*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M87852 - Other osteonecrosis, left femur - as a primary diagnosis code | M87852 - Other osteonecrosis, left femur - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 4.93 | |
| Readmission Rate (%) | 22.78 | |
| Unplanned Readmission Rate (%) | 5.98 | |
| 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 M87852 - Other osteonecrosis, left femur | 3,199 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD M87852 - Other osteonecrosis, left femur in DRG | 78.25 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD M87852 - Other osteonecrosis, left femur | 2.6 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD M87852 - Other osteonecrosis, left femur | 11.51 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD M87852 - Other osteonecrosis, left femur | 3.98 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD M87852 - Other osteonecrosis, left femur | $37,662,114 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD M87852 - Other osteonecrosis, left femur | $4,523 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD M87852 - Other osteonecrosis, left femur | $11,773 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD M87852 - Other osteonecrosis, left femur | $212,490,537 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD M87852 - Other osteonecrosis, left femur | $66,424 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD M87852 - Other osteonecrosis, left femur | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD M87852 - Other osteonecrosis, left femur | 22.44 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD M87852 - Other osteonecrosis, left femur | 28.1 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 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 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 480: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 63,482 | |||
| Total Hospitalizations with ICD M87852 - Other osteonecrosis, left femur | 28 | |||
| DRG Share of Total Hospitalizations | 0.19 | |||
| % of Total ICD M87852 - Other osteonecrosis, left femur in DRG | 0.68 | |||
| Avg LOS at DRG | 4.05 | |||
| Avg LOS with ICD M87852 - Other osteonecrosis, left femur | 6.61 | |||
| Readmission Rate at DRG | 19.14 | |||
| Readmission Rate with ICD M87852 - Other osteonecrosis, left femur | NA | |||
| Unplanned Readmission Rate at DRG | 7.13 | |||
| Unplanned Readmission Rate with ICD M87852 - Other osteonecrosis, left femur | NA | |||
| Total Medicare payments at DRG | $1,360,037,568 | |||
| Total Medicare payments with ICD M87852 - Other osteonecrosis, left femur | $614,266 | |||
| Total Medicare payment per Day at DRG | $5,286 | |||
| Total Medicare payment per Day with ICD M87852 - Other osteonecrosis, left femur | $3,320 | |||
| Total Medicare payment per Hospitalization at DRG | $21,424 | |||
| Total Medicare payment per Hospitalization with ICD M87852 - Other osteonecrosis, left femur | $21,938 | |||
| Total Medicare Charges at DRG | $6,614,169,258 | |||
| Total Medicare Charges with ICD M87852 - Other osteonecrosis, left femur | $3,482,485 | |||
| Avg Charges at DRG | $104,190 | |||
| Avg Charges with ICD M87852 - Other osteonecrosis, left femur | $124,374 | |||
| Mortality Rate at DRG | 0.11 | |||
| Mortality Rate with ICD M87852 - Other osteonecrosis, left femur | NA | |||
| SNF Discharge Rate at DRG | 37.05 | |||
| SNF Discharge Rate with ICD M87852 - Other osteonecrosis, left femur | NA | |||
| Home Discharge Rate at DRG | 18.63 | |||
| Home Discharge Rate with ICD M87852 - Other osteonecrosis, left femur | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 17 |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST FORT WORTH | 6100 HARRIS PKWY | FORT WORTH | TX | 76132 | 15 |
| ANNE ARUNDEL MEDICAL CENTER | 2001 MEDICAL PARKWAY | ANNAPOLIS | MD | 21401 | 15 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JUSTIN RANDALL HOOVER | 57 EXECUTIVE PARK S | ATLANTA | GA | 30329 | 11 |
*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 M87852 - Other osteonecrosis, left femur | 6,798 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD M87852 - Other osteonecrosis, left femur in DRG | 47.92 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD M87852 - Other osteonecrosis, left femur | 2.64 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD M87852 - Other osteonecrosis, left femur | 11.39 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD M87852 - Other osteonecrosis, left femur | 4.13 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD M87852 - Other osteonecrosis, left femur | $81,294,771 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD M87852 - Other osteonecrosis, left femur | $4,529 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD M87852 - Other osteonecrosis, left femur | $11,959 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD M87852 - Other osteonecrosis, left femur | $450,679,915 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD M87852 - Other osteonecrosis, left femur | $66,296 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD M87852 - Other osteonecrosis, left femur | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD M87852 - Other osteonecrosis, left femur | 24.49 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD M87852 - Other osteonecrosis, left femur | 26.83 |
*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 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 553: BONE DISEASES AND ARTHROPATHIES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 467: REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 84,943 | ||||
