*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
M1990 - Unspecified osteoarthritis, unspecified site - as a primary diagnosis code | M1990 - Unspecified osteoarthritis, unspecified site - as a primary or secondary diagnosis code | |
---|---|---|
OUTCOMES | ||
Avg. LOS | 5.43 | |
Readmission Rate (%) | 21.35 | |
Unplanned Readmission Rate (%) | 7.28 | |
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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 553: BONE DISEASES AND ARTHROPATHIES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 483: MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 51,757 | ||||
Total Hospitalizations with ICD M1990 - Unspecified osteoarthritis, unspecified site | 903 | ||||
DRG Share of Total Hospitalizations | 0.16 | ||||
% of Total ICD M1990 - Unspecified osteoarthritis, unspecified site in DRG | 46.31 | ||||
Avg LOS at DRG | 4.41 | ||||
Avg LOS with ICD M1990 - Unspecified osteoarthritis, unspecified site | 5.36 | ||||
Readmission Rate at DRG | 17.16 | ||||
Readmission Rate with ICD M1990 - Unspecified osteoarthritis, unspecified site | 17.85 | ||||
Unplanned Readmission Rate at DRG | 9.0 | ||||
Unplanned Readmission Rate with ICD M1990 - Unspecified osteoarthritis, unspecified site | 9.8 | ||||
Total Medicare payments at DRG | $332,400,259 | ||||
Total Medicare payments with ICD M1990 - Unspecified osteoarthritis, unspecified site | $6,701,839 | ||||
Total Medicare payment per Day at DRG | $1,455 | ||||
Total Medicare payment per Day with ICD M1990 - Unspecified osteoarthritis, unspecified site | $1,384 | ||||
Total Medicare payment per Hospitalization at DRG | $6,422 | ||||
Total Medicare payment per Hospitalization with ICD M1990 - Unspecified osteoarthritis, unspecified site | $7,422 | ||||
Total Medicare Charges at DRG | $1,234,809,519 | ||||
Total Medicare Charges with ICD M1990 - Unspecified osteoarthritis, unspecified site | $21,562,568 | ||||
Avg Charges at DRG | $23,858 | ||||
Avg Charges with ICD M1990 - Unspecified osteoarthritis, unspecified site | $23,879 | ||||
Mortality Rate at DRG | 0.04 | ||||
Mortality Rate with ICD M1990 - Unspecified osteoarthritis, unspecified site | NA | ||||
SNF Discharge Rate at DRG | 25.37 | ||||
SNF Discharge Rate with ICD M1990 - Unspecified osteoarthritis, unspecified site | 28.46 | ||||
Home Discharge Rate at DRG | 42.31 | ||||
Home Discharge Rate with ICD M1990 - Unspecified osteoarthritis, unspecified site | 34.99 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 469: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 462: BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|
Total Hospitalizations at DRG | 83,447 | |
Total Hospitalizations with ICD M1990 - Unspecified osteoarthritis, unspecified site | 14 | |
DRG Share of Total Hospitalizations | 0.25 | |
% of Total ICD M1990 - Unspecified osteoarthritis, unspecified site in DRG | 0.72 | |
Avg LOS at DRG | 6.32 | |
Avg LOS with ICD M1990 - Unspecified osteoarthritis, unspecified site | 4.0 | |
Readmission Rate at DRG | 26.61 | |
Readmission Rate with ICD M1990 - Unspecified osteoarthritis, unspecified site | NA | |
Unplanned Readmission Rate at DRG | 10.75 | |
Unplanned Readmission Rate with ICD M1990 - Unspecified osteoarthritis, unspecified site | NA | |
Total Medicare payments at DRG | $1,636,094,359 | |
