*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M79652 - Pain in left thigh - as a primary diagnosis code | M79652 - Pain in left thigh - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.16 | |
| Readmission Rate (%) | 23.18 | |
| Unplanned Readmission Rate (%) | 15.52 | |
| 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 M79652 - Pain in left thigh | 244 | |
| DRG Share of Total Hospitalizations | 0.13 | |
| % of Total ICD M79652 - Pain in left thigh in DRG | 80.79 | |
| Avg LOS at DRG | 4.54 | |
| Avg LOS with ICD M79652 - Pain in left thigh | 3.53 | |
| Readmission Rate at DRG | 18.05 | |
| Readmission Rate with ICD M79652 - Pain in left thigh | 22.22 | |
| Unplanned Readmission Rate at DRG | 10.73 | |
| Unplanned Readmission Rate with ICD M79652 - Pain in left thigh | 13.68 | |
| Total Medicare payments at DRG | $293,427,765 | |
| Total Medicare payments with ICD M79652 - Pain in left thigh | $1,339,859 | |
| Total Medicare payment per Day at DRG | $1,485 | |
| Total Medicare payment per Day with ICD M79652 - Pain in left thigh | $1,554 | |
| Total Medicare payment per Hospitalization at DRG | $6,739 | |
| Total Medicare payment per Hospitalization with ICD M79652 - Pain in left thigh | $5,491 | |
| Total Medicare Charges at DRG | $1,161,067,318 | |
| Total Medicare Charges with ICD M79652 - Pain in left thigh | $5,371,912 | |
| Avg Charges at DRG | $26,665 | |
| Avg Charges with ICD M79652 - Pain in left thigh | $22,016 | |
| Mortality Rate at DRG | 0.19 | |
| Mortality Rate with ICD M79652 - Pain in left thigh | NA | |
| SNF Discharge Rate at DRG | 27.91 | |
| SNF Discharge Rate with ICD M79652 - Pain in left thigh | 31.97 | |
| Home Discharge Rate at DRG | 35.39 | |
| Home Discharge Rate with ICD M79652 - Pain in left thigh | 38.11 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 43,543 | ||||
| Total Hospitalizations with ICD M79652 - Pain in left thigh | 394 | ||||
| DRG Share of Total Hospitalizations | 0.13 | ||||
| % of Total ICD M79652 - Pain in left thigh in DRG | 5.81 | ||||
| Avg LOS at DRG | 4.54 | ||||
| Avg LOS with ICD M79652 - Pain in left thigh | 3.86 | ||||
| Readmission Rate at DRG | 18.05 | ||||
| Readmission Rate with ICD M79652 - Pain in left thigh | 21.22 | ||||
| Unplanned Readmission Rate at DRG | 10.73 | ||||
| Unplanned Readmission Rate with ICD M79652 - Pain in left thigh | 12.2 | ||||
| Total Medicare payments at DRG | $293,427,765 | ||||
| Total Medicare payments with ICD M79652 - Pain in left thigh | $2,360,332 | ||||
| Total Medicare payment per Day at DRG | $1,485 | ||||
| Total Medicare payment per Day with ICD M79652 - Pain in left thigh | $1,552 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,739 | ||||
| Total Medicare payment per Hospitalization with ICD M79652 - Pain in left thigh | $5,991 | ||||
| Total Medicare Charges at DRG | $1,161,067,318 | ||||
| Total Medicare Charges with ICD M79652 - Pain in left thigh | $8,825,156 | ||||
| Avg Charges at DRG | $26,665 | ||||
| Avg Charges with ICD M79652 - Pain in left thigh | $22,399 | ||||
| Mortality Rate at DRG | 0.19 | ||||
| Mortality Rate with ICD M79652 - Pain in left thigh | NA | ||||
| SNF Discharge Rate at DRG | 27.91 | ||||
| SNF Discharge Rate with ICD M79652 - Pain in left thigh | 32.74 | ||||
| Home Discharge Rate at DRG | 35.39 | ||||
| Home Discharge Rate with ICD M79652 - Pain in left thigh | 36.29 |
*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 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 160,950 | ||||
| Total Hospitalizations with ICD M79652 - Pain in left thigh | 135 | ||||
| DRG Share of Total Hospitalizations | 0.49 | ||||
| % of Total ICD M79652 - Pain in left thigh in DRG | 1.99 | ||||
| Avg LOS at DRG | 4.98 | ||||
| Avg LOS with ICD M79652 - Pain in left thigh | 5.21 | ||||
| Readmission Rate at DRG | 20.85 | ||||
| Readmission Rate with ICD M79652 - Pain in left thigh | 17.46 | ||||
| Unplanned Readmission Rate at DRG | 13.4 | ||||
| Unplanned Readmission Rate with ICD M79652 - Pain in left thigh | NA | ||||
| Total Medicare payments at DRG | $1,184,949,733 | ||||
| Total Medicare payments with ICD M79652 - Pain in left thigh | $1,016,810 | ||||
