*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 |
*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 |
*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 |
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 |
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 |
*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 |
*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 |
*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 |
*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 |
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 |
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 |
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 |