*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
M25552 - Pain in left hip - as a primary diagnosis code | M25552 - Pain in left hip - as a primary or secondary diagnosis code | |
---|---|---|
OUTCOMES | ||
Avg. LOS | 6.37 | |
Readmission Rate (%) | 21.93 | |
Unplanned Readmission Rate (%) | 11.15 | |
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 468: REVISION OF HIP OR KNEE REPLACEMENT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 467: REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 43,543 | ||||
Total Hospitalizations with ICD M25552 - Pain in left hip | 3,896 | ||||
DRG Share of Total Hospitalizations | 0.13 | ||||
% of Total ICD M25552 - Pain in left hip in DRG | 83.19 | ||||
Avg LOS at DRG | 4.54 | ||||
Avg LOS with ICD M25552 - Pain in left hip | 3.65 | ||||
Readmission Rate at DRG | 18.05 | ||||
Readmission Rate with ICD M25552 - Pain in left hip | 19.14 | ||||
Unplanned Readmission Rate at DRG | 10.73 | ||||
Unplanned Readmission Rate with ICD M25552 - Pain in left hip | 10.72 | ||||
Total Medicare payments at DRG | $293,427,765 | ||||
Total Medicare payments with ICD M25552 - Pain in left hip | $21,233,994 | ||||
Total Medicare payment per Day at DRG | $1,485 | ||||
Total Medicare payment per Day with ICD M25552 - Pain in left hip | $1,494 | ||||
Total Medicare payment per Hospitalization at DRG | $6,739 | ||||
Total Medicare payment per Hospitalization with ICD M25552 - Pain in left hip | $5,450 | ||||
Total Medicare Charges at DRG | $1,161,067,318 | ||||
Total Medicare Charges with ICD M25552 - Pain in left hip | $89,704,808 | ||||
Avg Charges at DRG | $26,665 | ||||
Avg Charges with ICD M25552 - Pain in left hip | $23,025 | ||||
Mortality Rate at DRG | 0.19 | ||||
Mortality Rate with ICD M25552 - Pain in left hip | NA | ||||
SNF Discharge Rate at DRG | 27.91 | ||||
SNF Discharge Rate with ICD M25552 - Pain in left hip | 40.79 | ||||
Home Discharge Rate at DRG | 35.39 | ||||
Home Discharge Rate with ICD M25552 - Pain in left hip | 23.87 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 30 |
BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 23 |
MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 23 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. ADNAN M DAHDUL | 14 CHESTNUT PL | LUDLOW | MA | 01056 | 12 |
*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 M25552 - Pain in left hip | 4,693 | ||||
DRG Share of Total Hospitalizations | 0.13 | ||||
% of Total ICD M25552 - Pain in left hip in DRG | 5.52 | ||||
Avg LOS at DRG | 4.54 | ||||
Avg LOS with ICD M25552 - Pain in left hip | 3.8 | ||||
Readmission Rate at DRG | 18.05 | ||||
Readmission Rate with ICD M25552 - Pain in left hip | 18.99 | ||||
Unplanned Readmission Rate at DRG | 10.73 | ||||
Unplanned Readmission Rate with ICD M25552 - Pain in left hip | 10.78 | ||||
Total Medicare payments at DRG | $293,427,765 | ||||
Total Medicare payments with ICD M25552 - Pain in left hip | $26,772,238 | ||||
Total Medicare payment per Day at DRG | $1,485 | ||||
Total Medicare payment per Day with ICD M25552 - Pain in left hip | $1,500 | ||||
Total Medicare payment per Hospitalization at DRG | $6,739 | ||||
Total Medicare payment per Hospitalization with ICD M25552 - Pain in left hip | $5,705 | ||||
Total Medicare Charges at DRG | $1,161,067,318 | ||||
Total Medicare Charges with ICD M25552 - Pain in left hip | $109,044,402 | ||||
Avg Charges at DRG | $26,665 | ||||
Avg Charges with ICD M25552 - Pain in left hip | $23,236 | ||||
Mortality Rate at DRG | 0.19 | ||||
Mortality Rate with ICD M25552 - Pain in left hip | NA | ||||
SNF Discharge Rate at DRG | 27.91 | ||||
SNF Discharge Rate with ICD M25552 - Pain in left hip | 40.74 | ||||
Home Discharge Rate at DRG | 35.39 | ||||
Home Discharge Rate with ICD M25552 - Pain in left hip | 24.08 |
*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 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 188,863 | ||||
Total Hospitalizations with ICD M25552 - Pain in left hip | 2,257 | ||||
DRG Share of Total Hospitalizations | 0.57 | ||||
% of Total ICD M25552 - Pain in left hip in DRG | 2.65 | ||||
Avg LOS at DRG | 11.75 | ||||
Avg LOS with ICD M25552 - Pain in left hip | 12.31 | ||||
Readmission Rate at DRG | 12.14 | ||||
Readmission Rate with ICD M25552 - Pain in left hip | 11.24 | ||||
Unplanned Readmission Rate at DRG | 7.97 | ||||
Unplanned Readmission Rate with ICD M25552 - Pain in left hip | 7.43 | ||||
Total Medicare payments at DRG | $3,216,901,374 | ||||
Total Medicare payments with ICD M25552 - Pain in left hip | $39,708,722 | ||||
Total Medicare payment per Day at DRG | $1,450 | ||||
Total Medicare payment per Day with ICD M25552 - Pain in left hip | $1,430 | ||||
