*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture - as a primary diagnosis code | M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.88 | |
| Readmission Rate (%) | 25.74 | |
| Unplanned Readmission Rate (%) | 14.1 | |
| 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 M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 3,241 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture in DRG | 26.24 | ||||
| Avg LOS at DRG | 4.61 | ||||
| Avg LOS with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 4.27 | ||||
| Readmission Rate at DRG | 24.6 | ||||
| Readmission Rate with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 22.22 | ||||
| Unplanned Readmission Rate at DRG | 15.23 | ||||
| Unplanned Readmission Rate with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 13.53 | ||||
| Total Medicare payments at DRG | $344,528,731 | ||||
| Total Medicare payments with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $22,279,107 | ||||
| Total Medicare payment per Day at DRG | $1,583 | ||||
| Total Medicare payment per Day with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $1,611 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,299 | ||||
| Total Medicare payment per Hospitalization with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $6,874 | ||||
| Total Medicare Charges at DRG | $1,680,848,591 | ||||
| Total Medicare Charges with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $100,104,758 | ||||
| Avg Charges at DRG | $35,612 | ||||
| Avg Charges with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $30,887 | ||||
| Mortality Rate at DRG | 0.94 | ||||
| Mortality Rate with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | NA | ||||
| SNF Discharge Rate at DRG | 39.23 | ||||
| SNF Discharge Rate with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 52.67 | ||||
| Home Discharge Rate at DRG | 22.76 | ||||
| Home Discharge Rate with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 16.32 |
*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 M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 932 | ||||
| DRG Share of Total Hospitalizations | 0.06 | ||||
| % of Total ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture in DRG | 7.54 | ||||
| Avg LOS at DRG | 6.49 | ||||
| Avg LOS with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 5.64 | ||||
| Readmission Rate at DRG | 26.91 | ||||
| Readmission Rate with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 25.36 | ||||
| Unplanned Readmission Rate at DRG | 14.11 | ||||
| Unplanned Readmission Rate with ICD M8088XA - Other 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 M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $12,328,723 | ||||
| Total Medicare payment per Day at DRG | $2,183 | ||||
| Total Medicare payment per Day with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $2,345 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,178 | ||||
| Total Medicare payment per Hospitalization with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $13,228 | ||||
| Total Medicare Charges at DRG | $1,625,982,661 | ||||
| Total Medicare Charges with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $70,212,591 | ||||
| Avg Charges at DRG | $77,035 | ||||
| Avg Charges with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $75,335 | ||||
| Mortality Rate at DRG | 0.28 | ||||
| Mortality Rate with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | NA | ||||
| SNF Discharge Rate at DRG | 35.38 | ||||
| SNF Discharge Rate with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 43.24 | ||||
| Home Discharge Rate at DRG | 25.84 | ||||
| Home Discharge Rate with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 19.21 |
*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 454: COMBINED ANTERIOR/POSTERIOR 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 | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 5,040 | ||||
| Total Hospitalizations with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 87 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture in DRG | 0.7 | ||||
| Avg LOS at DRG | 11.53 | ||||
| Avg LOS with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 11.89 | ||||
| Readmission Rate at DRG | 51.77 | ||||
| Readmission Rate with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 42.17 | ||||
| Unplanned Readmission Rate at DRG | 11.61 | ||||
| Unplanned Readmission Rate with ICD M8088XA - Other 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 M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $5,585,206 | ||||
| Total Medicare payment per Day at DRG | $6,161 | ||||
| Total Medicare payment per Day with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $5,402 | ||||
| Total Medicare payment per Hospitalization at DRG | $71,044 | ||||
| Total Medicare payment per Hospitalization with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $64,198 | ||||
| Total Medicare Charges at DRG | $1,557,634,832 | ||||
| Total Medicare Charges with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $22,987,043 | ||||
| Avg Charges at DRG | $309,055 | ||||
| Avg Charges with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $264,219 | ||||
| Mortality Rate at DRG | 3.35 | ||||
| Mortality Rate with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | NA | ||||
| SNF Discharge Rate at DRG | 36.57 | ||||
