*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M62561 - Muscle wasting and atrophy, not elsewhere classified, right lower leg - as a primary diagnosis code | M62561 - Muscle wasting and atrophy, not elsewhere classified, right lower leg - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 9.59 | |
| Readmission Rate (%) | 23.99 | |
| Unplanned Readmission Rate (%) | NA | |
| 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) | |
|---|---|
| Total Hospitalizations at DRG | 39,224 |
| Total Hospitalizations with ICD M62561 - Muscle wasting and atrophy, not elsewhere classified, right lower leg | 18 |
| DRG Share of Total Hospitalizations | 0.12 |
| % of Total ICD M62561 - Muscle wasting and atrophy, not elsewhere classified, right lower leg in DRG | 78.26 |
| Avg LOS at DRG | 4.42 |
| Avg LOS with ICD M62561 - Muscle wasting and atrophy, not elsewhere classified, right lower leg | 6.39 |
| Readmission Rate at DRG | 18.22 |
| Readmission Rate with ICD M62561 - Muscle wasting and atrophy, not elsewhere classified, right lower leg | NA |
| Unplanned Readmission Rate at DRG | 9.29 |
| Unplanned Readmission Rate with ICD M62561 - Muscle wasting and atrophy, not elsewhere classified, right lower leg | NA |
| Total Medicare payments at DRG | $239,468,231 |
| Total Medicare payments with ICD M62561 - Muscle wasting and atrophy, not elsewhere classified, right lower leg | $176,288 |
| Total Medicare payment per Day at DRG | $1,381 |
| Total Medicare payment per Day with ICD M62561 - Muscle wasting and atrophy, not elsewhere classified, right lower leg | $1,533 |
| Total Medicare payment per Hospitalization at DRG | $6,105 |
| Total Medicare payment per Hospitalization with ICD M62561 - Muscle wasting and atrophy, not elsewhere classified, right lower leg | $9,794 |
| Total Medicare Charges at DRG | $1,104,766,925 |
| Total Medicare Charges with ICD M62561 - Muscle wasting and atrophy, not elsewhere classified, right lower leg | $525,814 |
| Avg Charges at DRG | $28,166 |
| Avg Charges with ICD M62561 - Muscle wasting and atrophy, not elsewhere classified, right lower leg | $29,212 |
| Mortality Rate at DRG | 0.2 |
| Mortality Rate with ICD M62561 - Muscle wasting and atrophy, not elsewhere classified, right lower leg | NA |
| SNF Discharge Rate at DRG | 32.92 |
| SNF Discharge Rate with ICD M62561 - Muscle wasting and atrophy, not elsewhere classified, right lower leg | NA |
| Home Discharge Rate at DRG | 33.95 |
| Home Discharge Rate with ICD M62561 - Muscle wasting and atrophy, not elsewhere classified, right lower leg | NA |
*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 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD M62561 - Muscle wasting and atrophy, not elsewhere classified, right lower leg | 164 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD M62561 - Muscle wasting and atrophy, not elsewhere classified, right lower leg in DRG | 5.44 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD M62561 - Muscle wasting and atrophy, not elsewhere classified, right lower leg | 8.63 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD M62561 - Muscle wasting and atrophy, not elsewhere classified, right lower leg | 21.74 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD M62561 - Muscle wasting and atrophy, not elsewhere classified, right lower leg | 15.22 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD M62561 - Muscle wasting and atrophy, not elsewhere classified, right lower leg | $2,195,724 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD M62561 - Muscle wasting and atrophy, not elsewhere classified, right lower leg | $1,552 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD M62561 - Muscle wasting and atrophy, not elsewhere classified, right lower leg | $13,389 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD M62561 - Muscle wasting and atrophy, not elsewhere classified, right lower leg | $10,838,076 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD M62561 - Muscle wasting and atrophy, not elsewhere classified, right lower leg | $66,086 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD M62561 - Muscle wasting and atrophy, not elsewhere classified, right lower leg | 8.54 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD M62561 - Muscle wasting and atrophy, not elsewhere classified, right lower leg | 35.98 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD M62561 - Muscle wasting and atrophy, not elsewhere classified, right lower leg | 14.02 |
