*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M629 - Disorder of muscle, unspecified - as a primary diagnosis code | M629 - Disorder of muscle, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.85 | |
| Readmission Rate (%) | 23.86 | |
| 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 M629 - Disorder of muscle, unspecified | 11 |
| DRG Share of Total Hospitalizations | 0.12 |
| % of Total ICD M629 - Disorder of muscle, unspecified in DRG | 45.83 |
| Avg LOS at DRG | 4.42 |
| Avg LOS with ICD M629 - Disorder of muscle, unspecified | 2.73 |
| Readmission Rate at DRG | 18.22 |
| Readmission Rate with ICD M629 - Disorder of muscle, unspecified | NA |
| Unplanned Readmission Rate at DRG | 9.29 |
| Unplanned Readmission Rate with ICD M629 - Disorder of muscle, unspecified | NA |
| Total Medicare payments at DRG | $239,468,231 |
| Total Medicare payments with ICD M629 - Disorder of muscle, unspecified | $62,253 |
| Total Medicare payment per Day at DRG | $1,381 |
| Total Medicare payment per Day with ICD M629 - Disorder of muscle, unspecified | $2,075 |
| Total Medicare payment per Hospitalization at DRG | $6,105 |
| Total Medicare payment per Hospitalization with ICD M629 - Disorder of muscle, unspecified | $5,659 |
| Total Medicare Charges at DRG | $1,104,766,925 |
| Total Medicare Charges with ICD M629 - Disorder of muscle, unspecified | $244,189 |
| Avg Charges at DRG | $28,166 |
| Avg Charges with ICD M629 - Disorder of muscle, unspecified | $22,199 |
| Mortality Rate at DRG | 0.2 |
| Mortality Rate with ICD M629 - Disorder of muscle, unspecified | NA |
| SNF Discharge Rate at DRG | 32.92 |
| SNF Discharge Rate with ICD M629 - Disorder of muscle, unspecified | NA |
| Home Discharge Rate at DRG | 33.95 |
| Home Discharge Rate with ICD M629 - Disorder of muscle, unspecified | 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 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 885: PSYCHOSES | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 359,935 | ||||
| Total Hospitalizations with ICD M629 - Disorder of muscle, unspecified | 43 | ||||
| DRG Share of Total Hospitalizations | 1.1 | ||||
| % of Total ICD M629 - Disorder of muscle, unspecified in DRG | 5.37 | ||||
| Avg LOS at DRG | 12.3 | ||||
| Avg LOS with ICD M629 - Disorder of muscle, unspecified | 17.02 | ||||
| Readmission Rate at DRG | 16.01 | ||||
| Readmission Rate with ICD M629 - Disorder of muscle, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 9.86 | ||||
| Unplanned Readmission Rate with ICD M629 - Disorder of muscle, unspecified | NA | ||||
| Total Medicare payments at DRG | $5,883,826,653 | ||||
| Total Medicare payments with ICD M629 - Disorder of muscle, unspecified | $1,000,600 | ||||
| Total Medicare payment per Day at DRG | $1,329 | ||||
| Total Medicare payment per Day with ICD M629 - Disorder of muscle, unspecified | $1,367 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
| Total Medicare payment per Hospitalization with ICD M629 - Disorder of muscle, unspecified | $23,270 | ||||
| Total Medicare Charges at DRG | $15,374,824,749 | ||||
| Total Medicare Charges with ICD M629 - Disorder of muscle, unspecified | $2,028,726 | ||||
| Avg Charges at DRG | $42,716 | ||||
| Avg Charges with ICD M629 - Disorder of muscle, unspecified | $47,180 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD M629 - Disorder of muscle, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 27.95 | ||||
| SNF Discharge Rate with ICD M629 - Disorder of muscle, unspecified | NA | ||||
| Home Discharge Rate at DRG | 26.85 | ||||
| Home Discharge Rate with ICD M629 - Disorder of muscle, unspecified | 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 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 558: TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 100,281 | ||||
