*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M2241 - Chondromalacia patellae, right knee - as a primary diagnosis code | M2241 - Chondromalacia patellae, right knee - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 3.21 | |
| Readmission Rate (%) | 9.23 | |
| 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 M2241 - Chondromalacia patellae, right knee | 12 |
| DRG Share of Total Hospitalizations | 4.63 |
| % of Total ICD M2241 - Chondromalacia patellae, right knee in DRG | 19.67 |
| Avg LOS at DRG | 2.52 |
| Avg LOS with ICD M2241 - Chondromalacia patellae, right knee | 2.08 |
| Readmission Rate at DRG | 9.03 |
| Readmission Rate with ICD M2241 - Chondromalacia patellae, right knee | NA |
| Unplanned Readmission Rate at DRG | 3.35 |
| Unplanned Readmission Rate with ICD M2241 - Chondromalacia patellae, right knee | NA |
| Total Medicare payments at DRG | $17,672,828,347 |
| Total Medicare payments with ICD M2241 - Chondromalacia patellae, right knee | $131,414 |
| Total Medicare payment per Day at DRG | $4,606 |
| Total Medicare payment per Day with ICD M2241 - Chondromalacia patellae, right knee | $5,257 |
| Total Medicare payment per Hospitalization at DRG | $11,606 |
| Total Medicare payment per Hospitalization with ICD M2241 - Chondromalacia patellae, right knee | $10,951 |
| Total Medicare Charges at DRG | $91,836,200,128 |
| Total Medicare Charges with ICD M2241 - Chondromalacia patellae, right knee | $595,278 |
| Avg Charges at DRG | $60,312 |
| Avg Charges with ICD M2241 - Chondromalacia patellae, right knee | $49,607 |
| Mortality Rate at DRG | 0.05 |
| Mortality Rate with ICD M2241 - Chondromalacia patellae, right knee | NA |
| SNF Discharge Rate at DRG | 23.53 |
| SNF Discharge Rate with ICD M2241 - Chondromalacia patellae, right knee | NA |
| Home Discharge Rate at DRG | 30.67 |
| Home Discharge Rate with ICD M2241 - Chondromalacia patellae, right knee | 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 489: KNEE PROCEDURES WITHOUT PDX OF INFECTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 488: KNEE PROCEDURES WITHOUT PDX OF INFECTION WITH COMPLICATION OR COMORBIDITY (CC)/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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD M2241 - Chondromalacia patellae, right knee | 1,817 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD M2241 - Chondromalacia patellae, right knee in DRG | 69.14 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD M2241 - Chondromalacia patellae, right knee | 2.27 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD M2241 - Chondromalacia patellae, right knee | 5.64 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD M2241 - Chondromalacia patellae, right knee | 2.65 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD M2241 - Chondromalacia patellae, right knee | $19,431,051 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD M2241 - Chondromalacia patellae, right knee | $4,716 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD M2241 - Chondromalacia patellae, right knee | $10,694 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD M2241 - Chondromalacia patellae, right knee | $100,820,862 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD M2241 - Chondromalacia patellae, right knee | $55,488 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD M2241 - Chondromalacia patellae, right knee | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD M2241 - Chondromalacia patellae, right knee | 14.53 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD M2241 - Chondromalacia patellae, right knee | 46.4 |
*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) | DRG 885: PSYCHOSES | DRG 517: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 486: KNEE PROCEDURES WITH PDX OF INFECTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 563: FRACTURE SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 55,395 | ||||
| Total Hospitalizations with ICD M2241 - Chondromalacia patellae, right knee | 35 | ||||
| DRG Share of Total Hospitalizations | 0.17 | ||||
| % of Total ICD M2241 - Chondromalacia patellae, right knee in DRG | 1.33 | ||||
| Avg LOS at DRG | 2.48 | ||||
| Avg LOS with ICD M2241 - Chondromalacia patellae, right knee | 1.63 | ||||
| Readmission Rate at DRG | 10.12 | ||||
| Readmission Rate with ICD M2241 - Chondromalacia patellae, right knee | NA | ||||
| Unplanned Readmission Rate at DRG | 3.88 | ||||
| Unplanned Readmission Rate with ICD M2241 - Chondromalacia patellae, right knee | NA | ||||
| Total Medicare payments at DRG | $919,481,919 | ||||
| Total Medicare payments with ICD M2241 - Chondromalacia patellae, right knee | $486,848 | ||||
| Total Medicare payment per Day at DRG | $6,689 | ||||
| Total Medicare payment per Day with ICD M2241 - Chondromalacia patellae, right knee | $8,541 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,599 | ||||
| Total Medicare payment per Hospitalization with ICD M2241 - Chondromalacia patellae, right knee | $13,910 | ||||
| Total Medicare Charges at DRG | $4,627,801,183 | ||||
| Total Medicare Charges with ICD M2241 - Chondromalacia patellae, right knee | $1,869,089 | ||||
| Avg Charges at DRG | $83,542 | ||||
| Avg Charges with ICD M2241 - Chondromalacia patellae, right knee | $53,403 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD M2241 - Chondromalacia patellae, right knee | NA | ||||
