*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M8448XA - Pathological fracture, other site, initial encounter for fracture - as a primary diagnosis code | M8448XA - Pathological fracture, other site, initial encounter for fracture - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.84 | |
| Readmission Rate (%) | 27.49 | |
| Unplanned Readmission Rate (%) | 13.75 | |
| 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 542: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 544: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 478: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 47,199 | ||||
| Total Hospitalizations with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | 2,557 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD M8448XA - Pathological fracture, other site, initial encounter for fracture in DRG | 36.95 | ||||
| Avg LOS at DRG | 4.61 | ||||
| Avg LOS with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | 4.16 | ||||
| Readmission Rate at DRG | 24.6 | ||||
| Readmission Rate with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | 23.38 | ||||
| Unplanned Readmission Rate at DRG | 15.23 | ||||
| Unplanned Readmission Rate with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | 13.35 | ||||
| Total Medicare payments at DRG | $344,528,731 | ||||
| Total Medicare payments with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | $17,280,153 | ||||
| Total Medicare payment per Day at DRG | $1,583 | ||||
| Total Medicare payment per Day with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | $1,625 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,299 | ||||
| Total Medicare payment per Hospitalization with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | $6,758 | ||||
| Total Medicare Charges at DRG | $1,680,848,591 | ||||
| Total Medicare Charges with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | $80,019,475 | ||||
| Avg Charges at DRG | $35,612 | ||||
| Avg Charges with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | $31,294 | ||||
| Mortality Rate at DRG | 0.94 | ||||
| Mortality Rate with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | NA | ||||
| SNF Discharge Rate at DRG | 39.23 | ||||
| SNF Discharge Rate with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | 46.62 | ||||
| Home Discharge Rate at DRG | 22.76 | ||||
| Home Discharge Rate with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | 19.44 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT 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) | DRG 477: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 215,355 | ||||
| Total Hospitalizations with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | 243 | ||||
| DRG Share of Total Hospitalizations | 0.66 | ||||
| % of Total ICD M8448XA - Pathological fracture, other site, initial encounter for fracture in DRG | 3.51 | ||||
| Avg LOS at DRG | 3.28 | ||||
| Avg LOS with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | 6.5 | ||||
| Readmission Rate at DRG | 16.7 | ||||
| Readmission Rate with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | 38.36 | ||||
| Unplanned Readmission Rate at DRG | 4.47 | ||||
| Unplanned Readmission Rate with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | 12.5 | ||||
| Total Medicare payments at DRG | $5,278,830,730 | ||||
| Total Medicare payments with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | $6,853,278 | ||||
| Total Medicare payment per Day at DRG | $7,462 | ||||
| Total Medicare payment per Day with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | $4,338 | ||||
| Total Medicare payment per Hospitalization at DRG | $24,512 | ||||
| Total Medicare payment per Hospitalization with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | $28,203 | ||||
| Total Medicare Charges at DRG | $25,567,888,167 | ||||
| Total Medicare Charges with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | $40,265,626 | ||||
| Avg Charges at DRG | $118,724 | ||||
| Avg Charges with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | $165,702 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | NA | ||||
| SNF Discharge Rate at DRG | 15.71 | ||||
| SNF Discharge Rate with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | 31.69 | ||||
| Home Discharge Rate at DRG | 51.89 | ||||
| Home Discharge Rate with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | 21.81 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 459: SPINAL FUSION EXCEPT CERVICAL WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 472: CERVICAL SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 471: CERVICAL SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 454: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 453: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 16,812 | ||||
| Total Hospitalizations with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | 87 | ||||
| DRG Share of Total Hospitalizations | 0.05 | ||||
| % of Total ICD M8448XA - Pathological fracture, other site, initial encounter for fracture in DRG | 1.26 | ||||
| Avg LOS at DRG | 7.66 | ||||
| Avg LOS with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | 12.23 | ||||
| Readmission Rate at DRG | 36.82 | ||||
| Readmission Rate with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | 58.33 | ||||
| Unplanned Readmission Rate at DRG | 8.15 | ||||
| Unplanned Readmission Rate with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | 16.67 | ||||
| Total Medicare payments at DRG | $685,730,928 | ||||
| Total Medicare payments with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | $4,531,530 | ||||
| Total Medicare payment per Day at DRG | $5,325 | ||||
| Total Medicare payment per Day with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | $4,259 | ||||