Total Medicare payments with ICD M1990 - Unspecified osteoarthritis, unspecified site | $176,396 | |
Total Medicare payment per Day at DRG | $3,100 | |
Total Medicare payment per Day with ICD M1990 - Unspecified osteoarthritis, unspecified site | $3,150 | |
Total Medicare payment per Hospitalization at DRG | $19,606 | |
Total Medicare payment per Hospitalization with ICD M1990 - Unspecified osteoarthritis, unspecified site | $12,600 | |
Total Medicare Charges at DRG | $7,936,043,941 | |
Total Medicare Charges with ICD M1990 - Unspecified osteoarthritis, unspecified site | $1,118,492 | |
Avg Charges at DRG | $95,103 | |
Avg Charges with ICD M1990 - Unspecified osteoarthritis, unspecified site | $79,892 | |
Mortality Rate at DRG | 3.79 | |
Mortality Rate with ICD M1990 - Unspecified osteoarthritis, unspecified site | NA | |
SNF Discharge Rate at DRG | 52.83 | |
SNF Discharge Rate with ICD M1990 - Unspecified osteoarthritis, unspecified site | NA | |
Home Discharge Rate at DRG | 9.28 | |
Home Discharge Rate with ICD M1990 - Unspecified osteoarthritis, unspecified site | NA |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
METHODIST UNIVERSITY HOSPITAL | 1265 UNION AVE | MEMPHIS | TN | 38104 | 55 |
LAFAYETTE PHYSICAL REHAB HOSPITAL | 307 POLLY LANE | LAFAYETTE | LA | 70508 | 13 |
ARKANSAS METHODIST MEDICAL CENTER | 900 W KINGSHIGHWAY | PARAGOULD | AR | 72450 | 12 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. JAMES L GUYTON | 1400 S GERMANTOWN RD | GERMANTOWN | TN | 38138 | 11 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. JAMES L GUYTON | 1400 S GERMANTOWN RD | GERMANTOWN | TN | 38138 | 11 |
*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) | 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 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 1,808,415 | ||||
Total Hospitalizations with ICD M1990 - Unspecified osteoarthritis, unspecified site | 169,226 | ||||
DRG Share of Total Hospitalizations | 5.5 | ||||
% of Total ICD M1990 - Unspecified osteoarthritis, unspecified site in DRG | 5.16 | ||||
Avg LOS at DRG | 6.34 | ||||
Avg LOS with ICD M1990 - Unspecified osteoarthritis, unspecified site | 6.12 | ||||
Readmission Rate at DRG | 24.2 | ||||
Readmission Rate with ICD M1990 - Unspecified osteoarthritis, unspecified site | 23.37 | ||||
Unplanned Readmission Rate at DRG | 16.78 | ||||
Unplanned Readmission Rate with ICD M1990 - Unspecified osteoarthritis, unspecified site | 15.98 | ||||
Total Medicare payments at DRG | $21,288,214,047 | ||||
Total Medicare payments with ICD M1990 - Unspecified osteoarthritis, unspecified site | $1,888,120,189 | ||||
Total Medicare payment per Day at DRG | $1,857 | ||||
Total Medicare payment per Day with ICD M1990 - Unspecified osteoarthritis, unspecified site | $1,824 | ||||
Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
Total Medicare payment per Hospitalization with ICD M1990 - Unspecified osteoarthritis, unspecified site | $11,157 | ||||
Total Medicare Charges at DRG | $107,155,481,388 | ||||
Total Medicare Charges with ICD M1990 - Unspecified osteoarthritis, unspecified site | $9,031,403,505 | ||||
Avg Charges at DRG | $59,254 | ||||
Avg Charges with ICD M1990 - Unspecified osteoarthritis, unspecified site | $53,369 | ||||
Mortality Rate at DRG | 12.11 | ||||
Mortality Rate with ICD M1990 - Unspecified osteoarthritis, unspecified site | 10.39 | ||||
SNF Discharge Rate at DRG | 27.18 | ||||
