*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M6284 - Sarcopenia - as a primary diagnosis code | M6284 - Sarcopenia - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.98 | |
| Readmission Rate (%) | 25.73 | |
| 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) | DRG 557: TENDONITIS, MYOSITIS AND BURSITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 39,224 | |
| Total Hospitalizations with ICD M6284 - Sarcopenia | 24 | |
| DRG Share of Total Hospitalizations | 0.12 | |
| % of Total ICD M6284 - Sarcopenia in DRG | 64.86 | |
| Avg LOS at DRG | 4.42 | |
| Avg LOS with ICD M6284 - Sarcopenia | 5.13 | |
| Readmission Rate at DRG | 18.22 | |
| Readmission Rate with ICD M6284 - Sarcopenia | NA | |
| Unplanned Readmission Rate at DRG | 9.29 | |
| Unplanned Readmission Rate with ICD M6284 - Sarcopenia | NA | |
| Total Medicare payments at DRG | $239,468,231 | |
| Total Medicare payments with ICD M6284 - Sarcopenia | $166,074 | |
| Total Medicare payment per Day at DRG | $1,381 | |
| Total Medicare payment per Day with ICD M6284 - Sarcopenia | $1,350 | |
| Total Medicare payment per Hospitalization at DRG | $6,105 | |
| Total Medicare payment per Hospitalization with ICD M6284 - Sarcopenia | $6,920 | |
| Total Medicare Charges at DRG | $1,104,766,925 | |
| Total Medicare Charges with ICD M6284 - Sarcopenia | $634,491 | |
| Avg Charges at DRG | $28,166 | |
| Avg Charges with ICD M6284 - Sarcopenia | $26,437 | |
| Mortality Rate at DRG | 0.2 | |
| Mortality Rate with ICD M6284 - Sarcopenia | NA | |
| SNF Discharge Rate at DRG | 32.92 | |
| SNF Discharge Rate with ICD M6284 - Sarcopenia | 70.83 | |
| Home Discharge Rate at DRG | 33.95 | |
| Home Discharge Rate with ICD M6284 - Sarcopenia | 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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD M6284 - Sarcopenia | 445 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD M6284 - Sarcopenia in DRG | 9.54 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD M6284 - Sarcopenia | 7.61 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD M6284 - Sarcopenia | 25.95 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD M6284 - Sarcopenia | 17.57 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD M6284 - Sarcopenia | $5,509,677 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD M6284 - Sarcopenia | $1,627 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD M6284 - Sarcopenia | $12,381 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD M6284 - Sarcopenia | $29,834,579 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD M6284 - Sarcopenia | $67,044 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD M6284 - Sarcopenia | 10.56 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD M6284 - Sarcopenia | 34.16 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD M6284 - Sarcopenia | 11.69 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 432: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD M6284 - Sarcopenia | 97 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD M6284 - Sarcopenia in DRG | 2.08 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD M6284 - Sarcopenia | 9.44 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD M6284 - Sarcopenia | 21.95 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD M6284 - Sarcopenia | 17.07 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD M6284 - Sarcopenia | $1,035,374 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD M6284 - Sarcopenia | $1,130 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD M6284 - Sarcopenia | $10,674 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD M6284 - Sarcopenia | $6,202,505 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD M6284 - Sarcopenia | $63,943 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD M6284 - Sarcopenia | NA | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD M6284 - Sarcopenia | 22.68 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD M6284 - Sarcopenia | 24.74 |
