*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M6281 - Muscle weakness (generalized) - as a primary diagnosis code | M6281 - Muscle weakness (generalized) - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.04 | |
| Readmission Rate (%) | 23.42 | |
| Unplanned Readmission Rate (%) | 12.32 | |
| 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 502: SOFT TISSUE PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 500: SOFT TISSUE PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 43,543 | ||||
| Total Hospitalizations with ICD M6281 - Muscle weakness (generalized) | 7,393 | ||||
| DRG Share of Total Hospitalizations | 0.13 | ||||
| % of Total ICD M6281 - Muscle weakness (generalized) in DRG | 75.06 | ||||
| Avg LOS at DRG | 4.54 | ||||
| Avg LOS with ICD M6281 - Muscle weakness (generalized) | 6.28 | ||||
| Readmission Rate at DRG | 18.05 | ||||
| Readmission Rate with ICD M6281 - Muscle weakness (generalized) | 19.9 | ||||
| Unplanned Readmission Rate at DRG | 10.73 | ||||
| Unplanned Readmission Rate with ICD M6281 - Muscle weakness (generalized) | 11.27 | ||||
| Total Medicare payments at DRG | $293,427,765 | ||||
| Total Medicare payments with ICD M6281 - Muscle weakness (generalized) | $66,851,596 | ||||
| Total Medicare payment per Day at DRG | $1,485 | ||||
| Total Medicare payment per Day with ICD M6281 - Muscle weakness (generalized) | $1,440 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,739 | ||||
| Total Medicare payment per Hospitalization with ICD M6281 - Muscle weakness (generalized) | $9,043 | ||||
| Total Medicare Charges at DRG | $1,161,067,318 | ||||
| Total Medicare Charges with ICD M6281 - Muscle weakness (generalized) | $210,252,526 | ||||
| Avg Charges at DRG | $26,665 | ||||
| Avg Charges with ICD M6281 - Muscle weakness (generalized) | $28,439 | ||||
| Mortality Rate at DRG | 0.19 | ||||
| Mortality Rate with ICD M6281 - Muscle weakness (generalized) | 0.15 | ||||
| SNF Discharge Rate at DRG | 27.91 | ||||
| SNF Discharge Rate with ICD M6281 - Muscle weakness (generalized) | 27.35 | ||||
| Home Discharge Rate at DRG | 35.39 | ||||
| Home Discharge Rate with ICD M6281 - Muscle weakness (generalized) | 25.21 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 109,018 |
| Total Hospitalizations with ICD M6281 - Muscle weakness (generalized) | 17 |
| DRG Share of Total Hospitalizations | 0.33 |
| % of Total ICD M6281 - Muscle weakness (generalized) in DRG | 0.17 |
| Avg LOS at DRG | 12.66 |
| Avg LOS with ICD M6281 - Muscle weakness (generalized) | 13.71 |
| Readmission Rate at DRG | 35.31 |
| Readmission Rate with ICD M6281 - Muscle weakness (generalized) | NA |
| Unplanned Readmission Rate at DRG | 20.73 |
| Unplanned Readmission Rate with ICD M6281 - Muscle weakness (generalized) | NA |
| Total Medicare payments at DRG | $3,554,922,428 |
| Total Medicare payments with ICD M6281 - Muscle weakness (generalized) | $504,333 |
| Total Medicare payment per Day at DRG | $2,575 |
| Total Medicare payment per Day with ICD M6281 - Muscle weakness (generalized) | $2,165 |
| Total Medicare payment per Hospitalization at DRG | $32,609 |
| Total Medicare payment per Hospitalization with ICD M6281 - Muscle weakness (generalized) | $29,667 |
| Total Medicare Charges at DRG | $15,445,232,132 |
| Total Medicare Charges with ICD M6281 - Muscle weakness (generalized) | $1,963,116 |
| Avg Charges at DRG | $141,676 |
| Avg Charges with ICD M6281 - Muscle weakness (generalized) | $115,477 |
| Mortality Rate at DRG | 8.99 |
| Mortality Rate with ICD M6281 - Muscle weakness (generalized) | NA |
| SNF Discharge Rate at DRG | 27.26 |
| SNF Discharge Rate with ICD M6281 - Muscle weakness (generalized) | NA |
| Home Discharge Rate at DRG | 27.78 |
| Home Discharge Rate with ICD M6281 - Muscle weakness (generalized) | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ENCOMPASS HEALTH REHABILITATION HOSPITAL OF MONTGOMERY | 4465 NARROW LANE RD | MONTGOMERY | AL | 36116 | 510 |
