*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M21751 - Unequal limb length (acquired), right femur - as a primary diagnosis code | M21751 - Unequal limb length (acquired), right femur - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 4.04 | |
| Readmission Rate (%) | 14.45 | |
| 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 468: REVISION OF HIP OR KNEE REPLACEMENT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 55,395 |
| Total Hospitalizations with ICD M21751 - Unequal limb length (acquired), right femur | 13 |
| DRG Share of Total Hospitalizations | 0.17 |
| % of Total ICD M21751 - Unequal limb length (acquired), right femur in DRG | 27.08 |
| Avg LOS at DRG | 2.48 |
| Avg LOS with ICD M21751 - Unequal limb length (acquired), right femur | 2.0 |
| Readmission Rate at DRG | 10.12 |
| Readmission Rate with ICD M21751 - Unequal limb length (acquired), right femur | NA |
| Unplanned Readmission Rate at DRG | 3.88 |
| Unplanned Readmission Rate with ICD M21751 - Unequal limb length (acquired), right femur | NA |
| Total Medicare payments at DRG | $919,481,919 |
| Total Medicare payments with ICD M21751 - Unequal limb length (acquired), right femur | $179,036 |
| Total Medicare payment per Day at DRG | $6,689 |
| Total Medicare payment per Day with ICD M21751 - Unequal limb length (acquired), right femur | $6,886 |
| Total Medicare payment per Hospitalization at DRG | $16,599 |
| Total Medicare payment per Hospitalization with ICD M21751 - Unequal limb length (acquired), right femur | $13,772 |
| Total Medicare Charges at DRG | $4,627,801,183 |
| Total Medicare Charges with ICD M21751 - Unequal limb length (acquired), right femur | $878,560 |
| Avg Charges at DRG | $83,542 |
| Avg Charges with ICD M21751 - Unequal limb length (acquired), right femur | $67,582 |
| Mortality Rate at DRG | NA |
| Mortality Rate with ICD M21751 - Unequal limb length (acquired), right femur | NA |
| SNF Discharge Rate at DRG | 18.76 |
| SNF Discharge Rate with ICD M21751 - Unequal limb length (acquired), right femur | NA |
| Home Discharge Rate at DRG | 33.3 |
| Home Discharge Rate with ICD M21751 - Unequal limb length (acquired), right femur | NA |
*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 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) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD M21751 - Unequal limb length (acquired), right femur | 846 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD M21751 - Unequal limb length (acquired), right femur in DRG | 55.62 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD M21751 - Unequal limb length (acquired), right femur | 2.5 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD M21751 - Unequal limb length (acquired), right femur | 10.78 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD M21751 - Unequal limb length (acquired), right femur | 3.06 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD M21751 - Unequal limb length (acquired), right femur | $10,260,156 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD M21751 - Unequal limb length (acquired), right femur | $4,844 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD M21751 - Unequal limb length (acquired), right femur | $12,128 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD M21751 - Unequal limb length (acquired), right femur | $61,759,018 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD M21751 - Unequal limb length (acquired), right femur | $73,001 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD M21751 - Unequal limb length (acquired), right femur | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD M21751 - Unequal limb length (acquired), right femur | 24.47 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD M21751 - Unequal limb length (acquired), right femur | 30.73 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 469: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 482: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT 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) | DRG 466: REVISION OF HIP OR KNEE REPLACEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 480: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 83,447 | ||||
| Total Hospitalizations with ICD M21751 - Unequal limb length (acquired), right femur | 35 | ||||
| DRG Share of Total Hospitalizations | 0.25 | ||||
