*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M799 - Soft tissue disorder, unspecified - as a primary diagnosis code | M799 - Soft tissue disorder, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.45 | |
| Readmission Rate (%) | 22.36 | |
| Unplanned Readmission Rate (%) | 12.09 | |
| 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) | |
|---|---|
| Total Hospitalizations at DRG | 43,543 |
| Total Hospitalizations with ICD M799 - Soft tissue disorder, unspecified | 57 |
| DRG Share of Total Hospitalizations | 0.13 |
| % of Total ICD M799 - Soft tissue disorder, unspecified in DRG | 57.58 |
| Avg LOS at DRG | 4.54 |
| Avg LOS with ICD M799 - Soft tissue disorder, unspecified | 3.12 |
| Readmission Rate at DRG | 18.05 |
| Readmission Rate with ICD M799 - Soft tissue disorder, unspecified | 22.0 |
| Unplanned Readmission Rate at DRG | 10.73 |
| Unplanned Readmission Rate with ICD M799 - Soft tissue disorder, unspecified | NA |
| Total Medicare payments at DRG | $293,427,765 |
| Total Medicare payments with ICD M799 - Soft tissue disorder, unspecified | $311,392 |
| Total Medicare payment per Day at DRG | $1,485 |
| Total Medicare payment per Day with ICD M799 - Soft tissue disorder, unspecified | $1,749 |
| Total Medicare payment per Hospitalization at DRG | $6,739 |
| Total Medicare payment per Hospitalization with ICD M799 - Soft tissue disorder, unspecified | $5,463 |
| Total Medicare Charges at DRG | $1,161,067,318 |
| Total Medicare Charges with ICD M799 - Soft tissue disorder, unspecified | $1,761,584 |
| Avg Charges at DRG | $26,665 |
| Avg Charges with ICD M799 - Soft tissue disorder, unspecified | $30,905 |
| Mortality Rate at DRG | 0.19 |
| Mortality Rate with ICD M799 - Soft tissue disorder, unspecified | NA |
| SNF Discharge Rate at DRG | 27.91 |
| SNF Discharge Rate with ICD M799 - Soft tissue disorder, unspecified | NA |
| Home Discharge Rate at DRG | 35.39 |
| Home Discharge Rate with ICD M799 - Soft tissue disorder, unspecified | 52.63 |
*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 885: PSYCHOSES | DRG 556: SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD M799 - Soft tissue disorder, unspecified | 73 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD M799 - Soft tissue disorder, unspecified in DRG | 4.3 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD M799 - Soft tissue disorder, unspecified | 6.29 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD M799 - Soft tissue disorder, unspecified | 22.58 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD M799 - Soft tissue disorder, unspecified | NA | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD M799 - Soft tissue disorder, unspecified | $921,543 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD M799 - Soft tissue disorder, unspecified | $2,008 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD M799 - Soft tissue disorder, unspecified | $12,624 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD M799 - Soft tissue disorder, unspecified | $4,042,815 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD M799 - Soft tissue disorder, unspecified | $55,381 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD M799 - Soft tissue disorder, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD M799 - Soft tissue disorder, unspecified | 20.55 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD M799 - Soft tissue disorder, unspecified | 28.77 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 188,863 | ||||
| Total Hospitalizations with ICD M799 - Soft tissue disorder, unspecified | 26 | ||||
| DRG Share of Total Hospitalizations | 0.57 | ||||
| % of Total ICD M799 - Soft tissue disorder, unspecified in DRG | 1.53 | ||||
| Avg LOS at DRG | 11.75 | ||||
| Avg LOS with ICD M799 - Soft tissue disorder, unspecified | 12.35 | ||||
| Readmission Rate at DRG | 12.14 | ||||
| Readmission Rate with ICD M799 - Soft tissue disorder, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 7.97 | ||||
| Unplanned Readmission Rate with ICD M799 - Soft tissue disorder, unspecified | NA | ||||
| Total Medicare payments at DRG | $3,216,901,374 | ||||
| Total Medicare payments with ICD M799 - Soft tissue disorder, unspecified | $484,105 | ||||
| Total Medicare payment per Day at DRG | $1,450 | ||||
| Total Medicare payment per Day with ICD M799 - Soft tissue disorder, unspecified | $1,508 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,033 | ||||
| Total Medicare payment per Hospitalization with ICD M799 - Soft tissue disorder, unspecified | $18,619 | ||||