| ENCOMPASS HEALTH REHABILITATION HOSPITAL OF CYPRESS | 13031 WORTHAM CENTER DR | HOUSTON | TX | 77065 | 310 |
| PAM REHABILITATION HOSPITAL OF ALLEN | 1001 RAINTREE CIR | ALLEN | TX | 75013 | 162 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. FELIX JAMES ALLEN | 2257 TAYLOR RD | MONTGOMERY | AL | 36117 | 45 |
| Dr. JEFFREY K ENG | 4465 NARROW LANE RD | MONTGOMERY | AL | 36116 | 34 |
| Dr. IGNAZIO GUISEPPE LA CHINA | 13031 WORTHAM CENTER DR | HOUSTON | TX | 77065 | 26 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. FELIX JAMES ALLEN | 2257 TAYLOR RD | MONTGOMERY | AL | 36117 | 510 |
| Dr. IGNAZIO GUISEPPE LA CHINA | 13031 WORTHAM CENTER DR | HOUSTON | TX | 77065 | 185 |
| Dr. IVAN FIGUEROA | 14902 PRESTON RD | DALLAS | TX | 75254 | 135 |
*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 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 43,543 | ||||
| Total Hospitalizations with ICD M6281 - Muscle weakness (generalized) | 7,993 | ||||
| DRG Share of Total Hospitalizations | 0.13 | ||||
| % of Total ICD M6281 - Muscle weakness (generalized) in DRG | 4.82 | ||||
| Avg LOS at DRG | 4.54 | ||||
| Avg LOS with ICD M6281 - Muscle weakness (generalized) | 6.29 | ||||
| Readmission Rate at DRG | 18.05 | ||||
| Readmission Rate with ICD M6281 - Muscle weakness (generalized) | 19.94 | ||||
| Unplanned Readmission Rate at DRG | 10.73 | ||||
| Unplanned Readmission Rate with ICD M6281 - Muscle weakness (generalized) | 11.23 | ||||
| Total Medicare payments at DRG | $293,427,765 | ||||
| Total Medicare payments with ICD M6281 - Muscle weakness (generalized) | $72,530,964 | ||||
| Total Medicare payment per Day at DRG | $1,485 | ||||
| Total Medicare payment per Day with ICD M6281 - Muscle weakness (generalized) | $1,442 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,739 | ||||
| Total Medicare payment per Hospitalization with ICD M6281 - Muscle weakness (generalized) | $9,074 | ||||
| Total Medicare Charges at DRG | $1,161,067,318 | ||||
| Total Medicare Charges with ICD M6281 - Muscle weakness (generalized) | $226,808,110 | ||||
| Avg Charges at DRG | $26,665 | ||||
| Avg Charges with ICD M6281 - Muscle weakness (generalized) | $28,376 | ||||
| Mortality Rate at DRG | 0.19 | ||||
| Mortality Rate with ICD M6281 - Muscle weakness (generalized) | 0.15 | ||||
| SNF Discharge Rate at DRG | 27.91 | ||||
| SNF Discharge Rate with ICD M6281 - Muscle weakness (generalized) | 27.4 | ||||
| Home Discharge Rate at DRG | 35.39 | ||||
| Home Discharge Rate with ICD M6281 - Muscle weakness (generalized) | 25.13 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 120,351 | ||||
| Total Hospitalizations with ICD M6281 - Muscle weakness (generalized) | 3,579 | ||||
| DRG Share of Total Hospitalizations | 0.37 | ||||
| % of Total ICD M6281 - Muscle weakness (generalized) in DRG | 2.16 | ||||
| Avg LOS at DRG | 12.45 | ||||
| Avg LOS with ICD M6281 - Muscle weakness (generalized) | 12.85 | ||||
| Readmission Rate at DRG | 17.61 | ||||
| Readmission Rate with ICD M6281 - Muscle weakness (generalized) | 17.14 | ||||
| Unplanned Readmission Rate at DRG | 12.6 | ||||
| Unplanned Readmission Rate with ICD M6281 - Muscle weakness (generalized) | 12.56 | ||||
| Total Medicare payments at DRG | $2,245,410,425 | ||||
| Total Medicare payments with ICD M6281 - Muscle weakness (generalized) | $70,640,418 | ||||
| Total Medicare payment per Day at DRG | $1,499 | ||||
| Total Medicare payment per Day with ICD M6281 - Muscle weakness (generalized) | $1,536 | ||||
| Total Medicare payment per Hospitalization at DRG | $18,657 | ||||
| Total Medicare payment per Hospitalization with ICD M6281 - Muscle weakness (generalized) | $19,737 | ||||
| Total Medicare Charges at DRG | $5,810,478,166 | ||||
| Total Medicare Charges with ICD M6281 - Muscle weakness (generalized) | $166,489,892 | ||||
| Avg Charges at DRG | $48,279 | ||||
| Avg Charges with ICD M6281 - Muscle weakness (generalized) | $46,519 | ||||