| SNF Discharge Rate at DRG | 18.76 | ||||
| SNF Discharge Rate with ICD M2241 - Chondromalacia patellae, right knee | NA | ||||
| Home Discharge Rate at DRG | 33.3 | ||||
| Home Discharge Rate with ICD M2241 - Chondromalacia patellae, right knee | 34.29 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 467: REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 554: BONE DISEASES AND ARTHROPATHIES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 501: SOFT TISSUE PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 63,482 | ||||
| Total Hospitalizations with ICD M2241 - Chondromalacia patellae, right knee | 15 | ||||
| DRG Share of Total Hospitalizations | 0.19 | ||||
| % of Total ICD M2241 - Chondromalacia patellae, right knee in DRG | 0.57 | ||||
| Avg LOS at DRG | 4.05 | ||||
| Avg LOS with ICD M2241 - Chondromalacia patellae, right knee | 3.4 | ||||
| Readmission Rate at DRG | 19.14 | ||||
| Readmission Rate with ICD M2241 - Chondromalacia patellae, right knee | NA | ||||
| Unplanned Readmission Rate at DRG | 7.13 | ||||
| Unplanned Readmission Rate with ICD M2241 - Chondromalacia patellae, right knee | NA | ||||
| Total Medicare payments at DRG | $1,360,037,568 | ||||
| Total Medicare payments with ICD M2241 - Chondromalacia patellae, right knee | $437,017 | ||||
| Total Medicare payment per Day at DRG | $5,286 | ||||
| Total Medicare payment per Day with ICD M2241 - Chondromalacia patellae, right knee | $8,569 | ||||
| Total Medicare payment per Hospitalization at DRG | $21,424 | ||||
| Total Medicare payment per Hospitalization with ICD M2241 - Chondromalacia patellae, right knee | $29,134 | ||||
| Total Medicare Charges at DRG | $6,614,169,258 | ||||
| Total Medicare Charges with ICD M2241 - Chondromalacia patellae, right knee | $1,125,921 | ||||
| Avg Charges at DRG | $104,190 | ||||
| Avg Charges with ICD M2241 - Chondromalacia patellae, right knee | $75,061 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD M2241 - Chondromalacia patellae, right knee | NA | ||||
| SNF Discharge Rate at DRG | 37.05 | ||||
| SNF Discharge Rate with ICD M2241 - Chondromalacia patellae, right knee | NA | ||||
| Home Discharge Rate at DRG | 18.63 | ||||
| Home Discharge Rate with ICD M2241 - Chondromalacia patellae, right knee | 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 485: KNEE PROCEDURES WITH PDX OF INFECTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|
| Total Hospitalizations at DRG | 2,908 | |
| Total Hospitalizations with ICD M2241 - Chondromalacia patellae, right knee | 11 | |
| DRG Share of Total Hospitalizations | 0.01 | |
| % of Total ICD M2241 - Chondromalacia patellae, right knee in DRG | 0.42 | |
| Avg LOS at DRG | 9.7 | |
| Avg LOS with ICD M2241 - Chondromalacia patellae, right knee | 9.27 | |
| Readmission Rate at DRG | 35.56 | |
| Readmission Rate with ICD M2241 - Chondromalacia patellae, right knee | NA | |
| Unplanned Readmission Rate at DRG | 16.25 | |
| Unplanned Readmission Rate with ICD M2241 - Chondromalacia patellae, right knee | NA | |
| Total Medicare payments at DRG | $63,223,301 | |
| Total Medicare payments with ICD M2241 - Chondromalacia patellae, right knee | $205,997 | |
| Total Medicare payment per Day at DRG | $2,242 | |
| Total Medicare payment per Day with ICD M2241 - Chondromalacia patellae, right knee | $2,020 | |
| Total Medicare payment per Hospitalization at DRG | $21,741 | |
| Total Medicare payment per Hospitalization with ICD M2241 - Chondromalacia patellae, right knee | $18,727 | |
| Total Medicare Charges at DRG | $312,697,754 | |
| Total Medicare Charges with ICD M2241 - Chondromalacia patellae, right knee | $1,065,748 | |
| Avg Charges at DRG | $107,530 | |
| Avg Charges with ICD M2241 - Chondromalacia patellae, right knee | $96,886 | |
| Mortality Rate at DRG | 2.72 | |
| Mortality Rate with ICD M2241 - Chondromalacia patellae, right knee | NA | |
| SNF Discharge Rate at DRG | 44.7 | |
| SNF Discharge Rate with ICD M2241 - Chondromalacia patellae, right knee | NA | |
| Home Discharge Rate at DRG | 11.55 | |
| Home Discharge Rate with ICD M2241 - Chondromalacia patellae, right knee | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| KANSAS SURGERY & RECOVERY CENTER | 2770 N WEBB RD | WICHITA | KS | 67226 | 126 |
| ST. VINCENT'S MEDICAL CENTER SOUTHSIDE | 4201 BELFORT RD | JACKSONVILLE | FL | 32216 | 102 |
| CENTRA VIRGINIA BAPTIST HOSPITAL | 3300 RIVERMONT AVE | LYNCHBURG | VA | 24503 | 87 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. PAUL C PAPPADEMOS | 2778 N WEBB RD | WICHITA | KS | 67226 | 128 |
| Dr. GAVAN PATRICK DUFFY | 10475 CENTURION PKWY N | JACKSONVILLE | FL | 32256 | 86 |
| Dr. GAUTHAM GONDI | 2405 ATHERHOLT RD | LYNCHBURG | VA | 24501 | 82 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. PAUL C PAPPADEMOS | 2778 N WEBB RD | WICHITA | KS | 67226 | 128 |
| Dr. GAVAN PATRICK DUFFY | 10475 CENTURION PKWY N | JACKSONVILLE | FL | 32256 | 87 |
| Dr. GAUTHAM GONDI | 2405 ATHERHOLT RD | LYNCHBURG | VA | 24501 | 82 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | M1711 | Unilateral primary osteoarthritis, right knee |
| 2 | J45909 | Unspecified asthma, uncomplicated |
| 3 | K219 | Gastro-esophageal reflux disease without esophagitis |
| 4 | F419 | Anxiety disorder, unspecified |
| 5 | E039 | Hypothyroidism, unspecified |