Examples: ICD M32, ICD R6521, ICD 8210, ICD 1970

M19011 - ICD 10 Diagnosis Code - Primary osteoarthritis, right shoulder - Market Size, Prevalence, Incidence, Quality Outcomes, Top Hospitals & Physicians

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Key Statistics Related to M19011 - Primary osteoarthritis, right shoulder

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*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

M19011 - Primary osteoarthritis, right shoulder - as a primary diagnosis code M19011 - Primary osteoarthritis, right shoulder - as a primary or secondary diagnosis code
OUTCOMES
Avg. LOS 3.74
Readmission Rate (%) 11.45
Unplanned Readmission Rate (%) 2.47
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

Table of Contents

No Quality Metrics
Top DRGs Associated With M19011 - Primary osteoarthritis, right shoulder - as a primary diagnosis code
Top Hospitals Associated With M19011 - Primary osteoarthritis, right shoulder - as a primary diagnosis code
Top Operating Physicians Associated With M19011 - Primary osteoarthritis, right shoulder - as a primary diagnosis code
Top Attending Physicians Associated With M19011 - Primary osteoarthritis, right shoulder - as a primary diagnosis code
Top DRGs Associated With M19011 - Primary osteoarthritis, right shoulder - as a primary or secondary diagnosis code
Top Hospitals Associated With M19011 - Primary osteoarthritis, right shoulder - as a primary or secondary diagnosis code
Top Operating Physicians Associated With M19011 - Primary osteoarthritis, right shoulder - as a primary or secondary diagnosis code
Top Attending Physicians Associated With M19011 - Primary osteoarthritis, right shoulder - as a primary or secondary diagnosis code
Machine Learning Identified Top 50 Most Common Comorbid Conditions Associated With M19011 - Primary osteoarthritis, right shoulder

Top DRGs Associated With M19011 - Primary osteoarthritis, right shoulder - as a primary diagnosis code

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Top 1 to 5 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 483: MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES DRG 554: BONE DISEASES AND ARTHROPATHIES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 553: BONE DISEASES AND ARTHROPATHIES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 502: SOFT TISSUE PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 508: MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 185,287
Total Hospitalizations with ICD M19011 - Primary osteoarthritis, right shoulder 61,915
DRG Share of Total Hospitalizations 0.56
% of Total ICD M19011 - Primary osteoarthritis, right shoulder in DRG 98.02
Avg LOS at DRG 1.88
Avg LOS with ICD M19011 - Primary osteoarthritis, right shoulder 1.64
Readmission Rate at DRG 5.88
Readmission Rate with ICD M19011 - Primary osteoarthritis, right shoulder 4.25
Unplanned Readmission Rate at DRG 2.95
Unplanned Readmission Rate with ICD M19011 - Primary osteoarthritis, right shoulder 2.4
Total Medicare payments at DRG $2,646,620,753
Total Medicare payments with ICD M19011 - Primary osteoarthritis, right shoulder $874,909,166
Total Medicare payment per Day at DRG $7,610
Total Medicare payment per Day with ICD M19011 - Primary osteoarthritis, right shoulder $8,617
Total Medicare payment per Hospitalization at DRG $14,284
Total Medicare payment per Hospitalization with ICD M19011 - Primary osteoarthritis, right shoulder $14,131
Total Medicare Charges at DRG $13,348,793,527
Total Medicare Charges with ICD M19011 - Primary osteoarthritis, right shoulder $4,222,066,672
Avg Charges at DRG $72,044
Avg Charges with ICD M19011 - Primary osteoarthritis, right shoulder $68,191
Mortality Rate at DRG 0.07
Mortality Rate with ICD M19011 - Primary osteoarthritis, right shoulder 0.04
SNF Discharge Rate at DRG 12.21
SNF Discharge Rate with ICD M19011 - Primary osteoarthritis, right shoulder 9.09
Home Discharge Rate at DRG 64.69
Home Discharge Rate with ICD M19011 - Primary osteoarthritis, right shoulder 68.37

