*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M175 - Other unilateral secondary osteoarthritis of knee - as a primary diagnosis code | M175 - Other unilateral secondary osteoarthritis of knee - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 3.42 | |
| Readmission Rate (%) | 10.48 | |
| Unplanned Readmission Rate (%) | 2.32 | |
| 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 468: REVISION OF HIP OR KNEE REPLACEMENT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 467: REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD M175 - Other unilateral secondary osteoarthritis of knee | 1,218 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD M175 - Other unilateral secondary osteoarthritis of knee in DRG | 92.41 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD M175 - Other unilateral secondary osteoarthritis of knee | 2.54 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD M175 - Other unilateral secondary osteoarthritis of knee | 6.78 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD M175 - Other unilateral secondary osteoarthritis of knee | 2.09 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD M175 - Other unilateral secondary osteoarthritis of knee | $14,548,291 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD M175 - Other unilateral secondary osteoarthritis of knee | $4,710 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD M175 - Other unilateral secondary osteoarthritis of knee | $11,944 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD M175 - Other unilateral secondary osteoarthritis of knee | $69,842,978 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD M175 - Other unilateral secondary osteoarthritis of knee | $57,342 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD M175 - Other unilateral secondary osteoarthritis of knee | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD M175 - Other unilateral secondary osteoarthritis of knee | 20.61 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD M175 - Other unilateral secondary osteoarthritis of knee | 35.8 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTIST HEALTH PORTLAND | 10123 SE MARKET ST | PORTLAND | OR | 97216 | 88 |
| HOSPITAL FOR SPECIAL SURGERY | 535 E 70TH ST | NEW YORK | NY | 10021 | 75 |
| JOHN D. ARCHBOLD MEMORIAL HOSPITAL | 915 GORDON AVE | THOMASVILLE | GA | 31792 | 41 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. PATRICK L HANLEY | 10000 SE MAIN ST | PORTLAND | OR | 97216 | 88 |
| Dr. CHARLES E HANCOCK | 100 MIMOSA DR | THOMASVILLE | GA | 31792 | 37 |
| Dr. STEPHEN M WALSH | 78 RIDGEWOOD DR | BANGOR | ME | 04401 | 23 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. PATRICK L HANLEY | 10000 SE MAIN ST | PORTLAND | OR | 97216 | 87 |
| Dr. CHARLES E HANCOCK | 100 MIMOSA DR | THOMASVILLE | GA | 31792 | 38 |
| Dr. STEPHEN M WALSH | 78 RIDGEWOOD DR | BANGOR | ME | 04401 | 23 |
*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 621: O.R. PROCEDURES FOR OBESITY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 468: REVISION OF HIP OR KNEE REPLACEMENT WITHOUT COMPLICATION OR COMORBIDITY (CC)/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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD M175 - Other unilateral secondary osteoarthritis of knee | 1,469 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD M175 - Other unilateral secondary osteoarthritis of knee in DRG | 68.42 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD M175 - Other unilateral secondary osteoarthritis of knee | 2.52 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD M175 - Other unilateral secondary osteoarthritis of knee | 7.22 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD M175 - Other unilateral secondary osteoarthritis of knee | 2.15 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD M175 - Other unilateral secondary osteoarthritis of knee | $17,554,157 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD M175 - Other unilateral secondary osteoarthritis of knee | $4,742 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD M175 - Other unilateral secondary osteoarthritis of knee | $11,950 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD M175 - Other unilateral secondary osteoarthritis of knee | $85,066,324 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD M175 - Other unilateral secondary osteoarthritis of knee | $57,908 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD M175 - Other unilateral secondary osteoarthritis of knee | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD M175 - Other unilateral secondary osteoarthritis of knee | 20.01 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD M175 - Other unilateral secondary osteoarthritis of knee | 34.85 |
