*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M25569 - Pain in unspecified knee - as a primary diagnosis code | M25569 - Pain in unspecified knee - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.84 | |
| Readmission Rate (%) | 21.67 | |
| Unplanned Readmission Rate (%) | NA | |
| 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) | |
|---|---|
| Total Hospitalizations at DRG | 43,543 |
| Total Hospitalizations with ICD M25569 - Pain in unspecified knee | 33 |
| DRG Share of Total Hospitalizations | 0.13 |
| % of Total ICD M25569 - Pain in unspecified knee in DRG | 84.62 |
| Avg LOS at DRG | 4.54 |
| Avg LOS with ICD M25569 - Pain in unspecified knee | 3.97 |
| Readmission Rate at DRG | 18.05 |
| Readmission Rate with ICD M25569 - Pain in unspecified knee | NA |
| Unplanned Readmission Rate at DRG | 10.73 |
| Unplanned Readmission Rate with ICD M25569 - Pain in unspecified knee | NA |
| Total Medicare payments at DRG | $293,427,765 |
| Total Medicare payments with ICD M25569 - Pain in unspecified knee | $148,999 |
| Total Medicare payment per Day at DRG | $1,485 |
| Total Medicare payment per Day with ICD M25569 - Pain in unspecified knee | $1,137 |
| Total Medicare payment per Hospitalization at DRG | $6,739 |
| Total Medicare payment per Hospitalization with ICD M25569 - Pain in unspecified knee | $4,515 |
| Total Medicare Charges at DRG | $1,161,067,318 |
| Total Medicare Charges with ICD M25569 - Pain in unspecified knee | $641,143 |
| Avg Charges at DRG | $26,665 |
| Avg Charges with ICD M25569 - Pain in unspecified knee | $19,429 |
| Mortality Rate at DRG | 0.19 |
| Mortality Rate with ICD M25569 - Pain in unspecified knee | NA |
| SNF Discharge Rate at DRG | 27.91 |
| SNF Discharge Rate with ICD M25569 - Pain in unspecified knee | 36.36 |
| Home Discharge Rate at DRG | 35.39 |
| Home Discharge Rate with ICD M25569 - Pain in unspecified knee | 39.39 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 885: PSYCHOSES | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 895: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD M25569 - Pain in unspecified knee | 3,419 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD M25569 - Pain in unspecified knee in DRG | 15.49 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD M25569 - Pain in unspecified knee | 11.65 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD M25569 - Pain in unspecified knee | 26.55 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD M25569 - Pain in unspecified knee | 11.39 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD M25569 - Pain in unspecified knee | $27,541,503 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD M25569 - Pain in unspecified knee | $691 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD M25569 - Pain in unspecified knee | $8,055 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD M25569 - Pain in unspecified knee | $90,299,725 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD M25569 - Pain in unspecified knee | $26,411 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD M25569 - Pain in unspecified knee | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD M25569 - Pain in unspecified knee | 3.16 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD M25569 - Pain in unspecified knee | 85.55 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 359,935 | ||||
| Total Hospitalizations with ICD M25569 - Pain in unspecified knee | 465 | ||||
| DRG Share of Total Hospitalizations | 1.1 | ||||
| % of Total ICD M25569 - Pain in unspecified knee in DRG | 2.11 | ||||
| Avg LOS at DRG | 12.3 | ||||
| Avg LOS with ICD M25569 - Pain in unspecified knee | 14.74 | ||||
| Readmission Rate at DRG | 16.01 | ||||
| Readmission Rate with ICD M25569 - Pain in unspecified knee | 15.26 | ||||
| Unplanned Readmission Rate at DRG | 9.86 | ||||
| Unplanned Readmission Rate with ICD M25569 - Pain in unspecified knee | 11.74 | ||||
| Total Medicare payments at DRG | $5,883,826,653 | ||||
| Total Medicare payments with ICD M25569 - Pain in unspecified knee | $8,445,530 | ||||
| Total Medicare payment per Day at DRG | $1,329 | ||||
| Total Medicare payment per Day with ICD M25569 - Pain in unspecified knee | $1,233 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
| Total Medicare payment per Hospitalization with ICD M25569 - Pain in unspecified knee | $18,162 | ||||
| Total Medicare Charges at DRG | $15,374,824,749 | ||||
| Total Medicare Charges with ICD M25569 - Pain in unspecified knee | $21,440,510 | ||||
