*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M79606 - Pain in leg, unspecified - as a primary diagnosis code | M79606 - Pain in leg, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.33 | |
| Readmission Rate (%) | 23.58 | |
| Unplanned Readmission Rate (%) | 12.28 | |
| 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 M79606 - Pain in leg, unspecified | 103 | |
| DRG Share of Total Hospitalizations | 0.13 | |
| % of Total ICD M79606 - Pain in leg, unspecified in DRG | 80.47 | |
| Avg LOS at DRG | 4.54 | |
| Avg LOS with ICD M79606 - Pain in leg, unspecified | 3.61 | |
| Readmission Rate at DRG | 18.05 | |
| Readmission Rate with ICD M79606 - Pain in leg, unspecified | 19.78 | |
| Unplanned Readmission Rate at DRG | 10.73 | |
| Unplanned Readmission Rate with ICD M79606 - Pain in leg, unspecified | 12.09 | |
| Total Medicare payments at DRG | $293,427,765 | |
| Total Medicare payments with ICD M79606 - Pain in leg, unspecified | $558,731 | |
| Total Medicare payment per Day at DRG | $1,485 | |
| Total Medicare payment per Day with ICD M79606 - Pain in leg, unspecified | $1,502 | |
| Total Medicare payment per Hospitalization at DRG | $6,739 | |
| Total Medicare payment per Hospitalization with ICD M79606 - Pain in leg, unspecified | $5,425 | |
| Total Medicare Charges at DRG | $1,161,067,318 | |
| Total Medicare Charges with ICD M79606 - Pain in leg, unspecified | $2,567,608 | |
| Avg Charges at DRG | $26,665 | |
| Avg Charges with ICD M79606 - Pain in leg, unspecified | $24,928 | |
| Mortality Rate at DRG | 0.19 | |
| Mortality Rate with ICD M79606 - Pain in leg, unspecified | NA | |
| SNF Discharge Rate at DRG | 27.91 | |
| SNF Discharge Rate with ICD M79606 - Pain in leg, unspecified | 33.01 | |
| Home Discharge Rate at DRG | 35.39 | |
| Home Discharge Rate with ICD M79606 - Pain in leg, unspecified | 34.95 |
*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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD M79606 - Pain in leg, unspecified | 1,687 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD M79606 - Pain in leg, unspecified in DRG | 7.55 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD M79606 - Pain in leg, unspecified | 12.27 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD M79606 - Pain in leg, unspecified | 27.01 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD M79606 - Pain in leg, unspecified | 12.69 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD M79606 - Pain in leg, unspecified | $14,689,949 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD M79606 - Pain in leg, unspecified | $710 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD M79606 - Pain in leg, unspecified | $8,708 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD M79606 - Pain in leg, unspecified | $50,746,153 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD M79606 - Pain in leg, unspecified | $30,081 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD M79606 - Pain in leg, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD M79606 - Pain in leg, unspecified | 4.8 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD M79606 - Pain in leg, unspecified | 83.05 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS 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 | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 201,938 | ||||
| Total Hospitalizations with ICD M79606 - Pain in leg, unspecified | 401 | ||||
| DRG Share of Total Hospitalizations | 0.61 | ||||
| % of Total ICD M79606 - Pain in leg, unspecified in DRG | 1.8 | ||||
| Avg LOS at DRG | 3.4 | ||||
| Avg LOS with ICD M79606 - Pain in leg, unspecified | 4.48 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD M79606 - Pain in leg, unspecified | 39.51 | ||||
| Unplanned Readmission Rate at DRG | 21.29 | ||||
| Unplanned Readmission Rate with ICD M79606 - Pain in leg, unspecified | 34.33 | ||||
| Total Medicare payments at DRG | $1,046,791,335 | ||||
| Total Medicare payments with ICD M79606 - Pain in leg, unspecified | $2,040,132 | ||||
| Total Medicare payment per Day at DRG | $1,523 | ||||
| Total Medicare payment per Day with ICD M79606 - Pain in leg, unspecified | $1,135 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,184 | ||||
| Total Medicare payment per Hospitalization with ICD M79606 - Pain in leg, unspecified | $5,088 | ||||
| Total Medicare Charges at DRG | $5,572,284,000 | ||||
| Total Medicare Charges with ICD M79606 - Pain in leg, unspecified | $11,881,672 | ||||
| Avg Charges at DRG | $27,594 | ||||
| Avg Charges with ICD M79606 - Pain in leg, unspecified | $29,630 | ||||
