*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M11262 - Other chondrocalcinosis, left knee - as a primary diagnosis code | M11262 - Other chondrocalcinosis, left knee - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.0 | |
| Readmission Rate (%) | 19.36 | |
| Unplanned Readmission Rate (%) | 10.9 | |
| 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 M11262 - Other chondrocalcinosis, left knee | 966 | |||
| DRG Share of Total Hospitalizations | 0.16 | |||
| % of Total ICD M11262 - Other chondrocalcinosis, left knee in DRG | 77.09 | |||
| Avg LOS at DRG | 4.41 | |||
| Avg LOS with ICD M11262 - Other chondrocalcinosis, left knee | 3.61 | |||
| Readmission Rate at DRG | 17.16 | |||
| Readmission Rate with ICD M11262 - Other chondrocalcinosis, left knee | 13.6 | |||
| Unplanned Readmission Rate at DRG | 9.0 | |||
| Unplanned Readmission Rate with ICD M11262 - Other chondrocalcinosis, left knee | 9.74 | |||
| Total Medicare payments at DRG | $332,400,259 | |||
| Total Medicare payments with ICD M11262 - Other chondrocalcinosis, left knee | $5,078,174 | |||
| Total Medicare payment per Day at DRG | $1,455 | |||
| Total Medicare payment per Day with ICD M11262 - Other chondrocalcinosis, left knee | $1,455 | |||
| Total Medicare payment per Hospitalization at DRG | $6,422 | |||
| Total Medicare payment per Hospitalization with ICD M11262 - Other chondrocalcinosis, left knee | $5,257 | |||
| Total Medicare Charges at DRG | $1,234,809,519 | |||
| Total Medicare Charges with ICD M11262 - Other chondrocalcinosis, left knee | $22,540,172 | |||
| Avg Charges at DRG | $23,858 | |||
| Avg Charges with ICD M11262 - Other chondrocalcinosis, left knee | $23,334 | |||
| Mortality Rate at DRG | 0.04 | |||
| Mortality Rate with ICD M11262 - Other chondrocalcinosis, left knee | NA | |||
| SNF Discharge Rate at DRG | 25.37 | |||
| SNF Discharge Rate with ICD M11262 - Other chondrocalcinosis, left knee | 33.23 | |||
| Home Discharge Rate at DRG | 42.31 | |||
| Home Discharge Rate with ICD M11262 - Other chondrocalcinosis, left knee | 36.54 |
| 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 | 14 |
*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 M11262 - Other chondrocalcinosis, left knee | 1,418 | ||||
| DRG Share of Total Hospitalizations | 0.16 | ||||
| % of Total ICD M11262 - Other chondrocalcinosis, left knee in DRG | 18.16 | ||||
| Avg LOS at DRG | 4.41 | ||||
| Avg LOS with ICD M11262 - Other chondrocalcinosis, left knee | 3.67 | ||||
| Readmission Rate at DRG | 17.16 | ||||
| Readmission Rate with ICD M11262 - Other chondrocalcinosis, left knee | 13.94 | ||||
| Unplanned Readmission Rate at DRG | 9.0 | ||||
| Unplanned Readmission Rate with ICD M11262 - Other chondrocalcinosis, left knee | 9.64 | ||||
| Total Medicare payments at DRG | $332,400,259 | ||||
| Total Medicare payments with ICD M11262 - Other chondrocalcinosis, left knee | $7,308,391 | ||||
| Total Medicare payment per Day at DRG | $1,455 | ||||
| Total Medicare payment per Day with ICD M11262 - Other chondrocalcinosis, left knee | $1,404 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,422 | ||||
| Total Medicare payment per Hospitalization with ICD M11262 - Other chondrocalcinosis, left knee | $5,154 | ||||
| Total Medicare Charges at DRG | $1,234,809,519 | ||||
| Total Medicare Charges with ICD M11262 - Other chondrocalcinosis, left knee | $34,579,855 | ||||
| Avg Charges at DRG | $23,858 | ||||
| Avg Charges with ICD M11262 - Other chondrocalcinosis, left knee | $24,386 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD M11262 - Other chondrocalcinosis, left knee | NA | ||||
| SNF Discharge Rate at DRG | 25.37 | ||||
| SNF Discharge Rate with ICD M11262 - Other chondrocalcinosis, left knee | 34.91 | ||||
| Home Discharge Rate at DRG | 42.31 | ||||
| Home Discharge Rate with ICD M11262 - Other chondrocalcinosis, left knee | 35.12 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 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 563: FRACTURE SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 364,421 | ||||