Total Medicare payment per Hospitalization at DRG | $17,033 | ||||
Total Medicare payment per Hospitalization with ICD M25552 - Pain in left hip | $17,594 | ||||
Total Medicare Charges at DRG | $7,709,712,645 | ||||
Total Medicare Charges with ICD M25552 - Pain in left hip | $95,378,973 | ||||
Avg Charges at DRG | $40,822 | ||||
Avg Charges with ICD M25552 - Pain in left hip | $42,259 | ||||
Mortality Rate at DRG | 0.11 | ||||
Mortality Rate with ICD M25552 - Pain in left hip | NA | ||||
SNF Discharge Rate at DRG | 19.54 | ||||
SNF Discharge Rate with ICD M25552 - Pain in left hip | 22.6 | ||||
Home Discharge Rate at DRG | 19.47 | ||||
Home Discharge Rate with ICD M25552 - Pain in left hip | 17.59 |
*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 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 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 1,013,774 | ||||
Total Hospitalizations with ICD M25552 - Pain in left hip | 1,375 | ||||
DRG Share of Total Hospitalizations | 3.08 | ||||
% of Total ICD M25552 - Pain in left hip in DRG | 1.62 | ||||
Avg LOS at DRG | 5.34 | ||||
Avg LOS with ICD M25552 - Pain in left hip | 5.81 | ||||
Readmission Rate at DRG | 28.25 | ||||
Readmission Rate with ICD M25552 - Pain in left hip | 27.84 | ||||
Unplanned Readmission Rate at DRG | 21.93 | ||||
Unplanned Readmission Rate with ICD M25552 - Pain in left hip | 20.24 | ||||
Total Medicare payments at DRG | $9,469,067,156 | ||||
Total Medicare payments with ICD M25552 - Pain in left hip | $13,332,390 | ||||
Total Medicare payment per Day at DRG | $1,751 | ||||
Total Medicare payment per Day with ICD M25552 - Pain in left hip | $1,669 | ||||
Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
Total Medicare payment per Hospitalization with ICD M25552 - Pain in left hip | $9,696 | ||||
Total Medicare Charges at DRG | $43,343,716,813 | ||||
Total Medicare Charges with ICD M25552 - Pain in left hip | $57,584,621 | ||||
Avg Charges at DRG | $42,755 | ||||
Avg Charges with ICD M25552 - Pain in left hip | $41,880 | ||||
Mortality Rate at DRG | 3.72 | ||||
Mortality Rate with ICD M25552 - Pain in left hip | 3.27 | ||||
SNF Discharge Rate at DRG | 20.84 | ||||
SNF Discharge Rate with ICD M25552 - Pain in left hip | 33.45 | ||||
Home Discharge Rate at DRG | 37.68 | ||||
Home Discharge Rate with ICD M25552 - Pain in left hip | 24.58 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH 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 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 270,209 | ||||
Total Hospitalizations with ICD M25552 - Pain in left hip | 1,109 | ||||
DRG Share of Total Hospitalizations | 0.82 | ||||
% of Total ICD M25552 - Pain in left hip in DRG | 1.3 | ||||
Avg LOS at DRG | 4.84 | ||||
Avg LOS with ICD M25552 - Pain in left hip | 4.8 | ||||
Readmission Rate at DRG | 22.35 | ||||
Readmission Rate with ICD M25552 - Pain in left hip | 18.42 | ||||
Unplanned Readmission Rate at DRG | 16.33 | ||||
Unplanned Readmission Rate with ICD M25552 - Pain in left hip | 12.88 | ||||
Total Medicare payments at DRG | $1,824,333,389 | ||||
Total Medicare payments with ICD M25552 - Pain in left hip | $7,407,526 | ||||
Total Medicare payment per Day at DRG | $1,395 | ||||
Total Medicare payment per Day with ICD M25552 - Pain in left hip | $1,393 | ||||
Total Medicare payment per Hospitalization at DRG | $6,752 | ||||
Total Medicare payment per Hospitalization with ICD M25552 - Pain in left hip | $6,679 | ||||
Total Medicare Charges at DRG | $9,128,673,695 | ||||
Total Medicare Charges with ICD M25552 - Pain in left hip | $35,189,759 | ||||
Avg Charges at DRG | $33,784 | ||||
Avg Charges with ICD M25552 - Pain in left hip | $31,731 | ||||
Mortality Rate at DRG | 1.32 | ||||
Mortality Rate with ICD M25552 - Pain in left hip | 0.99 | ||||
SNF Discharge Rate at DRG | 39.0 | ||||
SNF Discharge Rate with ICD M25552 - Pain in left hip | 51.4 | ||||
Home Discharge Rate at DRG | 24.73 | ||||
Home Discharge Rate with ICD M25552 - Pain in left hip | 15.96 |
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 | 319 |
MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 241 |
UVA - HEALTHSOUTH REHABILITATION HOSPITAL | 515 RAY C HUNT DR | CHARLOTTESVILLE | VA | 22903 | 221 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. DAVID MARK GORDON | 28455 HAGGERTY RD | NOVI | MI | 48377 | 85 |
Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 74 |
Dr. REGAN BENNETT HANSEN | 320 WARNER DR | LEWISTON | ID | 83501 | 46 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. ALAN P. ALFANO | LEE ST | CHARLOTTESVILLE | VA | 22908 | 103 |
Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 90 |
Dr. DAVID MARK GORDON | 28455 HAGGERTY RD | NOVI | MI | 48377 | 85 |