*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M6259 - Muscle wasting and atrophy, not elsewhere classified, multiple sites - as a primary diagnosis code | M6259 - Muscle wasting and atrophy, not elsewhere classified, multiple sites - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 10.62 | |
| Readmission Rate (%) | 25.51 | |
| Unplanned Readmission Rate (%) | 20.3 | |
| 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 M6259 - Muscle wasting and atrophy, not elsewhere classified, multiple sites | 86 | |
| DRG Share of Total Hospitalizations | 0.12 | |
| % of Total ICD M6259 - Muscle wasting and atrophy, not elsewhere classified, multiple sites in DRG | 54.43 | |
| Avg LOS at DRG | 4.42 | |
| Avg LOS with ICD M6259 - Muscle wasting and atrophy, not elsewhere classified, multiple sites | 10.57 | |
| Readmission Rate at DRG | 18.22 | |
| Readmission Rate with ICD M6259 - Muscle wasting and atrophy, not elsewhere classified, multiple sites | 24.29 | |
| Unplanned Readmission Rate at DRG | 9.29 | |
| Unplanned Readmission Rate with ICD M6259 - Muscle wasting and atrophy, not elsewhere classified, multiple sites | 15.71 | |
| Total Medicare payments at DRG | $239,468,231 | |
| Total Medicare payments with ICD M6259 - Muscle wasting and atrophy, not elsewhere classified, multiple sites | $1,281,135 | |
| Total Medicare payment per Day at DRG | $1,381 | |
| Total Medicare payment per Day with ICD M6259 - Muscle wasting and atrophy, not elsewhere classified, multiple sites | $1,409 | |
| Total Medicare payment per Hospitalization at DRG | $6,105 | |
| Total Medicare payment per Hospitalization with ICD M6259 - Muscle wasting and atrophy, not elsewhere classified, multiple sites | $14,897 | |
| Total Medicare Charges at DRG | $1,104,766,925 | |
| Total Medicare Charges with ICD M6259 - Muscle wasting and atrophy, not elsewhere classified, multiple sites | $3,774,799 | |
| Avg Charges at DRG | $28,166 | |
| Avg Charges with ICD M6259 - Muscle wasting and atrophy, not elsewhere classified, multiple sites | $43,893 | |
| Mortality Rate at DRG | 0.2 | |
| Mortality Rate with ICD M6259 - Muscle wasting and atrophy, not elsewhere classified, multiple sites | NA | |
| SNF Discharge Rate at DRG | 32.92 | |
| SNF Discharge Rate with ICD M6259 - Muscle wasting and atrophy, not elsewhere classified, multiple sites | 25.58 | |
| Home Discharge Rate at DRG | 33.95 | |
| Home Discharge Rate with ICD M6259 - Muscle wasting and atrophy, not elsewhere classified, multiple sites | 18.6 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BRYN MAWR REHAB HOSPITAL | 414 PAOLI PIKE | MALVERN | PA | 19355 | 52 |
| BURKE REHABILITATION HOSPITAL | 785 MAMARONECK AVE | WHITE PLAINS | NY | 10605 | 12 |
| HEALTHSOUTH REHABILITATION HOSPITAL OF SEWICKLEY | 303 CAMPMEETING RD | SEWICKLEY | PA | 15143 | 12 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. NASRAT G GHATTAS | 414 PAOLI PIKE | MALVERN | PA | 19355 | 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD M6259 - Muscle wasting and atrophy, not elsewhere classified, multiple sites | 321 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD M6259 - Muscle wasting and atrophy, not elsewhere classified, multiple sites in DRG | 7.08 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD M6259 - Muscle wasting and atrophy, not elsewhere classified, multiple sites | 8.01 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD M6259 - Muscle wasting and atrophy, not elsewhere classified, multiple sites | 26.79 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD M6259 - Muscle wasting and atrophy, not elsewhere classified, multiple sites | 19.25 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD M6259 - Muscle wasting and atrophy, not elsewhere classified, multiple sites | $4,095,187 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD M6259 - Muscle wasting and atrophy, not elsewhere classified, multiple sites | $1,593 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD M6259 - Muscle wasting and atrophy, not elsewhere classified, multiple sites | $12,758 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD M6259 - Muscle wasting and atrophy, not