*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M150 - Primary generalized (osteo)arthritis - as a primary diagnosis code | M150 - Primary generalized (osteo)arthritis - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.97 | |
| Readmission Rate (%) | 17.51 | |
| Unplanned Readmission Rate (%) | 5.17 | |
| 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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 483: MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | DRG 462: BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD M150 - Primary generalized (osteo)arthritis | 394 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD M150 - Primary generalized (osteo)arthritis in DRG | 54.42 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD M150 - Primary generalized (osteo)arthritis | 2.32 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD M150 - Primary generalized (osteo)arthritis | 6.51 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD M150 - Primary generalized (osteo)arthritis | 2.86 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD M150 - Primary generalized (osteo)arthritis | $4,232,004 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD M150 - Primary generalized (osteo)arthritis | $4,635 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD M150 - Primary generalized (osteo)arthritis | $10,741 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD M150 - Primary generalized (osteo)arthritis | $18,859,492 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD M150 - Primary generalized (osteo)arthritis | $47,867 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD M150 - Primary generalized (osteo)arthritis | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD M150 - Primary generalized (osteo)arthritis | 19.54 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD M150 - Primary generalized (osteo)arthritis | 61.17 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ORTHOPAEDIC HOSPITAL OF WISCONSIN | 475 W RIVER WOODS PKWY | GLENDALE | WI | 53212 | 259 |
| ALLIED REHAB HOSPITAL | 475 MORGAN HWY | SCRANTON | PA | 18508 | 104 |
| HEALTHSOUTH REHABILITATION HOSPITAL OF ALTOONA | 2005 VALLEY VIEW BLVD | ALTOONA | PA | 16602 | 17 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RORY R WRIGHT | 575 W RIVER WOODS PKWY | GLENDALE | WI | 53212 | 198 |
| Dr. JOHN T KRONER | 575 W RIVER WOODS PKWY | GLENDALE | WI | 53212 | 31 |
| Dr. DONALD KEVIN MIDDLETON | 3970 N OAKLAND AVE | MILWAUKEE | WI | 53211 | 14 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RORY R WRIGHT | 575 W RIVER WOODS PKWY | GLENDALE | WI | 53212 | 196 |
| Dr. KENNETH W. GENTILEZZA | 5 MORGAN HWY | SCRANTON | PA | 18508 | 59 |
| Dr. PAUL W. HORCHOS | 5 MORGAN HWY | SCRANTON | PA | 18508 | 36 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | 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) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 188,863 | ||||
| Total Hospitalizations with ICD M150 - Primary generalized (osteo)arthritis | 744 | ||||
| DRG Share of Total Hospitalizations | 0.57 | ||||
| % of Total ICD M150 - Primary generalized (osteo)arthritis in DRG | 3.66 | ||||
| Avg LOS at DRG | 11.75 | ||||
| Avg LOS with ICD M150 - Primary generalized (osteo)arthritis | 12.96 | ||||
| Readmission Rate at DRG | 12.14 | ||||
| Readmission Rate with ICD M150 - Primary generalized (osteo)arthritis | 10.15 | ||||
| Unplanned Readmission Rate at DRG | 7.97 | ||||
| Unplanned Readmission Rate with ICD M150 - Primary generalized (osteo)arthritis | 8.24 | ||||
| Total Medicare payments at DRG | $3,216,901,374 | ||||
| Total Medicare payments with ICD M150 - Primary generalized (osteo)arthritis | $13,241,130 | ||||
| Total Medicare payment per Day at DRG | $1,450 | ||||
| Total Medicare payment per Day with ICD M150 - Primary generalized (osteo)arthritis | $1,373 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,033 | ||||
| Total Medicare payment per Hospitalization with ICD M150 - Primary generalized (osteo)arthritis | $17,797 | ||||
| Total Medicare Charges at DRG | $7,709,712,645 | ||||
| Total Medicare Charges with ICD M150 - Primary generalized (osteo)arthritis | $24,900,264 | ||||
| Avg Charges at DRG | $40,822 | ||||
| Avg Charges with ICD M150 - Primary generalized (osteo)arthritis | $33,468 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD M150 - Primary generalized (osteo)arthritis | NA | ||||
| SNF Discharge Rate at DRG | 19.54 | ||||
| SNF Discharge Rate with ICD M150 - Primary generalized (osteo)arthritis | 22.04 | ||||
| Home Discharge Rate at DRG | 19.47 | ||||
