| 725 - Polymyalgia rheumatica - as a primary diagnosis code | 725 - Polymyalgia rheumatica - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.3 | |
| Readmission Rate (%) | 21.21 | |
| Unplanned Readmission Rate (%) | 10.02 | |
| 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 | ||
| DRG 546: CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 547: CONNECTIVE TISSUE DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 545: CONNECTIVE TISSUE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 517: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 10,620 | ||||
| Total Hospitalizations with ICD 725 - Polymyalgia rheumatica | 1,246 | ||||
| DRG Share of Total Hospitalizations | 0.05 | ||||
| % of Total ICD 725 - Polymyalgia rheumatica in DRG | 49.98 | ||||
| Avg LOS at DRG | 4.98 | ||||
| Avg LOS with ICD 725 - Polymyalgia rheumatica | 4.27 | ||||
| Readmission Rate at DRG | 24.41 | ||||
| Readmission Rate with ICD 725 - Polymyalgia rheumatica | 18.21 | ||||
| Unplanned Readmission Rate at DRG | 16.07 | ||||
| Unplanned Readmission Rate with ICD 725 - Polymyalgia rheumatica | 10.72 | ||||
| Total Medicare payments at DRG | $85,540,789 | ||||
| Total Medicare payments with ICD 725 - Polymyalgia rheumatica | $8,893,217 | ||||
| Total Medicare payment per Day at DRG | $1,618 | ||||
| Total Medicare payment per Day with ICD 725 - Polymyalgia rheumatica | $1,670 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,055 | ||||
| Total Medicare payment per Hospitalization with ICD 725 - Polymyalgia rheumatica | $7,137 | ||||
| Total Medicare Charges at DRG | $372,165,266 | ||||
| Total Medicare Charges with ICD 725 - Polymyalgia rheumatica | $32,959,529 | ||||
| Avg Charges at DRG | $35,044 | ||||
| Avg Charges with ICD 725 - Polymyalgia rheumatica | $26,452 | ||||
| Mortality Rate at DRG | 0.43 | ||||
| Mortality Rate with ICD 725 - Polymyalgia rheumatica | NA | ||||
| SNF Discharge Rate at DRG | 16.21 | ||||
| SNF Discharge Rate with ICD 725 - Polymyalgia rheumatica | 32.91 | ||||
| Home Discharge Rate at DRG | 55.3 | ||||
| Home Discharge Rate with ICD 725 - Polymyalgia rheumatica | 36.12 |
| DRG 515: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 7,630 |
| Total Hospitalizations with ICD 725 - Polymyalgia rheumatica | 30 |
| DRG Share of Total Hospitalizations | 0.03 |
| % of Total ICD 725 - Polymyalgia rheumatica in DRG | 1.2 |
| Avg LOS at DRG | 9.73 |
| Avg LOS with ICD 725 - Polymyalgia rheumatica | 8.03 |
| Readmission Rate at DRG | 34.37 |
| Readmission Rate with ICD 725 - Polymyalgia rheumatica | NA |
| Unplanned Readmission Rate at DRG | 17.29 |
| Unplanned Readmission Rate with ICD 725 - Polymyalgia rheumatica | NA |
| Total Medicare payments at DRG | $171,878,372 |
| Total Medicare payments with ICD 725 - Polymyalgia rheumatica | $609,616 |
| Total Medicare payment per Day at DRG | $2,316 |
| Total Medicare payment per Day with ICD 725 - Polymyalgia rheumatica | $2,530 |
| Total Medicare payment per Hospitalization at DRG | $22,527 |
| Total Medicare payment per Hospitalization with ICD 725 - Polymyalgia rheumatica | $20,321 |
| Total Medicare Charges at DRG | $744,840,138 |
| Total Medicare Charges with ICD 725 - Polymyalgia rheumatica | $1,847,236 |
| Avg Charges at DRG | $97,620 |
| Avg Charges with ICD 725 - Polymyalgia rheumatica | $61,575 |
| Mortality Rate at DRG | 4.13 |
| Mortality Rate with ICD 725 - Polymyalgia rheumatica | NA |
| SNF Discharge Rate at DRG | 42.25 |
| SNF Discharge Rate with ICD 725 - Polymyalgia rheumatica | 36.67 |
| Home Discharge Rate at DRG | 17.23 |
| Home Discharge Rate with ICD 725 - Polymyalgia rheumatica | NA |
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 901,552 | ||||