*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 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 63,482 | ||||
| Total Hospitalizations with ICD M175 - Other unilateral secondary osteoarthritis of knee | 28 | ||||
| DRG Share of Total Hospitalizations | 0.19 | ||||
| % of Total ICD M175 - Other unilateral secondary osteoarthritis of knee in DRG | 1.3 | ||||
| Avg LOS at DRG | 4.05 | ||||
| Avg LOS with ICD M175 - Other unilateral secondary osteoarthritis of knee | 3.07 | ||||
| Readmission Rate at DRG | 19.14 | ||||
| Readmission Rate with ICD M175 - Other unilateral secondary osteoarthritis of knee | NA | ||||
| Unplanned Readmission Rate at DRG | 7.13 | ||||
| Unplanned Readmission Rate with ICD M175 - Other unilateral secondary osteoarthritis of knee | NA | ||||
| Total Medicare payments at DRG | $1,360,037,568 | ||||
| Total Medicare payments with ICD M175 - Other unilateral secondary osteoarthritis of knee | $595,901 | ||||
| Total Medicare payment per Day at DRG | $5,286 | ||||
| Total Medicare payment per Day with ICD M175 - Other unilateral secondary osteoarthritis of knee | $6,929 | ||||
| Total Medicare payment per Hospitalization at DRG | $21,424 | ||||
| Total Medicare payment per Hospitalization with ICD M175 - Other unilateral secondary osteoarthritis of knee | $21,282 | ||||
| Total Medicare Charges at DRG | $6,614,169,258 | ||||
| Total Medicare Charges with ICD M175 - Other unilateral secondary osteoarthritis of knee | $2,487,121 | ||||
| Avg Charges at DRG | $104,190 | ||||
| Avg Charges with ICD M175 - Other unilateral secondary osteoarthritis of knee | $88,826 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD M175 - Other unilateral secondary osteoarthritis of knee | NA | ||||
| SNF Discharge Rate at DRG | 37.05 | ||||
| SNF Discharge Rate with ICD M175 - Other unilateral secondary osteoarthritis of knee | NA | ||||
| Home Discharge Rate at DRG | 18.63 | ||||
| Home Discharge Rate with ICD M175 - Other unilateral secondary osteoarthritis of knee | 39.29 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 1,808,415 |
| Total Hospitalizations with ICD M175 - Other unilateral secondary osteoarthritis of knee | 11 |
| DRG Share of Total Hospitalizations | 5.5 |
| % of Total ICD M175 - Other unilateral secondary osteoarthritis of knee in DRG | 0.51 |
| Avg LOS at DRG | 6.34 |
| Avg LOS with ICD M175 - Other unilateral secondary osteoarthritis of knee | 9.64 |
| Readmission Rate at DRG | 24.2 |
| Readmission Rate with ICD M175 - Other unilateral secondary osteoarthritis of knee | NA |
| Unplanned Readmission Rate at DRG | 16.78 |
| Unplanned Readmission Rate with ICD M175 - Other unilateral secondary osteoarthritis of knee | NA |
| Total Medicare payments at DRG | $21,288,214,047 |
| Total Medicare payments with ICD M175 - Other unilateral secondary osteoarthritis of knee | $145,241 |
| Total Medicare payment per Day at DRG | $1,857 |
| Total Medicare payment per Day with ICD M175 - Other unilateral secondary osteoarthritis of knee | $1,370 |
| Total Medicare payment per Hospitalization at DRG | $11,772 |
| Total Medicare payment per Hospitalization with ICD M175 - Other unilateral secondary osteoarthritis of knee | $13,204 |
| Total Medicare Charges at DRG | $107,155,481,388 |
| Total Medicare Charges with ICD M175 - Other unilateral secondary osteoarthritis of knee | $685,328 |
| Avg Charges at DRG | $59,254 |
| Avg Charges with ICD M175 - Other unilateral secondary osteoarthritis of knee | $62,303 |
| Mortality Rate at DRG | 12.11 |
| Mortality Rate with ICD M175 - Other unilateral secondary osteoarthritis of knee | NA |
| SNF Discharge Rate at DRG | 27.18 |
| SNF Discharge Rate with ICD M175 - Other unilateral secondary osteoarthritis of knee | NA |
| Home Discharge Rate at DRG | 25.81 |
| Home Discharge Rate with ICD M175 - Other unilateral secondary osteoarthritis of knee | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTIST HEALTH PORTLAND | 10123 SE MARKET ST | PORTLAND | OR | 97216 | 88 |
| HOSPITAL FOR SPECIAL SURGERY | 535 E 70TH ST | NEW YORK | NY | 10021 | 84 |
| FOUNDATION SURGICAL HOSPITAL OF SAN ANTONIO | 9522 HUEBNER ROAD | SAN ANTONIO | TX | 78240 | 59 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. PATRICK L HANLEY | 10000 SE MAIN ST | PORTLAND | OR | 97216 | 88 |
| Dr. CHARLES E HANCOCK | 100 MIMOSA DR | THOMASVILLE | GA | 31792 | 40 |
| Dr. RICHARD KIRK ENGLEHARDT | 9910 HUEBNER RD | SAN ANTONIO | TX | 78240 | 37 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. PATRICK L HANLEY | 10000 SE MAIN ST | PORTLAND | OR | 97216 | 87 |
| Dr. CHARLES E HANCOCK | 100 MIMOSA DR | THOMASVILLE | GA | 31792 | 41 |
| Dr. RICHARD KIRK ENGLEHARDT | 9910 HUEBNER RD | SAN ANTONIO | TX | 78240 | 37 |