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M25551 - ICD 10 Diagnosis Code - Pain in right hip - Market Size, Prevalence, Incidence, Quality Outcomes, Top Hospitals & Physicians


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Key Statistics Related to M25551 - Pain in right hip

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

M25551 - Pain in right hip - as a primary diagnosis code M25551 - Pain in right hip - as a primary or secondary diagnosis code
OUTCOMES
Avg. LOS 6.33
Readmission Rate (%) 21.92
Unplanned Readmission Rate (%) 11.46
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

Top DRGs Associated With M25551 - Pain in right hip - as a primary diagnosis code

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Top 1 to 5 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 556: SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 555: SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 467: REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION OR COMORBIDITY (CC) DRG 468: REVISION OF HIP OR KNEE REPLACEMENT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 43,543
Total Hospitalizations with ICD M25551 - Pain in right hip 4,291
DRG Share of Total Hospitalizations 0.13
% of Total ICD M25551 - Pain in right hip in DRG 83.29
Avg LOS at DRG 4.54
Avg LOS with ICD M25551 - Pain in right hip 3.59
Readmission Rate at DRG 18.05
Readmission Rate with ICD M25551 - Pain in right hip 19.06
Unplanned Readmission Rate at DRG 10.73
Unplanned Readmission Rate with ICD M25551 - Pain in right hip 10.45
Total Medicare payments at DRG $293,427,765
Total Medicare payments with ICD M25551 - Pain in right hip $22,802,746
Total Medicare payment per Day at DRG $1,485
Total Medicare payment per Day with ICD M25551 - Pain in right hip $1,480
Total Medicare payment per Hospitalization at DRG $6,739
Total Medicare payment per Hospitalization with ICD M25551 - Pain in right hip $5,314
Total Medicare Charges at DRG $1,161,067,318
Total Medicare Charges with ICD M25551 - Pain in right hip $97,810,609
Avg Charges at DRG $26,665
Avg Charges with ICD M25551 - Pain in right hip $22,794
Mortality Rate at DRG 0.19
Mortality Rate with ICD M25551 - Pain in right hip NA
SNF Discharge Rate at DRG 27.91
SNF Discharge Rate with ICD M25551 - Pain in right hip 40.5
Home Discharge Rate at DRG 35.39
Home Discharge Rate with ICD M25551 - Pain in right hip 23.61

Top 5 to 10 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 478: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC)
Total Hospitalizations at DRG 21,107
Total Hospitalizations with ICD M25551 - Pain in right hip 13
DRG Share of Total Hospitalizations 0.06
% of Total ICD M25551 - Pain in right hip in DRG 0.25
Avg LOS at DRG 6.49
Avg LOS with ICD M25551 - Pain in right hip 5.54
Readmission Rate at DRG 26.91
Readmission Rate with ICD M25551 - Pain in right hip NA
Unplanned Readmission Rate at DRG 14.11
Unplanned Readmission Rate with ICD M25551 - Pain in right hip NA
Total Medicare payments at DRG $299,258,488
Total Medicare payments with ICD M25551 - Pain in right hip $177,267
Total Medicare payment per Day at DRG $2,183
Total Medicare payment per Day with ICD M25551 - Pain in right hip $2,462
Total Medicare payment per Hospitalization at DRG $14,178
Total Medicare payment per Hospitalization with ICD M25551 - Pain in right hip $13,636
Total Medicare Charges at DRG $1,625,982,661
Total Medicare Charges with ICD M25551 - Pain in right hip $664,147
Avg Charges at DRG $77,035
Avg Charges with ICD M25551 - Pain in right hip $51,088
Mortality Rate at DRG 0.28
Mortality Rate with ICD M25551 - Pain in right hip NA
SNF Discharge Rate at DRG 35.38
SNF Discharge Rate with ICD M25551 - Pain in right hip NA
Home Discharge Rate at DRG 25.84
Home Discharge Rate with ICD M25551 - Pain in right hip NA

Top Hospitals Associated With M25551 - Pain in right hip - as a primary diagnosis code

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Hospital Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
ADVENTHEALTH ORLANDO 601 E ROLLINS ST ORLANDO FL 32803 38
MONTEFIORE MEDICAL CENTER 111 E 210TH ST BRONX NY 10467 23
OROVILLE HOSPITAL 2767 OLIVE HWY OROVILLE CA 95966 21

Top Attending Physicians Associated With M25551 - Pain in right hip - as a primary diagnosis code

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Physician Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
Dr. JEFFREY C. PERKINS 700 E BROAD ST HAZLETON PA 18201 11

Top DRGs Associated With M25551 - Pain in right hip - as a primary or secondary diagnosis code

