*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M129 - Arthropathy, unspecified - as a primary diagnosis code | M129 - Arthropathy, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 4.86 | |
| Readmission Rate (%) | 20.68 | |
| Unplanned Readmission Rate (%) | 3.73 | |
| 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 483: MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | 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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 185,287 | |||
| Total Hospitalizations with ICD M129 - Arthropathy, unspecified | 563 | |||
| DRG Share of Total Hospitalizations | 0.56 | |||
| % of Total ICD M129 - Arthropathy, unspecified in DRG | 88.52 | |||
| Avg LOS at DRG | 1.88 | |||
| Avg LOS with ICD M129 - Arthropathy, unspecified | 1.65 | |||
| Readmission Rate at DRG | 5.88 | |||
| Readmission Rate with ICD M129 - Arthropathy, unspecified | 6.0 | |||
| Unplanned Readmission Rate at DRG | 2.95 | |||
| Unplanned Readmission Rate with ICD M129 - Arthropathy, unspecified | 3.45 | |||
| Total Medicare payments at DRG | $2,646,620,753 | |||
| Total Medicare payments with ICD M129 - Arthropathy, unspecified | $7,846,427 | |||
| Total Medicare payment per Day at DRG | $7,610 | |||
| Total Medicare payment per Day with ICD M129 - Arthropathy, unspecified | $8,437 | |||
| Total Medicare payment per Hospitalization at DRG | $14,284 | |||
| Total Medicare payment per Hospitalization with ICD M129 - Arthropathy, unspecified | $13,937 | |||
| Total Medicare Charges at DRG | $13,348,793,527 | |||
| Total Medicare Charges with ICD M129 - Arthropathy, unspecified | $40,913,682 | |||
| Avg Charges at DRG | $72,044 | |||
| Avg Charges with ICD M129 - Arthropathy, unspecified | $72,671 | |||
| Mortality Rate at DRG | 0.07 | |||
| Mortality Rate with ICD M129 - Arthropathy, unspecified | NA | |||
| SNF Discharge Rate at DRG | 12.21 | |||
| SNF Discharge Rate with ICD M129 - Arthropathy, unspecified | 11.55 | |||
| Home Discharge Rate at DRG | 64.69 | |||
| Home Discharge Rate with ICD M129 - Arthropathy, unspecified | 65.19 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| HILTON HEAD REGIONAL HEALTHCARE | 25 HOSPITAL CENTER BLVD | HILTON HEAD ISLAND | SC | 29926 | 30 |
| NORTON BROWNSBORO HOSPITAL | 4960 NORTON HEALTHCARE BLVD | LOUISVILLE | KY | 40241 | 24 |
| MERCY MEDICAL CENTER | 1320 MERCY DR NW | CANTON | OH | 44708 | 13 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DOUGLAS A SCOTT | 22 BETHEA DR | HILTON HEAD ISLAND | SC | 29926 | 28 |
| Dr. RYAN JEFFREY KRUPP | 4950 NORTON HEALTHCARE BLVD STE 310A | LOUISVILLE | KY | 40241 | 24 |
| Dr. GERALD F KLIMO | 4760 BELPAR ST NW | CANTON | OH | 44718 | 18 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DOUGLAS A SCOTT | 22 BETHEA DR | HILTON HEAD ISLAND | SC | 29926 | 27 |
| Dr. RYAN JEFFREY KRUPP | 4950 NORTON HEALTHCARE BLVD STE 310A | LOUISVILLE | KY | 40241 | 24 |
| Dr. GERALD F KLIMO | 4760 BELPAR ST NW | CANTON | OH | 44718 | 18 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 483: MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD M129 - Arthropathy, unspecified | 2,511 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD M129 - Arthropathy, unspecified in DRG | 5.01 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD M129 - Arthropathy, unspecified | 5.8 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD M129 - Arthropathy, unspecified | 22.36 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD M129 - Arthropathy, unspecified | 17.5 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD M129 - Arthropathy, unspecified | $27,569,927 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD M129 - Arthropathy, unspecified | $1,894 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD M129 - Arthropathy, unspecified | $10,980 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD M129 - Arthropathy, unspecified | $116,598,101 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD M129 - Arthropathy, unspecified | $46,435 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD M129 - Arthropathy, unspecified | 10.67 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD M129 - Arthropathy, unspecified | 25.97 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD M129 - Arthropathy, unspecified | 25.61 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK 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 | 535,322 | ||||
