*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M19031 - Primary osteoarthritis, right wrist - as a primary diagnosis code | M19031 - Primary osteoarthritis, right wrist - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.03 | |
| Readmission Rate (%) | 19.03 | |
| 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 554: BONE DISEASES AND ARTHROPATHIES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 483: MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | DRG 553: BONE DISEASES AND ARTHROPATHIES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 514: HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 513: HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 51,757 | ||||
| Total Hospitalizations with ICD M19031 - Primary osteoarthritis, right wrist | 117 | ||||
| DRG Share of Total Hospitalizations | 0.16 | ||||
| % of Total ICD M19031 - Primary osteoarthritis, right wrist in DRG | 57.92 | ||||
| Avg LOS at DRG | 4.41 | ||||
| Avg LOS with ICD M19031 - Primary osteoarthritis, right wrist | 2.77 | ||||
| Readmission Rate at DRG | 17.16 | ||||
| Readmission Rate with ICD M19031 - Primary osteoarthritis, right wrist | 10.53 | ||||
| Unplanned Readmission Rate at DRG | 9.0 | ||||
| Unplanned Readmission Rate with ICD M19031 - Primary osteoarthritis, right wrist | NA | ||||
| Total Medicare payments at DRG | $332,400,259 | ||||
| Total Medicare payments with ICD M19031 - Primary osteoarthritis, right wrist | $506,131 | ||||
| Total Medicare payment per Day at DRG | $1,455 | ||||
| Total Medicare payment per Day with ICD M19031 - Primary osteoarthritis, right wrist | $1,562 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,422 | ||||
| Total Medicare payment per Hospitalization with ICD M19031 - Primary osteoarthritis, right wrist | $4,326 | ||||
| Total Medicare Charges at DRG | $1,234,809,519 | ||||
| Total Medicare Charges with ICD M19031 - Primary osteoarthritis, right wrist | $2,320,162 | ||||
| Avg Charges at DRG | $23,858 | ||||
| Avg Charges with ICD M19031 - Primary osteoarthritis, right wrist | $19,830 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD M19031 - Primary osteoarthritis, right wrist | NA | ||||
| SNF Discharge Rate at DRG | 25.37 | ||||
| SNF Discharge Rate with ICD M19031 - Primary osteoarthritis, right wrist | 14.53 | ||||
| Home Discharge Rate at DRG | 42.31 | ||||
| Home Discharge Rate with ICD M19031 - Primary osteoarthritis, right wrist | 59.83 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 554: BONE DISEASES AND ARTHROPATHIES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 51,757 | ||||
| Total Hospitalizations with ICD M19031 - Primary osteoarthritis, right wrist | 321 | ||||
| DRG Share of Total Hospitalizations | 0.16 | ||||
| % of Total ICD M19031 - Primary osteoarthritis, right wrist in DRG | 5.14 | ||||
| Avg LOS at DRG | 4.41 | ||||
| Avg LOS with ICD M19031 - Primary osteoarthritis, right wrist | 3.84 | ||||
| Readmission Rate at DRG | 17.16 | ||||
| Readmission Rate with ICD M19031 - Primary osteoarthritis, right wrist | 14.33 | ||||
| Unplanned Readmission Rate at DRG | 9.0 | ||||
| Unplanned Readmission Rate with ICD M19031 - Primary osteoarthritis, right wrist | 10.19 | ||||
| Total Medicare payments at DRG | $332,400,259 | ||||
| Total Medicare payments with ICD M19031 - Primary osteoarthritis, right wrist | $1,723,509 | ||||
| Total Medicare payment per Day at DRG | $1,455 | ||||
| Total Medicare payment per Day with ICD M19031 - Primary osteoarthritis, right wrist | $1,397 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,422 | ||||
| Total Medicare payment per Hospitalization with ICD M19031 - Primary osteoarthritis, right wrist | $5,369 | ||||
| Total Medicare Charges at DRG | $1,234,809,519 | ||||
| Total Medicare Charges with ICD M19031 - Primary osteoarthritis, right wrist | $7,744,134 | ||||
| Avg Charges at DRG | $23,858 | ||||
| Avg Charges with ICD M19031 - Primary osteoarthritis, right wrist | $24,125 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD M19031 - Primary osteoarthritis, right wrist | NA | ||||
| SNF Discharge Rate at DRG | 25.37 | ||||
| SNF Discharge Rate with ICD M19031 - Primary osteoarthritis, right wrist | 23.36 | ||||
| Home Discharge Rate at DRG | 42.31 | ||||