| Total Hospitalizations with ICD M629 - Disorder of muscle, unspecified | 14 | ||||
| DRG Share of Total Hospitalizations | 0.31 | ||||
| % of Total ICD M629 - Disorder of muscle, unspecified in DRG | 1.75 | ||||
| Avg LOS at DRG | 12.68 | ||||
| Avg LOS with ICD M629 - Disorder of muscle, unspecified | 17.14 | ||||
| Readmission Rate at DRG | 21.82 | ||||
| Readmission Rate with ICD M629 - Disorder of muscle, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 14.27 | ||||
| Unplanned Readmission Rate with ICD M629 - Disorder of muscle, unspecified | NA | ||||
| Total Medicare payments at DRG | $1,907,954,923 | ||||
| Total Medicare payments with ICD M629 - Disorder of muscle, unspecified | $352,316 | ||||
| Total Medicare payment per Day at DRG | $1,501 | ||||
| Total Medicare payment per Day with ICD M629 - Disorder of muscle, unspecified | $1,468 | ||||
| Total Medicare payment per Hospitalization at DRG | $19,026 | ||||
| Total Medicare payment per Hospitalization with ICD M629 - Disorder of muscle, unspecified | $25,165 | ||||
| Total Medicare Charges at DRG | $5,940,453,690 | ||||
| Total Medicare Charges with ICD M629 - Disorder of muscle, unspecified | $876,617 | ||||
| Avg Charges at DRG | $59,238 | ||||
| Avg Charges with ICD M629 - Disorder of muscle, unspecified | $62,616 | ||||
| Mortality Rate at DRG | 2.33 | ||||
| Mortality Rate with ICD M629 - Disorder of muscle, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 30.7 | ||||
| SNF Discharge Rate with ICD M629 - Disorder of muscle, unspecified | NA | ||||
| Home Discharge Rate at DRG | 16.5 | ||||
| Home Discharge Rate with ICD M629 - Disorder of muscle, unspecified | 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 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|
| Total Hospitalizations at DRG | 122,730 |
| Total Hospitalizations with ICD M629 - Disorder of muscle, unspecified | 11 |
| DRG Share of Total Hospitalizations | 0.37 |
| % of Total ICD M629 - Disorder of muscle, unspecified in DRG | 1.37 |
| Avg LOS at DRG | 7.61 |
| Avg LOS with ICD M629 - Disorder of muscle, unspecified | 9.18 |
| Readmission Rate at DRG | 21.31 |
| Readmission Rate with ICD M629 - Disorder of muscle, unspecified | NA |
| Unplanned Readmission Rate at DRG | 14.13 |
| Unplanned Readmission Rate with ICD M629 - Disorder of muscle, unspecified | NA |
| Total Medicare payments at DRG | $1,397,885,220 |
| Total Medicare payments with ICD M629 - Disorder of muscle, unspecified | $168,348 |
| Total Medicare payment per Day at DRG | $1,497 |
| Total Medicare payment per Day with ICD M629 - Disorder of muscle, unspecified | $1,667 |
| Total Medicare payment per Hospitalization at DRG | $11,390 |
| Total Medicare payment per Hospitalization with ICD M629 - Disorder of muscle, unspecified | $15,304 |
| Total Medicare Charges at DRG | $4,175,290,309 |
| Total Medicare Charges with ICD M629 - Disorder of muscle, unspecified | $312,233 |
| Avg Charges at DRG | $34,020 |
| Avg Charges with ICD M629 - Disorder of muscle, unspecified | $28,385 |
| Mortality Rate at DRG | 0.28 |
| Mortality Rate with ICD M629 - Disorder of muscle, unspecified | NA |
| SNF Discharge Rate at DRG | 21.64 |
| SNF Discharge Rate with ICD M629 - Disorder of muscle, unspecified | NA |
| Home Discharge Rate at DRG | 28.06 |
| Home Discharge Rate with ICD M629 - Disorder of muscle, unspecified | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| WEST FLORIDA HOSPITAL | 8383 N DAVIS HWY | PENSACOLA | FL | 32514 | 20 |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL | 3635 VISTA AVE | SAINT LOUIS | MO | 63110 | 14 |
| HOSPITAL DAMAS | 2213 PONCE BY PASS | PONCE | PR | 00717 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. HARRY HAYDON HILL | 8391 N DAVIS HWY | PENSACOLA | FL | 32514 | 18 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. HARRY HAYDON HILL | 8391 N DAVIS HWY | PENSACOLA | FL | 32514 | 19 |