| Avg Charges at DRG | $42,716 | ||||
| Avg Charges with ICD M25569 - Pain in unspecified knee | $46,109 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD M25569 - Pain in unspecified knee | NA | ||||
| SNF Discharge Rate at DRG | 27.95 | ||||
| SNF Discharge Rate with ICD M25569 - Pain in unspecified knee | 29.46 | ||||
| Home Discharge Rate at DRG | 26.85 | ||||
| Home Discharge Rate with ICD M25569 - Pain in unspecified knee | 25.81 |
*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 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 621: O.R. PROCEDURES FOR OBESITY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD M25569 - Pain in unspecified knee | 302 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD M25569 - Pain in unspecified knee in DRG | 1.37 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD M25569 - Pain in unspecified knee | 3.05 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD M25569 - Pain in unspecified knee | 11.68 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD M25569 - Pain in unspecified knee | 5.84 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD M25569 - Pain in unspecified knee | $3,555,206 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD M25569 - Pain in unspecified knee | $3,864 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD M25569 - Pain in unspecified knee | $11,772 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD M25569 - Pain in unspecified knee | $20,351,460 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD M25569 - Pain in unspecified knee | $67,389 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD M25569 - Pain in unspecified knee | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD M25569 - Pain in unspecified knee | 31.46 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD M25569 - Pain in unspecified knee | 24.5 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE 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 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 310,318 | ||||
| Total Hospitalizations with ICD M25569 - Pain in unspecified knee | 252 | ||||
| DRG Share of Total Hospitalizations | 0.94 | ||||
| % of Total ICD M25569 - Pain in unspecified knee in DRG | 1.14 | ||||
| Avg LOS at DRG | 3.19 | ||||
| Avg LOS with ICD M25569 - Pain in unspecified knee | 3.58 | ||||
| Readmission Rate at DRG | 20.19 | ||||
| Readmission Rate with ICD M25569 - Pain in unspecified knee | 15.9 | ||||
| Unplanned Readmission Rate at DRG | 13.62 | ||||
| Unplanned Readmission Rate with ICD M25569 - Pain in unspecified knee | 9.21 | ||||
| Total Medicare payments at DRG | $1,415,392,709 | ||||
| Total Medicare payments with ICD M25569 - Pain in unspecified knee | $1,267,492 | ||||
| Total Medicare payment per Day at DRG | $1,431 | ||||
| Total Medicare payment per Day with ICD M25569 - Pain in unspecified knee | $1,407 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,561 | ||||
| Total Medicare payment per Hospitalization with ICD M25569 - Pain in unspecified knee | $5,030 | ||||
| Total Medicare Charges at DRG | $7,113,640,596 | ||||
| Total Medicare Charges with ICD M25569 - Pain in unspecified knee | $6,450,549 | ||||
| Avg Charges at DRG | $22,924 | ||||
| Avg Charges with ICD M25569 - Pain in unspecified knee | $25,597 | ||||
| Mortality Rate at DRG | 0.63 | ||||
| Mortality Rate with ICD M25569 - Pain in unspecified knee | NA | ||||
| SNF Discharge Rate at DRG | 19.76 | ||||
| SNF Discharge Rate with ICD M25569 - Pain in unspecified knee | 24.6 | ||||
| Home Discharge Rate at DRG | 50.47 | ||||
| Home Discharge Rate with ICD M25569 - Pain in unspecified knee | 39.29 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| LIGHTHOUSE BEHAVIORAL HEALTH HOSPITAL | 152 WACCAMAW MEDICAL PARK DR | CONWAY | SC | 29526 | 272 |
| TURNING POINT HOSPITAL | 3015 VETERANS PKWY S | MOULTRIE | GA | 31788 | 186 |
| ADCARE HOSPITAL OF WORCESTER | 107 LINCOLN ST | WORCESTER | MA | 01605 | 91 |
| 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 | 151 |
| Dr. ADEDAPO M ODUWOLE | 1203 48TH AVE N | MYRTLE BEACH | SC | 29577 | 61 |
| Dr. THEODORE V PARRAN | 2351 E 22ND ST | CLEVELAND | OH | 44115 | 40 |
| 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 | 171 |
| Dr. ADEDAPO M ODUWOLE | 1203 48TH AVE N | MYRTLE BEACH | SC | 29577 | 110 |
| Dr. KURT KLAUBURG | 164 WACCAMAW MEDICAL PARK DR | CONWAY | SC | 29526 | 75 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | I10 | Essential (primary) hypertension |