*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M79604 - Pain in right leg - as a primary diagnosis code | M79604 - Pain in right leg - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.46 | |
| Readmission Rate (%) | 24.43 | |
| Unplanned Readmission Rate (%) | 12.39 | |
| 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 M79604 - Pain in right leg | 817 | |
| DRG Share of Total Hospitalizations | 0.13 | |
| % of Total ICD M79604 - Pain in right leg in DRG | 84.05 | |
| Avg LOS at DRG | 4.54 | |
| Avg LOS with ICD M79604 - Pain in right leg | 3.39 | |
| Readmission Rate at DRG | 18.05 | |
| Readmission Rate with ICD M79604 - Pain in right leg | 19.95 | |
| Unplanned Readmission Rate at DRG | 10.73 | |
| Unplanned Readmission Rate with ICD M79604 - Pain in right leg | 10.89 | |
| Total Medicare payments at DRG | $293,427,765 | |
| Total Medicare payments with ICD M79604 - Pain in right leg | $4,347,887 | |
| Total Medicare payment per Day at DRG | $1,485 | |
| Total Medicare payment per Day with ICD M79604 - Pain in right leg | $1,571 | |
| Total Medicare payment per Hospitalization at DRG | $6,739 | |
| Total Medicare payment per Hospitalization with ICD M79604 - Pain in right leg | $5,322 | |
| Total Medicare Charges at DRG | $1,161,067,318 | |
| Total Medicare Charges with ICD M79604 - Pain in right leg | $18,134,064 | |
| Avg Charges at DRG | $26,665 | |
| Avg Charges with ICD M79604 - Pain in right leg | $22,196 | |
| Mortality Rate at DRG | 0.19 | |
| Mortality Rate with ICD M79604 - Pain in right leg | NA | |
| SNF Discharge Rate at DRG | 27.91 | |
| SNF Discharge Rate with ICD M79604 - Pain in right leg | 27.05 | |
| Home Discharge Rate at DRG | 35.39 | |
| Home Discharge Rate with ICD M79604 - Pain in right leg | 33.54 |
*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 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD M79604 - Pain in right leg | 1,980 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD M79604 - Pain in right leg in DRG | 4.31 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD M79604 - Pain in right leg | 14.01 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD M79604 - Pain in right leg | 27.97 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD M79604 - Pain in right leg | 12.15 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD M79604 - Pain in right leg | $19,504,790 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD M79604 - Pain in right leg | $703 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD M79604 - Pain in right leg | $9,851 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD M79604 - Pain in right leg | $64,731,152 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD M79604 - Pain in right leg | $32,693 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD M79604 - Pain in right leg | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD M79604 - Pain in right leg | 6.82 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD M79604 - Pain in right leg | 78.13 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 359,935 | ||||
| Total Hospitalizations with ICD M79604 - Pain in right leg | 911 | ||||
| DRG Share of Total Hospitalizations | 1.1 | ||||
| % of Total ICD M79604 - Pain in right leg in DRG | 1.98 | ||||
| Avg LOS at DRG | 12.3 | ||||
| Avg LOS with ICD M79604 - Pain in right leg | 14.15 | ||||
| Readmission Rate at DRG | 16.01 | ||||
| Readmission Rate with ICD M79604 - Pain in right leg | 14.76 | ||||
| Unplanned Readmission Rate at DRG | 9.86 | ||||
| Unplanned Readmission Rate with ICD M79604 - Pain in right leg | 10.39 | ||||
| Total Medicare payments at DRG | $5,883,826,653 | ||||
| Total Medicare payments with ICD M79604 - Pain in right leg | $17,809,433 | ||||
| Total Medicare payment per Day at DRG | $1,329 | ||||
| Total Medicare payment per Day with ICD M79604 - Pain in right leg | $1,382 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
| Total Medicare payment per Hospitalization with ICD M79604 - Pain in right leg | $19,549 | ||||
