*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic - as a primary diagnosis code | M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 4.03 | |
| Readmission Rate (%) | 12.41 | |
| Unplanned Readmission Rate (%) | 4.01 | |
| 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 483: MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | DRG 558: TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 502: SOFT TISSUE PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 501: SOFT TISSUE 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 M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | 7,638 | ||||
| DRG Share of Total Hospitalizations | 0.56 | ||||
| % of Total ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic in DRG | 86.86 | ||||
| Avg LOS at DRG | 1.88 | ||||
| Avg LOS with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | 1.75 | ||||
| Readmission Rate at DRG | 5.88 | ||||
| Readmission Rate with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | 6.14 | ||||
| Unplanned Readmission Rate at DRG | 2.95 | ||||
| Unplanned Readmission Rate with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | 3.57 | ||||
| Total Medicare payments at DRG | $2,646,620,753 | ||||
| Total Medicare payments with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | $108,235,497 | ||||
| Total Medicare payment per Day at DRG | $7,610 | ||||
| Total Medicare payment per Day with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | $8,106 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,284 | ||||
| Total Medicare payment per Hospitalization with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | $14,171 | ||||
| Total Medicare Charges at DRG | $13,348,793,527 | ||||
| Total Medicare Charges with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | $569,213,594 | ||||
| Avg Charges at DRG | $72,044 | ||||
| Avg Charges with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | $74,524 | ||||
| Mortality Rate at DRG | 0.07 | ||||
| Mortality Rate with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | NA | ||||
| SNF Discharge Rate at DRG | 12.21 | ||||
| SNF Discharge Rate with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | 10.98 | ||||
| Home Discharge Rate at DRG | 64.69 | ||||
| Home Discharge Rate with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | 67.37 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 557: TENDONITIS, MYOSITIS AND BURSITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 511: SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 500: SOFT TISSUE PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 510: SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 508: MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 14,153 | ||||
| Total Hospitalizations with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | 99 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic in DRG | 1.13 | ||||
| Avg LOS at DRG | 7.2 | ||||
| Avg LOS with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | 4.98 | ||||
| Readmission Rate at DRG | 23.16 | ||||
| Readmission Rate with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | 24.73 | ||||
| Unplanned Readmission Rate at DRG | 13.2 | ||||
| Unplanned Readmission Rate with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | 19.35 | ||||
| Total Medicare payments at DRG | $151,650,948 | ||||
| Total Medicare payments with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | $964,110 | ||||
| Total Medicare payment per Day at DRG | $1,488 | ||||
| Total Medicare payment per Day with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | $1,956 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,715 | ||||
| Total Medicare payment per Hospitalization with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | $9,738 | ||||
| Total Medicare Charges at DRG | $682,339,009 | ||||
| Total Medicare Charges with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | $4,124,142 | ||||
| Avg Charges at DRG | $48,212 | ||||
| Avg Charges with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | $41,658 | ||||
| Mortality Rate at DRG | 2.64 | ||||
| Mortality Rate with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | NA | ||||
| SNF Discharge Rate at DRG | 42.61 | ||||
| SNF Discharge Rate with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | 37.37 | ||||
| Home Discharge Rate at DRG | 20.07 | ||||
| Home Discharge Rate with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | 28.28 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 507: MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 1,469 |
| Total Hospitalizations with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | 15 |
| DRG Share of Total Hospitalizations | 0.0 |
| % of Total ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic in DRG | 0.17 |
| Avg LOS at DRG | 5.86 |
| Avg LOS with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | 3.0 |
| Readmission Rate at DRG | 21.71 |
| Readmission Rate with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | NA |
| Unplanned Readmission Rate at DRG | 12.29 |
| Unplanned Readmission Rate with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | NA |
| Total Medicare payments at DRG | $18,941,921 |
| Total Medicare payments with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | $169,409 |
| Total Medicare payment per Day at DRG | $2,200 |
| Total Medicare payment per Day with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | $3,765 |
| Total Medicare payment per Hospitalization at DRG | $12,894 |
| Total Medicare payment per Hospitalization with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | $11,294 |
| Total Medicare Charges at DRG | $100,448,917 |
| Total Medicare Charges with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | $691,564 |
| Avg Charges at DRG | $68,379 |
| Avg Charges with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | $46,104 |
| Mortality Rate at DRG | 0.88 |
| Mortality Rate with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | NA |
| SNF Discharge Rate at DRG | 29.61 |
| SNF Discharge Rate with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | NA |
| Home Discharge Rate at DRG | 35.4 |
| Home Discharge Rate with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BARNES JEWISH HOSPITAL | 1 BARNES-JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 91 |
| BAYFRONT HEALTH PUNTA GORDA | 809 E MARION AVE | PUNTA GORDA | FL | 33950 | 64 |
| UCHEALTH POUDRE VALLEY HOSPITAL | 1024 S LEMAY AVE | FORT COLLINS | CO | 80524 | 57 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ROBERT P STCHUR | 1641 TAMIAMI TRL | PORT CHARLOTTE | FL | 33948 | 65 |
| Dr. SEAN G GREY | 2500 E PROSPECT RD | FORT COLLINS | CO | 80525 | 56 |
| Dr. AARON MARK CHAMBERLAIN | 1 BARNES JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 45 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SEAN G GREY | 2500 E PROSPECT RD | FORT COLLINS | CO | 80525 | 56 |
| Dr. AARON MARK CHAMBERLAIN | 1 BARNES JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 45 |
| Dr. DAVID MARTIN WEINSTEIN | 2446 RESEARCH PKWY | COLORADO SPRINGS | CO | 80920 | 44 |
*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 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 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 185,287 | ||||
