*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M00861 - Arthritis due to other bacteria, right knee - as a primary diagnosis code | M00861 - Arthritis due to other bacteria, right knee - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 10.21 | |
| Readmission Rate (%) | 30.02 | |
| Unplanned Readmission Rate (%) | 14.33 | |
| 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 486: KNEE PROCEDURES WITH PDX OF INFECTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 549: SEPTIC ARTHRITIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 548: SEPTIC ARTHRITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 487: KNEE PROCEDURES WITH PDX OF INFECTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 485: KNEE PROCEDURES WITH PDX OF INFECTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 6,236 | ||||
| Total Hospitalizations with ICD M00861 - Arthritis due to other bacteria, right knee | 308 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD M00861 - Arthritis due to other bacteria, right knee in DRG | 23.8 | ||||
| Avg LOS at DRG | 6.15 | ||||
| Avg LOS with ICD M00861 - Arthritis due to other bacteria, right knee | 6.33 | ||||
| Readmission Rate at DRG | 24.75 | ||||
| Readmission Rate with ICD M00861 - Arthritis due to other bacteria, right knee | 29.15 | ||||
| Unplanned Readmission Rate at DRG | 10.78 | ||||
| Unplanned Readmission Rate with ICD M00861 - Arthritis due to other bacteria, right knee | 14.92 | ||||
| Total Medicare payments at DRG | $85,558,385 | ||||
| Total Medicare payments with ICD M00861 - Arthritis due to other bacteria, right knee | $4,104,100 | ||||
| Total Medicare payment per Day at DRG | $2,231 | ||||
| Total Medicare payment per Day with ICD M00861 - Arthritis due to other bacteria, right knee | $2,105 | ||||
| Total Medicare payment per Hospitalization at DRG | $13,720 | ||||
| Total Medicare payment per Hospitalization with ICD M00861 - Arthritis due to other bacteria, right knee | $13,325 | ||||
| Total Medicare Charges at DRG | $449,651,673 | ||||
| Total Medicare Charges with ICD M00861 - Arthritis due to other bacteria, right knee | $18,085,383 | ||||
| Avg Charges at DRG | $72,106 | ||||
| Avg Charges with ICD M00861 - Arthritis due to other bacteria, right knee | $58,719 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD M00861 - Arthritis due to other bacteria, right knee | NA | ||||
| SNF Discharge Rate at DRG | 37.6 | ||||
| SNF Discharge Rate with ICD M00861 - Arthritis due to other bacteria, right knee | 41.88 | ||||
| Home Discharge Rate at DRG | 16.71 | ||||
| Home Discharge Rate with ICD M00861 - Arthritis due to other bacteria, right knee | 19.81 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 550: SEPTIC ARTHRITIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 464: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 501: SOFT TISSUE PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 463: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,755 | ||||
| Total Hospitalizations with ICD M00861 - Arthritis due to other bacteria, right knee | 103 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD M00861 - Arthritis due to other bacteria, right knee in DRG | 7.96 | ||||
| Avg LOS at DRG | 4.71 | ||||
| Avg LOS with ICD M00861 - Arthritis due to other bacteria, right knee | 5.59 | ||||
| Readmission Rate at DRG | 15.42 | ||||
| Readmission Rate with ICD M00861 - Arthritis due to other bacteria, right knee | 17.98 | ||||
| Unplanned Readmission Rate at DRG | 7.71 | ||||
| Unplanned Readmission Rate with ICD M00861 - Arthritis due to other bacteria, right knee | NA | ||||
| Total Medicare payments at DRG | $11,757,016 | ||||
| Total Medicare payments with ICD M00861 - Arthritis due to other bacteria, right knee | $928,712 | ||||
| Total Medicare payment per Day at DRG | $1,423 | ||||
| Total Medicare payment per Day with ICD M00861 - Arthritis due to other bacteria, right knee | $1,612 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,699 | ||||
| Total Medicare payment per Hospitalization with ICD M00861 - Arthritis due to other bacteria, right knee | $9,017 | ||||
| Total Medicare Charges at DRG | $51,323,993 | ||||
| Total Medicare Charges with ICD M00861 - Arthritis due to other bacteria, right knee | $3,058,303 | ||||
| Avg Charges at DRG | $29,244 | ||||
| Avg Charges with ICD M00861 - Arthritis due to other bacteria, right knee | $29,692 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD M00861 - Arthritis due to other bacteria, right knee | NA | ||||
| SNF Discharge Rate at DRG | 16.47 | ||||