| Total Hospitalizations with ICD M129 - Arthropathy, unspecified | 913 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD M129 - Arthropathy, unspecified in DRG | 1.82 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD M129 - Arthropathy, unspecified | 4.49 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD M129 - Arthropathy, unspecified | 22.43 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD M129 - Arthropathy, unspecified | 19.11 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD M129 - Arthropathy, unspecified | $5,888,089 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD M129 - Arthropathy, unspecified | $1,436 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD M129 - Arthropathy, unspecified | $6,449 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD M129 - Arthropathy, unspecified | $27,217,588 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD M129 - Arthropathy, unspecified | $29,811 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD M129 - Arthropathy, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD M129 - Arthropathy, unspecified | 13.47 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD M129 - Arthropathy, unspecified | 49.07 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY 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 | 434,264 | ||||
| Total Hospitalizations with ICD M129 - Arthropathy, unspecified | 720 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD M129 - Arthropathy, unspecified in DRG | 1.44 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD M129 - Arthropathy, unspecified | 3.79 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD M129 - Arthropathy, unspecified | 21.88 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD M129 - Arthropathy, unspecified | 16.09 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD M129 - Arthropathy, unspecified | $3,648,703 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD M129 - Arthropathy, unspecified | $1,337 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD M129 - Arthropathy, unspecified | $5,068 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD M129 - Arthropathy, unspecified | $17,633,449 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD M129 - Arthropathy, unspecified | $24,491 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD M129 - Arthropathy, unspecified | 1.53 | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD M129 - Arthropathy, unspecified | 19.44 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD M129 - Arthropathy, unspecified | 45.14 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD M129 - Arthropathy, unspecified | 625 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD M129 - Arthropathy, unspecified in DRG | 1.25 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD M129 - Arthropathy, unspecified | 3.83 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD M129 - Arthropathy, unspecified | 18.54 | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD M129 - Arthropathy, unspecified | 14.9 | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD M129 - Arthropathy, unspecified | $3,340,597 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD M129 - Arthropathy, unspecified | $1,395 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD M129 - Arthropathy, unspecified | $5,345 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD M129 - Arthropathy, unspecified | $14,564,506 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD M129 - Arthropathy, unspecified | $23,303 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD M129 - Arthropathy, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD M129 - Arthropathy, unspecified | 17.76 | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD M129 - Arthropathy, unspecified | 48.96 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BRISTOL REGIONAL MEDICAL CENTER | 1 MEDICAL PARK BLVD | BRISTOL | TN | 37620 | 2,518 |
| SENTARA NORFOLK GENERAL HOSPITAL | 600 GRESHAM DR | NORFOLK | VA | 23507 | 2,225 |
| SENTARA VIRGINIA BEACH GENERAL HOSPITAL | 1060 FIRST COLONIAL RD | VIRGINIA BEACH | VA | 23454 | 2,001 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. PAUL D MAHONEY | 844 KEMPSVILLE RD | NORFOLK | VA | 23502 | 140 |
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 132 |
| Dr. ADEDAPO M ODUWOLE | 1203 48TH AVE N | MYRTLE BEACH | SC | 29577 | 82 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. PITCHAR THEERATHORN | 119 BOONE RIDGE DRIVE | JOHNSON CITY | TN | 37615 | 258 |
| Dr. ALA SAYED MORTAZAVI | 2028 OPITZ BLVD. | WOODBRIDGE | VA | 22191 | 180 |
| Dr. KEITH G PORTER | 130 W RAVINE RD | KINGSPORT | TN | 37660 | 174 |