*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M169 - Osteoarthritis of hip, unspecified - as a primary diagnosis code | M169 - Osteoarthritis of hip, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 4.69 | |
| Readmission Rate (%) | 14.32 | |
| Unplanned Readmission Rate (%) | 3.05 | |
| 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 469: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||
| Total Hospitalizations with ICD M169 - Osteoarthritis of hip, unspecified | 1,378 | ||
| DRG Share of Total Hospitalizations | 4.63 | ||
| % of Total ICD M169 - Osteoarthritis of hip, unspecified in DRG | 90.84 | ||
| Avg LOS at DRG | 2.52 | ||
| Avg LOS with ICD M169 - Osteoarthritis of hip, unspecified | 2.21 | ||
| Readmission Rate at DRG | 9.03 | ||
| Readmission Rate with ICD M169 - Osteoarthritis of hip, unspecified | 6.63 | ||
| Unplanned Readmission Rate at DRG | 3.35 | ||
| Unplanned Readmission Rate with ICD M169 - Osteoarthritis of hip, unspecified | 2.48 | ||
| Total Medicare payments at DRG | $17,672,828,347 | ||
| Total Medicare payments with ICD M169 - Osteoarthritis of hip, unspecified | $15,068,958 | ||
| Total Medicare payment per Day at DRG | $4,606 | ||
| Total Medicare payment per Day with ICD M169 - Osteoarthritis of hip, unspecified | $4,957 | ||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||
| Total Medicare payment per Hospitalization with ICD M169 - Osteoarthritis of hip, unspecified | $10,935 | ||
| Total Medicare Charges at DRG | $91,836,200,128 | ||
| Total Medicare Charges with ICD M169 - Osteoarthritis of hip, unspecified | $74,596,603 | ||
| Avg Charges at DRG | $60,312 | ||
| Avg Charges with ICD M169 - Osteoarthritis of hip, unspecified | $54,134 | ||
| Mortality Rate at DRG | 0.05 | ||
| Mortality Rate with ICD M169 - Osteoarthritis of hip, unspecified | NA | ||
| SNF Discharge Rate at DRG | 23.53 | ||
| SNF Discharge Rate with ICD M169 - Osteoarthritis of hip, unspecified | 17.92 | ||
| Home Discharge Rate at DRG | 30.67 | ||
| Home Discharge Rate with ICD M169 - Osteoarthritis of hip, unspecified | 29.54 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM | 1500 EAST MEDICAL CENTER DRIVE | ANN ARBOR | MI | 48109 | 178 |
| AURORA MEDICAL CENTER KENOSHA | 10400 75TH ST | KENOSHA | WI | 53142 | 58 |
| BAYLOR MEDICAL CENTER AT UPTOWN | 2727 E LEMMON AVE | DALLAS | TX | 75204 | 50 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ANDREW GRAY URQUHART | 1500 EAST MEDICAL CENTER DR | ANN ARBOR | MI | 48109 | 86 |
| Dr. WILLIAM B LUTES | 10400 75TH ST | KENOSHA | WI | 53142 | 58 |
| Dr. JOSEPH DOMINIC MARATT | 1500 EAST MEDICAL CENTER DR | ANN ARBOR | MI | 48109 | 52 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ANDREW GRAY URQUHART | 1500 EAST MEDICAL CENTER DR | ANN ARBOR | MI | 48109 | 87 |
| Dr. WILLIAM B LUTES | 10400 75TH ST | KENOSHA | WI | 53142 | 57 |
| Dr. JOSEPH DOMINIC MARATT | 1500 EAST MEDICAL CENTER DR | ANN ARBOR | MI | 48109 | 51 |
*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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD M169 - Osteoarthritis of hip, unspecified | 1,570 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD M169 - Osteoarthritis of hip, unspecified in DRG | 38.4 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD M169 - Osteoarthritis of hip, unspecified | 2.27 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD M169 - Osteoarthritis of hip, unspecified | 6.92 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD M169 - Osteoarthritis of hip, unspecified | 2.37 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD M169 - Osteoarthritis of hip, unspecified | $17,333,990 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD M169 - Osteoarthritis of hip, unspecified | $4,865 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD M169 - Osteoarthritis of hip, unspecified | $11,041 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD M169 - Osteoarthritis of hip, unspecified | $86,198,973 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD M169 - Osteoarthritis of hip, unspecified | $54,904 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD M169 - Osteoarthritis of hip, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD M169 - Osteoarthritis of hip, unspecified | 19.43 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD M169 - Osteoarthritis of hip, unspecified | 29.17 |