| % of Total ICD M21751 - Unequal limb length (acquired), right femur in DRG | 2.3 | ||||
| Avg LOS at DRG | 6.32 | ||||
| Avg LOS with ICD M21751 - Unequal limb length (acquired), right femur | 6.4 | ||||
| Readmission Rate at DRG | 26.61 | ||||
| Readmission Rate with ICD M21751 - Unequal limb length (acquired), right femur | 34.38 | ||||
| Unplanned Readmission Rate at DRG | 10.75 | ||||
| Unplanned Readmission Rate with ICD M21751 - Unequal limb length (acquired), right femur | NA | ||||
| Total Medicare payments at DRG | $1,636,094,359 | ||||
| Total Medicare payments with ICD M21751 - Unequal limb length (acquired), right femur | $922,124 | ||||
| Total Medicare payment per Day at DRG | $3,100 | ||||
| Total Medicare payment per Day with ICD M21751 - Unequal limb length (acquired), right femur | $4,117 | ||||
| Total Medicare payment per Hospitalization at DRG | $19,606 | ||||
| Total Medicare payment per Hospitalization with ICD M21751 - Unequal limb length (acquired), right femur | $26,346 | ||||
| Total Medicare Charges at DRG | $7,936,043,941 | ||||
| Total Medicare Charges with ICD M21751 - Unequal limb length (acquired), right femur | $5,639,121 | ||||
| Avg Charges at DRG | $95,103 | ||||
| Avg Charges with ICD M21751 - Unequal limb length (acquired), right femur | $161,118 | ||||
| Mortality Rate at DRG | 3.79 | ||||
| Mortality Rate with ICD M21751 - Unequal limb length (acquired), right femur | NA | ||||
| SNF Discharge Rate at DRG | 52.83 | ||||
| SNF Discharge Rate with ICD M21751 - Unequal limb length (acquired), right femur | 48.57 | ||||
| Home Discharge Rate at DRG | 9.28 | ||||
| Home Discharge Rate with ICD M21751 - Unequal limb length (acquired), right femur | NA |
*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) | |
|---|---|
| Total Hospitalizations at DRG | 359,935 |
| Total Hospitalizations with ICD M21751 - Unequal limb length (acquired), right femur | 13 |
| DRG Share of Total Hospitalizations | 1.1 |
| % of Total ICD M21751 - Unequal limb length (acquired), right femur in DRG | 0.85 |
| Avg LOS at DRG | 12.3 |
| Avg LOS with ICD M21751 - Unequal limb length (acquired), right femur | 11.46 |
| Readmission Rate at DRG | 16.01 |
| Readmission Rate with ICD M21751 - Unequal limb length (acquired), right femur | NA |
| Unplanned Readmission Rate at DRG | 9.86 |
| Unplanned Readmission Rate with ICD M21751 - Unequal limb length (acquired), right femur | NA |
| Total Medicare payments at DRG | $5,883,826,653 |
| Total Medicare payments with ICD M21751 - Unequal limb length (acquired), right femur | $233,705 |
| Total Medicare payment per Day at DRG | $1,329 |
| Total Medicare payment per Day with ICD M21751 - Unequal limb length (acquired), right femur | $1,568 |
| Total Medicare payment per Hospitalization at DRG | $16,347 |
| Total Medicare payment per Hospitalization with ICD M21751 - Unequal limb length (acquired), right femur | $17,977 |
| Total Medicare Charges at DRG | $15,374,824,749 |
| Total Medicare Charges with ICD M21751 - Unequal limb length (acquired), right femur | $600,435 |
| Avg Charges at DRG | $42,716 |
| Avg Charges with ICD M21751 - Unequal limb length (acquired), right femur | $46,187 |
| Mortality Rate at DRG | 0.3 |
| Mortality Rate with ICD M21751 - Unequal limb length (acquired), right femur | NA |
| SNF Discharge Rate at DRG | 27.95 |
| SNF Discharge Rate with ICD M21751 - Unequal limb length (acquired), right femur | NA |
| Home Discharge Rate at DRG | 26.85 |
| Home Discharge Rate with ICD M21751 - Unequal limb length (acquired), right femur | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| HOSPITAL FOR SPECIAL SURGERY | 535 E 70TH ST | NEW YORK | NY | 10021 | 34 |
| ADVANCED SURGICAL HOSPITAL | 100 TRICH DRIVE | WASHINGTON | PA | 15301 | 33 |
| JUPITER MEDICAL CENTER | 1210 SOUTH OLD DIXIE HIGHWAY | JUPITER | FL | 33458 | 29 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. EDWIN LOUIS PEAK | 1100 NORTHSIDE FORSYTH DR | CUMMING | GA | 30041 | 24 |
| Dr. ADAM ISAAC HARRIS | 325 E SONTERRA BLVD | SAN ANTONIO | TX | 78258 | 18 |
| Dr. VINCENT A FOWBLE | 4215 BURNS ROAD | PALM BEACH GARDENS | FL | 33410 | 17 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. EDWIN LOUIS PEAK | 1100 NORTHSIDE FORSYTH DR | CUMMING | GA | 30041 | 23 |
| Dr. ADAM ISAAC HARRIS | 325 E SONTERRA BLVD | SAN ANTONIO | TX | 78258 | 18 |
| Dr. VINCENT A FOWBLE | 4215 BURNS ROAD | PALM BEACH GARDENS | FL | 33410 | 17 |