*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M5430 - Sciatica, unspecified side - as a primary diagnosis code | M5430 - Sciatica, unspecified side - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.22 | |
| Readmission Rate (%) | 20.13 | |
| Unplanned Readmission Rate (%) | 12.63 | |
| 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 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 195,476 | |
| Total Hospitalizations with ICD M5430 - Sciatica, unspecified side | 432 | |
| DRG Share of Total Hospitalizations | 0.59 | |
| % of Total ICD M5430 - Sciatica, unspecified side in DRG | 85.38 | |
| Avg LOS at DRG | 4.48 | |
| Avg LOS with ICD M5430 - Sciatica, unspecified side | 3.72 | |
| Readmission Rate at DRG | 20.57 | |
| Readmission Rate with ICD M5430 - Sciatica, unspecified side | 19.61 | |
| Unplanned Readmission Rate at DRG | 9.88 | |
| Unplanned Readmission Rate with ICD M5430 - Sciatica, unspecified side | 11.38 | |
| Total Medicare payments at DRG | $1,320,662,237 | |
| Total Medicare payments with ICD M5430 - Sciatica, unspecified side | $2,517,207 | |
| Total Medicare payment per Day at DRG | $1,508 | |
| Total Medicare payment per Day with ICD M5430 - Sciatica, unspecified side | $1,564 | |
| Total Medicare payment per Hospitalization at DRG | $6,756 | |
| Total Medicare payment per Hospitalization with ICD M5430 - Sciatica, unspecified side | $5,827 | |
| Total Medicare Charges at DRG | $6,024,639,461 | |
| Total Medicare Charges with ICD M5430 - Sciatica, unspecified side | $12,309,128 | |
| Avg Charges at DRG | $30,820 | |
| Avg Charges with ICD M5430 - Sciatica, unspecified side | $28,493 | |
| Mortality Rate at DRG | 0.24 | |
| Mortality Rate with ICD M5430 - Sciatica, unspecified side | NA | |
| SNF Discharge Rate at DRG | 33.36 | |
| SNF Discharge Rate with ICD M5430 - Sciatica, unspecified side | 31.94 | |
| Home Discharge Rate at DRG | 30.98 | |
| Home Discharge Rate with ICD M5430 - Sciatica, unspecified side | 32.64 |
*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 885: PSYCHOSES | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD M5430 - Sciatica, unspecified side | 4,016 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD M5430 - Sciatica, unspecified side in DRG | 6.12 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD M5430 - Sciatica, unspecified side | 2.57 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD M5430 - Sciatica, unspecified side | 8.83 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD M5430 - Sciatica, unspecified side | 3.14 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD M5430 - Sciatica, unspecified side | $48,285,774 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD M5430 - Sciatica, unspecified side | $4,682 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD M5430 - Sciatica, unspecified side | $12,023 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD M5430 - Sciatica, unspecified side | $249,552,165 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD M5430 - Sciatica, unspecified side | $62,139 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD M5430 - Sciatica, unspecified side | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD M5430 - Sciatica, unspecified side | 25.3 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD M5430 - Sciatica, unspecified side | 24.95 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD M5430 - Sciatica, unspecified side | 1,275 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD M5430 - Sciatica, unspecified side in DRG | 1.94 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD M5430 - Sciatica, unspecified side | 5.47 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD M5430 - Sciatica, unspecified side | 27.13 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD M5430 - Sciatica, unspecified side | 21.53 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD M5430 - Sciatica, unspecified side | $12,256,012 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD M5430 - Sciatica, unspecified side | $1,759 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD M5430 - Sciatica, unspecified side | $9,613 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD M5430 - Sciatica, unspecified side | $57,684,407 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD M5430 - Sciatica, unspecified side | $45,243 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD M5430 - Sciatica, unspecified side | 2.59 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD M5430 - Sciatica, unspecified side | 23.22 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD M5430 - Sciatica, unspecified side | 34.9 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 603: CELLULITIS 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 | 535,322 | ||||