Top 5 to 10 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 465: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 507: MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 512: SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 464: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC)
Total Hospitalizations at DRG 12,888
Total Hospitalizations with ICD M19011 - Primary osteoarthritis, right shoulder 43
DRG Share of Total Hospitalizations 0.04
% of Total ICD M19011 - Primary osteoarthritis, right shoulder in DRG 0.07
Avg LOS at DRG 3.58
Avg LOS with ICD M19011 - Primary osteoarthritis, right shoulder 1.49
Readmission Rate at DRG 13.44
Readmission Rate with ICD M19011 - Primary osteoarthritis, right shoulder NA
Unplanned Readmission Rate at DRG 5.08
Unplanned Readmission Rate with ICD M19011 - Primary osteoarthritis, right shoulder NA
Total Medicare payments at DRG $151,081,549
Total Medicare payments with ICD M19011 - Primary osteoarthritis, right shoulder $461,525
Total Medicare payment per Day at DRG $3,272
Total Medicare payment per Day with ICD M19011 - Primary osteoarthritis, right shoulder $7,211
Total Medicare payment per Hospitalization at DRG $11,723
Total Medicare payment per Hospitalization with ICD M19011 - Primary osteoarthritis, right shoulder $10,733
Total Medicare Charges at DRG $781,949,368
Total Medicare Charges with ICD M19011 - Primary osteoarthritis, right shoulder $2,703,184
Avg Charges at DRG $60,673
Avg Charges with ICD M19011 - Primary osteoarthritis, right shoulder $62,865
Mortality Rate at DRG NA
Mortality Rate with ICD M19011 - Primary osteoarthritis, right shoulder NA
SNF Discharge Rate at DRG 21.14
SNF Discharge Rate with ICD M19011 - Primary osteoarthritis, right shoulder NA
Home Discharge Rate at DRG 35.52
Home Discharge Rate with ICD M19011 - Primary osteoarthritis, right shoulder 67.44

Top 10 to 15 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 501: SOFT TISSUE PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) DRG 479: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 478: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) DRG 494: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 500: SOFT TISSUE PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 19,011
Total Hospitalizations with ICD M19011 - Primary osteoarthritis, right shoulder 21
DRG Share of Total Hospitalizations 0.06
% of Total ICD M19011 - Primary osteoarthritis, right shoulder in DRG 0.03
Avg LOS at DRG 5.43
Avg LOS with ICD M19011 - Primary osteoarthritis, right shoulder 2.57
Readmission Rate at DRG 20.44
Readmission Rate with ICD M19011 - Primary osteoarthritis, right shoulder NA
Unplanned Readmission Rate at DRG 8.73
Unplanned Readmission Rate with ICD M19011 - Primary osteoarthritis, right shoulder NA
Total Medicare payments at DRG $202,875,030
Total Medicare payments with ICD M19011 - Primary osteoarthritis, right shoulder $228,667
Total Medicare payment per Day at DRG $1,966
Total Medicare payment per Day with ICD M19011 - Primary osteoarthritis, right shoulder $4,235
Total Medicare payment per Hospitalization at DRG $10,671
Total Medicare payment per Hospitalization with ICD M19011 - Primary osteoarthritis, right shoulder $10,889
Total Medicare Charges at DRG $1,080,886,366
Total Medicare Charges with ICD M19011 - Primary osteoarthritis, right shoulder $1,033,894
Avg Charges at DRG $56,856
Avg Charges with ICD M19011 - Primary osteoarthritis, right shoulder $49,233
Mortality Rate at DRG 0.16
Mortality Rate with ICD M19011 - Primary osteoarthritis, right shoulder NA
SNF Discharge Rate at DRG 30.6
SNF Discharge Rate with ICD M19011 - Primary osteoarthritis, right shoulder NA
Home Discharge Rate at DRG 30.88
Home Discharge Rate with ICD M19011 - Primary osteoarthritis, right shoulder 52.38

