*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M7521 - Bicipital tendinitis, right shoulder - as a primary diagnosis code | M7521 - Bicipital tendinitis, right shoulder - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 2.5 | |
| Readmission Rate (%) | 5.82 | |
| 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 483: MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | DRG 558: TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 185,287 | |
| Total Hospitalizations with ICD M7521 - Bicipital tendinitis, right shoulder | 33 | |
| DRG Share of Total Hospitalizations | 0.56 | |
| % of Total ICD M7521 - Bicipital tendinitis, right shoulder in DRG | 46.48 | |
| Avg LOS at DRG | 1.88 | |
| Avg LOS with ICD M7521 - Bicipital tendinitis, right shoulder | 1.64 | |
| Readmission Rate at DRG | 5.88 | |
| Readmission Rate with ICD M7521 - Bicipital tendinitis, right shoulder | NA | |
| Unplanned Readmission Rate at DRG | 2.95 | |
| Unplanned Readmission Rate with ICD M7521 - Bicipital tendinitis, right shoulder | NA | |
| Total Medicare payments at DRG | $2,646,620,753 | |
| Total Medicare payments with ICD M7521 - Bicipital tendinitis, right shoulder | $475,045 | |
| Total Medicare payment per Day at DRG | $7,610 | |
| Total Medicare payment per Day with ICD M7521 - Bicipital tendinitis, right shoulder | $8,797 | |
| Total Medicare payment per Hospitalization at DRG | $14,284 | |
| Total Medicare payment per Hospitalization with ICD M7521 - Bicipital tendinitis, right shoulder | $14,395 | |
| Total Medicare Charges at DRG | $13,348,793,527 | |
| Total Medicare Charges with ICD M7521 - Bicipital tendinitis, right shoulder | $2,870,688 | |
| Avg Charges at DRG | $72,044 | |
| Avg Charges with ICD M7521 - Bicipital tendinitis, right shoulder | $86,991 | |
| Mortality Rate at DRG | 0.07 | |
| Mortality Rate with ICD M7521 - Bicipital tendinitis, right shoulder | NA | |
| SNF Discharge Rate at DRG | 12.21 | |
| SNF Discharge Rate with ICD M7521 - Bicipital tendinitis, right shoulder | NA | |
| Home Discharge Rate at DRG | 64.69 | |
| Home Discharge Rate with ICD M7521 - Bicipital tendinitis, right shoulder | 57.58 |
*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 502: SOFT TISSUE PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 501: SOFT TISSUE PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 558: TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 185,287 | ||||
| Total Hospitalizations with ICD M7521 - Bicipital tendinitis, right shoulder | 6,600 | ||||
| DRG Share of Total Hospitalizations | 0.56 | ||||
| % of Total ICD M7521 - Bicipital tendinitis, right shoulder in DRG | 84.8 | ||||
| Avg LOS at DRG | 1.88 | ||||
| Avg LOS with ICD M7521 - Bicipital tendinitis, right shoulder | 1.65 | ||||
| Readmission Rate at DRG | 5.88 | ||||
| Readmission Rate with ICD M7521 - Bicipital tendinitis, right shoulder | 4.25 | ||||
| Unplanned Readmission Rate at DRG | 2.95 | ||||
| Unplanned Readmission Rate with ICD M7521 - Bicipital tendinitis, right shoulder | 2.12 | ||||
| Total Medicare payments at DRG | $2,646,620,753 | ||||
| Total Medicare payments with ICD M7521 - Bicipital tendinitis, right shoulder | $98,944,179 | ||||
| Total Medicare payment per Day at DRG | $7,610 | ||||
| Total Medicare payment per Day with ICD M7521 - Bicipital tendinitis, right shoulder | $9,062 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,284 | ||||
| Total Medicare payment per Hospitalization with ICD M7521 - Bicipital tendinitis, right shoulder | $14,992 | ||||
| Total Medicare Charges at DRG | $13,348,793,527 | ||||
| Total Medicare Charges with ICD M7521 - Bicipital tendinitis, right shoulder | $467,053,048 | ||||
| Avg Charges at DRG | $72,044 | ||||
| Avg Charges with ICD M7521 - Bicipital tendinitis, right shoulder | $70,766 | ||||
| Mortality Rate at DRG | 0.07 | ||||
| Mortality Rate with ICD M7521 - Bicipital tendinitis, right shoulder | NA | ||||
| SNF Discharge Rate at DRG | 12.21 | ||||
| SNF Discharge Rate with ICD M7521 - Bicipital tendinitis, right shoulder | 8.83 | ||||
| Home Discharge Rate at DRG | 64.69 | ||||
| Home Discharge Rate with ICD M7521 - Bicipital tendinitis, right shoulder | 67.71 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 493: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH COMPLICATION OR COMORBIDITY (CC) | DRG 500: SOFT TISSUE PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 494: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 58,855 | ||||
| Total Hospitalizations with ICD M7521 - Bicipital tendinitis, right shoulder | 31 | ||||
| DRG Share of Total Hospitalizations | 0.18 | ||||
| % of Total ICD M7521 - Bicipital tendinitis, right shoulder in DRG | 0.4 | ||||
| Avg LOS at DRG | 4.7 | ||||
| Avg LOS with ICD M7521 - Bicipital tendinitis, right shoulder | 3.48 | ||||
| Readmission Rate at DRG | 20.92 | ||||
| Readmission Rate with ICD M7521 - Bicipital tendinitis, right shoulder | NA | ||||
| Unplanned Readmission Rate at DRG | 7.19 | ||||
| Unplanned Readmission Rate with ICD M7521 - Bicipital tendinitis, right shoulder | NA | ||||
| Total Medicare payments at DRG | $781,452,176 | ||||
| Total Medicare payments with ICD M7521 - Bicipital tendinitis, right shoulder | $506,382 | ||||
