*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture - as a primary diagnosis code | M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.75 | |
| Readmission Rate (%) | 24.8 | |
| Unplanned Readmission Rate (%) | 12.94 | |
| 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 543: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 544: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 542: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 517: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 47,199 | ||||
| Total Hospitalizations with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 4,038 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture in DRG | 27.03 | ||||
| Avg LOS at DRG | 4.61 | ||||
| Avg LOS with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 4.14 | ||||
| Readmission Rate at DRG | 24.6 | ||||
| Readmission Rate with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 21.85 | ||||
| Unplanned Readmission Rate at DRG | 15.23 | ||||
| Unplanned Readmission Rate with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 12.7 | ||||
| Total Medicare payments at DRG | $344,528,731 | ||||
| Total Medicare payments with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $27,047,179 | ||||
| Total Medicare payment per Day at DRG | $1,583 | ||||
| Total Medicare payment per Day with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $1,618 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,299 | ||||
| Total Medicare payment per Hospitalization with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $6,698 | ||||
| Total Medicare Charges at DRG | $1,680,848,591 | ||||
| Total Medicare Charges with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $118,380,602 | ||||
| Avg Charges at DRG | $35,612 | ||||
| Avg Charges with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $29,317 | ||||
| Mortality Rate at DRG | 0.94 | ||||
| Mortality Rate with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 0.45 | ||||
| SNF Discharge Rate at DRG | 39.23 | ||||
| SNF Discharge Rate with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 55.1 | ||||
| Home Discharge Rate at DRG | 22.76 | ||||
| Home Discharge Rate with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 13.35 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 478: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 515: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 479: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 477: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 457: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 21,107 | ||||
| Total Hospitalizations with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 1,008 | ||||
| DRG Share of Total Hospitalizations | 0.06 | ||||
| % of Total ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture in DRG | 6.75 | ||||
| Avg LOS at DRG | 6.49 | ||||
| Avg LOS with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 5.34 | ||||
| Readmission Rate at DRG | 26.91 | ||||
| Readmission Rate with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 26.63 | ||||
| Unplanned Readmission Rate at DRG | 14.11 | ||||
| Unplanned Readmission Rate with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 14.45 | ||||
| Total Medicare payments at DRG | $299,258,488 | ||||
| Total Medicare payments with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $13,316,553 | ||||
| Total Medicare payment per Day at DRG | $2,183 | ||||
| Total Medicare payment per Day with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $2,476 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,178 | ||||
| Total Medicare payment per Hospitalization with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $13,211 | ||||
| Total Medicare Charges at DRG | $1,625,982,661 | ||||
| Total Medicare Charges with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $71,941,101 | ||||
| Avg Charges at DRG | $77,035 | ||||
| Avg Charges with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $71,370 | ||||
| Mortality Rate at DRG | 0.28 | ||||
| Mortality Rate with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | NA | ||||
| SNF Discharge Rate at DRG | 35.38 | ||||
| SNF Discharge Rate with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 42.16 | ||||
| Home Discharge Rate at DRG | 25.84 | ||||
| Home Discharge Rate with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 20.54 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 456: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 458: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 519: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 518: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR DISC DEVICE OR NEUROSTIMULATOR | DRG 454: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 5,040 | ||||
| Total Hospitalizations with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 124 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture in DRG | 0.83 | ||||
| Avg LOS at DRG | 11.53 | ||||
| Avg LOS with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 10.42 | ||||
| Readmission Rate at DRG | 51.77 | ||||
| Readmission Rate with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 43.36 | ||||
| Unplanned Readmission Rate at DRG | 11.61 | ||||
| Unplanned Readmission Rate with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | NA | ||||
| Total Medicare payments at DRG | $358,064,249 | ||||
| Total Medicare payments with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $8,158,555 | ||||
| Total Medicare payment per Day at DRG | $6,161 | ||||
| Total Medicare payment per Day with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $6,315 | ||||
