*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M65811 - Other synovitis and tenosynovitis, right shoulder - as a primary diagnosis code | M65811 - Other synovitis and tenosynovitis, right shoulder - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 3.31 | |
| Readmission Rate (%) | 9.79 | |
| 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 M65811 - Other synovitis and tenosynovitis, right shoulder | 18 |
| DRG Share of Total Hospitalizations | 0.12 |
| % of Total ICD M65811 - Other synovitis and tenosynovitis, right shoulder in DRG | 46.15 |
| Avg LOS at DRG | 4.42 |
| Avg LOS with ICD M65811 - Other synovitis and tenosynovitis, right shoulder | 4.83 |
| Readmission Rate at DRG | 18.22 |
| Readmission Rate with ICD M65811 - Other synovitis and tenosynovitis, right shoulder | NA |
| Unplanned Readmission Rate at DRG | 9.29 |
| Unplanned Readmission Rate with ICD M65811 - Other synovitis and tenosynovitis, right shoulder | NA |
| Total Medicare payments at DRG | $239,468,231 |
| Total Medicare payments with ICD M65811 - Other synovitis and tenosynovitis, right shoulder | $136,474 |
| Total Medicare payment per Day at DRG | $1,381 |
| Total Medicare payment per Day with ICD M65811 - Other synovitis and tenosynovitis, right shoulder | $1,569 |
| Total Medicare payment per Hospitalization at DRG | $6,105 |
| Total Medicare payment per Hospitalization with ICD M65811 - Other synovitis and tenosynovitis, right shoulder | $7,582 |
| Total Medicare Charges at DRG | $1,104,766,925 |
| Total Medicare Charges with ICD M65811 - Other synovitis and tenosynovitis, right shoulder | $667,246 |
| Avg Charges at DRG | $28,166 |
| Avg Charges with ICD M65811 - Other synovitis and tenosynovitis, right shoulder | $37,069 |
| Mortality Rate at DRG | 0.2 |
| Mortality Rate with ICD M65811 - Other synovitis and tenosynovitis, right shoulder | NA |
| SNF Discharge Rate at DRG | 32.92 |
| SNF Discharge Rate with ICD M65811 - Other synovitis and tenosynovitis, right shoulder | NA |
| Home Discharge Rate at DRG | 33.95 |
| Home Discharge Rate with ICD M65811 - Other synovitis and tenosynovitis, right shoulder | 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 483: MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | 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 511: SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 512: SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 185,287 | ||||
| Total Hospitalizations with ICD M65811 - Other synovitis and tenosynovitis, right shoulder | 1,415 | ||||
| DRG Share of Total Hospitalizations | 0.56 | ||||
| % of Total ICD M65811 - Other synovitis and tenosynovitis, right shoulder in DRG | 64.06 | ||||
| Avg LOS at DRG | 1.88 | ||||
| Avg LOS with ICD M65811 - Other synovitis and tenosynovitis, right shoulder | 1.74 | ||||
| Readmission Rate at DRG | 5.88 | ||||
| Readmission Rate with ICD M65811 - Other synovitis and tenosynovitis, right shoulder | 4.36 | ||||
| Unplanned Readmission Rate at DRG | 2.95 | ||||
| Unplanned Readmission Rate with ICD M65811 - Other synovitis and tenosynovitis, right shoulder | 2.25 | ||||
| Total Medicare payments at DRG | $2,646,620,753 | ||||
| Total Medicare payments with ICD M65811 - Other synovitis and tenosynovitis, right shoulder | $20,971,395 | ||||
| Total Medicare payment per Day at DRG | $7,610 | ||||
| Total Medicare payment per Day with ICD M65811 - Other synovitis and tenosynovitis, right shoulder | $8,494 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,284 | ||||
| Total Medicare payment per Hospitalization with ICD M65811 - Other synovitis and tenosynovitis, right shoulder | $14,821 | ||||
| Total Medicare Charges at DRG | $13,348,793,527 | ||||
| Total Medicare Charges with ICD M65811 - Other synovitis and tenosynovitis, right shoulder | $102,017,494 | ||||
| Avg Charges at DRG | $72,044 | ||||
| Avg Charges with ICD M65811 - Other synovitis and tenosynovitis, right shoulder | $72,097 | ||||
| Mortality Rate at DRG | 0.07 | ||||
| Mortality Rate with ICD M65811 - Other synovitis and tenosynovitis, right shoulder | NA | ||||
| SNF Discharge Rate at DRG | 12.21 | ||||
| SNF Discharge Rate with ICD M65811 - Other synovitis and tenosynovitis, right shoulder | 11.1 | ||||
| Home Discharge Rate at DRG | 64.69 | ||||
| Home Discharge Rate with ICD M65811 - Other synovitis and tenosynovitis, right shoulder | 65.09 |
*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 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 500: SOFT TISSUE PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 39,224 | ||||
| Total Hospitalizations with ICD M65811 - Other synovitis and tenosynovitis, right shoulder | 25 | ||||
