*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M898X9 - Other specified disorders of bone, unspecified site - as a primary diagnosis code | M898X9 - Other specified disorders of bone, unspecified site - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.44 | |
| Readmission Rate (%) | 32.95 | |
| 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) | |
|---|---|
| Total Hospitalizations at DRG | 23,663 |
| Total Hospitalizations with ICD M898X9 - Other specified disorders of bone, unspecified site | 15 |
| DRG Share of Total Hospitalizations | 0.07 |
| % of Total ICD M898X9 - Other specified disorders of bone, unspecified site in DRG | 39.47 |
| Avg LOS at DRG | 4.81 |
| Avg LOS with ICD M898X9 - Other specified disorders of bone, unspecified site | 4.0 |
| Readmission Rate at DRG | 21.07 |
| Readmission Rate with ICD M898X9 - Other specified disorders of bone, unspecified site | NA |
| Unplanned Readmission Rate at DRG | 11.02 |
| Unplanned Readmission Rate with ICD M898X9 - Other specified disorders of bone, unspecified site | NA |
| Total Medicare payments at DRG | $163,590,689 |
| Total Medicare payments with ICD M898X9 - Other specified disorders of bone, unspecified site | $79,249 |
| Total Medicare payment per Day at DRG | $1,438 |
| Total Medicare payment per Day with ICD M898X9 - Other specified disorders of bone, unspecified site | $1,321 |
| Total Medicare payment per Hospitalization at DRG | $6,913 |
| Total Medicare payment per Hospitalization with ICD M898X9 - Other specified disorders of bone, unspecified site | $5,283 |
| Total Medicare Charges at DRG | $779,108,044 |
| Total Medicare Charges with ICD M898X9 - Other specified disorders of bone, unspecified site | $470,024 |
| Avg Charges at DRG | $32,925 |
| Avg Charges with ICD M898X9 - Other specified disorders of bone, unspecified site | $31,335 |
| Mortality Rate at DRG | 0.29 |
| Mortality Rate with ICD M898X9 - Other specified disorders of bone, unspecified site | NA |
| SNF Discharge Rate at DRG | 39.56 |
| SNF Discharge Rate with ICD M898X9 - Other specified disorders of bone, unspecified site | NA |
| Home Discharge Rate at DRG | 25.13 |
| Home Discharge Rate with ICD M898X9 - Other specified disorders of bone, unspecified site | 73.33 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD M898X9 - Other specified disorders of bone, unspecified site | 832 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD M898X9 - Other specified disorders of bone, unspecified site in DRG | 5.82 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD M898X9 - Other specified disorders of bone, unspecified site | 4.66 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD M898X9 - Other specified disorders of bone, unspecified site | 36.78 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD M898X9 - Other specified disorders of bone, unspecified site | 30.78 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD M898X9 - Other specified disorders of bone, unspecified site | $7,780,630 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD M898X9 - Other specified disorders of bone, unspecified site | $2,008 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD M898X9 - Other specified disorders of bone, unspecified site | $9,352 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD M898X9 - Other specified disorders of bone, unspecified site | $32,137,574 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD M898X9 - Other specified disorders of bone, unspecified site | $38,627 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD M898X9 - Other specified disorders of bone, unspecified site | 2.04 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD M898X9 - Other specified disorders of bone, unspecified site | 15.75 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD M898X9 - Other specified disorders of bone, unspecified site | 53.25 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 138,345 | ||||
