*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M75112 - Incomplete rotator cuff tear or rupture of left shoulder, not specified as traumatic - as a primary diagnosis code | M75112 - Incomplete rotator cuff tear or rupture of left shoulder, not specified as traumatic - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 3.2 | |
| Readmission Rate (%) | 8.44 | |
| Unplanned Readmission Rate (%) | 4.05 | |
| 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 M75112 - Incomplete rotator cuff tear or rupture of left shoulder, not specified as traumatic | 226 | ||||
| DRG Share of Total Hospitalizations | 0.56 | ||||
| % of Total ICD M75112 - Incomplete rotator cuff tear or rupture of left shoulder, not specified as traumatic in DRG | 63.48 | ||||
| Avg LOS at DRG | 1.88 | ||||
| Avg LOS with ICD M75112 - Incomplete rotator cuff tear or rupture of left shoulder, not specified as traumatic | 1.68 | ||||
| Readmission Rate at DRG | 5.88 | ||||
| Readmission Rate with ICD M75112 - Incomplete rotator cuff tear or rupture of left shoulder, not specified as traumatic | 5.45 | ||||
| Unplanned Readmission Rate at DRG | 2.95 | ||||
| Unplanned Readmission Rate with ICD M75112 - Incomplete rotator cuff tear or rupture of left shoulder, not specified as traumatic | NA | ||||
| Total Medicare payments at DRG | $2,646,620,753 | ||||
| Total Medicare payments with ICD M75112 - Incomplete rotator cuff tear or rupture of left shoulder, not specified as traumatic | $3,100,482 | ||||
| Total Medicare payment per Day at DRG | $7,610 | ||||
| Total Medicare payment per Day with ICD M75112 - Incomplete rotator cuff tear or rupture of left shoulder, not specified as traumatic | $8,159 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,284 | ||||
| Total Medicare payment per Hospitalization with ICD M75112 - Incomplete rotator cuff tear or rupture of left shoulder, not specified as traumatic | $13,719 | ||||
| Total Medicare Charges at DRG | $13,348,793,527 | ||||
| Total Medicare Charges with ICD M75112 - Incomplete rotator cuff tear or rupture of left shoulder, not specified as traumatic | $16,596,867 | ||||
| Avg Charges at DRG | $72,044 | ||||
| Avg Charges with ICD M75112 - Incomplete rotator cuff tear or rupture of left shoulder, not specified as traumatic | $73,437 | ||||
| Mortality Rate at DRG | 0.07 | ||||
| Mortality Rate with ICD M75112 - Incomplete rotator cuff tear or rupture of left shoulder, not specified as traumatic | NA | ||||
| SNF Discharge Rate at DRG | 12.21 | ||||
| SNF Discharge Rate with ICD M75112 - Incomplete rotator cuff tear or rupture of left shoulder, not specified as traumatic | 9.73 | ||||
| Home Discharge Rate at DRG | 64.69 | ||||
| Home Discharge Rate with ICD M75112 - Incomplete rotator cuff tear or rupture of left shoulder, not specified as traumatic | 65.93 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MAYO CLINIC HOSPITAL | 5777 E MAYO BLVD | PHOENIX | AZ | 85054 | 14 |
| UCHEALTH MEMORIAL HOSPITAL CENTRAL | 1400 EAST BOULDER STREET | COLORADO SPRINGS | CO | 80909 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. STEVEN J HATTRUP | 5779 E MAYO BLVD | PHOENIX | AZ | 85054 | 14 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. STEVEN J HATTRUP | 5779 E MAYO BLVD | PHOENIX | AZ | 85054 | 14 |
*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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 185,287 | ||||
| Total Hospitalizations with ICD M75112 - Incomplete rotator cuff tear or rupture of left shoulder, not specified as traumatic | 1,442 | ||||
| DRG Share of Total Hospitalizations | 0.56 | ||||
| % of Total ICD M75112 - Incomplete rotator cuff tear or rupture of left shoulder, not specified as traumatic in DRG | 66.64 | ||||
| Avg LOS at DRG | 1.88 | ||||
| Avg LOS with ICD M75112 - Incomplete rotator cuff tear or rupture of left shoulder, not specified as traumatic | 1.68 | ||||
| Readmission Rate at DRG | 5.88 | ||||
