| 72989 - Other musculoskeletal symptoms referable to limbs - as a primary diagnosis code | 72989 - Other musculoskeletal symptoms referable to limbs - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.92 | |
| Readmission Rate (%) | 26.64 | |
| Unplanned Readmission Rate (%) | 11.25 | |
| 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 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) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 501: SOFT TISSUE PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 33,416 | ||||
| Total Hospitalizations with ICD 72989 - Other musculoskeletal symptoms referable to limbs | 7,227 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD 72989 - Other musculoskeletal symptoms referable to limbs in DRG | 81.16 | ||||
| Avg LOS at DRG | 3.25 | ||||
| Avg LOS with ICD 72989 - Other musculoskeletal symptoms referable to limbs | 2.93 | ||||
| Readmission Rate at DRG | 18.62 | ||||
| Readmission Rate with ICD 72989 - Other musculoskeletal symptoms referable to limbs | 20.94 | ||||
| Unplanned Readmission Rate at DRG | 10.49 | ||||
| Unplanned Readmission Rate with ICD 72989 - Other musculoskeletal symptoms referable to limbs | 10.46 | ||||
| Total Medicare payments at DRG | $154,277,800 | ||||
| Total Medicare payments with ICD 72989 - Other musculoskeletal symptoms referable to limbs | $31,554,865 | ||||
| Total Medicare payment per Day at DRG | $1,421 | ||||
| Total Medicare payment per Day with ICD 72989 - Other musculoskeletal symptoms referable to limbs | $1,491 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,617 | ||||
| Total Medicare payment per Hospitalization with ICD 72989 - Other musculoskeletal symptoms referable to limbs | $4,366 | ||||
| Total Medicare Charges at DRG | $740,806,028 | ||||
| Total Medicare Charges with ICD 72989 - Other musculoskeletal symptoms referable to limbs | $182,093,411 | ||||
| Avg Charges at DRG | $22,169 | ||||
| Avg Charges with ICD 72989 - Other musculoskeletal symptoms referable to limbs | $25,196 | ||||
| Mortality Rate at DRG | 0.19 | ||||
| Mortality Rate with ICD 72989 - Other musculoskeletal symptoms referable to limbs | NA | ||||
| SNF Discharge Rate at DRG | 27.33 | ||||
| SNF Discharge Rate with ICD 72989 - Other musculoskeletal symptoms referable to limbs | 25.2 | ||||
| Home Discharge Rate at DRG | 42.53 | ||||
| Home Discharge Rate with ICD 72989 - Other musculoskeletal symptoms referable to limbs | 41.77 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 68 |
| SPECTRUM HEALTH BUTTERWORTH HOSPITAL | 100 MICHIGAN ST NE | GRAND RAPIDS | MI | 49503 | 45 |
| MEDSTAR WASHINGTON HOSPITAL CENTER | 110 IRVING ST NW | WASHINGTON | DC | 20010 | 36 |
| DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 066: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 069: TRANSIENT ISCHEMIA | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 602,372 | ||||
| Total Hospitalizations with ICD 72989 - Other musculoskeletal symptoms referable to limbs | 26,460 | ||||
| DRG Share of Total Hospitalizations | 2.64 | ||||
| % of Total ICD 72989 - Other musculoskeletal symptoms referable to limbs in DRG | 9.22 | ||||
| Avg LOS at DRG | 13.11 | ||||
| Avg LOS with ICD 72989 - Other musculoskeletal symptoms referable to limbs | 13.47 | ||||
| Readmission Rate at DRG | 15.99 | ||||
| Readmission Rate with ICD 72989 - Other musculoskeletal symptoms referable to limbs | 15.19 | ||||
| Unplanned Readmission Rate at DRG | 12.22 | ||||
| Unplanned Readmission Rate with ICD 72989 - Other musculoskeletal symptoms referable to limbs | 11.45 | ||||
| Total Medicare payments at DRG | $11,047,686,856 | ||||
| Total Medicare payments with ICD 72989 - Other musculoskeletal symptoms referable to limbs | $501,156,438 | ||||
| Total Medicare payment per Day at DRG | $1,399 | ||||
| Total Medicare payment per Day with ICD 72989 - Other musculoskeletal symptoms referable to limbs | $1,406 | ||||
| Total Medicare payment per Hospitalization at DRG | $18,340 | ||||