*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 469: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD M169 - Osteoarthritis of hip, unspecified | 47 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD M169 - Osteoarthritis of hip, unspecified in DRG | 1.15 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD M169 - Osteoarthritis of hip, unspecified | 6.28 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD M169 - Osteoarthritis of hip, unspecified | 23.4 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD M169 - Osteoarthritis of hip, unspecified | NA | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD M169 - Osteoarthritis of hip, unspecified | $478,182 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD M169 - Osteoarthritis of hip, unspecified | $1,621 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD M169 - Osteoarthritis of hip, unspecified | $10,174 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD M169 - Osteoarthritis of hip, unspecified | $1,913,839 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD M169 - Osteoarthritis of hip, unspecified | $40,720 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD M169 - Osteoarthritis of hip, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD M169 - Osteoarthritis of hip, unspecified | NA | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD M169 - Osteoarthritis of hip, unspecified | 34.04 |
*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 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD M169 - Osteoarthritis of hip, unspecified | 36 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD M169 - Osteoarthritis of hip, unspecified in DRG | 0.88 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD M169 - Osteoarthritis of hip, unspecified | 3.56 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD M169 - Osteoarthritis of hip, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD M169 - Osteoarthritis of hip, unspecified | NA | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD M169 - Osteoarthritis of hip, unspecified | $218,494 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD M169 - Osteoarthritis of hip, unspecified | $1,707 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD M169 - Osteoarthritis of hip, unspecified | $6,069 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD M169 - Osteoarthritis of hip, unspecified | $772,498 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD M169 - Osteoarthritis of hip, unspecified | $21,458 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD M169 - Osteoarthritis of hip, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD M169 - Osteoarthritis of hip, unspecified | NA | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD M169 - Osteoarthritis of hip, unspecified | 61.11 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 467: REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD M169 - Osteoarthritis of hip, unspecified | 29 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD M169 - Osteoarthritis of hip, unspecified in DRG | 0.71 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD M169 - Osteoarthritis of hip, unspecified | 4.97 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD M169 - Osteoarthritis of hip, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD M169 - Osteoarthritis of hip, unspecified | NA | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD M169 - Osteoarthritis of hip, unspecified | $206,991 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD M169 - Osteoarthritis of hip, unspecified | $1,437 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD M169 - Osteoarthritis of hip, unspecified | $7,138 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD M169 - Osteoarthritis of hip, unspecified | $1,131,907 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD M169 - Osteoarthritis of hip, unspecified | $39,031 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD M169 - Osteoarthritis of hip, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD M169 - Osteoarthritis of hip, unspecified | NA | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD M169 - Osteoarthritis of hip, unspecified | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM | 1500 EAST MEDICAL CENTER DRIVE | ANN ARBOR | MI | 48109 | 191 |
| METHODIST UNIVERSITY HOSPITAL | 1265 UNION AVE | MEMPHIS | TN | 38104 | 67 |
| AURORA MEDICAL CENTER KENOSHA | 10400 75TH ST | KENOSHA | WI | 53142 | 65 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ANDREW GRAY URQUHART | 1500 EAST MEDICAL CENTER DR | ANN ARBOR | MI | 48109 | 87 |
| Dr. WILLIAM B LUTES | 10400 75TH ST | KENOSHA | WI | 53142 | 59 |
| Dr. JOSEPH DOMINIC MARATT | 1500 EAST MEDICAL CENTER DR | ANN ARBOR | MI | 48109 | 52 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ANDREW GRAY URQUHART | 1500 EAST MEDICAL CENTER DR | ANN ARBOR | MI | 48109 | 88 |
| Dr. WILLIAM B LUTES | 10400 75TH ST | KENOSHA | WI | 53142 | 58 |
| Dr. JOSEPH DOMINIC MARATT | 1500 EAST MEDICAL CENTER DR | ANN ARBOR | MI | 48109 | 51 |