*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M180 - Bilateral primary osteoarthritis of first carpometacarpal joints - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 10.79 | |
| 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 483: MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD M180 - Bilateral primary osteoarthritis of first carpometacarpal joints | 63 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD M180 - Bilateral primary osteoarthritis of first carpometacarpal joints in DRG | 8.84 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD M180 - Bilateral primary osteoarthritis of first carpometacarpal joints | 2.44 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD M180 - Bilateral primary osteoarthritis of first carpometacarpal joints | NA | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD M180 - Bilateral primary osteoarthritis of first carpometacarpal joints | NA | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD M180 - Bilateral primary osteoarthritis of first carpometacarpal joints | $696,437 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD M180 - Bilateral primary osteoarthritis of first carpometacarpal joints | $4,522 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD M180 - Bilateral primary osteoarthritis of first carpometacarpal joints | $11,055 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD M180 - Bilateral primary osteoarthritis of first carpometacarpal joints | $3,466,557 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD M180 - Bilateral primary osteoarthritis of first carpometacarpal joints | $55,025 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD M180 - Bilateral primary osteoarthritis of first carpometacarpal joints | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD M180 - Bilateral primary osteoarthritis of first carpometacarpal joints | 26.98 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD M180 - Bilateral primary osteoarthritis of first carpometacarpal joints | 41.27 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 885: PSYCHOSES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 120,351 | ||||
| Total Hospitalizations with ICD M180 - Bilateral primary osteoarthritis of first carpometacarpal joints | 15 | ||||
| DRG Share of Total Hospitalizations | 0.37 | ||||
| % of Total ICD M180 - Bilateral primary osteoarthritis of first carpometacarpal joints in DRG | 2.1 | ||||
| Avg LOS at DRG | 12.45 | ||||
| Avg LOS with ICD M180 - Bilateral primary osteoarthritis of first carpometacarpal joints | 11.13 | ||||
| Readmission Rate at DRG | 17.61 | ||||
| Readmission Rate with ICD M180 - Bilateral primary osteoarthritis of first carpometacarpal joints | NA | ||||
| Unplanned Readmission Rate at DRG | 12.6 | ||||
| Unplanned Readmission Rate with ICD M180 - Bilateral primary osteoarthritis of first carpometacarpal joints | NA | ||||
| Total Medicare payments at DRG | $2,245,410,425 | ||||
| Total Medicare payments with ICD M180 - Bilateral primary osteoarthritis of first carpometacarpal joints | $254,882 | ||||
| Total Medicare payment per Day at DRG | $1,499 | ||||
| Total Medicare payment per Day with ICD M180 - Bilateral primary osteoarthritis of first carpometacarpal joints | $1,526 | ||||
| Total Medicare payment per Hospitalization at DRG | $18,657 | ||||
| Total Medicare payment per Hospitalization with ICD M180 - Bilateral primary osteoarthritis of first carpometacarpal joints | $16,992 | ||||
| Total Medicare Charges at DRG | $5,810,478,166 | ||||
| Total Medicare Charges with ICD M180 - Bilateral primary osteoarthritis of first carpometacarpal joints | $591,098 | ||||
| Avg Charges at DRG | $48,279 | ||||
| Avg Charges with ICD M180 - Bilateral primary osteoarthritis of first carpometacarpal joints | $39,407 | ||||
| Mortality Rate at DRG | 0.55 | ||||
| Mortality Rate with ICD M180 - Bilateral primary osteoarthritis of first carpometacarpal joints | NA | ||||
| SNF Discharge Rate at DRG | 14.77 | ||||
| SNF Discharge Rate with ICD M180 - Bilateral primary osteoarthritis of first carpometacarpal joints | NA | ||||
| Home Discharge Rate at DRG | 22.27 | ||||
| Home Discharge Rate with ICD M180 - Bilateral primary osteoarthritis of first carpometacarpal joints | 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 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 499,133 | |
| Total Hospitalizations with ICD M180 - Bilateral primary osteoarthritis of first carpometacarpal joints | 12 | |
| DRG Share of Total Hospitalizations | 1.52 | |
| % of Total ICD M180 - Bilateral primary osteoarthritis of first carpometacarpal joints in DRG | 1.68 | |
| Avg LOS at DRG | 4.34 | |
| Avg LOS with ICD M180 - Bilateral primary osteoarthritis of first carpometacarpal joints | 4.0 | |
| Readmission Rate at DRG | 17.57 | |
| Readmission Rate with ICD M180 - Bilateral primary osteoarthritis of first carpometacarpal joints | NA | |
| Unplanned Readmission Rate at DRG | 12.56 | |
| Unplanned Readmission Rate with ICD M180 - Bilateral primary osteoarthritis of first carpometacarpal joints | NA | |
| Total Medicare payments at DRG | $3,254,711,780 | |
| Total Medicare payments with ICD M180 - Bilateral primary osteoarthritis of first carpometacarpal joints | $87,073 | |
| Total Medicare payment per Day at DRG | $1,504 | |
| Total Medicare payment per Day with ICD M180 - Bilateral primary osteoarthritis of first carpometacarpal joints | $1,814 | |
| Total Medicare payment per Hospitalization at DRG | $6,521 | |
| Total Medicare payment per Hospitalization with ICD M180 - Bilateral primary osteoarthritis of first carpometacarpal joints | $7,256 | |
| Total Medicare Charges at DRG | $16,863,396,143 | |
| Total Medicare Charges with ICD M180 - Bilateral primary osteoarthritis of first carpometacarpal joints | $424,756 | |
| Avg Charges at DRG | $33,785 | |
| Avg Charges with ICD M180 - Bilateral primary osteoarthritis of first carpometacarpal joints | $35,396 | |
| Mortality Rate at DRG | 1.33 | |
| Mortality Rate with ICD M180 - Bilateral primary osteoarthritis of first carpometacarpal joints | NA | |
| SNF Discharge Rate at DRG | 19.89 | |
| SNF Discharge Rate with ICD M180 - Bilateral primary osteoarthritis of first carpometacarpal joints | NA | |
| Home Discharge Rate at DRG | 49.27 | |
| Home Discharge Rate with ICD M180 - Bilateral primary osteoarthritis of first carpometacarpal joints | NA |