*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M719 - Bursopathy, unspecified - as a primary diagnosis code | M719 - Bursopathy, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.37 | |
| Readmission Rate (%) | 20.4 | |
| Unplanned Readmission Rate (%) | 12.4 | |
| 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 M719 - Bursopathy, unspecified | 96 | |
| DRG Share of Total Hospitalizations | 0.12 | |
| % of Total ICD M719 - Bursopathy, unspecified in DRG | 72.18 | |
| Avg LOS at DRG | 4.42 | |
| Avg LOS with ICD M719 - Bursopathy, unspecified | 3.75 | |
| Readmission Rate at DRG | 18.22 | |
| Readmission Rate with ICD M719 - Bursopathy, unspecified | 13.83 | |
| Unplanned Readmission Rate at DRG | 9.29 | |
| Unplanned Readmission Rate with ICD M719 - Bursopathy, unspecified | NA | |
| Total Medicare payments at DRG | $239,468,231 | |
| Total Medicare payments with ICD M719 - Bursopathy, unspecified | $499,731 | |
| Total Medicare payment per Day at DRG | $1,381 | |
| Total Medicare payment per Day with ICD M719 - Bursopathy, unspecified | $1,388 | |
| Total Medicare payment per Hospitalization at DRG | $6,105 | |
| Total Medicare payment per Hospitalization with ICD M719 - Bursopathy, unspecified | $5,206 | |
| Total Medicare Charges at DRG | $1,104,766,925 | |
| Total Medicare Charges with ICD M719 - Bursopathy, unspecified | $2,605,334 | |
| Avg Charges at DRG | $28,166 | |
| Avg Charges with ICD M719 - Bursopathy, unspecified | $27,139 | |
| Mortality Rate at DRG | 0.2 | |
| Mortality Rate with ICD M719 - Bursopathy, unspecified | NA | |
| SNF Discharge Rate at DRG | 32.92 | |
| SNF Discharge Rate with ICD M719 - Bursopathy, unspecified | 21.88 | |
| Home Discharge Rate at DRG | 33.95 | |
| Home Discharge Rate with ICD M719 - Bursopathy, unspecified | 46.88 |
*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 885: PSYCHOSES | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 558: TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD M719 - Bursopathy, unspecified | 228 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD M719 - Bursopathy, unspecified in DRG | 6.38 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD M719 - Bursopathy, unspecified | 2.83 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD M719 - Bursopathy, unspecified | 11.71 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD M719 - Bursopathy, unspecified | NA | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD M719 - Bursopathy, unspecified | $2,714,946 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD M719 - Bursopathy, unspecified | $4,203 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD M719 - Bursopathy, unspecified | $11,908 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD M719 - Bursopathy, unspecified | $14,269,695 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD M719 - Bursopathy, unspecified | $62,586 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD M719 - Bursopathy, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD M719 - Bursopathy, unspecified | 28.95 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD M719 - Bursopathy, unspecified | 27.63 |
*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 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD M719 - Bursopathy, unspecified | 69 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD M719 - Bursopathy, unspecified in DRG | 1.93 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD M719 - Bursopathy, unspecified | 5.43 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD M719 - Bursopathy, unspecified | 36.92 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD M719 - Bursopathy, unspecified | 29.23 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD M719 - Bursopathy, unspecified | $663,345 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD M719 - Bursopathy, unspecified | $1,769 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD M719 - Bursopathy, unspecified | $9,614 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD M719 - Bursopathy, unspecified | $3,029,961 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD M719 - Bursopathy, unspecified | $43,912 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD M719 - Bursopathy, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD M719 - Bursopathy, unspecified | 24.64 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD M719 - Bursopathy, unspecified | 36.23 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 483: MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD M719 - Bursopathy, unspecified | 47 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD M719 - Bursopathy, unspecified in DRG | 1.31 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD M719 - Bursopathy, unspecified | 3.74 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD M719 - Bursopathy, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD M719 - Bursopathy, unspecified | NA | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD M719 - Bursopathy, unspecified | $243,171 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD M719 - Bursopathy, unspecified | $1,382 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD M719 - Bursopathy, unspecified | $5,174 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD M719 - Bursopathy, unspecified | $1,548,013 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD M719 - Bursopathy, unspecified | $32,936 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD M719 - Bursopathy, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD M719 - Bursopathy, unspecified | 23.4 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD M719 - Bursopathy, unspecified | 46.81 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 408,103 | ||||
| Total Hospitalizations with ICD M719 - Bursopathy, unspecified | 41 | ||||
| DRG Share of Total Hospitalizations | 1.24 | ||||
| % of Total ICD M719 - Bursopathy, unspecified in DRG | 1.15 | ||||
| Avg LOS at DRG | 3.52 | ||||
| Avg LOS with ICD M719 - Bursopathy, unspecified | 3.27 | ||||
| Readmission Rate at DRG | 17.83 | ||||
| Readmission Rate with ICD M719 - Bursopathy, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 13.81 | ||||
| Unplanned Readmission Rate with ICD M719 - Bursopathy, unspecified | NA | ||||
| Total Medicare payments at DRG | $2,416,862,532 | ||||
| Total Medicare payments with ICD M719 - Bursopathy, unspecified | $241,031 | ||||
| Total Medicare payment per Day at DRG | $1,682 | ||||
| Total Medicare payment per Day with ICD M719 - Bursopathy, unspecified | $1,799 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
| Total Medicare payment per Hospitalization with ICD M719 - Bursopathy, unspecified | $5,879 | ||||
| Total Medicare Charges at DRG | $13,267,744,847 | ||||
| Total Medicare Charges with ICD M719 - Bursopathy, unspecified | $1,348,659 | ||||
| Avg Charges at DRG | $32,511 | ||||
| Avg Charges with ICD M719 - Bursopathy, unspecified | $32,894 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD M719 - Bursopathy, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 14.1 | ||||
| SNF Discharge Rate with ICD M719 - Bursopathy, unspecified | NA | ||||
| Home Discharge Rate at DRG | 62.97 | ||||
| Home Discharge Rate with ICD M719 - Bursopathy, unspecified | 63.41 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 17 |
| SOUTHERN ILLINOIS HEALTHCARE - MEMORIAL HOSPITAL OF CARBONDALE | 405 W JACKSON | CARBONDALE | IL | 62901 | 16 |
| HOUSTON METHODIST HOSPITAL | 6565 FANNIN ST | HOUSTON | TX | 77030 | 15 |