*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M172 - Bilateral post-traumatic osteoarthritis of knee - as a primary diagnosis code | M172 - Bilateral post-traumatic osteoarthritis of knee - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 4.56 | |
| Readmission Rate (%) | 13.45 | |
| Unplanned Readmission Rate (%) | NA | |
| 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 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 M172 - Bilateral post-traumatic osteoarthritis of knee | 192 | |
| DRG Share of Total Hospitalizations | 4.63 | |
| % of Total ICD M172 - Bilateral post-traumatic osteoarthritis of knee in DRG | 75.29 | |
| Avg LOS at DRG | 2.52 | |
| Avg LOS with ICD M172 - Bilateral post-traumatic osteoarthritis of knee | 2.38 | |
| Readmission Rate at DRG | 9.03 | |
| Readmission Rate with ICD M172 - Bilateral post-traumatic osteoarthritis of knee | NA | |
| Unplanned Readmission Rate at DRG | 3.35 | |
| Unplanned Readmission Rate with ICD M172 - Bilateral post-traumatic osteoarthritis of knee | NA | |
| Total Medicare payments at DRG | $17,672,828,347 | |
| Total Medicare payments with ICD M172 - Bilateral post-traumatic osteoarthritis of knee | $2,056,860 | |
| Total Medicare payment per Day at DRG | $4,606 | |
| Total Medicare payment per Day with ICD M172 - Bilateral post-traumatic osteoarthritis of knee | $4,511 | |
| Total Medicare payment per Hospitalization at DRG | $11,606 | |
| Total Medicare payment per Hospitalization with ICD M172 - Bilateral post-traumatic osteoarthritis of knee | $10,713 | |
| Total Medicare Charges at DRG | $91,836,200,128 | |
| Total Medicare Charges with ICD M172 - Bilateral post-traumatic osteoarthritis of knee | $11,110,218 | |
| Avg Charges at DRG | $60,312 | |
| Avg Charges with ICD M172 - Bilateral post-traumatic osteoarthritis of knee | $57,866 | |
| Mortality Rate at DRG | 0.05 | |
| Mortality Rate with ICD M172 - Bilateral post-traumatic osteoarthritis of knee | NA | |
| SNF Discharge Rate at DRG | 23.53 | |
| SNF Discharge Rate with ICD M172 - Bilateral post-traumatic osteoarthritis of knee | 14.06 | |
| Home Discharge Rate at DRG | 30.67 | |
| Home Discharge Rate with ICD M172 - Bilateral post-traumatic osteoarthritis of knee | 42.71 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST FORT WORTH | 6100 HARRIS PKWY | FORT WORTH | TX | 76132 | 17 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. AJAI CADAMBI | 6301 HARRIS PKWY STE 300 | FORT WORTH | TX | 76132 | 14 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. AJAI CADAMBI | 6301 HARRIS PKWY STE 300 | FORT WORTH | TX | 76132 | 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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 462: BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | |||
| Total Hospitalizations with ICD M172 - Bilateral post-traumatic osteoarthritis of knee | 225 | |||
| DRG Share of Total Hospitalizations | 4.63 | |||
| % of Total ICD M172 - Bilateral post-traumatic osteoarthritis of knee in DRG | 40.18 | |||
| Avg LOS at DRG | 2.52 | |||
| Avg LOS with ICD M172 - Bilateral post-traumatic osteoarthritis of knee | 2.43 | |||
| Readmission Rate at DRG | 9.03 | |||
| Readmission Rate with ICD M172 - Bilateral post-traumatic osteoarthritis of knee | 5.02 | |||
| Unplanned Readmission Rate at DRG | 3.35 | |||
| Unplanned Readmission Rate with ICD M172 - Bilateral post-traumatic osteoarthritis of knee | NA | |||
| Total Medicare payments at DRG | $17,672,828,347 | |||
| Total Medicare payments with ICD M172 - Bilateral post-traumatic osteoarthritis of knee | $2,431,391 | |||
| Total Medicare payment per Day at DRG | $4,606 | |||
| Total Medicare payment per Day with ICD M172 - Bilateral post-traumatic osteoarthritis of knee | $4,445 | |||
| Total Medicare payment per Hospitalization at DRG | $11,606 | |||
| Total Medicare payment per Hospitalization with ICD M172 - Bilateral post-traumatic osteoarthritis of knee | $10,806 | |||
| Total Medicare Charges at DRG | $91,836,200,128 | |||
| Total Medicare Charges with ICD M172 - Bilateral post-traumatic osteoarthritis of knee | $13,490,611 | |||
| Avg Charges at DRG | $60,312 | |||
| Avg Charges with ICD M172 - Bilateral post-traumatic osteoarthritis of knee | $59,958 | |||
| Mortality Rate at DRG | 0.05 | |||
| Mortality Rate with ICD M172 - Bilateral post-traumatic osteoarthritis of knee | NA | |||
| SNF Discharge Rate at DRG | 23.53 | |||
| SNF Discharge Rate with ICD M172 - Bilateral post-traumatic osteoarthritis of knee | 14.67 | |||
| Home Discharge Rate at DRG | 30.67 | |||
| Home Discharge Rate with ICD M172 - Bilateral post-traumatic osteoarthritis of knee | 41.33 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST FORT WORTH | 6100 HARRIS PKWY | FORT WORTH | TX | 76132 | 17 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. AJAI CADAMBI | 6301 HARRIS PKWY STE 300 | FORT WORTH | TX | 76132 | 14 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. AJAI CADAMBI | 6301 HARRIS PKWY STE 300 | FORT WORTH | TX | 76132 | 14 |