| Total Medicare payment per Hospitalization with ICD 72989 - Other musculoskeletal symptoms referable to limbs | $18,940 | ||||
| Total Medicare Charges at DRG | $25,171,736,043 | ||||
| Total Medicare Charges with ICD 72989 - Other musculoskeletal symptoms referable to limbs | $1,251,975,530 | ||||
| Avg Charges at DRG | $41,788 | ||||
| Avg Charges with ICD 72989 - Other musculoskeletal symptoms referable to limbs | $47,316 | ||||
| Mortality Rate at DRG | 0.21 | ||||
| Mortality Rate with ICD 72989 - Other musculoskeletal symptoms referable to limbs | 0.14 | ||||
| SNF Discharge Rate at DRG | 17.37 | ||||
| SNF Discharge Rate with ICD 72989 - Other musculoskeletal symptoms referable to limbs | 17.11 | ||||
| Home Discharge Rate at DRG | 21.02 | ||||
| Home Discharge Rate with ICD 72989 - Other musculoskeletal symptoms referable to limbs | 22.73 |
| DRG 556: SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 946: REHABILITATION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 33,416 | ||||
| Total Hospitalizations with ICD 72989 - Other musculoskeletal symptoms referable to limbs | 7,854 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD 72989 - Other musculoskeletal symptoms referable to limbs in DRG | 2.74 | ||||
| Avg LOS at DRG | 3.25 | ||||
| Avg LOS with ICD 72989 - Other musculoskeletal symptoms referable to limbs | 2.96 | ||||
| Readmission Rate at DRG | 18.62 | ||||
| Readmission Rate with ICD 72989 - Other musculoskeletal symptoms referable to limbs | 20.71 | ||||
| Unplanned Readmission Rate at DRG | 10.49 | ||||
| Unplanned Readmission Rate with ICD 72989 - Other musculoskeletal symptoms referable to limbs | 10.26 | ||||
| Total Medicare payments at DRG | $154,277,800 | ||||
| Total Medicare payments with ICD 72989 - Other musculoskeletal symptoms referable to limbs | $34,516,711 | ||||
| Total Medicare payment per Day at DRG | $1,421 | ||||
| Total Medicare payment per Day with ICD 72989 - Other musculoskeletal symptoms referable to limbs | $1,486 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,617 | ||||
| Total Medicare payment per Hospitalization with ICD 72989 - Other musculoskeletal symptoms referable to limbs | $4,395 | ||||
| Total Medicare Charges at DRG | $740,806,028 | ||||
| Total Medicare Charges with ICD 72989 - Other musculoskeletal symptoms referable to limbs | $196,384,996 | ||||
| Avg Charges at DRG | $22,169 | ||||
| Avg Charges with ICD 72989 - Other musculoskeletal symptoms referable to limbs | $25,004 | ||||
| Mortality Rate at DRG | 0.19 | ||||
| Mortality Rate with ICD 72989 - Other musculoskeletal symptoms referable to limbs | NA | ||||
| SNF Discharge Rate at DRG | 27.33 | ||||
| SNF Discharge Rate with ICD 72989 - Other musculoskeletal symptoms referable to limbs | 25.74 | ||||
| Home Discharge Rate at DRG | 42.53 | ||||
| Home Discharge Rate with ICD 72989 - Other musculoskeletal symptoms referable to limbs | 41.3 |
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 312: SYNCOPE AND COLLAPSE | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 311,763 | ||||
| Total Hospitalizations with ICD 72989 - Other musculoskeletal symptoms referable to limbs | 3,181 | ||||
| DRG Share of Total Hospitalizations | 1.36 | ||||
| % of Total ICD 72989 - Other musculoskeletal symptoms referable to limbs in DRG | 1.11 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD 72989 - Other musculoskeletal symptoms referable to limbs | 4.37 | ||||
| Readmission Rate at DRG | 23.41 | ||||
| Readmission Rate with ICD 72989 - Other musculoskeletal symptoms referable to limbs | 24.73 | ||||
| Unplanned Readmission Rate at DRG | 16.67 | ||||
| Unplanned Readmission Rate with ICD 72989 - Other musculoskeletal symptoms referable to limbs | 16.39 | ||||
| Total Medicare payments at DRG | $1,867,955,174 | ||||
| Total Medicare payments with ICD 72989 - Other musculoskeletal symptoms referable to limbs | $19,484,516 | ||||