| Total Medicare Charges at DRG | $7,709,712,645 | ||||
| Total Medicare Charges with ICD M799 - Soft tissue disorder, unspecified | $948,964 | ||||
| Avg Charges at DRG | $40,822 | ||||
| Avg Charges with ICD M799 - Soft tissue disorder, unspecified | $36,499 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD M799 - Soft tissue disorder, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 19.54 | ||||
| SNF Discharge Rate with ICD M799 - Soft tissue disorder, unspecified | NA | ||||
| Home Discharge Rate at DRG | 19.47 | ||||
| Home Discharge Rate with ICD M799 - Soft tissue disorder, unspecified | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 195,476 | ||||
| Total Hospitalizations with ICD M799 - Soft tissue disorder, unspecified | 20 | ||||
| DRG Share of Total Hospitalizations | 0.59 | ||||
| % of Total ICD M799 - Soft tissue disorder, unspecified in DRG | 1.18 | ||||
| Avg LOS at DRG | 4.48 | ||||
| Avg LOS with ICD M799 - Soft tissue disorder, unspecified | 5.85 | ||||
| Readmission Rate at DRG | 20.57 | ||||
| Readmission Rate with ICD M799 - Soft tissue disorder, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 9.88 | ||||
| Unplanned Readmission Rate with ICD M799 - Soft tissue disorder, unspecified | NA | ||||
| Total Medicare payments at DRG | $1,320,662,237 | ||||
| Total Medicare payments with ICD M799 - Soft tissue disorder, unspecified | $166,770 | ||||
| Total Medicare payment per Day at DRG | $1,508 | ||||
| Total Medicare payment per Day with ICD M799 - Soft tissue disorder, unspecified | $1,425 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,756 | ||||
| Total Medicare payment per Hospitalization with ICD M799 - Soft tissue disorder, unspecified | $8,339 | ||||
| Total Medicare Charges at DRG | $6,024,639,461 | ||||
| Total Medicare Charges with ICD M799 - Soft tissue disorder, unspecified | $632,245 | ||||
| Avg Charges at DRG | $30,820 | ||||
| Avg Charges with ICD M799 - Soft tissue disorder, unspecified | $31,612 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD M799 - Soft tissue disorder, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 33.36 | ||||
| SNF Discharge Rate with ICD M799 - Soft tissue disorder, unspecified | NA | ||||
| Home Discharge Rate at DRG | 30.98 | ||||
| Home Discharge Rate with ICD M799 - Soft tissue disorder, unspecified | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 464: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 621: O.R. PROCEDURES FOR OBESITY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 34,505 | ||||
| Total Hospitalizations with ICD M799 - Soft tissue disorder, unspecified | 18 | ||||
| DRG Share of Total Hospitalizations | 0.1 | ||||
| % of Total ICD M799 - Soft tissue disorder, unspecified in DRG | 1.06 | ||||
| Avg LOS at DRG | 7.5 | ||||
| Avg LOS with ICD M799 - Soft tissue disorder, unspecified | 6.89 | ||||
| Readmission Rate at DRG | 24.13 | ||||
| Readmission Rate with ICD M799 - Soft tissue disorder, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 9.59 | ||||
| Unplanned Readmission Rate with ICD M799 - Soft tissue disorder, unspecified | NA | ||||
| Total Medicare payments at DRG | $661,706,701 | ||||
| Total Medicare payments with ICD M799 - Soft tissue disorder, unspecified | $288,923 | ||||
| Total Medicare payment per Day at DRG | $2,559 | ||||
| Total Medicare payment per Day with ICD M799 - Soft tissue disorder, unspecified | $2,330 | ||||
| Total Medicare payment per Hospitalization at DRG | $19,177 | ||||
| Total Medicare payment per Hospitalization with ICD M799 - Soft tissue disorder, unspecified | $16,051 | ||||
| Total Medicare Charges at DRG | $3,132,931,207 | ||||
| Total Medicare Charges with ICD M799 - Soft tissue disorder, unspecified | $1,505,297 | ||||
| Avg Charges at DRG | $90,796 | ||||
| Avg Charges with ICD M799 - Soft tissue disorder, unspecified | $83,628 | ||||
| Mortality Rate at DRG | 0.1 | ||||
| Mortality Rate with ICD M799 - Soft tissue disorder, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 38.89 | ||||
| SNF Discharge Rate with ICD M799 - Soft tissue disorder, unspecified | NA | ||||
| Home Discharge Rate at DRG | 17.15 | ||||
| Home Discharge Rate with ICD M799 - Soft tissue disorder, unspecified | NA |
| 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 | 22 |
| MCLAREN PORT HURON | 1221 PINE GROVE AVE | PORT HURON | MI | 48060 | 19 |
| METHODIST UNIVERSITY HOSPITAL | 1265 UNION AVE | MEMPHIS | TN | 38104 | 16 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MICHAEL W HENNIGAN | 1847 FLORIDA AVE | PANAMA CITY | FL | 32405 | 16 |