*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 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 441: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 270,209 | ||||
| Total Hospitalizations with ICD M6284 - Sarcopenia | 71 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD M6284 - Sarcopenia in DRG | 1.52 | ||||
| Avg LOS at DRG | 4.84 | ||||
| Avg LOS with ICD M6284 - Sarcopenia | 5.63 | ||||
| Readmission Rate at DRG | 22.35 | ||||
| Readmission Rate with ICD M6284 - Sarcopenia | 19.67 | ||||
| Unplanned Readmission Rate at DRG | 16.33 | ||||
| Unplanned Readmission Rate with ICD M6284 - Sarcopenia | 19.67 | ||||
| Total Medicare payments at DRG | $1,824,333,389 | ||||
| Total Medicare payments with ICD M6284 - Sarcopenia | $548,488 | ||||
| Total Medicare payment per Day at DRG | $1,395 | ||||
| Total Medicare payment per Day with ICD M6284 - Sarcopenia | $1,371 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,752 | ||||
| Total Medicare payment per Hospitalization with ICD M6284 - Sarcopenia | $7,725 | ||||
| Total Medicare Charges at DRG | $9,128,673,695 | ||||
| Total Medicare Charges with ICD M6284 - Sarcopenia | $2,223,283 | ||||
| Avg Charges at DRG | $33,784 | ||||
| Avg Charges with ICD M6284 - Sarcopenia | $31,314 | ||||
| Mortality Rate at DRG | 1.32 | ||||
| Mortality Rate with ICD M6284 - Sarcopenia | NA | ||||
| SNF Discharge Rate at DRG | 39.0 | ||||
| SNF Discharge Rate with ICD M6284 - Sarcopenia | 43.66 | ||||
| Home Discharge Rate at DRG | 24.73 | ||||
| Home Discharge Rate with ICD M6284 - Sarcopenia | 22.54 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 231,812 | ||||
| Total Hospitalizations with ICD M6284 - Sarcopenia | 62 | ||||
| DRG Share of Total Hospitalizations | 0.71 | ||||
| % of Total ICD M6284 - Sarcopenia in DRG | 1.33 | ||||
| Avg LOS at DRG | 4.41 | ||||
| Avg LOS with ICD M6284 - Sarcopenia | 6.1 | ||||
| Readmission Rate at DRG | 29.12 | ||||
| Readmission Rate with ICD M6284 - Sarcopenia | 27.78 | ||||
| Unplanned Readmission Rate at DRG | 22.82 | ||||
| Unplanned Readmission Rate with ICD M6284 - Sarcopenia | NA | ||||
| Total Medicare payments at DRG | $1,743,376,418 | ||||
| Total Medicare payments with ICD M6284 - Sarcopenia | $485,052 | ||||
| Total Medicare payment per Day at DRG | $1,704 | ||||
| Total Medicare payment per Day with ICD M6284 - Sarcopenia | $1,283 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,521 | ||||
| Total Medicare payment per Hospitalization with ICD M6284 - Sarcopenia | $7,823 | ||||
| Total Medicare Charges at DRG | $8,543,867,896 | ||||
| Total Medicare Charges with ICD M6284 - Sarcopenia | $2,773,393 | ||||
| Avg Charges at DRG | $36,857 | ||||
| Avg Charges with ICD M6284 - Sarcopenia | $44,732 | ||||
| Mortality Rate at DRG | 2.89 | ||||
| Mortality Rate with ICD M6284 - Sarcopenia | NA | ||||
| SNF Discharge Rate at DRG | 22.92 | ||||
| SNF Discharge Rate with ICD M6284 - Sarcopenia | 43.55 | ||||
| Home Discharge Rate at DRG | 43.02 | ||||
| Home Discharge Rate with ICD M6284 - Sarcopenia | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UF HEALTH SHANDS HOSPITAL | 1600 SW ARCHER RD | GAINESVILLE | FL | 32610 | 600 |
| ST. JOSEPH MEDICAL CENTER | 1000 CARONDELET DR | KANSAS CITY | MO | 64114 | 153 |
| NEW YORK-PRESBYTERIAN BROOKLYN METHODIST HOSPITAL | 506 6TH ST | BROOKLYN | NY | 11215 | 116 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ROBERT M. NARVAEZ | 12602 TOEPPERWEIN RD | LIVE OAK | TX | 78233 | 22 |
| Dr. HARRY HAYDON HILL | 8391 N DAVIS HWY | PENSACOLA | FL | 32514 | 18 |
| Dr. SCOTT STUART BREHAUT | 4290 MIDDLE SETTLEMENT RD | NEW HARTFORD | NY | 13413 | 18 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. OMAR ALBERTO COLON GUTIERREZ | 2800 W 15TH ST | PLANO | TX | 75075 | 102 |
| Dr. LUIS F ARANGO | 104 S BRYAN RD | MISSION | TX | 78572 | 67 |
| Dr. HARRY HAYDON HILL | 8391 N DAVIS HWY | PENSACOLA | FL | 32514 | 53 |