| Total Medicare payment per Hospitalization at DRG | $71,044 | ||||
| Total Medicare payment per Hospitalization with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $65,795 | ||||
| Total Medicare Charges at DRG | $1,557,634,832 | ||||
| Total Medicare Charges with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $27,098,727 | ||||
| Avg Charges at DRG | $309,055 | ||||
| Avg Charges with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $218,538 | ||||
| Mortality Rate at DRG | 3.35 | ||||
| Mortality Rate with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | NA | ||||
| SNF Discharge Rate at DRG | 36.57 | ||||
| SNF Discharge Rate with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 50.0 | ||||
| Home Discharge Rate at DRG | 9.72 | ||||
| Home Discharge Rate with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 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 520: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 453: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 472: CERVICAL SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 30,062 | |||
| Total Hospitalizations with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 22 | |||
| DRG Share of Total Hospitalizations | 0.09 | |||
| % of Total ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture in DRG | 0.15 | |||
| Avg LOS at DRG | 2.14 | |||
| Avg LOS with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 3.5 | |||
| Readmission Rate at DRG | 11.6 | |||
| Readmission Rate with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | NA | |||
| Unplanned Readmission Rate at DRG | 3.9 | |||
| Unplanned Readmission Rate with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | NA | |||
| Total Medicare payments at DRG | $199,571,619 | |||
| Total Medicare payments with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $157,260 | |||
| Total Medicare payment per Day at DRG | $3,102 | |||
| Total Medicare payment per Day with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $2,042 | |||
| Total Medicare payment per Hospitalization at DRG | $6,639 | |||
| Total Medicare payment per Hospitalization with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $7,148 | |||
| Total Medicare Charges at DRG | $1,429,977,155 | |||
| Total Medicare Charges with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $1,016,883 | |||
| Avg Charges at DRG | $47,568 | |||
| Avg Charges with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $46,222 | |||
| Mortality Rate at DRG | NA | |||
| Mortality Rate with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | NA | |||
| SNF Discharge Rate at DRG | 8.82 | |||
| SNF Discharge Rate with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | NA | |||
| Home Discharge Rate at DRG | 68.77 | |||
| Home Discharge Rate with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ASCENSION VIA CHRISTI ST. FRANCIS | 929 N SAINT FRANCIS ST | WICHITA | KS | 67214 | 111 |
| ST. ELIZABETH MEDICAL CENTER NORTH | 1 MEDICAL VILLAGE DR | EDGEWOOD | KY | 41017 | 101 |
| PALOS HEALTH | 12251 S 80TH AVE | PALOS HEIGHTS | IL | 60463 | 88 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. VAN B BOGGUS | 6444 MONROE ST | SYLVANIA | OH | 43560 | 65 |
| Dr. STUART C. BELKIN | 401 MONROE TPKE | MONROE | CT | 06468 | 59 |
| Dr. LUIS E DUARTE | 120 E BEAUREGARD AVE | SAN ANGELO | TX | 76903 | 51 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. PHILIP S YUAN | 2760 ATLANTIC AVE | LONG BEACH | CA | 90806 | 31 |
| Dr. LOUIS SANG-SOO PARK | 500 S VIRGIL AVE # 502 | LOS ANGELES | CA | 90020 | 25 |
| Dr. DOMINIC ARTHUR JAEGER | 969 LAKELAND DR | JACKSON | MS | 39216 | 19 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 543: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 544: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 542: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 517: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 47,199 | ||||
| Total Hospitalizations with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 4,403 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture in DRG | 14.46 | ||||
| Avg LOS at DRG | 4.61 | ||||
| Avg LOS with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 4.16 | ||||
| Readmission Rate at DRG | 24.6 | ||||
| Readmission Rate with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 21.51 | ||||
| Unplanned Readmission Rate at DRG | 15.23 | ||||
| Unplanned Readmission Rate with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 12.46 | ||||
| Total Medicare payments at DRG | $344,528,731 | ||||
| Total Medicare payments with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $29,687,974 | ||||
| Total Medicare payment per Day at DRG | $1,583 | ||||
| Total Medicare payment per Day with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $1,622 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,299 | ||||
| Total Medicare payment per Hospitalization with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $6,743 | ||||
| Total Medicare Charges at DRG | $1,680,848,591 | ||||
| Total Medicare Charges with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $129,434,772 | ||||
| Avg Charges at DRG | $35,612 | ||||
| Avg Charges with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $29,397 | ||||
| Mortality Rate at DRG | 0.94 | ||||
| Mortality Rate with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 0.43 | ||||
| SNF Discharge Rate at DRG | 39.23 | ||||
| SNF Discharge Rate with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 55.69 | ||||
| Home Discharge Rate at DRG | 22.76 | ||||
