*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M7522 - Bicipital tendinitis, left shoulder - as a primary diagnosis code | M7522 - Bicipital tendinitis, left shoulder - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 2.45 | |
| Readmission Rate (%) | 6.56 | |
| 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 M7522 - Bicipital tendinitis, left shoulder | 31 | |
| DRG Share of Total Hospitalizations | 0.56 | |
| % of Total ICD M7522 - Bicipital tendinitis, left shoulder in DRG | 41.33 | |
| Avg LOS at DRG | 1.88 | |
| Avg LOS with ICD M7522 - Bicipital tendinitis, left shoulder | 1.84 | |
| Readmission Rate at DRG | 5.88 | |
| Readmission Rate with ICD M7522 - Bicipital tendinitis, left shoulder | NA | |
| Unplanned Readmission Rate at DRG | 2.95 | |
| Unplanned Readmission Rate with ICD M7522 - Bicipital tendinitis, left shoulder | NA | |
| Total Medicare payments at DRG | $2,646,620,753 | |
| Total Medicare payments with ICD M7522 - Bicipital tendinitis, left shoulder | $455,065 | |
| Total Medicare payment per Day at DRG | $7,610 | |
| Total Medicare payment per Day with ICD M7522 - Bicipital tendinitis, left shoulder | $7,984 | |
| Total Medicare payment per Hospitalization at DRG | $14,284 | |
| Total Medicare payment per Hospitalization with ICD M7522 - Bicipital tendinitis, left shoulder | $14,680 | |
| Total Medicare Charges at DRG | $13,348,793,527 | |
| Total Medicare Charges with ICD M7522 - Bicipital tendinitis, left shoulder | $2,352,079 | |
| Avg Charges at DRG | $72,044 | |
| Avg Charges with ICD M7522 - Bicipital tendinitis, left shoulder | $75,874 | |
| Mortality Rate at DRG | 0.07 | |
| Mortality Rate with ICD M7522 - Bicipital tendinitis, left shoulder | NA | |
| SNF Discharge Rate at DRG | 12.21 | |
| SNF Discharge Rate with ICD M7522 - Bicipital tendinitis, left shoulder | NA | |
| Home Discharge Rate at DRG | 64.69 | |
| Home Discharge Rate with ICD M7522 - Bicipital tendinitis, left shoulder | 64.52 |
*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 501: SOFT TISSUE PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 558: TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 185,287 | ||||
| Total Hospitalizations with ICD M7522 - Bicipital tendinitis, left shoulder | 5,476 | ||||
| DRG Share of Total Hospitalizations | 0.56 | ||||
| % of Total ICD M7522 - Bicipital tendinitis, left shoulder in DRG | 84.01 | ||||
| Avg LOS at DRG | 1.88 | ||||
| Avg LOS with ICD M7522 - Bicipital tendinitis, left shoulder | 1.6 | ||||
| Readmission Rate at DRG | 5.88 | ||||
| Readmission Rate with ICD M7522 - Bicipital tendinitis, left shoulder | 4.48 | ||||
| Unplanned Readmission Rate at DRG | 2.95 | ||||
| Unplanned Readmission Rate with ICD M7522 - Bicipital tendinitis, left shoulder | 2.71 | ||||
| Total Medicare payments at DRG | $2,646,620,753 | ||||
| Total Medicare payments with ICD M7522 - Bicipital tendinitis, left shoulder | $82,006,182 | ||||
| Total Medicare payment per Day at DRG | $7,610 | ||||
| Total Medicare payment per Day with ICD M7522 - Bicipital tendinitis, left shoulder | $9,366 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,284 | ||||
| Total Medicare payment per Hospitalization with ICD M7522 - Bicipital tendinitis, left shoulder | $14,976 | ||||
| Total Medicare Charges at DRG | $13,348,793,527 | ||||
| Total Medicare Charges with ICD M7522 - Bicipital tendinitis, left shoulder | $377,274,171 | ||||
| Avg Charges at DRG | $72,044 | ||||
| Avg Charges with ICD M7522 - Bicipital tendinitis, left shoulder | $68,896 | ||||
