*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M65862 - Other synovitis and tenosynovitis, left lower leg - as a primary diagnosis code | M65862 - Other synovitis and tenosynovitis, left lower leg - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 3.79 | |
| Readmission Rate (%) | 13.17 | |
| 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) | DRG 557: TENDONITIS, MYOSITIS AND BURSITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 39,224 | |||
| Total Hospitalizations with ICD M65862 - Other synovitis and tenosynovitis, left lower leg | 45 | |||
| DRG Share of Total Hospitalizations | 0.12 | |||
| % of Total ICD M65862 - Other synovitis and tenosynovitis, left lower leg in DRG | 35.71 | |||
| Avg LOS at DRG | 4.42 | |||
| Avg LOS with ICD M65862 - Other synovitis and tenosynovitis, left lower leg | 4.24 | |||
| Readmission Rate at DRG | 18.22 | |||
| Readmission Rate with ICD M65862 - Other synovitis and tenosynovitis, left lower leg | NA | |||
| Unplanned Readmission Rate at DRG | 9.29 | |||
| Unplanned Readmission Rate with ICD M65862 - Other synovitis and tenosynovitis, left lower leg | NA | |||
| Total Medicare payments at DRG | $239,468,231 | |||
| Total Medicare payments with ICD M65862 - Other synovitis and tenosynovitis, left lower leg | $250,203 | |||
| Total Medicare payment per Day at DRG | $1,381 | |||
| Total Medicare payment per Day with ICD M65862 - Other synovitis and tenosynovitis, left lower leg | $1,310 | |||
| Total Medicare payment per Hospitalization at DRG | $6,105 | |||
| Total Medicare payment per Hospitalization with ICD M65862 - Other synovitis and tenosynovitis, left lower leg | $5,560 | |||
| Total Medicare Charges at DRG | $1,104,766,925 | |||
| Total Medicare Charges with ICD M65862 - Other synovitis and tenosynovitis, left lower leg | $1,478,424 | |||
| Avg Charges at DRG | $28,166 | |||
| Avg Charges with ICD M65862 - Other synovitis and tenosynovitis, left lower leg | $32,854 | |||
| Mortality Rate at DRG | 0.2 | |||
| Mortality Rate with ICD M65862 - Other synovitis and tenosynovitis, left lower leg | NA | |||
| SNF Discharge Rate at DRG | 32.92 | |||
| SNF Discharge Rate with ICD M65862 - Other synovitis and tenosynovitis, left lower leg | NA | |||
| Home Discharge Rate at DRG | 33.95 | |||
| Home Discharge Rate with ICD M65862 - Other synovitis and tenosynovitis, left lower leg | 48.89 |
*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 M65862 - Other synovitis and tenosynovitis, left lower leg | 1,833 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD M65862 - Other synovitis and tenosynovitis, left lower leg in DRG | 42.66 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD M65862 - Other synovitis and tenosynovitis, left lower leg | 2.36 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD M65862 - Other synovitis and tenosynovitis, left lower leg | 8.44 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD M65862 - Other synovitis and tenosynovitis, left lower leg | 2.52 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD M65862 - Other synovitis and tenosynovitis, left lower leg | $21,517,949 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD M65862 - Other synovitis and tenosynovitis, left lower leg | $4,980 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD M65862 - Other synovitis and tenosynovitis, left lower leg | $11,739 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD M65862 - Other synovitis and tenosynovitis, left lower leg | $106,474,909 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD M65862 - Other synovitis and tenosynovitis, left lower leg | $58,088 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD M65862 - Other synovitis and tenosynovitis, left lower leg | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD M65862 - Other synovitis and tenosynovitis, left lower leg | 23.9 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD M65862 - Other synovitis and tenosynovitis, left lower leg | 31.31 |
*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 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 486: KNEE PROCEDURES WITH PDX OF INFECTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 558: TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 34,505 | ||||
| Total Hospitalizations with ICD M65862 - Other synovitis and tenosynovitis, left lower leg | 129 | ||||
| DRG Share of Total Hospitalizations | 0.1 | ||||
| % of Total ICD M65862 - Other synovitis and tenosynovitis, left lower leg in DRG | 3.0 | ||||
| Avg LOS at DRG | 7.5 | ||||
| Avg LOS with ICD M65862 - Other synovitis and tenosynovitis, left lower leg | 4.84 | ||||
| Readmission Rate at DRG | 24.13 | ||||
| Readmission Rate with ICD M65862 - Other synovitis and tenosynovitis, left lower leg | 20.47 | ||||
| Unplanned Readmission Rate at DRG | 9.59 | ||||
| Unplanned Readmission Rate with ICD M65862 - Other synovitis and tenosynovitis, left lower leg | 10.24 | ||||
| Total Medicare payments at DRG | $661,706,701 | ||||
| Total Medicare payments with ICD M65862 - Other synovitis and tenosynovitis, left lower leg | $2,151,324 | ||||
| Total Medicare payment per Day at DRG | $2,559 | ||||
| Total Medicare payment per Day with ICD M65862 - Other synovitis and tenosynovitis, left lower leg | $3,448 | ||||
| Total Medicare payment per Hospitalization at DRG | $19,177 | ||||