| Total Medicare Charges at DRG | $15,374,824,749 | ||||
| Total Medicare Charges with ICD M79604 - Pain in right leg | $43,577,291 | ||||
| Avg Charges at DRG | $42,716 | ||||
| Avg Charges with ICD M79604 - Pain in right leg | $47,835 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD M79604 - Pain in right leg | NA | ||||
| SNF Discharge Rate at DRG | 27.95 | ||||
| SNF Discharge Rate with ICD M79604 - Pain in right leg | 28.1 | ||||
| Home Discharge Rate at DRG | 26.85 | ||||
| Home Discharge Rate with ICD M79604 - Pain in right leg | 21.84 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD M79604 - Pain in right leg | 796 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD M79604 - Pain in right leg in DRG | 1.73 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD M79604 - Pain in right leg | 4.24 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD M79604 - Pain in right leg | 26.84 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD M79604 - Pain in right leg | 20.69 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD M79604 - Pain in right leg | $4,702,846 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD M79604 - Pain in right leg | $1,394 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD M79604 - Pain in right leg | $5,908 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD M79604 - Pain in right leg | $22,717,401 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD M79604 - Pain in right leg | $28,539 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD M79604 - Pain in right leg | NA | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD M79604 - Pain in right leg | 32.29 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD M79604 - Pain in right leg | 36.06 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 310,318 | ||||
| Total Hospitalizations with ICD M79604 - Pain in right leg | 613 | ||||
| DRG Share of Total Hospitalizations | 0.94 | ||||
| % of Total ICD M79604 - Pain in right leg in DRG | 1.33 | ||||
| Avg LOS at DRG | 3.19 | ||||
| Avg LOS with ICD M79604 - Pain in right leg | 3.67 | ||||
| Readmission Rate at DRG | 20.19 | ||||
| Readmission Rate with ICD M79604 - Pain in right leg | 22.32 | ||||
| Unplanned Readmission Rate at DRG | 13.62 | ||||
| Unplanned Readmission Rate with ICD M79604 - Pain in right leg | 14.71 | ||||
| Total Medicare payments at DRG | $1,415,392,709 | ||||
| Total Medicare payments with ICD M79604 - Pain in right leg | $3,090,286 | ||||
| Total Medicare payment per Day at DRG | $1,431 | ||||
| Total Medicare payment per Day with ICD M79604 - Pain in right leg | $1,375 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,561 | ||||
| Total Medicare payment per Hospitalization with ICD M79604 - Pain in right leg | $5,041 | ||||
| Total Medicare Charges at DRG | $7,113,640,596 | ||||
| Total Medicare Charges with ICD M79604 - Pain in right leg | $14,486,320 | ||||
| Avg Charges at DRG | $22,924 | ||||
| Avg Charges with ICD M79604 - Pain in right leg | $23,632 | ||||
| Mortality Rate at DRG | 0.63 | ||||
| Mortality Rate with ICD M79604 - Pain in right leg | NA | ||||
| SNF Discharge Rate at DRG | 19.76 | ||||
| SNF Discharge Rate with ICD M79604 - Pain in right leg | 27.9 | ||||
| Home Discharge Rate at DRG | 50.47 | ||||
| Home Discharge Rate with ICD M79604 - Pain in right leg | 39.48 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 165 |
| ENCOMPASS HEALTH REHABILITATION HOSPITAL OF TOMS RIVER | 14 HOSPITAL DR | TOMS RIVER | NJ | 08755 | 156 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 135 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 67 |
| Dr. NORMAN A ALIGA | 26W171 ROOSEVELT RD | WHEATON | IL | 60187 | 34 |
| Dr. DAVID MARK GORDON | 28455 HAGGERTY RD | NOVI | MI | 48377 | 30 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CARL DOUGLAS PORTER | 100 MEDICAL CENTER DR | SPRINGFIELD | OH | 45504 | 88 |
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 77 |
| Dr. JOHN HENRY SLOAN | 505 ELM ST NE | ALBUQUERQUE | NM | 87102 | 51 |