*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M6289 - Other specified disorders of muscle - as a primary diagnosis code | M6289 - Other specified disorders of muscle - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.33 | |
| Readmission Rate (%) | 22.84 | |
| Unplanned Readmission Rate (%) | 9.86 | |
| 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) | 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) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 39,224 | |||
| Total Hospitalizations with ICD M6289 - Other specified disorders of muscle | 205 | |||
| DRG Share of Total Hospitalizations | 0.12 | |||
| % of Total ICD M6289 - Other specified disorders of muscle in DRG | 53.39 | |||
| Avg LOS at DRG | 4.42 | |||
| Avg LOS with ICD M6289 - Other specified disorders of muscle | 4.7 | |||
| Readmission Rate at DRG | 18.22 | |||
| Readmission Rate with ICD M6289 - Other specified disorders of muscle | 13.83 | |||
| Unplanned Readmission Rate at DRG | 9.29 | |||
| Unplanned Readmission Rate with ICD M6289 - Other specified disorders of muscle | 8.51 | |||
| Total Medicare payments at DRG | $239,468,231 | |||
| Total Medicare payments with ICD M6289 - Other specified disorders of muscle | $1,313,877 | |||
| Total Medicare payment per Day at DRG | $1,381 | |||
| Total Medicare payment per Day with ICD M6289 - Other specified disorders of muscle | $1,364 | |||
| Total Medicare payment per Hospitalization at DRG | $6,105 | |||
| Total Medicare payment per Hospitalization with ICD M6289 - Other specified disorders of muscle | $6,409 | |||
| Total Medicare Charges at DRG | $1,104,766,925 | |||
| Total Medicare Charges with ICD M6289 - Other specified disorders of muscle | $6,196,403 | |||
| Avg Charges at DRG | $28,166 | |||
| Avg Charges with ICD M6289 - Other specified disorders of muscle | $30,226 | |||
| Mortality Rate at DRG | 0.2 | |||
| Mortality Rate with ICD M6289 - Other specified disorders of muscle | NA | |||
| SNF Discharge Rate at DRG | 32.92 | |||
| SNF Discharge Rate with ICD M6289 - Other specified disorders of muscle | 21.95 | |||
| Home Discharge Rate at DRG | 33.95 | |||
| Home Discharge Rate with ICD M6289 - Other specified disorders of muscle | 40.0 |
*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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 813: COAGULATION DISORDERS | DRG 483: MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 39,224 | ||||
| Total Hospitalizations with ICD M6289 - Other specified disorders of muscle | 226 | ||||
| DRG Share of Total Hospitalizations | 0.12 | ||||
| % of Total ICD M6289 - Other specified disorders of muscle in DRG | 4.26 | ||||
| Avg LOS at DRG | 4.42 | ||||
| Avg LOS with ICD M6289 - Other specified disorders of muscle | 4.92 | ||||
| Readmission Rate at DRG | 18.22 | ||||
| Readmission Rate with ICD M6289 - Other specified disorders of muscle | 14.35 | ||||
| Unplanned Readmission Rate at DRG | 9.29 | ||||
| Unplanned Readmission Rate with ICD M6289 - Other specified disorders of muscle | 9.09 | ||||
| Total Medicare payments at DRG | $239,468,231 | ||||
| Total Medicare payments with ICD M6289 - Other specified disorders of muscle | $1,495,532 | ||||
| Total Medicare payment per Day at DRG | $1,381 | ||||
| Total Medicare payment per Day with ICD M6289 - Other specified disorders of muscle | $1,346 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,105 | ||||
| Total Medicare payment per Hospitalization with ICD M6289 - Other specified disorders of muscle | $6,617 | ||||
| Total Medicare Charges at DRG | $1,104,766,925 | ||||
| Total Medicare Charges with ICD M6289 - Other specified disorders of muscle | $6,859,722 | ||||
| Avg Charges at DRG | $28,166 | ||||
| Avg Charges with ICD M6289 - Other specified disorders of muscle | $30,353 | ||||
| Mortality Rate at DRG | 0.2 | ||||
| Mortality Rate with ICD M6289 - Other specified disorders of muscle | NA | ||||
| SNF Discharge Rate at DRG | 32.92 | ||||
| SNF Discharge Rate with ICD M6289 - Other specified disorders of muscle | 22.57 | ||||
| Home Discharge Rate at DRG | 33.95 | ||||
| Home Discharge Rate with ICD M6289 - Other specified disorders of muscle | 38.5 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 557: TENDONITIS, MYOSITIS AND BURSITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 556: SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 501: SOFT TISSUE PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD M6289 - Other specified disorders of muscle | 148 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD M6289 - Other specified disorders of muscle in DRG | 2.79 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD M6289 - Other specified disorders of muscle | 2.73 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD M6289 - Other specified disorders of muscle | 9.59 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD M6289 - Other specified disorders of muscle | NA | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD M6289 - Other specified disorders of muscle | $1,855,995 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD M6289 - Other specified disorders of muscle | $4,594 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD M6289 - Other specified disorders of muscle | $12,541 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD M6289 - Other specified disorders of muscle | $10,040,977 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD M6289 - Other specified disorders of muscle | $67,844 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD M6289 - Other specified disorders of muscle | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD M6289 - Other specified disorders of muscle | 32.43 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD M6289 - Other specified disorders of muscle | 34.46 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 188,863 | ||||
| Total Hospitalizations with ICD M6289 - Other specified disorders of muscle | 61 | ||||
| DRG Share of Total Hospitalizations | 0.57 | ||||
| % of Total ICD M6289 - Other specified disorders of muscle in DRG | 1.15 | ||||
| Avg LOS at DRG | 11.75 | ||||
| Avg LOS with ICD M6289 - Other specified disorders of muscle | 13.75 | ||||
| Readmission Rate at DRG | 12.14 | ||||
| Readmission Rate with ICD M6289 - Other specified disorders of muscle | NA | ||||
| Unplanned Readmission Rate at DRG | 7.97 | ||||
| Unplanned Readmission Rate with ICD M6289 - Other specified disorders of muscle | NA | ||||
| Total Medicare payments at DRG | $3,216,901,374 | ||||
| Total Medicare payments with ICD M6289 - Other specified disorders of muscle | $1,126,660 | ||||
| Total Medicare payment per Day at DRG | $1,450 | ||||
| Total Medicare payment per Day with ICD M6289 - Other specified disorders of muscle | $1,343 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,033 | ||||
| Total Medicare payment per Hospitalization with ICD M6289 - Other specified disorders of muscle | $18,470 | ||||
| Total Medicare Charges at DRG | $7,709,712,645 | ||||
| Total Medicare Charges with ICD M6289 - Other specified disorders of muscle | $2,934,691 | ||||
| Avg Charges at DRG | $40,822 | ||||
| Avg Charges with ICD M6289 - Other specified disorders of muscle | $48,110 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD M6289 - Other specified disorders of muscle | NA | ||||
| SNF Discharge Rate at DRG | 19.54 | ||||
| SNF Discharge Rate with ICD M6289 - Other specified disorders of muscle | 27.87 | ||||
| Home Discharge Rate at DRG | 19.47 | ||||
| Home Discharge Rate with ICD M6289 - Other specified disorders of muscle | 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 885: PSYCHOSES | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD M6289 - Other specified disorders of muscle | 54 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD M6289 - Other specified disorders of muscle in DRG | 1.02 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD M6289 - Other specified disorders of muscle | 13.07 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD M6289 - Other specified disorders of muscle | NA | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD M6289 - Other specified disorders of muscle | NA | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD M6289 - Other specified disorders of muscle | $568,219 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD M6289 - Other specified disorders of muscle | $805 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD M6289 - Other specified disorders of muscle | $10,523 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD M6289 - Other specified disorders of muscle | $1,929,849 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD M6289 - Other specified disorders of muscle | $35,738 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD M6289 - Other specified disorders of muscle | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD M6289 - Other specified disorders of muscle | NA | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD M6289 - Other specified disorders of muscle | 74.07 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MERCYONE DES MOINES MEDICAL CENTER | 1111 6TH AVE | DES MOINES | IA | 50314 | 125 |
| UNIVERSITY HOSPITAL SUNY HEALTH SCIENCE CENTER | 750 E ADAMS ST | SYRACUSE | NY | 13210 | 80 |
| MARIANJOY REHABILITATION HOSPITAL | 26W171 ROOSEVELT RD | WHEATON | IL | 60187 | 61 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. KEVIN J SETTER | 6620 FLY ROAD | EAST SYRACUSE | NY | 13057 | 77 |
| Dr. ANTHONY DANIEL KOPP | 1111 6TH AVE | DES MOINES | IA | 50314 | 40 |
| Dr. MARY ELIZABETH RUSSELL | 1111 6TH AVE | DES MOINES | IA | 50314 | 35 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. KEVIN J SETTER | 6620 FLY ROAD | EAST SYRACUSE | NY | 13057 | 76 |
| Dr. ANTHONY DANIEL KOPP | 1111 6TH AVE | DES MOINES | IA | 50314 | 57 |
| Dr. MARY ELIZABETH RUSSELL | 1111 6TH AVE | DES MOINES | IA | 50314 | 52 |