*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M79605 - Pain in left leg - as a primary diagnosis code | M79605 - Pain in left leg - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.51 | |
| Readmission Rate (%) | 24.54 | |
| Unplanned Readmission Rate (%) | 14.84 | |
| 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 M79605 - Pain in left leg | 940 | |
| DRG Share of Total Hospitalizations | 0.13 | |
| % of Total ICD M79605 - Pain in left leg in DRG | 83.63 | |
| Avg LOS at DRG | 4.54 | |
| Avg LOS with ICD M79605 - Pain in left leg | 3.36 | |
| Readmission Rate at DRG | 18.05 | |
| Readmission Rate with ICD M79605 - Pain in left leg | 21.24 | |
| Unplanned Readmission Rate at DRG | 10.73 | |
| Unplanned Readmission Rate with ICD M79605 - Pain in left leg | 13.67 | |
| Total Medicare payments at DRG | $293,427,765 | |
| Total Medicare payments with ICD M79605 - Pain in left leg | $4,985,693 | |
| Total Medicare payment per Day at DRG | $1,485 | |
| Total Medicare payment per Day with ICD M79605 - Pain in left leg | $1,577 | |
| Total Medicare payment per Hospitalization at DRG | $6,739 | |
| Total Medicare payment per Hospitalization with ICD M79605 - Pain in left leg | $5,304 | |
| Total Medicare Charges at DRG | $1,161,067,318 | |
| Total Medicare Charges with ICD M79605 - Pain in left leg | $20,962,436 | |
| Avg Charges at DRG | $26,665 | |
| Avg Charges with ICD M79605 - Pain in left leg | $22,300 | |
| Mortality Rate at DRG | 0.19 | |
| Mortality Rate with ICD M79605 - Pain in left leg | NA | |
| SNF Discharge Rate at DRG | 27.91 | |
| SNF Discharge Rate with ICD M79605 - Pain in left leg | 31.38 | |
| Home Discharge Rate at DRG | 35.39 | |
| Home Discharge Rate with ICD M79605 - Pain in left leg | 36.49 |
*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 M79605 - Pain in left leg | 2,044 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD M79605 - Pain in left leg in DRG | 4.52 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD M79605 - Pain in left leg | 13.34 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD M79605 - Pain in left leg | 29.92 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD M79605 - Pain in left leg | 13.79 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD M79605 - Pain in left leg | $19,242,206 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD M79605 - Pain in left leg | $705 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD M79605 - Pain in left leg | $9,414 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD M79605 - Pain in left leg | $63,287,709 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD M79605 - Pain in left leg | $30,963 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD M79605 - Pain in left leg | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD M79605 - Pain in left leg | 7.24 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD M79605 - Pain in left leg | 76.61 |
*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 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 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 364,421 | ||||
| Total Hospitalizations with ICD M79605 - Pain in left leg | 949 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD M79605 - Pain in left leg in DRG | 2.1 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD M79605 - Pain in left leg | 4.62 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD M79605 - Pain in left leg | 18.88 | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD M79605 - Pain in left leg | 11.2 | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD M79605 - Pain in left leg | $5,870,676 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD M79605 - Pain in left leg | $1,338 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD M79605 - Pain in left leg | $6,186 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD M79605 - Pain in left leg | $23,053,692 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD M79605 - Pain in left leg | $24,293 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD M79605 - Pain in left leg | NA | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD M79605 - Pain in left leg | 16.12 | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD M79605 - Pain in left leg | 48.47 |
*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 M79605 - Pain in left leg | 801 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD M79605 - Pain in left leg in DRG | 1.77 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD M79605 - Pain in left leg | 4.15 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD M79605 - Pain in left leg | 24.87 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD M79605 - Pain in left leg | 18.45 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD M79605 - Pain in left leg | $4,689,725 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD M79605 - Pain in left leg | $1,410 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD M79605 - Pain in left leg | $5,855 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD M79605 - Pain in left leg | $22,552,403 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD M79605 - Pain in left leg | $28,155 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD M79605 - Pain in left leg | NA | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD M79605 - Pain in left leg | 28.59 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD M79605 - Pain in left leg | 35.58 |
*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 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 310,318 | ||||
| Total Hospitalizations with ICD M79605 - Pain in left leg | 614 | ||||
| DRG Share of Total Hospitalizations | 0.94 | ||||
| % of Total ICD M79605 - Pain in left leg in DRG | 1.36 | ||||
| Avg LOS at DRG | 3.19 | ||||
| Avg LOS with ICD M79605 - Pain in left leg | 3.61 | ||||
| Readmission Rate at DRG | 20.19 | ||||
| Readmission Rate with ICD M79605 - Pain in left leg | 25.13 | ||||
| Unplanned Readmission Rate at DRG | 13.62 | ||||
| Unplanned Readmission Rate with ICD M79605 - Pain in left leg | 16.58 | ||||
| Total Medicare payments at DRG | $1,415,392,709 | ||||
| Total Medicare payments with ICD M79605 - Pain in left leg | $3,243,016 | ||||
| Total Medicare payment per Day at DRG | $1,431 | ||||
| Total Medicare payment per Day with ICD M79605 - Pain in left leg | $1,461 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,561 | ||||
| Total Medicare payment per Hospitalization with ICD M79605 - Pain in left leg | $5,282 | ||||
| Total Medicare Charges at DRG | $7,113,640,596 | ||||
| Total Medicare Charges with ICD M79605 - Pain in left leg | $15,130,278 | ||||
| Avg Charges at DRG | $22,924 | ||||
| Avg Charges with ICD M79605 - Pain in left leg | $24,642 | ||||
| Mortality Rate at DRG | 0.63 | ||||
| Mortality Rate with ICD M79605 - Pain in left leg | NA | ||||
| SNF Discharge Rate at DRG | 19.76 | ||||
| SNF Discharge Rate with ICD M79605 - Pain in left leg | 28.5 | ||||
| Home Discharge Rate at DRG | 50.47 | ||||
| Home Discharge Rate with ICD M79605 - Pain in left leg | 41.69 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ENCOMPASS HEALTH REHABILITATION HOSPITAL OF TOMS RIVER | 14 HOSPITAL DR | TOMS RIVER | NJ | 08755 | 145 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 144 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 127 |
| 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 | 71 |
| Dr. NORMAN A ALIGA | 26W171 ROOSEVELT RD | WHEATON | IL | 60187 | 33 |
| Dr. DERECK A. PEERY | 915 10TH AVE NW | ARDMORE | OK | 73401 | 21 |
| 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 | 96 |
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 80 |
| Dr. JOHN HENRY SLOAN | 505 ELM ST NE | ALBUQUERQUE | NM | 87102 | 57 |