*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M11861 - Other specified crystal arthropathies, right knee - as a primary diagnosis code | M11861 - Other specified crystal arthropathies, right knee - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.47 | |
| Readmission Rate (%) | 22.72 | |
| Unplanned Readmission Rate (%) | 10.71 | |
| 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) | |
|---|---|---|
| Total Hospitalizations at DRG | 51,757 | |
| Total Hospitalizations with ICD M11861 - Other specified crystal arthropathies, right knee | 81 | |
| DRG Share of Total Hospitalizations | 0.16 | |
| % of Total ICD M11861 - Other specified crystal arthropathies, right knee in DRG | 70.43 | |
| Avg LOS at DRG | 4.41 | |
| Avg LOS with ICD M11861 - Other specified crystal arthropathies, right knee | 3.35 | |
| Readmission Rate at DRG | 17.16 | |
| Readmission Rate with ICD M11861 - Other specified crystal arthropathies, right knee | NA | |
| Unplanned Readmission Rate at DRG | 9.0 | |
| Unplanned Readmission Rate with ICD M11861 - Other specified crystal arthropathies, right knee | NA | |
| Total Medicare payments at DRG | $332,400,259 | |
| Total Medicare payments with ICD M11861 - Other specified crystal arthropathies, right knee | $404,790 | |
| Total Medicare payment per Day at DRG | $1,455 | |
| Total Medicare payment per Day with ICD M11861 - Other specified crystal arthropathies, right knee | $1,494 | |
| Total Medicare payment per Hospitalization at DRG | $6,422 | |
| Total Medicare payment per Hospitalization with ICD M11861 - Other specified crystal arthropathies, right knee | $4,997 | |
| Total Medicare Charges at DRG | $1,234,809,519 | |
| Total Medicare Charges with ICD M11861 - Other specified crystal arthropathies, right knee | $2,012,481 | |
| Avg Charges at DRG | $23,858 | |
| Avg Charges with ICD M11861 - Other specified crystal arthropathies, right knee | $24,845 | |
| Mortality Rate at DRG | 0.04 | |
| Mortality Rate with ICD M11861 - Other specified crystal arthropathies, right knee | NA | |
| SNF Discharge Rate at DRG | 25.37 | |
| SNF Discharge Rate with ICD M11861 - Other specified crystal arthropathies, right knee | 28.4 | |
| Home Discharge Rate at DRG | 42.31 | |
| Home Discharge Rate with ICD M11861 - Other specified crystal arthropathies, right knee | 35.8 |
*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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 51,757 | ||||
| Total Hospitalizations with ICD M11861 - Other specified crystal arthropathies, right knee | 126 | ||||
| DRG Share of Total Hospitalizations | 0.16 | ||||
| % of Total ICD M11861 - Other specified crystal arthropathies, right knee in DRG | 28.38 | ||||
| Avg LOS at DRG | 4.41 | ||||
| Avg LOS with ICD M11861 - Other specified crystal arthropathies, right knee | 3.83 | ||||
| Readmission Rate at DRG | 17.16 | ||||
| Readmission Rate with ICD M11861 - Other specified crystal arthropathies, right knee | 12.2 | ||||
| Unplanned Readmission Rate at DRG | 9.0 | ||||
| Unplanned Readmission Rate with ICD M11861 - Other specified crystal arthropathies, right knee | NA | ||||
| Total Medicare payments at DRG | $332,400,259 | ||||
| Total Medicare payments with ICD M11861 - Other specified crystal arthropathies, right knee | $654,251 | ||||
| Total Medicare payment per Day at DRG | $1,455 | ||||
| Total Medicare payment per Day with ICD M11861 - Other specified crystal arthropathies, right knee | $1,355 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,422 | ||||
| Total Medicare payment per Hospitalization with ICD M11861 - Other specified crystal arthropathies, right knee | $5,192 | ||||
| Total Medicare Charges at DRG | $1,234,809,519 | ||||
| Total Medicare Charges with ICD M11861 - Other specified crystal arthropathies, right knee | $3,430,982 | ||||
| Avg Charges at DRG | $23,858 | ||||
| Avg Charges with ICD M11861 - Other specified crystal arthropathies, right knee | $27,230 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD M11861 - Other specified crystal arthropathies, right knee | NA | ||||
| SNF Discharge Rate at DRG | 25.37 | ||||
| SNF Discharge Rate with ICD M11861 - Other specified crystal arthropathies, right knee | 34.92 | ||||
| Home Discharge Rate at DRG | 42.31 | ||||
| Home Discharge Rate with ICD M11861 - Other specified crystal arthropathies, right knee | 34.92 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 269,064 |
| Total Hospitalizations with ICD M11861 - Other specified crystal arthropathies, right knee | 11 |
| DRG Share of Total Hospitalizations | 0.82 |
| % of Total ICD M11861 - Other specified crystal arthropathies, right knee in DRG | 2.48 |
| Avg LOS at DRG | 13.18 |
| Avg LOS with ICD M11861 - Other specified crystal arthropathies, right knee | 12.55 |
| Readmission Rate at DRG | 37.51 |
| Readmission Rate with ICD M11861 - Other specified crystal arthropathies, right knee | NA |
| Unplanned Readmission Rate at DRG | 18.15 |
| Unplanned Readmission Rate with ICD M11861 - Other specified crystal arthropathies, right knee | NA |
| Total Medicare payments at DRG | $9,344,186,034 |
| Total Medicare payments with ICD M11861 - Other specified crystal arthropathies, right knee | $339,247 |
| Total Medicare payment per Day at DRG | $2,635 |
| Total Medicare payment per Day with ICD M11861 - Other specified crystal arthropathies, right knee | $2,458 |
| Total Medicare payment per Hospitalization at DRG | $34,728 |
| Total Medicare payment per Hospitalization with ICD M11861 - Other specified crystal arthropathies, right knee | $30,841 |
| Total Medicare Charges at DRG | $44,371,117,432 |
| Total Medicare Charges with ICD M11861 - Other specified crystal arthropathies, right knee | $1,234,387 |
| Avg Charges at DRG | $164,909 |
| Avg Charges with ICD M11861 - Other specified crystal arthropathies, right knee | $112,217 |
| Mortality Rate at DRG | 14.37 |
| Mortality Rate with ICD M11861 - Other specified crystal arthropathies, right knee | NA |
| SNF Discharge Rate at DRG | 31.8 |
| SNF Discharge Rate with ICD M11861 - Other specified crystal arthropathies, right knee | NA |
| Home Discharge Rate at DRG | 14.61 |
| Home Discharge Rate with ICD M11861 - Other specified crystal arthropathies, right knee | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| RUSH UNIVERSITY MEDICAL CENTER | 1653 W CONGRESS PKWY | CHICAGO | IL | 60612 | 12 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 11 |