*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M25452 - Effusion, left hip - as a primary diagnosis code | M25452 - Effusion, left hip - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.55 | |
| Readmission Rate (%) | 21.84 | |
| Unplanned Readmission Rate (%) | 11.11 | |
| 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 565: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 566: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 564: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 23,663 | ||
| Total Hospitalizations with ICD M25452 - Effusion, left hip | 99 | ||
| DRG Share of Total Hospitalizations | 0.07 | ||
| % of Total ICD M25452 - Effusion, left hip in DRG | 44.2 | ||
| Avg LOS at DRG | 4.81 | ||
| Avg LOS with ICD M25452 - Effusion, left hip | 4.24 | ||
| Readmission Rate at DRG | 21.07 | ||
| Readmission Rate with ICD M25452 - Effusion, left hip | 21.98 | ||
| Unplanned Readmission Rate at DRG | 11.02 | ||
| Unplanned Readmission Rate with ICD M25452 - Effusion, left hip | NA | ||
| Total Medicare payments at DRG | $163,590,689 | ||
| Total Medicare payments with ICD M25452 - Effusion, left hip | $646,609 | ||
| Total Medicare payment per Day at DRG | $1,438 | ||
| Total Medicare payment per Day with ICD M25452 - Effusion, left hip | $1,540 | ||
| Total Medicare payment per Hospitalization at DRG | $6,913 | ||
| Total Medicare payment per Hospitalization with ICD M25452 - Effusion, left hip | $6,531 | ||
| Total Medicare Charges at DRG | $779,108,044 | ||
| Total Medicare Charges with ICD M25452 - Effusion, left hip | $3,114,038 | ||
| Avg Charges at DRG | $32,925 | ||
| Avg Charges with ICD M25452 - Effusion, left hip | $31,455 | ||
| Mortality Rate at DRG | 0.29 | ||
| Mortality Rate with ICD M25452 - Effusion, left hip | NA | ||
| SNF Discharge Rate at DRG | 39.56 | ||
| SNF Discharge Rate with ICD M25452 - Effusion, left hip | 23.23 | ||
| Home Discharge Rate at DRG | 25.13 | ||
| Home Discharge Rate with ICD M25452 - Effusion, left hip | 41.41 |
*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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 554: BONE DISEASES AND ARTHROPATHIES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 565: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 566: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD M25452 - Effusion, left hip | 287 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD M25452 - Effusion, left hip in DRG | 12.25 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD M25452 - Effusion, left hip | 2.68 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD M25452 - Effusion, left hip | 10.51 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD M25452 - Effusion, left hip | 4.35 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD M25452 - Effusion, left hip | $3,308,437 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD M25452 - Effusion, left hip | $4,297 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD M25452 - Effusion, left hip | $11,528 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD M25452 - Effusion, left hip | $17,231,370 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD M25452 - Effusion, left hip | $60,040 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD M25452 - Effusion, left hip | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD M25452 - Effusion, left hip | 24.74 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD M25452 - Effusion, left hip | 32.75 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 468: REVISION OF HIP OR KNEE REPLACEMENT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 536: FRACTURES OF HIP AND PELVIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 188,863 | ||||
| Total Hospitalizations with ICD M25452 - Effusion, left hip | 67 | ||||
| DRG Share of Total Hospitalizations | 0.57 | ||||
| % of Total ICD M25452 - Effusion, left hip in DRG | 2.86 | ||||
| Avg LOS at DRG | 11.75 | ||||
| Avg LOS with ICD M25452 - Effusion, left hip | 11.88 | ||||
| Readmission Rate at DRG | 12.14 | ||||
| Readmission Rate with ICD M25452 - Effusion, left hip | NA | ||||
| Unplanned Readmission Rate at DRG | 7.97 | ||||
| Unplanned Readmission Rate with ICD M25452 - Effusion, left hip | NA | ||||
| Total Medicare payments at DRG | $3,216,901,374 | ||||
| Total Medicare payments with ICD M25452 - Effusion, left hip | $1,090,108 | ||||
| Total Medicare payment per Day at DRG | $1,450 | ||||
| Total Medicare payment per Day with ICD M25452 - Effusion, left hip | $1,369 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,033 | ||||
| Total Medicare payment per Hospitalization with ICD M25452 - Effusion, left hip | $16,270 | ||||
| Total Medicare Charges at DRG | $7,709,712,645 | ||||
| Total Medicare Charges with ICD M25452 - Effusion, left hip | $3,673,136 | ||||