*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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 122,730 | ||||
| Total Hospitalizations with ICD M62561 - Muscle wasting and atrophy, not elsewhere classified, right lower leg | 73 | ||||
| DRG Share of Total Hospitalizations | 0.37 | ||||
| % of Total ICD M62561 - Muscle wasting and atrophy, not elsewhere classified, right lower leg in DRG | 2.42 | ||||
| Avg LOS at DRG | 7.61 | ||||
| Avg LOS with ICD M62561 - Muscle wasting and atrophy, not elsewhere classified, right lower leg | 12.15 | ||||
| Readmission Rate at DRG | 21.31 | ||||
| Readmission Rate with ICD M62561 - Muscle wasting and atrophy, not elsewhere classified, right lower leg | 17.46 | ||||
| Unplanned Readmission Rate at DRG | 14.13 | ||||
| Unplanned Readmission Rate with ICD M62561 - Muscle wasting and atrophy, not elsewhere classified, right lower leg | NA | ||||
| Total Medicare payments at DRG | $1,397,885,220 | ||||
| Total Medicare payments with ICD M62561 - Muscle wasting and atrophy, not elsewhere classified, right lower leg | $1,353,886 | ||||
| Total Medicare payment per Day at DRG | $1,497 | ||||
| Total Medicare payment per Day with ICD M62561 - Muscle wasting and atrophy, not elsewhere classified, right lower leg | $1,526 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,390 | ||||
| Total Medicare payment per Hospitalization with ICD M62561 - Muscle wasting and atrophy, not elsewhere classified, right lower leg | $18,546 | ||||
| Total Medicare Charges at DRG | $4,175,290,309 | ||||
| Total Medicare Charges with ICD M62561 - Muscle wasting and atrophy, not elsewhere classified, right lower leg | $3,161,001 | ||||
| Avg Charges at DRG | $34,020 | ||||
| Avg Charges with ICD M62561 - Muscle wasting and atrophy, not elsewhere classified, right lower leg | $43,301 | ||||
| Mortality Rate at DRG | 0.28 | ||||
| Mortality Rate with ICD M62561 - Muscle wasting and atrophy, not elsewhere classified, right lower leg | NA | ||||
| SNF Discharge Rate at DRG | 21.64 | ||||
| SNF Discharge Rate with ICD M62561 - Muscle wasting and atrophy, not elsewhere classified, right lower leg | NA | ||||
| Home Discharge Rate at DRG | 28.06 | ||||
| Home Discharge Rate with ICD M62561 - Muscle wasting and atrophy, not elsewhere classified, right lower leg | 19.18 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 558: TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 38,773 | ||||
| Total Hospitalizations with ICD M62561 - Muscle wasting and atrophy, not elsewhere classified, right lower leg | 52 | ||||
| DRG Share of Total Hospitalizations | 0.12 | ||||
| % of Total ICD M62561 - Muscle wasting and atrophy, not elsewhere classified, right lower leg in DRG | 1.72 | ||||
| Avg LOS at DRG | 11.96 | ||||
| Avg LOS with ICD M62561 - Muscle wasting and atrophy, not elsewhere classified, right lower leg | 11.69 | ||||
| Readmission Rate at DRG | 18.12 | ||||
| Readmission Rate with ICD M62561 - Muscle wasting and atrophy, not elsewhere classified, right lower leg | 31.25 | ||||
| Unplanned Readmission Rate at DRG | 14.28 | ||||
| Unplanned Readmission Rate with ICD M62561 - Muscle wasting and atrophy, not elsewhere classified, right lower leg | 25.0 | ||||
| Total Medicare payments at DRG | $739,082,714 | ||||
| Total Medicare payments with ICD M62561 - Muscle wasting and atrophy, not elsewhere classified, right lower leg | $1,096,268 | ||||
| Total Medicare payment per Day at DRG | $1,594 | ||||
| Total Medicare payment per Day with ICD M62561 - Muscle wasting and atrophy, not elsewhere classified, right lower leg | $1,803 | ||||
