*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M1611 - Unilateral primary osteoarthritis, right hip - as a primary diagnosis code | M1611 - Unilateral primary osteoarthritis, right hip - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 2.87 | |
| Readmission Rate (%) | 9.88 | |
| Unplanned Readmission Rate (%) | 3.03 | |
| 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 469: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 554: BONE DISEASES AND ARTHROPATHIES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 467: REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 553: BONE DISEASES AND ARTHROPATHIES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD M1611 - Unilateral primary osteoarthritis, right hip | 238,044 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD M1611 - Unilateral primary osteoarthritis, right hip in DRG | 95.98 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD M1611 - Unilateral primary osteoarthritis, right hip | 2.14 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD M1611 - Unilateral primary osteoarthritis, right hip | 6.93 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD M1611 - Unilateral primary osteoarthritis, right hip | 2.84 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD M1611 - Unilateral primary osteoarthritis, right hip | $2,771,960,381 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD M1611 - Unilateral primary osteoarthritis, right hip | $5,442 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD M1611 - Unilateral primary osteoarthritis, right hip | $11,645 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD M1611 - Unilateral primary osteoarthritis, right hip | $14,302,751,833 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD M1611 - Unilateral primary osteoarthritis, right hip | $60,084 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD M1611 - Unilateral primary osteoarthritis, right hip | 0.01 | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD M1611 - Unilateral primary osteoarthritis, right hip | 17.88 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD M1611 - Unilateral primary osteoarthritis, right hip | 34.75 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 468: REVISION OF HIP OR KNEE REPLACEMENT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 462: BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 466: REVISION OF HIP OR KNEE REPLACEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 465: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 464: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 55,395 | ||||
| Total Hospitalizations with ICD M1611 - Unilateral primary osteoarthritis, right hip | 149 | ||||
| DRG Share of Total Hospitalizations | 0.17 | ||||
| % of Total ICD M1611 - Unilateral primary osteoarthritis, right hip in DRG | 0.06 | ||||
| Avg LOS at DRG | 2.48 | ||||
| Avg LOS with ICD M1611 - Unilateral primary osteoarthritis, right hip | 2.34 | ||||
| Readmission Rate at DRG | 10.12 | ||||
| Readmission Rate with ICD M1611 - Unilateral primary osteoarthritis, right hip | 15.75 | ||||
| Unplanned Readmission Rate at DRG | 3.88 | ||||
| Unplanned Readmission Rate with ICD M1611 - Unilateral primary osteoarthritis, right hip | NA | ||||
| Total Medicare payments at DRG | $919,481,919 | ||||
| Total Medicare payments with ICD M1611 - Unilateral primary osteoarthritis, right hip | $2,444,083 | ||||
| Total Medicare payment per Day at DRG | $6,689 | ||||
| Total Medicare payment per Day with ICD M1611 - Unilateral primary osteoarthritis, right hip | $7,003 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,599 | ||||
| Total Medicare payment per Hospitalization with ICD M1611 - Unilateral primary osteoarthritis, right hip | $16,403 | ||||
| Total Medicare Charges at DRG | $4,627,801,183 | ||||
| Total Medicare Charges with ICD M1611 - Unilateral primary osteoarthritis, right hip | $10,483,764 | ||||
| Avg Charges at DRG | $83,542 | ||||
| Avg Charges with ICD M1611 - Unilateral primary osteoarthritis, right hip | $70,361 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD M1611 - Unilateral primary osteoarthritis, right hip | NA | ||||
| SNF Discharge Rate at DRG | 18.76 | ||||
| SNF Discharge Rate with ICD M1611 - Unilateral primary osteoarthritis, right hip | 18.79 | ||||
| Home Discharge Rate at DRG | 33.3 | ||||
| Home Discharge Rate with ICD M1611 - Unilateral primary osteoarthritis, right hip | 32.89 |
