*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M259 - Joint disorder, unspecified - as a primary diagnosis code | M259 - Joint disorder, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.4 | |
| Readmission Rate (%) | 21.53 | |
| 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 885: PSYCHOSES | DRG 895: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD M259 - Joint disorder, unspecified | 97 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD M259 - Joint disorder, unspecified in DRG | 13.49 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD M259 - Joint disorder, unspecified | 10.49 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD M259 - Joint disorder, unspecified | 34.07 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD M259 - Joint disorder, unspecified | 18.68 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD M259 - Joint disorder, unspecified | $698,957 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD M259 - Joint disorder, unspecified | $687 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD M259 - Joint disorder, unspecified | $7,206 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD M259 - Joint disorder, unspecified | $1,819,687 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD M259 - Joint disorder, unspecified | $18,760 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD M259 - Joint disorder, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD M259 - Joint disorder, unspecified | NA | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD M259 - Joint disorder, unspecified | 71.13 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 894: ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 19,610 | ||||
| Total Hospitalizations with ICD M259 - Joint disorder, unspecified | 15 | ||||
| DRG Share of Total Hospitalizations | 0.06 | ||||
| % of Total ICD M259 - Joint disorder, unspecified in DRG | 2.09 | ||||
| Avg LOS at DRG | 3.16 | ||||
| Avg LOS with ICD M259 - Joint disorder, unspecified | 8.07 | ||||
| Readmission Rate at DRG | NA | ||||
| Readmission Rate with ICD M259 - Joint disorder, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | NA | ||||
| Unplanned Readmission Rate with ICD M259 - Joint disorder, unspecified | NA | ||||
| Total Medicare payments at DRG | $69,381,305 | ||||
| Total Medicare payments with ICD M259 - Joint disorder, unspecified | $78,634 | ||||
| Total Medicare payment per Day at DRG | $1,119 | ||||
| Total Medicare payment per Day with ICD M259 - Joint disorder, unspecified | $650 | ||||
| Total Medicare payment per Hospitalization at DRG | $3,538 | ||||
| Total Medicare payment per Hospitalization with ICD M259 - Joint disorder, unspecified | $5,242 | ||||
| Total Medicare Charges at DRG | $274,126,297 | ||||
| Total Medicare Charges with ICD M259 - Joint disorder, unspecified | $210,219 | ||||
| Avg Charges at DRG | $13,979 | ||||
| Avg Charges with ICD M259 - Joint disorder, unspecified | $14,015 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD M259 - Joint disorder, unspecified | NA | ||||
| SNF Discharge Rate at DRG | NA | ||||
| SNF Discharge Rate with ICD M259 - Joint disorder, unspecified | NA | ||||
| Home Discharge Rate at DRG | NA | ||||
| Home Discharge Rate with ICD M259 - Joint disorder, unspecified | 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 881: DEPRESSIVE NEUROSES | |
|---|---|
| Total Hospitalizations at DRG | 61,417 |
| Total Hospitalizations with ICD M259 - Joint disorder, unspecified | 11 |
| DRG Share of Total Hospitalizations | 0.19 |
| % of Total ICD M259 - Joint disorder, unspecified in DRG | 1.53 |
| Avg LOS at DRG | 7.49 |
| Avg LOS with ICD M259 - Joint disorder, unspecified | 9.09 |
| Readmission Rate at DRG | 25.08 |
| Readmission Rate with ICD M259 - Joint disorder, unspecified | NA |
| Unplanned Readmission Rate at DRG | 13.22 |
| Unplanned Readmission Rate with ICD M259 - Joint disorder, unspecified | NA |
| Total Medicare payments at DRG | $347,280,742 |
| Total Medicare payments with ICD M259 - Joint disorder, unspecified | $79,723 |
| Total Medicare payment per Day at DRG | $755 |
| Total Medicare payment per Day with ICD M259 - Joint disorder, unspecified | $797 |
| Total Medicare payment per Hospitalization at DRG | $5,654 |
| Total Medicare payment per Hospitalization with ICD M259 - Joint disorder, unspecified | $7,248 |
| Total Medicare Charges at DRG | $1,287,801,202 |
| Total Medicare Charges with ICD M259 - Joint disorder, unspecified | $311,560 |
| Avg Charges at DRG | $20,968 |
| Avg Charges with ICD M259 - Joint disorder, unspecified | $28,324 |
| Mortality Rate at DRG | 0.07 |
| Mortality Rate with ICD M259 - Joint disorder, unspecified | NA |
| SNF Discharge Rate at DRG | 5.44 |
| SNF Discharge Rate with ICD M259 - Joint disorder, unspecified | NA |
| Home Discharge Rate at DRG | 79.31 |
| Home Discharge Rate with ICD M259 - Joint disorder, unspecified | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| FORT LAUDERDALE HOSPITAL | 1601 E LAS OLAS BLVD | FORT LAUDERDALE | FL | 33301 | 167 |
| WAGONER COMMUNITY HOSPITAL | 1200 W CHEROKEE ST | WAGONER | OK | 74467 | 18 |
| CARNEGIE TRI-COUNTY MUNICIPAL HOSPITAL | 102 NORTH BROADWAY | CARNEGIE | OK | 73015 | 12 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JAHANBAKHSH NASSERZARE | 1380 NE MIAMI GARDENS DR | NORTH MIAMI BEACH | FL | 33179 | 54 |
| Dr. JOSEPH SEBASTIAN PINO | 355 BARD AVE | STATEN ISLAND | NY | 10310 | 23 |
| Dr. LANCE MICHAEL AMOLS | 1611 NW 12TH AVE | MIAMI | FL | 33136 | 18 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JAHANBAKHSH NASSERZARE | 1380 NE MIAMI GARDENS DR | NORTH MIAMI BEACH | FL | 33179 | 67 |
| Dr. JOSEPH SEBASTIAN PINO | 355 BARD AVE | STATEN ISLAND | NY | 10310 | 28 |
| Dr. LANCE MICHAEL AMOLS | 1611 NW 12TH AVE | MIAMI | FL | 33136 | 20 |