*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M8580 - Other specified disorders of bone density and structure, unspecified site - as a primary diagnosis code | M8580 - Other specified disorders of bone density and structure, unspecified site - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 4.96 | |
| Readmission Rate (%) | 18.33 | |
| 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 565: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 564: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 23,663 | |
| Total Hospitalizations with ICD M8580 - Other specified disorders of bone density and structure, unspecified site | 25 | |
| DRG Share of Total Hospitalizations | 0.07 | |
| % of Total ICD M8580 - Other specified disorders of bone density and structure, unspecified site in DRG | 39.68 | |
| Avg LOS at DRG | 4.81 | |
| Avg LOS with ICD M8580 - Other specified disorders of bone density and structure, unspecified site | 3.64 | |
| Readmission Rate at DRG | 21.07 | |
| Readmission Rate with ICD M8580 - Other specified disorders of bone density and structure, unspecified site | NA | |
| Unplanned Readmission Rate at DRG | 11.02 | |
| Unplanned Readmission Rate with ICD M8580 - Other specified disorders of bone density and structure, unspecified site | NA | |
| Total Medicare payments at DRG | $163,590,689 | |
| Total Medicare payments with ICD M8580 - Other specified disorders of bone density and structure, unspecified site | $176,704 | |
| Total Medicare payment per Day at DRG | $1,438 | |
| Total Medicare payment per Day with ICD M8580 - Other specified disorders of bone density and structure, unspecified site | $1,942 | |
| Total Medicare payment per Hospitalization at DRG | $6,913 | |
| Total Medicare payment per Hospitalization with ICD M8580 - Other specified disorders of bone density and structure, unspecified site | $7,068 | |
| Total Medicare Charges at DRG | $779,108,044 | |
| Total Medicare Charges with ICD M8580 - Other specified disorders of bone density and structure, unspecified site | $812,404 | |
| Avg Charges at DRG | $32,925 | |
| Avg Charges with ICD M8580 - Other specified disorders of bone density and structure, unspecified site | $32,496 | |
| Mortality Rate at DRG | 0.29 | |
| Mortality Rate with ICD M8580 - Other specified disorders of bone density and structure, unspecified site | NA | |
| SNF Discharge Rate at DRG | 39.56 | |
| SNF Discharge Rate with ICD M8580 - Other specified disorders of bone density and structure, unspecified site | NA | |
| Home Discharge Rate at DRG | 25.13 | |
| Home Discharge Rate with ICD M8580 - Other specified disorders of bone density and structure, unspecified site | 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 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD M8580 - Other specified disorders of bone density and structure, unspecified site | 34,929 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD M8580 - Other specified disorders of bone density and structure, unspecified site in DRG | 10.73 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD M8580 - Other specified disorders of bone density and structure, unspecified site | 2.61 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD M8580 - Other specified disorders of bone density and structure, unspecified site | 8.47 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD M8580 - Other specified disorders of bone density and structure, unspecified site | 3.16 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD M8580 - Other specified disorders of bone density and structure, unspecified site | $418,639,604 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD M8580 - Other specified disorders of bone density and structure, unspecified site | $4,596 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD M8580 - Other specified disorders of bone density and structure, unspecified site | $11,985 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD M8580 - Other specified disorders of bone density and structure, unspecified site | $1,980,673,314 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD M8580 - Other specified disorders of bone density and structure, unspecified site | $56,706 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD M8580 - Other specified disorders of bone density and structure, unspecified site | 0.06 | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD M8580 - Other specified disorders of bone density and structure, unspecified site | 27.04 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD M8580 - Other specified disorders of bone density and structure, unspecified site | 28.37 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 195,476 | ||||
| Total Hospitalizations with ICD M8580 - Other specified disorders of bone density and structure, unspecified site | 4,841 | ||||
| DRG Share of Total Hospitalizations | 0.59 | ||||
| % of Total ICD M8580 - Other specified disorders of bone density and structure, unspecified site in DRG | 1.49 | ||||
| Avg LOS at DRG | 4.48 | ||||
| Avg LOS with ICD M8580 - Other specified disorders of bone density and structure, unspecified site | 4.25 | ||||
| Readmission Rate at DRG | 20.57 | ||||
| Readmission Rate with ICD M8580 - Other specified disorders of bone density and structure, unspecified site | 20.04 | ||||
| Unplanned Readmission Rate at DRG | 9.88 | ||||
| Unplanned Readmission Rate with ICD M8580 - Other specified disorders of bone density and structure, unspecified site | 9.05 | ||||
| Total Medicare payments at DRG | $1,320,662,237 | ||||
| Total Medicare payments with ICD M8580 - Other specified disorders of bone density and structure, unspecified site | $30,451,215 | ||||
| Total Medicare payment per Day at DRG | $1,508 | ||||
| Total Medicare payment per Day with ICD M8580 - Other specified disorders of bone density and structure, unspecified site | $1,480 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,756 | ||||
| Total Medicare payment per Hospitalization with ICD M8580 - Other specified disorders of bone density and structure, unspecified site | $6,290 | ||||
| Total Medicare Charges at DRG | $6,024,639,461 | ||||