| Total Hospitalizations with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | 22,091 | ||||
| DRG Share of Total Hospitalizations | 0.56 | ||||
| % of Total ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic in DRG | 57.62 | ||||
| Avg LOS at DRG | 1.88 | ||||
| Avg LOS with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | 1.75 | ||||
| Readmission Rate at DRG | 5.88 | ||||
| Readmission Rate with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | 5.64 | ||||
| Unplanned Readmission Rate at DRG | 2.95 | ||||
| Unplanned Readmission Rate with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | 3.18 | ||||
| Total Medicare payments at DRG | $2,646,620,753 | ||||
| Total Medicare payments with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | $316,161,466 | ||||
| Total Medicare payment per Day at DRG | $7,610 | ||||
| Total Medicare payment per Day with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | $8,176 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,284 | ||||
| Total Medicare payment per Hospitalization with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | $14,312 | ||||
| Total Medicare Charges at DRG | $13,348,793,527 | ||||
| Total Medicare Charges with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | $1,629,402,480 | ||||
| Avg Charges at DRG | $72,044 | ||||
| Avg Charges with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | $73,759 | ||||
| Mortality Rate at DRG | 0.07 | ||||
| Mortality Rate with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | NA | ||||
| SNF Discharge Rate at DRG | 12.21 | ||||
| SNF Discharge Rate with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | 11.62 | ||||
| Home Discharge Rate at DRG | 64.69 | ||||
| Home Discharge Rate with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | 65.17 |
*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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 502: SOFT TISSUE PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | 433 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic in DRG | 1.13 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | 2.84 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | 12.2 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | 3.35 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | $5,222,037 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | $4,249 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | $12,060 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | $27,895,334 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | $64,423 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | 31.41 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | 23.33 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 501: SOFT TISSUE PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 95,335 | ||||
| Total Hospitalizations with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | 231 | ||||
| DRG Share of Total Hospitalizations | 0.29 | ||||
| % of Total ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic in DRG | 0.6 | ||||
| Avg LOS at DRG | 10.22 | ||||
| Avg LOS with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | 11.38 | ||||
| Readmission Rate at DRG | 9.28 | ||||
| Readmission Rate with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | 9.39 | ||||
| Unplanned Readmission Rate at DRG | 5.52 | ||||
| Unplanned Readmission Rate with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | 6.57 | ||||
| Total Medicare payments at DRG | $1,423,955,801 | ||||
| Total Medicare payments with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | $3,731,777 | ||||
| Total Medicare payment per Day at DRG | $1,462 | ||||
| Total Medicare payment per Day with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | $1,419 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,936 | ||||
| Total Medicare payment per Hospitalization with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | $16,155 | ||||
| Total Medicare Charges at DRG | $2,977,958,847 | ||||
| Total Medicare Charges with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | $7,440,725 | ||||
| Avg Charges at DRG | $31,237 | ||||
| Avg Charges with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | $32,211 | ||||
| Mortality Rate at DRG | 0.08 | ||||
| Mortality Rate with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | NA | ||||
| SNF Discharge Rate at DRG | 15.14 | ||||
| SNF Discharge Rate with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | 15.58 | ||||
| Home Discharge Rate at DRG | 25.42 | ||||
| Home Discharge Rate with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | 16.45 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 554: BONE DISEASES AND ARTHROPATHIES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 352,097 | ||||
| Total Hospitalizations with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | 202 | ||||
| DRG Share of Total Hospitalizations | 1.07 | ||||
| % of Total ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic in DRG | 0.53 | ||||
| Avg LOS at DRG | 3.96 | ||||
| Avg LOS with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | 5.19 | ||||
| Readmission Rate at DRG | 35.38 | ||||
| Readmission Rate with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | 44.85 | ||||
| Unplanned Readmission Rate at DRG | 7.63 | ||||
| Unplanned Readmission Rate with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | 10.31 | ||||
| Total Medicare payments at DRG | $2,360,891,966 | ||||
| Total Medicare payments with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | $1,684,443 | ||||
| Total Medicare payment per Day at DRG | $1,693 | ||||
| Total Medicare payment per Day with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | $1,607 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,705 | ||||
| Total Medicare payment per Hospitalization with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | $8,339 | ||||
| Total Medicare Charges at DRG | $13,014,640,264 | ||||
| Total Medicare Charges with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | $7,931,451 | ||||
| Avg Charges at DRG | $36,963 | ||||
| Avg Charges with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | $39,265 | ||||
| Mortality Rate at DRG | 1.54 | ||||
| Mortality Rate with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | NA | ||||
| SNF Discharge Rate at DRG | 24.0 | ||||
| SNF Discharge Rate with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | 29.7 | ||||
| Home Discharge Rate at DRG | 26.62 | ||||
| Home Discharge Rate with ICD M75101 - Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic | 17.33 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 331 |
| BAPTIST HEALTH LOUISVILLE | 4000 KRESGE WAY | LOUISVILLE | KY | 40207 | 175 |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL | 111 S 11TH ST | PHILADELPHIA | PA | 19107 | 172 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. REUBEN GOBEZIE | 1000 AUBURN DR | BEACHWOOD | OH | 44122 | 165 |
| Dr. JOHN W SPERLING | 200 1ST ST SW | ROCHESTER | MN | 55905 | 144 |
| Dr. KEVIN J SETTER | 6620 FLY ROAD | EAST SYRACUSE | NY | 13057 | 138 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. REUBEN GOBEZIE | 1000 AUBURN DR | BEACHWOOD | OH | 44122 | 165 |
| Dr. JOHN W SPERLING | 200 1ST ST SW | ROCHESTER | MN | 55905 | 145 |
| Dr. KEVIN J SETTER | 6620 FLY ROAD | EAST SYRACUSE | NY | 13057 | 135 |