*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 482: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 498: LOCAL EXCISION AND REMOVAL INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 483: MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 240,618 | ||||
| Total Hospitalizations with ICD M1611 - Unilateral primary osteoarthritis, right hip | 35 | ||||
| DRG Share of Total Hospitalizations | 0.73 | ||||
| % of Total ICD M1611 - Unilateral primary osteoarthritis, right hip in DRG | 0.01 | ||||
| Avg LOS at DRG | 4.81 | ||||
| Avg LOS with ICD M1611 - Unilateral primary osteoarthritis, right hip | 2.83 | ||||
| Readmission Rate at DRG | 26.3 | ||||
| Readmission Rate with ICD M1611 - Unilateral primary osteoarthritis, right hip | NA | ||||
| Unplanned Readmission Rate at DRG | 7.83 | ||||
| Unplanned Readmission Rate with ICD M1611 - Unilateral primary osteoarthritis, right hip | NA | ||||
| Total Medicare payments at DRG | $2,989,116,299 | ||||
| Total Medicare payments with ICD M1611 - Unilateral primary osteoarthritis, right hip | $396,536 | ||||
| Total Medicare payment per Day at DRG | $2,581 | ||||
| Total Medicare payment per Day with ICD M1611 - Unilateral primary osteoarthritis, right hip | $4,005 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,423 | ||||
| Total Medicare payment per Hospitalization with ICD M1611 - Unilateral primary osteoarthritis, right hip | $11,330 | ||||
| Total Medicare Charges at DRG | $15,603,027,471 | ||||
| Total Medicare Charges with ICD M1611 - Unilateral primary osteoarthritis, right hip | $1,643,051 | ||||
| Avg Charges at DRG | $64,846 | ||||
| Avg Charges with ICD M1611 - Unilateral primary osteoarthritis, right hip | $46,944 | ||||
| Mortality Rate at DRG | 0.4 | ||||
| Mortality Rate with ICD M1611 - Unilateral primary osteoarthritis, right hip | NA | ||||
| SNF Discharge Rate at DRG | 66.28 | ||||
| SNF Discharge Rate with ICD M1611 - Unilateral primary osteoarthritis, right hip | 45.71 | ||||
| Home Discharge Rate at DRG | 3.84 | ||||
| Home Discharge Rate with ICD M1611 - Unilateral primary osteoarthritis, right hip | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 480: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 88,007 |
| Total Hospitalizations with ICD M1611 - Unilateral primary osteoarthritis, right hip | 11 |
| DRG Share of Total Hospitalizations | 0.27 |
| % of Total ICD M1611 - Unilateral primary osteoarthritis, right hip in DRG | 0.0 |
| Avg LOS at DRG | 7.38 |
| Avg LOS with ICD M1611 - Unilateral primary osteoarthritis, right hip | 4.91 |
| Readmission Rate at DRG | 29.95 |
| Readmission Rate with ICD M1611 - Unilateral primary osteoarthritis, right hip | NA |
| Unplanned Readmission Rate at DRG | 12.78 |
| Unplanned Readmission Rate with ICD M1611 - Unilateral primary osteoarthritis, right hip | NA |
| Total Medicare payments at DRG | $1,679,975,081 |
| Total Medicare payments with ICD M1611 - Unilateral primary osteoarthritis, right hip | $185,724 |
| Total Medicare payment per Day at DRG | $2,585 |
| Total Medicare payment per Day with ICD M1611 - Unilateral primary osteoarthritis, right hip | $3,439 |
| Total Medicare payment per Hospitalization at DRG | $19,089 |
| Total Medicare payment per Hospitalization with ICD M1611 - Unilateral primary osteoarthritis, right hip | $16,884 |
| Total Medicare Charges at DRG | $8,209,996,060 |
| Total Medicare Charges with ICD M1611 - Unilateral primary osteoarthritis, right hip | $820,746 |
| Avg Charges at DRG | $93,288 |
| Avg Charges with ICD M1611 - Unilateral primary osteoarthritis, right hip | $74,613 |
| Mortality Rate at DRG | 5.86 |
| Mortality Rate with ICD M1611 - Unilateral primary osteoarthritis, right hip | NA |
| SNF Discharge Rate at DRG | 63.57 |
| SNF Discharge Rate with ICD M1611 - Unilateral primary osteoarthritis, right hip | NA |
| Home Discharge Rate at DRG | 2.5 |
| Home Discharge Rate with ICD M1611 - Unilateral primary osteoarthritis, right hip | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| HOSPITAL FOR SPECIAL SURGERY | 535 E 70TH ST | NEW YORK | NY | 10021 | 2,725 |
| NEW ENGLAND BAPTIST HOSPITAL | 125 PARKER HILL AVE | ROXBURY CROSSING | MA | 02120 | 1,614 |
| NYU LANGONE'S TISCH HOSPITAL | 550 1ST AVE | NEW YORK | NY | 10016 | 993 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ANDREW GLEN YUN | 13160 MINDANAO WAY | MARINA DEL REY | CA | 90292 | 640 |
