*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M25062 - Hemarthrosis, left knee - as a primary diagnosis code | M25062 - Hemarthrosis, left knee - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.84 | |
| Readmission Rate (%) | 22.09 | |
| Unplanned Readmission Rate (%) | 9.26 | |
| 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 464: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 51,757 | ||||
| Total Hospitalizations with ICD M25062 - Hemarthrosis, left knee | 1,032 | ||||
| DRG Share of Total Hospitalizations | 0.16 | ||||
| % of Total ICD M25062 - Hemarthrosis, left knee in DRG | 73.71 | ||||
| Avg LOS at DRG | 4.41 | ||||
| Avg LOS with ICD M25062 - Hemarthrosis, left knee | 3.67 | ||||
| Readmission Rate at DRG | 17.16 | ||||
| Readmission Rate with ICD M25062 - Hemarthrosis, left knee | 16.25 | ||||
| Unplanned Readmission Rate at DRG | 9.0 | ||||
| Unplanned Readmission Rate with ICD M25062 - Hemarthrosis, left knee | 7.82 | ||||
| Total Medicare payments at DRG | $332,400,259 | ||||
| Total Medicare payments with ICD M25062 - Hemarthrosis, left knee | $5,214,373 | ||||
| Total Medicare payment per Day at DRG | $1,455 | ||||
| Total Medicare payment per Day with ICD M25062 - Hemarthrosis, left knee | $1,375 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,422 | ||||
| Total Medicare payment per Hospitalization with ICD M25062 - Hemarthrosis, left knee | $5,053 | ||||
| Total Medicare Charges at DRG | $1,234,809,519 | ||||
| Total Medicare Charges with ICD M25062 - Hemarthrosis, left knee | $23,880,130 | ||||
| Avg Charges at DRG | $23,858 | ||||
| Avg Charges with ICD M25062 - Hemarthrosis, left knee | $23,140 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD M25062 - Hemarthrosis, left knee | NA | ||||
| SNF Discharge Rate at DRG | 25.37 | ||||
| SNF Discharge Rate with ICD M25062 - Hemarthrosis, left knee | 38.28 | ||||
| Home Discharge Rate at DRG | 42.31 | ||||
| Home Discharge Rate with ICD M25062 - Hemarthrosis, left 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 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 488: KNEE PROCEDURES WITHOUT PDX OF INFECTION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 553: BONE DISEASES AND ARTHROPATHIES WITH 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 M25062 - Hemarthrosis, left knee | 1,141 | ||||
| DRG Share of Total Hospitalizations | 0.16 | ||||
| % of Total ICD M25062 - Hemarthrosis, left knee in DRG | 19.72 | ||||
| Avg LOS at DRG | 4.41 | ||||
| Avg LOS with ICD M25062 - Hemarthrosis, left knee | 3.77 | ||||
| Readmission Rate at DRG | 17.16 | ||||
| Readmission Rate with ICD M25062 - Hemarthrosis, left knee | 16.71 | ||||
| Unplanned Readmission Rate at DRG | 9.0 | ||||
| Unplanned Readmission Rate with ICD M25062 - Hemarthrosis, left knee | 8.63 | ||||
| Total Medicare payments at DRG | $332,400,259 | ||||
| Total Medicare payments with ICD M25062 - Hemarthrosis, left knee | $5,866,553 | ||||
| Total Medicare payment per Day at DRG | $1,455 | ||||
| Total Medicare payment per Day with ICD M25062 - Hemarthrosis, left knee | $1,363 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,422 | ||||
| Total Medicare payment per Hospitalization with ICD M25062 - Hemarthrosis, left knee | $5,142 | ||||
| Total Medicare Charges at DRG | $1,234,809,519 | ||||
| Total Medicare Charges with ICD M25062 - Hemarthrosis, left knee | $26,702,714 | ||||
| Avg Charges at DRG | $23,858 | ||||
| Avg Charges with ICD M25062 - Hemarthrosis, left knee | $23,403 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD M25062 - Hemarthrosis, left knee | NA | ||||
| SNF Discharge Rate at DRG | 25.37 | ||||
| SNF Discharge Rate with ICD M25062 - Hemarthrosis, left knee | 38.04 | ||||
| Home Discharge Rate at DRG | 42.31 | ||||
| Home Discharge Rate with ICD M25062 - Hemarthrosis, left knee | 27.78 |
*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 467: REVISION OF HIP OR KNEE REPLACEMENT 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 44,384 | ||||
| Total Hospitalizations with ICD M25062 - Hemarthrosis, left knee | 145 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD M25062 - Hemarthrosis, left knee in DRG | 2.51 | ||||
| Avg LOS at DRG | 4.8 | ||||
| Avg LOS with ICD M25062 - Hemarthrosis, left knee | 5.62 | ||||
| Readmission Rate at DRG | 25.23 | ||||
| Readmission Rate with ICD M25062 - Hemarthrosis, left knee | 21.17 | ||||
| Unplanned Readmission Rate at DRG | 17.62 | ||||
| Unplanned Readmission Rate with ICD M25062 - Hemarthrosis, left knee | 15.33 | ||||
| Total Medicare payments at DRG | $631,066,601 | ||||
| Total Medicare payments with ICD M25062 - Hemarthrosis, left knee | $9,811,855 | ||||
| Total Medicare payment per Day at DRG | $2,963 | ||||
| Total Medicare payment per Day with ICD M25062 - Hemarthrosis, left knee | $12,039 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,218 | ||||
| Total Medicare payment per Hospitalization with ICD M25062 - Hemarthrosis, left knee | $67,668 | ||||
| Total Medicare Charges at DRG | $2,703,173,885 | ||||