| Mortality Rate at DRG | 0.07 | ||||
| Mortality Rate with ICD M7522 - Bicipital tendinitis, left shoulder | NA | ||||
| SNF Discharge Rate at DRG | 12.21 | ||||
| SNF Discharge Rate with ICD M7522 - Bicipital tendinitis, left shoulder | 8.66 | ||||
| Home Discharge Rate at DRG | 64.69 | ||||
| Home Discharge Rate with ICD M7522 - Bicipital tendinitis, left shoulder | 69.21 |
*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 494: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 58,855 | ||||
| Total Hospitalizations with ICD M7522 - Bicipital tendinitis, left shoulder | 29 | ||||
| DRG Share of Total Hospitalizations | 0.18 | ||||
| % of Total ICD M7522 - Bicipital tendinitis, left shoulder in DRG | 0.44 | ||||
| Avg LOS at DRG | 4.7 | ||||
| Avg LOS with ICD M7522 - Bicipital tendinitis, left shoulder | 3.41 | ||||
| Readmission Rate at DRG | 20.92 | ||||
| Readmission Rate with ICD M7522 - Bicipital tendinitis, left shoulder | NA | ||||
| Unplanned Readmission Rate at DRG | 7.19 | ||||
| Unplanned Readmission Rate with ICD M7522 - Bicipital tendinitis, left shoulder | NA | ||||
| Total Medicare payments at DRG | $781,452,176 | ||||
| Total Medicare payments with ICD M7522 - Bicipital tendinitis, left shoulder | $392,367 | ||||
| Total Medicare payment per Day at DRG | $2,822 | ||||
| Total Medicare payment per Day with ICD M7522 - Bicipital tendinitis, left shoulder | $3,963 | ||||
| Total Medicare payment per Hospitalization at DRG | $13,278 | ||||
| Total Medicare payment per Hospitalization with ICD M7522 - Bicipital tendinitis, left shoulder | $13,530 | ||||
| Total Medicare Charges at DRG | $4,305,521,120 | ||||
| Total Medicare Charges with ICD M7522 - Bicipital tendinitis, left shoulder | $2,516,541 | ||||
| Avg Charges at DRG | $73,155 | ||||
| Avg Charges with ICD M7522 - Bicipital tendinitis, left shoulder | $86,777 | ||||
| Mortality Rate at DRG | 0.08 | ||||
| Mortality Rate with ICD M7522 - Bicipital tendinitis, left shoulder | NA | ||||
| SNF Discharge Rate at DRG | 51.36 | ||||
| SNF Discharge Rate with ICD M7522 - Bicipital tendinitis, left shoulder | NA | ||||
| Home Discharge Rate at DRG | 17.49 | ||||
| Home Discharge Rate with ICD M7522 - Bicipital tendinitis, left shoulder | 37.93 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 313: CHEST PAIN | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 500: SOFT TISSUE PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 180,138 | ||||
| Total Hospitalizations with ICD M7522 - Bicipital tendinitis, left shoulder | 20 | ||||
| DRG Share of Total Hospitalizations | 0.55 | ||||
| % of Total ICD M7522 - Bicipital tendinitis, left shoulder in DRG | 0.31 | ||||
| Avg LOS at DRG | 1.91 | ||||
| Avg LOS with ICD M7522 - Bicipital tendinitis, left shoulder | 1.9 | ||||
| Readmission Rate at DRG | 16.98 | ||||
| Readmission Rate with ICD M7522 - Bicipital tendinitis, left shoulder | NA | ||||
| Unplanned Readmission Rate at DRG | 12.86 | ||||
| Unplanned Readmission Rate with ICD M7522 - Bicipital tendinitis, left shoulder | NA | ||||
| Total Medicare payments at DRG | $645,443,207 | ||||
| Total Medicare payments with ICD M7522 - Bicipital tendinitis, left shoulder | $80,886 | ||||
| Total Medicare payment per Day at DRG | $1,876 | ||||
| Total Medicare payment per Day with ICD M7522 - Bicipital tendinitis, left shoulder | $2,129 | ||||
| Total Medicare payment per Hospitalization at DRG | $3,583 | ||||
| Total Medicare payment per Hospitalization with ICD M7522 - Bicipital tendinitis, left shoulder | $4,044 | ||||