| Total Medicare payment per Hospitalization at DRG | $40,788 | ||||
| Total Medicare payment per Hospitalization with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | $52,087 | ||||
| Total Medicare Charges at DRG | $3,152,175,405 | ||||
| Total Medicare Charges with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | $24,347,477 | ||||
| Avg Charges at DRG | $187,496 | ||||
| Avg Charges with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | $279,856 | ||||
| Mortality Rate at DRG | 2.12 | ||||
| Mortality Rate with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | NA | ||||
| SNF Discharge Rate at DRG | 31.97 | ||||
| SNF Discharge Rate with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | 36.78 | ||||
| Home Discharge Rate at DRG | 20.62 | ||||
| Home Discharge Rate with ICD M8448XA - Pathological fracture, other site, 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 519: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 473: CERVICAL SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/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) | DRG 518: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR DISC DEVICE OR NEUROSTIMULATOR | DRG 456: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 26,458 | ||||
| Total Hospitalizations with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | 34 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD M8448XA - Pathological fracture, other site, initial encounter for fracture in DRG | 0.49 | ||||
| Avg LOS at DRG | 3.91 | ||||
| Avg LOS with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | 6.71 | ||||
| Readmission Rate at DRG | 24.53 | ||||
| Readmission Rate with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | NA | ||||
| Unplanned Readmission Rate at DRG | 6.06 | ||||
| Unplanned Readmission Rate with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | NA | ||||
| Total Medicare payments at DRG | $282,780,660 | ||||
| Total Medicare payments with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | $396,990 | ||||
| Total Medicare payment per Day at DRG | $2,732 | ||||
| Total Medicare payment per Day with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | $1,741 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,688 | ||||
| Total Medicare payment per Hospitalization with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | $11,676 | ||||
| Total Medicare Charges at DRG | $1,744,158,849 | ||||
| Total Medicare Charges with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | $3,754,305 | ||||
| Avg Charges at DRG | $65,922 | ||||
| Avg Charges with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | $110,421 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | NA | ||||
| SNF Discharge Rate at DRG | 19.7 | ||||
| SNF Discharge Rate with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | 41.18 | ||||
| Home Discharge Rate at DRG | 44.06 | ||||
| Home Discharge Rate with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| EDWARD W SPARROW HOSPITAL | 1215 E MICHIGAN AVE | LANSING | MI | 48912 | 80 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 37 |
| MEMORIAL SLOAN KETTERING CANCER CENTER | 1275 YORK AVE | NEW YORK | NY | 10065 | 33 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOHN PAUL KEPROS | 1200 E MICHIGAN AVE STE 655 | LANSING | MI | 48912 | 17 |
| Dr. BENJAMIN DEAN MOSHER | 1200 E MICHIGAN AVE STE 655 | LANSING | MI | 48912 | 15 |
| Dr. LYNN DAMARIS MUNOZ | 1215 E MICHIGAN AVE | LANSING | MI | 48912 | 13 |
*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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 542: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 544: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY 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 | 47,199 | ||||
| Total Hospitalizations with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | 3,248 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD M8448XA - Pathological fracture, other site, initial encounter for fracture in DRG | 10.55 | ||||
| Avg LOS at DRG | 4.61 | ||||
| Avg LOS with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | 4.36 | ||||
| Readmission Rate at DRG | 24.6 | ||||
| Readmission Rate with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | 23.7 | ||||
| Unplanned Readmission Rate at DRG | 15.23 | ||||
| Unplanned Readmission Rate with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | 13.82 | ||||
| Total Medicare payments at DRG | $344,528,731 | ||||
| Total Medicare payments with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | $22,910,757 | ||||
| Total Medicare payment per Day at DRG | $1,583 | ||||
| Total Medicare payment per Day with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | $1,618 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,299 | ||||
| Total Medicare payment per Hospitalization with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | $7,054 | ||||
| Total Medicare Charges at DRG | $1,680,848,591 | ||||
| Total Medicare Charges with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | $109,926,519 | ||||
| Avg Charges at DRG | $35,612 | ||||
| Avg Charges with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | $33,844 | ||||
| Mortality Rate at DRG | 0.94 | ||||
| Mortality Rate with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | 0.49 | ||||
| SNF Discharge Rate at DRG | 39.23 | ||||
| SNF Discharge Rate with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | 44.09 | ||||
| Home Discharge Rate at DRG | 22.76 | ||||
| Home Discharge Rate with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | 20.29 |
*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 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 21,107 | ||||
