*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R29898 - Other symptoms and signs involving the musculoskeletal system - as a primary diagnosis code | R29898 - Other symptoms and signs involving the musculoskeletal system - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.67 | |
| Readmission Rate (%) | 22.26 | |
| Unplanned Readmission Rate (%) | 10.01 | |
| 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 556: SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 555: SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 43,543 | |
| Total Hospitalizations with ICD R29898 - Other symptoms and signs involving the musculoskeletal system | 1,819 | |
| DRG Share of Total Hospitalizations | 0.13 | |
| % of Total ICD R29898 - Other symptoms and signs involving the musculoskeletal system in DRG | 84.72 | |
| Avg LOS at DRG | 4.54 | |
| Avg LOS with ICD R29898 - Other symptoms and signs involving the musculoskeletal system | 4.87 | |
| Readmission Rate at DRG | 18.05 | |
| Readmission Rate with ICD R29898 - Other symptoms and signs involving the musculoskeletal system | 19.16 | |
| Unplanned Readmission Rate at DRG | 10.73 | |
| Unplanned Readmission Rate with ICD R29898 - Other symptoms and signs involving the musculoskeletal system | 9.1 | |
| Total Medicare payments at DRG | $293,427,765 | |
| Total Medicare payments with ICD R29898 - Other symptoms and signs involving the musculoskeletal system | $14,075,952 | |
| Total Medicare payment per Day at DRG | $1,485 | |
| Total Medicare payment per Day with ICD R29898 - Other symptoms and signs involving the musculoskeletal system | $1,590 | |
| Total Medicare payment per Hospitalization at DRG | $6,739 | |
| Total Medicare payment per Hospitalization with ICD R29898 - Other symptoms and signs involving the musculoskeletal system | $7,738 | |
| Total Medicare Charges at DRG | $1,161,067,318 | |
| Total Medicare Charges with ICD R29898 - Other symptoms and signs involving the musculoskeletal system | $59,550,975 | |
| Avg Charges at DRG | $26,665 | |
| Avg Charges with ICD R29898 - Other symptoms and signs involving the musculoskeletal system | $32,738 | |
| Mortality Rate at DRG | 0.19 | |
| Mortality Rate with ICD R29898 - Other symptoms and signs involving the musculoskeletal system | NA | |
| SNF Discharge Rate at DRG | 27.91 | |
| SNF Discharge Rate with ICD R29898 - Other symptoms and signs involving the musculoskeletal system | 21.83 | |
| Home Discharge Rate at DRG | 35.39 | |
| Home Discharge Rate with ICD R29898 - Other symptoms and signs involving the musculoskeletal system | 35.9 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ENCOMPASS HEALTH REHABILITATION HOSPITAL OF HENDERSON | 10301 JEFFREYS ST | HENDERSON | NV | 89052 | 46 |
| REHABILITATION HOSPITAL OF THE PACIFIC | 226 N KUAKINI ST | HONOLULU | HI | 96817 | 40 |
| NORTH OAKS REHABILITATION HOSPITAL | 1900 S MORRISON BLVD | HAMMOND | LA | 70403 | 33 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ROBERT R GAO | 229 N PECOS RD | HENDERSON | NV | 89074 | 27 |
| Dr. JULIE ANN ZITTERKOPF LARSON | 15813 PAUL VEGA DR | HAMMOND | LA | 70403 | 17 |
| Dr. SERGIO ZAMORA | 2450 EL INDIO HWY | EAGLE PASS | TX | 78852 | 17 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 556: SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 43,543 | ||||
| Total Hospitalizations with ICD R29898 - Other symptoms and signs involving the musculoskeletal system | 2,099 | ||||
| DRG Share of Total Hospitalizations | 0.13 | ||||
| % of Total ICD R29898 - Other symptoms and signs involving the musculoskeletal system in DRG | 5.49 | ||||
| Avg LOS at DRG | 4.54 | ||||
| Avg LOS with ICD R29898 - Other symptoms and signs involving the musculoskeletal system | 5.17 | ||||
| Readmission Rate at DRG | 18.05 | ||||
| Readmission Rate with ICD R29898 - Other symptoms and signs involving the musculoskeletal system | 18.72 | ||||
| Unplanned Readmission Rate at DRG | 10.73 | ||||
| Unplanned Readmission Rate with ICD R29898 - Other symptoms and signs involving the musculoskeletal system | 9.04 | ||||
| Total Medicare payments at DRG | $293,427,765 | ||||
| Total Medicare payments with ICD R29898 - Other symptoms and signs involving the musculoskeletal system | $16,917,810 | ||||
| Total Medicare payment per Day at DRG | $1,485 | ||||
