*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
M6250 - Muscle wasting and atrophy, not elsewhere classified, unspecified site - as a primary diagnosis code | M6250 - Muscle wasting and atrophy, not elsewhere classified, unspecified site - as a primary or secondary diagnosis code | |
---|---|---|
OUTCOMES | ||
Avg. LOS | 9.44 | |
Readmission Rate (%) | 26.15 | |
Unplanned Readmission Rate (%) | 17.98 | |
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 558: TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 557: TENDONITIS, MYOSITIS AND BURSITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|
Total Hospitalizations at DRG | 39,224 | |
Total Hospitalizations with ICD M6250 - Muscle wasting and atrophy, not elsewhere classified, unspecified site | 332 | |
DRG Share of Total Hospitalizations | 0.12 | |
% of Total ICD M6250 - Muscle wasting and atrophy, not elsewhere classified, unspecified site in DRG | 61.14 | |
Avg LOS at DRG | 4.42 | |
Avg LOS with ICD M6250 - Muscle wasting and atrophy, not elsewhere classified, unspecified site | 10.22 | |
Readmission Rate at DRG | 18.22 | |
Readmission Rate with ICD M6250 - Muscle wasting and atrophy, not elsewhere classified, unspecified site | 22.73 | |
Unplanned Readmission Rate at DRG | 9.29 | |
Unplanned Readmission Rate with ICD M6250 - Muscle wasting and atrophy, not elsewhere classified, unspecified site | 15.91 | |
Total Medicare payments at DRG | $239,468,231 | |
Total Medicare payments with ICD M6250 - Muscle wasting and atrophy, not elsewhere classified, unspecified site | $5,014,643 | |
Total Medicare payment per Day at DRG | $1,381 | |
Total Medicare payment per Day with ICD M6250 - Muscle wasting and atrophy, not elsewhere classified, unspecified site | $1,478 | |
Total Medicare payment per Hospitalization at DRG | $6,105 | |
Total Medicare payment per Hospitalization with ICD M6250 - Muscle wasting and atrophy, not elsewhere classified, unspecified site | $15,104 | |
Total Medicare Charges at DRG | $1,104,766,925 | |
Total Medicare Charges with ICD M6250 - Muscle wasting and atrophy, not elsewhere classified, unspecified site | $13,926,821 | |
Avg Charges at DRG | $28,166 | |
Avg Charges with ICD M6250 - Muscle wasting and atrophy, not elsewhere classified, unspecified site | $41,948 | |
Mortality Rate at DRG | 0.2 | |
Mortality Rate with ICD M6250 - Muscle wasting and atrophy, not elsewhere classified, unspecified site | NA | |
SNF Discharge Rate at DRG | 32.92 | |
SNF Discharge Rate with ICD M6250 - Muscle wasting and atrophy, not elsewhere classified, unspecified site | 25.0 | |
Home Discharge Rate at DRG | 33.95 | |
Home Discharge Rate with ICD M6250 - Muscle wasting and atrophy, not elsewhere classified, unspecified site | 9.64 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
PAM REHABILITATION HOSPITAL OF ALLEN | 1001 RAINTREE CIR | ALLEN | TX | 75013 | 110 |
BRYN MAWR REHAB HOSPITAL | 414 PAOLI PIKE | MALVERN | PA | 19355 | 80 |
WHITE MEMORIAL MEDICAL CENTER | 1720 E CESAR E CHAVEZ AVE | LOS ANGELES | CA | 90033 | 59 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. MISLYNNE ANITA CHARLES | 1509 WILSON TER | GLENDALE | CA | 91206 | 22 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. MISLYNNE ANITA CHARLES | 1509 WILSON TER | GLENDALE | CA | 91206 | 59 |
