*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M65861 - Other synovitis and tenosynovitis, right lower leg - as a primary diagnosis code | M65861 - Other synovitis and tenosynovitis, right lower leg - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 3.86 | |
| Readmission Rate (%) | 13.65 | |
| 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 558: TENDONITIS, MYOSITIS AND BURSITIS 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 489: KNEE PROCEDURES WITHOUT PDX OF INFECTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 39,224 | ||
| Total Hospitalizations with ICD M65861 - Other synovitis and tenosynovitis, right lower leg | 49 | ||
| DRG Share of Total Hospitalizations | 0.12 | ||
| % of Total ICD M65861 - Other synovitis and tenosynovitis, right lower leg in DRG | 37.98 | ||
| Avg LOS at DRG | 4.42 | ||
| Avg LOS with ICD M65861 - Other synovitis and tenosynovitis, right lower leg | 3.29 | ||
| Readmission Rate at DRG | 18.22 | ||
| Readmission Rate with ICD M65861 - Other synovitis and tenosynovitis, right lower leg | NA | ||
| Unplanned Readmission Rate at DRG | 9.29 | ||
| Unplanned Readmission Rate with ICD M65861 - Other synovitis and tenosynovitis, right lower leg | NA | ||
| Total Medicare payments at DRG | $239,468,231 | ||
| Total Medicare payments with ICD M65861 - Other synovitis and tenosynovitis, right lower leg | $277,471 | ||
| Total Medicare payment per Day at DRG | $1,381 | ||
| Total Medicare payment per Day with ICD M65861 - Other synovitis and tenosynovitis, right lower leg | $1,723 | ||
| Total Medicare payment per Hospitalization at DRG | $6,105 | ||
| Total Medicare payment per Hospitalization with ICD M65861 - Other synovitis and tenosynovitis, right lower leg | $5,663 | ||
| Total Medicare Charges at DRG | $1,104,766,925 | ||
| Total Medicare Charges with ICD M65861 - Other synovitis and tenosynovitis, right lower leg | $1,069,811 | ||
| Avg Charges at DRG | $28,166 | ||
| Avg Charges with ICD M65861 - Other synovitis and tenosynovitis, right lower leg | $21,833 | ||
| Mortality Rate at DRG | 0.2 | ||
| Mortality Rate with ICD M65861 - Other synovitis and tenosynovitis, right lower leg | NA | ||
| SNF Discharge Rate at DRG | 32.92 | ||
| SNF Discharge Rate with ICD M65861 - Other synovitis and tenosynovitis, right lower leg | 24.49 | ||
| Home Discharge Rate at DRG | 33.95 | ||
| Home Discharge Rate with ICD M65861 - Other synovitis and tenosynovitis, right lower leg | 40.82 |
*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 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) | DRG 489: KNEE PROCEDURES WITHOUT PDX OF INFECTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 488: KNEE PROCEDURES WITHOUT PDX OF INFECTION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD M65861 - Other synovitis and tenosynovitis, right lower leg | 1,954 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD M65861 - Other synovitis and tenosynovitis, right lower leg in DRG | 41.66 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD M65861 - Other synovitis and tenosynovitis, right lower leg | 2.44 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD M65861 - Other synovitis and tenosynovitis, right lower leg | 8.32 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD M65861 - Other synovitis and tenosynovitis, right lower leg | 2.88 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD M65861 - Other synovitis and tenosynovitis, right lower leg | $23,410,693 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD M65861 - Other synovitis and tenosynovitis, right lower leg | $4,910 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD M65861 - Other synovitis and tenosynovitis, right lower leg | $11,981 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD M65861 - Other synovitis and tenosynovitis, right lower leg | $115,377,415 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD M65861 - Other synovitis and tenosynovitis, right lower leg | $59,047 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD M65861 - Other synovitis and tenosynovitis, right lower leg | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD M65861 - Other synovitis and tenosynovitis, right lower leg | 25.49 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD M65861 - Other synovitis and tenosynovitis, right lower leg | 30.6 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 464: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 462: BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 486: KNEE PROCEDURES WITH PDX OF INFECTION WITH COMPLICATION OR COMORBIDITY (CC) | 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 558: TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 34,505 | ||||
| Total Hospitalizations with ICD M65861 - Other synovitis and tenosynovitis, right lower leg | 142 | ||||
| DRG Share of Total Hospitalizations | 0.1 | ||||
| % of Total ICD M65861 - Other synovitis and tenosynovitis, right lower leg in DRG | 3.03 | ||||
| Avg LOS at DRG | 7.5 | ||||
| Avg LOS with ICD M65861 - Other synovitis and tenosynovitis, right lower leg | 4.45 | ||||
| Readmission Rate at DRG | 24.13 | ||||
| Readmission Rate with ICD M65861 - Other synovitis and tenosynovitis, right lower leg | 20.86 | ||||
| Unplanned Readmission Rate at DRG | 9.59 | ||||
| Unplanned Readmission Rate with ICD M65861 - Other synovitis and tenosynovitis, right lower leg | 9.35 | ||||
| Total Medicare payments at DRG | $661,706,701 | ||||
| Total Medicare payments with ICD M65861 - Other synovitis and tenosynovitis, right lower leg | $2,369,156 | ||||
| Total Medicare payment per Day at DRG | $2,559 | ||||
| Total Medicare payment per Day with ICD M65861 - Other synovitis and tenosynovitis, right lower leg | $3,749 | ||||
| Total Medicare payment per Hospitalization at DRG | $19,177 | ||||
| Total Medicare payment per Hospitalization with ICD M65861 - Other synovitis and tenosynovitis, right lower leg | $16,684 | ||||
| Total Medicare Charges at DRG | $3,132,931,207 | ||||
| Total Medicare Charges with ICD M65861 - Other synovitis and tenosynovitis, right lower leg | $10,452,244 | ||||
| Avg Charges at DRG | $90,796 | ||||
| Avg Charges with ICD M65861 - Other synovitis and tenosynovitis, right lower leg | $73,607 | ||||
| Mortality Rate at DRG | 0.1 | ||||
| Mortality Rate with ICD M65861 - Other synovitis and tenosynovitis, right lower leg | NA | ||||
| SNF Discharge Rate at DRG | 38.89 | ||||
| SNF Discharge Rate with ICD M65861 - Other synovitis and tenosynovitis, right lower leg | 36.62 | ||||
| Home Discharge Rate at DRG | 17.15 | ||||
| Home Discharge Rate with ICD M65861 - Other synovitis and tenosynovitis, right lower leg | 20.42 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 554: BONE DISEASES AND ARTHROPATHIES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 487: KNEE PROCEDURES WITH PDX OF INFECTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 469: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 51,757 | ||||
| Total Hospitalizations with ICD M65861 - Other synovitis and tenosynovitis, right lower leg | 61 | ||||
| DRG Share of Total Hospitalizations | 0.16 | ||||
| % of Total ICD M65861 - Other synovitis and tenosynovitis, right lower leg in DRG | 1.3 | ||||
| Avg LOS at DRG | 4.41 | ||||
| Avg LOS with ICD M65861 - Other synovitis and tenosynovitis, right lower leg | 4.67 | ||||
| Readmission Rate at DRG | 17.16 | ||||
| Readmission Rate with ICD M65861 - Other synovitis and tenosynovitis, right lower leg | NA | ||||
| Unplanned Readmission Rate at DRG | 9.0 | ||||
| Unplanned Readmission Rate with ICD M65861 - Other synovitis and tenosynovitis, right lower leg | NA | ||||
| Total Medicare payments at DRG | $332,400,259 | ||||
| Total Medicare payments with ICD M65861 - Other synovitis and tenosynovitis, right lower leg | $313,985 | ||||
| Total Medicare payment per Day at DRG | $1,455 | ||||
| Total Medicare payment per Day with ICD M65861 - Other synovitis and tenosynovitis, right lower leg | $1,102 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,422 | ||||