| Total Hospitalizations with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | 738 | ||||
| DRG Share of Total Hospitalizations | 0.06 | ||||
| % of Total ICD M8448XA - Pathological fracture, other site, initial encounter for fracture in DRG | 2.4 | ||||
| Avg LOS at DRG | 6.49 | ||||
| Avg LOS with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | 6.82 | ||||
| Readmission Rate at DRG | 26.91 | ||||
| Readmission Rate with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | 28.57 | ||||
| Unplanned Readmission Rate at DRG | 14.11 | ||||
| Unplanned Readmission Rate with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | 17.14 | ||||
| Total Medicare payments at DRG | $299,258,488 | ||||
| Total Medicare payments with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | $10,164,133 | ||||
| Total Medicare payment per Day at DRG | $2,183 | ||||
| Total Medicare payment per Day with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | $2,019 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,178 | ||||
| Total Medicare payment per Hospitalization with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | $13,773 | ||||
| Total Medicare Charges at DRG | $1,625,982,661 | ||||
| Total Medicare Charges with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | $58,513,525 | ||||
| Avg Charges at DRG | $77,035 | ||||
| Avg Charges with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | $79,287 | ||||
| Mortality Rate at DRG | 0.28 | ||||
| Mortality Rate with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | NA | ||||
| SNF Discharge Rate at DRG | 35.38 | ||||
| SNF Discharge Rate with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | 34.42 | ||||
| Home Discharge Rate at DRG | 25.84 | ||||
| Home Discharge Rate with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | 29.27 |
*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 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 10,492 | ||||
| Total Hospitalizations with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | 355 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD M8448XA - Pathological fracture, other site, initial encounter for fracture in DRG | 1.15 | ||||
| Avg LOS at DRG | 10.44 | ||||
| Avg LOS with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | 10.74 | ||||
| Readmission Rate at DRG | 33.5 | ||||
| Readmission Rate with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | 37.58 | ||||
| Unplanned Readmission Rate at DRG | 18.55 | ||||
| Unplanned Readmission Rate with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | 22.12 | ||||
| Total Medicare payments at DRG | $222,941,658 | ||||
| Total Medicare payments with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | $7,772,933 | ||||
| Total Medicare payment per Day at DRG | $2,035 | ||||
| Total Medicare payment per Day with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | $2,038 | ||||
| Total Medicare payment per Hospitalization at DRG | $21,249 | ||||
| Total Medicare payment per Hospitalization with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | $21,896 | ||||
| Total Medicare Charges at DRG | $1,105,743,816 | ||||
| Total Medicare Charges with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | $40,845,613 | ||||
| Avg Charges at DRG | $105,389 | ||||
| Avg Charges with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | $115,058 | ||||
| Mortality Rate at DRG | 3.15 | ||||
| Mortality Rate with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | 3.38 | ||||
| SNF Discharge Rate at DRG | 39.48 | ||||
| SNF Discharge Rate with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | 35.49 | ||||
| Home Discharge Rate at DRG | 15.98 | ||||
| Home Discharge Rate with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | 22.82 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 180: RESPIRATORY NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 515: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | 325 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD M8448XA - Pathological fracture, other site, initial encounter for fracture in DRG | 1.06 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | 5.59 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | 30.56 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | 24.25 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | $2,287,944 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | $1,260 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | $7,040 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | $13,651,581 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | $42,005 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | NA | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | 20.0 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD M8448XA - Pathological fracture, other site, initial encounter for fracture | 38.15 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MEMORIAL SLOAN KETTERING CANCER CENTER | 1275 YORK AVE | NEW YORK | NY | 10065 | 193 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 164 |
| EDWARD W SPARROW HOSPITAL | 1215 E MICHIGAN AVE | LANSING | MI | 48912 | 141 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. KENNY B EDWARDS | 670 LEIGH DRIVE | COLUMBUS | MS | 39705 | 35 |
| Dr. VAN B BOGGUS | 6444 MONROE ST | SYLVANIA | OH | 43560 | 25 |
| Dr. PRAVEEN V. MUMMANENI | 400 PARNASSUS AVE | SAN FRANCISCO | CA | 94143 | 21 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. KENNY B EDWARDS | 670 LEIGH DRIVE | COLUMBUS | MS | 39705 | 35 |
| Dr. BENJAMIN DEAN MOSHER | 1200 E MICHIGAN AVE STE 655 | LANSING | MI | 48912 | 28 |
| Dr. JOHN PAUL KEPROS | 1200 E MICHIGAN AVE STE 655 | LANSING | MI | 48912 | 24 |