*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z8739 - Personal history of other diseases of the musculoskeletal system and connective tissue - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 13.07 | |
| 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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD Z8739 - Personal history of other diseases of the musculoskeletal system and connective tissue | 2,556 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD Z8739 - Personal history of other diseases of the musculoskeletal system and connective tissue in DRG | 6.35 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD Z8739 - Personal history of other diseases of the musculoskeletal system and connective tissue | 2.5 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD Z8739 - Personal history of other diseases of the musculoskeletal system and connective tissue | 10.32 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD Z8739 - Personal history of other diseases of the musculoskeletal system and connective tissue | 3.79 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD Z8739 - Personal history of other diseases of the musculoskeletal system and connective tissue | $30,881,147 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD Z8739 - Personal history of other diseases of the musculoskeletal system and connective tissue | $4,836 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD Z8739 - Personal history of other diseases of the musculoskeletal system and connective tissue | $12,082 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD Z8739 - Personal history of other diseases of the musculoskeletal system and connective tissue | $168,232,907 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD Z8739 - Personal history of other diseases of the musculoskeletal system and connective tissue | $65,819 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD Z8739 - Personal history of other diseases of the musculoskeletal system and connective tissue | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD Z8739 - Personal history of other diseases of the musculoskeletal system and connective tissue | 22.1 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD Z8739 - Personal history of other diseases of the musculoskeletal system and connective tissue | 27.35 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 885: PSYCHOSES | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD Z8739 - Personal history of other diseases of the musculoskeletal system and connective tissue | 720 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD Z8739 - Personal history of other diseases of the musculoskeletal system and connective tissue in DRG | 1.79 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD Z8739 - Personal history of other diseases of the musculoskeletal system and connective tissue | 10.66 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD Z8739 - Personal history of other diseases of the musculoskeletal system and connective tissue | 24.11 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD Z8739 - Personal history of other diseases of the musculoskeletal system and connective tissue | 11.61 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD Z8739 - Personal history of other diseases of the musculoskeletal system and connective tissue | $5,818,111 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD Z8739 - Personal history of other diseases of the musculoskeletal system and connective tissue | $758 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD Z8739 - Personal history of other diseases of the musculoskeletal system and connective tissue | $8,081 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD Z8739 - Personal history of other diseases of the musculoskeletal system and connective tissue | $19,893,324 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD Z8739 - Personal history of other diseases of the musculoskeletal system and connective tissue | $27,630 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD Z8739 - Personal history of other diseases of the musculoskeletal system and connective tissue | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD Z8739 - Personal history of other diseases of the musculoskeletal system and connective tissue | 6.67 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD Z8739 - Personal history of other diseases of the musculoskeletal system and connective tissue | 76.39 |
*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 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 195,476 | ||||
| Total Hospitalizations with ICD Z8739 - Personal history of other diseases of the musculoskeletal system and connective tissue | 517 | ||||
| DRG Share of Total Hospitalizations | 0.59 | ||||
| % of Total ICD Z8739 - Personal history of other diseases of the musculoskeletal system and connective tissue in DRG | 1.29 | ||||
| Avg LOS at DRG | 4.48 | ||||
| Avg LOS with ICD Z8739 - Personal history of other diseases of the musculoskeletal system and connective tissue | 4.6 | ||||
| Readmission Rate at DRG | 20.57 | ||||
| Readmission Rate with ICD Z8739 - Personal history of other diseases of the musculoskeletal system and connective tissue | 21.18 | ||||
| Unplanned Readmission Rate at DRG | 9.88 | ||||
| Unplanned Readmission Rate with ICD Z8739 - Personal history of other diseases of the musculoskeletal system and connective tissue | 8.76 | ||||
| Total Medicare payments at DRG | $1,320,662,237 | ||||
| Total Medicare payments with ICD Z8739 - Personal history of other diseases of the musculoskeletal system and connective tissue | $3,797,076 | ||||
| Total Medicare payment per Day at DRG | $1,508 | ||||
| Total Medicare payment per Day with ICD Z8739 - Personal history of other diseases of the musculoskeletal system and connective tissue | $1,596 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,756 | ||||
| Total Medicare payment per Hospitalization with ICD Z8739 - Personal history of other diseases of the musculoskeletal system and connective tissue | $7,344 | ||||
| Total Medicare Charges at DRG | $6,024,639,461 | ||||
| Total Medicare Charges with ICD Z8739 - Personal history of other diseases of the musculoskeletal system and connective tissue | $15,699,038 | ||||
| Avg Charges at DRG | $30,820 | ||||
| Avg Charges with ICD Z8739 - Personal history of other diseases of the musculoskeletal system and connective tissue | $30,366 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD Z8739 - Personal history of other diseases of the musculoskeletal system and connective tissue | NA | ||||
| SNF Discharge Rate at DRG | 33.36 | ||||
| SNF Discharge Rate with ICD Z8739 - Personal history of other diseases of the musculoskeletal system and connective tissue | 31.91 | ||||
| Home Discharge Rate at DRG | 30.98 | ||||
| Home Discharge Rate with ICD Z8739 - Personal history of other diseases of the musculoskeletal system and connective tissue | 30.95 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 483: MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD Z8739 - Personal history of other diseases of the musculoskeletal system and connective tissue | 471 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD Z8739 - Personal history of other diseases of the musculoskeletal system and connective tissue in DRG | 1.17 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD Z8739 - Personal history of other diseases of the musculoskeletal system and connective tissue | 4.67 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD Z8739 - Personal history of other diseases of the musculoskeletal system and connective tissue | 25.27 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD Z8739 - Personal history of other diseases of the musculoskeletal system and connective tissue | 17.8 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD Z8739 - Personal history of other diseases of the musculoskeletal system and connective tissue | $3,409,415 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD Z8739 - Personal history of other diseases of the musculoskeletal system and connective tissue | $1,550 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD Z8739 - Personal history of other diseases of the musculoskeletal system and connective tissue | $7,239 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD Z8739 - Personal history of other diseases of the musculoskeletal system and connective tissue | $16,717,920 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD Z8739 - Personal history of other diseases of the musculoskeletal system and connective tissue | $35,495 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD Z8739 - Personal history of other diseases of the musculoskeletal system and connective tissue | NA | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD Z8739 - Personal history of other diseases of the musculoskeletal system and connective tissue | 13.16 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD Z8739 - Personal history of other diseases of the musculoskeletal system and connective tissue | 54.14 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| SAINT FRANCIS HOSPITAL | 6161 S YALE AVE | TULSA | OK | 74136 | 1,123 |
| UF HEALTH SHANDS HOSPITAL | 1600 SW ARCHER RD | GAINESVILLE | FL | 32610 | 1,103 |
| ORLANDO HEALTH ORLANDO REGIONAL MEDICAL CENTER | 1414 KUHL AVE | ORLANDO | FL | 32806 | 932 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. VIBHAY PRASAD | 1220 LA VENTA DR | WESTLAKE VILLAGE | CA | 91361 | 75 |
| Dr. JAIME D HERNANDEZ | 6815 NOBLE AVE | VAN NUYS | CA | 91405 | 49 |
| Dr. GEORGE JOHN HAIDUKEWYCH | 89 W COPELAND DR | ORLANDO | FL | 32806 | 40 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOHN A. KLINE | 150 MUNDY ST | WILKES BARRE | PA | 18702 | 152 |
| Dr. SARMISTHA BHALLA | 321 W PROMENADE ST | MEXICO | MO | 65265 | 88 |
| Dr. JONATHAN ELIOT LEVINE | 6160 S YALE AVE | TULSA | OK | 74136 | 83 |