*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M779 - Enthesopathy, unspecified - as a primary diagnosis code | M779 - Enthesopathy, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.11 | |
| Readmission Rate (%) | 19.84 | |
| Unplanned Readmission Rate (%) | 12.17 | |
| 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) | DRG 557: TENDONITIS, MYOSITIS AND BURSITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 39,224 | |
| Total Hospitalizations with ICD M779 - Enthesopathy, unspecified | 93 | |
| DRG Share of Total Hospitalizations | 0.12 | |
| % of Total ICD M779 - Enthesopathy, unspecified in DRG | 77.5 | |
| Avg LOS at DRG | 4.42 | |
| Avg LOS with ICD M779 - Enthesopathy, unspecified | 3.06 | |
| Readmission Rate at DRG | 18.22 | |
| Readmission Rate with ICD M779 - Enthesopathy, unspecified | 14.61 | |
| Unplanned Readmission Rate at DRG | 9.29 | |
| Unplanned Readmission Rate with ICD M779 - Enthesopathy, unspecified | NA | |
| Total Medicare payments at DRG | $239,468,231 | |
| Total Medicare payments with ICD M779 - Enthesopathy, unspecified | $434,240 | |
| Total Medicare payment per Day at DRG | $1,381 | |
| Total Medicare payment per Day with ICD M779 - Enthesopathy, unspecified | $1,524 | |
| Total Medicare payment per Hospitalization at DRG | $6,105 | |
| Total Medicare payment per Hospitalization with ICD M779 - Enthesopathy, unspecified | $4,669 | |
| Total Medicare Charges at DRG | $1,104,766,925 | |
| Total Medicare Charges with ICD M779 - Enthesopathy, unspecified | $2,720,871 | |
| Avg Charges at DRG | $28,166 | |
| Avg Charges with ICD M779 - Enthesopathy, unspecified | $29,257 | |
| Mortality Rate at DRG | 0.2 | |
| Mortality Rate with ICD M779 - Enthesopathy, unspecified | NA | |
| SNF Discharge Rate at DRG | 32.92 | |
| SNF Discharge Rate with ICD M779 - Enthesopathy, unspecified | 17.2 | |
| Home Discharge Rate at DRG | 33.95 | |
| Home Discharge Rate with ICD M779 - Enthesopathy, unspecified | 56.99 |
*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 885: PSYCHOSES | 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 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD M779 - Enthesopathy, unspecified | 523 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD M779 - Enthesopathy, unspecified in DRG | 7.38 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD M779 - Enthesopathy, unspecified | 2.5 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD M779 - Enthesopathy, unspecified | 9.13 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD M779 - Enthesopathy, unspecified | 2.98 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD M779 - Enthesopathy, unspecified | $6,313,138 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD M779 - Enthesopathy, unspecified | $4,819 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD M779 - Enthesopathy, unspecified | $12,071 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD M779 - Enthesopathy, unspecified | $34,229,800 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD M779 - Enthesopathy, unspecified | $65,449 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD M779 - Enthesopathy, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD M779 - Enthesopathy, unspecified | 24.86 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD M779 - Enthesopathy, unspecified | 29.45 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 558: TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS 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 | 39,224 | ||||
| Total Hospitalizations with ICD M779 - Enthesopathy, unspecified | 176 | ||||
| DRG Share of Total Hospitalizations | 0.12 | ||||
| % of Total ICD M779 - Enthesopathy, unspecified in DRG | 2.48 | ||||
| Avg LOS at DRG | 4.42 | ||||
| Avg LOS with ICD M779 - Enthesopathy, unspecified | 3.76 | ||||
| Readmission Rate at DRG | 18.22 | ||||
| Readmission Rate with ICD M779 - Enthesopathy, unspecified | 16.87 | ||||
| Unplanned Readmission Rate at DRG | 9.29 | ||||
| Unplanned Readmission Rate with ICD M779 - Enthesopathy, unspecified | 12.05 | ||||
| Total Medicare payments at DRG | $239,468,231 | ||||
| Total Medicare payments with ICD M779 - Enthesopathy, unspecified | $928,889 | ||||
| Total Medicare payment per Day at DRG | $1,381 | ||||
| Total Medicare payment per Day with ICD M779 - Enthesopathy, unspecified | $1,405 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,105 | ||||
| Total Medicare payment per Hospitalization with ICD M779 - Enthesopathy, unspecified | $5,278 | ||||
| Total Medicare Charges at DRG | $1,104,766,925 | ||||