| Home Discharge Rate with ICD M150 - Primary generalized (osteo)arthritis | 18.15 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD M150 - Primary generalized (osteo)arthritis | 500 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD M150 - Primary generalized (osteo)arthritis in DRG | 2.46 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD M150 - Primary generalized (osteo)arthritis | 5.29 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD M150 - Primary generalized (osteo)arthritis | 26.75 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD M150 - Primary generalized (osteo)arthritis | 21.02 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD M150 - Primary generalized (osteo)arthritis | $4,359,279 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD M150 - Primary generalized (osteo)arthritis | $1,648 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD M150 - Primary generalized (osteo)arthritis | $8,719 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD M150 - Primary generalized (osteo)arthritis | $16,408,400 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD M150 - Primary generalized (osteo)arthritis | $32,817 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD M150 - Primary generalized (osteo)arthritis | NA | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD M150 - Primary generalized (osteo)arthritis | 24.0 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD M150 - Primary generalized (osteo)arthritis | 32.8 |
*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 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 51,757 | ||||
| Total Hospitalizations with ICD M150 - Primary generalized (osteo)arthritis | 350 | ||||
| DRG Share of Total Hospitalizations | 0.16 | ||||
| % of Total ICD M150 - Primary generalized (osteo)arthritis in DRG | 1.72 | ||||
| Avg LOS at DRG | 4.41 | ||||
| Avg LOS with ICD M150 - Primary generalized (osteo)arthritis | 8.57 | ||||
| Readmission Rate at DRG | 17.16 | ||||
| Readmission Rate with ICD M150 - Primary generalized (osteo)arthritis | 13.51 | ||||
| Unplanned Readmission Rate at DRG | 9.0 | ||||
| Unplanned Readmission Rate with ICD M150 - Primary generalized (osteo)arthritis | 8.71 | ||||
| Total Medicare payments at DRG | $332,400,259 | ||||
| Total Medicare payments with ICD M150 - Primary generalized (osteo)arthritis | $4,394,224 | ||||
| Total Medicare payment per Day at DRG | $1,455 | ||||
| Total Medicare payment per Day with ICD M150 - Primary generalized (osteo)arthritis | $1,466 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,422 | ||||
| Total Medicare payment per Hospitalization with ICD M150 - Primary generalized (osteo)arthritis | $12,555 | ||||
| Total Medicare Charges at DRG | $1,234,809,519 | ||||
| Total Medicare Charges with ICD M150 - Primary generalized (osteo)arthritis | $7,668,687 | ||||
| Avg Charges at DRG | $23,858 | ||||
| Avg Charges with ICD M150 - Primary generalized (osteo)arthritis | $21,911 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD M150 - Primary generalized (osteo)arthritis | NA | ||||
| SNF Discharge Rate at DRG | 25.37 | ||||
| SNF Discharge Rate with ICD M150 - Primary generalized (osteo)arthritis | 20.57 | ||||
| Home Discharge Rate at DRG | 42.31 | ||||
| Home Discharge Rate with ICD M150 - Primary generalized (osteo)arthritis | 17.43 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS 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) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD M150 - Primary generalized (osteo)arthritis | 278 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD M150 - Primary generalized (osteo)arthritis in DRG | 1.37 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD M150 - Primary generalized (osteo)arthritis | 3.65 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD M150 - Primary generalized (osteo)arthritis | 15.38 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD M150 - Primary generalized (osteo)arthritis | 10.99 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD M150 - Primary generalized (osteo)arthritis | $1,341,187 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD M150 - Primary generalized (osteo)arthritis | $1,321 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD M150 - Primary generalized (osteo)arthritis | $4,824 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD M150 - Primary generalized (osteo)arthritis | $6,135,091 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD M150 - Primary generalized (osteo)arthritis | $22,069 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD M150 - Primary generalized (osteo)arthritis | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD M150 - Primary generalized (osteo)arthritis | 9.71 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD M150 - Primary generalized (osteo)arthritis | 69.42 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MEMORIAL HOSPITAL BELLEVILLE | 4500 MEMORIAL DR | BELLEVILLE | IL | 62226 | 1,734 |
| ALLIED REHAB HOSPITAL | 475 MORGAN HWY | SCRANTON | PA | 18508 | 927 |
| HEALTHSOUTH REHABILITATION HOSPITAL OF ALTOONA | 2005 VALLEY VIEW BLVD | ALTOONA | PA | 16602 | 761 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID MARK GORDON | 28455 HAGGERTY RD | NOVI | MI | 48377 | 498 |
| Dr. RORY R WRIGHT | 575 W RIVER WOODS PKWY | GLENDALE | WI | 53212 | 198 |
| Dr. MICHAEL LAWSON SWANK | 8099 CORNELL RD | CINCINNATI | OH | 45249 | 116 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID MARK GORDON | 28455 HAGGERTY RD | NOVI | MI | 48377 | 498 |
| Dr. KENNETH W. GENTILEZZA | 5 MORGAN HWY | SCRANTON | PA | 18508 | 411 |
| Dr. HUGH D NEWMAN | 2005 VALLEY VIEW BLVD | ALTOONA | PA | 16602 | 386 |