| Total Medicare Charges with ICD M8580 - Other specified disorders of bone density and structure, unspecified site | $143,004,915 | ||||
| Avg Charges at DRG | $30,820 | ||||
| Avg Charges with ICD M8580 - Other specified disorders of bone density and structure, unspecified site | $29,540 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD M8580 - Other specified disorders of bone density and structure, unspecified site | 0.33 | ||||
| SNF Discharge Rate at DRG | 33.36 | ||||
| SNF Discharge Rate with ICD M8580 - Other specified disorders of bone density and structure, unspecified site | 44.58 | ||||
| Home Discharge Rate at DRG | 30.98 | ||||
| Home Discharge Rate with ICD M8580 - Other specified disorders of bone density and structure, unspecified site | 22.31 |
*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 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD M8580 - Other specified disorders of bone density and structure, unspecified site | 4,074 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD M8580 - Other specified disorders of bone density and structure, unspecified site in DRG | 1.25 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD M8580 - Other specified disorders of bone density and structure, unspecified site | 4.92 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD M8580 - Other specified disorders of bone density and structure, unspecified site | 20.85 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD M8580 - Other specified disorders of bone density and structure, unspecified site | 16.26 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD M8580 - Other specified disorders of bone density and structure, unspecified site | $30,149,877 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD M8580 - Other specified disorders of bone density and structure, unspecified site | $1,503 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD M8580 - Other specified disorders of bone density and structure, unspecified site | $7,401 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD M8580 - Other specified disorders of bone density and structure, unspecified site | $141,710,729 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD M8580 - Other specified disorders of bone density and structure, unspecified site | $34,784 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD M8580 - Other specified disorders of bone density and structure, unspecified site | 1.15 | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD M8580 - Other specified disorders of bone density and structure, unspecified site | 15.61 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD M8580 - Other specified disorders of bone density and structure, unspecified site | 50.37 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 483: MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | DRG 536: FRACTURES OF HIP AND PELVIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 185,287 | ||||
| Total Hospitalizations with ICD M8580 - Other specified disorders of bone density and structure, unspecified site | 3,482 | ||||
| DRG Share of Total Hospitalizations | 0.56 | ||||
| % of Total ICD M8580 - Other specified disorders of bone density and structure, unspecified site in DRG | 1.07 | ||||
| Avg LOS at DRG | 1.88 | ||||
| Avg LOS with ICD M8580 - Other specified disorders of bone density and structure, unspecified site | 2.05 | ||||
| Readmission Rate at DRG | 5.88 | ||||
| Readmission Rate with ICD M8580 - Other specified disorders of bone density and structure, unspecified site | 5.34 | ||||
| Unplanned Readmission Rate at DRG | 2.95 | ||||
| Unplanned Readmission Rate with ICD M8580 - Other specified disorders of bone density and structure, unspecified site | 2.43 | ||||
| Total Medicare payments at DRG | $2,646,620,753 | ||||
| Total Medicare payments with ICD M8580 - Other specified disorders of bone density and structure, unspecified site | $51,527,807 | ||||
| Total Medicare payment per Day at DRG | $7,610 | ||||
| Total Medicare payment per Day with ICD M8580 - Other specified disorders of bone density and structure, unspecified site | $7,218 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,284 | ||||
| Total Medicare payment per Hospitalization with ICD M8580 - Other specified disorders of bone density and structure, unspecified site | $14,798 | ||||
| Total Medicare Charges at DRG | $13,348,793,527 | ||||
| Total Medicare Charges with ICD M8580 - Other specified disorders of bone density and structure, unspecified site | $242,883,005 | ||||
| Avg Charges at DRG | $72,044 | ||||
| Avg Charges with ICD M8580 - Other specified disorders of bone density and structure, unspecified site | $69,754 | ||||
| Mortality Rate at DRG | 0.07 | ||||
| Mortality Rate with ICD M8580 - Other specified disorders of bone density and structure, unspecified site | NA | ||||
| SNF Discharge Rate at DRG | 12.21 | ||||
| SNF Discharge Rate with ICD M8580 - Other specified disorders of bone density and structure, unspecified site | 16.03 | ||||
| Home Discharge Rate at DRG | 64.69 | ||||
| Home Discharge Rate with ICD M8580 - Other specified disorders of bone density and structure, unspecified site | 60.68 |
| 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 | 2,114 |
| SANFORD HEALTH | 801 BROADWAY N | FARGO | ND | 58122 | 1,487 |
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 1,471 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. GARY A MATTHYS | 2301 25TH ST S | FARGO | ND | 58103 | 136 |
| Dr. RYAN THOMAS SWAN | 5715 E 2ND ST | CASPER | WY | 82609 | 118 |
| Dr. RONALD WAYNE SINGER | 15825 JOHN J DELANEY DR | CHARLOTTE | NC | 28277 | 102 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RYAN THOMAS SWAN | 5715 E 2ND ST | CASPER | WY | 82609 | 220 |
| Dr. VALJI MUNJAPARA | 7255 OLD OAK BLVD STE 209 | CLEVELAND | OH | 44130 | 148 |
| Dr. THEOPHILA CZAMANSKI SEMANOFF | 595 WEST STATE ST | DOYLESTOWN | PA | 18901 | 139 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | E039 | Hypothyroidism, unspecified |
| 2 | K219 | Gastro-esophageal reflux disease without esophagitis |
| 3 | E785 | Hyperlipidemia, unspecified |
| 4 | Z87891 | Personal history of nicotine dependence |
| 5 | I10 | Essential (primary) hypertension |