| Home Discharge Rate with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 13.1 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 478: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 515: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 479: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 21,107 | ||||
| Total Hospitalizations with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 1,200 | ||||
| DRG Share of Total Hospitalizations | 0.06 | ||||
| % of Total ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture in DRG | 3.94 | ||||
| Avg LOS at DRG | 6.49 | ||||
| Avg LOS with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 5.46 | ||||
| Readmission Rate at DRG | 26.91 | ||||
| Readmission Rate with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 26.04 | ||||
| Unplanned Readmission Rate at DRG | 14.11 | ||||
| Unplanned Readmission Rate with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 13.72 | ||||
| Total Medicare payments at DRG | $299,258,488 | ||||
| Total Medicare payments with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $16,011,512 | ||||
| Total Medicare payment per Day at DRG | $2,183 | ||||
| Total Medicare payment per Day with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $2,442 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,178 | ||||
| Total Medicare payment per Hospitalization with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $13,343 | ||||
| Total Medicare Charges at DRG | $1,625,982,661 | ||||
| Total Medicare Charges with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $87,018,449 | ||||
| Avg Charges at DRG | $77,035 | ||||
| Avg Charges with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $72,515 | ||||
| Mortality Rate at DRG | 0.28 | ||||
| Mortality Rate with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | NA | ||||
| SNF Discharge Rate at DRG | 35.38 | ||||
| SNF Discharge Rate with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 42.08 | ||||
| Home Discharge Rate at DRG | 25.84 | ||||
| Home Discharge Rate with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 21.0 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 477: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH 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 457: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 10,492 | ||||
| Total Hospitalizations with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 448 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture in DRG | 1.47 | ||||
| Avg LOS at DRG | 10.44 | ||||
| Avg LOS with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 8.15 | ||||
| Readmission Rate at DRG | 33.5 | ||||
| Readmission Rate with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 30.63 | ||||
| Unplanned Readmission Rate at DRG | 18.55 | ||||
| Unplanned Readmission Rate with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 16.47 | ||||
| Total Medicare payments at DRG | $222,941,658 | ||||
| Total Medicare payments with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $8,440,487 | ||||
| Total Medicare payment per Day at DRG | $2,035 | ||||
| Total Medicare payment per Day with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $2,311 | ||||
| Total Medicare payment per Hospitalization at DRG | $21,249 | ||||
| Total Medicare payment per Hospitalization with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $18,840 | ||||
| Total Medicare Charges at DRG | $1,105,743,816 | ||||
| Total Medicare Charges with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $43,025,065 | ||||
| Avg Charges at DRG | $105,389 | ||||
| Avg Charges with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $96,038 | ||||
| Mortality Rate at DRG | 3.15 | ||||
| Mortality Rate with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | NA | ||||
| SNF Discharge Rate at DRG | 39.48 | ||||
| SNF Discharge Rate with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 48.44 | ||||
| Home Discharge Rate at DRG | 15.98 | ||||
| Home Discharge Rate with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 10.71 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 369 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture in DRG | 1.21 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 6.14 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 30.35 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 23.7 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $3,638,458 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $1,605 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $9,860 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $17,533,223 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $47,516 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 3.25 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 40.38 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD M8008XA - Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 18.97 |
| 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 | 310 |
| MISSION HOSPITAL | 509 BILTMORE AVE | ASHEVILLE | NC | 28801 | 246 |
| ASCENSION VIA CHRISTI ST. FRANCIS | 929 N SAINT FRANCIS ST | WICHITA | KS | 67214 | 162 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. VAN B BOGGUS | 6444 MONROE ST | SYLVANIA | OH | 43560 | 74 |
| Dr. DEVIN KUMAR DATTA | 2222 S HARBOR CITY BLVD | MELBOURNE | FL | 32901 | 64 |
| Dr. STUART C. BELKIN | 401 MONROE TPKE | MONROE | CT | 06468 | 61 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. LOUIS SANG-SOO PARK | 500 S VIRGIL AVE # 502 | LOS ANGELES | CA | 90020 | 32 |
| Dr. PHILIP S YUAN | 2760 ATLANTIC AVE | LONG BEACH | CA | 90806 | 31 |
| Dr. KORNELIS POELSTRA | 155 CRYSTAL BEACH DR | DESTIN | FL | 32541 | 31 |