| Total Medicare payment per Day at DRG | $1,382 | ||||
| Total Medicare payment per Day with ICD 72989 - Other musculoskeletal symptoms referable to limbs | $1,402 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,992 | ||||
| Total Medicare payment per Hospitalization with ICD 72989 - Other musculoskeletal symptoms referable to limbs | $6,125 | ||||
| Total Medicare Charges at DRG | $8,358,483,119 | ||||
| Total Medicare Charges with ICD 72989 - Other musculoskeletal symptoms referable to limbs | $90,161,207 | ||||
| Avg Charges at DRG | $26,810 | ||||
| Avg Charges with ICD 72989 - Other musculoskeletal symptoms referable to limbs | $28,344 | ||||
| Mortality Rate at DRG | 1.37 | ||||
| Mortality Rate with ICD 72989 - Other musculoskeletal symptoms referable to limbs | 0.47 | ||||
| SNF Discharge Rate at DRG | 23.3 | ||||
| SNF Discharge Rate with ICD 72989 - Other musculoskeletal symptoms referable to limbs | 33.17 | ||||
| Home Discharge Rate at DRG | 45.55 | ||||
| Home Discharge Rate with ICD 72989 - Other musculoskeletal symptoms referable to limbs | 32.44 |
| DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 101: SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 257,265 | ||||
| Total Hospitalizations with ICD 72989 - Other musculoskeletal symptoms referable to limbs | 2,414 | ||||
| DRG Share of Total Hospitalizations | 1.13 | ||||
| % of Total ICD 72989 - Other musculoskeletal symptoms referable to limbs in DRG | 0.84 | ||||
| Avg LOS at DRG | 3.34 | ||||
| Avg LOS with ICD 72989 - Other musculoskeletal symptoms referable to limbs | 3.46 | ||||
| Readmission Rate at DRG | 20.42 | ||||
| Readmission Rate with ICD 72989 - Other musculoskeletal symptoms referable to limbs | 20.62 | ||||
| Unplanned Readmission Rate at DRG | 13.45 | ||||
| Unplanned Readmission Rate with ICD 72989 - Other musculoskeletal symptoms referable to limbs | 12.37 | ||||
| Total Medicare payments at DRG | $1,129,638,166 | ||||
| Total Medicare payments with ICD 72989 - Other musculoskeletal symptoms referable to limbs | $10,803,181 | ||||
| Total Medicare payment per Day at DRG | $1,314 | ||||
| Total Medicare payment per Day with ICD 72989 - Other musculoskeletal symptoms referable to limbs | $1,294 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,391 | ||||
| Total Medicare payment per Hospitalization with ICD 72989 - Other musculoskeletal symptoms referable to limbs | $4,475 | ||||
| Total Medicare Charges at DRG | $5,148,191,149 | ||||
| Total Medicare Charges with ICD 72989 - Other musculoskeletal symptoms referable to limbs | $53,836,379 | ||||
| Avg Charges at DRG | $20,011 | ||||
| Avg Charges with ICD 72989 - Other musculoskeletal symptoms referable to limbs | $22,302 | ||||
| Mortality Rate at DRG | 0.85 | ||||
| Mortality Rate with ICD 72989 - Other musculoskeletal symptoms referable to limbs | 0.5 | ||||
| SNF Discharge Rate at DRG | 20.19 | ||||
| SNF Discharge Rate with ICD 72989 - Other musculoskeletal symptoms referable to limbs | 29.99 | ||||
| Home Discharge Rate at DRG | 51.02 | ||||
| Home Discharge Rate with ICD 72989 - Other musculoskeletal symptoms referable to limbs | 35.21 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 1,074 |
| SPECTRUM HEALTH BUTTERWORTH HOSPITAL | 100 MICHIGAN ST NE | GRAND RAPIDS | MI | 49503 | 1,048 |
| HEALTHSOUTH EMERALD COAST REHABILITATION HOSPITAL | 1847 FLORIDA AVE | PANAMA CITY | FL | 32405 | 808 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. JERRY WAYNE SCHWARZBACH | 3414 GOLDEN RD | TYLER | TX | 75701 | 318 |
| Dr. DONALD EDWARD AREGO | 701 OLYMPIC PLAZA | TYLER | TX | 75701 | 277 |
| Dr. KURT E. JACOBSON | 6262 VETERANS PKWY | COLUMBUS | GA | 31909 | 166 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. MICHAEL W HENNIGAN | 1847 FLORIDA AVE | PANAMA CITY | FL | 32405 | 658 |
| Dr. CARL DOUGLAS PORTER | 100 MEDICAL CENTER DR | SPRINGFIELD | OH | 45504 | 323 |
| Dr. JERRY WAYNE SCHWARZBACH | 3414 GOLDEN RD | TYLER | TX | 75701 | 322 |