*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M7989 - Other specified soft tissue disorders - as a primary diagnosis code | M7989 - Other specified soft tissue disorders - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.99 | |
| Readmission Rate (%) | 24.66 | |
| Unplanned Readmission Rate (%) | 15.5 | |
| 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) | DRG 464: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 463: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 465: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 43,543 | ||||
| Total Hospitalizations with ICD M7989 - Other specified soft tissue disorders | 1,049 | ||||
| DRG Share of Total Hospitalizations | 0.13 | ||||
| % of Total ICD M7989 - Other specified soft tissue disorders in DRG | 69.38 | ||||
| Avg LOS at DRG | 4.54 | ||||
| Avg LOS with ICD M7989 - Other specified soft tissue disorders | 2.45 | ||||
| Readmission Rate at DRG | 18.05 | ||||
| Readmission Rate with ICD M7989 - Other specified soft tissue disorders | 20.9 | ||||
| Unplanned Readmission Rate at DRG | 10.73 | ||||
| Unplanned Readmission Rate with ICD M7989 - Other specified soft tissue disorders | 13.66 | ||||
| Total Medicare payments at DRG | $293,427,765 | ||||
| Total Medicare payments with ICD M7989 - Other specified soft tissue disorders | $4,883,919 | ||||
| Total Medicare payment per Day at DRG | $1,485 | ||||
| Total Medicare payment per Day with ICD M7989 - Other specified soft tissue disorders | $1,904 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,739 | ||||
| Total Medicare payment per Hospitalization with ICD M7989 - Other specified soft tissue disorders | $4,656 | ||||
| Total Medicare Charges at DRG | $1,161,067,318 | ||||
| Total Medicare Charges with ICD M7989 - Other specified soft tissue disorders | $21,176,269 | ||||
| Avg Charges at DRG | $26,665 | ||||
| Avg Charges with ICD M7989 - Other specified soft tissue disorders | $20,187 | ||||
| Mortality Rate at DRG | 0.19 | ||||
| Mortality Rate with ICD M7989 - Other specified soft tissue disorders | NA | ||||
| SNF Discharge Rate at DRG | 27.91 | ||||
| SNF Discharge Rate with ICD M7989 - Other specified soft tissue disorders | 16.59 | ||||
| Home Discharge Rate at DRG | 35.39 | ||||
| Home Discharge Rate with ICD M7989 - Other specified soft tissue disorders | 56.15 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 502: SOFT TISSUE PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 501: SOFT TISSUE PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|
| Total Hospitalizations at DRG | 11,926 | |
| Total Hospitalizations with ICD M7989 - Other specified soft tissue disorders | 13 | |
| DRG Share of Total Hospitalizations | 0.04 | |
| % of Total ICD M7989 - Other specified soft tissue disorders in DRG | 0.86 | |
| Avg LOS at DRG | 2.83 | |
| Avg LOS with ICD M7989 - Other specified soft tissue disorders | 3.92 | |
| Readmission Rate at DRG | 11.81 | |
| Readmission Rate with ICD M7989 - Other specified soft tissue disorders | NA | |
| Unplanned Readmission Rate at DRG | 4.21 | |
| Unplanned Readmission Rate with ICD M7989 - Other specified soft tissue disorders | NA | |
| Total Medicare payments at DRG | $83,897,096 | |
| Total Medicare payments with ICD M7989 - Other specified soft tissue disorders | $72,640 | |
| Total Medicare payment per Day at DRG | $2,482 | |
| Total Medicare payment per Day with ICD M7989 - Other specified soft tissue disorders | $1,424 | |
| Total Medicare payment per Hospitalization at DRG | $7,035 | |
| Total Medicare payment per Hospitalization with ICD M7989 - Other specified soft tissue disorders | $5,588 | |
| Total Medicare Charges at DRG | $520,541,143 | |
| Total Medicare Charges with ICD M7989 - Other specified soft tissue disorders | $386,604 | |
| Avg Charges at DRG | $43,648 | |
| Avg Charges with ICD M7989 - Other specified soft tissue disorders | $29,739 | |
| Mortality Rate at DRG | NA | |
| Mortality Rate with ICD M7989 - Other specified soft tissue disorders | NA | |
| SNF Discharge Rate at DRG | 23.87 | |
| SNF Discharge Rate with ICD M7989 - Other specified soft tissue disorders | NA | |
| Home Discharge Rate at DRG | 46.55 | |
| Home Discharge Rate with ICD M7989 - Other specified soft tissue disorders | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 17 |
| MONTEFIORE MEDICAL CENTER | 111 E 210TH ST | BRONX | NY | 10467 | 13 |
| UPMC PRESBYTERIAN SHADYSIDE | 200 LOTHROP ST | PITTSBURGH | PA | 15213 | 12 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| 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 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 885: PSYCHOSES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD M7989 - Other specified soft tissue disorders | 3,939 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD M7989 - Other specified soft tissue disorders in DRG | 4.74 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD M7989 - Other specified soft tissue disorders | 7.28 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD M7989 - Other specified soft tissue disorders | 27.37 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD M7989 - Other specified soft tissue disorders | 18.76 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD M7989 - Other specified soft tissue disorders | $47,702,596 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD M7989 - Other specified soft tissue disorders | $1,664 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD M7989 - Other specified soft tissue disorders | $12,110 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD M7989 - Other specified soft tissue disorders | $240,493,324 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD M7989 - Other specified soft tissue disorders | $61,054 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD M7989 - Other specified soft tissue disorders | 7.39 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD M7989 - Other specified soft tissue disorders | 30.77 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD M7989 - Other specified soft tissue disorders | 24.6 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 556: SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH 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 | 539,642 | ||||