| Total Hospitalizations with ICD 725 - Polymyalgia rheumatica | 5,541 | ||||
| DRG Share of Total Hospitalizations | 3.95 | ||||
| % of Total ICD 725 - Polymyalgia rheumatica in DRG | 4.6 | ||||
| Avg LOS at DRG | 6.79 | ||||
| Avg LOS with ICD 725 - Polymyalgia rheumatica | 6.27 | ||||
| Readmission Rate at DRG | 25.38 | ||||
| Readmission Rate with ICD 725 - Polymyalgia rheumatica | 24.05 | ||||
| Unplanned Readmission Rate at DRG | 17.1 | ||||
| Unplanned Readmission Rate with ICD 725 - Polymyalgia rheumatica | 17.87 | ||||
| Total Medicare payments at DRG | $11,142,976,193 | ||||
| Total Medicare payments with ICD 725 - Polymyalgia rheumatica | $65,715,265 | ||||
| Total Medicare payment per Day at DRG | $1,821 | ||||
| Total Medicare payment per Day with ICD 725 - Polymyalgia rheumatica | $1,891 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,360 | ||||
| Total Medicare payment per Hospitalization with ICD 725 - Polymyalgia rheumatica | $11,860 | ||||
| Total Medicare Charges at DRG | $48,288,426,708 | ||||
| Total Medicare Charges with ICD 725 - Polymyalgia rheumatica | $248,620,567 | ||||
| Avg Charges at DRG | $53,561 | ||||
| Avg Charges with ICD 725 - Polymyalgia rheumatica | $44,869 | ||||
| Mortality Rate at DRG | 15.16 | ||||
| Mortality Rate with ICD 725 - Polymyalgia rheumatica | 12.33 | ||||
| SNF Discharge Rate at DRG | 28.41 | ||||
| SNF Discharge Rate with ICD 725 - Polymyalgia rheumatica | 33.12 | ||||
| Home Discharge Rate at DRG | 23.21 | ||||
| Home Discharge Rate with ICD 725 - Polymyalgia rheumatica | 22.07 |
| DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 368,552 | ||||
| Total Hospitalizations with ICD 725 - Polymyalgia rheumatica | 2,620 | ||||
| DRG Share of Total Hospitalizations | 1.61 | ||||
| % of Total ICD 725 - Polymyalgia rheumatica in DRG | 2.18 | ||||
| Avg LOS at DRG | 4.42 | ||||
| Avg LOS with ICD 725 - Polymyalgia rheumatica | 4.58 | ||||
| Readmission Rate at DRG | 18.07 | ||||
| Readmission Rate with ICD 725 - Polymyalgia rheumatica | 17.01 | ||||
| Unplanned Readmission Rate at DRG | 12.45 | ||||
| Unplanned Readmission Rate with ICD 725 - Polymyalgia rheumatica | 11.64 | ||||
| Total Medicare payments at DRG | $2,243,342,846 | ||||
| Total Medicare payments with ICD 725 - Polymyalgia rheumatica | $16,091,935 | ||||
| Total Medicare payment per Day at DRG | $1,376 | ||||
| Total Medicare payment per Day with ICD 725 - Polymyalgia rheumatica | $1,340 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,087 | ||||
| Total Medicare payment per Hospitalization with ICD 725 - Polymyalgia rheumatica | $6,142 | ||||
| Total Medicare Charges at DRG | $9,706,587,516 | ||||
| Total Medicare Charges with ICD 725 - Polymyalgia rheumatica | $67,173,313 | ||||
| Avg Charges at DRG | $26,337 | ||||
| Avg Charges with ICD 725 - Polymyalgia rheumatica | $25,639 | ||||
| Mortality Rate at DRG | 1.44 | ||||
| Mortality Rate with ICD 725 - Polymyalgia rheumatica | 1.03 | ||||
| SNF Discharge Rate at DRG | 19.19 | ||||
| SNF Discharge Rate with ICD 725 - Polymyalgia rheumatica | 25.5 | ||||
| Home Discharge Rate at DRG | 50.54 | ||||
| Home Discharge Rate with ICD 725 - Polymyalgia rheumatica | 42.9 |
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 311,763 | ||||
| Total Hospitalizations with ICD 725 - Polymyalgia rheumatica | 1,853 | ||||
| DRG Share of Total Hospitalizations | 1.36 | ||||
| % of Total ICD 725 - Polymyalgia rheumatica in DRG | 1.54 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD 725 - Polymyalgia rheumatica | 4.43 | ||||
| Readmission Rate at DRG | 23.41 | ||||
| Readmission Rate with ICD 725 - Polymyalgia rheumatica | 23.14 | ||||