| Total Medicare payment per Day with ICD R29898 - Other symptoms and signs involving the musculoskeletal system | $1,558 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,739 | ||||
| Total Medicare payment per Hospitalization with ICD R29898 - Other symptoms and signs involving the musculoskeletal system | $8,060 | ||||
| Total Medicare Charges at DRG | $1,161,067,318 | ||||
| Total Medicare Charges with ICD R29898 - Other symptoms and signs involving the musculoskeletal system | $68,549,513 | ||||
| Avg Charges at DRG | $26,665 | ||||
| Avg Charges with ICD R29898 - Other symptoms and signs involving the musculoskeletal system | $32,658 | ||||
| Mortality Rate at DRG | 0.19 | ||||
| Mortality Rate with ICD R29898 - Other symptoms and signs involving the musculoskeletal system | NA | ||||
| SNF Discharge Rate at DRG | 27.91 | ||||
| SNF Discharge Rate with ICD R29898 - Other symptoms and signs involving the musculoskeletal system | 21.87 | ||||
| Home Discharge Rate at DRG | 35.39 | ||||
| Home Discharge Rate with ICD R29898 - Other symptoms and signs involving the musculoskeletal system | 34.78 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 066: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 069: TRANSIENT ISCHEMIA | DRG 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 195,476 | ||||
| Total Hospitalizations with ICD R29898 - Other symptoms and signs involving the musculoskeletal system | 1,360 | ||||
| DRG Share of Total Hospitalizations | 0.59 | ||||
| % of Total ICD R29898 - Other symptoms and signs involving the musculoskeletal system in DRG | 3.56 | ||||
| Avg LOS at DRG | 4.48 | ||||
| Avg LOS with ICD R29898 - Other symptoms and signs involving the musculoskeletal system | 8.34 | ||||
| Readmission Rate at DRG | 20.57 | ||||
| Readmission Rate with ICD R29898 - Other symptoms and signs involving the musculoskeletal system | 18.09 | ||||
| Unplanned Readmission Rate at DRG | 9.88 | ||||
| Unplanned Readmission Rate with ICD R29898 - Other symptoms and signs involving the musculoskeletal system | 9.08 | ||||
| Total Medicare payments at DRG | $1,320,662,237 | ||||
| Total Medicare payments with ICD R29898 - Other symptoms and signs involving the musculoskeletal system | $16,819,281 | ||||
| Total Medicare payment per Day at DRG | $1,508 | ||||
| Total Medicare payment per Day with ICD R29898 - Other symptoms and signs involving the musculoskeletal system | $1,482 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,756 | ||||
| Total Medicare payment per Hospitalization with ICD R29898 - Other symptoms and signs involving the musculoskeletal system | $12,367 | ||||
| Total Medicare Charges at DRG | $6,024,639,461 | ||||
| Total Medicare Charges with ICD R29898 - Other symptoms and signs involving the musculoskeletal system | $41,076,700 | ||||
| Avg Charges at DRG | $30,820 | ||||
| Avg Charges with ICD R29898 - Other symptoms and signs involving the musculoskeletal system | $30,203 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD R29898 - Other symptoms and signs involving the musculoskeletal system | NA | ||||
| SNF Discharge Rate at DRG | 33.36 | ||||
| SNF Discharge Rate with ICD R29898 - Other symptoms and signs involving the musculoskeletal system | 22.57 | ||||
| Home Discharge Rate at DRG | 30.98 | ||||
| Home Discharge Rate with ICD R29898 - Other symptoms and signs involving the musculoskeletal system | 26.99 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 249,842 | ||||
| Total Hospitalizations with ICD R29898 - Other symptoms and signs involving the musculoskeletal system | 805 | ||||
| DRG Share of Total Hospitalizations | 0.76 | ||||
| % of Total ICD R29898 - Other symptoms and signs involving the musculoskeletal system in DRG | 2.1 | ||||
| Avg LOS at DRG | 6.05 | ||||
| Avg LOS with ICD R29898 - Other symptoms and signs involving the musculoskeletal system | 4.91 | ||||
| Readmission Rate at DRG | 35.06 | ||||
| Readmission Rate with ICD R29898 - Other symptoms and signs involving the musculoskeletal system | 32.81 | ||||
| Unplanned Readmission Rate at DRG | 11.16 | ||||
| Unplanned Readmission Rate with ICD R29898 - Other symptoms and signs involving the musculoskeletal system | 11.08 | ||||
| Total Medicare payments at DRG | $2,933,944,169 | ||||
| Total Medicare payments with ICD R29898 - Other symptoms and signs involving the musculoskeletal system | $8,977,756 | ||||
| Total Medicare payment per Day at DRG | $1,941 | ||||