Dr. IVAN FIGUEROA | 14902 PRESTON RD | DALLAS | TX | 75254 | 37 |
Dr. NASRAT G GHATTAS | 414 PAOLI PIKE | MALVERN | PA | 19355 | 27 |
*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 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 1,808,415 | ||||
Total Hospitalizations with ICD M6250 - Muscle wasting and atrophy, not elsewhere classified, unspecified site | 2,229 | ||||
DRG Share of Total Hospitalizations | 5.5 | ||||
% of Total ICD M6250 - Muscle wasting and atrophy, not elsewhere classified, unspecified site in DRG | 8.2 | ||||
Avg LOS at DRG | 6.34 | ||||
Avg LOS with ICD M6250 - Muscle wasting and atrophy, not elsewhere classified, unspecified site | 7.76 | ||||
Readmission Rate at DRG | 24.2 | ||||
Readmission Rate with ICD M6250 - Muscle wasting and atrophy, not elsewhere classified, unspecified site | 26.76 | ||||
Unplanned Readmission Rate at DRG | 16.78 | ||||
Unplanned Readmission Rate with ICD M6250 - Muscle wasting and atrophy, not elsewhere classified, unspecified site | 18.17 | ||||
Total Medicare payments at DRG | $21,288,214,047 | ||||
Total Medicare payments with ICD M6250 - Muscle wasting and atrophy, not elsewhere classified, unspecified site | $28,330,461 | ||||
Total Medicare payment per Day at DRG | $1,857 | ||||
Total Medicare payment per Day with ICD M6250 - Muscle wasting and atrophy, not elsewhere classified, unspecified site | $1,638 | ||||
Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
Total Medicare payment per Hospitalization with ICD M6250 - Muscle wasting and atrophy, not elsewhere classified, unspecified site | $12,710 | ||||
Total Medicare Charges at DRG | $107,155,481,388 | ||||
Total Medicare Charges with ICD M6250 - Muscle wasting and atrophy, not elsewhere classified, unspecified site | $144,088,388 | ||||
Avg Charges at DRG | $59,254 | ||||
Avg Charges with ICD M6250 - Muscle wasting and atrophy, not elsewhere classified, unspecified site | $64,643 | ||||
Mortality Rate at DRG | 12.11 | ||||
Mortality Rate with ICD M6250 - Muscle wasting and atrophy, not elsewhere classified, unspecified site | 15.12 | ||||
SNF Discharge Rate at DRG | 27.18 | ||||
SNF Discharge Rate with ICD M6250 - Muscle wasting and atrophy, not elsewhere classified, unspecified site | 34.86 | ||||
Home Discharge Rate at DRG | 25.81 | ||||
Home Discharge Rate with ICD M6250 - Muscle wasting and atrophy, not elsewhere classified, unspecified site | 11.17 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 443,386 | ||||
Total Hospitalizations with ICD M6250 - Muscle wasting and atrophy, not elsewhere classified, unspecified site | 473 | ||||
DRG Share of Total Hospitalizations | 1.35 | ||||
% of Total ICD M6250 - Muscle wasting and atrophy, not elsewhere classified, unspecified site in DRG | 1.74 | ||||
Avg LOS at DRG | 5.27 | ||||
Avg LOS with ICD M6250 - Muscle wasting and atrophy, not elsewhere classified, unspecified site | 6.48 | ||||
Readmission Rate at DRG | 21.6 | ||||
Readmission Rate with ICD M6250 - Muscle wasting and atrophy, not elsewhere classified, unspecified site | 28.43 | ||||
Unplanned Readmission Rate at DRG | 15.91 | ||||
Unplanned Readmission Rate with ICD M6250 - Muscle wasting and atrophy, not elsewhere classified, unspecified site | 19.28 | ||||
Total Medicare payments at DRG | $3,812,834,208 | ||||