| SNF Discharge Rate with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 50.57 | ||||
| Home Discharge Rate at DRG | 9.72 | ||||
| Home Discharge Rate with ICD M8088XA - Other 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 453: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 7,362 | ||
| Total Hospitalizations with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 19 | ||
| DRG Share of Total Hospitalizations | 0.02 | ||
| % of Total ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture in DRG | 0.15 | ||
| Avg LOS at DRG | 10.04 | ||
| Avg LOS with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 12.16 | ||
| Readmission Rate at DRG | 45.05 | ||
| Readmission Rate with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | NA | ||
| Unplanned Readmission Rate at DRG | 8.78 | ||
| Unplanned Readmission Rate with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | NA | ||
| Total Medicare payments at DRG | $550,960,642 | ||
| Total Medicare payments with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $1,441,281 | ||
| Total Medicare payment per Day at DRG | $7,454 | ||
| Total Medicare payment per Day with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $6,239 | ||
| Total Medicare payment per Hospitalization at DRG | $74,838 | ||
| Total Medicare payment per Hospitalization with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $75,857 | ||
| Total Medicare Charges at DRG | $2,482,391,111 | ||
| Total Medicare Charges with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $6,408,033 | ||
| Avg Charges at DRG | $337,190 | ||
| Avg Charges with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $337,265 | ||
| Mortality Rate at DRG | 2.55 | ||
| Mortality Rate with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | NA | ||
| SNF Discharge Rate at DRG | 31.16 | ||
| SNF Discharge Rate with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | NA | ||
| Home Discharge Rate at DRG | 16.07 | ||
| Home Discharge Rate with ICD M8088XA - Other 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 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 98 |
| PALOS HEALTH | 12251 S 80TH AVE | PALOS HEIGHTS | IL | 60463 | 80 |
| MCLAREN BAY REGION | 1900 COLUMBUS AVE | BAY CITY | MI | 48708 | 75 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. TAE MIN SHIN | 1245 WILSHIRE BLVD., SUITE 400 | LOS ANGELES | CA | 90017 | 73 |
| Dr. SAMER M ELFALLAL | 5452 FORT ST STE 200 | TRENTON | MI | 48183 | 53 |
| Dr. FRANK R HELLINGER | 1605 W FAIRBANKS AVE. | WINTER PARK | FL | 32789 | 34 |
| 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 | 52 |
| Dr. PHILIP S YUAN | 2760 ATLANTIC AVE | LONG BEACH | CA | 90806 | 18 |
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 17 |
*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 M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 3,435 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture in DRG | 15.25 | ||||
| Avg LOS at DRG | 4.61 | ||||
| Avg LOS with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 4.27 | ||||
| Readmission Rate at DRG | 24.6 | ||||
| Readmission Rate with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 21.88 | ||||
| Unplanned Readmission Rate at DRG | 15.23 | ||||
| Unplanned Readmission Rate with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 13.31 | ||||
| Total Medicare payments at DRG | $344,528,731 | ||||
| Total Medicare payments with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $23,583,466 | ||||
| Total Medicare payment per Day at DRG | $1,583 | ||||
| Total Medicare payment per Day with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $1,608 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,299 | ||||
| Total Medicare payment per Hospitalization with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $6,866 | ||||
| Total Medicare Charges at DRG | $1,680,848,591 | ||||
| Total Medicare Charges with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $106,221,520 | ||||
| Avg Charges at DRG | $35,612 | ||||
| Avg Charges with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $30,923 | ||||
| Mortality Rate at DRG | 0.94 | ||||
| Mortality Rate with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | NA | ||||
| SNF Discharge Rate at DRG | 39.23 | ||||
| SNF Discharge Rate with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 53.01 | ||||
| Home Discharge Rate at DRG | 22.76 | ||||
| Home Discharge Rate with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 16.24 |
*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 M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 1,057 | ||||
| DRG Share of Total Hospitalizations | 0.06 | ||||
| % of Total ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture in DRG | 4.69 | ||||
| Avg LOS at DRG | 6.49 | ||||
| Avg LOS with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 5.73 | ||||
| Readmission Rate at DRG | 26.91 | ||||
| Readmission Rate with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 25.36 | ||||
| Unplanned Readmission Rate at DRG | 14.11 | ||||
| Unplanned Readmission Rate with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 13.17 | ||||
| Total Medicare payments at DRG | $299,258,488 | ||||
| Total Medicare payments with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $14,063,166 | ||||
| Total Medicare payment per Day at DRG | $2,183 | ||||
