*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M941 - Relapsing polychondritis - as a primary diagnosis code | M941 - Relapsing polychondritis - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.7 | |
| Readmission Rate (%) | 23.7 | |
| Unplanned Readmission Rate (%) | 14.71 | |
| 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 566: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES 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) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 23,663 | ||
| Total Hospitalizations with ICD M941 - Relapsing polychondritis | 57 | ||
| DRG Share of Total Hospitalizations | 0.07 | ||
| % of Total ICD M941 - Relapsing polychondritis in DRG | 54.81 | ||
| Avg LOS at DRG | 4.81 | ||
| Avg LOS with ICD M941 - Relapsing polychondritis | 4.44 | ||
| Readmission Rate at DRG | 21.07 | ||
| Readmission Rate with ICD M941 - Relapsing polychondritis | 21.05 | ||
| Unplanned Readmission Rate at DRG | 11.02 | ||
| Unplanned Readmission Rate with ICD M941 - Relapsing polychondritis | 19.3 | ||
| Total Medicare payments at DRG | $163,590,689 | ||
| Total Medicare payments with ICD M941 - Relapsing polychondritis | $362,980 | ||
| Total Medicare payment per Day at DRG | $1,438 | ||
| Total Medicare payment per Day with ICD M941 - Relapsing polychondritis | $1,435 | ||
| Total Medicare payment per Hospitalization at DRG | $6,913 | ||
| Total Medicare payment per Hospitalization with ICD M941 - Relapsing polychondritis | $6,368 | ||
| Total Medicare Charges at DRG | $779,108,044 | ||
| Total Medicare Charges with ICD M941 - Relapsing polychondritis | $2,867,465 | ||
| Avg Charges at DRG | $32,925 | ||
| Avg Charges with ICD M941 - Relapsing polychondritis | $50,306 | ||
| Mortality Rate at DRG | 0.29 | ||
| Mortality Rate with ICD M941 - Relapsing polychondritis | NA | ||
| SNF Discharge Rate at DRG | 39.56 | ||
| SNF Discharge Rate with ICD M941 - Relapsing polychondritis | NA | ||
| Home Discharge Rate at DRG | 25.13 | ||
| Home Discharge Rate with ICD M941 - Relapsing polychondritis | 77.19 |
*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 565: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD M941 - Relapsing polychondritis | 127 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD M941 - Relapsing polychondritis in DRG | 9.87 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD M941 - Relapsing polychondritis | 6.98 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD M941 - Relapsing polychondritis | 34.23 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD M941 - Relapsing polychondritis | 27.03 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD M941 - Relapsing polychondritis | $1,621,771 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD M941 - Relapsing polychondritis | $1,828 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD M941 - Relapsing polychondritis | $12,770 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD M941 - Relapsing polychondritis | $9,277,549 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD M941 - Relapsing polychondritis | $73,052 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD M941 - Relapsing polychondritis | 8.66 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD M941 - Relapsing polychondritis | 15.75 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD M941 - Relapsing polychondritis | 40.16 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT 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 | 539,642 | ||||
| Total Hospitalizations with ICD M941 - Relapsing polychondritis | 25 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD M941 - Relapsing polychondritis in DRG | 1.94 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD M941 - Relapsing polychondritis | 4.96 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD M941 - Relapsing polychondritis | NA | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD M941 - Relapsing polychondritis | NA | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD M941 - Relapsing polychondritis | $195,422 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD M941 - Relapsing polychondritis | $1,576 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD M941 - Relapsing polychondritis | $7,817 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD M941 - Relapsing polychondritis | $1,011,343 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD M941 - Relapsing polychondritis | $40,454 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD M941 - Relapsing polychondritis | NA | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD M941 - Relapsing polychondritis | NA | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD M941 - Relapsing polychondritis | 44.0 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 202: BRONCHITIS AND ASTHMA WITH 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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 364,421 | ||||
| Total Hospitalizations with ICD M941 - Relapsing polychondritis | 22 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD M941 - Relapsing polychondritis in DRG | 1.71 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD M941 - Relapsing polychondritis | 4.32 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD M941 - Relapsing polychondritis | NA | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD M941 - Relapsing polychondritis | NA | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD M941 - Relapsing polychondritis | $90,291 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD M941 - Relapsing polychondritis | $950 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD M941 - Relapsing polychondritis | $4,104 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD M941 - Relapsing polychondritis | $670,429 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD M941 - Relapsing polychondritis | $30,474 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD M941 - Relapsing polychondritis | NA | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD M941 - Relapsing polychondritis | NA | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD M941 - Relapsing polychondritis | 59.09 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 181,637 | ||||
| Total Hospitalizations with ICD M941 - Relapsing polychondritis | 14 | ||||
| DRG Share of Total Hospitalizations | 0.55 | ||||
| % of Total ICD M941 - Relapsing polychondritis in DRG | 1.09 | ||||
| Avg LOS at DRG | 7.0 | ||||
| Avg LOS with ICD M941 - Relapsing polychondritis | 6.64 | ||||
| Readmission Rate at DRG | 32.53 | ||||
| Readmission Rate with ICD M941 - Relapsing polychondritis | NA | ||||
| Unplanned Readmission Rate at DRG | 19.84 | ||||
| Unplanned Readmission Rate with ICD M941 - Relapsing polychondritis | NA | ||||
| Total Medicare payments at DRG | $2,845,609,163 | ||||
| Total Medicare payments with ICD M941 - Relapsing polychondritis | $220,421 | ||||
| Total Medicare payment per Day at DRG | $2,237 | ||||
| Total Medicare payment per Day with ICD M941 - Relapsing polychondritis | $2,370 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,666 | ||||
| Total Medicare payment per Hospitalization with ICD M941 - Relapsing polychondritis | $15,744 | ||||
| Total Medicare Charges at DRG | $14,794,146,746 | ||||
| Total Medicare Charges with ICD M941 - Relapsing polychondritis | $1,127,141 | ||||
| Avg Charges at DRG | $81,449 | ||||
| Avg Charges with ICD M941 - Relapsing polychondritis | $80,510 | ||||
| Mortality Rate at DRG | 25.14 | ||||
| Mortality Rate with ICD M941 - Relapsing polychondritis | NA | ||||
| SNF Discharge Rate at DRG | 19.06 | ||||
| SNF Discharge Rate with ICD M941 - Relapsing polychondritis | NA | ||||
| Home Discharge Rate at DRG | 20.69 | ||||
| Home Discharge Rate with ICD M941 - Relapsing polychondritis | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ST. MARY'S MEDICAL CENTER | 450 STANYAN ST | SAN FRANCISCO | CA | 94117 | 16 |
| HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA | 3400 SPRUCE ST | PHILADELPHIA | PA | 19104 | 16 |
| NORTHWESTERN MEMORIAL HOSPITAL | 251 E HURON ST | CHICAGO | IL | 60611 | 13 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | K219 | Gastro-esophageal reflux disease without esophagitis |
| 2 | I10 | Essential (primary) hypertension |