| Total Hospitalizations with ICD M898X9 - Other specified disorders of bone, unspecified site | 452 | ||||
| DRG Share of Total Hospitalizations | 0.42 | ||||
| % of Total ICD M898X9 - Other specified disorders of bone, unspecified site in DRG | 3.16 | ||||
| Avg LOS at DRG | 6.92 | ||||
| Avg LOS with ICD M898X9 - Other specified disorders of bone, unspecified site | 6.87 | ||||
| Readmission Rate at DRG | 32.2 | ||||
| Readmission Rate with ICD M898X9 - Other specified disorders of bone, unspecified site | 31.68 | ||||
| Unplanned Readmission Rate at DRG | 22.95 | ||||
| Unplanned Readmission Rate with ICD M898X9 - Other specified disorders of bone, unspecified site | 23.27 | ||||
| Total Medicare payments at DRG | $1,845,581,658 | ||||
| Total Medicare payments with ICD M898X9 - Other specified disorders of bone, unspecified site | $6,123,668 | ||||
| Total Medicare payment per Day at DRG | $1,929 | ||||
| Total Medicare payment per Day with ICD M898X9 - Other specified disorders of bone, unspecified site | $1,972 | ||||
| Total Medicare payment per Hospitalization at DRG | $13,340 | ||||
| Total Medicare payment per Hospitalization with ICD M898X9 - Other specified disorders of bone, unspecified site | $13,548 | ||||
| Total Medicare Charges at DRG | $9,021,459,592 | ||||
| Total Medicare Charges with ICD M898X9 - Other specified disorders of bone, unspecified site | $25,615,152 | ||||
| Avg Charges at DRG | $65,210 | ||||
| Avg Charges with ICD M898X9 - Other specified disorders of bone, unspecified site | $56,671 | ||||
| Mortality Rate at DRG | 5.29 | ||||
| Mortality Rate with ICD M898X9 - Other specified disorders of bone, unspecified site | 2.43 | ||||
| SNF Discharge Rate at DRG | 18.8 | ||||
| SNF Discharge Rate with ICD M898X9 - Other specified disorders of bone, unspecified site | 16.59 | ||||
| Home Discharge Rate at DRG | 39.78 | ||||
| Home Discharge Rate with ICD M898X9 - Other specified disorders of bone, unspecified site | 51.77 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 652: KIDNEY TRANSPLANT | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 134,422 | ||||
| Total Hospitalizations with ICD M898X9 - Other specified disorders of bone, unspecified site | 220 | ||||
| DRG Share of Total Hospitalizations | 0.41 | ||||
| % of Total ICD M898X9 - Other specified disorders of bone, unspecified site in DRG | 1.54 | ||||
| Avg LOS at DRG | 4.97 | ||||
| Avg LOS with ICD M898X9 - Other specified disorders of bone, unspecified site | 4.06 | ||||
| Readmission Rate at DRG | 26.98 | ||||
| Readmission Rate with ICD M898X9 - Other specified disorders of bone, unspecified site | 36.36 | ||||
| Unplanned Readmission Rate at DRG | 20.97 | ||||
| Unplanned Readmission Rate with ICD M898X9 - Other specified disorders of bone, unspecified site | 32.06 | ||||
| Total Medicare payments at DRG | $1,078,703,587 | ||||
| Total Medicare payments with ICD M898X9 - Other specified disorders of bone, unspecified site | $1,686,050 | ||||
| Total Medicare payment per Day at DRG | $1,614 | ||||
| Total Medicare payment per Day with ICD M898X9 - Other specified disorders of bone, unspecified site | $1,888 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,025 | ||||
| Total Medicare payment per Hospitalization with ICD M898X9 - Other specified disorders of bone, unspecified site | $7,664 | ||||
| Total Medicare Charges at DRG | $5,564,930,414 | ||||