| SNF Discharge Rate with ICD M00861 - Arthritis due to other bacteria, right knee | 16.5 | ||||
| Home Discharge Rate at DRG | 44.27 | ||||
| Home Discharge Rate with ICD M00861 - Arthritis due to other bacteria, right knee | 38.83 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 12 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 486: KNEE PROCEDURES WITH PDX OF INFECTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 464: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 549: SEPTIC ARTHRITIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 485: KNEE PROCEDURES WITH PDX OF INFECTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 6,236 | ||||
| Total Hospitalizations with ICD M00861 - Arthritis due to other bacteria, right knee | 459 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD M00861 - Arthritis due to other bacteria, right knee in DRG | 11.26 | ||||
| Avg LOS at DRG | 6.15 | ||||
| Avg LOS with ICD M00861 - Arthritis due to other bacteria, right knee | 6.31 | ||||
| Readmission Rate at DRG | 24.75 | ||||
| Readmission Rate with ICD M00861 - Arthritis due to other bacteria, right knee | 28.6 | ||||
| Unplanned Readmission Rate at DRG | 10.78 | ||||
| Unplanned Readmission Rate with ICD M00861 - Arthritis due to other bacteria, right knee | 15.1 | ||||
| Total Medicare payments at DRG | $85,558,385 | ||||
| Total Medicare payments with ICD M00861 - Arthritis due to other bacteria, right knee | $6,263,657 | ||||
| Total Medicare payment per Day at DRG | $2,231 | ||||
| Total Medicare payment per Day with ICD M00861 - Arthritis due to other bacteria, right knee | $2,164 | ||||
| Total Medicare payment per Hospitalization at DRG | $13,720 | ||||
| Total Medicare payment per Hospitalization with ICD M00861 - Arthritis due to other bacteria, right knee | $13,646 | ||||
| Total Medicare Charges at DRG | $449,651,673 | ||||
| Total Medicare Charges with ICD M00861 - Arthritis due to other bacteria, right knee | $29,482,947 | ||||
| Avg Charges at DRG | $72,106 | ||||
| Avg Charges with ICD M00861 - Arthritis due to other bacteria, right knee | $64,233 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD M00861 - Arthritis due to other bacteria, right knee | NA | ||||
| SNF Discharge Rate at DRG | 37.6 | ||||
| SNF Discharge Rate with ICD M00861 - Arthritis due to other bacteria, right knee | 39.87 | ||||
| Home Discharge Rate at DRG | 16.71 | ||||
| Home Discharge Rate with ICD M00861 - Arthritis due to other bacteria, right knee | 18.95 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 548: SEPTIC ARTHRITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 487: KNEE PROCEDURES WITH PDX OF INFECTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 463: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 2,836 | ||||
| Total Hospitalizations with ICD M00861 - Arthritis due to other bacteria, right knee | 180 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD M00861 - Arthritis due to other bacteria, right knee in DRG | 4.41 | ||||
| Avg LOS at DRG | 11.92 | ||||
| Avg LOS with ICD M00861 - Arthritis due to other bacteria, right knee | 14.71 | ||||
| Readmission Rate at DRG | 32.53 | ||||
| Readmission Rate with ICD M00861 - Arthritis due to other bacteria, right knee | 31.33 | ||||
| Unplanned Readmission Rate at DRG | 18.42 | ||||
| Unplanned Readmission Rate with ICD M00861 - Arthritis due to other bacteria, right knee | 19.33 | ||||
| Total Medicare payments at DRG | $48,517,980 | ||||
| Total Medicare payments with ICD M00861 - Arthritis due to other bacteria, right knee | $3,566,817 | ||||
| Total Medicare payment per Day at DRG | $1,435 | ||||
| Total Medicare payment per Day with ICD M00861 - Arthritis due to other bacteria, right knee | $1,347 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,108 | ||||
| Total Medicare payment per Hospitalization with ICD M00861 - Arthritis due to other bacteria, right knee | $19,816 | ||||
| Total Medicare Charges at DRG | $219,243,017 | ||||
| Total Medicare Charges with ICD M00861 - Arthritis due to other bacteria, right knee | $15,158,126 | ||||
| Avg Charges at DRG | $77,307 | ||||
| Avg Charges with ICD M00861 - Arthritis due to other bacteria, right knee | $84,212 | ||||
| Mortality Rate at DRG | 3.1 | ||||
| Mortality Rate with ICD M00861 - Arthritis due to other bacteria, right knee | NA | ||||
| SNF Discharge Rate at DRG | 31.06 | ||||
| SNF Discharge Rate with ICD M00861 - Arthritis due to other bacteria, right knee | 37.22 | ||||
| Home Discharge Rate at DRG | 20.06 | ||||