| Avg Charges at DRG | $40,822 | ||||
| Avg Charges with ICD M25452 - Effusion, left hip | $54,823 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD M25452 - Effusion, left hip | NA | ||||
| SNF Discharge Rate at DRG | 19.54 | ||||
| SNF Discharge Rate with ICD M25452 - Effusion, left hip | 23.88 | ||||
| Home Discharge Rate at DRG | 19.47 | ||||
| Home Discharge Rate with ICD M25452 - Effusion, left hip | 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 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 556: SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 564: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 195,476 | ||||
| Total Hospitalizations with ICD M25452 - Effusion, left hip | 45 | ||||
| DRG Share of Total Hospitalizations | 0.59 | ||||
| % of Total ICD M25452 - Effusion, left hip in DRG | 1.92 | ||||
| Avg LOS at DRG | 4.48 | ||||
| Avg LOS with ICD M25452 - Effusion, left hip | 4.71 | ||||
| Readmission Rate at DRG | 20.57 | ||||
| Readmission Rate with ICD M25452 - Effusion, left hip | NA | ||||
| Unplanned Readmission Rate at DRG | 9.88 | ||||
| Unplanned Readmission Rate with ICD M25452 - Effusion, left hip | NA | ||||
| Total Medicare payments at DRG | $1,320,662,237 | ||||
| Total Medicare payments with ICD M25452 - Effusion, left hip | $312,317 | ||||
| Total Medicare payment per Day at DRG | $1,508 | ||||
| Total Medicare payment per Day with ICD M25452 - Effusion, left hip | $1,473 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,756 | ||||
| Total Medicare payment per Hospitalization with ICD M25452 - Effusion, left hip | $6,940 | ||||
| Total Medicare Charges at DRG | $6,024,639,461 | ||||
| Total Medicare Charges with ICD M25452 - Effusion, left hip | $1,711,055 | ||||
| Avg Charges at DRG | $30,820 | ||||
| Avg Charges with ICD M25452 - Effusion, left hip | $38,023 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD M25452 - Effusion, left hip | NA | ||||
| SNF Discharge Rate at DRG | 33.36 | ||||
| SNF Discharge Rate with ICD M25452 - Effusion, left hip | 35.56 | ||||
| Home Discharge Rate at DRG | 30.98 | ||||
| Home Discharge Rate with ICD M25452 - Effusion, left hip | 31.11 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 558: TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 553: BONE DISEASES AND ARTHROPATHIES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 559: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 95,335 | ||||
| Total Hospitalizations with ICD M25452 - Effusion, left hip | 34 | ||||
| DRG Share of Total Hospitalizations | 0.29 | ||||
| % of Total ICD M25452 - Effusion, left hip in DRG | 1.45 | ||||
| Avg LOS at DRG | 10.22 | ||||
| Avg LOS with ICD M25452 - Effusion, left hip | 8.38 | ||||
| Readmission Rate at DRG | 9.28 | ||||
| Readmission Rate with ICD M25452 - Effusion, left hip | NA | ||||
| Unplanned Readmission Rate at DRG | 5.52 | ||||
| Unplanned Readmission Rate with ICD M25452 - Effusion, left hip | NA | ||||
| Total Medicare payments at DRG | $1,423,955,801 | ||||
| Total Medicare payments with ICD M25452 - Effusion, left hip | $418,232 | ||||
| Total Medicare payment per Day at DRG | $1,462 | ||||
| Total Medicare payment per Day with ICD M25452 - Effusion, left hip | $1,467 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,936 | ||||
| Total Medicare payment per Hospitalization with ICD M25452 - Effusion, left hip | $12,301 | ||||
| Total Medicare Charges at DRG | $2,977,958,847 | ||||
| Total Medicare Charges with ICD M25452 - Effusion, left hip | $1,167,347 | ||||
| Avg Charges at DRG | $31,237 | ||||
| Avg Charges with ICD M25452 - Effusion, left hip | $34,334 | ||||
| Mortality Rate at DRG | 0.08 | ||||
| Mortality Rate with ICD M25452 - Effusion, left hip | NA | ||||
| SNF Discharge Rate at DRG | 15.14 | ||||
| SNF Discharge Rate with ICD M25452 - Effusion, left hip | NA | ||||
| Home Discharge Rate at DRG | 25.42 | ||||
| Home Discharge Rate with ICD M25452 - Effusion, left hip | NA |
| 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 | 21 |
| MAYO CLINIC HEALTH SYSTEM IN EAU CLAIRE | 1221 WHIPPLE ST | EAU CLAIRE | WI | 54703 | 16 |
| CONTINUUM REHABILITATION HOSPITAL | 3100 PETERS COLONY | FLOWER MOUND | TX | 75022 | 16 |
| 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 | 20 |
| Dr. RUSTY CHRISTOPHER BRAND | 1400 BELLINGER STREET | EAU CLAIRE | WI | 54702 | 16 |
| Dr. JAMES S MARTIN | 1700 OLD GATESBURG RD | STATE COLLEGE | PA | 16803 | 12 |
| 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 | 20 |
| Dr. GIREESH SHARDA | 10300 N CENTRAL EXPY | DALLAS | TX | 75231 | 16 |
| Dr. RUSTY CHRISTOPHER BRAND | 1400 BELLINGER STREET | EAU CLAIRE | WI | 54702 | 15 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | M25552 | Pain in left hip |
| 2 | E039 | Hypothyroidism, unspecified |
| 3 | Z87891 | Personal history of nicotine dependence |