| Total Medicare Charges with ICD M898X9 - Other specified disorders of bone, unspecified site | $7,340,128 | ||||
| Avg Charges at DRG | $41,399 | ||||
| Avg Charges with ICD M898X9 - Other specified disorders of bone, unspecified site | $33,364 | ||||
| Mortality Rate at DRG | 2.08 | ||||
| Mortality Rate with ICD M898X9 - Other specified disorders of bone, unspecified site | NA | ||||
| SNF Discharge Rate at DRG | 16.97 | ||||
| SNF Discharge Rate with ICD M898X9 - Other specified disorders of bone, unspecified site | 8.64 | ||||
| Home Discharge Rate at DRG | 52.45 | ||||
| Home Discharge Rate with ICD M898X9 - Other specified disorders of bone, unspecified site | 71.36 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 811: RED BLOOD CELL DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 637: DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 227,705 | ||||
| Total Hospitalizations with ICD M898X9 - Other specified disorders of bone, unspecified site | 150 | ||||
| DRG Share of Total Hospitalizations | 0.69 | ||||
| % of Total ICD M898X9 - Other specified disorders of bone, unspecified site in DRG | 1.05 | ||||
| Avg LOS at DRG | 4.51 | ||||
| Avg LOS with ICD M898X9 - Other specified disorders of bone, unspecified site | 3.94 | ||||
| Readmission Rate at DRG | 24.66 | ||||
| Readmission Rate with ICD M898X9 - Other specified disorders of bone, unspecified site | 34.31 | ||||
| Unplanned Readmission Rate at DRG | 18.32 | ||||
| Unplanned Readmission Rate with ICD M898X9 - Other specified disorders of bone, unspecified site | 29.2 | ||||
| Total Medicare payments at DRG | $1,725,174,811 | ||||
| Total Medicare payments with ICD M898X9 - Other specified disorders of bone, unspecified site | $1,126,483 | ||||
| Total Medicare payment per Day at DRG | $1,678 | ||||
| Total Medicare payment per Day with ICD M898X9 - Other specified disorders of bone, unspecified site | $1,906 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,576 | ||||
| Total Medicare payment per Hospitalization with ICD M898X9 - Other specified disorders of bone, unspecified site | $7,510 | ||||
| Total Medicare Charges at DRG | $8,683,995,141 | ||||
| Total Medicare Charges with ICD M898X9 - Other specified disorders of bone, unspecified site | $5,134,226 | ||||
| Avg Charges at DRG | $38,137 | ||||
| Avg Charges with ICD M898X9 - Other specified disorders of bone, unspecified site | $34,228 | ||||
| Mortality Rate at DRG | 4.12 | ||||
| Mortality Rate with ICD M898X9 - Other specified disorders of bone, unspecified site | NA | ||||
| SNF Discharge Rate at DRG | 17.01 | ||||
| SNF Discharge Rate with ICD M898X9 - Other specified disorders of bone, unspecified site | 12.0 | ||||
| Home Discharge Rate at DRG | 48.19 | ||||
| Home Discharge Rate with ICD M898X9 - Other specified disorders of bone, unspecified site | 60.67 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| METHODIST UNIVERSITY HOSPITAL | 1265 UNION AVE | MEMPHIS | TN | 38104 | 1,874 |
| FROEDTERT MEMORIAL LUTHERAN HOSPITAL | 9200 W WISCONSIN AVE | MILWAUKEE | WI | 53226 | 749 |
| BAPTIST MEMORIAL HOSPITAL | 6019 WALNUT GROVE RD | MEMPHIS | TN | 38120 | 476 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. AILEEN GARCIAGAYOSO | 1325 EASTMORELAND AVE | MEMPHIS | TN | 38104 | 131 |
| Dr. HANY M HABASHY | 1325 EASTMORELAND AVE | MEMPHIS | TN | 38104 | 77 |
| Dr. TARIQ ABO-KAMIL | 568 RUIN CREEK RD | HENDERSON | NC | 27536 | 67 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. AILEEN GARCIAGAYOSO | 1325 EASTMORELAND AVE | MEMPHIS | TN | 38104 | 190 |
| Dr. HANY M HABASHY | 1325 EASTMORELAND AVE | MEMPHIS | TN | 38104 | 118 |
| Dr. EMMANUEL ILOH | 3950 NEW COVINGTON PIKE STE 130 | MEMPHIS | TN | 38128 | 66 |