*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M8669 - Other chronic osteomyelitis, multiple sites - as a primary diagnosis code | M8669 - Other chronic osteomyelitis, multiple sites - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 12.13 | |
| Readmission Rate (%) | 36.6 | |
| Unplanned Readmission Rate (%) | 17.59 | |
| 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 539: OSTEOMYELITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 463: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 18,679 | |
| Total Hospitalizations with ICD M8669 - Other chronic osteomyelitis, multiple sites | 56 | |
| DRG Share of Total Hospitalizations | 0.06 | |
| % of Total ICD M8669 - Other chronic osteomyelitis, multiple sites in DRG | 48.28 | |
| Avg LOS at DRG | 16.44 | |
| Avg LOS with ICD M8669 - Other chronic osteomyelitis, multiple sites | 12.2 | |
| Readmission Rate at DRG | 31.81 | |
| Readmission Rate with ICD M8669 - Other chronic osteomyelitis, multiple sites | 26.53 | |
| Unplanned Readmission Rate at DRG | 18.54 | |
| Unplanned Readmission Rate with ICD M8669 - Other chronic osteomyelitis, multiple sites | NA | |
| Total Medicare payments at DRG | $375,327,933 | |
| Total Medicare payments with ICD M8669 - Other chronic osteomyelitis, multiple sites | $940,632 | |
| Total Medicare payment per Day at DRG | $1,222 | |
| Total Medicare payment per Day with ICD M8669 - Other chronic osteomyelitis, multiple sites | $1,377 | |
| Total Medicare payment per Hospitalization at DRG | $20,094 | |
| Total Medicare payment per Hospitalization with ICD M8669 - Other chronic osteomyelitis, multiple sites | $16,797 | |
| Total Medicare Charges at DRG | $1,758,411,565 | |
| Total Medicare Charges with ICD M8669 - Other chronic osteomyelitis, multiple sites | $4,575,351 | |
| Avg Charges at DRG | $94,138 | |
| Avg Charges with ICD M8669 - Other chronic osteomyelitis, multiple sites | $81,703 | |
| Mortality Rate at DRG | 3.82 | |
| Mortality Rate with ICD M8669 - Other chronic osteomyelitis, multiple sites | NA | |
| SNF Discharge Rate at DRG | 36.02 | |
| SNF Discharge Rate with ICD M8669 - Other chronic osteomyelitis, multiple sites | 37.5 | |
| Home Discharge Rate at DRG | 13.69 | |
| Home Discharge Rate with ICD M8669 - Other chronic osteomyelitis, multiple sites | 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 539: OSTEOMYELITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 592: SKIN ULCERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD M8669 - Other chronic osteomyelitis, multiple sites | 177 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD M8669 - Other chronic osteomyelitis, multiple sites in DRG | 15.26 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD M8669 - Other chronic osteomyelitis, multiple sites | 7.92 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD M8669 - Other chronic osteomyelitis, multiple sites | 41.38 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD M8669 - Other chronic osteomyelitis, multiple sites | 33.1 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD M8669 - Other chronic osteomyelitis, multiple sites | $2,136,392 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD M8669 - Other chronic osteomyelitis, multiple sites | $1,525 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD M8669 - Other chronic osteomyelitis, multiple sites | $12,070 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD M8669 - Other chronic osteomyelitis, multiple sites | $11,201,092 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD M8669 - Other chronic osteomyelitis, multiple sites | $63,283 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD M8669 - Other chronic osteomyelitis, multiple sites | 9.04 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD M8669 - Other chronic osteomyelitis, multiple sites | 25.99 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD M8669 - Other chronic osteomyelitis, multiple sites | 10.73 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 463: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 579: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 109,018 | ||||
| Total Hospitalizations with ICD M8669 - Other chronic osteomyelitis, multiple sites | 32 | ||||
| DRG Share of Total Hospitalizations | 0.33 | ||||
| % of Total ICD M8669 - Other chronic osteomyelitis, multiple sites in DRG | 2.76 | ||||
| Avg LOS at DRG | 12.66 | ||||
| Avg LOS with ICD M8669 - Other chronic osteomyelitis, multiple sites | 17.0 | ||||
| Readmission Rate at DRG | 35.31 | ||||
| Readmission Rate with ICD M8669 - Other chronic osteomyelitis, multiple sites | 57.14 | ||||
| Unplanned Readmission Rate at DRG | 20.73 | ||||
| Unplanned Readmission Rate with ICD M8669 - Other chronic osteomyelitis, multiple sites | NA | ||||
| Total Medicare payments at DRG | $3,554,922,428 | ||||
| Total Medicare payments with ICD M8669 - Other chronic osteomyelitis, multiple sites | $996,739 | ||||
| Total Medicare payment per Day at DRG | $2,575 | ||||
| Total Medicare payment per Day with ICD M8669 - Other chronic osteomyelitis, multiple sites | $1,832 | ||||
| Total Medicare payment per Hospitalization at DRG | $32,609 | ||||
| Total Medicare payment per Hospitalization with ICD M8669 - Other chronic osteomyelitis, multiple sites | $31,148 | ||||
