*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M2242 - Chondromalacia patellae, left knee - as a primary diagnosis code | M2242 - Chondromalacia patellae, left knee - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 3.02 | |
| Readmission Rate (%) | 8.99 | |
| 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 517: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 43,598 |
| Total Hospitalizations with ICD M2242 - Chondromalacia patellae, left knee | 11 |
| DRG Share of Total Hospitalizations | 0.13 |
| % of Total ICD M2242 - Chondromalacia patellae, left knee in DRG | 25.58 |
| Avg LOS at DRG | 2.56 |
| Avg LOS with ICD M2242 - Chondromalacia patellae, left knee | 1.45 |
| Readmission Rate at DRG | 13.58 |
| Readmission Rate with ICD M2242 - Chondromalacia patellae, left knee | NA |
| Unplanned Readmission Rate at DRG | 5.0 |
| Unplanned Readmission Rate with ICD M2242 - Chondromalacia patellae, left knee | NA |
| Total Medicare payments at DRG | $405,277,239 |
| Total Medicare payments with ICD M2242 - Chondromalacia patellae, left knee | $64,375 |
| Total Medicare payment per Day at DRG | $3,633 |
| Total Medicare payment per Day with ICD M2242 - Chondromalacia patellae, left knee | $4,023 |
| Total Medicare payment per Hospitalization at DRG | $9,296 |
| Total Medicare payment per Hospitalization with ICD M2242 - Chondromalacia patellae, left knee | $5,852 |
| Total Medicare Charges at DRG | $2,108,105,162 |
| Total Medicare Charges with ICD M2242 - Chondromalacia patellae, left knee | $326,105 |
| Avg Charges at DRG | $48,353 |
| Avg Charges with ICD M2242 - Chondromalacia patellae, left knee | $29,646 |
| Mortality Rate at DRG | NA |
| Mortality Rate with ICD M2242 - Chondromalacia patellae, left knee | NA |
| SNF Discharge Rate at DRG | 16.27 |
| SNF Discharge Rate with ICD M2242 - Chondromalacia patellae, left knee | NA |
| Home Discharge Rate at DRG | 57.43 |
| Home Discharge Rate with ICD M2242 - Chondromalacia patellae, left 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 488: KNEE PROCEDURES WITHOUT PDX OF INFECTION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 489: KNEE PROCEDURES WITHOUT PDX OF INFECTION WITHOUT 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 M2242 - Chondromalacia patellae, left knee | 1,678 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD M2242 - Chondromalacia patellae, left knee in DRG | 68.86 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD M2242 - Chondromalacia patellae, left knee | 2.28 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD M2242 - Chondromalacia patellae, left knee | 4.9 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD M2242 - Chondromalacia patellae, left knee | 2.08 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD M2242 - Chondromalacia patellae, left knee | $18,020,557 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD M2242 - Chondromalacia patellae, left knee | $4,714 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD M2242 - Chondromalacia patellae, left knee | $10,739 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD M2242 - Chondromalacia patellae, left knee | $92,012,246 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD M2242 - Chondromalacia patellae, left knee | $54,834 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD M2242 - Chondromalacia patellae, left knee | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD M2242 - Chondromalacia patellae, left knee | 14.84 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD M2242 - Chondromalacia patellae, left knee | 48.57 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 563: FRACTURE SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 468: REVISION OF HIP OR KNEE REPLACEMENT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 517: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 486: KNEE PROCEDURES WITH PDX OF INFECTION WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 83,488 | ||||
| Total Hospitalizations with ICD M2242 - Chondromalacia patellae, left knee | 28 | ||||
| DRG Share of Total Hospitalizations | 0.25 | ||||
| % of Total ICD M2242 - Chondromalacia patellae, left knee in DRG | 1.15 | ||||
