*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg - as a primary diagnosis code | M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 4.98 | |
| Readmission Rate (%) | 21.96 | |
| Unplanned Readmission Rate (%) | 7.88 | |
| 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 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 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 480: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 240,618 | ||||
| Total Hospitalizations with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | 115 | ||||
| DRG Share of Total Hospitalizations | 0.73 | ||||
| % of Total ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg in DRG | 24.47 | ||||
| Avg LOS at DRG | 4.81 | ||||
| Avg LOS with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | 5.14 | ||||
| Readmission Rate at DRG | 26.3 | ||||
| Readmission Rate with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | 24.56 | ||||
| Unplanned Readmission Rate at DRG | 7.83 | ||||
| Unplanned Readmission Rate with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | NA | ||||
| Total Medicare payments at DRG | $2,989,116,299 | ||||
| Total Medicare payments with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | $1,543,906 | ||||
| Total Medicare payment per Day at DRG | $2,581 | ||||
| Total Medicare payment per Day with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | $2,612 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,423 | ||||
| Total Medicare payment per Hospitalization with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | $13,425 | ||||
| Total Medicare Charges at DRG | $15,603,027,471 | ||||
| Total Medicare Charges with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | $9,734,524 | ||||
| Avg Charges at DRG | $64,846 | ||||
| Avg Charges with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | $84,648 | ||||
| Mortality Rate at DRG | 0.4 | ||||
| Mortality Rate with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | NA | ||||
| SNF Discharge Rate at DRG | 66.28 | ||||
| SNF Discharge Rate with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | 69.57 | ||||
| Home Discharge Rate at DRG | 3.84 | ||||
| Home Discharge Rate with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | 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 468: REVISION OF HIP OR KNEE REPLACEMENT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 482: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 466: REVISION OF HIP OR KNEE REPLACEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 469: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 55,395 | ||||
| Total Hospitalizations with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | 31 | ||||
| DRG Share of Total Hospitalizations | 0.17 | ||||
| % of Total ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg in DRG | 6.6 | ||||
| Avg LOS at DRG | 2.48 | ||||
| Avg LOS with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | 3.71 | ||||
| Readmission Rate at DRG | 10.12 | ||||
| Readmission Rate with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | NA | ||||
| Unplanned Readmission Rate at DRG | 3.88 | ||||
| Unplanned Readmission Rate with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | NA | ||||
| Total Medicare payments at DRG | $919,481,919 | ||||
| Total Medicare payments with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | $559,871 | ||||
| Total Medicare payment per Day at DRG | $6,689 | ||||
| Total Medicare payment per Day with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | $4,868 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,599 | ||||
| Total Medicare payment per Hospitalization with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | $18,060 | ||||
| Total Medicare Charges at DRG | $4,627,801,183 | ||||
| Total Medicare Charges with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | $2,967,802 | ||||
| Avg Charges at DRG | $83,542 | ||||
| Avg Charges with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | $95,736 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | NA | ||||
| SNF Discharge Rate at DRG | 18.76 | ||||
| SNF Discharge Rate with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | 45.16 | ||||
| Home Discharge Rate at DRG | 33.3 | ||||
| Home Discharge Rate with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | 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 559: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 65,966 |
| Total Hospitalizations with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | 16 |
| DRG Share of Total Hospitalizations | 0.2 |
| % of Total ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg in DRG | 3.4 |
| Avg LOS at DRG | 13.11 |
| Avg LOS with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | 5.56 |
| Readmission Rate at DRG | 21.08 |
| Readmission Rate with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | NA |
| Unplanned Readmission Rate at DRG | 14.13 |
| Unplanned Readmission Rate with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | NA |
| Total Medicare payments at DRG | $1,323,430,782 |
| Total Medicare payments with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | $203,794 |
| Total Medicare payment per Day at DRG | $1,530 |
| Total Medicare payment per Day with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | $2,290 |
| Total Medicare payment per Hospitalization at DRG | $20,062 |
| Total Medicare payment per Hospitalization with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | $12,737 |
| Total Medicare Charges at DRG | $3,810,466,828 |
| Total Medicare Charges with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | $630,673 |
| Avg Charges at DRG | $57,764 |
| Avg Charges with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | $39,417 |
| Mortality Rate at DRG | 1.49 |
| Mortality Rate with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | NA |
| SNF Discharge Rate at DRG | 24.48 |
| SNF Discharge Rate with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | NA |
| Home Discharge Rate at DRG | 12.66 |
| Home Discharge Rate with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | 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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT 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 468: REVISION OF HIP OR KNEE REPLACEMENT 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | 1,771 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg in DRG | 44.0 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | 3.24 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | 17.47 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | 5.42 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | $22,317,098 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | $3,891 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | $12,601 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | $135,835,489 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | $76,700 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | 41.45 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | 19.31 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 466: REVISION OF HIP OR KNEE REPLACEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 480: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT 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) | DRG 464: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 188,863 | ||||
