*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M818 - Other osteoporosis without current pathological fracture - as a primary diagnosis code | M818 - Other osteoporosis without current pathological fracture - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.05 | |
| Readmission Rate (%) | 22.96 | |
| Unplanned Readmission Rate (%) | NA | |
| 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) | |
|---|---|
| Total Hospitalizations at DRG | 51,757 |
| Total Hospitalizations with ICD M818 - Other osteoporosis without current pathological fracture | 18 |
| DRG Share of Total Hospitalizations | 0.16 |
| % of Total ICD M818 - Other osteoporosis without current pathological fracture in DRG | 47.37 |
| Avg LOS at DRG | 4.41 |
| Avg LOS with ICD M818 - Other osteoporosis without current pathological fracture | 4.67 |
| Readmission Rate at DRG | 17.16 |
| Readmission Rate with ICD M818 - Other osteoporosis without current pathological fracture | NA |
| Unplanned Readmission Rate at DRG | 9.0 |
| Unplanned Readmission Rate with ICD M818 - Other osteoporosis without current pathological fracture | NA |
| Total Medicare payments at DRG | $332,400,259 |
| Total Medicare payments with ICD M818 - Other osteoporosis without current pathological fracture | $130,869 |
| Total Medicare payment per Day at DRG | $1,455 |
| Total Medicare payment per Day with ICD M818 - Other osteoporosis without current pathological fracture | $1,558 |
| Total Medicare payment per Hospitalization at DRG | $6,422 |
| Total Medicare payment per Hospitalization with ICD M818 - Other osteoporosis without current pathological fracture | $7,271 |
| Total Medicare Charges at DRG | $1,234,809,519 |
| Total Medicare Charges with ICD M818 - Other osteoporosis without current pathological fracture | $510,634 |
| Avg Charges at DRG | $23,858 |
| Avg Charges with ICD M818 - Other osteoporosis without current pathological fracture | $28,369 |
| Mortality Rate at DRG | 0.04 |
| Mortality Rate with ICD M818 - Other osteoporosis without current pathological fracture | NA |
| SNF Discharge Rate at DRG | 25.37 |
| SNF Discharge Rate with ICD M818 - Other osteoporosis without current pathological fracture | NA |
| Home Discharge Rate at DRG | 42.31 |
| Home Discharge Rate with ICD M818 - Other osteoporosis without current pathological 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 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 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD M818 - Other osteoporosis without current pathological fracture | 1,012 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD M818 - Other osteoporosis without current pathological fracture in DRG | 5.31 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD M818 - Other osteoporosis without current pathological fracture | 3.05 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD M818 - Other osteoporosis without current pathological fracture | 15.55 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD M818 - Other osteoporosis without current pathological fracture | 4.98 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD M818 - Other osteoporosis without current pathological fracture | $12,480,579 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD M818 - Other osteoporosis without current pathological fracture | $4,044 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD M818 - Other osteoporosis without current pathological fracture | $12,333 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD M818 - Other osteoporosis without current pathological fracture | $65,671,694 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD M818 - Other osteoporosis without current pathological fracture | $64,893 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD M818 - Other osteoporosis without current pathological fracture | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD M818 - Other osteoporosis without current pathological fracture | 33.6 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD M818 - Other osteoporosis without current pathological fracture | 23.02 |
*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 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 188,863 | ||||
| Total Hospitalizations with ICD M818 - Other osteoporosis without current pathological fracture | 366 | ||||
| DRG Share of Total Hospitalizations | 0.57 | ||||
| % of Total ICD M818 - Other osteoporosis without current pathological fracture in DRG | 1.92 | ||||
| Avg LOS at DRG | 11.75 | ||||
| Avg LOS with ICD M818 - Other osteoporosis without current pathological fracture | 11.27 | ||||
| Readmission Rate at DRG | 12.14 | ||||
| Readmission Rate with ICD M818 - Other osteoporosis without current pathological fracture | 9.3 | ||||
| Unplanned Readmission Rate at DRG | 7.97 | ||||
| Unplanned Readmission Rate with ICD M818 - Other osteoporosis without current pathological fracture | 7.85 | ||||
| Total Medicare payments at DRG | $3,216,901,374 | ||||
| Total Medicare payments with ICD M818 - Other osteoporosis without current pathological fracture | $5,553,024 | ||||
| Total Medicare payment per Day at DRG | $1,450 | ||||
| Total Medicare payment per Day with ICD M818 - Other osteoporosis without current pathological fracture | $1,347 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,033 | ||||
| Total Medicare payment per Hospitalization with ICD M818 - Other osteoporosis without current pathological fracture | $15,172 | ||||
| Total Medicare Charges at DRG | $7,709,712,645 | ||||
