*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M791 - Myalgia - as a primary diagnosis code | M791 - Myalgia - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.41 | |
| Readmission Rate (%) | 21.19 | |
| Unplanned Readmission Rate (%) | 14.02 | |
| 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) | DRG 555: SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 43,543 | |
| Total Hospitalizations with ICD M791 - Myalgia | 1,173 | |
| DRG Share of Total Hospitalizations | 0.13 | |
| % of Total ICD M791 - Myalgia in DRG | 79.47 | |
| Avg LOS at DRG | 4.54 | |
| Avg LOS with ICD M791 - Myalgia | 2.81 | |
| Readmission Rate at DRG | 18.05 | |
| Readmission Rate with ICD M791 - Myalgia | 16.58 | |
| Unplanned Readmission Rate at DRG | 10.73 | |
| Unplanned Readmission Rate with ICD M791 - Myalgia | 11.5 | |
| Total Medicare payments at DRG | $293,427,765 | |
| Total Medicare payments with ICD M791 - Myalgia | $5,592,009 | |
| Total Medicare payment per Day at DRG | $1,485 | |
| Total Medicare payment per Day with ICD M791 - Myalgia | $1,695 | |
| Total Medicare payment per Hospitalization at DRG | $6,739 | |
| Total Medicare payment per Hospitalization with ICD M791 - Myalgia | $4,767 | |
| Total Medicare Charges at DRG | $1,161,067,318 | |
| Total Medicare Charges with ICD M791 - Myalgia | $29,360,874 | |
| Avg Charges at DRG | $26,665 | |
| Avg Charges with ICD M791 - Myalgia | $25,031 | |
| Mortality Rate at DRG | 0.19 | |
| Mortality Rate with ICD M791 - Myalgia | NA | |
| SNF Discharge Rate at DRG | 27.91 | |
| SNF Discharge Rate with ICD M791 - Myalgia | 15.43 | |
| Home Discharge Rate at DRG | 35.39 | |
| Home Discharge Rate with ICD M791 - Myalgia | 62.66 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 11 |
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 11 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 885: PSYCHOSES | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 556: SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM 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 | 1,100,860 | ||||
| Total Hospitalizations with ICD M791 - Myalgia | 2,908 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD M791 - Myalgia in DRG | 5.6 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD M791 - Myalgia | 13.04 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD M791 - Myalgia | 29.36 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD M791 - Myalgia | 13.69 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD M791 - Myalgia | $27,713,413 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD M791 - Myalgia | $731 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD M791 - Myalgia | $9,530 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD M791 - Myalgia | $92,145,397 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD M791 - Myalgia | $31,687 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD M791 - Myalgia | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD M791 - Myalgia | 6.29 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD M791 - Myalgia | 79.78 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD M791 - Myalgia | 1,151 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD M791 - Myalgia in DRG | 2.22 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD M791 - Myalgia | 3.75 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD M791 - Myalgia | 14.26 | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD M791 - Myalgia | 10.02 | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD M791 - Myalgia | $6,850,956 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD M791 - Myalgia | $1,589 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD M791 - Myalgia | $5,952 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD M791 - Myalgia | $30,636,852 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD M791 - Myalgia | $26,618 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD M791 - Myalgia | NA | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD M791 - Myalgia | 11.29 | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD M791 - Myalgia | 64.03 |
*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 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD M791 - Myalgia | 949 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD M791 - Myalgia in DRG | 1.83 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD M791 - Myalgia | 2.55 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD M791 - Myalgia | 8.29 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD M791 - Myalgia | 3.93 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD M791 - Myalgia | $10,687,585 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD M791 - Myalgia | $4,416 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD M791 - Myalgia | $11,262 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD M791 - Myalgia | $53,958,553 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD M791 - Myalgia | $56,858 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD M791 - Myalgia | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD M791 - Myalgia | 20.76 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD M791 - Myalgia | 29.19 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 188,863 | ||||
| Total Hospitalizations with ICD M791 - Myalgia | 740 | ||||
| DRG Share of Total Hospitalizations | 0.57 | ||||
| % of Total ICD M791 - Myalgia in DRG | 1.43 | ||||
| Avg LOS at DRG | 11.75 | ||||
| Avg LOS with ICD M791 - Myalgia | 12.37 | ||||
| Readmission Rate at DRG | 12.14 | ||||
| Readmission Rate with ICD M791 - Myalgia | 10.77 | ||||
| Unplanned Readmission Rate at DRG | 7.97 | ||||
| Unplanned Readmission Rate with ICD M791 - Myalgia | 7.42 | ||||
| Total Medicare payments at DRG | $3,216,901,374 | ||||
| Total Medicare payments with ICD M791 - Myalgia | $13,130,766 | ||||
| Total Medicare payment per Day at DRG | $1,450 | ||||
| Total Medicare payment per Day with ICD M791 - Myalgia | $1,434 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,033 | ||||
| Total Medicare payment per Hospitalization with ICD M791 - Myalgia | $17,744 | ||||
| Total Medicare Charges at DRG | $7,709,712,645 | ||||
| Total Medicare Charges with ICD M791 - Myalgia | $32,307,704 | ||||
| Avg Charges at DRG | $40,822 | ||||
| Avg Charges with ICD M791 - Myalgia | $43,659 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD M791 - Myalgia | NA | ||||
| SNF Discharge Rate at DRG | 19.54 | ||||
| SNF Discharge Rate with ICD M791 - Myalgia | 16.89 | ||||
| Home Discharge Rate at DRG | 19.47 | ||||
| Home Discharge Rate with ICD M791 - Myalgia | 21.76 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| SOUTHERN KENTUCKY REHABILITATION HOSPITAL | 1300 CAMPBELL LN | BOWLING GREEN | KY | 42104 | 266 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 246 |
| SUNNYVIEW REHABILITATION HOSPITAL | 1270 BELMONT AVENUE | SCHENECTADY | NY | 12308 | 210 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ROBERT GROSS | 6425 LYNCH CANYON DR | LAKE ISABELLA | CA | 93240 | 103 |
| Dr. ARMANDO AVOLIO | 100 TRICH DR | WASHINGTON | PA | 15301 | 76 |
| Dr. MICHAEL P FROST | 722 E BUTLER PIKE | AMBLER | PA | 19002 | 57 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JAMES PETER LITTLE | 1011 SPRING CREEK RD | CHATTANOOGA | TN | 37412 | 254 |
| Dr. DEREK S SCOTT | 2727 S. PENNSYLVANIA AVE | LANSING | MI | 48910 | 163 |
| Dr. TERRENCE MACARTHUR PUGH | 1100 BLYTHE BLVD | CHARLOTTE | NC | 28203 | 130 |