*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
M21161 - Varus deformity, not elsewhere classified, right knee - as a primary diagnosis code | M21161 - Varus deformity, not elsewhere classified, right knee - as a primary or secondary diagnosis code | |
---|---|---|
OUTCOMES | ||
Avg. LOS | 2.49 | |
Readmission Rate (%) | 8.35 | |
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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|
Total Hospitalizations at DRG | 1,522,684 |
Total Hospitalizations with ICD M21161 - Varus deformity, not elsewhere classified, right knee | 199 |
DRG Share of Total Hospitalizations | 4.63 |
% of Total ICD M21161 - Varus deformity, not elsewhere classified, right knee in DRG | 84.32 |
Avg LOS at DRG | 2.52 |
Avg LOS with ICD M21161 - Varus deformity, not elsewhere classified, right knee | 2.71 |
Readmission Rate at DRG | 9.03 |
Readmission Rate with ICD M21161 - Varus deformity, not elsewhere classified, right knee | NA |
Unplanned Readmission Rate at DRG | 3.35 |
Unplanned Readmission Rate with ICD M21161 - Varus deformity, not elsewhere classified, right knee | NA |
Total Medicare payments at DRG | $17,672,828,347 |
Total Medicare payments with ICD M21161 - Varus deformity, not elsewhere classified, right knee | $2,495,140 |
Total Medicare payment per Day at DRG | $4,606 |
Total Medicare payment per Day with ICD M21161 - Varus deformity, not elsewhere classified, right knee | $4,621 |
Total Medicare payment per Hospitalization at DRG | $11,606 |
Total Medicare payment per Hospitalization with ICD M21161 - Varus deformity, not elsewhere classified, right knee | $12,538 |
Total Medicare Charges at DRG | $91,836,200,128 |
Total Medicare Charges with ICD M21161 - Varus deformity, not elsewhere classified, right knee | $9,479,550 |
Avg Charges at DRG | $60,312 |
Avg Charges with ICD M21161 - Varus deformity, not elsewhere classified, right knee | $47,636 |
Mortality Rate at DRG | 0.05 |
Mortality Rate with ICD M21161 - Varus deformity, not elsewhere classified, right knee | NA |
SNF Discharge Rate at DRG | 23.53 |
SNF Discharge Rate with ICD M21161 - Varus deformity, not elsewhere classified, right knee | 19.6 |
Home Discharge Rate at DRG | 30.67 |
Home Discharge Rate with ICD M21161 - Varus deformity, not elsewhere classified, right knee | 54.77 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
RIVER'S EDGE HOSPITAL & CLINIC | 1900 SUNRISE DR | ST PETER | MN | 56082 | 125 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. KYLE CHRISTOPHER SWANSON | 1431 PREMIER DRIVE | MANKATO | MN | 56001 | 116 |
Dr. JOHN ADOLPH SPRINGER | 1431 PREMIER DR | MANKATO | MN | 56001 | 11 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. KYLE CHRISTOPHER SWANSON | 1431 PREMIER DRIVE | MANKATO | MN | 56001 | 116 |
Dr. JOHN ADOLPH SPRINGER | 1431 PREMIER DR | MANKATO | MN | 56001 | 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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 462: BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 469: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 467: REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 468: REVISION OF HIP OR KNEE REPLACEMENT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 1,522,684 | ||||
Total Hospitalizations with ICD M21161 - Varus deformity, not elsewhere classified, right knee | 22,524 | ||||
DRG Share of Total Hospitalizations | 4.63 | ||||
% of Total ICD M21161 - Varus deformity, not elsewhere classified, right knee in DRG | 89.25 | ||||
Avg LOS at DRG | 2.52 | ||||