| Avg LOS at DRG | 3.48 | ||||
| Avg LOS with ICD M2242 - Chondromalacia patellae, left knee | 3.18 | ||||
| Readmission Rate at DRG | 19.78 | ||||
| Readmission Rate with ICD M2242 - Chondromalacia patellae, left knee | NA | ||||
| Unplanned Readmission Rate at DRG | 8.24 | ||||
| Unplanned Readmission Rate with ICD M2242 - Chondromalacia patellae, left knee | NA | ||||
| Total Medicare payments at DRG | $412,311,224 | ||||
| Total Medicare payments with ICD M2242 - Chondromalacia patellae, left knee | $127,993 | ||||
| Total Medicare payment per Day at DRG | $1,421 | ||||
| Total Medicare payment per Day with ICD M2242 - Chondromalacia patellae, left knee | $1,438 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,939 | ||||
| Total Medicare payment per Hospitalization with ICD M2242 - Chondromalacia patellae, left knee | $4,571 | ||||
| Total Medicare Charges at DRG | $2,194,270,678 | ||||
| Total Medicare Charges with ICD M2242 - Chondromalacia patellae, left knee | $619,801 | ||||
| Avg Charges at DRG | $26,282 | ||||
| Avg Charges with ICD M2242 - Chondromalacia patellae, left knee | $22,136 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD M2242 - Chondromalacia patellae, left knee | NA | ||||
| SNF Discharge Rate at DRG | 54.16 | ||||
| SNF Discharge Rate with ICD M2242 - Chondromalacia patellae, left knee | 42.86 | ||||
| Home Discharge Rate at DRG | 17.27 | ||||
| Home Discharge Rate with ICD M2242 - Chondromalacia patellae, left 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 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 42,559 | |||
| Total Hospitalizations with ICD M2242 - Chondromalacia patellae, left knee | 15 | |||
| DRG Share of Total Hospitalizations | 0.13 | |||
| % of Total ICD M2242 - Chondromalacia patellae, left knee in DRG | 0.62 | |||
| Avg LOS at DRG | 4.67 | |||
| Avg LOS with ICD M2242 - Chondromalacia patellae, left knee | 2.87 | |||
| Readmission Rate at DRG | 23.96 | |||
| Readmission Rate with ICD M2242 - Chondromalacia patellae, left knee | NA | |||
| Unplanned Readmission Rate at DRG | 9.89 | |||
| Unplanned Readmission Rate with ICD M2242 - Chondromalacia patellae, left knee | NA | |||
| Total Medicare payments at DRG | $524,182,097 | |||
| Total Medicare payments with ICD M2242 - Chondromalacia patellae, left knee | $164,805 | |||
| Total Medicare payment per Day at DRG | $2,636 | |||
| Total Medicare payment per Day with ICD M2242 - Chondromalacia patellae, left knee | $3,833 | |||
| Total Medicare payment per Hospitalization at DRG | $12,317 | |||
| Total Medicare payment per Hospitalization with ICD M2242 - Chondromalacia patellae, left knee | $10,987 | |||
| Total Medicare Charges at DRG | $2,765,571,309 | |||
| Total Medicare Charges with ICD M2242 - Chondromalacia patellae, left knee | $1,041,053 | |||
| Avg Charges at DRG | $64,982 | |||
| Avg Charges with ICD M2242 - Chondromalacia patellae, left knee | $69,404 | |||
| Mortality Rate at DRG | 0.11 | |||
| Mortality Rate with ICD M2242 - Chondromalacia patellae, left knee | NA | |||
| SNF Discharge Rate at DRG | 33.62 | |||
| SNF Discharge Rate with ICD M2242 - Chondromalacia patellae, left knee | NA | |||
| Home Discharge Rate at DRG | 31.52 | |||
| Home Discharge Rate with ICD M2242 - Chondromalacia patellae, left 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 | 119 |
| CENTRA VIRGINIA BAPTIST HOSPITAL | 3300 RIVERMONT AVE | LYNCHBURG | VA | 24503 | 102 |
| ST. VINCENT'S MEDICAL CENTER SOUTHSIDE | 4201 BELFORT RD | JACKSONVILLE | FL | 32216 | 94 |
| 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 | 117 |
| Dr. GAUTHAM GONDI | 2405 ATHERHOLT RD | LYNCHBURG | VA | 24501 | 98 |
| Dr. GAVAN PATRICK DUFFY | 10475 CENTURION PKWY N | JACKSONVILLE | FL | 32256 | 79 |
| 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 | 116 |
| Dr. GAUTHAM GONDI | 2405 ATHERHOLT RD | LYNCHBURG | VA | 24501 | 98 |
| Dr. GAVAN PATRICK DUFFY | 10475 CENTURION PKWY N | JACKSONVILLE | FL | 32256 | 80 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | M1712 | Unilateral primary osteoarthritis, left knee |
| 2 | K219 | Gastro-esophageal reflux disease without esophagitis |