| Mortality Rate at DRG | 0.55 | ||||
| Mortality Rate with ICD M6281 - Muscle weakness (generalized) | NA | ||||
| SNF Discharge Rate at DRG | 14.77 | ||||
| SNF Discharge Rate with ICD M6281 - Muscle weakness (generalized) | 13.83 | ||||
| Home Discharge Rate at DRG | 22.27 | ||||
| Home Discharge Rate with ICD M6281 - Muscle weakness (generalized) | 20.68 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD M6281 - Muscle weakness (generalized) | 2,923 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD M6281 - Muscle weakness (generalized) in DRG | 1.76 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD M6281 - Muscle weakness (generalized) | 6.62 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD M6281 - Muscle weakness (generalized) | 29.74 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD M6281 - Muscle weakness (generalized) | 19.92 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD M6281 - Muscle weakness (generalized) | $29,820,252 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD M6281 - Muscle weakness (generalized) | $1,541 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD M6281 - Muscle weakness (generalized) | $10,202 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD M6281 - Muscle weakness (generalized) | $131,045,299 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD M6281 - Muscle weakness (generalized) | $44,832 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD M6281 - Muscle weakness (generalized) | 2.87 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD M6281 - Muscle weakness (generalized) | 33.08 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD M6281 - Muscle weakness (generalized) | 19.53 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 555: SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD M6281 - Muscle weakness (generalized) | 2,493 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD M6281 - Muscle weakness (generalized) in DRG | 1.5 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD M6281 - Muscle weakness (generalized) | 4.36 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD M6281 - Muscle weakness (generalized) | 24.86 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD M6281 - Muscle weakness (generalized) | 15.97 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD M6281 - Muscle weakness (generalized) | $15,679,643 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD M6281 - Muscle weakness (generalized) | $1,442 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD M6281 - Muscle weakness (generalized) | $6,289 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD M6281 - Muscle weakness (generalized) | $69,772,025 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD M6281 - Muscle weakness (generalized) | $27,987 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD M6281 - Muscle weakness (generalized) | 0.8 | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD M6281 - Muscle weakness (generalized) | 34.1 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD M6281 - Muscle weakness (generalized) | 28.84 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| HEALTHSOUTH REHABILITATION HOSPITAL OF VINELAND | 1237 W SHERMAN AVE | VINELAND | NJ | 08360 | 1,605 |
| SUNNYVIEW REHABILITATION HOSPITAL | 1270 BELMONT AVENUE | SCHENECTADY | NY | 12308 | 1,516 |
| HEINZ REHAB HOSPITAL | 150 MUNDY ST | WILKES BARRE | PA | 18702 | 1,159 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. KENNETH L SHAPIRO | 1270 BELMONT AVE | SCHENECTADY | NY | 12308 | 354 |
| Dr. THOMAS SZYMKE | 214 NE GLEN OAK AVE | PEORIA | IL | 61603 | 323 |
| Dr. VINCENT M SOMAIO | 1270 BELMONT AVE | SCHENECTADY | NY | 12308 | 317 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. FELIX JAMES ALLEN | 2257 TAYLOR RD | MONTGOMERY | AL | 36117 | 944 |
| Dr. JOHN A. KLINE | 150 MUNDY ST | WILKES BARRE | PA | 18702 | 943 |
| Dr. THOMAS SZYMKE | 214 NE GLEN OAK AVE | PEORIA | IL | 61603 | 559 |