*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M174 - Other bilateral secondary osteoarthritis of knee - as a primary diagnosis code | M174 - Other bilateral secondary osteoarthritis of knee - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.4 | |
| Readmission Rate (%) | 22.32 | |
| 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 M174 - Other bilateral secondary osteoarthritis of knee | 91 | |
| DRG Share of Total Hospitalizations | 4.63 | |
| % of Total ICD M174 - Other bilateral secondary osteoarthritis of knee in DRG | 57.96 | |
| Avg LOS at DRG | 2.52 | |
| Avg LOS with ICD M174 - Other bilateral secondary osteoarthritis of knee | 2.81 | |
| Readmission Rate at DRG | 9.03 | |
| Readmission Rate with ICD M174 - Other bilateral secondary osteoarthritis of knee | NA | |
| Unplanned Readmission Rate at DRG | 3.35 | |
| Unplanned Readmission Rate with ICD M174 - Other bilateral secondary osteoarthritis of knee | NA | |
| Total Medicare payments at DRG | $17,672,828,347 | |
| Total Medicare payments with ICD M174 - Other bilateral secondary osteoarthritis of knee | $1,085,030 | |
| Total Medicare payment per Day at DRG | $4,606 | |
| Total Medicare payment per Day with ICD M174 - Other bilateral secondary osteoarthritis of knee | $4,238 | |
| Total Medicare payment per Hospitalization at DRG | $11,606 | |
| Total Medicare payment per Hospitalization with ICD M174 - Other bilateral secondary osteoarthritis of knee | $11,923 | |
| Total Medicare Charges at DRG | $91,836,200,128 | |
| Total Medicare Charges with ICD M174 - Other bilateral secondary osteoarthritis of knee | $5,662,295 | |
| Avg Charges at DRG | $60,312 | |
| Avg Charges with ICD M174 - Other bilateral secondary osteoarthritis of knee | $62,223 | |
| Mortality Rate at DRG | 0.05 | |
| Mortality Rate with ICD M174 - Other bilateral secondary osteoarthritis of knee | NA | |
| SNF Discharge Rate at DRG | 23.53 | |
| SNF Discharge Rate with ICD M174 - Other bilateral secondary osteoarthritis of knee | 25.27 | |
| Home Discharge Rate at DRG | 30.67 | |
| Home Discharge Rate with ICD M174 - Other bilateral secondary osteoarthritis of knee | 26.37 |
*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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 554: BONE DISEASES AND ARTHROPATHIES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD M174 - Other bilateral secondary osteoarthritis of knee | 128 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD M174 - Other bilateral secondary osteoarthritis of knee in DRG | 22.61 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD M174 - Other bilateral secondary osteoarthritis of knee | 2.88 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD M174 - Other bilateral secondary osteoarthritis of knee | 11.02 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD M174 - Other bilateral secondary osteoarthritis of knee | NA | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD M174 - Other bilateral secondary osteoarthritis of knee | $1,599,897 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD M174 - Other bilateral secondary osteoarthritis of knee | $4,336 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD M174 - Other bilateral secondary osteoarthritis of knee | $12,499 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD M174 - Other bilateral secondary osteoarthritis of knee | $8,480,284 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD M174 - Other bilateral secondary osteoarthritis of knee | $66,252 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD M174 - Other bilateral secondary osteoarthritis of knee | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD M174 - Other bilateral secondary osteoarthritis of knee | 28.13 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD M174 - Other bilateral secondary osteoarthritis of knee | 26.56 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 885: PSYCHOSES | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | |
| Total Hospitalizations with ICD M174 - Other bilateral secondary osteoarthritis of knee | 12 | |
| DRG Share of Total Hospitalizations | 3.35 | |
| % of Total ICD M174 - Other bilateral secondary osteoarthritis of knee in DRG | 2.12 | |
| Avg LOS at DRG | 11.86 | |
| Avg LOS with ICD M174 - Other bilateral secondary osteoarthritis of knee | 12.5 | |
| Readmission Rate at DRG | 27.58 | |
| Readmission Rate with ICD M174 - Other bilateral secondary osteoarthritis of knee | NA | |
| Unplanned Readmission Rate at DRG | 13.34 | |
| Unplanned Readmission Rate with ICD M174 - Other bilateral secondary osteoarthritis of knee | NA | |
| Total Medicare payments at DRG | $9,312,828,663 | |
| Total Medicare payments with ICD M174 - Other bilateral secondary osteoarthritis of knee | $103,095 | |
| Total Medicare payment per Day at DRG | $713 | |
| Total Medicare payment per Day with ICD M174 - Other bilateral secondary osteoarthritis of knee | $687 | |
| Total Medicare payment per Hospitalization at DRG | $8,460 | |
| Total Medicare payment per Hospitalization with ICD M174 - Other bilateral secondary osteoarthritis of knee | $8,591 | |
| Total Medicare Charges at DRG | $32,341,464,302 | |
| Total Medicare Charges with ICD M174 - Other bilateral secondary osteoarthritis of knee | $305,444 | |
| Avg Charges at DRG | $29,378 | |
| Avg Charges with ICD M174 - Other bilateral secondary osteoarthritis of knee | $25,454 | |
| Mortality Rate at DRG | 0.04 | |
| Mortality Rate with ICD M174 - Other bilateral secondary osteoarthritis of knee | NA | |
| SNF Discharge Rate at DRG | 5.83 | |
| SNF Discharge Rate with ICD M174 - Other bilateral secondary osteoarthritis of knee | NA | |
| Home Discharge Rate at DRG | 79.47 | |
| Home Discharge Rate with ICD M174 - Other bilateral secondary osteoarthritis of knee | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| WEST VIRGINIA UNIVERSITY HOSPITALS | 1 MEDICAL CENTER DRIVE | MORGANTOWN | WV | 26506 | 13 |