Total Medicare payments with ICD M6250 - Muscle wasting and atrophy, not elsewhere classified, unspecified site | $4,713,104 | ||||
Total Medicare payment per Day at DRG | $1,632 | ||||
Total Medicare payment per Day with ICD M6250 - Muscle wasting and atrophy, not elsewhere classified, unspecified site | $1,539 | ||||
Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
Total Medicare payment per Hospitalization with ICD M6250 - Muscle wasting and atrophy, not elsewhere classified, unspecified site | $9,964 | ||||
Total Medicare Charges at DRG | $18,110,468,211 | ||||
Total Medicare Charges with ICD M6250 - Muscle wasting and atrophy, not elsewhere classified, unspecified site | $21,741,929 | ||||
Avg Charges at DRG | $40,846 | ||||
Avg Charges with ICD M6250 - Muscle wasting and atrophy, not elsewhere classified, unspecified site | $45,966 | ||||
Mortality Rate at DRG | 3.59 | ||||
Mortality Rate with ICD M6250 - Muscle wasting and atrophy, not elsewhere classified, unspecified site | 8.25 | ||||
SNF Discharge Rate at DRG | 22.57 | ||||
SNF Discharge Rate with ICD M6250 - Muscle wasting and atrophy, not elsewhere classified, unspecified site | 31.5 | ||||
Home Discharge Rate at DRG | 40.95 | ||||
Home Discharge Rate with ICD M6250 - Muscle wasting and atrophy, not elsewhere classified, unspecified site | 20.72 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 558: TENDONITIS, MYOSITIS AND BURSITIS 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 | 270,209 | ||||
Total Hospitalizations with ICD M6250 - Muscle wasting and atrophy, not elsewhere classified, unspecified site | 421 | ||||
DRG Share of Total Hospitalizations | 0.82 | ||||
% of Total ICD M6250 - Muscle wasting and atrophy, not elsewhere classified, unspecified site in DRG | 1.55 | ||||
Avg LOS at DRG | 4.84 | ||||
Avg LOS with ICD M6250 - Muscle wasting and atrophy, not elsewhere classified, unspecified site | 6.38 | ||||
Readmission Rate at DRG | 22.35 | ||||
Readmission Rate with ICD M6250 - Muscle wasting and atrophy, not elsewhere classified, unspecified site | 22.73 | ||||
Unplanned Readmission Rate at DRG | 16.33 | ||||
Unplanned Readmission Rate with ICD M6250 - Muscle wasting and atrophy, not elsewhere classified, unspecified site | 16.67 | ||||
Total Medicare payments at DRG | $1,824,333,389 | ||||
Total Medicare payments with ICD M6250 - Muscle wasting and atrophy, not elsewhere classified, unspecified site | $3,334,368 | ||||
Total Medicare payment per Day at DRG | $1,395 | ||||
Total Medicare payment per Day with ICD M6250 - Muscle wasting and atrophy, not elsewhere classified, unspecified site | $1,242 | ||||
Total Medicare payment per Hospitalization at DRG | $6,752 | ||||
Total Medicare payment per Hospitalization with ICD M6250 - Muscle wasting and atrophy, not elsewhere classified, unspecified site | $7,920 | ||||
Total Medicare Charges at DRG | $9,128,673,695 | ||||
Total Medicare Charges with ICD M6250 - Muscle wasting and atrophy, not elsewhere classified, unspecified site | $16,490,408 | ||||
Avg Charges at DRG | $33,784 | ||||
Avg Charges with ICD M6250 - Muscle wasting and atrophy, not elsewhere classified, unspecified site | $39,170 | ||||
Mortality Rate at DRG | 1.32 | ||||
Mortality Rate with ICD M6250 - Muscle wasting and atrophy, not elsewhere classified, unspecified site | 2.61 | ||||
SNF Discharge Rate at DRG | 39.0 | ||||