Top 15 to 20 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 517: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 493: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH COMPLICATION OR COMORBIDITY (CC)
Total Hospitalizations at DRG 43,598
Total Hospitalizations with ICD M19011 - Primary osteoarthritis, right shoulder 13
DRG Share of Total Hospitalizations 0.13
% of Total ICD M19011 - Primary osteoarthritis, right shoulder in DRG 0.02
Avg LOS at DRG 2.56
Avg LOS with ICD M19011 - Primary osteoarthritis, right shoulder 2.08
Readmission Rate at DRG 13.58
Readmission Rate with ICD M19011 - Primary osteoarthritis, right shoulder NA
Unplanned Readmission Rate at DRG 5.0
Unplanned Readmission Rate with ICD M19011 - Primary osteoarthritis, right shoulder NA
Total Medicare payments at DRG $405,277,239
Total Medicare payments with ICD M19011 - Primary osteoarthritis, right shoulder $90,244
Total Medicare payment per Day at DRG $3,633
Total Medicare payment per Day with ICD M19011 - Primary osteoarthritis, right shoulder $3,342
Total Medicare payment per Hospitalization at DRG $9,296
Total Medicare payment per Hospitalization with ICD M19011 - Primary osteoarthritis, right shoulder $6,942
Total Medicare Charges at DRG $2,108,105,162
Total Medicare Charges with ICD M19011 - Primary osteoarthritis, right shoulder $928,889
Avg Charges at DRG $48,353
Avg Charges with ICD M19011 - Primary osteoarthritis, right shoulder $71,453
Mortality Rate at DRG NA
Mortality Rate with ICD M19011 - Primary osteoarthritis, right shoulder NA
SNF Discharge Rate at DRG 16.27
SNF Discharge Rate with ICD M19011 - Primary osteoarthritis, right shoulder NA
Home Discharge Rate at DRG 57.43
Home Discharge Rate with ICD M19011 - Primary osteoarthritis, right shoulder NA

Top Hospitals Associated With M19011 - Primary osteoarthritis, right shoulder - as a primary diagnosis code

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Hospital Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS 1216 2ND ST SW ROCHESTER MN 55902 451
HOSPITAL FOR SPECIAL SURGERY 535 E 70TH ST NEW YORK NY 10021 359
THOMAS JEFFERSON UNIVERSITY HOSPITAL 111 S 11TH ST PHILADELPHIA PA 19107 353

Top Operating Physicians Associated With M19011 - Primary osteoarthritis, right shoulder - as a primary diagnosis code

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Physician Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
Dr. JONATHAN CHAD LEVY 5597 N DIXIE HWY OAKLAND PARK FL 33334 246
Dr. JOHN W SPERLING 200 1ST ST SW ROCHESTER MN 55905 230
Dr. ANDREW JAWA 840 WINTER ST WALTHAM MA 02451 214

Top Attending Physicians Associated With M19011 - Primary osteoarthritis, right shoulder - as a primary diagnosis code

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Physician Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
Dr. JONATHAN CHAD LEVY 5597 N DIXIE HWY OAKLAND PARK FL 33334 248
Dr. JOHN W SPERLING 200 1ST ST SW ROCHESTER MN 55905 230
Dr. ANDREW JAWA 840 WINTER ST WALTHAM MA 02451 214

Top DRGs Associated With M19011 - Primary osteoarthritis, right shoulder - as a primary or secondary diagnosis code