elsewhere classified, multiple sites | $21,519,199 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD M6259 - Muscle wasting and atrophy, not elsewhere classified, multiple sites | $67,038 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD M6259 - Muscle wasting and atrophy, not elsewhere classified, multiple sites | 12.15 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD M6259 - Muscle wasting and atrophy, not elsewhere classified, multiple sites | 31.46 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD M6259 - Muscle wasting and atrophy, not elsewhere classified, multiple sites | 15.58 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 558: TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 231,410 | ||||
| Total Hospitalizations with ICD M6259 - Muscle wasting and atrophy, not elsewhere classified, multiple sites | 106 | ||||
| DRG Share of Total Hospitalizations | 0.7 | ||||
| % of Total ICD M6259 - Muscle wasting and atrophy, not elsewhere classified, multiple sites in DRG | 2.34 | ||||
| Avg LOS at DRG | 7.29 | ||||
| Avg LOS with ICD M6259 - Muscle wasting and atrophy, not elsewhere classified, multiple sites | 9.56 | ||||
| Readmission Rate at DRG | 25.54 | ||||
| Readmission Rate with ICD M6259 - Muscle wasting and atrophy, not elsewhere classified, multiple sites | 21.11 | ||||
| Unplanned Readmission Rate at DRG | 18.36 | ||||
| Unplanned Readmission Rate with ICD M6259 - Muscle wasting and atrophy, not elsewhere classified, multiple sites | 17.78 | ||||
| Total Medicare payments at DRG | $2,801,759,007 | ||||
| Total Medicare payments with ICD M6259 - Muscle wasting and atrophy, not elsewhere classified, multiple sites | $1,537,328 | ||||
| Total Medicare payment per Day at DRG | $1,661 | ||||
| Total Medicare payment per Day with ICD M6259 - Muscle wasting and atrophy, not elsewhere classified, multiple sites | $1,518 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,107 | ||||
| Total Medicare payment per Hospitalization with ICD M6259 - Muscle wasting and atrophy, not elsewhere classified, multiple sites | $14,503 | ||||
| Total Medicare Charges at DRG | $13,366,030,360 | ||||
| Total Medicare Charges with ICD M6259 - Muscle wasting and atrophy, not elsewhere classified, multiple sites | $7,134,986 | ||||
| Avg Charges at DRG | $57,759 | ||||
| Avg Charges with ICD M6259 - Muscle wasting and atrophy, not elsewhere classified, multiple sites | $67,311 | ||||
| Mortality Rate at DRG | 7.21 | ||||
| Mortality Rate with ICD M6259 - Muscle wasting and atrophy, not elsewhere classified, multiple sites | 11.32 | ||||
| SNF Discharge Rate at DRG | 32.47 | ||||
| SNF Discharge Rate with ICD M6259 - Muscle wasting and atrophy, not elsewhere classified, multiple sites | 24.53 | ||||
| Home Discharge Rate at DRG | 20.84 | ||||
| Home Discharge Rate with ICD M6259 - Muscle wasting and atrophy, not elsewhere classified, multiple sites | 17.92 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 557: TENDONITIS, MYOSITIS AND BURSITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 100,281 | ||||
| Total Hospitalizations with ICD M6259 - Muscle wasting and atrophy, not elsewhere classified, multiple sites | 74 | ||||
| DRG Share of Total Hospitalizations | 0.31 | ||||
| % of Total ICD M6259 - Muscle wasting and atrophy, not elsewhere classified, multiple sites in DRG | 1.63 | ||||
| Avg LOS at DRG | 12.68 | ||||
| Avg LOS with ICD M6259 - Muscle wasting and atrophy, not elsewhere classified, multiple sites | 12.96 | ||||
| Readmission Rate at DRG | 21.82 | ||||
| Readmission Rate with ICD M6259 - Muscle wasting and atrophy, not elsewhere classified, multiple sites | 21.05 | ||||
| Unplanned Readmission Rate at DRG | 14.27 | ||||
| Unplanned Readmission Rate with ICD M6259 - Muscle wasting and atrophy, not elsewhere classified, multiple sites | NA | ||||
| Total Medicare payments at DRG | $1,907,954,923 | ||||
| Total Medicare payments with ICD M6259 - Muscle wasting and atrophy, not elsewhere classified, multiple sites | $1,442,753 | ||||
| Total Medicare payment per Day at DRG | $1,501 | ||||
| Total Medicare payment per Day with ICD M6259 - Muscle wasting and atrophy, not elsewhere classified, multiple sites | $1,504 | ||||
