*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M790 - Rheumatism, unspecified - as a primary diagnosis code | M790 - Rheumatism, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.19 | |
| Readmission Rate (%) | 20.08 | |
| 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 556: SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 43,543 |
| Total Hospitalizations with ICD M790 - Rheumatism, unspecified | 13 |
| DRG Share of Total Hospitalizations | 0.13 |
| % of Total ICD M790 - Rheumatism, unspecified in DRG | 86.67 |
| Avg LOS at DRG | 4.54 |
| Avg LOS with ICD M790 - Rheumatism, unspecified | 3.85 |
| Readmission Rate at DRG | 18.05 |
| Readmission Rate with ICD M790 - Rheumatism, unspecified | NA |
| Unplanned Readmission Rate at DRG | 10.73 |
| Unplanned Readmission Rate with ICD M790 - Rheumatism, unspecified | NA |
| Total Medicare payments at DRG | $293,427,765 |
| Total Medicare payments with ICD M790 - Rheumatism, unspecified | $50,759 |
| Total Medicare payment per Day at DRG | $1,485 |
| Total Medicare payment per Day with ICD M790 - Rheumatism, unspecified | $1,015 |
| Total Medicare payment per Hospitalization at DRG | $6,739 |
| Total Medicare payment per Hospitalization with ICD M790 - Rheumatism, unspecified | $3,905 |
| Total Medicare Charges at DRG | $1,161,067,318 |
| Total Medicare Charges with ICD M790 - Rheumatism, unspecified | $324,818 |
| Avg Charges at DRG | $26,665 |
| Avg Charges with ICD M790 - Rheumatism, unspecified | $24,986 |
| Mortality Rate at DRG | 0.19 |
| Mortality Rate with ICD M790 - Rheumatism, unspecified | NA |
| SNF Discharge Rate at DRG | 27.91 |
| SNF Discharge Rate with ICD M790 - Rheumatism, unspecified | NA |
| Home Discharge Rate at DRG | 35.39 |
| Home Discharge Rate with ICD M790 - Rheumatism, unspecified | 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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD M790 - Rheumatism, unspecified | 59 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD M790 - Rheumatism, unspecified in DRG | 7.35 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD M790 - Rheumatism, unspecified | 2.49 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD M790 - Rheumatism, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD M790 - Rheumatism, unspecified | NA | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD M790 - Rheumatism, unspecified | $707,435 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD M790 - Rheumatism, unspecified | $4,812 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD M790 - Rheumatism, unspecified | $11,990 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD M790 - Rheumatism, unspecified | $3,523,405 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD M790 - Rheumatism, unspecified | $59,719 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD M790 - Rheumatism, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD M790 - Rheumatism, unspecified | 20.34 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD M790 - Rheumatism, unspecified | 32.2 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 556: SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD M790 - Rheumatism, unspecified | 17 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD M790 - Rheumatism, unspecified in DRG | 2.12 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD M790 - Rheumatism, unspecified | 3.0 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD M790 - Rheumatism, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD M790 - Rheumatism, unspecified | NA | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD M790 - Rheumatism, unspecified | $71,477 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD M790 - Rheumatism, unspecified | $1,402 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD M790 - Rheumatism, unspecified | $4,205 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD M790 - Rheumatism, unspecified | $676,759 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD M790 - Rheumatism, unspecified | $39,809 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD M790 - Rheumatism, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD M790 - Rheumatism, unspecified | NA | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD M790 - Rheumatism, unspecified | 70.59 |
*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 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD M790 - Rheumatism, unspecified | 13 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD M790 - Rheumatism, unspecified in DRG | 1.62 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD M790 - Rheumatism, unspecified | 3.54 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD M790 - Rheumatism, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD M790 - Rheumatism, unspecified | NA | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD M790 - Rheumatism, unspecified | $76,704 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD M790 - Rheumatism, unspecified | $1,667 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD M790 - Rheumatism, unspecified | $5,900 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD M790 - Rheumatism, unspecified | $421,177 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD M790 - Rheumatism, unspecified | $32,398 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD M790 - Rheumatism, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD M790 - Rheumatism, unspecified | NA | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD M790 - Rheumatism, unspecified | 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 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||
| Total Hospitalizations with ICD M790 - Rheumatism, unspecified | 11 | ||
| DRG Share of Total Hospitalizations | 1.35 | ||
| % of Total ICD M790 - Rheumatism, unspecified in DRG | 1.37 | ||
| Avg LOS at DRG | 5.27 | ||
| Avg LOS with ICD M790 - Rheumatism, unspecified | 4.73 | ||
| Readmission Rate at DRG | 21.6 | ||
| Readmission Rate with ICD M790 - Rheumatism, unspecified | NA | ||
| Unplanned Readmission Rate at DRG | 15.91 | ||
| Unplanned Readmission Rate with ICD M790 - Rheumatism, unspecified | NA | ||
| Total Medicare payments at DRG | $3,812,834,208 | ||
| Total Medicare payments with ICD M790 - Rheumatism, unspecified | $88,388 | ||
| Total Medicare payment per Day at DRG | $1,632 | ||
| Total Medicare payment per Day with ICD M790 - Rheumatism, unspecified | $1,700 | ||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||
| Total Medicare payment per Hospitalization with ICD M790 - Rheumatism, unspecified | $8,035 | ||
| Total Medicare Charges at DRG | $18,110,468,211 | ||
| Total Medicare Charges with ICD M790 - Rheumatism, unspecified | $316,023 | ||
| Avg Charges at DRG | $40,846 | ||
| Avg Charges with ICD M790 - Rheumatism, unspecified | $28,729 | ||
| Mortality Rate at DRG | 3.59 | ||
| Mortality Rate with ICD M790 - Rheumatism, unspecified | NA | ||
| SNF Discharge Rate at DRG | 22.57 | ||
| SNF Discharge Rate with ICD M790 - Rheumatism, unspecified | NA | ||
| Home Discharge Rate at DRG | 40.95 | ||
| Home Discharge Rate with ICD M790 - Rheumatism, unspecified | NA |