*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M19042 - Primary osteoarthritis, left hand - as a primary diagnosis code | M19042 - Primary osteoarthritis, left hand - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.98 | |
| Readmission Rate (%) | 17.96 | |
| Unplanned Readmission Rate (%) | 14.85 | |
| 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 506: MAJOR THUMB OR JOINT PROCEDURES | DRG 553: BONE DISEASES AND ARTHROPATHIES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 51,757 | ||
| Total Hospitalizations with ICD M19042 - Primary osteoarthritis, left hand | 65 | ||
| DRG Share of Total Hospitalizations | 0.16 | ||
| % of Total ICD M19042 - Primary osteoarthritis, left hand in DRG | 60.75 | ||
| Avg LOS at DRG | 4.41 | ||
| Avg LOS with ICD M19042 - Primary osteoarthritis, left hand | 3.26 | ||
| Readmission Rate at DRG | 17.16 | ||
| Readmission Rate with ICD M19042 - Primary osteoarthritis, left hand | 22.58 | ||
| Unplanned Readmission Rate at DRG | 9.0 | ||
| Unplanned Readmission Rate with ICD M19042 - Primary osteoarthritis, left hand | 19.35 | ||
| Total Medicare payments at DRG | $332,400,259 | ||
| Total Medicare payments with ICD M19042 - Primary osteoarthritis, left hand | $367,661 | ||
| Total Medicare payment per Day at DRG | $1,455 | ||
| Total Medicare payment per Day with ICD M19042 - Primary osteoarthritis, left hand | $1,734 | ||
| Total Medicare payment per Hospitalization at DRG | $6,422 | ||
| Total Medicare payment per Hospitalization with ICD M19042 - Primary osteoarthritis, left hand | $5,656 | ||
| Total Medicare Charges at DRG | $1,234,809,519 | ||
| Total Medicare Charges with ICD M19042 - Primary osteoarthritis, left hand | $1,291,050 | ||
| Avg Charges at DRG | $23,858 | ||
| Avg Charges with ICD M19042 - Primary osteoarthritis, left hand | $19,862 | ||
| Mortality Rate at DRG | 0.04 | ||
| Mortality Rate with ICD M19042 - Primary osteoarthritis, left hand | NA | ||
| SNF Discharge Rate at DRG | 25.37 | ||
| SNF Discharge Rate with ICD M19042 - Primary osteoarthritis, left hand | 16.92 | ||
| Home Discharge Rate at DRG | 42.31 | ||
| Home Discharge Rate with ICD M19042 - Primary osteoarthritis, left hand | 61.54 |
*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 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD M19042 - Primary osteoarthritis, left hand | 1,502 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD M19042 - Primary osteoarthritis, left hand in DRG | 4.83 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD M19042 - Primary osteoarthritis, left hand | 2.51 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD M19042 - Primary osteoarthritis, left hand | 8.56 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD M19042 - Primary osteoarthritis, left hand | 3.08 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD M19042 - Primary osteoarthritis, left hand | $18,254,868 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD M19042 - Primary osteoarthritis, left hand | $4,850 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD M19042 - Primary osteoarthritis, left hand | $12,154 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD M19042 - Primary osteoarthritis, left hand | $89,951,310 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD M19042 - Primary osteoarthritis, left hand | $59,888 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD M19042 - Primary osteoarthritis, left hand | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD M19042 - Primary osteoarthritis, left hand | 23.17 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD M19042 - Primary osteoarthritis, left hand | 28.7 |
*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 885: PSYCHOSES | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD M19042 - Primary osteoarthritis, left hand | 658 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD M19042 - Primary osteoarthritis, left hand in DRG | 2.11 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD M19042 - Primary osteoarthritis, left hand | 5.63 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD M19042 - Primary osteoarthritis, left hand | 27.17 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD M19042 - Primary osteoarthritis, left hand | 22.83 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD M19042 - Primary osteoarthritis, left hand | $6,356,575 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD M19042 - Primary osteoarthritis, left hand | $1,717 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD M19042 - Primary osteoarthritis, left hand | $9,660 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD M19042 - Primary osteoarthritis, left hand | $27,502,112 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD M19042 - Primary osteoarthritis, left hand | $41,797 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD M19042 - Primary osteoarthritis, left hand | 1.82 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD M19042 - Primary osteoarthritis, left hand | 24.92 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD M19042 - Primary osteoarthritis, left hand | 34.8 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 554: BONE DISEASES AND ARTHROPATHIES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD M19042 - Primary osteoarthritis, left hand | 379 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD M19042 - Primary osteoarthritis, left hand in DRG | 1.22 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD M19042 - Primary osteoarthritis, left hand | 4.21 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD M19042 - Primary osteoarthritis, left hand | 15.14 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD M19042 - Primary osteoarthritis, left hand | 10.27 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD M19042 - Primary osteoarthritis, left hand | $2,037,187 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD M19042 - Primary osteoarthritis, left hand | $1,276 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD M19042 - Primary osteoarthritis, left hand | $5,375 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD M19042 - Primary osteoarthritis, left hand | $10,443,858 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD M19042 - Primary osteoarthritis, left hand | $27,556 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD M19042 - Primary osteoarthritis, left hand | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD M19042 - Primary osteoarthritis, left hand | 31.13 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD M19042 - Primary osteoarthritis, left hand | 37.73 |
*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 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 120,351 | ||||
| Total Hospitalizations with ICD M19042 - Primary osteoarthritis, left hand | 347 | ||||
| DRG Share of Total Hospitalizations | 0.37 | ||||
| % of Total ICD M19042 - Primary osteoarthritis, left hand in DRG | 1.12 | ||||
| Avg LOS at DRG | 12.45 | ||||
| Avg LOS with ICD M19042 - Primary osteoarthritis, left hand | 12.89 | ||||
| Readmission Rate at DRG | 17.61 | ||||
| Readmission Rate with ICD M19042 - Primary osteoarthritis, left hand | 12.5 | ||||
| Unplanned Readmission Rate at DRG | 12.6 | ||||
| Unplanned Readmission Rate with ICD M19042 - Primary osteoarthritis, left hand | 8.54 | ||||
| Total Medicare payments at DRG | $2,245,410,425 | ||||
| Total Medicare payments with ICD M19042 - Primary osteoarthritis, left hand | $6,697,072 | ||||
| Total Medicare payment per Day at DRG | $1,499 | ||||
| Total Medicare payment per Day with ICD M19042 - Primary osteoarthritis, left hand | $1,497 | ||||
| Total Medicare payment per Hospitalization at DRG | $18,657 | ||||
| Total Medicare payment per Hospitalization with ICD M19042 - Primary osteoarthritis, left hand | $19,300 | ||||
| Total Medicare Charges at DRG | $5,810,478,166 | ||||
| Total Medicare Charges with ICD M19042 - Primary osteoarthritis, left hand | $14,968,334 | ||||
| Avg Charges at DRG | $48,279 | ||||
| Avg Charges with ICD M19042 - Primary osteoarthritis, left hand | $43,136 | ||||
| Mortality Rate at DRG | 0.55 | ||||
| Mortality Rate with ICD M19042 - Primary osteoarthritis, left hand | NA | ||||
| SNF Discharge Rate at DRG | 14.77 | ||||
| SNF Discharge Rate with ICD M19042 - Primary osteoarthritis, left hand | 13.83 | ||||
| Home Discharge Rate at DRG | 22.27 | ||||
| Home Discharge Rate with ICD M19042 - Primary osteoarthritis, left hand | 26.22 |
| 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 | 355 |
| CENTRAL DUPAGE HOSPITAL | 25 NORTH WINFIELD RD. | WINFIELD | IL | 60190 | 322 |
| YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 205 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. STEVEN SHELBY TYNES | 1215 RED RIVER ST | AUSTIN | TX | 78701 | 57 |
| Dr. MARK HENRY STEINHAUER | 10301 GATEWAY BLVD W | EL PASO | TX | 79925 | 37 |
| Dr. SHABANA C KARIM | 1502 S COLORADO ST | GREENVILLE | MS | 38703 | 29 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. NICHOLAS STEPHEN GUITTARI | 946 AVENUE C | BAYONNE | NJ | 07002 | 94 |
| Dr. NITIN R DESAI | 2410 DOUBLE CHURCHES RD | COLUMBUS | GA | 31909 | 89 |
| Dr. DARYL ELLIS | 5009 RIVER CHASE DR | PHENIX CITY | AL | 36867 | 86 |