*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M8588 - Other specified disorders of bone density and structure, other site - as a primary diagnosis code | M8588 - Other specified disorders of bone density and structure, other site - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.59 | |
| Readmission Rate (%) | 21.88 | |
| 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) | DRG 566: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 23,663 | ||
| Total Hospitalizations with ICD M8588 - Other specified disorders of bone density and structure, other site | 30 | ||
| DRG Share of Total Hospitalizations | 0.07 | ||
| % of Total ICD M8588 - Other specified disorders of bone density and structure, other site in DRG | 29.41 | ||
| Avg LOS at DRG | 4.81 | ||
| Avg LOS with ICD M8588 - Other specified disorders of bone density and structure, other site | 2.97 | ||
| Readmission Rate at DRG | 21.07 | ||
| Readmission Rate with ICD M8588 - Other specified disorders of bone density and structure, other site | NA | ||
| Unplanned Readmission Rate at DRG | 11.02 | ||
| Unplanned Readmission Rate with ICD M8588 - Other specified disorders of bone density and structure, other site | NA | ||
| Total Medicare payments at DRG | $163,590,689 | ||
| Total Medicare payments with ICD M8588 - Other specified disorders of bone density and structure, other site | $176,799 | ||
| Total Medicare payment per Day at DRG | $1,438 | ||
| Total Medicare payment per Day with ICD M8588 - Other specified disorders of bone density and structure, other site | $1,987 | ||
| Total Medicare payment per Hospitalization at DRG | $6,913 | ||
| Total Medicare payment per Hospitalization with ICD M8588 - Other specified disorders of bone density and structure, other site | $5,893 | ||
| Total Medicare Charges at DRG | $779,108,044 | ||
| Total Medicare Charges with ICD M8588 - Other specified disorders of bone density and structure, other site | $832,676 | ||
| Avg Charges at DRG | $32,925 | ||
| Avg Charges with ICD M8588 - Other specified disorders of bone density and structure, other site | $27,756 | ||
| Mortality Rate at DRG | 0.29 | ||
| Mortality Rate with ICD M8588 - Other specified disorders of bone density and structure, other site | NA | ||
| SNF Discharge Rate at DRG | 39.56 | ||
| SNF Discharge Rate with ICD M8588 - Other specified disorders of bone density and structure, other site | 36.67 | ||
| Home Discharge Rate at DRG | 25.13 | ||
| Home Discharge Rate with ICD M8588 - Other specified disorders of bone density and structure, other 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 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 543: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD M8588 - Other specified disorders of bone density and structure, other site | 1,708 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD M8588 - Other specified disorders of bone density and structure, other site in DRG | 7.94 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD M8588 - Other specified disorders of bone density and structure, other site | 3.38 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD M8588 - Other specified disorders of bone density and structure, other site | 15.28 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD M8588 - Other specified disorders of bone density and structure, other site | 5.7 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD M8588 - Other specified disorders of bone density and structure, other site | $21,249,321 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD M8588 - Other specified disorders of bone density and structure, other site | $3,681 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD M8588 - Other specified disorders of bone density and structure, other site | $12,441 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD M8588 - Other specified disorders of bone density and structure, other site | $109,336,178 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD M8588 - Other specified disorders of bone density and structure, other site | $64,014 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD M8588 - Other specified disorders of bone density and structure, other site | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD M8588 - Other specified disorders of bone density and structure, other site | 42.15 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD M8588 - Other specified disorders of bone density and structure, other site | 19.03 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 536: FRACTURES OF HIP AND PELVIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, 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 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD M8588 - Other specified disorders of bone density and structure, other site | 535 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD M8588 - Other specified disorders of bone density and structure, other site in DRG | 2.49 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD M8588 - Other specified disorders of bone density and structure, other site | 6.79 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD M8588 - Other specified disorders of bone density and structure, other site | 25.11 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD M8588 - Other specified disorders of bone density and structure, other site | 19.87 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD M8588 - Other specified disorders of bone density and structure, other site | $6,744,344 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD M8588 - Other specified disorders of bone density and structure, other site | $1,856 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD M8588 - Other specified disorders of bone density and structure, other site | $12,606 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD M8588 - Other specified disorders of bone density and structure, other site | $31,507,644 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD M8588 - Other specified disorders of bone density and structure, other site | $58,893 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD M8588 - Other specified disorders of bone density and structure, other site | 7.48 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD M8588 - Other specified disorders of bone density and structure, other site | 35.33 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD M8588 - Other specified disorders of bone density and structure, other site | 17.94 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 480: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT 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 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 469: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 542: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 88,007 | ||||