| Total Medicare payment per Day at DRG | $2,822 | ||||
| Total Medicare payment per Day with ICD M7521 - Bicipital tendinitis, right shoulder | $4,689 | ||||
| Total Medicare payment per Hospitalization at DRG | $13,278 | ||||
| Total Medicare payment per Hospitalization with ICD M7521 - Bicipital tendinitis, right shoulder | $16,335 | ||||
| Total Medicare Charges at DRG | $4,305,521,120 | ||||
| Total Medicare Charges with ICD M7521 - Bicipital tendinitis, right shoulder | $2,251,043 | ||||
| Avg Charges at DRG | $73,155 | ||||
| Avg Charges with ICD M7521 - Bicipital tendinitis, right shoulder | $72,614 | ||||
| Mortality Rate at DRG | 0.08 | ||||
| Mortality Rate with ICD M7521 - Bicipital tendinitis, right shoulder | NA | ||||
| SNF Discharge Rate at DRG | 51.36 | ||||
| SNF Discharge Rate with ICD M7521 - Bicipital tendinitis, right shoulder | 38.71 | ||||
| Home Discharge Rate at DRG | 17.49 | ||||
| Home Discharge Rate with ICD M7521 - Bicipital tendinitis, 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD M7521 - Bicipital tendinitis, right shoulder | 24 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD M7521 - Bicipital tendinitis, right shoulder in DRG | 0.31 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD M7521 - Bicipital tendinitis, right shoulder | 10.25 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD M7521 - Bicipital tendinitis, right shoulder | NA | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD M7521 - Bicipital tendinitis, right shoulder | NA | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD M7521 - Bicipital tendinitis, right shoulder | $396,915 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD M7521 - Bicipital tendinitis, right shoulder | $1,613 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD M7521 - Bicipital tendinitis, right shoulder | $16,538 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD M7521 - Bicipital tendinitis, right shoulder | $2,816,289 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD M7521 - Bicipital tendinitis, right shoulder | $117,345 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD M7521 - Bicipital tendinitis, right shoulder | NA | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD M7521 - Bicipital tendinitis, right shoulder | NA | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD M7521 - Bicipital tendinitis, 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 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 554: BONE DISEASES AND ARTHROPATHIES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 52,726 | ||||
| Total Hospitalizations with ICD M7521 - Bicipital tendinitis, right shoulder | 17 | ||||
| DRG Share of Total Hospitalizations | 0.16 | ||||
| % of Total ICD M7521 - Bicipital tendinitis, right shoulder in DRG | 0.22 | ||||
| Avg LOS at DRG | 6.68 | ||||
| Avg LOS with ICD M7521 - Bicipital tendinitis, right shoulder | 3.76 | ||||
| Readmission Rate at DRG | 24.76 | ||||
| Readmission Rate with ICD M7521 - Bicipital tendinitis, right shoulder | NA | ||||
| Unplanned Readmission Rate at DRG | 14.45 | ||||
| Unplanned Readmission Rate with ICD M7521 - Bicipital tendinitis, right shoulder | NA | ||||
| Total Medicare payments at DRG | $902,862,104 | ||||
| Total Medicare payments with ICD M7521 - Bicipital tendinitis, right shoulder | $243,439 | ||||
| Total Medicare payment per Day at DRG | $2,565 | ||||
| Total Medicare payment per Day with ICD M7521 - Bicipital tendinitis, right shoulder | $3,804 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,124 | ||||
| Total Medicare payment per Hospitalization with ICD M7521 - Bicipital tendinitis, right shoulder | $14,320 | ||||
| Total Medicare Charges at DRG | $4,216,562,728 | ||||
| Total Medicare Charges with ICD M7521 - Bicipital tendinitis, right shoulder | $1,283,200 | ||||
| Avg Charges at DRG | $79,971 | ||||
| Avg Charges with ICD M7521 - Bicipital tendinitis, right shoulder | $75,482 | ||||
| Mortality Rate at DRG | 0.83 | ||||
| Mortality Rate with ICD M7521 - Bicipital tendinitis, right shoulder | NA | ||||
| SNF Discharge Rate at DRG | 22.41 | ||||
| SNF Discharge Rate with ICD M7521 - Bicipital tendinitis, right shoulder | NA | ||||
| Home Discharge Rate at DRG | 43.51 | ||||
| Home Discharge Rate with ICD M7521 - Bicipital tendinitis, right shoulder | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| HOSPITAL FOR SPECIAL SURGERY | 535 E 70TH ST | NEW YORK | NY | 10021 | 282 |
| MEDSTAR UNION MEMORIAL HOSPITAL | 201 E UNIVERSITY PKWY | BALTIMORE | MD | 21218 | 214 |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL | 111 S 11TH ST | PHILADELPHIA | PA | 19107 | 174 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. GERALD ROSS WILLIAMS | 925 CHESTNUT ST | PHILADELPHIA | PA | 19107 | 175 |
| Dr. LAWRENCE V GULOTTA | 535 E 70TH ST | NEW YORK | NY | 10021 | 108 |
| Dr. JASON ANDREW STEIN | 2200 KERNAN DR | BALTIMORE | MD | 21207 | 103 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. GERALD ROSS WILLIAMS | 925 CHESTNUT ST | PHILADELPHIA | PA | 19107 | 177 |
| Dr. LAWRENCE V GULOTTA | 535 E 70TH ST | NEW YORK | NY | 10021 | 108 |
| Dr. JASON ANDREW STEIN | 2200 KERNAN DR | BALTIMORE | MD | 21207 | 104 |