| Total Hospitalizations with ICD M5430 - Sciatica, unspecified side | 952 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD M5430 - Sciatica, unspecified side in DRG | 1.45 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD M5430 - Sciatica, unspecified side | 4.99 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD M5430 - Sciatica, unspecified side | 23.68 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD M5430 - Sciatica, unspecified side | 17.98 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD M5430 - Sciatica, unspecified side | $7,406,366 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD M5430 - Sciatica, unspecified side | $1,560 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD M5430 - Sciatica, unspecified side | $7,780 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD M5430 - Sciatica, unspecified side | $37,264,605 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD M5430 - Sciatica, unspecified side | $39,143 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD M5430 - Sciatica, unspecified side | 1.16 | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD M5430 - Sciatica, unspecified side | 14.81 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD M5430 - Sciatica, unspecified side | 54.2 |
*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 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 422,757 | ||||
| Total Hospitalizations with ICD M5430 - Sciatica, unspecified side | 690 | ||||
| DRG Share of Total Hospitalizations | 1.29 | ||||
| % of Total ICD M5430 - Sciatica, unspecified side in DRG | 1.05 | ||||
| Avg LOS at DRG | 4.14 | ||||
| Avg LOS with ICD M5430 - Sciatica, unspecified side | 4.22 | ||||
| Readmission Rate at DRG | 24.43 | ||||
| Readmission Rate with ICD M5430 - Sciatica, unspecified side | 23.97 | ||||
| Unplanned Readmission Rate at DRG | 18.48 | ||||
| Unplanned Readmission Rate with ICD M5430 - Sciatica, unspecified side | 18.32 | ||||
| Total Medicare payments at DRG | $2,636,135,714 | ||||
| Total Medicare payments with ICD M5430 - Sciatica, unspecified side | $4,536,906 | ||||
| Total Medicare payment per Day at DRG | $1,507 | ||||
| Total Medicare payment per Day with ICD M5430 - Sciatica, unspecified side | $1,557 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,236 | ||||
| Total Medicare payment per Hospitalization with ICD M5430 - Sciatica, unspecified side | $6,575 | ||||
| Total Medicare Charges at DRG | $11,980,955,733 | ||||
| Total Medicare Charges with ICD M5430 - Sciatica, unspecified side | $21,392,982 | ||||
| Avg Charges at DRG | $28,340 | ||||
| Avg Charges with ICD M5430 - Sciatica, unspecified side | $31,004 | ||||
| Mortality Rate at DRG | 1.01 | ||||
| Mortality Rate with ICD M5430 - Sciatica, unspecified side | NA | ||||
| SNF Discharge Rate at DRG | 16.05 | ||||
| SNF Discharge Rate with ICD M5430 - Sciatica, unspecified side | 16.52 | ||||
| Home Discharge Rate at DRG | 47.18 | ||||
| Home Discharge Rate with ICD M5430 - Sciatica, unspecified side | 44.49 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BAYSTATE MEDICAL CENTER | 759 CHESTNUT ST | SPRINGFIELD | MA | 01199 | 268 |
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 242 |
| MORRISTOWN MEDICAL CENTER | 100 MADISON AVE | MORRISTOWN | NJ | 07960 | 203 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ANDREW P LEHMAN | 300 BIRNIE AVE | SPRINGFIELD | MA | 01107 | 45 |
| Dr. LEONARDO R RODRIGUEZ-CRUZ | 105 S WILLOW AVE | COOKEVILLE | TN | 38501 | 44 |
| Dr. JOHN KENNETH BURKUS | 6262 VETERANS PKWY | COLUMBUS | GA | 31909 | 39 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RALPH A STEVENS | 1249 15TH ST | HUNTINGTON | WV | 25701 | 49 |
| Dr. ANDREW P LEHMAN | 300 BIRNIE AVE | SPRINGFIELD | MA | 01107 | 45 |
| Dr. LEONARDO R RODRIGUEZ-CRUZ | 105 S WILLOW AVE | COOKEVILLE | TN | 38501 | 44 |