| Home Discharge Rate with ICD M19031 - Primary osteoarthritis, right wrist | 48.91 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 291: HEART FAILURE AND SHOCK WITH 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 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 563: FRACTURE SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD M19031 - Primary osteoarthritis, right wrist | 150 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD M19031 - Primary osteoarthritis, right wrist in DRG | 2.4 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD M19031 - Primary osteoarthritis, right wrist | 6.2 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD M19031 - Primary osteoarthritis, right wrist | 19.86 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD M19031 - Primary osteoarthritis, right wrist | 18.44 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD M19031 - Primary osteoarthritis, right wrist | $1,573,056 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD M19031 - Primary osteoarthritis, right wrist | $1,691 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD M19031 - Primary osteoarthritis, right wrist | $10,487 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD M19031 - Primary osteoarthritis, right wrist | $7,032,502 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD M19031 - Primary osteoarthritis, right wrist | $46,883 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD M19031 - Primary osteoarthritis, right wrist | NA | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD M19031 - Primary osteoarthritis, right wrist | 34.0 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD M19031 - Primary osteoarthritis, right wrist | 28.0 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 885: PSYCHOSES | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 483: MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 352,097 | ||||
| Total Hospitalizations with ICD M19031 - Primary osteoarthritis, right wrist | 88 | ||||
| DRG Share of Total Hospitalizations | 1.07 | ||||
| % of Total ICD M19031 - Primary osteoarthritis, right wrist in DRG | 1.41 | ||||
| Avg LOS at DRG | 3.96 | ||||
| Avg LOS with ICD M19031 - Primary osteoarthritis, right wrist | 5.09 | ||||
| Readmission Rate at DRG | 35.38 | ||||
| Readmission Rate with ICD M19031 - Primary osteoarthritis, right wrist | 22.73 | ||||
| Unplanned Readmission Rate at DRG | 7.63 | ||||
| Unplanned Readmission Rate with ICD M19031 - Primary osteoarthritis, right wrist | NA | ||||
| Total Medicare payments at DRG | $2,360,891,966 | ||||
| Total Medicare payments with ICD M19031 - Primary osteoarthritis, right wrist | $604,366 | ||||
| Total Medicare payment per Day at DRG | $1,693 | ||||
| Total Medicare payment per Day with ICD M19031 - Primary osteoarthritis, right wrist | $1,349 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,705 | ||||
| Total Medicare payment per Hospitalization with ICD M19031 - Primary osteoarthritis, right wrist | $6,868 | ||||
| Total Medicare Charges at DRG | $13,014,640,264 | ||||
| Total Medicare Charges with ICD M19031 - Primary osteoarthritis, right wrist | $3,822,947 | ||||
| Avg Charges at DRG | $36,963 | ||||
| Avg Charges with ICD M19031 - Primary osteoarthritis, right wrist | $43,443 | ||||
| Mortality Rate at DRG | 1.54 | ||||
| Mortality Rate with ICD M19031 - Primary osteoarthritis, right wrist | NA | ||||
| SNF Discharge Rate at DRG | 24.0 | ||||
| SNF Discharge Rate with ICD M19031 - Primary osteoarthritis, right wrist | 48.86 | ||||
| Home Discharge Rate at DRG | 26.62 | ||||
| Home Discharge Rate with ICD M19031 - Primary osteoarthritis, right wrist | 14.77 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 602: CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD M19031 - Primary osteoarthritis, right wrist | 66 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD M19031 - Primary osteoarthritis, right wrist in DRG | 1.06 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD M19031 - Primary osteoarthritis, right wrist | 4.73 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD M19031 - Primary osteoarthritis, right wrist | NA | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD M19031 - Primary osteoarthritis, right wrist | NA | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD M19031 - Primary osteoarthritis, right wrist | $468,288 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD M19031 - Primary osteoarthritis, right wrist | $1,501 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD M19031 - Primary osteoarthritis, right wrist | $7,095 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD M19031 - Primary osteoarthritis, right wrist | $2,063,468 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD M19031 - Primary osteoarthritis, right wrist | $31,265 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD M19031 - Primary osteoarthritis, right wrist | NA | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD M19031 - Primary osteoarthritis, right wrist | 33.33 | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD M19031 - Primary osteoarthritis, right wrist | 31.82 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| REGIONAL REHABILITATION HOSPITAL | 3715 HIGHWAY 280/431 NORTH | PHENIX CITY | AL | 36867 | 290 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 40 |
| ST. JOHN MACOMB-OAKLAND HOSPITAL-MACOMB CENTER | 27351 DEQUINDRE RD | MADISON HEIGHTS | MI | 48071 | 30 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DARYL ELLIS | 5009 RIVER CHASE DR | PHENIX CITY | AL | 36867 | 72 |
| Dr. NITIN R DESAI | 2410 DOUBLE CHURCHES RD | COLUMBUS | GA | 31909 | 67 |
| Dr. DENNIS KEITH HARDEN | 1810 STADIUM DR | PHENIX CITY | AL | 36867 | 48 |