*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M546 - Pain in thoracic spine - as a primary diagnosis code | M546 - Pain in thoracic spine - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.31 | |
| Readmission Rate (%) | 22.5 | |
| Unplanned Readmission Rate (%) | 14.79 | |
| 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 M546 - Pain in thoracic spine | 1,278 | |
| DRG Share of Total Hospitalizations | 0.59 | |
| % of Total ICD M546 - Pain in thoracic spine in DRG | 79.33 | |
| Avg LOS at DRG | 4.48 | |
| Avg LOS with ICD M546 - Pain in thoracic spine | 3.02 | |
| Readmission Rate at DRG | 20.57 | |
| Readmission Rate with ICD M546 - Pain in thoracic spine | 19.49 | |
| Unplanned Readmission Rate at DRG | 9.88 | |
| Unplanned Readmission Rate with ICD M546 - Pain in thoracic spine | 13.63 | |
| Total Medicare payments at DRG | $1,320,662,237 | |
| Total Medicare payments with ICD M546 - Pain in thoracic spine | $6,550,283 | |
| Total Medicare payment per Day at DRG | $1,508 | |
| Total Medicare payment per Day with ICD M546 - Pain in thoracic spine | $1,695 | |
| Total Medicare payment per Hospitalization at DRG | $6,756 | |
| Total Medicare payment per Hospitalization with ICD M546 - Pain in thoracic spine | $5,125 | |
| Total Medicare Charges at DRG | $6,024,639,461 | |
| Total Medicare Charges with ICD M546 - Pain in thoracic spine | $31,758,488 | |
| Avg Charges at DRG | $30,820 | |
| Avg Charges with ICD M546 - Pain in thoracic spine | $24,850 | |
| Mortality Rate at DRG | 0.24 | |
| Mortality Rate with ICD M546 - Pain in thoracic spine | NA | |
| SNF Discharge Rate at DRG | 33.36 | |
| SNF Discharge Rate with ICD M546 - Pain in thoracic spine | 22.3 | |
| Home Discharge Rate at DRG | 30.98 | |
| Home Discharge Rate with ICD M546 - Pain in thoracic spine | 52.03 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 20 |
| BEAUMONT HOSPITAL TROY | 44201 DEQUINDRE RD | TROY | MI | 48085 | 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 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 195,476 | ||||
| Total Hospitalizations with ICD M546 - Pain in thoracic spine | 1,956 | ||||
| DRG Share of Total Hospitalizations | 0.59 | ||||
| % of Total ICD M546 - Pain in thoracic spine in DRG | 9.07 | ||||
| Avg LOS at DRG | 4.48 | ||||
| Avg LOS with ICD M546 - Pain in thoracic spine | 3.42 | ||||
| Readmission Rate at DRG | 20.57 | ||||
| Readmission Rate with ICD M546 - Pain in thoracic spine | 19.47 | ||||
| Unplanned Readmission Rate at DRG | 9.88 | ||||
| Unplanned Readmission Rate with ICD M546 - Pain in thoracic spine | 12.4 | ||||
| Total Medicare payments at DRG | $1,320,662,237 | ||||
| Total Medicare payments with ICD M546 - Pain in thoracic spine | $10,804,839 | ||||
| Total Medicare payment per Day at DRG | $1,508 | ||||
| Total Medicare payment per Day with ICD M546 - Pain in thoracic spine | $1,617 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,756 | ||||
| Total Medicare payment per Hospitalization with ICD M546 - Pain in thoracic spine | $5,524 | ||||
| Total Medicare Charges at DRG | $6,024,639,461 | ||||
| Total Medicare Charges with ICD M546 - Pain in thoracic spine | $50,752,298 | ||||
| Avg Charges at DRG | $30,820 | ||||
| Avg Charges with ICD M546 - Pain in thoracic spine | $25,947 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD M546 - Pain in thoracic spine | NA | ||||
| SNF Discharge Rate at DRG | 33.36 | ||||
| SNF Discharge Rate with ICD M546 - Pain in thoracic spine | 24.23 | ||||
| Home Discharge Rate at DRG | 30.98 | ||||
| Home Discharge Rate with ICD M546 - Pain in thoracic spine | 46.06 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 313: CHEST PAIN | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 45,626 | ||||
| Total Hospitalizations with ICD M546 - Pain in thoracic spine | 409 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD M546 - Pain in thoracic spine in DRG | 1.9 | ||||
| Avg LOS at DRG | 6.58 | ||||
| Avg LOS with ICD M546 - Pain in thoracic spine | 4.61 | ||||
| Readmission Rate at DRG | 28.01 | ||||
| Readmission Rate with ICD M546 - Pain in thoracic spine | 28.08 | ||||
| Unplanned Readmission Rate at DRG | 15.44 | ||||
| Unplanned Readmission Rate with ICD M546 - Pain in thoracic spine | 20.21 | ||||
| Total Medicare payments at DRG | $509,048,598 | ||||
| Total Medicare payments with ICD M546 - Pain in thoracic spine | $3,720,595 | ||||
| Total Medicare payment per Day at DRG | $1,696 | ||||
