*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M899 - Disorder of bone, unspecified - as a primary diagnosis code | M899 - Disorder of bone, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.96 | |
| Readmission Rate (%) | 27.53 | |
| Unplanned Readmission Rate (%) | 12.54 | |
| 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 478: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 479: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 M899 - Disorder of bone, unspecified | 147 | ||||
| DRG Share of Total Hospitalizations | 0.07 | ||||
| % of Total ICD M899 - Disorder of bone, unspecified in DRG | 21.37 | ||||
| Avg LOS at DRG | 4.81 | ||||
| Avg LOS with ICD M899 - Disorder of bone, unspecified | 3.62 | ||||
| Readmission Rate at DRG | 21.07 | ||||
| Readmission Rate with ICD M899 - Disorder of bone, unspecified | 33.06 | ||||
| Unplanned Readmission Rate at DRG | 11.02 | ||||
| Unplanned Readmission Rate with ICD M899 - Disorder of bone, unspecified | 20.97 | ||||
| Total Medicare payments at DRG | $163,590,689 | ||||
| Total Medicare payments with ICD M899 - Disorder of bone, unspecified | $875,077 | ||||
| Total Medicare payment per Day at DRG | $1,438 | ||||
| Total Medicare payment per Day with ICD M899 - Disorder of bone, unspecified | $1,645 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,913 | ||||
| Total Medicare payment per Hospitalization with ICD M899 - Disorder of bone, unspecified | $5,953 | ||||
| Total Medicare Charges at DRG | $779,108,044 | ||||
| Total Medicare Charges with ICD M899 - Disorder of bone, unspecified | $5,246,313 | ||||
| Avg Charges at DRG | $32,925 | ||||
| Avg Charges with ICD M899 - Disorder of bone, unspecified | $35,689 | ||||
| Mortality Rate at DRG | 0.29 | ||||
| Mortality Rate with ICD M899 - Disorder of bone, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 39.56 | ||||
| SNF Discharge Rate with ICD M899 - Disorder of bone, unspecified | 24.49 | ||||
| Home Discharge Rate at DRG | 25.13 | ||||
| Home Discharge Rate with ICD M899 - Disorder of bone, unspecified | 47.62 |
*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 517: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES 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 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 482: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 10,492 | ||||
| Total Hospitalizations with ICD M899 - Disorder of bone, unspecified | 52 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD M899 - Disorder of bone, unspecified in DRG | 7.56 | ||||
| Avg LOS at DRG | 10.44 | ||||
| Avg LOS with ICD M899 - Disorder of bone, unspecified | 7.6 | ||||
| Readmission Rate at DRG | 33.5 | ||||
| Readmission Rate with ICD M899 - Disorder of bone, unspecified | 28.57 | ||||
| Unplanned Readmission Rate at DRG | 18.55 | ||||
| Unplanned Readmission Rate with ICD M899 - Disorder of bone, unspecified | NA | ||||
| Total Medicare payments at DRG | $222,941,658 | ||||
| Total Medicare payments with ICD M899 - Disorder of bone, unspecified | $1,049,577 | ||||
| Total Medicare payment per Day at DRG | $2,035 | ||||
| Total Medicare payment per Day with ICD M899 - Disorder of bone, unspecified | $2,657 | ||||
| Total Medicare payment per Hospitalization at DRG | $21,249 | ||||
| Total Medicare payment per Hospitalization with ICD M899 - Disorder of bone, unspecified | $20,184 | ||||
| Total Medicare Charges at DRG | $1,105,743,816 | ||||
| Total Medicare Charges with ICD M899 - Disorder of bone, unspecified | $4,349,744 | ||||
| Avg Charges at DRG | $105,389 | ||||
| Avg Charges with ICD M899 - Disorder of bone, unspecified | $83,649 | ||||
| Mortality Rate at DRG | 3.15 | ||||
| Mortality Rate with ICD M899 - Disorder of bone, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 39.48 | ||||
| SNF Discharge Rate with ICD M899 - Disorder of bone, unspecified | 28.85 | ||||
| Home Discharge Rate at DRG | 15.98 | ||||
| Home Discharge Rate with ICD M899 - Disorder of bone, unspecified | 38.46 |
*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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD M899 - Disorder of bone, unspecified | 1,545 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD M899 - Disorder of bone, unspecified in DRG | 4.7 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD M899 - Disorder of bone, unspecified | 6.86 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD M899 - Disorder of bone, unspecified | 28.13 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD M899 - Disorder of bone, unspecified | 20.36 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD M899 - Disorder of bone, unspecified | $18,347,948 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD M899 - Disorder of bone, unspecified | $1,730 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD M899 - Disorder of bone, unspecified | $11,876 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD M899 - Disorder of bone, unspecified | $96,207,544 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD M899 - Disorder of bone, unspecified | $62,270 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD M899 - Disorder of bone, unspecified | 7.96 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD M899 - Disorder of bone, unspecified | 24.34 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD M899 - Disorder of bone, unspecified | 31.65 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD M899 - Disorder of bone, unspecified | 561 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD M899 - Disorder of bone, unspecified in DRG | 1.71 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD M899 - Disorder of bone, unspecified | 4.8 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD M899 - Disorder of bone, unspecified | 25.61 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD M899 - Disorder of bone, unspecified | 18.27 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD M899 - Disorder of bone, unspecified | $3,317,947 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD M899 - Disorder of bone, unspecified | $1,233 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD M899 - Disorder of bone, unspecified | $5,914 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD M899 - Disorder of bone, unspecified | $19,924,358 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD M899 - Disorder of bone, unspecified | $35,516 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD M899 - Disorder of bone, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD M899 - Disorder of bone, unspecified | 18.72 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD M899 - Disorder of bone, unspecified | 51.16 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 478: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 190,819 | ||||
| Total Hospitalizations with ICD M899 - Disorder of bone, unspecified | 433 | ||||
| DRG Share of Total Hospitalizations | 0.58 | ||||
| % of Total ICD M899 - Disorder of bone, unspecified in DRG | 1.32 | ||||
| Avg LOS at DRG | 5.63 | ||||
| Avg LOS with ICD M899 - Disorder of bone, unspecified | 4.94 | ||||
| Readmission Rate at DRG | 28.97 | ||||
| Readmission Rate with ICD M899 - Disorder of bone, unspecified | 30.03 | ||||
| Unplanned Readmission Rate at DRG | 22.07 | ||||
| Unplanned Readmission Rate with ICD M899 - Disorder of bone, unspecified | 26.72 | ||||
| Total Medicare payments at DRG | $2,165,853,817 | ||||
| Total Medicare payments with ICD M899 - Disorder of bone, unspecified | $4,854,564 | ||||
| Total Medicare payment per Day at DRG | $2,015 | ||||
| Total Medicare payment per Day with ICD M899 - Disorder of bone, unspecified | $2,271 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,350 | ||||
| Total Medicare payment per Hospitalization with ICD M899 - Disorder of bone, unspecified | $11,211 | ||||
| Total Medicare Charges at DRG | $10,686,431,125 | ||||
| Total Medicare Charges with ICD M899 - Disorder of bone, unspecified | $20,605,527 | ||||
| Avg Charges at DRG | $56,003 | ||||
| Avg Charges with ICD M899 - Disorder of bone, unspecified | $47,588 | ||||
| Mortality Rate at DRG | 5.35 | ||||
| Mortality Rate with ICD M899 - Disorder of bone, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 23.91 | ||||
| SNF Discharge Rate with ICD M899 - Disorder of bone, unspecified | 21.25 | ||||
| Home Discharge Rate at DRG | 39.51 | ||||
| Home Discharge Rate with ICD M899 - Disorder of bone, unspecified | 53.58 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD M899 - Disorder of bone, unspecified | 327 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD M899 - Disorder of bone, unspecified in DRG | 1.0 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD M899 - Disorder of bone, unspecified | 3.65 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD M899 - Disorder of bone, unspecified | 18.33 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD M899 - Disorder of bone, unspecified | 13.18 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD M899 - Disorder of bone, unspecified | $1,429,458 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD M899 - Disorder of bone, unspecified | $1,196 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD M899 - Disorder of bone, unspecified | $4,371 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD M899 - Disorder of bone, unspecified | $9,842,278 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD M899 - Disorder of bone, unspecified | $30,099 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD M899 - Disorder of bone, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD M899 - Disorder of bone, unspecified | 12.23 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD M899 - Disorder of bone, unspecified | 67.58 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| METHODIST UNIVERSITY HOSPITAL | 1265 UNION AVE | MEMPHIS | TN | 38104 | 1,099 |
| CENTRA VIRGINIA BAPTIST HOSPITAL | 3300 RIVERMONT AVE | LYNCHBURG | VA | 24503 | 454 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE | 2401 S 31ST ST | TEMPLE | TX | 76508 | 398 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. GREGORY H. TCHEJEYAN | 2100 LYNN ROAD | THOUSAND OAKS | CA | 91360 | 230 |
| Dr. ELLEN M. GRIMM | 1330 WONDER WORLD DR | SAN MARCOS | TX | 78666 | 112 |
| Dr. WILLIAM D WESTERKAM | 2935 COLONIAL DR | COLUMBIA | SC | 29203 | 99 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. GREGORY H. TCHEJEYAN | 2100 LYNN ROAD | THOUSAND OAKS | CA | 91360 | 176 |
| Dr. AILEEN GARCIAGAYOSO | 1325 EASTMORELAND AVE | MEMPHIS | TN | 38104 | 118 |
| Dr. WILLIAM D WESTERKAM | 2935 COLONIAL DR | COLUMBIA | SC | 29203 | 101 |