*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M25061 - Hemarthrosis, right knee - as a primary diagnosis code | M25061 - Hemarthrosis, right knee - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.93 | |
| Readmission Rate (%) | 22.73 | |
| Unplanned Readmission Rate (%) | 11.73 | |
| 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 553: BONE DISEASES AND ARTHROPATHIES WITH 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 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 51,757 | ||||
| Total Hospitalizations with ICD M25061 - Hemarthrosis, right knee | 1,161 | ||||
| DRG Share of Total Hospitalizations | 0.16 | ||||
| % of Total ICD M25061 - Hemarthrosis, right knee in DRG | 73.76 | ||||
| Avg LOS at DRG | 4.41 | ||||
| Avg LOS with ICD M25061 - Hemarthrosis, right knee | 3.87 | ||||
| Readmission Rate at DRG | 17.16 | ||||
| Readmission Rate with ICD M25061 - Hemarthrosis, right knee | 17.93 | ||||
| Unplanned Readmission Rate at DRG | 9.0 | ||||
| Unplanned Readmission Rate with ICD M25061 - Hemarthrosis, right knee | 10.53 | ||||
| Total Medicare payments at DRG | $332,400,259 | ||||
| Total Medicare payments with ICD M25061 - Hemarthrosis, right knee | $6,138,447 | ||||
| Total Medicare payment per Day at DRG | $1,455 | ||||
| Total Medicare payment per Day with ICD M25061 - Hemarthrosis, right knee | $1,365 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,422 | ||||
| Total Medicare payment per Hospitalization with ICD M25061 - Hemarthrosis, right knee | $5,287 | ||||
| Total Medicare Charges at DRG | $1,234,809,519 | ||||
| Total Medicare Charges with ICD M25061 - Hemarthrosis, right knee | $29,906,425 | ||||
| Avg Charges at DRG | $23,858 | ||||
| Avg Charges with ICD M25061 - Hemarthrosis, right knee | $25,759 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD M25061 - Hemarthrosis, right knee | NA | ||||
| SNF Discharge Rate at DRG | 25.37 | ||||
| SNF Discharge Rate with ICD M25061 - Hemarthrosis, right knee | 39.28 | ||||
| Home Discharge Rate at DRG | 42.31 | ||||
| Home Discharge Rate with ICD M25061 - Hemarthrosis, right knee | 27.65 |
*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 563: FRACTURE SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 553: BONE DISEASES AND ARTHROPATHIES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 488: KNEE PROCEDURES WITHOUT PDX OF INFECTION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 51,757 | ||||
| Total Hospitalizations with ICD M25061 - Hemarthrosis, right knee | 1,291 | ||||
| DRG Share of Total Hospitalizations | 0.16 | ||||
| % of Total ICD M25061 - Hemarthrosis, right knee in DRG | 21.19 | ||||
| Avg LOS at DRG | 4.41 | ||||
| Avg LOS with ICD M25061 - Hemarthrosis, right knee | 3.93 | ||||
| Readmission Rate at DRG | 17.16 | ||||
| Readmission Rate with ICD M25061 - Hemarthrosis, right knee | 17.74 | ||||
| Unplanned Readmission Rate at DRG | 9.0 | ||||
| Unplanned Readmission Rate with ICD M25061 - Hemarthrosis, right knee | 10.51 | ||||
| Total Medicare payments at DRG | $332,400,259 | ||||
| Total Medicare payments with ICD M25061 - Hemarthrosis, right knee | $6,846,046 | ||||
| Total Medicare payment per Day at DRG | $1,455 | ||||
| Total Medicare payment per Day with ICD M25061 - Hemarthrosis, right knee | $1,350 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,422 | ||||
| Total Medicare payment per Hospitalization with ICD M25061 - Hemarthrosis, right knee | $5,303 | ||||
| Total Medicare Charges at DRG | $1,234,809,519 | ||||
| Total Medicare Charges with ICD M25061 - Hemarthrosis, right knee | $33,565,385 | ||||
| Avg Charges at DRG | $23,858 | ||||
| Avg Charges with ICD M25061 - Hemarthrosis, right knee | $26,000 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD M25061 - Hemarthrosis, right knee | NA | ||||
| SNF Discharge Rate at DRG | 25.37 | ||||
| SNF Discharge Rate with ICD M25061 - Hemarthrosis, right knee | 39.89 | ||||
| Home Discharge Rate at DRG | 42.31 | ||||
| Home Discharge Rate with ICD M25061 - Hemarthrosis, right knee | 27.42 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 813: COAGULATION DISORDERS | DRG 565: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | 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) | DRG 467: REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 44,384 | ||||
| Total Hospitalizations with ICD M25061 - Hemarthrosis, right knee | 159 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD M25061 - Hemarthrosis, right knee in DRG | 2.61 | ||||
| Avg LOS at DRG | 4.8 | ||||
| Avg LOS with ICD M25061 - Hemarthrosis, right knee | 6.09 | ||||
| Readmission Rate at DRG | 25.23 | ||||
| Readmission Rate with ICD M25061 - Hemarthrosis, right knee | 22.07 | ||||
| Unplanned Readmission Rate at DRG | 17.62 | ||||
