKE UNIVERSITY HOSPITAL | 2301 ERWIN ROAD | DURHAM | NC | 27710 | 33 |
| BEAUMONT HOSPITAL - WAYNE | 33155 ANNAPOLIS ST | WAYNE | MI | 48184 | 31 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. BRET JOSEPH BITZA | 9225 N 3RD ST | PHOENIX | AZ | 85020 | 11 |