| Total Medicare Charges with ICD M779 - Enthesopathy, unspecified | $5,442,806 | ||||
| Avg Charges at DRG | $28,166 | ||||
| Avg Charges with ICD M779 - Enthesopathy, unspecified | $30,925 | ||||
| Mortality Rate at DRG | 0.2 | ||||
| Mortality Rate with ICD M779 - Enthesopathy, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 32.92 | ||||
| SNF Discharge Rate with ICD M779 - Enthesopathy, unspecified | 21.59 | ||||
| Home Discharge Rate at DRG | 33.95 | ||||
| Home Discharge Rate with ICD M779 - Enthesopathy, unspecified | 50.0 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 554: BONE DISEASES AND ARTHROPATHIES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 195,476 | ||||
| Total Hospitalizations with ICD M779 - Enthesopathy, unspecified | 84 | ||||
| DRG Share of Total Hospitalizations | 0.59 | ||||
| % of Total ICD M779 - Enthesopathy, unspecified in DRG | 1.19 | ||||
| Avg LOS at DRG | 4.48 | ||||
| Avg LOS with ICD M779 - Enthesopathy, unspecified | 5.11 | ||||
| Readmission Rate at DRG | 20.57 | ||||
| Readmission Rate with ICD M779 - Enthesopathy, unspecified | 16.88 | ||||
| Unplanned Readmission Rate at DRG | 9.88 | ||||
| Unplanned Readmission Rate with ICD M779 - Enthesopathy, unspecified | NA | ||||
| Total Medicare payments at DRG | $1,320,662,237 | ||||
| Total Medicare payments with ICD M779 - Enthesopathy, unspecified | $575,096 | ||||
| Total Medicare payment per Day at DRG | $1,508 | ||||
| Total Medicare payment per Day with ICD M779 - Enthesopathy, unspecified | $1,341 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,756 | ||||
| Total Medicare payment per Hospitalization with ICD M779 - Enthesopathy, unspecified | $6,846 | ||||
| Total Medicare Charges at DRG | $6,024,639,461 | ||||
| Total Medicare Charges with ICD M779 - Enthesopathy, unspecified | $2,992,598 | ||||
| Avg Charges at DRG | $30,820 | ||||
| Avg Charges with ICD M779 - Enthesopathy, unspecified | $35,626 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD M779 - Enthesopathy, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 33.36 | ||||
| SNF Discharge Rate with ICD M779 - Enthesopathy, unspecified | 38.1 | ||||
| Home Discharge Rate at DRG | 30.98 | ||||
| Home Discharge Rate with ICD M779 - Enthesopathy, unspecified | 33.33 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 408,103 | ||||
| Total Hospitalizations with ICD M779 - Enthesopathy, unspecified | 66 | ||||
| DRG Share of Total Hospitalizations | 1.24 | ||||
| % of Total ICD M779 - Enthesopathy, unspecified in DRG | 0.93 | ||||
| Avg LOS at DRG | 3.52 | ||||
| Avg LOS with ICD M779 - Enthesopathy, unspecified | 3.39 | ||||
| Readmission Rate at DRG | 17.83 | ||||
| Readmission Rate with ICD M779 - Enthesopathy, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 13.81 | ||||
| Unplanned Readmission Rate with ICD M779 - Enthesopathy, unspecified | NA | ||||
| Total Medicare payments at DRG | $2,416,862,532 | ||||
| Total Medicare payments with ICD M779 - Enthesopathy, unspecified | $402,830 | ||||
| Total Medicare payment per Day at DRG | $1,682 | ||||
| Total Medicare payment per Day with ICD M779 - Enthesopathy, unspecified | $1,798 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
| Total Medicare payment per Hospitalization with ICD M779 - Enthesopathy, unspecified | $6,103 | ||||
| Total Medicare Charges at DRG | $13,267,744,847 | ||||
| Total Medicare Charges with ICD M779 - Enthesopathy, unspecified | $2,594,444 | ||||
| Avg Charges at DRG | $32,511 | ||||
| Avg Charges with ICD M779 - Enthesopathy, unspecified | $39,310 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD M779 - Enthesopathy, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 14.1 | ||||
| SNF Discharge Rate with ICD M779 - Enthesopathy, unspecified | NA | ||||
| Home Discharge Rate at DRG | 62.97 | ||||
| Home Discharge Rate with ICD M779 - Enthesopathy, unspecified | 68.18 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| SAINT FRANCIS HOSPITAL | 6161 S YALE AVE | TULSA | OK | 74136 | 45 |
| UF HEALTH SHANDS HOSPITAL | 1600 SW ARCHER RD | GAINESVILLE | FL | 32610 | 44 |
| MISSION HOSPITAL REGIONAL MEDICAL CENTER | 27700 MEDICAL CENTER RD | MISSION VIEJO | CA | 92691 | 43 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MARK M PIZZURRO | 85 S MAPLE AVE | RIDGEWOOD | NJ | 07450 | 17 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MARK M PIZZURRO | 85 S MAPLE AVE | RIDGEWOOD | NJ | 07450 | 17 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | I10 | Essential (primary) hypertension |