Avg LOS with ICD M21161 - Varus deformity, not elsewhere classified, right knee | 2.3 | ||||
Readmission Rate at DRG | 9.03 | ||||
Readmission Rate with ICD M21161 - Varus deformity, not elsewhere classified, right knee | 6.4 | ||||
Unplanned Readmission Rate at DRG | 3.35 | ||||
Unplanned Readmission Rate with ICD M21161 - Varus deformity, not elsewhere classified, right knee | 2.47 | ||||
Total Medicare payments at DRG | $17,672,828,347 | ||||
Total Medicare payments with ICD M21161 - Varus deformity, not elsewhere classified, right knee | $256,067,115 | ||||
Total Medicare payment per Day at DRG | $4,606 | ||||
Total Medicare payment per Day with ICD M21161 - Varus deformity, not elsewhere classified, right knee | $4,946 | ||||
Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
Total Medicare payment per Hospitalization with ICD M21161 - Varus deformity, not elsewhere classified, right knee | $11,369 | ||||
Total Medicare Charges at DRG | $91,836,200,128 | ||||
Total Medicare Charges with ICD M21161 - Varus deformity, not elsewhere classified, right knee | $1,350,131,846 | ||||
Avg Charges at DRG | $60,312 | ||||
Avg Charges with ICD M21161 - Varus deformity, not elsewhere classified, right knee | $59,942 | ||||
Mortality Rate at DRG | 0.05 | ||||
Mortality Rate with ICD M21161 - Varus deformity, not elsewhere classified, right knee | NA | ||||
SNF Discharge Rate at DRG | 23.53 | ||||
SNF Discharge Rate with ICD M21161 - Varus deformity, not elsewhere classified, right knee | 18.32 | ||||
Home Discharge Rate at DRG | 30.67 | ||||
Home Discharge Rate with ICD M21161 - Varus deformity, not elsewhere classified, right knee | 34.43 |
*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 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 489: KNEE PROCEDURES WITHOUT PDX OF INFECTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 461: BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 51,757 | ||||
Total Hospitalizations with ICD M21161 - Varus deformity, not elsewhere classified, right knee | 57 | ||||
DRG Share of Total Hospitalizations | 0.16 | ||||
% of Total ICD M21161 - Varus deformity, not elsewhere classified, right knee in DRG | 0.23 | ||||
Avg LOS at DRG | 4.41 | ||||
Avg LOS with ICD M21161 - Varus deformity, not elsewhere classified, right knee | 3.61 | ||||
Readmission Rate at DRG | 17.16 | ||||
Readmission Rate with ICD M21161 - Varus deformity, not elsewhere classified, right knee | 21.82 | ||||
Unplanned Readmission Rate at DRG | 9.0 | ||||
Unplanned Readmission Rate with ICD M21161 - Varus deformity, not elsewhere classified, right knee | NA | ||||
Total Medicare payments at DRG | $332,400,259 | ||||
Total Medicare payments with ICD M21161 - Varus deformity, not elsewhere classified, right knee | $301,455 | ||||
Total Medicare payment per Day at DRG | $1,455 | ||||
Total Medicare payment per Day with ICD M21161 - Varus deformity, not elsewhere classified, right knee | $1,463 | ||||
Total Medicare payment per Hospitalization at DRG | $6,422 | ||||
Total Medicare payment per Hospitalization with ICD M21161 - Varus deformity, not elsewhere classified, right knee | $5,289 | ||||
Total Medicare Charges at DRG | $1,234,809,519 | ||||
Total Medicare Charges with ICD M21161 - Varus deformity, not elsewhere classified, right knee | $1,161,979 | ||||
Avg Charges at DRG | $23,858 | ||||
Avg Charges with ICD M21161 - Varus deformity, not elsewhere classified, right knee | $20,386 | ||||
Mortality Rate at DRG | 0.04 | ||||
Mortality Rate with ICD M21161 - Varus deformity, not elsewhere classified, right knee | NA | ||||
SNF Discharge Rate at DRG | 25.37 | ||||