| Total Hospitalizations with ICD M8588 - Other specified disorders of bone density and structure, other site | 315 | ||||
| DRG Share of Total Hospitalizations | 0.27 | ||||
| % of Total ICD M8588 - Other specified disorders of bone density and structure, other site in DRG | 1.46 | ||||
| Avg LOS at DRG | 7.38 | ||||
| Avg LOS with ICD M8588 - Other specified disorders of bone density and structure, other site | 7.09 | ||||
| Readmission Rate at DRG | 29.95 | ||||
| Readmission Rate with ICD M8588 - Other specified disorders of bone density and structure, other site | 29.55 | ||||
| Unplanned Readmission Rate at DRG | 12.78 | ||||
| Unplanned Readmission Rate with ICD M8588 - Other specified disorders of bone density and structure, other site | 13.06 | ||||
| Total Medicare payments at DRG | $1,679,975,081 | ||||
| Total Medicare payments with ICD M8588 - Other specified disorders of bone density and structure, other site | $6,185,606 | ||||
| Total Medicare payment per Day at DRG | $2,585 | ||||
| Total Medicare payment per Day with ICD M8588 - Other specified disorders of bone density and structure, other site | $2,771 | ||||
| Total Medicare payment per Hospitalization at DRG | $19,089 | ||||
| Total Medicare payment per Hospitalization with ICD M8588 - Other specified disorders of bone density and structure, other site | $19,637 | ||||
| Total Medicare Charges at DRG | $8,209,996,060 | ||||
| Total Medicare Charges with ICD M8588 - Other specified disorders of bone density and structure, other site | $29,545,057 | ||||
| Avg Charges at DRG | $93,288 | ||||
| Avg Charges with ICD M8588 - Other specified disorders of bone density and structure, other site | $93,794 | ||||
| Mortality Rate at DRG | 5.86 | ||||
| Mortality Rate with ICD M8588 - Other specified disorders of bone density and structure, other site | 3.49 | ||||
| SNF Discharge Rate at DRG | 63.57 | ||||
| SNF Discharge Rate with ICD M8588 - Other specified disorders of bone density and structure, other site | 65.4 | ||||
| Home Discharge Rate at DRG | 2.5 | ||||
| Home Discharge Rate with ICD M8588 - Other specified disorders of bone density and structure, other 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 454: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 482: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 30,121 | ||||
| Total Hospitalizations with ICD M8588 - Other specified disorders of bone density and structure, other site | 221 | ||||
| DRG Share of Total Hospitalizations | 0.09 | ||||
| % of Total ICD M8588 - Other specified disorders of bone density and structure, other site in DRG | 1.03 | ||||
| Avg LOS at DRG | 4.83 | ||||
| Avg LOS with ICD M8588 - Other specified disorders of bone density and structure, other site | 5.51 | ||||
| Readmission Rate at DRG | 25.27 | ||||
| Readmission Rate with ICD M8588 - Other specified disorders of bone density and structure, other site | 29.21 | ||||
| Unplanned Readmission Rate at DRG | 5.39 | ||||
| Unplanned Readmission Rate with ICD M8588 - Other specified disorders of bone density and structure, other site | NA | ||||
| Total Medicare payments at DRG | $1,452,399,208 | ||||
| Total Medicare payments with ICD M8588 - Other specified disorders of bone density and structure, other site | $11,299,630 | ||||
| Total Medicare payment per Day at DRG | $9,984 | ||||
| Total Medicare payment per Day with ICD M8588 - Other specified disorders of bone density and structure, other site | $9,285 | ||||
| Total Medicare payment per Hospitalization at DRG | $48,219 | ||||
| Total Medicare payment per Hospitalization with ICD M8588 - Other specified disorders of bone density and structure, other site | $51,130 | ||||
| Total Medicare Charges at DRG | $6,527,772,651 | ||||
| Total Medicare Charges with ICD M8588 - Other specified disorders of bone density and structure, other site | $52,053,996 | ||||
| Avg Charges at DRG | $216,718 | ||||
| Avg Charges with ICD M8588 - Other specified disorders of bone density and structure, other site | $235,538 | ||||
| Mortality Rate at DRG | 0.06 | ||||
| Mortality Rate with ICD M8588 - Other specified disorders of bone density and structure, other site | NA | ||||
| SNF Discharge Rate at DRG | 21.6 | ||||
| SNF Discharge Rate with ICD M8588 - Other specified disorders of bone density and structure, other site | 26.24 | ||||
| Home Discharge Rate at DRG | 38.16 | ||||
| Home Discharge Rate with ICD M8588 - Other specified disorders of bone density and structure, other site | 28.05 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UNIVERSITY OF MARYLAND MEDICAL CENTER | 22 S GREENE STREET | BALTIMORE | MD | 21201 | 154 |
| COVENANT MEDICAL CENTER | 1447 N HARRISON ST | SAGINAW | MI | 48602 | 119 |
| RICHMOND UNIVERSITY MEDICAL CENTER | 355 BARD AVE | STATEN ISLAND | NY | 10310 | 96 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. VERN ANTOINE KELLER | 971 LAKELAND DR | JACKSON | MS | 39216 | 42 |
| Dr. PERRY W GREENE | 30575 WOODWARD AVE | ROYAL OAK | MI | 48073 | 30 |
| Dr. GREGORY D. CARLSON | 1120 W. LA VETA AVENUE | ORANGE | CA | 92868 | 25 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. PERRY W GREENE | 30575 WOODWARD AVE | ROYAL OAK | MI | 48073 | 30 |
| Dr. VERN ANTOINE KELLER | 971 LAKELAND DR | JACKSON | MS | 39216 | 27 |
| Dr. JOHN HENRY SLOAN | 505 ELM ST NE | ALBUQUERQUE | NM | 87102 | 26 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | E039 | Hypothyroidism, unspecified |
| 2 | Z7982 | Long term (current) use of aspirin |
| 3 | E785 | Hyperlipidemia, unspecified |