*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
M94261 - Chondromalacia, right knee - as a primary diagnosis code | M94261 - Chondromalacia, right knee - as a primary or secondary diagnosis code | |
---|---|---|
OUTCOMES | ||
Avg. LOS | 3.16 | |
Readmission Rate (%) | 11.2 | |
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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY 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 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) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 1,522,684 | ||||
Total Hospitalizations with ICD M94261 - Chondromalacia, right knee | 1,788 | ||||
DRG Share of Total Hospitalizations | 4.63 | ||||
% of Total ICD M94261 - Chondromalacia, right knee in DRG | 65.28 | ||||
Avg LOS at DRG | 2.52 | ||||
Avg LOS with ICD M94261 - Chondromalacia, right knee | 2.02 | ||||
Readmission Rate at DRG | 9.03 | ||||
Readmission Rate with ICD M94261 - Chondromalacia, right knee | 6.1 | ||||
Unplanned Readmission Rate at DRG | 3.35 | ||||
Unplanned Readmission Rate with ICD M94261 - Chondromalacia, right knee | 2.93 | ||||
Total Medicare payments at DRG | $17,672,828,347 | ||||
Total Medicare payments with ICD M94261 - Chondromalacia, right knee | $19,414,317 | ||||
Total Medicare payment per Day at DRG | $4,606 | ||||
Total Medicare payment per Day with ICD M94261 - Chondromalacia, right knee | $5,387 | ||||
Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
Total Medicare payment per Hospitalization with ICD M94261 - Chondromalacia, right knee | $10,858 | ||||
Total Medicare Charges at DRG | $91,836,200,128 | ||||
Total Medicare Charges with ICD M94261 - Chondromalacia, right knee | $99,218,745 | ||||
Avg Charges at DRG | $60,312 | ||||
Avg Charges with ICD M94261 - Chondromalacia, right knee | $55,491 | ||||
Mortality Rate at DRG | 0.05 | ||||
Mortality Rate with ICD M94261 - Chondromalacia, right knee | NA | ||||
SNF Discharge Rate at DRG | 23.53 | ||||
SNF Discharge Rate with ICD M94261 - Chondromalacia, right knee | 14.37 | ||||
Home Discharge Rate at DRG | 30.67 | ||||
Home Discharge Rate with ICD M94261 - Chondromalacia, right knee | 46.53 |
*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 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 554: BONE DISEASES AND ARTHROPATHIES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 487: KNEE PROCEDURES WITH PDX OF INFECTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 563: FRACTURE SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 269,064 | ||||
Total Hospitalizations with ICD M94261 - Chondromalacia, right knee | 36 | ||||
DRG Share of Total Hospitalizations | 0.82 | ||||
% of Total ICD M94261 - Chondromalacia, right knee in DRG | 1.31 | ||||
Avg LOS at DRG | 13.18 | ||||
Avg LOS with ICD M94261 - Chondromalacia, right knee | 11.67 | ||||
Readmission Rate at DRG | 37.51 | ||||
Readmission Rate with ICD M94261 - Chondromalacia, right knee | 38.71 | ||||
Unplanned Readmission Rate at DRG | 18.15 | ||||
Unplanned Readmission Rate with ICD M94261 - Chondromalacia, right knee | NA | ||||
Total Medicare payments at DRG | $9,344,186,034 | ||||
Total Medicare payments with ICD M94261 - Chondromalacia, right knee | $1,077,414 | ||||
Total Medicare payment per Day at DRG | $2,635 | ||||
Total Medicare payment per Day with ICD M94261 - Chondromalacia, right knee | $2,565 | ||||
Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
