*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M11261 - Other chondrocalcinosis, right knee - as a primary diagnosis code | M11261 - Other chondrocalcinosis, right knee - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.08 | |
| Readmission Rate (%) | 19.95 | |
| Unplanned Readmission Rate (%) | 10.33 | |
| 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 554: BONE DISEASES AND ARTHROPATHIES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 553: BONE DISEASES AND ARTHROPATHIES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 488: KNEE PROCEDURES WITHOUT PDX OF INFECTION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 489: KNEE PROCEDURES WITHOUT PDX OF INFECTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 51,757 | |||
| Total Hospitalizations with ICD M11261 - Other chondrocalcinosis, right knee | 989 | |||
| DRG Share of Total Hospitalizations | 0.16 | |||
| % of Total ICD M11261 - Other chondrocalcinosis, right knee in DRG | 76.08 | |||
| Avg LOS at DRG | 4.41 | |||
| Avg LOS with ICD M11261 - Other chondrocalcinosis, right knee | 3.61 | |||
| Readmission Rate at DRG | 17.16 | |||
| Readmission Rate with ICD M11261 - Other chondrocalcinosis, right knee | 14.29 | |||
| Unplanned Readmission Rate at DRG | 9.0 | |||
| Unplanned Readmission Rate with ICD M11261 - Other chondrocalcinosis, right knee | 9.21 | |||
| Total Medicare payments at DRG | $332,400,259 | |||
| Total Medicare payments with ICD M11261 - Other chondrocalcinosis, right knee | $5,244,144 | |||
| Total Medicare payment per Day at DRG | $1,455 | |||
| Total Medicare payment per Day with ICD M11261 - Other chondrocalcinosis, right knee | $1,468 | |||
| Total Medicare payment per Hospitalization at DRG | $6,422 | |||
| Total Medicare payment per Hospitalization with ICD M11261 - Other chondrocalcinosis, right knee | $5,302 | |||
| Total Medicare Charges at DRG | $1,234,809,519 | |||
| Total Medicare Charges with ICD M11261 - Other chondrocalcinosis, right knee | $23,889,379 | |||
| Avg Charges at DRG | $23,858 | |||
| Avg Charges with ICD M11261 - Other chondrocalcinosis, right knee | $24,155 | |||
| Mortality Rate at DRG | 0.04 | |||
| Mortality Rate with ICD M11261 - Other chondrocalcinosis, right knee | NA | |||
| SNF Discharge Rate at DRG | 25.37 | |||
| SNF Discharge Rate with ICD M11261 - Other chondrocalcinosis, right knee | 31.85 | |||
| Home Discharge Rate at DRG | 42.31 | |||
| Home Discharge Rate with ICD M11261 - Other chondrocalcinosis, right knee | 38.22 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 15 |
| BEAUMONT HOSPITAL TROY | 44201 DEQUINDRE RD | TROY | MI | 48085 | 11 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 554: BONE DISEASES AND ARTHROPATHIES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 553: BONE DISEASES AND ARTHROPATHIES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH 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 | 51,757 | ||||
| Total Hospitalizations with ICD M11261 - Other chondrocalcinosis, right knee | 1,553 | ||||
| DRG Share of Total Hospitalizations | 0.16 | ||||
| % of Total ICD M11261 - Other chondrocalcinosis, right knee in DRG | 17.8 | ||||
| Avg LOS at DRG | 4.41 | ||||
| Avg LOS with ICD M11261 - Other chondrocalcinosis, right knee | 3.79 | ||||
| Readmission Rate at DRG | 17.16 | ||||
| Readmission Rate with ICD M11261 - Other chondrocalcinosis, right knee | 14.74 | ||||
| Unplanned Readmission Rate at DRG | 9.0 | ||||
| Unplanned Readmission Rate with ICD M11261 - Other chondrocalcinosis, right knee | 9.45 | ||||
| Total Medicare payments at DRG | $332,400,259 | ||||
| Total Medicare payments with ICD M11261 - Other chondrocalcinosis, right knee | $8,125,885 | ||||
| Total Medicare payment per Day at DRG | $1,455 | ||||
| Total Medicare payment per Day with ICD M11261 - Other chondrocalcinosis, right knee | $1,379 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,422 | ||||
| Total Medicare payment per Hospitalization with ICD M11261 - Other chondrocalcinosis, right knee | $5,232 | ||||
| Total Medicare Charges at DRG | $1,234,809,519 | ||||
| Total Medicare Charges with ICD M11261 - Other chondrocalcinosis, right knee | $39,529,454 | ||||
| Avg Charges at DRG | $23,858 | ||||
| Avg Charges with ICD M11261 - Other chondrocalcinosis, right knee | $25,454 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD M11261 - Other chondrocalcinosis, right knee | NA | ||||
| SNF Discharge Rate at DRG | 25.37 | ||||
| SNF Discharge Rate with ICD M11261 - Other chondrocalcinosis, right knee | 33.93 | ||||
| Home Discharge Rate at DRG | 42.31 | ||||