| Total Medicare payment per Hospitalization with ICD M65862 - Other synovitis and tenosynovitis, left lower leg | $16,677 | ||||
| Total Medicare Charges at DRG | $3,132,931,207 | ||||
| Total Medicare Charges with ICD M65862 - Other synovitis and tenosynovitis, left lower leg | $10,011,617 | ||||
| Avg Charges at DRG | $90,796 | ||||
| Avg Charges with ICD M65862 - Other synovitis and tenosynovitis, left lower leg | $77,609 | ||||
| Mortality Rate at DRG | 0.1 | ||||
| Mortality Rate with ICD M65862 - Other synovitis and tenosynovitis, left lower leg | NA | ||||
| SNF Discharge Rate at DRG | 38.89 | ||||
| SNF Discharge Rate with ICD M65862 - Other synovitis and tenosynovitis, left lower leg | 37.21 | ||||
| Home Discharge Rate at DRG | 17.15 | ||||
| Home Discharge Rate with ICD M65862 - Other synovitis and tenosynovitis, left lower leg | 14.73 |
*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 485: KNEE PROCEDURES WITH PDX OF INFECTION 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 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 51,757 | ||||
| Total Hospitalizations with ICD M65862 - Other synovitis and tenosynovitis, left lower leg | 43 | ||||
| DRG Share of Total Hospitalizations | 0.16 | ||||
| % of Total ICD M65862 - Other synovitis and tenosynovitis, left lower leg in DRG | 1.0 | ||||
| Avg LOS at DRG | 4.41 | ||||
| Avg LOS with ICD M65862 - Other synovitis and tenosynovitis, left lower leg | 4.0 | ||||
| Readmission Rate at DRG | 17.16 | ||||
| Readmission Rate with ICD M65862 - Other synovitis and tenosynovitis, left lower leg | NA | ||||
| Unplanned Readmission Rate at DRG | 9.0 | ||||
| Unplanned Readmission Rate with ICD M65862 - Other synovitis and tenosynovitis, left lower leg | NA | ||||
| Total Medicare payments at DRG | $332,400,259 | ||||
| Total Medicare payments with ICD M65862 - Other synovitis and tenosynovitis, left lower leg | $230,786 | ||||
| Total Medicare payment per Day at DRG | $1,455 | ||||
| Total Medicare payment per Day with ICD M65862 - Other synovitis and tenosynovitis, left lower leg | $1,342 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,422 | ||||
| Total Medicare payment per Hospitalization with ICD M65862 - Other synovitis and tenosynovitis, left lower leg | $5,367 | ||||
| Total Medicare Charges at DRG | $1,234,809,519 | ||||
| Total Medicare Charges with ICD M65862 - Other synovitis and tenosynovitis, left lower leg | $1,184,154 | ||||
| Avg Charges at DRG | $23,858 | ||||
| Avg Charges with ICD M65862 - Other synovitis and tenosynovitis, left lower leg | $27,538 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD M65862 - Other synovitis and tenosynovitis, left lower leg | NA | ||||
| SNF Discharge Rate at DRG | 25.37 | ||||
| SNF Discharge Rate with ICD M65862 - Other synovitis and tenosynovitis, left lower leg | 34.88 | ||||
| Home Discharge Rate at DRG | 42.31 | ||||
| Home Discharge Rate with ICD M65862 - Other synovitis and tenosynovitis, left lower leg | 39.53 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 463: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 466: REVISION OF HIP OR KNEE REPLACEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 364,421 | ||||
| Total Hospitalizations with ICD M65862 - Other synovitis and tenosynovitis, left lower leg | 33 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD M65862 - Other synovitis and tenosynovitis, left lower leg in DRG | 0.77 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD M65862 - Other synovitis and tenosynovitis, left lower leg | 4.39 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD M65862 - Other synovitis and tenosynovitis, left lower leg | NA | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD M65862 - Other synovitis and tenosynovitis, left lower leg | NA | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD M65862 - Other synovitis and tenosynovitis, left lower leg | $176,066 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD M65862 - Other synovitis and tenosynovitis, left lower leg | $1,214 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD M65862 - Other synovitis and tenosynovitis, left lower leg | $5,335 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD M65862 - Other synovitis and tenosynovitis, left lower leg | $928,650 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD M65862 - Other synovitis and tenosynovitis, left lower leg | $28,141 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD M65862 - Other synovitis and tenosynovitis, left lower leg | NA | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD M65862 - Other synovitis and tenosynovitis, left lower leg | NA | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD M65862 - Other synovitis and tenosynovitis, left lower leg | 39.39 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ST. ELIZABETH CAMPUS | 2209 GENESEE ST | UTICA | NY | 13501 | 177 |
| CLEVELAND CLINIC INDIAN RIVER HOSPITAL | 1000 36TH ST | VERO BEACH | FL | 32960 | 149 |
| COMMUNITY HOSPITAL | 3100 SW 89TH ST | OKLAHOMA CITY | OK | 73159 | 49 |
| 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 | 172 |
| Dr. GEORGE K NICHOLS | 1000 36TH ST | VERO BEACH | FL | 32960 | 144 |
| Dr. PAUL BRIAN JACOB | 9800 BROADWAY EXTENSION | OKLAHOMA CITY | OK | 73114 | 54 |
| 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 | 54 |