*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M810 - Age-related osteoporosis without current pathological fracture - as a primary diagnosis code | M810 - Age-related osteoporosis without current pathological fracture - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.32 | |
| Readmission Rate (%) | 20.19 | |
| Unplanned Readmission Rate (%) | 10.15 | |
| 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 554: BONE DISEASES AND ARTHROPATHIES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 553: BONE DISEASES AND ARTHROPATHIES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 51,757 | |||
| Total Hospitalizations with ICD M810 - Age-related osteoporosis without current pathological fracture | 124 | |||
| DRG Share of Total Hospitalizations | 0.16 | |||
| % of Total ICD M810 - Age-related osteoporosis without current pathological fracture in DRG | 44.77 | |||
| Avg LOS at DRG | 4.41 | |||
| Avg LOS with ICD M810 - Age-related osteoporosis without current pathological fracture | 4.53 | |||
| Readmission Rate at DRG | 17.16 | |||
| Readmission Rate with ICD M810 - Age-related osteoporosis without current pathological fracture | 22.88 | |||
| Unplanned Readmission Rate at DRG | 9.0 | |||
| Unplanned Readmission Rate with ICD M810 - Age-related osteoporosis without current pathological fracture | 15.25 | |||
| Total Medicare payments at DRG | $332,400,259 | |||
| Total Medicare payments with ICD M810 - Age-related osteoporosis without current pathological fracture | $793,628 | |||
| Total Medicare payment per Day at DRG | $1,455 | |||
| Total Medicare payment per Day with ICD M810 - Age-related osteoporosis without current pathological fracture | $1,412 | |||
| Total Medicare payment per Hospitalization at DRG | $6,422 | |||
| Total Medicare payment per Hospitalization with ICD M810 - Age-related osteoporosis without current pathological fracture | $6,400 | |||
| Total Medicare Charges at DRG | $1,234,809,519 | |||
| Total Medicare Charges with ICD M810 - Age-related osteoporosis without current pathological fracture | $3,310,796 | |||
| Avg Charges at DRG | $23,858 | |||
| Avg Charges with ICD M810 - Age-related osteoporosis without current pathological fracture | $26,700 | |||
| Mortality Rate at DRG | 0.04 | |||
| Mortality Rate with ICD M810 - Age-related osteoporosis without current pathological fracture | NA | |||
| SNF Discharge Rate at DRG | 25.37 | |||
| SNF Discharge Rate with ICD M810 - Age-related osteoporosis without current pathological fracture | 43.55 | |||
| Home Discharge Rate at DRG | 42.31 | |||
| Home Discharge Rate with ICD M810 - Age-related osteoporosis without current pathological fracture | 25.0 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD M810 - Age-related osteoporosis without current pathological fracture | 97,565 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD M810 - Age-related osteoporosis without current pathological fracture in DRG | 6.17 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD M810 - Age-related osteoporosis without current pathological fracture | 2.99 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD M810 - Age-related osteoporosis without current pathological fracture | 13.04 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD M810 - Age-related osteoporosis without current pathological fracture | 4.17 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD M810 - Age-related osteoporosis without current pathological fracture | $1,186,573,994 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD M810 - Age-related osteoporosis without current pathological fracture | $4,067 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD M810 - Age-related osteoporosis without current pathological fracture | $12,162 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD M810 - Age-related osteoporosis without current pathological fracture | $6,131,104,122 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD M810 - Age-related osteoporosis without current pathological fracture | $62,841 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD M810 - Age-related osteoporosis without current pathological fracture | 0.1 | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD M810 - Age-related osteoporosis without current pathological fracture | 36.19 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD M810 - Age-related osteoporosis without current pathological fracture | 21.08 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD M810 - Age-related osteoporosis without current pathological fracture | 29,395 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD M810 - Age-related osteoporosis without current pathological fracture in DRG | 1.86 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD M810 - Age-related osteoporosis without current pathological fracture | 3.54 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD M810 - Age-related osteoporosis without current pathological fracture | 16.97 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD M810 - Age-related osteoporosis without current pathological fracture | 12.13 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD M810 - Age-related osteoporosis without current pathological fracture | $142,512,307 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD M810 - Age-related osteoporosis without current pathological fracture | $1,370 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD M810 - Age-related osteoporosis without current pathological fracture | $4,848 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD M810 - Age-related osteoporosis without current pathological fracture | $717,787,272 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD M810 - Age-related osteoporosis without current pathological fracture | $24,419 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD M810 - Age-related osteoporosis without current pathological fracture | 0.19 | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD M810 - Age-related osteoporosis without current pathological fracture | 31.6 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD M810 - Age-related osteoporosis without current pathological fracture | 36.5 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD M810 - Age-related osteoporosis without current pathological fracture | 23,189 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD M810 - Age-related osteoporosis without current pathological fracture in DRG | 1.47 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD M810 - Age-related osteoporosis without current pathological fracture | 4.41 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD M810 - Age-related osteoporosis without current pathological fracture | 17.52 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD M810 - Age-related osteoporosis without current pathological fracture | 13.07 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD M810 - Age-related osteoporosis without current pathological fracture | $153,286,300 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD M810 - Age-related osteoporosis without current pathological fracture | $1,499 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD M810 - Age-related osteoporosis without current pathological fracture | $6,610 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD M810 - Age-related osteoporosis without current pathological fracture | $777,160,405 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD M810 - Age-related osteoporosis without current pathological fracture | $33,514 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD M810 - Age-related osteoporosis without current pathological fracture | 1.52 | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD M810 - Age-related osteoporosis without current pathological fracture | 26.39 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD M810 - Age-related osteoporosis without current pathological fracture | 40.5 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 310,318 | ||||
| Total Hospitalizations with ICD M810 - Age-related osteoporosis without current pathological fracture | 18,148 | ||||
| DRG Share of Total Hospitalizations | 0.94 | ||||
| % of Total ICD M810 - Age-related osteoporosis without current pathological fracture in DRG | 1.15 | ||||
| Avg LOS at DRG | 3.19 | ||||
| Avg LOS with ICD M810 - Age-related osteoporosis without current pathological fracture | 3.24 | ||||
| Readmission Rate at DRG | 20.19 | ||||
| Readmission Rate with ICD M810 - Age-related osteoporosis without current pathological fracture | 18.34 | ||||
| Unplanned Readmission Rate at DRG | 13.62 | ||||
| Unplanned Readmission Rate with ICD M810 - Age-related osteoporosis without current pathological fracture | 12.68 | ||||
| Total Medicare payments at DRG | $1,415,392,709 | ||||
| Total Medicare payments with ICD M810 - Age-related osteoporosis without current pathological fracture | $81,608,522 | ||||
| Total Medicare payment per Day at DRG | $1,431 | ||||
| Total Medicare payment per Day with ICD M810 - Age-related osteoporosis without current pathological fracture | $1,388 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,561 | ||||
| Total Medicare payment per Hospitalization with ICD M810 - Age-related osteoporosis without current pathological fracture | $4,497 | ||||
| Total Medicare Charges at DRG | $7,113,640,596 | ||||
| Total Medicare Charges with ICD M810 - Age-related osteoporosis without current pathological fracture | $419,053,174 | ||||
| Avg Charges at DRG | $22,924 | ||||
| Avg Charges with ICD M810 - Age-related osteoporosis without current pathological fracture | $23,091 | ||||
| Mortality Rate at DRG | 0.63 | ||||
| Mortality Rate with ICD M810 - Age-related osteoporosis without current pathological fracture | 0.53 | ||||
| SNF Discharge Rate at DRG | 19.76 | ||||
| SNF Discharge Rate with ICD M810 - Age-related osteoporosis without current pathological fracture | 24.61 | ||||
| Home Discharge Rate at DRG | 50.47 | ||||
| Home Discharge Rate with ICD M810 - Age-related osteoporosis without current pathological fracture | 44.25 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 7,095 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 5,024 |
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 4,669 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID MARK GORDON | 28455 HAGGERTY RD | NOVI | MI | 48377 | 1,213 |
| Dr. MICHAEL J OBOYLE | 209 PATEWOOD DR | GREENVILLE | SC | 29615 | 407 |
| Dr. EDWARD J STOLARSKI | 6050 CATTLERIDGE BLVD STE 201 | SARASOTA | FL | 34232 | 254 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID MARK GORDON | 28455 HAGGERTY RD | NOVI | MI | 48377 | 1,215 |
| Dr. OMAR ALBERTO COLON GUTIERREZ | 2800 W 15TH ST | PLANO | TX | 75075 | 949 |
| Dr. SERGIO ZAMORA | 2450 EL INDIO HWY | EAGLE PASS | TX | 78852 | 809 |