| Home Discharge Rate with ICD M11261 - Other chondrocalcinosis, right knee | 35.42 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 488: KNEE PROCEDURES WITHOUT PDX OF INFECTION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD M11261 - Other chondrocalcinosis, right knee | 140 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD M11261 - Other chondrocalcinosis, right knee in DRG | 1.6 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD M11261 - Other chondrocalcinosis, right knee | 4.76 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD M11261 - Other chondrocalcinosis, right knee | 19.71 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD M11261 - Other chondrocalcinosis, right knee | 15.33 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD M11261 - Other chondrocalcinosis, right knee | $687,157 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD M11261 - Other chondrocalcinosis, right knee | $1,030 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD M11261 - Other chondrocalcinosis, right knee | $4,908 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD M11261 - Other chondrocalcinosis, right knee | $4,022,478 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD M11261 - Other chondrocalcinosis, right knee | $28,732 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD M11261 - Other chondrocalcinosis, right knee | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD M11261 - Other chondrocalcinosis, right knee | 49.29 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD M11261 - Other chondrocalcinosis, right knee | 20.0 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 563: FRACTURE SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 565: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 359,935 | ||||
| Total Hospitalizations with ICD M11261 - Other chondrocalcinosis, right knee | 114 | ||||
| DRG Share of Total Hospitalizations | 1.1 | ||||
| % of Total ICD M11261 - Other chondrocalcinosis, right knee in DRG | 1.31 | ||||
| Avg LOS at DRG | 12.3 | ||||
| Avg LOS with ICD M11261 - Other chondrocalcinosis, right knee | 14.46 | ||||
| Readmission Rate at DRG | 16.01 | ||||
| Readmission Rate with ICD M11261 - Other chondrocalcinosis, right knee | 11.32 | ||||
| Unplanned Readmission Rate at DRG | 9.86 | ||||
| Unplanned Readmission Rate with ICD M11261 - Other chondrocalcinosis, right knee | NA | ||||
| Total Medicare payments at DRG | $5,883,826,653 | ||||
| Total Medicare payments with ICD M11261 - Other chondrocalcinosis, right knee | $2,458,598 | ||||
| Total Medicare payment per Day at DRG | $1,329 | ||||
| Total Medicare payment per Day with ICD M11261 - Other chondrocalcinosis, right knee | $1,492 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
| Total Medicare payment per Hospitalization with ICD M11261 - Other chondrocalcinosis, right knee | $21,567 | ||||
| Total Medicare Charges at DRG | $15,374,824,749 | ||||
| Total Medicare Charges with ICD M11261 - Other chondrocalcinosis, right knee | $7,512,219 | ||||
| Avg Charges at DRG | $42,716 | ||||
| Avg Charges with ICD M11261 - Other chondrocalcinosis, right knee | $65,897 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD M11261 - Other chondrocalcinosis, right knee | NA | ||||
| SNF Discharge Rate at DRG | 27.95 | ||||
| SNF Discharge Rate with ICD M11261 - Other chondrocalcinosis, right knee | 33.33 | ||||
| Home Discharge Rate at DRG | 26.85 | ||||
| Home Discharge Rate with ICD M11261 - Other chondrocalcinosis, right knee | 15.79 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 489: KNEE PROCEDURES WITHOUT PDX OF INFECTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 240,618 | ||||
| Total Hospitalizations with ICD M11261 - Other chondrocalcinosis, right knee | 79 | ||||
| DRG Share of Total Hospitalizations | 0.73 | ||||
| % of Total ICD M11261 - Other chondrocalcinosis, right knee in DRG | 0.91 | ||||
| Avg LOS at DRG | 4.81 | ||||
| Avg LOS with ICD M11261 - Other chondrocalcinosis, right knee | 5.42 | ||||
| Readmission Rate at DRG | 26.3 | ||||
| Readmission Rate with ICD M11261 - Other chondrocalcinosis, right knee | 18.67 | ||||
| Unplanned Readmission Rate at DRG | 7.83 | ||||
| Unplanned Readmission Rate with ICD M11261 - Other chondrocalcinosis, right knee | NA | ||||
| Total Medicare payments at DRG | $2,989,116,299 | ||||
| Total Medicare payments with ICD M11261 - Other chondrocalcinosis, right knee | $1,063,408 | ||||
| Total Medicare payment per Day at DRG | $2,581 | ||||
| Total Medicare payment per Day with ICD M11261 - Other chondrocalcinosis, right knee | $2,485 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,423 | ||||
| Total Medicare payment per Hospitalization with ICD M11261 - Other chondrocalcinosis, right knee | $13,461 | ||||
| Total Medicare Charges at DRG | $15,603,027,471 | ||||
| Total Medicare Charges with ICD M11261 - Other chondrocalcinosis, right knee | $5,276,739 | ||||
| Avg Charges at DRG | $64,846 | ||||
| Avg Charges with ICD M11261 - Other chondrocalcinosis, right knee | $66,794 | ||||
| Mortality Rate at DRG | 0.4 | ||||
| Mortality Rate with ICD M11261 - Other chondrocalcinosis, right knee | NA | ||||
| SNF Discharge Rate at DRG | 66.28 | ||||
| SNF Discharge Rate with ICD M11261 - Other chondrocalcinosis, right knee | 69.62 | ||||
| Home Discharge Rate at DRG | 3.84 | ||||
| Home Discharge Rate with ICD M11261 - Other chondrocalcinosis, right knee | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 77 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 67 |
| NORTHSHORE UNIVERSITY HEALTHSYSTEM EVANSTON HOSPITAL | 2650 RIDGE AVE | EVANSTON | IL | 60201 | 40 |