*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M778 - Other enthesopathies, not elsewhere classified - as a primary diagnosis code | M778 - Other enthesopathies, not elsewhere classified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.27 | |
| Readmission Rate (%) | 19.36 | |
| 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 558: TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 39,224 |
| Total Hospitalizations with ICD M778 - Other enthesopathies, not elsewhere classified | 42 |
| DRG Share of Total Hospitalizations | 0.12 |
| % of Total ICD M778 - Other enthesopathies, not elsewhere classified in DRG | 77.78 |
| Avg LOS at DRG | 4.42 |
| Avg LOS with ICD M778 - Other enthesopathies, not elsewhere classified | 3.64 |
| Readmission Rate at DRG | 18.22 |
| Readmission Rate with ICD M778 - Other enthesopathies, not elsewhere classified | NA |
| Unplanned Readmission Rate at DRG | 9.29 |
| Unplanned Readmission Rate with ICD M778 - Other enthesopathies, not elsewhere classified | NA |
| Total Medicare payments at DRG | $239,468,231 |
| Total Medicare payments with ICD M778 - Other enthesopathies, not elsewhere classified | $222,860 |
| Total Medicare payment per Day at DRG | $1,381 |
| Total Medicare payment per Day with ICD M778 - Other enthesopathies, not elsewhere classified | $1,457 |
| Total Medicare payment per Hospitalization at DRG | $6,105 |
| Total Medicare payment per Hospitalization with ICD M778 - Other enthesopathies, not elsewhere classified | $5,306 |
| Total Medicare Charges at DRG | $1,104,766,925 |
| Total Medicare Charges with ICD M778 - Other enthesopathies, not elsewhere classified | $1,089,703 |
| Avg Charges at DRG | $28,166 |
| Avg Charges with ICD M778 - Other enthesopathies, not elsewhere classified | $25,945 |
| Mortality Rate at DRG | 0.2 |
| Mortality Rate with ICD M778 - Other enthesopathies, not elsewhere classified | NA |
| SNF Discharge Rate at DRG | 32.92 |
| SNF Discharge Rate with ICD M778 - Other enthesopathies, not elsewhere classified | 26.19 |
| Home Discharge Rate at DRG | 33.95 |
| Home Discharge Rate with ICD M778 - Other enthesopathies, not elsewhere classified | 47.62 |
*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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 558: TENDONITIS, MYOSITIS AND BURSITIS 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 185,287 | ||||
| Total Hospitalizations with ICD M778 - Other enthesopathies, not elsewhere classified | 85 | ||||
| DRG Share of Total Hospitalizations | 0.56 | ||||
| % of Total ICD M778 - Other enthesopathies, not elsewhere classified in DRG | 6.09 | ||||
| Avg LOS at DRG | 1.88 | ||||
| Avg LOS with ICD M778 - Other enthesopathies, not elsewhere classified | 1.94 | ||||
| Readmission Rate at DRG | 5.88 | ||||
| Readmission Rate with ICD M778 - Other enthesopathies, not elsewhere classified | NA | ||||
| Unplanned Readmission Rate at DRG | 2.95 | ||||
| Unplanned Readmission Rate with ICD M778 - Other enthesopathies, not elsewhere classified | NA | ||||
| Total Medicare payments at DRG | $2,646,620,753 | ||||
| Total Medicare payments with ICD M778 - Other enthesopathies, not elsewhere classified | $1,240,085 | ||||
| Total Medicare payment per Day at DRG | $7,610 | ||||
| Total Medicare payment per Day with ICD M778 - Other enthesopathies, not elsewhere classified | $7,516 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,284 | ||||
| Total Medicare payment per Hospitalization with ICD M778 - Other enthesopathies, not elsewhere classified | $14,589 | ||||
| Total Medicare Charges at DRG | $13,348,793,527 | ||||
| Total Medicare Charges with ICD M778 - Other enthesopathies, not elsewhere classified | $6,863,951 | ||||
| Avg Charges at DRG | $72,044 | ||||
| Avg Charges with ICD M778 - Other enthesopathies, not elsewhere classified | $80,752 | ||||
| Mortality Rate at DRG | 0.07 | ||||
| Mortality Rate with ICD M778 - Other enthesopathies, not elsewhere classified | NA | ||||
| SNF Discharge Rate at DRG | 12.21 | ||||
| SNF Discharge Rate with ICD M778 - Other enthesopathies, not elsewhere classified | NA | ||||
| Home Discharge Rate at DRG | 64.69 | ||||
| Home Discharge Rate with ICD M778 - Other enthesopathies, not elsewhere classified | 67.06 |
*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 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 364,421 | ||||
