*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
M609 - Myositis, unspecified - as a primary diagnosis code | M609 - Myositis, unspecified - as a primary or secondary diagnosis code | |
---|---|---|
OUTCOMES | ||
Avg. LOS | 7.56 | |
Readmission Rate (%) | 25.96 | |
Unplanned Readmission Rate (%) | 13.71 | |
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 556: SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 555: SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 501: SOFT TISSUE PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 500: SOFT TISSUE PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 502: SOFT TISSUE PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 43,543 | ||||
Total Hospitalizations with ICD M609 - Myositis, unspecified | 478 | ||||
DRG Share of Total Hospitalizations | 0.13 | ||||
% of Total ICD M609 - Myositis, unspecified in DRG | 57.11 | ||||
Avg LOS at DRG | 4.54 | ||||
Avg LOS with ICD M609 - Myositis, unspecified | 4.63 | ||||
Readmission Rate at DRG | 18.05 | ||||
Readmission Rate with ICD M609 - Myositis, unspecified | 21.6 | ||||
Unplanned Readmission Rate at DRG | 10.73 | ||||
Unplanned Readmission Rate with ICD M609 - Myositis, unspecified | 10.24 | ||||
Total Medicare payments at DRG | $293,427,765 | ||||
Total Medicare payments with ICD M609 - Myositis, unspecified | $2,816,522 | ||||
Total Medicare payment per Day at DRG | $1,485 | ||||
Total Medicare payment per Day with ICD M609 - Myositis, unspecified | $1,273 | ||||
Total Medicare payment per Hospitalization at DRG | $6,739 | ||||
Total Medicare payment per Hospitalization with ICD M609 - Myositis, unspecified | $5,892 | ||||
Total Medicare Charges at DRG | $1,161,067,318 | ||||
Total Medicare Charges with ICD M609 - Myositis, unspecified | $16,151,272 | ||||
Avg Charges at DRG | $26,665 | ||||
Avg Charges with ICD M609 - Myositis, unspecified | $33,789 | ||||
Mortality Rate at DRG | 0.19 | ||||
Mortality Rate with ICD M609 - Myositis, unspecified | NA | ||||
SNF Discharge Rate at DRG | 27.91 | ||||
SNF Discharge Rate with ICD M609 - Myositis, unspecified | 18.83 | ||||
Home Discharge Rate at DRG | 35.39 | ||||
Home Discharge Rate with ICD M609 - Myositis, unspecified | 49.37 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 556: SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 1,808,415 | ||||
Total Hospitalizations with ICD M609 - Myositis, unspecified | 1,139 | ||||
DRG Share of Total Hospitalizations | 5.5 | ||||
% of Total ICD M609 - Myositis, unspecified in DRG | 6.83 | ||||
Avg LOS at DRG | 6.34 | ||||
Avg LOS with ICD M609 - Myositis, unspecified | 8.47 | ||||
Readmission Rate at DRG | 24.2 | ||||
Readmission Rate with ICD M609 - Myositis, unspecified | 31.04 | ||||
Unplanned Readmission Rate at DRG | 16.78 | ||||
Unplanned Readmission Rate with ICD M609 - Myositis, unspecified | 16.96 | ||||
Total Medicare payments at DRG | $21,288,214,047 | ||||
Total Medicare payments with ICD M609 - Myositis, unspecified | $14,132,603 | ||||
Total Medicare payment per Day at DRG | $1,857 | ||||
Total Medicare payment per Day with ICD M609 - Myositis, unspecified | $1,466 | ||||
Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
Total Medicare payment per Hospitalization with ICD M609 - Myositis, unspecified | $12,408 | ||||
Total Medicare Charges at DRG | $107,155,481,388 | ||||
Total Medicare Charges with ICD M609 - Myositis, unspecified | $85,187,816 | ||||
Avg Charges at DRG | $59,254 | ||||
Avg Charges with ICD M609 - Myositis, unspecified | $74,792 | ||||
Mortality Rate at DRG | 12.11 | ||||
Mortality Rate with ICD M609 - Myositis, unspecified | 6.67 | ||||
SNF Discharge Rate at DRG | 27.18 | ||||
SNF Discharge Rate with ICD M609 - Myositis, unspecified | 30.47 | ||||
Home Discharge Rate at DRG | 25.81 | ||||
Home Discharge Rate with ICD M609 - Myositis, unspecified | 21.77 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 558: TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 602: CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 39,224 | ||||
Total Hospitalizations with ICD M609 - Myositis, unspecified | 292 | ||||
DRG Share of Total Hospitalizations | 0.12 | ||||
% of Total ICD M609 - Myositis, unspecified in DRG | 1.75 | ||||
Avg LOS at DRG | 4.42 | ||||
Avg LOS with ICD M609 - Myositis, unspecified | 4.86 | ||||
Readmission Rate at DRG | 18.22 | ||||
Readmission Rate with ICD M609 - Myositis, unspecified | 21.4 | ||||
Unplanned Readmission Rate at DRG | 9.29 | ||||
Unplanned Readmission Rate with ICD M609 - Myositis, unspecified | 14.02 | ||||
Total Medicare payments at DRG | $239,468,231 | ||||
Total Medicare payments with ICD M609 - Myositis, unspecified | $1,732,271 | ||||
Total Medicare payment per Day at DRG | $1,381 | ||||
Total Medicare payment per Day with ICD M609 - Myositis, unspecified | $1,221 | ||||
Total Medicare payment per Hospitalization at DRG | $6,105 | ||||