| Readmission Rate with ICD M75112 - Incomplete rotator cuff tear or rupture of left shoulder, not specified as traumatic | 5.16 | ||||
| Unplanned Readmission Rate at DRG | 2.95 | ||||
| Unplanned Readmission Rate with ICD M75112 - Incomplete rotator cuff tear or rupture of left shoulder, not specified as traumatic | 2.44 | ||||
| Total Medicare payments at DRG | $2,646,620,753 | ||||
| Total Medicare payments with ICD M75112 - Incomplete rotator cuff tear or rupture of left shoulder, not specified as traumatic | $19,748,677 | ||||
| Total Medicare payment per Day at DRG | $7,610 | ||||
| Total Medicare payment per Day with ICD M75112 - Incomplete rotator cuff tear or rupture of left shoulder, not specified as traumatic | $8,134 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,284 | ||||
| Total Medicare payment per Hospitalization with ICD M75112 - Incomplete rotator cuff tear or rupture of left shoulder, not specified as traumatic | $13,695 | ||||
| Total Medicare Charges at DRG | $13,348,793,527 | ||||
| Total Medicare Charges with ICD M75112 - Incomplete rotator cuff tear or rupture of left shoulder, not specified as traumatic | $99,746,301 | ||||
| Avg Charges at DRG | $72,044 | ||||
| Avg Charges with ICD M75112 - Incomplete rotator cuff tear or rupture of left shoulder, not specified as traumatic | $69,172 | ||||
| Mortality Rate at DRG | 0.07 | ||||
| Mortality Rate with ICD M75112 - Incomplete rotator cuff tear or rupture of left shoulder, not specified as traumatic | NA | ||||
| SNF Discharge Rate at DRG | 12.21 | ||||
| SNF Discharge Rate with ICD M75112 - Incomplete rotator cuff tear or rupture of left shoulder, not specified as traumatic | 8.25 | ||||
| Home Discharge Rate at DRG | 64.69 | ||||
| Home Discharge Rate with ICD M75112 - Incomplete rotator cuff tear or rupture of left shoulder, not specified as traumatic | 66.23 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 512: SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 359,935 | ||||
| Total Hospitalizations with ICD M75112 - Incomplete rotator cuff tear or rupture of left shoulder, not specified as traumatic | 18 | ||||
| DRG Share of Total Hospitalizations | 1.1 | ||||
| % of Total ICD M75112 - Incomplete rotator cuff tear or rupture of left shoulder, not specified as traumatic in DRG | 0.83 | ||||
| Avg LOS at DRG | 12.3 | ||||
| Avg LOS with ICD M75112 - Incomplete rotator cuff tear or rupture of left shoulder, not specified as traumatic | 11.78 | ||||
| Readmission Rate at DRG | 16.01 | ||||
| Readmission Rate with ICD M75112 - Incomplete rotator cuff tear or rupture of left shoulder, not specified as traumatic | NA | ||||
| Unplanned Readmission Rate at DRG | 9.86 | ||||
| Unplanned Readmission Rate with ICD M75112 - Incomplete rotator cuff tear or rupture of left shoulder, not specified as traumatic | NA | ||||
| Total Medicare payments at DRG | $5,883,826,653 | ||||
| Total Medicare payments with ICD M75112 - Incomplete rotator cuff tear or rupture of left shoulder, not specified as traumatic | $309,336 | ||||
| Total Medicare payment per Day at DRG | $1,329 | ||||
| Total Medicare payment per Day with ICD M75112 - Incomplete rotator cuff tear or rupture of left shoulder, not specified as traumatic | $1,459 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
| Total Medicare payment per Hospitalization with ICD M75112 - Incomplete rotator cuff tear or rupture of left shoulder, not specified as traumatic | $17,185 | ||||
| Total Medicare Charges at DRG | $15,374,824,749 | ||||
| Total Medicare Charges with ICD M75112 - Incomplete rotator cuff tear or rupture of left shoulder, not specified as traumatic | $793,155 | ||||
| Avg Charges at DRG | $42,716 | ||||
| Avg Charges with ICD M75112 - Incomplete rotator cuff tear or rupture of left shoulder, not specified as traumatic | $44,064 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD M75112 - Incomplete rotator cuff tear or rupture of left shoulder, not specified as traumatic | NA | ||||