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Top 1 to 5 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 483: MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 554: BONE DISEASES AND ARTHROPATHIES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 185,287
Total Hospitalizations with ICD M19011 - Primary osteoarthritis, right shoulder 70,221
DRG Share of Total Hospitalizations 0.56
% of Total ICD M19011 - Primary osteoarthritis, right shoulder in DRG 56.49
Avg LOS at DRG 1.88
Avg LOS with ICD M19011 - Primary osteoarthritis, right shoulder 1.67
Readmission Rate at DRG 5.88
Readmission Rate with ICD M19011 - Primary osteoarthritis, right shoulder 4.46
Unplanned Readmission Rate at DRG 2.95
Unplanned Readmission Rate with ICD M19011 - Primary osteoarthritis, right shoulder 2.5
Total Medicare payments at DRG $2,646,620,753
Total Medicare payments with ICD M19011 - Primary osteoarthritis, right shoulder $993,719,331
Total Medicare payment per Day at DRG $7,610
Total Medicare payment per Day with ICD M19011 - Primary osteoarthritis, right shoulder $8,492
Total Medicare payment per Hospitalization at DRG $14,284
Total Medicare payment per Hospitalization with ICD M19011 - Primary osteoarthritis, right shoulder $14,151
Total Medicare Charges at DRG $13,348,793,527
Total Medicare Charges with ICD M19011 - Primary osteoarthritis, right shoulder $4,837,726,550
Avg Charges at DRG $72,044
Avg Charges with ICD M19011 - Primary osteoarthritis, right shoulder $68,893
Mortality Rate at DRG 0.07
Mortality Rate with ICD M19011 - Primary osteoarthritis, right shoulder 0.04
SNF Discharge Rate at DRG 12.21
SNF Discharge Rate with ICD M19011 - Primary osteoarthritis, right shoulder 9.54
Home Discharge Rate at DRG 64.69
Home Discharge Rate with ICD M19011 - Primary osteoarthritis, right shoulder 67.78

Top 5 to 10 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

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 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) DRG 885: PSYCHOSES
Total Hospitalizations at DRG 359,935
Total Hospitalizations with ICD M19011 - Primary osteoarthritis, right shoulder 1,267
DRG Share of Total Hospitalizations 1.1
% of Total ICD M19011 - Primary osteoarthritis, right shoulder in DRG 1.02
Avg LOS at DRG 12.3
Avg LOS with ICD M19011 - Primary osteoarthritis, right shoulder 13.9
Readmission Rate at DRG 16.01
Readmission Rate with ICD M19011 - Primary osteoarthritis, right shoulder 13.13
Unplanned Readmission Rate at DRG 9.86
Unplanned Readmission Rate with ICD M19011 - Primary osteoarthritis, right shoulder 9.25
Total Medicare payments at DRG $5,883,826,653
Total Medicare payments with ICD M19011 - Primary osteoarthritis, right shoulder $25,188,685
Total Medicare payment per Day at DRG $1,329
Total Medicare payment per Day with ICD M19011 - Primary osteoarthritis, right shoulder $1,430
Total Medicare payment per Hospitalization at DRG $16,347
Total Medicare payment per Hospitalization with ICD M19011 - Primary osteoarthritis, right shoulder $19,881
Total Medicare Charges at DRG $15,374,824,749
Total Medicare Charges with ICD M19011 - Primary osteoarthritis, right shoulder $62,213,127
Avg Charges at DRG $42,716
Avg Charges with ICD M19011 - Primary osteoarthritis, right shoulder $49,103
Mortality Rate at DRG 0.3
Mortality Rate with ICD M19011 - Primary osteoarthritis, right shoulder NA
SNF Discharge Rate at DRG 27.95
SNF Discharge Rate with ICD M19011 - Primary osteoarthritis, right shoulder 25.65
Home Discharge Rate at DRG 26.85
Home Discharge Rate with ICD M19011 - Primary osteoarthritis, right shoulder 22.65

