*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M25761 - Osteophyte, right knee - as a primary diagnosis code | M25761 - Osteophyte, right knee - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 2.42 | |
| Readmission Rate (%) | 7.07 | |
| 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) | |
|---|---|
| Total Hospitalizations at DRG | 1,522,684 |
| Total Hospitalizations with ICD M25761 - Osteophyte, right knee | 11 |
| DRG Share of Total Hospitalizations | 4.63 |
| % of Total ICD M25761 - Osteophyte, right knee in DRG | 55.0 |
| Avg LOS at DRG | 2.52 |
| Avg LOS with ICD M25761 - Osteophyte, right knee | 2.09 |
| Readmission Rate at DRG | 9.03 |
| Readmission Rate with ICD M25761 - Osteophyte, right knee | NA |
| Unplanned Readmission Rate at DRG | 3.35 |
| Unplanned Readmission Rate with ICD M25761 - Osteophyte, right knee | NA |
| Total Medicare payments at DRG | $17,672,828,347 |
| Total Medicare payments with ICD M25761 - Osteophyte, right knee | $142,899 |
| Total Medicare payment per Day at DRG | $4,606 |
| Total Medicare payment per Day with ICD M25761 - Osteophyte, right knee | $6,213 |
| Total Medicare payment per Hospitalization at DRG | $11,606 |
| Total Medicare payment per Hospitalization with ICD M25761 - Osteophyte, right knee | $12,991 |
| Total Medicare Charges at DRG | $91,836,200,128 |
| Total Medicare Charges with ICD M25761 - Osteophyte, right knee | $556,466 |
| Avg Charges at DRG | $60,312 |
| Avg Charges with ICD M25761 - Osteophyte, right knee | $50,588 |
| Mortality Rate at DRG | 0.05 |
| Mortality Rate with ICD M25761 - Osteophyte, right knee | NA |
| SNF Discharge Rate at DRG | 23.53 |
| SNF Discharge Rate with ICD M25761 - Osteophyte, right knee | NA |
| Home Discharge Rate at DRG | 30.67 |
| Home Discharge Rate with ICD M25761 - Osteophyte, right knee | NA |
*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 462: BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES 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 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 | 1,522,684 | ||||
| Total Hospitalizations with ICD M25761 - Osteophyte, right knee | 14,073 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD M25761 - Osteophyte, right knee in DRG | 90.18 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD M25761 - Osteophyte, right knee | 2.28 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD M25761 - Osteophyte, right knee | 5.51 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD M25761 - Osteophyte, right knee | 2.45 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD M25761 - Osteophyte, right knee | $157,083,554 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD M25761 - Osteophyte, right knee | $4,896 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD M25761 - Osteophyte, right knee | $11,162 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD M25761 - Osteophyte, right knee | $779,752,154 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD M25761 - Osteophyte, right knee | $55,408 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD M25761 - Osteophyte, right knee | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD M25761 - Osteophyte, right knee | 19.38 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD M25761 - Osteophyte, right knee | 34.8 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 465: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 489: KNEE PROCEDURES WITHOUT PDX OF INFECTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 554: BONE DISEASES AND ARTHROPATHIES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 488: KNEE PROCEDURES WITHOUT PDX OF INFECTION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 461: BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 12,888 | ||||
| Total Hospitalizations with ICD M25761 - Osteophyte, right knee | 42 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD M25761 - Osteophyte, right knee in DRG | 0.27 | ||||