| Total Medicare payment per Hospitalization at DRG | $19,026 | ||||
| Total Medicare payment per Hospitalization with ICD M6259 - Muscle wasting and atrophy, not elsewhere classified, multiple sites | $19,497 | ||||
| Total Medicare Charges at DRG | $5,940,453,690 | ||||
| Total Medicare Charges with ICD M6259 - Muscle wasting and atrophy, not elsewhere classified, multiple sites | $3,894,976 | ||||
| Avg Charges at DRG | $59,238 | ||||
| Avg Charges with ICD M6259 - Muscle wasting and atrophy, not elsewhere classified, multiple sites | $52,635 | ||||
| Mortality Rate at DRG | 2.33 | ||||
| Mortality Rate with ICD M6259 - Muscle wasting and atrophy, not elsewhere classified, multiple sites | NA | ||||
| SNF Discharge Rate at DRG | 30.7 | ||||
| SNF Discharge Rate with ICD M6259 - Muscle wasting and atrophy, not elsewhere classified, multiple sites | 27.03 | ||||
| Home Discharge Rate at DRG | 16.5 | ||||
| Home Discharge Rate with ICD M6259 - Muscle wasting and atrophy, not elsewhere classified, multiple sites | 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 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 559: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 310,318 | ||||
| Total Hospitalizations with ICD M6259 - Muscle wasting and atrophy, not elsewhere classified, multiple sites | 65 | ||||
| DRG Share of Total Hospitalizations | 0.94 | ||||
| % of Total ICD M6259 - Muscle wasting and atrophy, not elsewhere classified, multiple sites in DRG | 1.43 | ||||
| Avg LOS at DRG | 3.19 | ||||
| Avg LOS with ICD M6259 - Muscle wasting and atrophy, not elsewhere classified, multiple sites | 5.2 | ||||
| Readmission Rate at DRG | 20.19 | ||||
| Readmission Rate with ICD M6259 - Muscle wasting and atrophy, not elsewhere classified, multiple sites | NA | ||||
| Unplanned Readmission Rate at DRG | 13.62 | ||||
| Unplanned Readmission Rate with ICD M6259 - Muscle wasting and atrophy, not elsewhere classified, multiple sites | NA | ||||
| Total Medicare payments at DRG | $1,415,392,709 | ||||
| Total Medicare payments with ICD M6259 - Muscle wasting and atrophy, not elsewhere classified, multiple sites | $446,134 | ||||
| Total Medicare payment per Day at DRG | $1,431 | ||||
| Total Medicare payment per Day with ICD M6259 - Muscle wasting and atrophy, not elsewhere classified, multiple sites | $1,320 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,561 | ||||
| Total Medicare payment per Hospitalization with ICD M6259 - Muscle wasting and atrophy, not elsewhere classified, multiple sites | $6,864 | ||||
| Total Medicare Charges at DRG | $7,113,640,596 | ||||
| Total Medicare Charges with ICD M6259 - Muscle wasting and atrophy, not elsewhere classified, multiple sites | $1,945,945 | ||||
| Avg Charges at DRG | $22,924 | ||||
| Avg Charges with ICD M6259 - Muscle wasting and atrophy, not elsewhere classified, multiple sites | $29,938 | ||||
| Mortality Rate at DRG | 0.63 | ||||
| Mortality Rate with ICD M6259 - Muscle wasting and atrophy, not elsewhere classified, multiple sites | NA | ||||
| SNF Discharge Rate at DRG | 19.76 | ||||
| SNF Discharge Rate with ICD M6259 - Muscle wasting and atrophy, not elsewhere classified, multiple sites | 35.38 | ||||
| Home Discharge Rate at DRG | 50.47 | ||||
| Home Discharge Rate with ICD M6259 - Muscle wasting and atrophy, not elsewhere classified, multiple sites | 20.0 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BRYN MAWR REHAB HOSPITAL | 414 PAOLI PIKE | MALVERN | PA | 19355 | 162 |
| ENCOMPASS HEALTH REHABILITATION HOSPITAL OF HENDERSON | 10301 JEFFREYS ST | HENDERSON | NV | 89052 | 149 |
| HAMILTON MEDICAL CENTER | 1200 MEMORIAL DR | DALTON | GA | 30720 | 99 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MARK R VARGA | 715 S COWLEY ST | SPOKANE | WA | 99202 | 14 |
| Dr. ANH Q NGUYEN | 1600 COIT RD | PLANO | TX | 75075 | 14 |
| Dr. BRIAN HAMPSON | 85 SOUTH ST | WARE | MA | 01082 | 13 |
| 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 | 65 |
| Dr. RAJENDRA PADHYE | 414 PAOLI PIKE | MALVERN | PA | 19355 | 34 |
| Dr. NASRAT G GHATTAS | 414 PAOLI PIKE | MALVERN | PA | 19355 | 34 |