Top 10 to 15 DRGs - Oct 2015 to Sep 2018

*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 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 499,133
Total Hospitalizations with ICD M19011 - Primary osteoarthritis, right shoulder 796
DRG Share of Total Hospitalizations 1.52
% of Total ICD M19011 - Primary osteoarthritis, right shoulder in DRG 0.64
Avg LOS at DRG 4.34
Avg LOS with ICD M19011 - Primary osteoarthritis, right shoulder 5.24
Readmission Rate at DRG 17.57
Readmission Rate with ICD M19011 - Primary osteoarthritis, right shoulder 20.69
Unplanned Readmission Rate at DRG 12.56
Unplanned Readmission Rate with ICD M19011 - Primary osteoarthritis, right shoulder 14.55
Total Medicare payments at DRG $3,254,711,780
Total Medicare payments with ICD M19011 - Primary osteoarthritis, right shoulder $5,646,886
Total Medicare payment per Day at DRG $1,504
Total Medicare payment per Day with ICD M19011 - Primary osteoarthritis, right shoulder $1,353
Total Medicare payment per Hospitalization at DRG $6,521
Total Medicare payment per Hospitalization with ICD M19011 - Primary osteoarthritis, right shoulder $7,094
Total Medicare Charges at DRG $16,863,396,143
Total Medicare Charges with ICD M19011 - Primary osteoarthritis, right shoulder $31,408,687
Avg Charges at DRG $33,785
Avg Charges with ICD M19011 - Primary osteoarthritis, right shoulder $39,458
Mortality Rate at DRG 1.33
Mortality Rate with ICD M19011 - Primary osteoarthritis, right shoulder NA
SNF Discharge Rate at DRG 19.89
SNF Discharge Rate with ICD M19011 - Primary osteoarthritis, right shoulder 32.66
Home Discharge Rate at DRG 49.27
Home Discharge Rate with ICD M19011 - Primary osteoarthritis, right shoulder 34.05

Top 15 to 20 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE
Total Hospitalizations at DRG 408,103
Total Hospitalizations with ICD M19011 - Primary osteoarthritis, right shoulder 661
DRG Share of Total Hospitalizations 1.24
% of Total ICD M19011 - Primary osteoarthritis, right shoulder in DRG 0.53
Avg LOS at DRG 3.52
Avg LOS with ICD M19011 - Primary osteoarthritis, right shoulder 3.93
Readmission Rate at DRG 17.83
Readmission Rate with ICD M19011 - Primary osteoarthritis, right shoulder 16.96
Unplanned Readmission Rate at DRG 13.81
Unplanned Readmission Rate with ICD M19011 - Primary osteoarthritis, right shoulder 12.92
Total Medicare payments at DRG $2,416,862,532
Total Medicare payments with ICD M19011 - Primary osteoarthritis, right shoulder $4,016,318
Total Medicare payment per Day at DRG $1,682
Total Medicare payment per Day with ICD M19011 - Primary osteoarthritis, right shoulder $1,545
Total Medicare payment per Hospitalization at DRG $5,922
Total Medicare payment per Hospitalization with ICD M19011 - Primary osteoarthritis, right shoulder $6,076
Total Medicare Charges at DRG $13,267,744,847
Total Medicare Charges with ICD M19011 - Primary osteoarthritis, right shoulder $21,324,799
Avg Charges at DRG $32,511
Avg Charges with ICD M19011 - Primary osteoarthritis, right shoulder $32,261
Mortality Rate at DRG 0.72
Mortality Rate with ICD M19011 - Primary osteoarthritis, right shoulder NA
SNF Discharge Rate at DRG 14.1
SNF Discharge Rate with ICD M19011 - Primary osteoarthritis, right shoulder 17.85
Home Discharge Rate at DRG 62.97
Home Discharge Rate with ICD M19011 - Primary osteoarthritis, right shoulder 55.67

Top Hospitals Associated With M19011 - Primary osteoarthritis, right shoulder - as a primary or secondary diagnosis code

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Hospital Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS 1216 2ND ST SW ROCHESTER MN 55902 888
THOMAS JEFFERSON UNIVERSITY HOSPITAL 111 S 11TH ST PHILADELPHIA PA 19107 525
BEAUMONT HOSPITAL ROYAL OAK 3601 W 13 MILE RD ROYAL OAK MI 48073 451