| Unplanned Readmission Rate at DRG | 16.67 | ||||
| Unplanned Readmission Rate with ICD 725 - Polymyalgia rheumatica | 17.25 | ||||
| Total Medicare payments at DRG | $1,867,955,174 | ||||
| Total Medicare payments with ICD 725 - Polymyalgia rheumatica | $10,948,015 | ||||
| Total Medicare payment per Day at DRG | $1,382 | ||||
| Total Medicare payment per Day with ICD 725 - Polymyalgia rheumatica | $1,333 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,992 | ||||
| Total Medicare payment per Hospitalization with ICD 725 - Polymyalgia rheumatica | $5,908 | ||||
| Total Medicare Charges at DRG | $8,358,483,119 | ||||
| Total Medicare Charges with ICD 725 - Polymyalgia rheumatica | $46,159,533 | ||||
| Avg Charges at DRG | $26,810 | ||||
| Avg Charges with ICD 725 - Polymyalgia rheumatica | $24,911 | ||||
| Mortality Rate at DRG | 1.37 | ||||
| Mortality Rate with ICD 725 - Polymyalgia rheumatica | 1.19 | ||||
| SNF Discharge Rate at DRG | 23.3 | ||||
| SNF Discharge Rate with ICD 725 - Polymyalgia rheumatica | 31.14 | ||||
| Home Discharge Rate at DRG | 45.55 | ||||
| Home Discharge Rate with ICD 725 - Polymyalgia rheumatica | 38.26 |
| DRG 546: CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 310: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 312: SYNCOPE AND COLLAPSE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 10,620 | ||||
| Total Hospitalizations with ICD 725 - Polymyalgia rheumatica | 1,438 | ||||
| DRG Share of Total Hospitalizations | 0.05 | ||||
| % of Total ICD 725 - Polymyalgia rheumatica in DRG | 1.19 | ||||
| Avg LOS at DRG | 4.98 | ||||
| Avg LOS with ICD 725 - Polymyalgia rheumatica | 4.28 | ||||
| Readmission Rate at DRG | 24.41 | ||||
| Readmission Rate with ICD 725 - Polymyalgia rheumatica | 18.93 | ||||
| Unplanned Readmission Rate at DRG | 16.07 | ||||
| Unplanned Readmission Rate with ICD 725 - Polymyalgia rheumatica | 11.57 | ||||
| Total Medicare payments at DRG | $85,540,789 | ||||
| Total Medicare payments with ICD 725 - Polymyalgia rheumatica | $10,285,521 | ||||
| Total Medicare payment per Day at DRG | $1,618 | ||||
| Total Medicare payment per Day with ICD 725 - Polymyalgia rheumatica | $1,672 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,055 | ||||
| Total Medicare payment per Hospitalization with ICD 725 - Polymyalgia rheumatica | $7,153 | ||||
| Total Medicare Charges at DRG | $372,165,266 | ||||
| Total Medicare Charges with ICD 725 - Polymyalgia rheumatica | $38,211,666 | ||||
| Avg Charges at DRG | $35,044 | ||||
| Avg Charges with ICD 725 - Polymyalgia rheumatica | $26,573 | ||||
| Mortality Rate at DRG | 0.43 | ||||
| Mortality Rate with ICD 725 - Polymyalgia rheumatica | NA | ||||
| SNF Discharge Rate at DRG | 16.21 | ||||
| SNF Discharge Rate with ICD 725 - Polymyalgia rheumatica | 30.6 | ||||
| Home Discharge Rate at DRG | 55.3 | ||||
| Home Discharge Rate with ICD 725 - Polymyalgia rheumatica | 38.11 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 544 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 480 |
| NORTHSHORE UNIVERSITY HEALTHSYSTEM EVANSTON HOSPITAL | 2650 RIDGE AVE | EVANSTON | IL | 60201 | 427 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. MONIKA ROLEK | 800 BIESTERFIELD RD | ELK GROVE VILLAGE | IL | 60007 | 19 |
| Dr. KALA DANUSHKODI | 2700 CLAY EDWARDS DR | NORTH KANSAS CITY | MO | 64116 | 18 |
| Dr. KYLE CHRISTOPHER SWANSON | 1431 PREMIER DRIVE | MANKATO | MN | 56001 | 17 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. ADNAN M DAHDUL | 14 CHESTNUT PL | LUDLOW | MA | 01056 | 58 |
| Dr. ALEXANDER DEJESUS | 6400 EDGELAKE DR | SARASOTA | FL | 34240 | 35 |
| Dr. JOHN F ROTILIE | 2300 SAINT CLAIR AVE | SAINT PAUL | MN | 55105 | 35 |