| Total Hospitalizations with ICD M11262 - Other chondrocalcinosis, left knee | 135 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD M11262 - Other chondrocalcinosis, left knee in DRG | 1.73 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD M11262 - Other chondrocalcinosis, left knee | 4.67 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD M11262 - Other chondrocalcinosis, left knee | 18.94 | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD M11262 - Other chondrocalcinosis, left knee | 15.91 | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD M11262 - Other chondrocalcinosis, left knee | $754,616 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD M11262 - Other chondrocalcinosis, left knee | $1,196 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD M11262 - Other chondrocalcinosis, left knee | $5,590 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD M11262 - Other chondrocalcinosis, left knee | $3,817,167 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD M11262 - Other chondrocalcinosis, left knee | $28,275 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD M11262 - Other chondrocalcinosis, left knee | NA | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD M11262 - Other chondrocalcinosis, left knee | 34.07 | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD M11262 - Other chondrocalcinosis, left knee | 37.78 |
*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 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS 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 M11262 - Other chondrocalcinosis, left knee | 98 | ||||
| DRG Share of Total Hospitalizations | 1.1 | ||||
| % of Total ICD M11262 - Other chondrocalcinosis, left knee in DRG | 1.25 | ||||
| Avg LOS at DRG | 12.3 | ||||
| Avg LOS with ICD M11262 - Other chondrocalcinosis, left knee | 13.11 | ||||
| Readmission Rate at DRG | 16.01 | ||||
| Readmission Rate with ICD M11262 - Other chondrocalcinosis, left knee | 22.58 | ||||
| Unplanned Readmission Rate at DRG | 9.86 | ||||
| Unplanned Readmission Rate with ICD M11262 - Other chondrocalcinosis, left knee | 16.13 | ||||
| Total Medicare payments at DRG | $5,883,826,653 | ||||
| Total Medicare payments with ICD M11262 - Other chondrocalcinosis, left knee | $1,920,229 | ||||
| Total Medicare payment per Day at DRG | $1,329 | ||||
| Total Medicare payment per Day with ICD M11262 - Other chondrocalcinosis, left knee | $1,494 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
| Total Medicare payment per Hospitalization with ICD M11262 - Other chondrocalcinosis, left knee | $19,594 | ||||
| Total Medicare Charges at DRG | $15,374,824,749 | ||||
| Total Medicare Charges with ICD M11262 - Other chondrocalcinosis, left knee | $5,528,480 | ||||
| Avg Charges at DRG | $42,716 | ||||
| Avg Charges with ICD M11262 - Other chondrocalcinosis, left knee | $56,413 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD M11262 - Other chondrocalcinosis, left knee | NA | ||||
| SNF Discharge Rate at DRG | 27.95 | ||||
| SNF Discharge Rate with ICD M11262 - Other chondrocalcinosis, left knee | 38.78 | ||||
| Home Discharge Rate at DRG | 26.85 | ||||
| Home Discharge Rate with ICD M11262 - Other chondrocalcinosis, left knee | 21.43 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 565: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 489: KNEE PROCEDURES WITHOUT PDX OF INFECTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD M11262 - Other chondrocalcinosis, left knee | 73 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD M11262 - Other chondrocalcinosis, left knee in DRG | 0.93 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD M11262 - Other chondrocalcinosis, left knee | 7.0 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD M11262 - Other chondrocalcinosis, left knee | 22.86 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD M11262 - Other chondrocalcinosis, left knee | 17.14 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD M11262 - Other chondrocalcinosis, left knee | $715,277 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD M11262 - Other chondrocalcinosis, left knee | $1,400 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD M11262 - Other chondrocalcinosis, left knee | $9,798 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD M11262 - Other chondrocalcinosis, left knee | $3,741,423 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD M11262 - Other chondrocalcinosis, left knee | $51,252 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD M11262 - Other chondrocalcinosis, left knee | NA | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD M11262 - Other chondrocalcinosis, left knee | 52.05 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD M11262 - Other chondrocalcinosis, left knee | 16.44 |
| 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 | 65 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 62 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 49 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOHN MALCOM WRIGHT | 3219 CENTRAL AVE | KEARNEY | NE | 68847 | 11 |