SNF Discharge Rate with ICD M21161 - Varus deformity, not elsewhere classified, right knee | 22.81 | ||||
Home Discharge Rate at DRG | 42.31 | ||||
Home Discharge Rate with ICD M21161 - Varus deformity, not elsewhere classified, right knee | 50.88 |
*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 464: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 493: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH COMPLICATION OR COMORBIDITY (CC) | 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 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 359,935 | ||||
Total Hospitalizations with ICD M21161 - Varus deformity, not elsewhere classified, right knee | 19 | ||||
DRG Share of Total Hospitalizations | 1.1 | ||||
% of Total ICD M21161 - Varus deformity, not elsewhere classified, right knee in DRG | 0.08 | ||||
Avg LOS at DRG | 12.3 | ||||
Avg LOS with ICD M21161 - Varus deformity, not elsewhere classified, right knee | 13.53 | ||||
Readmission Rate at DRG | 16.01 | ||||
Readmission Rate with ICD M21161 - Varus deformity, not elsewhere classified, right knee | NA | ||||
Unplanned Readmission Rate at DRG | 9.86 | ||||
Unplanned Readmission Rate with ICD M21161 - Varus deformity, not elsewhere classified, right knee | NA | ||||
Total Medicare payments at DRG | $5,883,826,653 | ||||
Total Medicare payments with ICD M21161 - Varus deformity, not elsewhere classified, right knee | $344,056 | ||||
Total Medicare payment per Day at DRG | $1,329 | ||||
Total Medicare payment per Day with ICD M21161 - Varus deformity, not elsewhere classified, right knee | $1,339 | ||||
Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
Total Medicare payment per Hospitalization with ICD M21161 - Varus deformity, not elsewhere classified, right knee | $18,108 | ||||
Total Medicare Charges at DRG | $15,374,824,749 | ||||
Total Medicare Charges with ICD M21161 - Varus deformity, not elsewhere classified, right knee | $756,328 | ||||
Avg Charges at DRG | $42,716 | ||||
Avg Charges with ICD M21161 - Varus deformity, not elsewhere classified, right knee | $39,807 | ||||
Mortality Rate at DRG | 0.3 | ||||
Mortality Rate with ICD M21161 - Varus deformity, not elsewhere classified, right knee | NA | ||||
SNF Discharge Rate at DRG | 27.95 | ||||
SNF Discharge Rate with ICD M21161 - Varus deformity, not elsewhere classified, right knee | NA | ||||
Home Discharge Rate at DRG | 26.85 | ||||
Home Discharge Rate with ICD M21161 - Varus deformity, not elsewhere classified, right knee | NA |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
WASHINGTON HOSPITAL | 2000 MOWRY AVE | FREMONT | CA | 94538 | 299 |
ST. VINCENT EVANSVILLE | 3700 WASHINGTON AVE | EVANSVILLE | IN | 47750 | 279 |
LUBBOCK HEART HOSPITAL | 4810 N LOOP 289 | LUBBOCK | TX | 79416 | 270 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. MICHAEL B BOYD | 225 CROSSLAKE DR | EVANSVILLE | IN | 47715 | 251 |
Dr. TONY BRYAN SMITHERMAN | 4642 N LOOP 289 | LUBBOCK | TX | 79416 | 250 |
Dr. KYLE CHRISTOPHER SWANSON | 1431 PREMIER DRIVE | MANKATO | MN | 56001 | 216 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. MICHAEL B BOYD | 225 CROSSLAKE DR | EVANSVILLE | IN | 47715 | 253 |
Dr. TONY BRYAN SMITHERMAN | 4642 N LOOP 289 | LUBBOCK | TX | 79416 | 252 |
Dr. KYLE CHRISTOPHER SWANSON | 1431 PREMIER DRIVE | MANKATO | MN | 56001 | 215 |
No | ICD Diagnosis Code | Description |
---|---|---|
1 | M12861 | Other specific arthropathies, not elsewhere classified, right knee |
2 | Z87891 | Personal history of nicotine dependence |
3 | E785 | Hyperlipidemia, unspecified |