| Total Hospitalizations with ICD M778 - Other enthesopathies, not elsewhere classified | 36 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD M778 - Other enthesopathies, not elsewhere classified in DRG | 2.58 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD M778 - Other enthesopathies, not elsewhere classified | 3.86 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD M778 - Other enthesopathies, not elsewhere classified | NA | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD M778 - Other enthesopathies, not elsewhere classified | NA | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD M778 - Other enthesopathies, not elsewhere classified | $205,727 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD M778 - Other enthesopathies, not elsewhere classified | $1,480 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD M778 - Other enthesopathies, not elsewhere classified | $5,715 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD M778 - Other enthesopathies, not elsewhere classified | $1,048,966 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD M778 - Other enthesopathies, not elsewhere classified | $29,138 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD M778 - Other enthesopathies, not elsewhere classified | NA | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD M778 - Other enthesopathies, not elsewhere classified | NA | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD M778 - Other enthesopathies, not elsewhere classified | 55.56 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 472: CERVICAL SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD M778 - Other enthesopathies, not elsewhere classified | 20 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD M778 - Other enthesopathies, not elsewhere classified in DRG | 1.43 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD M778 - Other enthesopathies, not elsewhere classified | 6.2 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD M778 - Other enthesopathies, not elsewhere classified | NA | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD M778 - Other enthesopathies, not elsewhere classified | NA | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD M778 - Other enthesopathies, not elsewhere classified | $130,979 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD M778 - Other enthesopathies, not elsewhere classified | $1,056 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD M778 - Other enthesopathies, not elsewhere classified | $6,549 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD M778 - Other enthesopathies, not elsewhere classified | $907,803 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD M778 - Other enthesopathies, not elsewhere classified | $45,390 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD M778 - Other enthesopathies, not elsewhere classified | NA | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD M778 - Other enthesopathies, not elsewhere classified | NA | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD M778 - Other enthesopathies, not elsewhere classified | 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 554: BONE DISEASES AND ARTHROPATHIES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 502: SOFT TISSUE PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 473: CERVICAL SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 501: SOFT TISSUE PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 51,757 | ||||
| Total Hospitalizations with ICD M778 - Other enthesopathies, not elsewhere classified | 17 | ||||
| DRG Share of Total Hospitalizations | 0.16 | ||||
| % of Total ICD M778 - Other enthesopathies, not elsewhere classified in DRG | 1.22 | ||||
| Avg LOS at DRG | 4.41 | ||||
| Avg LOS with ICD M778 - Other enthesopathies, not elsewhere classified | 4.94 | ||||
| Readmission Rate at DRG | 17.16 | ||||
| Readmission Rate with ICD M778 - Other enthesopathies, not elsewhere classified | NA | ||||
| Unplanned Readmission Rate at DRG | 9.0 | ||||
| Unplanned Readmission Rate with ICD M778 - Other enthesopathies, not elsewhere classified | NA | ||||
| Total Medicare payments at DRG | $332,400,259 | ||||
| Total Medicare payments with ICD M778 - Other enthesopathies, not elsewhere classified | $104,523 | ||||
| Total Medicare payment per Day at DRG | $1,455 | ||||
| Total Medicare payment per Day with ICD M778 - Other enthesopathies, not elsewhere classified | $1,244 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,422 | ||||
| Total Medicare payment per Hospitalization with ICD M778 - Other enthesopathies, not elsewhere classified | $6,148 | ||||
| Total Medicare Charges at DRG | $1,234,809,519 | ||||
| Total Medicare Charges with ICD M778 - Other enthesopathies, not elsewhere classified | $523,202 | ||||
| Avg Charges at DRG | $23,858 | ||||
| Avg Charges with ICD M778 - Other enthesopathies, not elsewhere classified | $30,777 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD M778 - Other enthesopathies, not elsewhere classified | NA | ||||
| SNF Discharge Rate at DRG | 25.37 | ||||
| SNF Discharge Rate with ICD M778 - Other enthesopathies, not elsewhere classified | NA | ||||
| Home Discharge Rate at DRG | 42.31 | ||||
| Home Discharge Rate with ICD M778 - Other enthesopathies, not elsewhere classified | NA |