| Total Medicare payment per Day at DRG | $1,477 | ||||
| Total Medicare payment per Day with ICD M79652 - Pain in left thigh | $1,444 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,362 | ||||
| Total Medicare payment per Hospitalization with ICD M79652 - Pain in left thigh | $7,532 | ||||
| Total Medicare Charges at DRG | $4,222,078,897 | ||||
| Total Medicare Charges with ICD M79652 - Pain in left thigh | $3,486,908 | ||||
| Avg Charges at DRG | $26,232 | ||||
| Avg Charges with ICD M79652 - Pain in left thigh | $25,829 | ||||
| Mortality Rate at DRG | 0.67 | ||||
| Mortality Rate with ICD M79652 - Pain in left thigh | NA | ||||
| SNF Discharge Rate at DRG | 22.29 | ||||
| SNF Discharge Rate with ICD M79652 - Pain in left thigh | 24.44 | ||||
| Home Discharge Rate at DRG | 35.46 | ||||
| Home Discharge Rate with ICD M79652 - Pain in left thigh | 33.33 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD M79652 - Pain in left thigh | 116 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD M79652 - Pain in left thigh in DRG | 1.71 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD M79652 - Pain in left thigh | 4.81 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD M79652 - Pain in left thigh | 21.93 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD M79652 - Pain in left thigh | 18.42 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD M79652 - Pain in left thigh | $685,826 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD M79652 - Pain in left thigh | $1,229 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD M79652 - Pain in left thigh | $5,912 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD M79652 - Pain in left thigh | $3,371,351 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD M79652 - Pain in left thigh | $29,063 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD M79652 - Pain in left thigh | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD M79652 - Pain in left thigh | 37.93 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD M79652 - Pain in left thigh | 32.76 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 555: SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 95,335 | ||||
| Total Hospitalizations with ICD M79652 - Pain in left thigh | 92 | ||||
| DRG Share of Total Hospitalizations | 0.29 | ||||
| % of Total ICD M79652 - Pain in left thigh in DRG | 1.36 | ||||
| Avg LOS at DRG | 10.22 | ||||
| Avg LOS with ICD M79652 - Pain in left thigh | 11.97 | ||||
| Readmission Rate at DRG | 9.28 | ||||
| Readmission Rate with ICD M79652 - Pain in left thigh | NA | ||||
| Unplanned Readmission Rate at DRG | 5.52 | ||||
| Unplanned Readmission Rate with ICD M79652 - Pain in left thigh | NA | ||||
| Total Medicare payments at DRG | $1,423,955,801 | ||||
| Total Medicare payments with ICD M79652 - Pain in left thigh | $1,601,856 | ||||
| Total Medicare payment per Day at DRG | $1,462 | ||||
| Total Medicare payment per Day with ICD M79652 - Pain in left thigh | $1,455 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,936 | ||||
| Total Medicare payment per Hospitalization with ICD M79652 - Pain in left thigh | $17,411 | ||||
| Total Medicare Charges at DRG | $2,977,958,847 | ||||
| Total Medicare Charges with ICD M79652 - Pain in left thigh | $3,615,001 | ||||
| Avg Charges at DRG | $31,237 | ||||
| Avg Charges with ICD M79652 - Pain in left thigh | $39,293 | ||||
| Mortality Rate at DRG | 0.08 | ||||
| Mortality Rate with ICD M79652 - Pain in left thigh | NA | ||||
| SNF Discharge Rate at DRG | 15.14 | ||||
| SNF Discharge Rate with ICD M79652 - Pain in left thigh | NA | ||||
| Home Discharge Rate at DRG | 25.42 | ||||
| Home Discharge Rate with ICD M79652 - Pain in left thigh | 23.91 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 33 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 31 |
| HOSPITAL FOR SPECIAL SURGERY | 535 E 70TH ST | NEW YORK | NY | 10021 | 28 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. HUGH D NEWMAN | 2005 VALLEY VIEW BLVD | ALTOONA | PA | 16602 | 12 |
| Dr. CHARLES LOUIS SPELLMAN | 300 2ND AVE | LONG BRANCH | NJ | 07740 | 11 |