| Home Discharge Rate with ICD M00861 - Arthritis due to other bacteria, right knee | 13.33 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 550: SEPTIC ARTHRITIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 559: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 467: REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 58,666 | ||||
| Total Hospitalizations with ICD M00861 - Arthritis due to other bacteria, right knee | 111 | ||||
| DRG Share of Total Hospitalizations | 0.18 | ||||
| % of Total ICD M00861 - Arthritis due to other bacteria, right knee in DRG | 2.72 | ||||
| Avg LOS at DRG | 7.46 | ||||
| Avg LOS with ICD M00861 - Arthritis due to other bacteria, right knee | 8.0 | ||||
| Readmission Rate at DRG | 22.72 | ||||
| Readmission Rate with ICD M00861 - Arthritis due to other bacteria, right knee | 20.37 | ||||
| Unplanned Readmission Rate at DRG | 12.47 | ||||
| Unplanned Readmission Rate with ICD M00861 - Arthritis due to other bacteria, right knee | NA | ||||
| Total Medicare payments at DRG | $868,457,018 | ||||
| Total Medicare payments with ICD M00861 - Arthritis due to other bacteria, right knee | $1,678,139 | ||||
| Total Medicare payment per Day at DRG | $1,984 | ||||
| Total Medicare payment per Day with ICD M00861 - Arthritis due to other bacteria, right knee | $1,890 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,803 | ||||
| Total Medicare payment per Hospitalization with ICD M00861 - Arthritis due to other bacteria, right knee | $15,118 | ||||
| Total Medicare Charges at DRG | $4,526,808,643 | ||||
| Total Medicare Charges with ICD M00861 - Arthritis due to other bacteria, right knee | $8,916,587 | ||||
| Avg Charges at DRG | $77,162 | ||||
| Avg Charges with ICD M00861 - Arthritis due to other bacteria, right knee | $80,330 | ||||
| Mortality Rate at DRG | 0.46 | ||||
| Mortality Rate with ICD M00861 - Arthritis due to other bacteria, right knee | NA | ||||
| SNF Discharge Rate at DRG | 26.05 | ||||
| SNF Discharge Rate with ICD M00861 - Arthritis due to other bacteria, right knee | 46.85 | ||||
| Home Discharge Rate at DRG | 35.9 | ||||
| Home Discharge Rate with ICD M00861 - Arthritis due to other bacteria, right knee | 22.52 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 857: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 488: KNEE PROCEDURES WITHOUT PDX OF INFECTION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 501: SOFT TISSUE PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 466: REVISION OF HIP OR KNEE REPLACEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 29,316 | ||||
| Total Hospitalizations with ICD M00861 - Arthritis due to other bacteria, right knee | 61 | ||||
| DRG Share of Total Hospitalizations | 0.09 | ||||
| % of Total ICD M00861 - Arthritis due to other bacteria, right knee in DRG | 1.5 | ||||
| Avg LOS at DRG | 6.72 | ||||
| Avg LOS with ICD M00861 - Arthritis due to other bacteria, right knee | 8.0 | ||||
| Readmission Rate at DRG | 21.57 | ||||
| Readmission Rate with ICD M00861 - Arthritis due to other bacteria, right knee | NA | ||||
| Unplanned Readmission Rate at DRG | 9.86 | ||||
| Unplanned Readmission Rate with ICD M00861 - Arthritis due to other bacteria, right knee | NA | ||||
| Total Medicare payments at DRG | $388,326,925 | ||||
| Total Medicare payments with ICD M00861 - Arthritis due to other bacteria, right knee | $989,662 | ||||
| Total Medicare payment per Day at DRG | $1,972 | ||||
| Total Medicare payment per Day with ICD M00861 - Arthritis due to other bacteria, right knee | $2,028 | ||||
| Total Medicare payment per Hospitalization at DRG | $13,246 | ||||
| Total Medicare payment per Hospitalization with ICD M00861 - Arthritis due to other bacteria, right knee | $16,224 | ||||
| Total Medicare Charges at DRG | $1,891,164,947 | ||||
| Total Medicare Charges with ICD M00861 - Arthritis due to other bacteria, right knee | $5,064,333 | ||||
| Avg Charges at DRG | $64,510 | ||||
| Avg Charges with ICD M00861 - Arthritis due to other bacteria, right knee | $83,022 | ||||
| Mortality Rate at DRG | 0.07 | ||||
| Mortality Rate with ICD M00861 - Arthritis due to other bacteria, right knee | NA | ||||
| SNF Discharge Rate at DRG | 23.7 | ||||
| SNF Discharge Rate with ICD M00861 - Arthritis due to other bacteria, right knee | 36.07 | ||||
| Home Discharge Rate at DRG | 25.43 | ||||
| Home Discharge Rate with ICD M00861 - Arthritis due to other bacteria, right knee | 22.95 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 42 |
| METHODIST UNIVERSITY HOSPITAL | 1265 UNION AVE | MEMPHIS | TN | 38104 | 19 |
| INTEGRIS BAPTIST MEDICAL CENTER | 3300 NW EXPRESSWAY ST | OKLAHOMA CITY | OK | 73112 | 18 |