| Total Medicare Charges at DRG | $15,445,232,132 | ||||
| Total Medicare Charges with ICD M8669 - Other chronic osteomyelitis, multiple sites | $4,309,615 | ||||
| Avg Charges at DRG | $141,676 | ||||
| Avg Charges with ICD M8669 - Other chronic osteomyelitis, multiple sites | $134,675 | ||||
| Mortality Rate at DRG | 8.99 | ||||
| Mortality Rate with ICD M8669 - Other chronic osteomyelitis, multiple sites | NA | ||||
| SNF Discharge Rate at DRG | 27.26 | ||||
| SNF Discharge Rate with ICD M8669 - Other chronic osteomyelitis, multiple sites | 40.63 | ||||
| Home Discharge Rate at DRG | 27.78 | ||||
| Home Discharge Rate with ICD M8669 - Other chronic osteomyelitis, multiple sites | 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 570: SKIN DEBRIDEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 540: OSTEOMYELITIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 477: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 573: SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 19,663 | ||||
| Total Hospitalizations with ICD M8669 - Other chronic osteomyelitis, multiple sites | 17 | ||||
| DRG Share of Total Hospitalizations | 0.06 | ||||
| % of Total ICD M8669 - Other chronic osteomyelitis, multiple sites in DRG | 1.47 | ||||
| Avg LOS at DRG | 13.89 | ||||
| Avg LOS with ICD M8669 - Other chronic osteomyelitis, multiple sites | 11.12 | ||||
| Readmission Rate at DRG | 32.63 | ||||
| Readmission Rate with ICD M8669 - Other chronic osteomyelitis, multiple sites | NA | ||||
| Unplanned Readmission Rate at DRG | 18.18 | ||||
| Unplanned Readmission Rate with ICD M8669 - Other chronic osteomyelitis, multiple sites | NA | ||||
| Total Medicare payments at DRG | $387,130,602 | ||||
| Total Medicare payments with ICD M8669 - Other chronic osteomyelitis, multiple sites | $296,552 | ||||
| Total Medicare payment per Day at DRG | $1,417 | ||||
| Total Medicare payment per Day with ICD M8669 - Other chronic osteomyelitis, multiple sites | $1,569 | ||||
| Total Medicare payment per Hospitalization at DRG | $19,688 | ||||
| Total Medicare payment per Hospitalization with ICD M8669 - Other chronic osteomyelitis, multiple sites | $17,444 | ||||
| Total Medicare Charges at DRG | $1,865,858,139 | ||||
| Total Medicare Charges with ICD M8669 - Other chronic osteomyelitis, multiple sites | $1,775,343 | ||||
| Avg Charges at DRG | $94,892 | ||||
| Avg Charges with ICD M8669 - Other chronic osteomyelitis, multiple sites | $104,432 | ||||
| Mortality Rate at DRG | 3.29 | ||||
| Mortality Rate with ICD M8669 - Other chronic osteomyelitis, multiple sites | NA | ||||
| SNF Discharge Rate at DRG | 40.65 | ||||
| SNF Discharge Rate with ICD M8669 - Other chronic osteomyelitis, multiple sites | NA | ||||
| Home Discharge Rate at DRG | 12.36 | ||||
| Home Discharge Rate with ICD M8669 - Other chronic osteomyelitis, multiple sites | 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 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 885: PSYCHOSES | DRG 637: DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 174,196 | ||
| Total Hospitalizations with ICD M8669 - Other chronic osteomyelitis, multiple sites | 12 | ||
| DRG Share of Total Hospitalizations | 0.53 | ||
| % of Total ICD M8669 - Other chronic osteomyelitis, multiple sites in DRG | 1.03 | ||
| Avg LOS at DRG | 3.86 | ||
| Avg LOS with ICD M8669 - Other chronic osteomyelitis, multiple sites | 3.17 | ||
| Readmission Rate at DRG | 23.62 | ||
| Readmission Rate with ICD M8669 - Other chronic osteomyelitis, multiple sites | NA | ||
| Unplanned Readmission Rate at DRG | 17.61 | ||
| Unplanned Readmission Rate with ICD M8669 - Other chronic osteomyelitis, multiple sites | NA | ||
| Total Medicare payments at DRG | $959,872,570 | ||
| Total Medicare payments with ICD M8669 - Other chronic osteomyelitis, multiple sites | $67,310 | ||
| Total Medicare payment per Day at DRG | $1,426 | ||
| Total Medicare payment per Day with ICD M8669 - Other chronic osteomyelitis, multiple sites | $1,771 | ||
| Total Medicare payment per Hospitalization at DRG | $5,510 | ||
| Total Medicare payment per Hospitalization with ICD M8669 - Other chronic osteomyelitis, multiple sites | $5,609 | ||
| Total Medicare Charges at DRG | $4,945,131,055 | ||
| Total Medicare Charges with ICD M8669 - Other chronic osteomyelitis, multiple sites | $244,688 | ||
| Avg Charges at DRG | $28,388 | ||
| Avg Charges with ICD M8669 - Other chronic osteomyelitis, multiple sites | $20,391 | ||
| Mortality Rate at DRG | 0.24 | ||
| Mortality Rate with ICD M8669 - Other chronic osteomyelitis, multiple sites | NA | ||
| SNF Discharge Rate at DRG | 14.83 | ||
| SNF Discharge Rate with ICD M8669 - Other chronic osteomyelitis, multiple sites | NA | ||
| Home Discharge Rate at DRG | 53.93 | ||
| Home Discharge Rate with ICD M8669 - Other chronic osteomyelitis, multiple sites | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BARNES JEWISH HOSPITAL | 1 BARNES-JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 11 |
| RED RIVER HOSPITAL | 1505 8TH ST | WICHITA FALLS | TX | 76301 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. HARVEY C. MARTIN | 1808 ROSE ST | WICHITA FALLS | TX | 76301 | 11 |