| Unplanned Readmission Rate with ICD M25061 - Hemarthrosis, right knee | 9.66 | ||||
| Total Medicare payments at DRG | $631,066,601 | ||||
| Total Medicare payments with ICD M25061 - Hemarthrosis, right knee | $9,802,998 | ||||
| Total Medicare payment per Day at DRG | $2,963 | ||||
| Total Medicare payment per Day with ICD M25061 - Hemarthrosis, right knee | $10,117 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,218 | ||||
| Total Medicare payment per Hospitalization with ICD M25061 - Hemarthrosis, right knee | $61,654 | ||||
| Total Medicare Charges at DRG | $2,703,173,885 | ||||
| Total Medicare Charges with ICD M25061 - Hemarthrosis, right knee | $50,355,152 | ||||
| Avg Charges at DRG | $60,904 | ||||
| Avg Charges with ICD M25061 - Hemarthrosis, right knee | $316,699 | ||||
| Mortality Rate at DRG | 2.97 | ||||
| Mortality Rate with ICD M25061 - Hemarthrosis, right knee | NA | ||||
| SNF Discharge Rate at DRG | 17.37 | ||||
| SNF Discharge Rate with ICD M25061 - Hemarthrosis, right knee | 29.56 | ||||
| Home Discharge Rate at DRG | 52.04 | ||||
| Home Discharge Rate with ICD M25061 - Hemarthrosis, right knee | 33.33 |
*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 493: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH COMPLICATION OR COMORBIDITY (CC) | DRG 605: TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD M25061 - Hemarthrosis, right knee | 121 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD M25061 - Hemarthrosis, right knee in DRG | 1.99 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD M25061 - Hemarthrosis, right knee | 8.71 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD M25061 - Hemarthrosis, right knee | 29.73 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD M25061 - Hemarthrosis, right knee | 18.92 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD M25061 - Hemarthrosis, right knee | $1,605,325 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD M25061 - Hemarthrosis, right knee | $1,523 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD M25061 - Hemarthrosis, right knee | $13,267 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD M25061 - Hemarthrosis, right knee | $8,550,622 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD M25061 - Hemarthrosis, right knee | $70,666 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD M25061 - Hemarthrosis, right knee | NA | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD M25061 - Hemarthrosis, right knee | 48.76 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD M25061 - Hemarthrosis, right knee | 13.22 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 908: OTHER O.R. PROCEDURES FOR INJURIES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 534: FRACTURES OF FEMUR WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 562: FRACTURE SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 486: KNEE PROCEDURES WITH PDX OF INFECTION WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD M25061 - Hemarthrosis, right knee | 71 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD M25061 - Hemarthrosis, right knee in DRG | 1.17 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD M25061 - Hemarthrosis, right knee | 7.25 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD M25061 - Hemarthrosis, right knee | 26.56 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD M25061 - Hemarthrosis, right knee | 23.44 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD M25061 - Hemarthrosis, right knee | $762,092 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD M25061 - Hemarthrosis, right knee | $1,480 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD M25061 - Hemarthrosis, right knee | $10,734 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD M25061 - Hemarthrosis, right knee | $4,122,047 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD M25061 - Hemarthrosis, right knee | $58,057 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD M25061 - Hemarthrosis, right knee | NA | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD M25061 - Hemarthrosis, right knee | 38.03 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD M25061 - Hemarthrosis, right knee | 21.13 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BRISTOL HOSPITAL | 41 BREWSTER RD | BRISTOL | CT | 06011 | 30 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 29 |
| YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 19 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID A. RUBINS | 25 NEWELL RD | BRISTOL | CT | 06010 | 26 |
| Dr. KENNY-BAO TRAN | 1215 RED RIVER ST | AUSTIN | TX | 78701 | 13 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID A. RUBINS | 25 NEWELL RD | BRISTOL | CT | 06010 | 27 |
| Dr. KENNY-BAO TRAN | 1215 RED RIVER ST | AUSTIN | TX | 78701 | 14 |