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Top 1 to 5 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 556: SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 885: PSYCHOSES DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 43,543
Total Hospitalizations with ICD M25551 - Pain in right hip 5,189
DRG Share of Total Hospitalizations 0.13
% of Total ICD M25551 - Pain in right hip in DRG 5.47
Avg LOS at DRG 4.54
Avg LOS with ICD M25551 - Pain in right hip 3.78
Readmission Rate at DRG 18.05
Readmission Rate with ICD M25551 - Pain in right hip 18.75
Unplanned Readmission Rate at DRG 10.73
Unplanned Readmission Rate with ICD M25551 - Pain in right hip 10.5
Total Medicare payments at DRG $293,427,765
Total Medicare payments with ICD M25551 - Pain in right hip $29,249,187
Total Medicare payment per Day at DRG $1,485
Total Medicare payment per Day with ICD M25551 - Pain in right hip $1,492
Total Medicare payment per Hospitalization at DRG $6,739
Total Medicare payment per Hospitalization with ICD M25551 - Pain in right hip $5,637
Total Medicare Charges at DRG $1,161,067,318
Total Medicare Charges with ICD M25551 - Pain in right hip $121,893,652
Avg Charges at DRG $26,665
Avg Charges with ICD M25551 - Pain in right hip $23,491
Mortality Rate at DRG 0.19
Mortality Rate with ICD M25551 - Pain in right hip NA
SNF Discharge Rate at DRG 27.91
SNF Discharge Rate with ICD M25551 - Pain in right hip 40.05
Home Discharge Rate at DRG 35.39
Home Discharge Rate with ICD M25551 - Pain in right hip 23.88

Top 5 to 10 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 474,314
Total Hospitalizations with ICD M25551 - Pain in right hip 2,620
DRG Share of Total Hospitalizations 1.44
% of Total ICD M25551 - Pain in right hip in DRG 2.76
Avg LOS at DRG 3.53
Avg LOS with ICD M25551 - Pain in right hip 3.97
Readmission Rate at DRG 18.03
Readmission Rate with ICD M25551 - Pain in right hip 17.59
Unplanned Readmission Rate at DRG 12.55
Unplanned Readmission Rate with ICD M25551 - Pain in right hip 11.16
Total Medicare payments at DRG $2,312,733,090
Total Medicare payments with ICD M25551 - Pain in right hip $13,701,998
Total Medicare payment per Day at DRG $1,380
Total Medicare payment per Day with ICD M25551 - Pain in right hip $1,318
Total Medicare payment per Hospitalization at DRG $4,876
Total Medicare payment per Hospitalization with ICD M25551 - Pain in right hip $5,230
Total Medicare Charges at DRG $11,559,952,314
Total Medicare Charges with ICD M25551 - Pain in right hip $66,425,337
Avg Charges at DRG $24,372
Avg Charges with ICD M25551 - Pain in right hip $25,353
Mortality Rate at DRG 0.22
Mortality Rate with ICD M25551 - Pain in right hip NA
SNF Discharge Rate at DRG 25.96
SNF Discharge Rate with ICD M25551 - Pain in right hip 44.43
Home Discharge Rate at DRG 43.58
Home Discharge Rate with ICD M25551 - Pain in right hip 24.16

Top 10 to 15 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 312: SYNCOPE AND COLLAPSE DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 160,950
Total Hospitalizations with ICD M25551 - Pain in right hip 1,593
DRG Share of Total Hospitalizations 0.49
% of Total ICD M25551 - Pain in right hip in DRG 1.68
Avg LOS at DRG 4.98
Avg LOS with ICD M25551 - Pain in right hip 5.69
Readmission Rate at DRG 20.85
Readmission Rate with ICD M25551 - Pain in right hip 18.57
Unplanned Readmission Rate at DRG 13.4
Unplanned Readmission Rate with ICD M25551 - Pain in right hip 10.2
Total Medicare payments at DRG $1,184,949,733
Total Medicare payments with ICD M25551 - Pain in right hip $12,796,005
Total Medicare payment per Day at DRG $1,477
Total Medicare payment per Day with ICD M25551 - Pain in right hip $1,412
Total Medicare payment per Hospitalization at DRG $7,362
Total Medicare payment per Hospitalization with ICD M25551 - Pain in right hip $8,033
Total Medicare Charges at DRG $4,222,078,897
Total Medicare Charges with ICD M25551 - Pain in right hip $41,604,207
Avg Charges at DRG $26,232
Avg Charges with ICD M25551 - Pain in right hip $26,117
Mortality Rate at DRG 0.67
Mortality Rate with ICD M25551 - Pain in right hip NA
SNF Discharge Rate at DRG 22.29
SNF Discharge Rate with ICD M25551 - Pain in right hip 34.02
Home Discharge Rate at DRG 35.46
Home Discharge Rate with ICD M25551 - Pain in right hip 22.79