| Dr. EDWARD J STOLARSKI | 6050 CATTLERIDGE BLVD STE 201 | SARASOTA | FL | 34232 | 518 |
| Dr. ROY I DAVIDOVITCH | 301 E 17TH ST | NEW YORK | NY | 10003 | 360 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. EDWARD J STOLARSKI | 6050 CATTLERIDGE BLVD STE 201 | SARASOTA | FL | 34232 | 526 |
| Dr. ANDREW GLEN YUN | 13160 MINDANAO WAY | MARINA DEL REY | CA | 90292 | 377 |
| Dr. ROY I DAVIDOVITCH | 301 E 17TH ST | NEW YORK | NY | 10003 | 361 |
*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 469: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 554: BONE DISEASES AND ARTHROPATHIES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD M1611 - Unilateral primary osteoarthritis, right hip | 245,587 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD M1611 - Unilateral primary osteoarthritis, right hip in DRG | 81.07 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD M1611 - Unilateral primary osteoarthritis, right hip | 2.18 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD M1611 - Unilateral primary osteoarthritis, right hip | 7.23 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD M1611 - Unilateral primary osteoarthritis, right hip | 2.92 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD M1611 - Unilateral primary osteoarthritis, right hip | $2,866,398,495 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD M1611 - Unilateral primary osteoarthritis, right hip | $5,363 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD M1611 - Unilateral primary osteoarthritis, right hip | $11,672 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD M1611 - Unilateral primary osteoarthritis, right hip | $14,836,627,987 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD M1611 - Unilateral primary osteoarthritis, right hip | $60,413 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD M1611 - Unilateral primary osteoarthritis, right hip | 0.02 | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD M1611 - Unilateral primary osteoarthritis, right hip | 18.47 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD M1611 - Unilateral primary osteoarthritis, right hip | 34.27 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 467: REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 63,482 | ||||
| Total Hospitalizations with ICD M1611 - Unilateral primary osteoarthritis, right hip | 1,511 | ||||
| DRG Share of Total Hospitalizations | 0.19 | ||||
| % of Total ICD M1611 - Unilateral primary osteoarthritis, right hip in DRG | 0.5 | ||||
| Avg LOS at DRG | 4.05 | ||||
| Avg LOS with ICD M1611 - Unilateral primary osteoarthritis, right hip | 4.27 | ||||
| Readmission Rate at DRG | 19.14 | ||||
| Readmission Rate with ICD M1611 - Unilateral primary osteoarthritis, right hip | 18.08 | ||||
| Unplanned Readmission Rate at DRG | 7.13 | ||||
| Unplanned Readmission Rate with ICD M1611 - Unilateral primary osteoarthritis, right hip | 5.12 | ||||
| Total Medicare payments at DRG | $1,360,037,568 | ||||
| Total Medicare payments with ICD M1611 - Unilateral primary osteoarthritis, right hip | $32,065,008 | ||||
| Total Medicare payment per Day at DRG | $5,286 | ||||
| Total Medicare payment per Day with ICD M1611 - Unilateral primary osteoarthritis, right hip | $4,967 | ||||
| Total Medicare payment per Hospitalization at DRG | $21,424 | ||||
| Total Medicare payment per Hospitalization with ICD M1611 - Unilateral primary osteoarthritis, right hip | $21,221 | ||||
| Total Medicare Charges at DRG | $6,614,169,258 | ||||
| Total Medicare Charges with ICD M1611 - Unilateral primary osteoarthritis, right hip | $154,298,593 | ||||
| Avg Charges at DRG | $104,190 | ||||
| Avg Charges with ICD M1611 - Unilateral primary osteoarthritis, right hip | $102,117 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD M1611 - Unilateral primary osteoarthritis, right hip | NA | ||||
| SNF Discharge Rate at DRG | 37.05 | ||||
| SNF Discharge Rate with ICD M1611 - Unilateral primary osteoarthritis, right hip | 37.72 | ||||
| Home Discharge Rate at DRG | 18.63 | ||||
| Home Discharge Rate with ICD M1611 - Unilateral primary osteoarthritis, right hip | 19.06 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 536: FRACTURES OF HIP AND PELVIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 468: REVISION OF HIP OR KNEE REPLACEMENT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT 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 | 86,923 | ||||