Top Operating Physicians Associated With M19011 - Primary osteoarthritis, right shoulder - as a primary or secondary diagnosis code

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Physician Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
Dr. JONATHAN CHAD LEVY 5597 N DIXIE HWY OAKLAND PARK FL 33334 276
Dr. JOHN W SPERLING 200 1ST ST SW ROCHESTER MN 55905 251
Dr. REUBEN GOBEZIE 1000 AUBURN DR BEACHWOOD OH 44122 247

Top Attending Physicians Associated With M19011 - Primary osteoarthritis, right shoulder - as a primary or secondary diagnosis code

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Physician Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
Dr. JONATHAN CHAD LEVY 5597 N DIXIE HWY OAKLAND PARK FL 33334 278
Dr. REUBEN GOBEZIE 1000 AUBURN DR BEACHWOOD OH 44122 254
Dr. JOHN W SPERLING 200 1ST ST SW ROCHESTER MN 55905 251

AI Identified Top 50 Most Common Comorbid Conditions Associated With M19011 - Primary osteoarthritis, right shoulder   |  Back to Top

No ICD Diagnosis Code Description
1 M25711 Osteophyte, right shoulder
2 M7521 Bicipital tendinitis, right shoulder
3 M75111 Incomplete rotator cuff tear or rupture of right shoulder, not specified as traumatic
4 M65811 Other synovitis and tenosynovitis, right shoulder
5 M75101 Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic
6 M75121 Complete rotator cuff tear or rupture of right shoulder, not specified as traumatic
7 Z96612 Presence of left artificial shoulder joint
8 Z96653 Presence of artificial knee joint, bilateral
9 Z96643 Presence of artificial hip joint, bilateral
10 Z96641 Presence of right artificial hip joint
11 Z981 Arthrodesis status
12 Z96642 Presence of left artificial hip joint
13 Z79891 Long term (current) use of opiate analgesic
14 J449 Chronic obstructive pulmonary disease, unspecified
15 G8929 Other chronic pain
16 I110 Hypertensive heart disease with heart failure
17 I509 Heart failure, unspecified
18 G2581 Restless legs syndrome
19 Z951 Presence of aortocoronary bypass graft
20 M797 Fibromyalgia
21 M069 Rheumatoid arthritis, unspecified
22 Z7902 Long term (current) use of antithrombotics/antiplatelets
23 Z950 Presence of cardiac pacemaker
24 I252 Old myocardial infarction
25 Z8546 Personal history of malignant neoplasm of prostate
26 Z885 Allergy status to narcotic agent status
27 H9190 Unspecified hearing loss, unspecified ear
28 R0902 Hypoxemia
29 Z955 Presence of coronary angioplasty implant and graft
30 N401 Benign prostatic hyperplasia with lower urinary tract symptoms
31 Z8673 Personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits
32 F329 Major depressive disorder, single episode, unspecified
33 I2510 Atherosclerotic heart disease of native coronary artery without angina pectoris
34 M810 Age-related osteoporosis without current pathological fracture
35 Z87891 Personal history of nicotine dependence
36 G4730 Sleep apnea, unspecified
37 G629 Polyneuropathy, unspecified
38 I739 Peripheral vascular disease, unspecified
39 Z85828 Personal history of other malignant neoplasm of skin
40 F17210 Nicotine dependence, cigarettes, uncomplicated
41 G4700 Insomnia, unspecified
42 Z888 Allergy status to other drugs, medicaments and biological substances status
43 N400 Benign prostatic hyperplasia without lower urinary tract symptoms
44 M109 Gout, unspecified
45 Z881 Allergy status to other antibiotic agents status
46 G4733 Obstructive sleep apnea (adult) (pediatric)
47 I4891 Unspecified atrial fibrillation
48 Z886 Allergy status to analgesic agent status
49 Z86711 Personal history of pulmonary embolism
50 N189 Chronic kidney disease, unspecified