| Avg LOS at DRG | 3.58 | ||||
| Avg LOS with ICD M25761 - Osteophyte, right knee | 1.79 | ||||
| Readmission Rate at DRG | 13.44 | ||||
| Readmission Rate with ICD M25761 - Osteophyte, right knee | NA | ||||
| Unplanned Readmission Rate at DRG | 5.08 | ||||
| Unplanned Readmission Rate with ICD M25761 - Osteophyte, right knee | NA | ||||
| Total Medicare payments at DRG | $151,081,549 | ||||
| Total Medicare payments with ICD M25761 - Osteophyte, right knee | $449,078 | ||||
| Total Medicare payment per Day at DRG | $3,272 | ||||
| Total Medicare payment per Day with ICD M25761 - Osteophyte, right knee | $5,988 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,723 | ||||
| Total Medicare payment per Hospitalization with ICD M25761 - Osteophyte, right knee | $10,692 | ||||
| Total Medicare Charges at DRG | $781,949,368 | ||||
| Total Medicare Charges with ICD M25761 - Osteophyte, right knee | $1,733,169 | ||||
| Avg Charges at DRG | $60,673 | ||||
| Avg Charges with ICD M25761 - Osteophyte, right knee | $41,266 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD M25761 - Osteophyte, right knee | NA | ||||
| SNF Discharge Rate at DRG | 21.14 | ||||
| SNF Discharge Rate with ICD M25761 - Osteophyte, right knee | NA | ||||
| Home Discharge Rate at DRG | 35.52 | ||||
| Home Discharge Rate with ICD M25761 - Osteophyte, right knee | 38.1 |
*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 464: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 563: FRACTURE SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 240,618 | ||
| Total Hospitalizations with ICD M25761 - Osteophyte, right knee | 14 | ||
| DRG Share of Total Hospitalizations | 0.73 | ||
| % of Total ICD M25761 - Osteophyte, right knee in DRG | 0.09 | ||
| Avg LOS at DRG | 4.81 | ||
| Avg LOS with ICD M25761 - Osteophyte, right knee | 5.79 | ||
| Readmission Rate at DRG | 26.3 | ||
| Readmission Rate with ICD M25761 - Osteophyte, right knee | NA | ||
| Unplanned Readmission Rate at DRG | 7.83 | ||
| Unplanned Readmission Rate with ICD M25761 - Osteophyte, right knee | NA | ||
| Total Medicare payments at DRG | $2,989,116,299 | ||
| Total Medicare payments with ICD M25761 - Osteophyte, right knee | $183,942 | ||
| Total Medicare payment per Day at DRG | $2,581 | ||
| Total Medicare payment per Day with ICD M25761 - Osteophyte, right knee | $2,271 | ||
| Total Medicare payment per Hospitalization at DRG | $12,423 | ||
| Total Medicare payment per Hospitalization with ICD M25761 - Osteophyte, right knee | $13,139 | ||
| Total Medicare Charges at DRG | $15,603,027,471 | ||
| Total Medicare Charges with ICD M25761 - Osteophyte, right knee | $1,135,588 | ||
| Avg Charges at DRG | $64,846 | ||
| Avg Charges with ICD M25761 - Osteophyte, right knee | $81,113 | ||
| Mortality Rate at DRG | 0.4 | ||
| Mortality Rate with ICD M25761 - Osteophyte, right knee | NA | ||
| SNF Discharge Rate at DRG | 66.28 | ||
| SNF Discharge Rate with ICD M25761 - Osteophyte, right knee | 85.71 | ||
| Home Discharge Rate at DRG | 3.84 | ||
| Home Discharge Rate with ICD M25761 - Osteophyte, right knee | 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 | 897 |
| KANSAS SURGERY & RECOVERY CENTER | 2770 N WEBB RD | WICHITA | KS | 67226 | 566 |
| PARDEE UNC HEALTH CARE | 800 N JUSTICE ST | HENDERSONVILLE | NC | 28791 | 359 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RAJU GHATE | 680 N LAKE SHORE DR | CHICAGO | IL | 60611 | 280 |
| Dr. MICHAEL R O'ROURKE | 2401 RAVINE WAY | GLENVIEW | IL | 60025 | 177 |
| Dr. GAVAN PATRICK DUFFY | 10475 CENTURION PKWY N | JACKSONVILLE | FL | 32256 | 171 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RAJU GHATE | 680 N LAKE SHORE DR | CHICAGO | IL | 60611 | 280 |
| Dr. GAVAN PATRICK DUFFY | 10475 CENTURION PKWY N | JACKSONVILLE | FL | 32256 | 175 |
| Dr. MICHAEL R O'ROURKE | 2401 RAVINE WAY | GLENVIEW | IL | 60025 | 175 |