| Total Hospitalizations with ICD M7989 - Other specified soft tissue disorders | 1,627 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD M7989 - Other specified soft tissue disorders in DRG | 1.96 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD M7989 - Other specified soft tissue disorders | 7.1 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD M7989 - Other specified soft tissue disorders | 27.87 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD M7989 - Other specified soft tissue disorders | 19.68 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD M7989 - Other specified soft tissue disorders | $16,366,990 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD M7989 - Other specified soft tissue disorders | $1,416 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD M7989 - Other specified soft tissue disorders | $10,060 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD M7989 - Other specified soft tissue disorders | $81,437,279 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD M7989 - Other specified soft tissue disorders | $50,054 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD M7989 - Other specified soft tissue disorders | 3.81 | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD M7989 - Other specified soft tissue disorders | 19.79 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD M7989 - Other specified soft tissue disorders | 38.66 |
*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 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 359,935 | ||||
| Total Hospitalizations with ICD M7989 - Other specified soft tissue disorders | 1,333 | ||||
| DRG Share of Total Hospitalizations | 1.1 | ||||
| % of Total ICD M7989 - Other specified soft tissue disorders in DRG | 1.61 | ||||
| Avg LOS at DRG | 12.3 | ||||
| Avg LOS with ICD M7989 - Other specified soft tissue disorders | 15.82 | ||||
| Readmission Rate at DRG | 16.01 | ||||
| Readmission Rate with ICD M7989 - Other specified soft tissue disorders | 16.69 | ||||
| Unplanned Readmission Rate at DRG | 9.86 | ||||
| Unplanned Readmission Rate with ICD M7989 - Other specified soft tissue disorders | 10.56 | ||||
| Total Medicare payments at DRG | $5,883,826,653 | ||||
| Total Medicare payments with ICD M7989 - Other specified soft tissue disorders | $26,847,205 | ||||
| Total Medicare payment per Day at DRG | $1,329 | ||||
| Total Medicare payment per Day with ICD M7989 - Other specified soft tissue disorders | $1,273 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
| Total Medicare payment per Hospitalization with ICD M7989 - Other specified soft tissue disorders | $20,140 | ||||
| Total Medicare Charges at DRG | $15,374,824,749 | ||||
| Total Medicare Charges with ICD M7989 - Other specified soft tissue disorders | $72,712,204 | ||||
| Avg Charges at DRG | $42,716 | ||||
| Avg Charges with ICD M7989 - Other specified soft tissue disorders | $54,548 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD M7989 - Other specified soft tissue disorders | NA | ||||
| SNF Discharge Rate at DRG | 27.95 | ||||
| SNF Discharge Rate with ICD M7989 - Other specified soft tissue disorders | 28.66 | ||||
| Home Discharge Rate at DRG | 26.85 | ||||
| Home Discharge Rate with ICD M7989 - Other specified soft tissue disorders | 23.33 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD M7989 - Other specified soft tissue disorders | 1,044 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD M7989 - Other specified soft tissue disorders in DRG | 1.26 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD M7989 - Other specified soft tissue disorders | 6.59 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD M7989 - Other specified soft tissue disorders | 29.34 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD M7989 - Other specified soft tissue disorders | 21.79 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD M7989 - Other specified soft tissue disorders | $10,110,659 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD M7989 - Other specified soft tissue disorders | $1,470 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD M7989 - Other specified soft tissue disorders | $9,685 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD M7989 - Other specified soft tissue disorders | $50,152,222 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD M7989 - Other specified soft tissue disorders | $48,039 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD M7989 - Other specified soft tissue disorders | 4.6 | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD M7989 - Other specified soft tissue disorders | 29.02 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD M7989 - Other specified soft tissue disorders | 33.52 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ENCOMPASS HEALTH REHABILITATION HOSPITAL OF LAS VEGAS | 1250 S VALLEY VIEW BLVD | LAS VEGAS | NV | 89102 | 345 |
| ENCOMPASS HEALTH REHABILITATION HOSPITAL OF HENDERSON | 10301 JEFFREYS ST | HENDERSON | NV | 89052 | 336 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 253 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MARK HENRY STEINHAUER | 10301 GATEWAY BLVD W | EL PASO | TX | 79925 | 69 |
| Dr. SYAMALA CHEKURU | 3506 21ST ST | LUBBOCK | TX | 79410 | 39 |
| Dr. NORMAN A ALIGA | 26W171 ROOSEVELT RD | WHEATON | IL | 60187 | 39 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SOFRONIO SAGUCIO SORIANO | 501 S RANCHO DR | LAS VEGAS | NV | 89106 | 223 |
| Dr. JOHN HENRY SLOAN | 505 ELM ST NE | ALBUQUERQUE | NM | 87102 | 185 |
| Dr. ROBERT R GAO | 229 N PECOS RD | HENDERSON | NV | 89074 | 153 |