| Mortality Rate at DRG | 0.31 | ||||
| Mortality Rate with ICD M79606 - Pain in leg, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 12.45 | ||||
| SNF Discharge Rate with ICD M79606 - Pain in leg, unspecified | 5.24 | ||||
| Home Discharge Rate at DRG | 66.72 | ||||
| Home Discharge Rate with ICD M79606 - Pain in leg, unspecified | 79.8 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | 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 | 167,575 | ||||
| Total Hospitalizations with ICD M79606 - Pain in leg, unspecified | 329 | ||||
| DRG Share of Total Hospitalizations | 0.51 | ||||
| % of Total ICD M79606 - Pain in leg, unspecified in DRG | 1.47 | ||||
| Avg LOS at DRG | 5.54 | ||||
| Avg LOS with ICD M79606 - Pain in leg, unspecified | 7.26 | ||||
| Readmission Rate at DRG | 28.6 | ||||
| Readmission Rate with ICD M79606 - Pain in leg, unspecified | 27.51 | ||||
| Unplanned Readmission Rate at DRG | 14.22 | ||||
| Unplanned Readmission Rate with ICD M79606 - Pain in leg, unspecified | 11.33 | ||||
| Total Medicare payments at DRG | $830,329,176 | ||||
| Total Medicare payments with ICD M79606 - Pain in leg, unspecified | $1,704,848 | ||||
| Total Medicare payment per Day at DRG | $895 | ||||
| Total Medicare payment per Day with ICD M79606 - Pain in leg, unspecified | $713 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,955 | ||||
| Total Medicare payment per Hospitalization with ICD M79606 - Pain in leg, unspecified | $5,182 | ||||
| Total Medicare Charges at DRG | $3,314,158,261 | ||||
| Total Medicare Charges with ICD M79606 - Pain in leg, unspecified | $6,671,824 | ||||
| Avg Charges at DRG | $19,777 | ||||
| Avg Charges with ICD M79606 - Pain in leg, unspecified | $20,279 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD M79606 - Pain in leg, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 5.67 | ||||
| SNF Discharge Rate with ICD M79606 - Pain in leg, unspecified | 6.99 | ||||
| Home Discharge Rate at DRG | 80.01 | ||||
| Home Discharge Rate with ICD M79606 - Pain in leg, unspecified | 77.81 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 160,950 | ||||
| Total Hospitalizations with ICD M79606 - Pain in leg, unspecified | 304 | ||||
| DRG Share of Total Hospitalizations | 0.49 | ||||
| % of Total ICD M79606 - Pain in leg, unspecified in DRG | 1.36 | ||||
| Avg LOS at DRG | 4.98 | ||||
| Avg LOS with ICD M79606 - Pain in leg, unspecified | 5.59 | ||||
| Readmission Rate at DRG | 20.85 | ||||
| Readmission Rate with ICD M79606 - Pain in leg, unspecified | 18.56 | ||||
| Unplanned Readmission Rate at DRG | 13.4 | ||||
| Unplanned Readmission Rate with ICD M79606 - Pain in leg, unspecified | 10.65 | ||||
| Total Medicare payments at DRG | $1,184,949,733 | ||||
| Total Medicare payments with ICD M79606 - Pain in leg, unspecified | $2,157,326 | ||||
| Total Medicare payment per Day at DRG | $1,477 | ||||
| Total Medicare payment per Day with ICD M79606 - Pain in leg, unspecified | $1,271 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,362 | ||||
| Total Medicare payment per Hospitalization with ICD M79606 - Pain in leg, unspecified | $7,096 | ||||
| Total Medicare Charges at DRG | $4,222,078,897 | ||||
| Total Medicare Charges with ICD M79606 - Pain in leg, unspecified | $8,184,363 | ||||
| Avg Charges at DRG | $26,232 | ||||
| Avg Charges with ICD M79606 - Pain in leg, unspecified | $26,922 | ||||
| Mortality Rate at DRG | 0.67 | ||||
| Mortality Rate with ICD M79606 - Pain in leg, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 22.29 | ||||
| SNF Discharge Rate with ICD M79606 - Pain in leg, unspecified | 25.99 | ||||
| Home Discharge Rate at DRG | 35.46 | ||||
| Home Discharge Rate with ICD M79606 - Pain in leg, unspecified | 34.54 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| COOKEVILLE REGIONAL MEDICAL CENTER | 1 MEDICAL CENTER BLVD | COOKEVILLE | TN | 38501 | 401 |
| TURNING POINT HOSPITAL | 3015 VETERANS PKWY S | MOULTRIE | GA | 31788 | 130 |
| JOHNS HOPKINS BAYVIEW MEDICAL CENTER | 4940 EASTERN AVE | BALTIMORE | MD | 21224 | 76 |
| 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 | 105 |
| Dr. THOMAS MILTON GANNON | 427 N WILLOW AVE | COOKEVILLE | TN | 38501 | 60 |
| Dr. THEODORE V PARRAN | 2351 E 22ND ST | CLEVELAND | OH | 44115 | 39 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. THOMAS MILTON GANNON | 427 N WILLOW AVE | COOKEVILLE | TN | 38501 | 394 |
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 117 |
| Dr. THEODORE V PARRAN | 2351 E 22ND ST | CLEVELAND | OH | 44115 | 38 |