*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M87851 - Other osteonecrosis, right femur - as a primary diagnosis code | M87851 - Other osteonecrosis, right femur - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 4.86 | |
| Readmission Rate (%) | 22.41 | |
| Unplanned Readmission Rate (%) | 6.04 | |
| 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 554: BONE DISEASES AND ARTHROPATHIES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 469: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 553: BONE DISEASES AND ARTHROPATHIES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 482: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD M87851 - Other osteonecrosis, right femur | 3,375 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD M87851 - Other osteonecrosis, right femur in DRG | 78.65 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD M87851 - Other osteonecrosis, right femur | 2.6 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD M87851 - Other osteonecrosis, right femur | 12.37 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD M87851 - Other osteonecrosis, right femur | 4.58 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD M87851 - Other osteonecrosis, right femur | $39,628,849 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD M87851 - Other osteonecrosis, right femur | $4,524 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD M87851 - Other osteonecrosis, right femur | $11,742 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD M87851 - Other osteonecrosis, right femur | $218,439,903 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD M87851 - Other osteonecrosis, right femur | $64,723 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD M87851 - Other osteonecrosis, right femur | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD M87851 - Other osteonecrosis, right femur | 24.36 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD M87851 - Other osteonecrosis, right femur | 27.29 |
*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 467: REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 462: BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 466: REVISION OF HIP OR KNEE REPLACEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 498: LOCAL EXCISION AND REMOVAL INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 240,618 | ||||
| Total Hospitalizations with ICD M87851 - Other osteonecrosis, right femur | 23 | ||||
| DRG Share of Total Hospitalizations | 0.73 | ||||
| % of Total ICD M87851 - Other osteonecrosis, right femur in DRG | 0.54 | ||||
| Avg LOS at DRG | 4.81 | ||||
| Avg LOS with ICD M87851 - Other osteonecrosis, right femur | 3.83 | ||||
| Readmission Rate at DRG | 26.3 | ||||
| Readmission Rate with ICD M87851 - Other osteonecrosis, right femur | NA | ||||
| Unplanned Readmission Rate at DRG | 7.83 | ||||
| Unplanned Readmission Rate with ICD M87851 - Other osteonecrosis, right femur | NA | ||||
| Total Medicare payments at DRG | $2,989,116,299 | ||||
| Total Medicare payments with ICD M87851 - Other osteonecrosis, right femur | $226,049 | ||||
| Total Medicare payment per Day at DRG | $2,581 | ||||
| Total Medicare payment per Day with ICD M87851 - Other osteonecrosis, right femur | $2,569 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,423 | ||||
| Total Medicare payment per Hospitalization with ICD M87851 - Other osteonecrosis, right femur | $9,828 | ||||
| Total Medicare Charges at DRG | $15,603,027,471 | ||||
| Total Medicare Charges with ICD M87851 - Other osteonecrosis, right femur | $1,402,175 | ||||
| Avg Charges at DRG | $64,846 | ||||
| Avg Charges with ICD M87851 - Other osteonecrosis, right femur | $60,964 | ||||
| Mortality Rate at DRG | 0.4 | ||||
| Mortality Rate with ICD M87851 - Other osteonecrosis, right femur | NA | ||||
| SNF Discharge Rate at DRG | 66.28 | ||||
| SNF Discharge Rate with ICD M87851 - Other osteonecrosis, right femur | NA | ||||
| Home Discharge Rate at DRG | 3.84 | ||||
| Home Discharge Rate with ICD M87851 - Other osteonecrosis, right femur | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| EMORY UNIVERSITY HOSPITAL | 1364 CLIFTON RD NE | ATLANTA | GA | 30322 | 22 |