| Total Medicare payment per Day with ICD M546 - Pain in thoracic spine | $1,975 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,157 | ||||
| Total Medicare payment per Hospitalization with ICD M546 - Pain in thoracic spine | $9,097 | ||||
| Total Medicare Charges at DRG | $2,333,825,338 | ||||
| Total Medicare Charges with ICD M546 - Pain in thoracic spine | $16,028,924 | ||||
| Avg Charges at DRG | $51,151 | ||||
| Avg Charges with ICD M546 - Pain in thoracic spine | $39,191 | ||||
| Mortality Rate at DRG | 4.28 | ||||
| Mortality Rate with ICD M546 - Pain in thoracic spine | NA | ||||
| SNF Discharge Rate at DRG | 39.84 | ||||
| SNF Discharge Rate with ICD M546 - Pain in thoracic spine | 30.56 | ||||
| Home Discharge Rate at DRG | 18.35 | ||||
| Home Discharge Rate with ICD M546 - Pain in thoracic spine | 34.47 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 543: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD M546 - Pain in thoracic spine | 344 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD M546 - Pain in thoracic spine in DRG | 1.6 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD M546 - Pain in thoracic spine | 5.77 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD M546 - Pain in thoracic spine | 28.66 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD M546 - Pain in thoracic spine | 22.48 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD M546 - Pain in thoracic spine | $3,116,824 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD M546 - Pain in thoracic spine | $1,570 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD M546 - Pain in thoracic spine | $9,061 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD M546 - Pain in thoracic spine | $14,263,645 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD M546 - Pain in thoracic spine | $41,464 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD M546 - Pain in thoracic spine | 3.49 | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD M546 - Pain in thoracic spine | 22.09 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD M546 - Pain in thoracic spine | 40.12 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 310,318 | ||||
| Total Hospitalizations with ICD M546 - Pain in thoracic spine | 296 | ||||
| DRG Share of Total Hospitalizations | 0.94 | ||||
| % of Total ICD M546 - Pain in thoracic spine in DRG | 1.37 | ||||
| Avg LOS at DRG | 3.19 | ||||
| Avg LOS with ICD M546 - Pain in thoracic spine | 3.15 | ||||
| Readmission Rate at DRG | 20.19 | ||||
| Readmission Rate with ICD M546 - Pain in thoracic spine | 17.91 | ||||
| Unplanned Readmission Rate at DRG | 13.62 | ||||
| Unplanned Readmission Rate with ICD M546 - Pain in thoracic spine | 10.82 | ||||
| Total Medicare payments at DRG | $1,415,392,709 | ||||
| Total Medicare payments with ICD M546 - Pain in thoracic spine | $1,446,161 | ||||
| Total Medicare payment per Day at DRG | $1,431 | ||||
| Total Medicare payment per Day with ICD M546 - Pain in thoracic spine | $1,552 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,561 | ||||
| Total Medicare payment per Hospitalization with ICD M546 - Pain in thoracic spine | $4,886 | ||||
| Total Medicare Charges at DRG | $7,113,640,596 | ||||
| Total Medicare Charges with ICD M546 - Pain in thoracic spine | $6,414,836 | ||||
| Avg Charges at DRG | $22,924 | ||||
| Avg Charges with ICD M546 - Pain in thoracic spine | $21,672 | ||||
| Mortality Rate at DRG | 0.63 | ||||
| Mortality Rate with ICD M546 - Pain in thoracic spine | NA | ||||
| SNF Discharge Rate at DRG | 19.76 | ||||
| SNF Discharge Rate with ICD M546 - Pain in thoracic spine | 22.97 | ||||
| Home Discharge Rate at DRG | 50.47 | ||||
| Home Discharge Rate with ICD M546 - Pain in thoracic spine | 46.28 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UVA - HEALTHSOUTH REHABILITATION HOSPITAL | 515 RAY C HUNT DR | CHARLOTTESVILLE | VA | 22903 | 95 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 85 |
| MAINE MEDICAL CENTER | 22 BRAMHALL ST | PORTLAND | ME | 04102 | 80 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. KENNY-BAO TRAN | 1215 RED RIVER ST | AUSTIN | TX | 78701 | 22 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. GEOFFREY R. SMITH | LEE ST | CHARLOTTESVILLE | VA | 22908 | 47 |
| Dr. KENNY-BAO TRAN | 1215 RED RIVER ST | AUSTIN | TX | 78701 | 22 |
| Dr. ALAN P. ALFANO | LEE ST | CHARLOTTESVILLE | VA | 22908 | 20 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | G8929 | Other chronic pain |
| 2 | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris |
| 3 | Z87891 | Personal history of nicotine dependence |