| SNF Discharge Rate at DRG | 27.95 | ||||
| SNF Discharge Rate with ICD M75112 - Incomplete rotator cuff tear or rupture of left shoulder, not specified as traumatic | NA | ||||
| Home Discharge Rate at DRG | 26.85 | ||||
| Home Discharge Rate with ICD M75112 - Incomplete rotator cuff tear or rupture of left shoulder, not specified as traumatic | 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 500: SOFT TISSUE PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|
| Total Hospitalizations at DRG | 9,482 | |
| Total Hospitalizations with ICD M75112 - Incomplete rotator cuff tear or rupture of left shoulder, not specified as traumatic | 12 | |
| DRG Share of Total Hospitalizations | 0.03 | |
| % of Total ICD M75112 - Incomplete rotator cuff tear or rupture of left shoulder, not specified as traumatic in DRG | 0.55 | |
| Avg LOS at DRG | 11.91 | |
| Avg LOS with ICD M75112 - Incomplete rotator cuff tear or rupture of left shoulder, not specified as traumatic | 2.92 | |
| Readmission Rate at DRG | 34.36 | |
| Readmission Rate with ICD M75112 - Incomplete rotator cuff tear or rupture of left shoulder, not specified as traumatic | NA | |
| Unplanned Readmission Rate at DRG | 16.28 | |
| Unplanned Readmission Rate with ICD M75112 - Incomplete rotator cuff tear or rupture of left shoulder, not specified as traumatic | NA | |
| Total Medicare payments at DRG | $220,435,927 | |
| Total Medicare payments with ICD M75112 - Incomplete rotator cuff tear or rupture of left shoulder, not specified as traumatic | $209,424 | |
| Total Medicare payment per Day at DRG | $1,952 | |
| Total Medicare payment per Day with ICD M75112 - Incomplete rotator cuff tear or rupture of left shoulder, not specified as traumatic | $5,984 | |
| Total Medicare payment per Hospitalization at DRG | $23,248 | |
| Total Medicare payment per Hospitalization with ICD M75112 - Incomplete rotator cuff tear or rupture of left shoulder, not specified as traumatic | $17,452 | |
| Total Medicare Charges at DRG | $1,046,292,995 | |
| Total Medicare Charges with ICD M75112 - Incomplete rotator cuff tear or rupture of left shoulder, not specified as traumatic | $718,332 | |
| Avg Charges at DRG | $110,345 | |
| Avg Charges with ICD M75112 - Incomplete rotator cuff tear or rupture of left shoulder, not specified as traumatic | $59,861 | |
| Mortality Rate at DRG | 3.47 | |
| Mortality Rate with ICD M75112 - Incomplete rotator cuff tear or rupture of left shoulder, not specified as traumatic | NA | |
| SNF Discharge Rate at DRG | 36.8 | |
| SNF Discharge Rate with ICD M75112 - Incomplete rotator cuff tear or rupture of left shoulder, not specified as traumatic | NA | |
| Home Discharge Rate at DRG | 16.41 | |
| Home Discharge Rate with ICD M75112 - Incomplete rotator cuff tear or rupture of left shoulder, not specified as traumatic | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ARKANSAS SURGICAL HOSPITAL | 5201 NORTHSHORE DRIVE | NORTH LITTLE ROCK | AR | 72118 | 37 |
| MCBRIDE ORTHOPEDIC HOSPITAL | 9600 BROADWAY EXT | OKLAHOMA CITY | OK | 73114 | 35 |
| KANSAS SURGERY & RECOVERY CENTER | 2770 N WEBB RD | WICHITA | KS | 67226 | 29 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID LEE HOLDEN | 1110 N LEE AVE | OKLAHOMA CITY | OK | 73103 | 31 |
| Dr. SEAN G GREY | 2500 E PROSPECT RD | FORT COLLINS | CO | 80525 | 24 |
| Dr. DAVID MARTIN WEINSTEIN | 2446 RESEARCH PKWY | COLORADO SPRINGS | CO | 80920 | 22 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID LEE HOLDEN | 1110 N LEE AVE | OKLAHOMA CITY | OK | 73103 | 31 |
| Dr. SEAN G GREY | 2500 E PROSPECT RD | FORT COLLINS | CO | 80525 | 24 |
| Dr. DAVID MARTIN WEINSTEIN | 2446 RESEARCH PKWY | COLORADO SPRINGS | CO | 80920 | 22 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | M19012 | Primary osteoarthritis, left shoulder |
| 2 | K219 | Gastro-esophageal reflux disease without esophagitis |
| 3 | I10 | Essential (primary) hypertension |