| WILLIS KNIGHTON MEDICAL CENTER | 2600 GREENWOOD RD | SHREVEPORT | LA | 71103 | 22 |
| BAPTIST MEMORIAL HOSPITAL | 6019 WALNUT GROVE RD | MEMPHIS | TN | 38120 | 18 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JONATHAN GEORGE YERASIMIDES | 9880 ANGIES WAY | LOUISVILLE | KY | 40241 | 15 |
| Dr. JASON ERIC REISS | 1641 TAMIAMI TRL | PORT CHARLOTTE | FL | 33948 | 12 |
| Dr. GEORGE NELSON GUILD | 5505 PEACHTREE DUNWOODY RD | ATLANTA | GA | 30342 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JONATHAN GEORGE YERASIMIDES | 9880 ANGIES WAY | LOUISVILLE | KY | 40241 | 15 |
*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 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 469: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 554: BONE DISEASES AND ARTHROPATHIES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD M87851 - Other osteonecrosis, right femur | 7,254 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD M87851 - Other osteonecrosis, right femur in DRG | 48.58 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD M87851 - Other osteonecrosis, right femur | 2.63 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD M87851 - Other osteonecrosis, right femur | 12.06 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD M87851 - Other osteonecrosis, right femur | 4.53 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD M87851 - Other osteonecrosis, right femur | $85,756,721 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD M87851 - Other osteonecrosis, right femur | $4,499 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD M87851 - Other osteonecrosis, right femur | $11,822 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD M87851 - Other osteonecrosis, right femur | $480,041,775 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD M87851 - Other osteonecrosis, right femur | $66,176 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD M87851 - Other osteonecrosis, right femur | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD M87851 - Other osteonecrosis, right femur | 25.41 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD M87851 - Other osteonecrosis, right femur | 25.82 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 811: RED BLOOD CELL DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 553: BONE DISEASES AND ARTHROPATHIES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 467: REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 84,943 | ||||
| Total Hospitalizations with ICD M87851 - Other osteonecrosis, right femur | 182 | ||||
| DRG Share of Total Hospitalizations | 0.26 | ||||
| % of Total ICD M87851 - Other osteonecrosis, right femur in DRG | 1.22 | ||||
| Avg LOS at DRG | 4.83 | ||||
| Avg LOS with ICD M87851 - Other osteonecrosis, right femur | 8.82 | ||||
| Readmission Rate at DRG | 29.98 | ||||
| Readmission Rate with ICD M87851 - Other osteonecrosis, right femur | 44.64 | ||||
| Unplanned Readmission Rate at DRG | 23.75 | ||||
| Unplanned Readmission Rate with ICD M87851 - Other osteonecrosis, right femur | 38.69 | ||||
| Total Medicare payments at DRG | $730,869,349 | ||||
| Total Medicare payments with ICD M87851 - Other osteonecrosis, right femur | $1,812,988 | ||||
| Total Medicare payment per Day at DRG | $1,782 | ||||
| Total Medicare payment per Day with ICD M87851 - Other osteonecrosis, right femur | $1,129 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,604 | ||||
| Total Medicare payment per Hospitalization with ICD M87851 - Other osteonecrosis, right femur | $9,961 | ||||
| Total Medicare Charges at DRG | $3,626,959,517 | ||||
| Total Medicare Charges with ICD M87851 - Other osteonecrosis, right femur | $13,528,127 | ||||
| Avg Charges at DRG | $42,699 | ||||
| Avg Charges with ICD M87851 - Other osteonecrosis, right femur | $74,330 | ||||
| Mortality Rate at DRG | 2.39 | ||||
| Mortality Rate with ICD M87851 - Other osteonecrosis, right femur | NA | ||||
| SNF Discharge Rate at DRG | 20.54 | ||||
| SNF Discharge Rate with ICD M87851 - Other osteonecrosis, right femur | NA | ||||