| DRG Share of Total Hospitalizations | 0.12 | ||||
| % of Total ICD M65811 - Other synovitis and tenosynovitis, right shoulder in DRG | 1.13 | ||||
| Avg LOS at DRG | 4.42 | ||||
| Avg LOS with ICD M65811 - Other synovitis and tenosynovitis, right shoulder | 4.68 | ||||
| Readmission Rate at DRG | 18.22 | ||||
| Readmission Rate with ICD M65811 - Other synovitis and tenosynovitis, right shoulder | NA | ||||
| Unplanned Readmission Rate at DRG | 9.29 | ||||
| Unplanned Readmission Rate with ICD M65811 - Other synovitis and tenosynovitis, right shoulder | NA | ||||
| Total Medicare payments at DRG | $239,468,231 | ||||
| Total Medicare payments with ICD M65811 - Other synovitis and tenosynovitis, right shoulder | $177,579 | ||||
| Total Medicare payment per Day at DRG | $1,381 | ||||
| Total Medicare payment per Day with ICD M65811 - Other synovitis and tenosynovitis, right shoulder | $1,518 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,105 | ||||
| Total Medicare payment per Hospitalization with ICD M65811 - Other synovitis and tenosynovitis, right shoulder | $7,103 | ||||
| Total Medicare Charges at DRG | $1,104,766,925 | ||||
| Total Medicare Charges with ICD M65811 - Other synovitis and tenosynovitis, right shoulder | $885,356 | ||||
| Avg Charges at DRG | $28,166 | ||||
| Avg Charges with ICD M65811 - Other synovitis and tenosynovitis, right shoulder | $35,414 | ||||
| Mortality Rate at DRG | 0.2 | ||||
| Mortality Rate with ICD M65811 - Other synovitis and tenosynovitis, right shoulder | NA | ||||
| SNF Discharge Rate at DRG | 32.92 | ||||
| SNF Discharge Rate with ICD M65811 - Other synovitis and tenosynovitis, right shoulder | NA | ||||
| Home Discharge Rate at DRG | 33.95 | ||||
| Home Discharge Rate with ICD M65811 - Other synovitis and tenosynovitis, right shoulder | 52.0 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 510: SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 3,493 | ||
| Total Hospitalizations with ICD M65811 - Other synovitis and tenosynovitis, right shoulder | 14 | ||
| DRG Share of Total Hospitalizations | 0.01 | ||
| % of Total ICD M65811 - Other synovitis and tenosynovitis, right shoulder in DRG | 0.63 | ||
| Avg LOS at DRG | 6.16 | ||
| Avg LOS with ICD M65811 - Other synovitis and tenosynovitis, right shoulder | 7.43 | ||
| Readmission Rate at DRG | 25.11 | ||
| Readmission Rate with ICD M65811 - Other synovitis and tenosynovitis, right shoulder | NA | ||
| Unplanned Readmission Rate at DRG | 10.36 | ||
| Unplanned Readmission Rate with ICD M65811 - Other synovitis and tenosynovitis, right shoulder | NA | ||
| Total Medicare payments at DRG | $55,257,829 | ||
| Total Medicare payments with ICD M65811 - Other synovitis and tenosynovitis, right shoulder | $250,085 | ||
| Total Medicare payment per Day at DRG | $2,566 | ||
| Total Medicare payment per Day with ICD M65811 - Other synovitis and tenosynovitis, right shoulder | $2,405 | ||
| Total Medicare payment per Hospitalization at DRG | $15,820 | ||
| Total Medicare payment per Hospitalization with ICD M65811 - Other synovitis and tenosynovitis, right shoulder | $17,863 | ||
| Total Medicare Charges at DRG | $307,115,963 | ||
| Total Medicare Charges with ICD M65811 - Other synovitis and tenosynovitis, right shoulder | $1,195,898 | ||
| Avg Charges at DRG | $87,923 | ||
| Avg Charges with ICD M65811 - Other synovitis and tenosynovitis, right shoulder | $85,421 | ||
| Mortality Rate at DRG | 1.55 | ||
| Mortality Rate with ICD M65811 - Other synovitis and tenosynovitis, right shoulder | NA | ||
| SNF Discharge Rate at DRG | 44.6 | ||
| SNF Discharge Rate with ICD M65811 - Other synovitis and tenosynovitis, right shoulder | NA | ||
| Home Discharge Rate at DRG | 23.02 | ||
| Home Discharge Rate with ICD M65811 - Other synovitis and tenosynovitis, right shoulder | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| HOLY CROSS HOSPITAL | 4725 N FEDERAL HWY | FT LAUDERDALE | FL | 33308 | 46 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 41 |
| SWEDISH MEDICAL CENTER | 747 BROADWAY | SEATTLE | WA | 98122 | 28 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JONATHAN CHAD LEVY | 5597 N DIXIE HWY | OAKLAND PARK | FL | 33334 | 44 |
| Dr. J MICHAEL WIATER | 17877 W 14 MILE RD | BEVERLY HILLS | MI | 48025 | 33 |
| Dr. CARL JOHN BASAMANIA | 601 BROADWAY | SEATTLE | WA | 98122 | 20 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JONATHAN CHAD LEVY | 5597 N DIXIE HWY | OAKLAND PARK | FL | 33334 | 44 |
| Dr. J MICHAEL WIATER | 17877 W 14 MILE RD | BEVERLY HILLS | MI | 48025 | 31 |
| Dr. EDWARD GEORGE MCFARLAND | 10753 FALLS RD | LUTHERVILLE | MD | 21093 | 21 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | I10 | Essential (primary) hypertension |