SNF Discharge Rate with ICD M6250 - Muscle wasting and atrophy, not elsewhere classified, unspecified site | 45.61 | ||||
Home Discharge Rate at DRG | 24.73 | ||||
Home Discharge Rate with ICD M6250 - Muscle wasting and atrophy, not elsewhere classified, unspecified site | 11.88 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 122,730 | ||||
Total Hospitalizations with ICD M6250 - Muscle wasting and atrophy, not elsewhere classified, unspecified site | 387 | ||||
DRG Share of Total Hospitalizations | 0.37 | ||||
% of Total ICD M6250 - Muscle wasting and atrophy, not elsewhere classified, unspecified site in DRG | 1.42 | ||||
Avg LOS at DRG | 7.61 | ||||
Avg LOS with ICD M6250 - Muscle wasting and atrophy, not elsewhere classified, unspecified site | 10.53 | ||||
Readmission Rate at DRG | 21.31 | ||||
Readmission Rate with ICD M6250 - Muscle wasting and atrophy, not elsewhere classified, unspecified site | 20.59 | ||||
Unplanned Readmission Rate at DRG | 14.13 | ||||
Unplanned Readmission Rate with ICD M6250 - Muscle wasting and atrophy, not elsewhere classified, unspecified site | 12.94 | ||||
Total Medicare payments at DRG | $1,397,885,220 | ||||
Total Medicare payments with ICD M6250 - Muscle wasting and atrophy, not elsewhere classified, unspecified site | $5,822,201 | ||||
Total Medicare payment per Day at DRG | $1,497 | ||||
Total Medicare payment per Day with ICD M6250 - Muscle wasting and atrophy, not elsewhere classified, unspecified site | $1,429 | ||||
Total Medicare payment per Hospitalization at DRG | $11,390 | ||||
Total Medicare payment per Hospitalization with ICD M6250 - Muscle wasting and atrophy, not elsewhere classified, unspecified site | $15,044 | ||||
Total Medicare Charges at DRG | $4,175,290,309 | ||||
Total Medicare Charges with ICD M6250 - Muscle wasting and atrophy, not elsewhere classified, unspecified site | $12,902,648 | ||||
Avg Charges at DRG | $34,020 | ||||
Avg Charges with ICD M6250 - Muscle wasting and atrophy, not elsewhere classified, unspecified site | $33,340 | ||||
Mortality Rate at DRG | 0.28 | ||||
Mortality Rate with ICD M6250 - Muscle wasting and atrophy, not elsewhere classified, unspecified site | NA | ||||
SNF Discharge Rate at DRG | 21.64 | ||||
SNF Discharge Rate with ICD M6250 - Muscle wasting and atrophy, not elsewhere classified, unspecified site | 21.45 | ||||
Home Discharge Rate at DRG | 28.06 | ||||
Home Discharge Rate with ICD M6250 - Muscle wasting and atrophy, not elsewhere classified, unspecified site | 17.31 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
PAM REHABILITATION HOSPITAL OF ALLEN | 1001 RAINTREE CIR | ALLEN | TX | 75013 | 422 |
REGIONS HOSPITAL | 640 JACKSON ST | SAINT PAUL | MN | 55101 | 313 |
UNIVERSITY OF TEXAS MD ANDERSON CANCER CENTER | 1515 HOLCOMBE BLVD | HOUSTON | TX | 77030 | 277 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. WILLIAM FULTON TUCKER | 8210 WALNUT HILL LN | DALLAS | TX | 75231 | 113 |
Dr. RYAN THOMAS SWAN | 5715 E 2ND ST | CASPER | WY | 82609 | 70 |
Dr. TROY LUNCEFORD | 555 W SR 164 NORTH | SALEM | UT | 84653 | 67 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. IVAN FIGUEROA | 14902 PRESTON RD | DALLAS | TX | 75254 | 213 |
Dr. STUART A HARTMAN | 341 CUMBERLAND ST | LEBANON | PA | 17042 | 117 |
Dr. WILLIAM FULTON TUCKER | 8210 WALNUT HILL LN | DALLAS | TX | 75231 | 113 |