Top 15 to 20 DRGs - Oct 2015 to Sep 2018

*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 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 95,335
Total Hospitalizations with ICD M25551 - Pain in right hip 1,142
DRG Share of Total Hospitalizations 0.29
% of Total ICD M25551 - Pain in right hip in DRG 1.2
Avg LOS at DRG 10.22
Avg LOS with ICD M25551 - Pain in right hip 10.94
Readmission Rate at DRG 9.28
Readmission Rate with ICD M25551 - Pain in right hip 8.96
Unplanned Readmission Rate at DRG 5.52
Unplanned Readmission Rate with ICD M25551 - Pain in right hip 5.0
Total Medicare payments at DRG $1,423,955,801
Total Medicare payments with ICD M25551 - Pain in right hip $17,597,714
Total Medicare payment per Day at DRG $1,462
Total Medicare payment per Day with ICD M25551 - Pain in right hip $1,409
Total Medicare payment per Hospitalization at DRG $14,936
Total Medicare payment per Hospitalization with ICD M25551 - Pain in right hip $15,410
Total Medicare Charges at DRG $2,977,958,847
Total Medicare Charges with ICD M25551 - Pain in right hip $36,631,403
Avg Charges at DRG $31,237
Avg Charges with ICD M25551 - Pain in right hip $32,077
Mortality Rate at DRG 0.08
Mortality Rate with ICD M25551 - Pain in right hip NA
SNF Discharge Rate at DRG 15.14
SNF Discharge Rate with ICD M25551 - Pain in right hip 18.21
Home Discharge Rate at DRG 25.42
Home Discharge Rate with ICD M25551 - Pain in right hip 21.54

Top Hospitals Associated With M25551 - Pain in right hip - as a primary or secondary diagnosis code

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Hospital Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
ENCOMPASS HEALTH REHABILITATION HOSPITAL OF TOMS RIVER 14 HOSPITAL DR TOMS RIVER NJ 08755 324
MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS 1216 2ND ST SW ROCHESTER MN 55902 278
CHRISTIANA CARE WILMINGTON HOSPITAL 501 W 14TH ST WILMINGTON DE 19801 278

Top Operating Physicians Associated With M25551 - Pain in right hip - as a primary or secondary diagnosis code

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Physician Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
Dr. DAVID MARK GORDON 28455 HAGGERTY RD NOVI MI 48377 86
Dr. MUHAMMAD MAHMOOD ALAM 1019 E WATER ST ELMIRA NY 14901 76
Dr. KENNY-BAO TRAN 1215 RED RIVER ST AUSTIN TX 78701 52

Top Attending Physicians Associated With M25551 - Pain in right hip - as a primary or secondary diagnosis code

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Physician Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
Dr. MUHAMMAD MAHMOOD ALAM 1019 E WATER ST ELMIRA NY 14901 89
Dr. PADMASHREE S. ADUSUMILLI 14 HOSPITAL DR TOMS RIVER NJ 08755 87
Dr. DAVID MARK GORDON 28455 HAGGERTY RD NOVI MI 48377 86

AI Identified Top 50 Most Common Comorbid Conditions Associated With M25551 - Pain in right hip   |  Back to Top


No ICD Diagnosis Code Description
1 R1031 Right lower quadrant pain
2 M79651 Pain in right thigh
3 S7001XA Contusion of right hip, initial encounter
4 M7061 Trochanteric bursitis, right hip
5 M1611 Unilateral primary osteoarthritis, right hip
6 M79604 Pain in right leg
7 R102 Pelvic and perineal pain
8 Z96641 Presence of right artificial hip joint
9 M160 Bilateral primary osteoarthritis of hip
10 G8911 Acute pain due to trauma
11 Z8781 Personal history of (healed) traumatic fracture
12 R54 Age-related physical debility
13 S0990XA Unspecified injury of head, initial encounter
14 M48061 Spinal stenosis, lumbar region without neurogenic claudication
15 I69351 Hemiplegia and hemiparesis following cerebral infarction affecting right dominant side
16 M545 Low back pain
17 G309 Alzheimer's disease, unspecified
18 F0280 Dementia in other diseases classified elsewhere without behavioral disturbance
19 Z515 Encounter for palliative care
20 R627 Adult failure to thrive
21 Z9181 History of falling
22 Z96643 Presence of artificial hip joint, bilateral
23 M25451 Effusion, right hip
24 M62838 Other muscle spasm
25 M5136 Other intervertebral disc degeneration, lumbar region
26 F0150 Vascular dementia without behavioral disturbance
27 M4806 Spinal stenosis, lumbar region
28 N3000 Acute cystitis without hematuria
29 R109 Unspecified abdominal pain
30 M47816 Spondylosis without myelopathy or radiculopathy, lumbar region
31 R262 Difficulty in walking, not elsewhere classified
32 K5903 Drug induced constipation
33 Z66 Do not resuscitate
34 R2681 Unsteadiness on feet
35 R296 Repeated falls
36 T402X5A Adverse effect of other opioids, initial encounter
37 F0390 Unspecified dementia without behavioral disturbance
38 B961 Klebsiella pneumoniae [K. pneumoniae] as the cause of diseases classified elsewhere
39 M5416 Radiculopathy, lumbar region
40 D539 Nutritional anemia, unspecified
41 R531 Weakness
42 E440 Moderate protein-calorie malnutrition
43 Z681 Body mass index (BMI) 19 or less, adult
44 R4182 Altered mental status, unspecified
45 R269 Unspecified abnormalities of gait and mobility
46 E43 Unspecified severe protein-calorie malnutrition
47 M549 Dorsalgia, unspecified
48 C7951 Secondary malignant neoplasm of bone
49 R51 Headache
50 Z602 Problems related to living alone