*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M25751 - Osteophyte, right hip - as a primary diagnosis code | M25751 - Osteophyte, right hip - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 2.31 | |
| Readmission Rate (%) | 7.34 | |
| 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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 469: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 462: BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES 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 | 1,522,684 | ||||
| Total Hospitalizations with ICD M25751 - Osteophyte, right hip | 5,870 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD M25751 - Osteophyte, right hip in DRG | 91.92 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD M25751 - Osteophyte, right hip | 2.1 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD M25751 - Osteophyte, right hip | 6.12 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD M25751 - Osteophyte, right hip | 2.72 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD M25751 - Osteophyte, right hip | $67,878,547 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD M25751 - Osteophyte, right hip | $5,505 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD M25751 - Osteophyte, right hip | $11,564 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD M25751 - Osteophyte, right hip | $353,486,805 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD M25751 - Osteophyte, right hip | $60,219 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD M25751 - Osteophyte, right hip | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD M25751 - Osteophyte, right hip | 17.46 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD M25751 - Osteophyte, right hip | 32.54 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 554: BONE DISEASES AND ARTHROPATHIES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 536: FRACTURES OF HIP AND PELVIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 240,618 | |||
| Total Hospitalizations with ICD M25751 - Osteophyte, right hip | 19 | |||
| DRG Share of Total Hospitalizations | 0.73 | |||
| % of Total ICD M25751 - Osteophyte, right hip in DRG | 0.3 | |||
| Avg LOS at DRG | 4.81 | |||
| Avg LOS with ICD M25751 - Osteophyte, right hip | 3.89 | |||
| Readmission Rate at DRG | 26.3 | |||
| Readmission Rate with ICD M25751 - Osteophyte, right hip | NA | |||
| Unplanned Readmission Rate at DRG | 7.83 | |||
| Unplanned Readmission Rate with ICD M25751 - Osteophyte, right hip | NA | |||
| Total Medicare payments at DRG | $2,989,116,299 | |||
| Total Medicare payments with ICD M25751 - Osteophyte, right hip | $258,941 | |||
| Total Medicare payment per Day at DRG | $2,581 | |||
| Total Medicare payment per Day with ICD M25751 - Osteophyte, right hip | $3,499 | |||
| Total Medicare payment per Hospitalization at DRG | $12,423 | |||
| Total Medicare payment per Hospitalization with ICD M25751 - Osteophyte, right hip | $13,628 | |||
| Total Medicare Charges at DRG | $15,603,027,471 | |||
| Total Medicare Charges with ICD M25751 - Osteophyte, right hip | $1,117,170 | |||
| Avg Charges at DRG | $64,846 | |||
| Avg Charges with ICD M25751 - Osteophyte, right hip | $58,798 | |||
| Mortality Rate at DRG | 0.4 | |||
| Mortality Rate with ICD M25751 - Osteophyte, right hip | NA | |||
| SNF Discharge Rate at DRG | 66.28 | |||
| SNF Discharge Rate with ICD M25751 - Osteophyte, right hip | NA | |||
| Home Discharge Rate at DRG | 3.84 | |||
| Home Discharge Rate with ICD M25751 - Osteophyte, right hip | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| NORTHSHORE UNIVERSITY HEALTHSYSTEM EVANSTON HOSPITAL | 2650 RIDGE AVE | EVANSTON | IL | 60201 | 345 |
| NYU LANGONE'S TISCH HOSPITAL | 550 1ST AVE | NEW YORK | NY | 10016 | 179 |
| KANSAS SURGERY & RECOVERY CENTER | 2770 N WEBB RD | WICHITA | KS | 67226 | 147 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MICHAEL R O'ROURKE | 2401 RAVINE WAY | GLENVIEW | IL | 60025 | 101 |
| Dr. ALEXANDER GORDON | 9000 WAUKEGAN RD | MORTON GROVE | IL | 60053 | 90 |
| Dr. ROBERT P CUSICK | 7550 W VILLAGE CIR | WICHITA | KS | 67205 | 71 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MICHAEL R O'ROURKE | 2401 RAVINE WAY | GLENVIEW | IL | 60025 | 100 |
| Dr. ALEXANDER GORDON | 9000 WAUKEGAN RD | MORTON GROVE | IL | 60053 | 89 |
| Dr. ROBERT P CUSICK | 7550 W VILLAGE CIR | WICHITA | KS | 67205 | 71 |