SNF Discharge Rate with ICD M1990 - Unspecified osteoarthritis, unspecified site | 29.76 | ||||
Home Discharge Rate at DRG | 25.81 | ||||
Home Discharge Rate with ICD M1990 - Unspecified osteoarthritis, unspecified site | 24.85 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | 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 | 474,314 | ||||
Total Hospitalizations with ICD M1990 - Unspecified osteoarthritis, unspecified site | 59,180 | ||||
DRG Share of Total Hospitalizations | 1.44 | ||||
% of Total ICD M1990 - Unspecified osteoarthritis, unspecified site in DRG | 1.81 | ||||
Avg LOS at DRG | 3.53 | ||||
Avg LOS with ICD M1990 - Unspecified osteoarthritis, unspecified site | 3.65 | ||||
Readmission Rate at DRG | 18.03 | ||||
Readmission Rate with ICD M1990 - Unspecified osteoarthritis, unspecified site | 17.97 | ||||
Unplanned Readmission Rate at DRG | 12.55 | ||||
Unplanned Readmission Rate with ICD M1990 - Unspecified osteoarthritis, unspecified site | 12.42 | ||||
Total Medicare payments at DRG | $2,312,733,090 | ||||
Total Medicare payments with ICD M1990 - Unspecified osteoarthritis, unspecified site | $278,430,059 | ||||
Total Medicare payment per Day at DRG | $1,380 | ||||
Total Medicare payment per Day with ICD M1990 - Unspecified osteoarthritis, unspecified site | $1,291 | ||||
Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
Total Medicare payment per Hospitalization with ICD M1990 - Unspecified osteoarthritis, unspecified site | $4,705 | ||||
Total Medicare Charges at DRG | $11,559,952,314 | ||||
Total Medicare Charges with ICD M1990 - Unspecified osteoarthritis, unspecified site | $1,450,005,512 | ||||
Avg Charges at DRG | $24,372 | ||||
Avg Charges with ICD M1990 - Unspecified osteoarthritis, unspecified site | $24,502 | ||||
Mortality Rate at DRG | 0.22 | ||||
Mortality Rate with ICD M1990 - Unspecified osteoarthritis, unspecified site | 0.19 | ||||
SNF Discharge Rate at DRG | 25.96 | ||||
SNF Discharge Rate with ICD M1990 - Unspecified osteoarthritis, unspecified site | 29.46 | ||||
Home Discharge Rate at DRG | 43.58 | ||||
Home Discharge Rate with ICD M1990 - Unspecified osteoarthritis, unspecified site | 39.23 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 422,757 | ||||
Total Hospitalizations with ICD M1990 - Unspecified osteoarthritis, unspecified site | 48,531 | ||||
DRG Share of Total Hospitalizations | 1.29 | ||||
% of Total ICD M1990 - Unspecified osteoarthritis, unspecified site in DRG | 1.48 | ||||
Avg LOS at DRG | 4.14 | ||||
Avg LOS with ICD M1990 - Unspecified osteoarthritis, unspecified site | 4.21 | ||||
Readmission Rate at DRG | 24.43 | ||||
Readmission Rate with ICD M1990 - Unspecified osteoarthritis, unspecified site | 23.84 | ||||
Unplanned Readmission Rate at DRG | 18.48 | ||||
Unplanned Readmission Rate with ICD M1990 - Unspecified osteoarthritis, unspecified site | 17.91 | ||||
Total Medicare payments at DRG | $2,636,135,714 | ||||
Total Medicare payments with ICD M1990 - Unspecified osteoarthritis, unspecified site | $292,440,217 | ||||
Total Medicare payment per Day at DRG | $1,507 | ||||
Total Medicare payment per Day with ICD M1990 - Unspecified osteoarthritis, unspecified site | $1,432 | ||||
Total Medicare payment per Hospitalization at DRG | $6,236 | ||||
Total Medicare payment per Hospitalization with ICD M1990 - Unspecified osteoarthritis, unspecified site | $6,026 | ||||