Total Medicare payment per Hospitalization with ICD M94261 - Chondromalacia, right knee | $29,928 | ||||
Total Medicare Charges at DRG | $44,371,117,432 | ||||
Total Medicare Charges with ICD M94261 - Chondromalacia, right knee | $5,085,541 | ||||
Avg Charges at DRG | $164,909 | ||||
Avg Charges with ICD M94261 - Chondromalacia, right knee | $141,265 | ||||
Mortality Rate at DRG | 14.37 | ||||
Mortality Rate with ICD M94261 - Chondromalacia, right knee | NA | ||||
SNF Discharge Rate at DRG | 31.8 | ||||
SNF Discharge Rate with ICD M94261 - Chondromalacia, right knee | 55.56 | ||||
Home Discharge Rate at DRG | 14.61 | ||||
Home Discharge Rate with ICD M94261 - Chondromalacia, right knee | 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 469: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 485: KNEE PROCEDURES WITH PDX OF INFECTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 468: REVISION OF HIP OR KNEE REPLACEMENT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 987: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 83,447 | ||||
Total Hospitalizations with ICD M94261 - Chondromalacia, right knee | 20 | ||||
DRG Share of Total Hospitalizations | 0.25 | ||||
% of Total ICD M94261 - Chondromalacia, right knee in DRG | 0.73 | ||||
Avg LOS at DRG | 6.32 | ||||
Avg LOS with ICD M94261 - Chondromalacia, right knee | 4.95 | ||||
Readmission Rate at DRG | 26.61 | ||||
Readmission Rate with ICD M94261 - Chondromalacia, right knee | NA | ||||
Unplanned Readmission Rate at DRG | 10.75 | ||||
Unplanned Readmission Rate with ICD M94261 - Chondromalacia, right knee | NA | ||||
Total Medicare payments at DRG | $1,636,094,359 | ||||
Total Medicare payments with ICD M94261 - Chondromalacia, right knee | $373,035 | ||||
Total Medicare payment per Day at DRG | $3,100 | ||||
Total Medicare payment per Day with ICD M94261 - Chondromalacia, right knee | $3,768 | ||||
Total Medicare payment per Hospitalization at DRG | $19,606 | ||||
Total Medicare payment per Hospitalization with ICD M94261 - Chondromalacia, right knee | $18,652 | ||||
Total Medicare Charges at DRG | $7,936,043,941 | ||||
Total Medicare Charges with ICD M94261 - Chondromalacia, right knee | $1,532,779 | ||||
Avg Charges at DRG | $95,103 | ||||
Avg Charges with ICD M94261 - Chondromalacia, right knee | $76,639 | ||||
Mortality Rate at DRG | 3.79 | ||||
Mortality Rate with ICD M94261 - Chondromalacia, right knee | NA | ||||
SNF Discharge Rate at DRG | 52.83 | ||||
SNF Discharge Rate with ICD M94261 - Chondromalacia, right knee | NA | ||||
Home Discharge Rate at DRG | 9.28 | ||||
Home Discharge Rate with ICD M94261 - Chondromalacia, right knee | NA |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
UNITY POINT HEALTH TRINITY | 4500 UTICA RIDGE RD | BETTENDORF | IA | 52722 | 135 |
SAINT JOSEPH EAST | 150 N EAGLE CREEK DR | LEXINGTON | KY | 40509 | 86 |
NORTHSIDE HOSPITAL FORSYTH | 1200 NORTHSIDE FORSYTH DR | CUMMING | GA | 30041 | 83 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. JOHN HOFFMAN | 3385 DEXTER CT | DAVENPORT | IA | 52807 | 130 |
Dr. CHRISTIAN PAUL CHRISTENSEN | 101 WINDSOR PATH | GEORGETOWN | KY | 40324 | 85 |
Dr. CHARLES ADAM DECOOK | 655 JESSE JEWELL PKWY SE | GAINESVILLE | GA | 30501 | 77 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. JOHN HOFFMAN | 3385 DEXTER CT | DAVENPORT | IA | 52807 | 130 |
Dr. CHARLES ADAM DECOOK | 655 JESSE JEWELL PKWY SE | GAINESVILLE | GA | 30501 | 77 |
Dr. HAROLD E CATES | 9430 PARK WEST BLVD | KNOXVILLE | TN | 37923 | 65 |