| Total Hospitalizations with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | 159 | ||||
| DRG Share of Total Hospitalizations | 0.57 | ||||
| % of Total ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg in DRG | 3.95 | ||||
| Avg LOS at DRG | 11.75 | ||||
| Avg LOS with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | 8.79 | ||||
| Readmission Rate at DRG | 12.14 | ||||
| Readmission Rate with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | 15.11 | ||||
| Unplanned Readmission Rate at DRG | 7.97 | ||||
| Unplanned Readmission Rate with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | NA | ||||
| Total Medicare payments at DRG | $3,216,901,374 | ||||
| Total Medicare payments with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | $2,099,528 | ||||
| Total Medicare payment per Day at DRG | $1,450 | ||||
| Total Medicare payment per Day with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | $1,503 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,033 | ||||
| Total Medicare payment per Hospitalization with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | $13,205 | ||||
| Total Medicare Charges at DRG | $7,709,712,645 | ||||
| Total Medicare Charges with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | $5,778,062 | ||||
| Avg Charges at DRG | $40,822 | ||||
| Avg Charges with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | $36,340 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | NA | ||||
| SNF Discharge Rate at DRG | 19.54 | ||||
| SNF Discharge Rate with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | 29.56 | ||||
| Home Discharge Rate at DRG | 19.47 | ||||
| Home Discharge Rate with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | 17.61 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 559: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH 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 462: BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT 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 | 95,335 | ||||
| Total Hospitalizations with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | 53 | ||||
| DRG Share of Total Hospitalizations | 0.29 | ||||
| % of Total ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg in DRG | 1.32 | ||||
| Avg LOS at DRG | 10.22 | ||||
| Avg LOS with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | 4.53 | ||||
| Readmission Rate at DRG | 9.28 | ||||
| Readmission Rate with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | 28.57 | ||||
| Unplanned Readmission Rate at DRG | 5.52 | ||||
| Unplanned Readmission Rate with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | NA | ||||
| Total Medicare payments at DRG | $1,423,955,801 | ||||
| Total Medicare payments with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | $368,647 | ||||
| Total Medicare payment per Day at DRG | $1,462 | ||||
| Total Medicare payment per Day with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | $1,536 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,936 | ||||
| Total Medicare payment per Hospitalization with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | $6,956 | ||||
| Total Medicare Charges at DRG | $2,977,958,847 | ||||
| Total Medicare Charges with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | $949,473 | ||||
| Avg Charges at DRG | $31,237 | ||||
| Avg Charges with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | $17,915 | ||||
| Mortality Rate at DRG | 0.08 | ||||
| Mortality Rate with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | NA | ||||
| SNF Discharge Rate at DRG | 15.14 | ||||
| SNF Discharge Rate with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | 41.51 | ||||
| Home Discharge Rate at DRG | 25.42 | ||||
| Home Discharge Rate with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | 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 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 499: LOCAL EXCISION AND REMOVAL INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 940: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 109,018 | |||
| Total Hospitalizations with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | 12 | |||
| DRG Share of Total Hospitalizations | 0.33 | |||
| % of Total ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg in DRG | 0.3 | |||
| Avg LOS at DRG | 12.66 | |||
| Avg LOS with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | 19.58 | |||
| Readmission Rate at DRG | 35.31 | |||
| Readmission Rate with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | NA | |||
| Unplanned Readmission Rate at DRG | 20.73 | |||
| Unplanned Readmission Rate with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | NA | |||
| Total Medicare payments at DRG | $3,554,922,428 | |||
| Total Medicare payments with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | $579,119 | |||
| Total Medicare payment per Day at DRG | $2,575 | |||
| Total Medicare payment per Day with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | $2,464 | |||
| Total Medicare payment per Hospitalization at DRG | $32,609 | |||
| Total Medicare payment per Hospitalization with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | $48,260 | |||
| Total Medicare Charges at DRG | $15,445,232,132 | |||
| Total Medicare Charges with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | $2,964,172 | |||
| Avg Charges at DRG | $141,676 | |||
| Avg Charges with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | $247,014 | |||
| Mortality Rate at DRG | 8.99 | |||
| Mortality Rate with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | NA | |||
| SNF Discharge Rate at DRG | 27.26 | |||
| SNF Discharge Rate with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | NA | |||
| Home Discharge Rate at DRG | 27.78 | |||
| Home Discharge Rate with ICD M96661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| HOSPITAL FOR SPECIAL SURGERY | 535 E 70TH ST | NEW YORK | NY | 10021 | 19 |
| ORO VALLEY HOSPITAL | 1551 E TANGERINE RD | ORO VALLEY | AZ | 85755 | 15 |
| RUSH UNIVERSITY MEDICAL CENTER | 1653 W CONGRESS PKWY | CHICAGO | IL | 60612 | 14 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. WILLIAM FRANKLIN HEFLEY | 5 ST VINCENT CIRCLE | LITTLE ROCK | AR | 72205 | 12 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. WILLIAM FRANKLIN HEFLEY | 5 ST VINCENT CIRCLE | LITTLE ROCK | AR | 72205 | 12 |