| Total Medicare payment per Day with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $2,323 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,178 | ||||
| Total Medicare payment per Hospitalization with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $13,305 | ||||
| Total Medicare Charges at DRG | $1,625,982,661 | ||||
| Total Medicare Charges with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $81,229,978 | ||||
| Avg Charges at DRG | $77,035 | ||||
| Avg Charges with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $76,850 | ||||
| Mortality Rate at DRG | 0.28 | ||||
| Mortality Rate with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | NA | ||||
| SNF Discharge Rate at DRG | 35.38 | ||||
| SNF Discharge Rate with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 43.05 | ||||
| Home Discharge Rate at DRG | 25.84 | ||||
| Home Discharge Rate with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 19.96 |
*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 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 10,492 | ||||
| Total Hospitalizations with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 376 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture in DRG | 1.67 | ||||
| Avg LOS at DRG | 10.44 | ||||
| Avg LOS with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 8.23 | ||||
| Readmission Rate at DRG | 33.5 | ||||
| Readmission Rate with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 36.75 | ||||
| Unplanned Readmission Rate at DRG | 18.55 | ||||
| Unplanned Readmission Rate with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 19.94 | ||||
| Total Medicare payments at DRG | $222,941,658 | ||||
| Total Medicare payments with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $7,281,947 | ||||
| Total Medicare payment per Day at DRG | $2,035 | ||||
| Total Medicare payment per Day with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $2,354 | ||||
| Total Medicare payment per Hospitalization at DRG | $21,249 | ||||
| Total Medicare payment per Hospitalization with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $19,367 | ||||
| Total Medicare Charges at DRG | $1,105,743,816 | ||||
| Total Medicare Charges with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $40,095,342 | ||||
| Avg Charges at DRG | $105,389 | ||||
| Avg Charges with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $106,637 | ||||
| Mortality Rate at DRG | 3.15 | ||||
| Mortality Rate with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | NA | ||||
| SNF Discharge Rate at DRG | 39.48 | ||||
| SNF Discharge Rate with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 43.88 | ||||
| Home Discharge Rate at DRG | 15.98 | ||||
| Home Discharge Rate with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 14.1 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 457: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 13,267 | ||||
| Total Hospitalizations with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 244 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture in DRG | 1.08 | ||||
| Avg LOS at DRG | 6.15 | ||||
| Avg LOS with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 6.94 | ||||
| Readmission Rate at DRG | 37.98 | ||||
| Readmission Rate with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 43.7 | ||||
| Unplanned Readmission Rate at DRG | 7.67 | ||||
| Unplanned Readmission Rate with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 13.87 | ||||
| Total Medicare payments at DRG | $663,107,672 | ||||
| Total Medicare payments with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $11,973,366 | ||||
| Total Medicare payment per Day at DRG | $8,133 | ||||
| Total Medicare payment per Day with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $7,068 | ||||
| Total Medicare payment per Hospitalization at DRG | $49,982 | ||||
| Total Medicare payment per Hospitalization with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $49,071 | ||||
| Total Medicare Charges at DRG | $2,896,079,147 | ||||
| Total Medicare Charges with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $48,830,777 | ||||
| Avg Charges at DRG | $218,292 | ||||
| Avg Charges with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | $200,126 | ||||
| Mortality Rate at DRG | 0.1 | ||||
| Mortality Rate with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | NA | ||||
| SNF Discharge Rate at DRG | 28.37 | ||||
| SNF Discharge Rate with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 40.57 | ||||
| Home Discharge Rate at DRG | 23.93 | ||||
| Home Discharge Rate with ICD M8088XA - Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture | 13.93 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 145 |
| PALOS HEALTH | 12251 S 80TH AVE | PALOS HEIGHTS | IL | 60463 | 114 |
| BARNES JEWISH HOSPITAL | 1 BARNES-JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 109 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. TAE MIN SHIN | 1245 WILSHIRE BLVD., SUITE 400 | LOS ANGELES | CA | 90017 | 78 |
| Dr. SAMER M ELFALLAL | 5452 FORT ST STE 200 | TRENTON | MI | 48183 | 57 |
| Dr. FRANK R HELLINGER | 1605 W FAIRBANKS AVE. | WINTER PARK | FL | 32789 | 45 |
| 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 | 57 |
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 23 |
| Dr. PHILIP S YUAN | 2760 ATLANTIC AVE | LONG BEACH | CA | 90806 | 18 |