Total Medicare payment per Hospitalization with ICD M609 - Myositis, unspecified | $5,932 | ||||
Total Medicare Charges at DRG | $1,104,766,925 | ||||
Total Medicare Charges with ICD M609 - Myositis, unspecified | $11,194,630 | ||||
Avg Charges at DRG | $28,166 | ||||
Avg Charges with ICD M609 - Myositis, unspecified | $38,338 | ||||
Mortality Rate at DRG | 0.2 | ||||
Mortality Rate with ICD M609 - Myositis, unspecified | NA | ||||
SNF Discharge Rate at DRG | 32.92 | ||||
SNF Discharge Rate with ICD M609 - Myositis, unspecified | 22.95 | ||||
Home Discharge Rate at DRG | 33.95 | ||||
Home Discharge Rate with ICD M609 - Myositis, unspecified | 46.23 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 885: PSYCHOSES | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 501: SOFT TISSUE PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 555: SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 1,100,860 | ||||
Total Hospitalizations with ICD M609 - Myositis, unspecified | 247 | ||||
DRG Share of Total Hospitalizations | 3.35 | ||||
% of Total ICD M609 - Myositis, unspecified in DRG | 1.48 | ||||
Avg LOS at DRG | 11.86 | ||||
Avg LOS with ICD M609 - Myositis, unspecified | 12.04 | ||||
Readmission Rate at DRG | 27.58 | ||||
Readmission Rate with ICD M609 - Myositis, unspecified | 27.9 | ||||
Unplanned Readmission Rate at DRG | 13.34 | ||||
Unplanned Readmission Rate with ICD M609 - Myositis, unspecified | 9.87 | ||||
Total Medicare payments at DRG | $9,312,828,663 | ||||
Total Medicare payments with ICD M609 - Myositis, unspecified | $2,139,649 | ||||
Total Medicare payment per Day at DRG | $713 | ||||
Total Medicare payment per Day with ICD M609 - Myositis, unspecified | $719 | ||||
Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
Total Medicare payment per Hospitalization with ICD M609 - Myositis, unspecified | $8,663 | ||||
Total Medicare Charges at DRG | $32,341,464,302 | ||||
Total Medicare Charges with ICD M609 - Myositis, unspecified | $7,091,720 | ||||
Avg Charges at DRG | $29,378 | ||||
Avg Charges with ICD M609 - Myositis, unspecified | $28,711 | ||||
Mortality Rate at DRG | 0.04 | ||||
Mortality Rate with ICD M609 - Myositis, unspecified | NA | ||||
SNF Discharge Rate at DRG | 5.83 | ||||
SNF Discharge Rate with ICD M609 - Myositis, unspecified | 4.45 | ||||
Home Discharge Rate at DRG | 79.47 | ||||
Home Discharge Rate with ICD M609 - Myositis, unspecified | 78.95 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 617: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 500: SOFT TISSUE PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 195,476 | ||||
Total Hospitalizations with ICD M609 - Myositis, unspecified | 167 | ||||
DRG Share of Total Hospitalizations | 0.59 | ||||
% of Total ICD M609 - Myositis, unspecified in DRG | 1.0 | ||||
Avg LOS at DRG | 4.48 | ||||
Avg LOS with ICD M609 - Myositis, unspecified | 4.94 | ||||
Readmission Rate at DRG | 20.57 | ||||
Readmission Rate with ICD M609 - Myositis, unspecified | 22.01 | ||||
Unplanned Readmission Rate at DRG | 9.88 | ||||
Unplanned Readmission Rate with ICD M609 - Myositis, unspecified | 11.32 | ||||
Total Medicare payments at DRG | $1,320,662,237 | ||||
Total Medicare payments with ICD M609 - Myositis, unspecified | $1,188,785 | ||||
Total Medicare payment per Day at DRG | $1,508 | ||||
Total Medicare payment per Day with ICD M609 - Myositis, unspecified | $1,441 | ||||
Total Medicare payment per Hospitalization at DRG | $6,756 | ||||
Total Medicare payment per Hospitalization with ICD M609 - Myositis, unspecified | $7,118 | ||||
Total Medicare Charges at DRG | $6,024,639,461 | ||||
Total Medicare Charges with ICD M609 - Myositis, unspecified | $5,976,378 | ||||
Avg Charges at DRG | $30,820 | ||||
Avg Charges with ICD M609 - Myositis, unspecified | $35,787 | ||||
Mortality Rate at DRG | 0.24 | ||||
Mortality Rate with ICD M609 - Myositis, unspecified | NA | ||||
SNF Discharge Rate at DRG | 33.36 | ||||
SNF Discharge Rate with ICD M609 - Myositis, unspecified | 28.74 | ||||
Home Discharge Rate at DRG | 30.98 | ||||
Home Discharge Rate with ICD M609 - Myositis, unspecified | 37.13 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
SAINT FRANCIS HOSPITAL | 6161 S YALE AVE | TULSA | OK | 74136 | 105 |
RIVEREDGE HOSPITAL | 8311 ROOSEVELT RD | FOREST PARK | IL | 60130 | 94 |
PRESBYTERIAN HOSPITAL | 1100 CENTRAL SE | ALBUQUERQUE | NM | 87106 | 71 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. RICHARD STUART GOLDBERG | 8311 ROOSEVELT RD | FOREST PARK | IL | 60130 | 15 |
Dr. DAVID M GODAT | 11970 N CENTRAL EXPY | DALLAS | TX | 75243 | 11 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. RICHARD STUART GOLDBERG | 8311 ROOSEVELT RD | FOREST PARK | IL | 60130 | 65 |
Dr. MICHAEL W HENNIGAN | 1847 FLORIDA AVE | PANAMA CITY | FL | 32405 | 41 |
Dr. AHMAD KABAKIBI | 5555 GROSSMONT CENTER DR | LA MESA | CA | 91942 | 25 |