Total Medicare Charges at DRG | $11,980,955,733 | ||||
Total Medicare Charges with ICD M1990 - Unspecified osteoarthritis, unspecified site | $1,331,832,675 | ||||
Avg Charges at DRG | $28,340 | ||||
Avg Charges with ICD M1990 - Unspecified osteoarthritis, unspecified site | $27,443 | ||||
Mortality Rate at DRG | 1.01 | ||||
Mortality Rate with ICD M1990 - Unspecified osteoarthritis, unspecified site | 0.83 | ||||
SNF Discharge Rate at DRG | 16.05 | ||||
SNF Discharge Rate with ICD M1990 - Unspecified osteoarthritis, unspecified site | 18.96 | ||||
Home Discharge Rate at DRG | 47.18 | ||||
Home Discharge Rate with ICD M1990 - Unspecified osteoarthritis, unspecified site | 42.9 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 365,119 | ||||
Total Hospitalizations with ICD M1990 - Unspecified osteoarthritis, unspecified site | 37,333 | ||||
DRG Share of Total Hospitalizations | 1.11 | ||||
% of Total ICD M1990 - Unspecified osteoarthritis, unspecified site in DRG | 1.14 | ||||
Avg LOS at DRG | 5.91 | ||||
Avg LOS with ICD M1990 - Unspecified osteoarthritis, unspecified site | 5.76 | ||||
Readmission Rate at DRG | 27.73 | ||||
Readmission Rate with ICD M1990 - Unspecified osteoarthritis, unspecified site | 26.37 | ||||
Unplanned Readmission Rate at DRG | 20.3 | ||||
Unplanned Readmission Rate with ICD M1990 - Unspecified osteoarthritis, unspecified site | 18.69 | ||||
Total Medicare payments at DRG | $3,552,910,533 | ||||
Total Medicare payments with ICD M1990 - Unspecified osteoarthritis, unspecified site | $344,122,414 | ||||
Total Medicare payment per Day at DRG | $1,646 | ||||
Total Medicare payment per Day with ICD M1990 - Unspecified osteoarthritis, unspecified site | $1,599 | ||||
Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
Total Medicare payment per Hospitalization with ICD M1990 - Unspecified osteoarthritis, unspecified site | $9,218 | ||||
Total Medicare Charges at DRG | $16,860,985,198 | ||||
Total Medicare Charges with ICD M1990 - Unspecified osteoarthritis, unspecified site | $1,587,517,473 | ||||
Avg Charges at DRG | $46,179 | ||||
Avg Charges with ICD M1990 - Unspecified osteoarthritis, unspecified site | $42,523 | ||||
Mortality Rate at DRG | 5.06 | ||||
Mortality Rate with ICD M1990 - Unspecified osteoarthritis, unspecified site | 4.32 | ||||
SNF Discharge Rate at DRG | 28.7 | ||||
SNF Discharge Rate with ICD M1990 - Unspecified osteoarthritis, unspecified site | 32.54 | ||||
Home Discharge Rate at DRG | 32.16 | ||||
Home Discharge Rate with ICD M1990 - Unspecified osteoarthritis, unspecified site | 27.72 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
VIDANT MEDICAL CENTER | 2100 STANTONSBURG RD | GREENVILLE | NC | 27834 | 12,308 |
CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 11,298 |
BAPTIST MEMORIAL HOSPITAL | 6019 WALNUT GROVE RD | MEMPHIS | TN | 38120 | 10,071 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 713 |
Dr. T GEORGE STOEV | 526 HALLE PARK DRIVE | COLLIERVILLE | TN | 38017 | 603 |
Dr. ROY DENTON | 228 W TYLER AVE | WEST MEMPHIS | AR | 72301 | 570 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. PHILIP ATIGRE | 5112 N HABANA AVE | TAMPA | FL | 33614 | 1,867 |
Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 1,639 |
Dr. RATNASABAPATHY SIVASEKARAN | 2845 SE 3RD COURT | OCALA | FL | 34471 | 1,308 |