| Total Medicare payment per Day with ICD R29898 - Other symptoms and signs involving the musculoskeletal system | $2,271 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,743 | ||||
| Total Medicare payment per Hospitalization with ICD R29898 - Other symptoms and signs involving the musculoskeletal system | $11,152 | ||||
| Total Medicare Charges at DRG | $15,164,864,310 | ||||
| Total Medicare Charges with ICD R29898 - Other symptoms and signs involving the musculoskeletal system | $41,636,980 | ||||
| Avg Charges at DRG | $60,698 | ||||
| Avg Charges with ICD R29898 - Other symptoms and signs involving the musculoskeletal system | $51,723 | ||||
| Mortality Rate at DRG | 15.95 | ||||
| Mortality Rate with ICD R29898 - Other symptoms and signs involving the musculoskeletal system | 6.96 | ||||
| SNF Discharge Rate at DRG | 27.24 | ||||
| SNF Discharge Rate with ICD R29898 - Other symptoms and signs involving the musculoskeletal system | 31.43 | ||||
| Home Discharge Rate at DRG | 12.21 | ||||
| Home Discharge Rate with ICD R29898 - Other symptoms and signs involving the musculoskeletal system | 17.76 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 559: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 074: CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 093: OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 65,966 | ||||
| Total Hospitalizations with ICD R29898 - Other symptoms and signs involving the musculoskeletal system | 473 | ||||
| DRG Share of Total Hospitalizations | 0.2 | ||||
| % of Total ICD R29898 - Other symptoms and signs involving the musculoskeletal system in DRG | 1.24 | ||||
| Avg LOS at DRG | 13.11 | ||||
| Avg LOS with ICD R29898 - Other symptoms and signs involving the musculoskeletal system | 13.79 | ||||
| Readmission Rate at DRG | 21.08 | ||||
| Readmission Rate with ICD R29898 - Other symptoms and signs involving the musculoskeletal system | 18.61 | ||||
| Unplanned Readmission Rate at DRG | 14.13 | ||||
| Unplanned Readmission Rate with ICD R29898 - Other symptoms and signs involving the musculoskeletal system | 12.16 | ||||
| Total Medicare payments at DRG | $1,323,430,782 | ||||
| Total Medicare payments with ICD R29898 - Other symptoms and signs involving the musculoskeletal system | $9,799,785 | ||||
| Total Medicare payment per Day at DRG | $1,530 | ||||
| Total Medicare payment per Day with ICD R29898 - Other symptoms and signs involving the musculoskeletal system | $1,502 | ||||
| Total Medicare payment per Hospitalization at DRG | $20,062 | ||||
| Total Medicare payment per Hospitalization with ICD R29898 - Other symptoms and signs involving the musculoskeletal system | $20,718 | ||||
| Total Medicare Charges at DRG | $3,810,466,828 | ||||
| Total Medicare Charges with ICD R29898 - Other symptoms and signs involving the musculoskeletal system | $20,909,344 | ||||
| Avg Charges at DRG | $57,764 | ||||
| Avg Charges with ICD R29898 - Other symptoms and signs involving the musculoskeletal system | $44,206 | ||||
| Mortality Rate at DRG | 1.49 | ||||
| Mortality Rate with ICD R29898 - Other symptoms and signs involving the musculoskeletal system | NA | ||||
| SNF Discharge Rate at DRG | 24.48 | ||||
| SNF Discharge Rate with ICD R29898 - Other symptoms and signs involving the musculoskeletal system | 22.41 | ||||
| Home Discharge Rate at DRG | 12.66 | ||||
| Home Discharge Rate with ICD R29898 - Other symptoms and signs involving the musculoskeletal system | 12.05 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| REGIONAL REHABILITATION HOSPITAL | 3715 HIGHWAY 280/431 NORTH | PHENIX CITY | AL | 36867 | 1,242 |
| ENCOMPASS HEALTH REHABILITATION HOSPITAL OF HENDERSON | 10301 JEFFREYS ST | HENDERSON | NV | 89052 | 793 |
| SPAULDING REHABILITATION HOSPITAL CAPE COD | 311 SERVICE RD | E SANDWICH | MA | 02537 | 408 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ROBERT R GAO | 229 N PECOS RD | HENDERSON | NV | 89074 | 76 |
| Dr. DEEPTHI S SAXENA | 1401 S CALIFORNIA AVE | CHICAGO | IL | 60608 | 63 |
| Dr. NEIL KISHOR PATEL | 1990 LARKIN AVE | ELGIN | IL | 60123 | 59 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ROBERT R GAO | 229 N PECOS RD | HENDERSON | NV | 89074 | 566 |
| Dr. NITIN R DESAI | 2410 DOUBLE CHURCHES RD | COLUMBUS | GA | 31909 | 277 |
| Dr. DARYL ELLIS | 5009 RIVER CHASE DR | PHENIX CITY | AL | 36867 | 252 |