| Total Medicare Charges at DRG | $4,502,159,305 | ||||
| Total Medicare Charges with ICD M7522 - Bicipital tendinitis, left shoulder | $365,423 | ||||
| Avg Charges at DRG | $24,993 | ||||
| Avg Charges with ICD M7522 - Bicipital tendinitis, left shoulder | $18,271 | ||||
| Mortality Rate at DRG | 0.13 | ||||
| Mortality Rate with ICD M7522 - Bicipital tendinitis, left shoulder | NA | ||||
| SNF Discharge Rate at DRG | 7.73 | ||||
| SNF Discharge Rate with ICD M7522 - Bicipital tendinitis, left shoulder | NA | ||||
| Home Discharge Rate at DRG | 72.82 | ||||
| Home Discharge Rate with ICD M7522 - Bicipital tendinitis, left shoulder | 100.0 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 557: TENDONITIS, MYOSITIS AND BURSITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 364,421 | ||
| Total Hospitalizations with ICD M7522 - Bicipital tendinitis, left shoulder | 12 | ||
| DRG Share of Total Hospitalizations | 1.11 | ||
| % of Total ICD M7522 - Bicipital tendinitis, left shoulder in DRG | 0.18 | ||
| Avg LOS at DRG | 3.97 | ||
| Avg LOS with ICD M7522 - Bicipital tendinitis, left shoulder | 4.0 | ||
| Readmission Rate at DRG | 16.14 | ||
| Readmission Rate with ICD M7522 - Bicipital tendinitis, left shoulder | NA | ||
| Unplanned Readmission Rate at DRG | 10.98 | ||
| Unplanned Readmission Rate with ICD M7522 - Bicipital tendinitis, left shoulder | NA | ||
| Total Medicare payments at DRG | $1,924,528,848 | ||
| Total Medicare payments with ICD M7522 - Bicipital tendinitis, left shoulder | $64,069 | ||
| Total Medicare payment per Day at DRG | $1,332 | ||
| Total Medicare payment per Day with ICD M7522 - Bicipital tendinitis, left shoulder | $1,335 | ||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||
| Total Medicare payment per Hospitalization with ICD M7522 - Bicipital tendinitis, left shoulder | $5,339 | ||
| Total Medicare Charges at DRG | $8,912,106,420 | ||
| Total Medicare Charges with ICD M7522 - Bicipital tendinitis, left shoulder | $377,150 | ||
| Avg Charges at DRG | $24,456 | ||
| Avg Charges with ICD M7522 - Bicipital tendinitis, left shoulder | $31,429 | ||
| Mortality Rate at DRG | 0.09 | ||
| Mortality Rate with ICD M7522 - Bicipital tendinitis, left shoulder | NA | ||
| SNF Discharge Rate at DRG | 15.72 | ||
| SNF Discharge Rate with ICD M7522 - Bicipital tendinitis, left shoulder | NA | ||
| Home Discharge Rate at DRG | 53.33 | ||
| Home Discharge Rate with ICD M7522 - Bicipital tendinitis, left 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 | 232 |
| MEDSTAR UNION MEMORIAL HOSPITAL | 201 E UNIVERSITY PKWY | BALTIMORE | MD | 21218 | 171 |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL | 111 S 11TH ST | PHILADELPHIA | PA | 19107 | 126 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. GERALD ROSS WILLIAMS | 925 CHESTNUT ST | PHILADELPHIA | PA | 19107 | 126 |
| Dr. JASON ANDREW STEIN | 2200 KERNAN DR | BALTIMORE | MD | 21207 | 90 |
| Dr. LAWRENCE V GULOTTA | 535 E 70TH ST | NEW YORK | NY | 10021 | 85 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. GERALD ROSS WILLIAMS | 925 CHESTNUT ST | PHILADELPHIA | PA | 19107 | 127 |
| Dr. JASON ANDREW STEIN | 2200 KERNAN DR | BALTIMORE | MD | 21207 | 89 |
| Dr. LAWRENCE V GULOTTA | 535 E 70TH ST | NEW YORK | NY | 10021 | 86 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | M19012 | Primary osteoarthritis, left shoulder |
| 2 | K219 | Gastro-esophageal reflux disease without esophagitis |
| 3 | Z87891 | Personal history of nicotine dependence |
| 4 | I10 | Essential (primary) hypertension |