| Total Hospitalizations with ICD M1611 - Unilateral primary osteoarthritis, right hip | 922 | ||||
| DRG Share of Total Hospitalizations | 0.26 | ||||
| % of Total ICD M1611 - Unilateral primary osteoarthritis, right hip in DRG | 0.3 | ||||
| Avg LOS at DRG | 3.82 | ||||
| Avg LOS with ICD M1611 - Unilateral primary osteoarthritis, right hip | 3.51 | ||||
| Readmission Rate at DRG | 20.39 | ||||
| Readmission Rate with ICD M1611 - Unilateral primary osteoarthritis, right hip | 19.61 | ||||
| Unplanned Readmission Rate at DRG | 6.82 | ||||
| Unplanned Readmission Rate with ICD M1611 - Unilateral primary osteoarthritis, right hip | 5.9 | ||||
| Total Medicare payments at DRG | $449,496,604 | ||||
| Total Medicare payments with ICD M1611 - Unilateral primary osteoarthritis, right hip | $4,106,153 | ||||
| Total Medicare payment per Day at DRG | $1,355 | ||||
| Total Medicare payment per Day with ICD M1611 - Unilateral primary osteoarthritis, right hip | $1,270 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,171 | ||||
| Total Medicare payment per Hospitalization with ICD M1611 - Unilateral primary osteoarthritis, right hip | $4,454 | ||||
| Total Medicare Charges at DRG | $2,051,298,316 | ||||
| Total Medicare Charges with ICD M1611 - Unilateral primary osteoarthritis, right hip | $22,087,029 | ||||
| Avg Charges at DRG | $23,599 | ||||
| Avg Charges with ICD M1611 - Unilateral primary osteoarthritis, right hip | $23,956 | ||||
| Mortality Rate at DRG | 1.0 | ||||
| Mortality Rate with ICD M1611 - Unilateral primary osteoarthritis, right hip | NA | ||||
| SNF Discharge Rate at DRG | 53.64 | ||||
| SNF Discharge Rate with ICD M1611 - Unilateral primary osteoarthritis, right hip | 57.27 | ||||
| Home Discharge Rate at DRG | 7.08 | ||||
| Home Discharge Rate with ICD M1611 - Unilateral primary osteoarthritis, right hip | 7.7 |
*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 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 553: BONE DISEASES AND ARTHROPATHIES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD M1611 - Unilateral primary osteoarthritis, right hip | 699 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD M1611 - Unilateral primary osteoarthritis, right hip in DRG | 0.23 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD M1611 - Unilateral primary osteoarthritis, right hip | 4.51 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD M1611 - Unilateral primary osteoarthritis, right hip | 24.0 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD M1611 - Unilateral primary osteoarthritis, right hip | 15.41 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD M1611 - Unilateral primary osteoarthritis, right hip | $4,146,331 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD M1611 - Unilateral primary osteoarthritis, right hip | $1,314 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD M1611 - Unilateral primary osteoarthritis, right hip | $5,932 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD M1611 - Unilateral primary osteoarthritis, right hip | $23,396,599 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD M1611 - Unilateral primary osteoarthritis, right hip | $33,472 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD M1611 - Unilateral primary osteoarthritis, right hip | NA | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD M1611 - Unilateral primary osteoarthritis, right hip | 36.19 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD M1611 - Unilateral primary osteoarthritis, right hip | 32.62 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| HOSPITAL FOR SPECIAL SURGERY | 535 E 70TH ST | NEW YORK | NY | 10021 | 2,745 |
| NEW ENGLAND BAPTIST HOSPITAL | 125 PARKER HILL AVE | ROXBURY CROSSING | MA | 02120 | 1,629 |
| NYU LANGONE'S TISCH HOSPITAL | 550 1ST AVE | NEW YORK | NY | 10016 | 1,090 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ANDREW GLEN YUN | 13160 MINDANAO WAY | MARINA DEL REY | CA | 90292 | 652 |
| Dr. EDWARD J STOLARSKI | 6050 CATTLERIDGE BLVD STE 201 | SARASOTA | FL | 34232 | 536 |
| Dr. ROY I DAVIDOVITCH | 301 E 17TH ST | NEW YORK | NY | 10003 | 361 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. EDWARD J STOLARSKI | 6050 CATTLERIDGE BLVD STE 201 | SARASOTA | FL | 34232 | 535 |
| Dr. ANDREW GLEN YUN | 13160 MINDANAO WAY | MARINA DEL REY | CA | 90292 | 386 |
| Dr. ROY I DAVIDOVITCH | 301 E 17TH ST | NEW YORK | NY | 10003 | 362 |