| Total Medicare payment per Hospitalization with ICD M65861 - Other synovitis and tenosynovitis, right lower leg | $5,147 | ||||
| Total Medicare Charges at DRG | $1,234,809,519 | ||||
| Total Medicare Charges with ICD M65861 - Other synovitis and tenosynovitis, right lower leg | $1,832,213 | ||||
| Avg Charges at DRG | $23,858 | ||||
| Avg Charges with ICD M65861 - Other synovitis and tenosynovitis, right lower leg | $30,036 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD M65861 - Other synovitis and tenosynovitis, right lower leg | NA | ||||
| SNF Discharge Rate at DRG | 25.37 | ||||
| SNF Discharge Rate with ICD M65861 - Other synovitis and tenosynovitis, right lower leg | 34.43 | ||||
| Home Discharge Rate at DRG | 42.31 | ||||
| Home Discharge Rate with ICD M65861 - Other synovitis and tenosynovitis, right lower leg | 37.7 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 485: KNEE PROCEDURES WITH PDX OF INFECTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 466: REVISION OF HIP OR KNEE REPLACEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE 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 | 2,908 | ||||
| Total Hospitalizations with ICD M65861 - Other synovitis and tenosynovitis, right lower leg | 40 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD M65861 - Other synovitis and tenosynovitis, right lower leg in DRG | 0.85 | ||||
| Avg LOS at DRG | 9.7 | ||||
| Avg LOS with ICD M65861 - Other synovitis and tenosynovitis, right lower leg | 10.78 | ||||
| Readmission Rate at DRG | 35.56 | ||||
| Readmission Rate with ICD M65861 - Other synovitis and tenosynovitis, right lower leg | 29.73 | ||||
| Unplanned Readmission Rate at DRG | 16.25 | ||||
| Unplanned Readmission Rate with ICD M65861 - Other synovitis and tenosynovitis, right lower leg | NA | ||||
| Total Medicare payments at DRG | $63,223,301 | ||||
| Total Medicare payments with ICD M65861 - Other synovitis and tenosynovitis, right lower leg | $831,459 | ||||
| Total Medicare payment per Day at DRG | $2,242 | ||||
| Total Medicare payment per Day with ICD M65861 - Other synovitis and tenosynovitis, right lower leg | $1,929 | ||||
| Total Medicare payment per Hospitalization at DRG | $21,741 | ||||
| Total Medicare payment per Hospitalization with ICD M65861 - Other synovitis and tenosynovitis, right lower leg | $20,786 | ||||
| Total Medicare Charges at DRG | $312,697,754 | ||||
| Total Medicare Charges with ICD M65861 - Other synovitis and tenosynovitis, right lower leg | $4,095,312 | ||||
| Avg Charges at DRG | $107,530 | ||||
| Avg Charges with ICD M65861 - Other synovitis and tenosynovitis, right lower leg | $102,383 | ||||
| Mortality Rate at DRG | 2.72 | ||||
| Mortality Rate with ICD M65861 - Other synovitis and tenosynovitis, right lower leg | NA | ||||
| SNF Discharge Rate at DRG | 44.7 | ||||
| SNF Discharge Rate with ICD M65861 - Other synovitis and tenosynovitis, right lower leg | 32.5 | ||||
| Home Discharge Rate at DRG | 11.55 | ||||
| Home Discharge Rate with ICD M65861 - Other synovitis and tenosynovitis, right lower leg | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ST. ELIZABETH CAMPUS | 2209 GENESEE ST | UTICA | NY | 13501 | 174 |
| CLEVELAND CLINIC INDIAN RIVER HOSPITAL | 1000 36TH ST | VERO BEACH | FL | 32960 | 151 |
| NEW YORK-PRESBYTERIAN BROOKLYN METHODIST HOSPITAL | 506 6TH ST | BROOKLYN | NY | 11215 | 55 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ANDREW B WICKLINE | 4401 MIDDLE SETTLEMENT RD | NEW HARTFORD | NY | 13413 | 168 |
| Dr. GEORGE K NICHOLS | 1000 36TH ST | VERO BEACH | FL | 32960 | 148 |
| Dr. PAUL BRIAN JACOB | 9800 BROADWAY EXTENSION | OKLAHOMA CITY | OK | 73114 | 47 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ANDREW B WICKLINE | 4401 MIDDLE SETTLEMENT RD | NEW HARTFORD | NY | 13413 | 173 |
| Dr. GEORGE K NICHOLS | 1000 36TH ST | VERO BEACH | FL | 32960 | 144 |
| Dr. PAUL BRIAN JACOB | 9800 BROADWAY EXTENSION | OKLAHOMA CITY | OK | 73114 | 48 |