| Total Medicare payment per Hospitalization at DRG | $19,062 | ||||
| Total Medicare payment per Hospitalization with ICD M62561 - Muscle wasting and atrophy, not elsewhere classified, right lower leg | $21,082 | ||||
| Total Medicare Charges at DRG | $2,416,011,805 | ||||
| Total Medicare Charges with ICD M62561 - Muscle wasting and atrophy, not elsewhere classified, right lower leg | $5,199,577 | ||||
| Avg Charges at DRG | $62,312 | ||||
| Avg Charges with ICD M62561 - Muscle wasting and atrophy, not elsewhere classified, right lower leg | $99,992 | ||||
| Mortality Rate at DRG | 0.2 | ||||
| Mortality Rate with ICD M62561 - Muscle wasting and atrophy, not elsewhere classified, right lower leg | NA | ||||
| SNF Discharge Rate at DRG | 17.34 | ||||
| SNF Discharge Rate with ICD M62561 - Muscle wasting and atrophy, not elsewhere classified, right lower leg | NA | ||||
| Home Discharge Rate at DRG | 21.02 | ||||
| Home Discharge Rate with ICD M62561 - Muscle wasting and atrophy, not elsewhere classified, right lower leg | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 074: CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 559: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 947: SIGNS AND SYMPTOMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD M62561 - Muscle wasting and atrophy, not elsewhere classified, right lower leg | 36 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD M62561 - Muscle wasting and atrophy, not elsewhere classified, right lower leg in DRG | 1.19 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD M62561 - Muscle wasting and atrophy, not elsewhere classified, right lower leg | 5.64 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD M62561 - Muscle wasting and atrophy, not elsewhere classified, right lower leg | NA | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD M62561 - Muscle wasting and atrophy, not elsewhere classified, right lower leg | NA | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD M62561 - Muscle wasting and atrophy, not elsewhere classified, right lower leg | $233,447 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD M62561 - Muscle wasting and atrophy, not elsewhere classified, right lower leg | $1,150 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD M62561 - Muscle wasting and atrophy, not elsewhere classified, right lower leg | $6,485 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD M62561 - Muscle wasting and atrophy, not elsewhere classified, right lower leg | $1,528,803 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD M62561 - Muscle wasting and atrophy, not elsewhere classified, right lower leg | $42,467 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD M62561 - Muscle wasting and atrophy, not elsewhere classified, right lower leg | NA | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD M62561 - Muscle wasting and atrophy, not elsewhere classified, right lower leg | 33.33 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD M62561 - Muscle wasting and atrophy, not elsewhere classified, right lower leg | 33.33 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ENCOMPASS HEALTH REHABILITATION HOSPITAL OF HENDERSON | 10301 JEFFREYS ST | HENDERSON | NV | 89052 | 322 |
| SUNRISE HOSPITAL AND MEDICAL CENTER | 3186 S MARYLAND PKWY | LAS VEGAS | NV | 89109 | 124 |
| SHEPHERD CENTER | 2020 PEACHTREE RD NW | ATLANTA | GA | 30309 | 31 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MINH H NGUYEN | 6955 N DURANGO DR | LAS VEGAS | NV | 89149 | 77 |
| Dr. MARK HENRY STEINHAUER | 10301 GATEWAY BLVD W | EL PASO | TX | 79925 | 48 |
| Dr. MEDHANIE CHICHI BERHANE | 3193 HOWELL MILL RD NW | ATLANTA | GA | 30327 | 22 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MINH H NGUYEN | 6955 N DURANGO DR | LAS VEGAS | NV | 89149 | 323 |
| Dr. MARK HENRY STEINHAUER | 10301 GATEWAY BLVD W | EL PASO | TX | 79925 | 70 |
| Dr. MEDHANIE CHICHI BERHANE | 3193 HOWELL MILL RD NW | ATLANTA | GA | 30327 | 31 |