| Total Medicare Charges with ICD M25062 - Hemarthrosis, left knee | $57,761,645 | ||||
| Avg Charges at DRG | $60,904 | ||||
| Avg Charges with ICD M25062 - Hemarthrosis, left knee | $398,356 | ||||
| Mortality Rate at DRG | 2.97 | ||||
| Mortality Rate with ICD M25062 - Hemarthrosis, left knee | NA | ||||
| SNF Discharge Rate at DRG | 17.37 | ||||
| SNF Discharge Rate with ICD M25062 - Hemarthrosis, left knee | 32.41 | ||||
| Home Discharge Rate at DRG | 52.04 | ||||
| Home Discharge Rate with ICD M25062 - Hemarthrosis, left knee | 40.69 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 565: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 493: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH COMPLICATION OR COMORBIDITY (CC) | DRG 464: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 534: FRACTURES OF FEMUR WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 23,663 | ||||
| Total Hospitalizations with ICD M25062 - Hemarthrosis, left knee | 114 | ||||
| DRG Share of Total Hospitalizations | 0.07 | ||||
| % of Total ICD M25062 - Hemarthrosis, left knee in DRG | 1.97 | ||||
| Avg LOS at DRG | 4.81 | ||||
| Avg LOS with ICD M25062 - Hemarthrosis, left knee | 3.85 | ||||
| Readmission Rate at DRG | 21.07 | ||||
| Readmission Rate with ICD M25062 - Hemarthrosis, left knee | 17.43 | ||||
| Unplanned Readmission Rate at DRG | 11.02 | ||||
| Unplanned Readmission Rate with ICD M25062 - Hemarthrosis, left knee | 11.93 | ||||
| Total Medicare payments at DRG | $163,590,689 | ||||
| Total Medicare payments with ICD M25062 - Hemarthrosis, left knee | $656,625 | ||||
| Total Medicare payment per Day at DRG | $1,438 | ||||
| Total Medicare payment per Day with ICD M25062 - Hemarthrosis, left knee | $1,496 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,913 | ||||
| Total Medicare payment per Hospitalization with ICD M25062 - Hemarthrosis, left knee | $5,760 | ||||
| Total Medicare Charges at DRG | $779,108,044 | ||||
| Total Medicare Charges with ICD M25062 - Hemarthrosis, left knee | $2,994,230 | ||||
| Avg Charges at DRG | $32,925 | ||||
| Avg Charges with ICD M25062 - Hemarthrosis, left knee | $26,265 | ||||
| Mortality Rate at DRG | 0.29 | ||||
| Mortality Rate with ICD M25062 - Hemarthrosis, left knee | NA | ||||
| SNF Discharge Rate at DRG | 39.56 | ||||
| SNF Discharge Rate with ICD M25062 - Hemarthrosis, left knee | 41.23 | ||||
| Home Discharge Rate at DRG | 25.13 | ||||
| Home Discharge Rate with ICD M25062 - Hemarthrosis, left knee | 23.68 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 486: KNEE PROCEDURES WITH PDX OF INFECTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 501: SOFT TISSUE PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 605: TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 6,236 | ||||
| Total Hospitalizations with ICD M25062 - Hemarthrosis, left knee | 70 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD M25062 - Hemarthrosis, left knee in DRG | 1.21 | ||||
| Avg LOS at DRG | 6.15 | ||||
| Avg LOS with ICD M25062 - Hemarthrosis, left knee | 6.43 | ||||
| Readmission Rate at DRG | 24.75 | ||||
| Readmission Rate with ICD M25062 - Hemarthrosis, left knee | 28.79 | ||||
| Unplanned Readmission Rate at DRG | 10.78 | ||||
| Unplanned Readmission Rate with ICD M25062 - Hemarthrosis, left knee | NA | ||||
| Total Medicare payments at DRG | $85,558,385 | ||||
| Total Medicare payments with ICD M25062 - Hemarthrosis, left knee | $912,429 | ||||
| Total Medicare payment per Day at DRG | $2,231 | ||||
| Total Medicare payment per Day with ICD M25062 - Hemarthrosis, left knee | $2,028 | ||||
| Total Medicare payment per Hospitalization at DRG | $13,720 | ||||
| Total Medicare payment per Hospitalization with ICD M25062 - Hemarthrosis, left knee | $13,035 | ||||
| Total Medicare Charges at DRG | $449,651,673 | ||||
| Total Medicare Charges with ICD M25062 - Hemarthrosis, left knee | $4,941,967 | ||||
| Avg Charges at DRG | $72,106 | ||||
| Avg Charges with ICD M25062 - Hemarthrosis, left knee | $70,600 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD M25062 - Hemarthrosis, left knee | NA | ||||
| SNF Discharge Rate at DRG | 37.6 | ||||
| SNF Discharge Rate with ICD M25062 - Hemarthrosis, left knee | 40.0 | ||||
| Home Discharge Rate at DRG | 16.71 | ||||
| Home Discharge Rate with ICD M25062 - Hemarthrosis, left knee | 15.71 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ST. DAVID'S GEORGETOWN HOSPITAL | 2000 SCENIC DRIVE | GEORGETOWN | TX | 78626 | 22 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 20 |
| HOSPITAL FOR SPECIAL SURGERY | 535 E 70TH ST | NEW YORK | NY | 10021 | 20 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. KENNY-BAO TRAN | 1215 RED RIVER ST | AUSTIN | TX | 78701 | 21 |
| Dr. DAVID A. RUBINS | 25 NEWELL RD | BRISTOL | CT | 06010 | 18 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. KENNY-BAO TRAN | 1215 RED RIVER ST | AUSTIN | TX | 78701 | 21 |
| Dr. DAVID A. RUBINS | 25 NEWELL RD | BRISTOL | CT | 06010 | 19 |