| Total Hospitalizations with ICD M87852 - Other osteonecrosis, left femur | 171 | ||||
| DRG Share of Total Hospitalizations | 0.26 | ||||
| % of Total ICD M87852 - Other osteonecrosis, left femur in DRG | 1.21 | ||||
| Avg LOS at DRG | 4.83 | ||||
| Avg LOS with ICD M87852 - Other osteonecrosis, left femur | 8.81 | ||||
| Readmission Rate at DRG | 29.98 | ||||
| Readmission Rate with ICD M87852 - Other osteonecrosis, left femur | 41.4 | ||||
| Unplanned Readmission Rate at DRG | 23.75 | ||||
| Unplanned Readmission Rate with ICD M87852 - Other osteonecrosis, left femur | 35.67 | ||||
| Total Medicare payments at DRG | $730,869,349 | ||||
| Total Medicare payments with ICD M87852 - Other osteonecrosis, left femur | $1,706,252 | ||||
| Total Medicare payment per Day at DRG | $1,782 | ||||
| Total Medicare payment per Day with ICD M87852 - Other osteonecrosis, left femur | $1,133 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,604 | ||||
| Total Medicare payment per Hospitalization with ICD M87852 - Other osteonecrosis, left femur | $9,978 | ||||
| Total Medicare Charges at DRG | $3,626,959,517 | ||||
| Total Medicare Charges with ICD M87852 - Other osteonecrosis, left femur | $12,248,220 | ||||
| Avg Charges at DRG | $42,699 | ||||
| Avg Charges with ICD M87852 - Other osteonecrosis, left femur | $71,627 | ||||
| Mortality Rate at DRG | 2.39 | ||||
| Mortality Rate with ICD M87852 - Other osteonecrosis, left femur | NA | ||||
| SNF Discharge Rate at DRG | 20.54 | ||||
| SNF Discharge Rate with ICD M87852 - Other osteonecrosis, left femur | NA | ||||
| Home Discharge Rate at DRG | 49.17 | ||||
| Home Discharge Rate with ICD M87852 - Other osteonecrosis, left femur | 79.53 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD M87852 - Other osteonecrosis, left femur | 102 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD M87852 - Other osteonecrosis, left femur in DRG | 0.72 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD M87852 - Other osteonecrosis, left femur | 16.86 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD M87852 - Other osteonecrosis, left femur | 34.83 | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD M87852 - Other osteonecrosis, left femur | 16.85 | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD M87852 - Other osteonecrosis, left femur | $4,147,469 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD M87852 - Other osteonecrosis, left femur | $2,411 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD M87852 - Other osteonecrosis, left femur | $40,661 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD M87852 - Other osteonecrosis, left femur | $20,126,795 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD M87852 - Other osteonecrosis, left femur | $197,322 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD M87852 - Other osteonecrosis, left femur | NA | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD M87852 - Other osteonecrosis, left femur | 42.16 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD M87852 - Other osteonecrosis, left femur | 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 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 462: BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD M87852 - Other osteonecrosis, left femur | 74 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD M87852 - Other osteonecrosis, left femur in DRG | 0.52 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD M87852 - Other osteonecrosis, left femur | 6.09 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD M87852 - Other osteonecrosis, left femur | 24.66 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD M87852 - Other osteonecrosis, left femur | 23.29 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD M87852 - Other osteonecrosis, left femur | $591,225 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD M87852 - Other osteonecrosis, left femur | $1,311 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD M87852 - Other osteonecrosis, left femur | $7,990 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD M87852 - Other osteonecrosis, left femur | $3,733,910 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD M87852 - Other osteonecrosis, left femur | $50,458 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD M87852 - Other osteonecrosis, left femur | NA | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD M87852 - Other osteonecrosis, left femur | NA | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD M87852 - Other osteonecrosis, left femur | 37.84 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UNIVERSITY OF ILLINOIS HOSPITAL & HEALTH SCIENCES SYSTEM | 1740 W TAYLOR ST | CHICAGO | IL | 60612 | 93 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 67 |
| MUSC MEDICAL CENTER | 169 ASHLEY AVE | CHARLESTON | SC | 29403 | 61 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. FRANK ROSS EBERT | 3333 N CALVERT ST | BALTIMORE | MD | 21218 | 19 |
| Dr. BRUCE E. JANKE | 1201 E SAMPLE RD | POMPANO BEACH | FL | 33064 | 15 |
| Dr. FRANCIS BALQUIEDRA GONZALES | 2501 PARKERS LN | ALEXANDRIA | VA | 22306 | 14 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SHIVI JAIN | 1901 W HARRISON STREET | CHICAGO | IL | 60612 | 31 |
| Dr. MICHEL GOWHARI | 1740 W TAYLOR ST | CHICAGO | IL | 60612 | 29 |
| Dr. FRANK ROSS EBERT | 3333 N CALVERT ST | BALTIMORE | MD | 21218 | 19 |