| Home Discharge Rate at DRG | 49.17 | ||||
| Home Discharge Rate with ICD M87851 - Other osteonecrosis, right femur | 78.57 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD M87851 - Other osteonecrosis, right femur | 105 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD M87851 - Other osteonecrosis, right femur in DRG | 0.7 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD M87851 - Other osteonecrosis, right femur | 5.65 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD M87851 - Other osteonecrosis, right femur | 26.88 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD M87851 - Other osteonecrosis, right femur | 18.28 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD M87851 - Other osteonecrosis, right femur | $794,812 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD M87851 - Other osteonecrosis, right femur | $1,340 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD M87851 - Other osteonecrosis, right femur | $7,570 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD M87851 - Other osteonecrosis, right femur | $5,016,373 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD M87851 - Other osteonecrosis, right femur | $47,775 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD M87851 - Other osteonecrosis, right femur | NA | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD M87851 - Other osteonecrosis, right femur | 21.9 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD M87851 - Other osteonecrosis, right femur | 41.9 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 462: BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 25,992 | ||||
| Total Hospitalizations with ICD M87851 - Other osteonecrosis, right femur | 74 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD M87851 - Other osteonecrosis, right femur in DRG | 0.5 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD M87851 - Other osteonecrosis, right femur | 4.14 | ||||
| Readmission Rate at DRG | 33.4 | ||||
| Readmission Rate with ICD M87851 - Other osteonecrosis, right femur | 36.99 | ||||
| Unplanned Readmission Rate at DRG | 1.96 | ||||
| Unplanned Readmission Rate with ICD M87851 - Other osteonecrosis, right femur | NA | ||||
| Total Medicare payments at DRG | $489,758,453 | ||||
| Total Medicare payments with ICD M87851 - Other osteonecrosis, right femur | $1,514,210 | ||||
| Total Medicare payment per Day at DRG | $6,008 | ||||
| Total Medicare payment per Day with ICD M87851 - Other osteonecrosis, right femur | $4,948 | ||||
| Total Medicare payment per Hospitalization at DRG | $18,843 | ||||
| Total Medicare payment per Hospitalization with ICD M87851 - Other osteonecrosis, right femur | $20,462 | ||||
| Total Medicare Charges at DRG | $2,446,586,446 | ||||
| Total Medicare Charges with ICD M87851 - Other osteonecrosis, right femur | $8,696,020 | ||||
| Avg Charges at DRG | $94,128 | ||||
| Avg Charges with ICD M87851 - Other osteonecrosis, right femur | $117,514 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD M87851 - Other osteonecrosis, right femur | NA | ||||
| SNF Discharge Rate at DRG | 24.57 | ||||
| SNF Discharge Rate with ICD M87851 - Other osteonecrosis, right femur | 17.57 | ||||
| Home Discharge Rate at DRG | 19.34 | ||||
| Home Discharge Rate with ICD M87851 - Other osteonecrosis, right femur | 24.32 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MUSC MEDICAL CENTER | 169 ASHLEY AVE | CHARLESTON | SC | 29403 | 74 |
| UNIVERSITY OF ILLINOIS HOSPITAL & HEALTH SCIENCES SYSTEM | 1740 W TAYLOR ST | CHICAGO | IL | 60612 | 69 |
| HOUSTON METHODIST HOSPITAL | 6565 FANNIN ST | HOUSTON | TX | 77030 | 65 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JONATHAN GEORGE YERASIMIDES | 9880 ANGIES WAY | LOUISVILLE | KY | 40241 | 19 |
| Dr. DAVID TAI | 2801 K ST | SACRAMENTO | CA | 95816 | 18 |
| Dr. COREY P ROTHROCK | 810 E 23RD ST | SIOUX FALLS | SD | 57105 | 18 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MICHEL GOWHARI | 1740 W TAYLOR ST | CHICAGO | IL | 60612 | 26 |
| Dr. JONATHAN GEORGE YERASIMIDES | 9880 ANGIES WAY | LOUISVILLE | KY | 40241 | 19 |
| Dr. SHIVI JAIN | 1901 W HARRISON STREET | CHICAGO | IL | 60612 | 19 |