| Total Medicare Charges with ICD M818 - Other osteoporosis without current pathological fracture | $13,229,612 | ||||
| Avg Charges at DRG | $40,822 | ||||
| Avg Charges with ICD M818 - Other osteoporosis without current pathological fracture | $36,146 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD M818 - Other osteoporosis without current pathological fracture | NA | ||||
| SNF Discharge Rate at DRG | 19.54 | ||||
| SNF Discharge Rate with ICD M818 - Other osteoporosis without current pathological fracture | 26.5 | ||||
| Home Discharge Rate at DRG | 19.47 | ||||
| Home Discharge Rate with ICD M818 - Other osteoporosis without current pathological fracture | 16.67 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD M818 - Other osteoporosis without current pathological fracture | 275 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD M818 - Other osteoporosis without current pathological fracture in DRG | 1.44 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD M818 - Other osteoporosis without current pathological fracture | 4.25 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD M818 - Other osteoporosis without current pathological fracture | 12.64 | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD M818 - Other osteoporosis without current pathological fracture | 9.2 | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD M818 - Other osteoporosis without current pathological fracture | $1,996,580 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD M818 - Other osteoporosis without current pathological fracture | $1,708 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD M818 - Other osteoporosis without current pathological fracture | $7,260 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD M818 - Other osteoporosis without current pathological fracture | $8,979,958 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD M818 - Other osteoporosis without current pathological fracture | $32,654 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD M818 - Other osteoporosis without current pathological fracture | NA | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD M818 - Other osteoporosis without current pathological fracture | 17.45 | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD M818 - Other osteoporosis without current pathological fracture | 50.91 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 536: FRACTURES OF HIP AND PELVIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 38,773 | ||||
| Total Hospitalizations with ICD M818 - Other osteoporosis without current pathological fracture | 230 | ||||
| DRG Share of Total Hospitalizations | 0.12 | ||||
| % of Total ICD M818 - Other osteoporosis without current pathological fracture in DRG | 1.21 | ||||
| Avg LOS at DRG | 11.96 | ||||
| Avg LOS with ICD M818 - Other osteoporosis without current pathological fracture | 8.47 | ||||
| Readmission Rate at DRG | 18.12 | ||||
| Readmission Rate with ICD M818 - Other osteoporosis without current pathological fracture | 14.61 | ||||
| Unplanned Readmission Rate at DRG | 14.28 | ||||
| Unplanned Readmission Rate with ICD M818 - Other osteoporosis without current pathological fracture | 12.79 | ||||
| Total Medicare payments at DRG | $739,082,714 | ||||
| Total Medicare payments with ICD M818 - Other osteoporosis without current pathological fracture | $1,825,986 | ||||
| Total Medicare payment per Day at DRG | $1,594 | ||||
| Total Medicare payment per Day with ICD M818 - Other osteoporosis without current pathological fracture | $938 | ||||
| Total Medicare payment per Hospitalization at DRG | $19,062 | ||||
| Total Medicare payment per Hospitalization with ICD M818 - Other osteoporosis without current pathological fracture | $7,939 | ||||
| Total Medicare Charges at DRG | $2,416,011,805 | ||||
| Total Medicare Charges with ICD M818 - Other osteoporosis without current pathological fracture | $3,873,233 | ||||
| Avg Charges at DRG | $62,312 | ||||
| Avg Charges with ICD M818 - Other osteoporosis without current pathological fracture | $16,840 | ||||
| Mortality Rate at DRG | 0.2 | ||||
| Mortality Rate with ICD M818 - Other osteoporosis without current pathological fracture | NA | ||||
| SNF Discharge Rate at DRG | 17.34 | ||||
| SNF Discharge Rate with ICD M818 - Other osteoporosis without current pathological fracture | 43.91 | ||||
| Home Discharge Rate at DRG | 21.02 | ||||
| Home Discharge Rate with ICD M818 - Other osteoporosis without current pathological fracture | 5.65 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| WINCHESTER MEDICAL CENTER | 1840 AMHERST ST | WINCHESTER | VA | 22601 | 524 |
| STRAITH HOSPITAL FOR SPECIAL SURGERY | 23901 LAHSER RD | SOUTHFIELD | MI | 48033 | 439 |
| INOVA FAIRFAX HOSPITAL | 3300 GALLOWS RD | FALLS CHURCH | VA | 22042 | 421 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID MARK GORDON | 28455 HAGGERTY RD | NOVI | MI | 48377 | 439 |
| Dr. BERTRAND P KAPER | 3655 CROSSINGS DRIVE | PRESCOTT | AZ | 86305 | 49 |
| Dr. MARK WILLIAM GESELL | 776 SHREWSBURY AVE STE 201 | TINTON FALLS | NJ | 07724 | 21 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID MARK GORDON | 28455 HAGGERTY RD | NOVI | MI | 48377 | 439 |
| Dr. CHARLES E. COTTLE | 9643 HUEBNER RD | SAN ANTONIO | TX | 78240 | 59 |
| Dr. EDUARDO SANTIAGO VIOLAGO | 2151 LINGLESTOWN RD | HARRISBURG | PA | 17110 | 58 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | K219 | Gastro-esophageal reflux disease without esophagitis |
| 2 | I10 | Essential (primary) hypertension |