*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M978XXD - Periprosthetic fracture around other internal prosthetic joint, subsequent encounter - as a primary diagnosis code | M978XXD - Periprosthetic fracture around other internal prosthetic joint, subsequent encounter - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 10.48 | |
| Readmission Rate (%) | 14.71 | |
| 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 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 188,863 | |
| Total Hospitalizations with ICD M978XXD - Periprosthetic fracture around other internal prosthetic joint, subsequent encounter | 20 | |
| DRG Share of Total Hospitalizations | 0.57 | |
| % of Total ICD M978XXD - Periprosthetic fracture around other internal prosthetic joint, subsequent encounter in DRG | 47.62 | |
| Avg LOS at DRG | 11.75 | |
| Avg LOS with ICD M978XXD - Periprosthetic fracture around other internal prosthetic joint, subsequent encounter | 11.25 | |
| Readmission Rate at DRG | 12.14 | |
| Readmission Rate with ICD M978XXD - Periprosthetic fracture around other internal prosthetic joint, subsequent encounter | NA | |
| Unplanned Readmission Rate at DRG | 7.97 | |
| Unplanned Readmission Rate with ICD M978XXD - Periprosthetic fracture around other internal prosthetic joint, subsequent encounter | NA | |
| Total Medicare payments at DRG | $3,216,901,374 | |
| Total Medicare payments with ICD M978XXD - Periprosthetic fracture around other internal prosthetic joint, subsequent encounter | $339,462 | |
| Total Medicare payment per Day at DRG | $1,450 | |
| Total Medicare payment per Day with ICD M978XXD - Periprosthetic fracture around other internal prosthetic joint, subsequent encounter | $1,509 | |
| Total Medicare payment per Hospitalization at DRG | $17,033 | |
| Total Medicare payment per Hospitalization with ICD M978XXD - Periprosthetic fracture around other internal prosthetic joint, subsequent encounter | $16,973 | |
| Total Medicare Charges at DRG | $7,709,712,645 | |
| Total Medicare Charges with ICD M978XXD - Periprosthetic fracture around other internal prosthetic joint, subsequent encounter | $951,432 | |
| Avg Charges at DRG | $40,822 | |
| Avg Charges with ICD M978XXD - Periprosthetic fracture around other internal prosthetic joint, subsequent encounter | $47,572 | |
| Mortality Rate at DRG | 0.11 | |
| Mortality Rate with ICD M978XXD - Periprosthetic fracture around other internal prosthetic joint, subsequent encounter | NA | |
| SNF Discharge Rate at DRG | 19.54 | |
| SNF Discharge Rate with ICD M978XXD - Periprosthetic fracture around other internal prosthetic joint, subsequent encounter | NA | |
| Home Discharge Rate at DRG | 19.47 | |
| Home Discharge Rate with ICD M978XXD - Periprosthetic fracture around other internal prosthetic joint, subsequent encounter | 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 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | 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) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 188,863 | ||
| Total Hospitalizations with ICD M978XXD - Periprosthetic fracture around other internal prosthetic joint, subsequent encounter | 43 | ||
| DRG Share of Total Hospitalizations | 0.57 | ||
| % of Total ICD M978XXD - Periprosthetic fracture around other internal prosthetic joint, subsequent encounter in DRG | 36.75 | ||
| Avg LOS at DRG | 11.75 | ||
| Avg LOS with ICD M978XXD - Periprosthetic fracture around other internal prosthetic joint, subsequent encounter | 12.37 | ||
| Readmission Rate at DRG | 12.14 | ||
| Readmission Rate with ICD M978XXD - Periprosthetic fracture around other internal prosthetic joint, subsequent encounter | NA | ||
| Unplanned Readmission Rate at DRG | 7.97 | ||
| Unplanned Readmission Rate with ICD M978XXD - Periprosthetic fracture around other internal prosthetic joint, subsequent encounter | NA | ||
| Total Medicare payments at DRG | $3,216,901,374 | ||
| Total Medicare payments with ICD M978XXD - Periprosthetic fracture around other internal prosthetic joint, subsequent encounter | $779,097 | ||
| Total Medicare payment per Day at DRG | $1,450 | ||
| Total Medicare payment per Day with ICD M978XXD - Periprosthetic fracture around other internal prosthetic joint, subsequent encounter | $1,464 | ||
| Total Medicare payment per Hospitalization at DRG | $17,033 | ||
| Total Medicare payment per Hospitalization with ICD M978XXD - Periprosthetic fracture around other internal prosthetic joint, subsequent encounter | $18,119 | ||
| Total Medicare Charges at DRG | $7,709,712,645 | ||
| Total Medicare Charges with ICD M978XXD - Periprosthetic fracture around other internal prosthetic joint, subsequent encounter | $2,089,128 | ||
| Avg Charges at DRG | $40,822 | ||
| Avg Charges with ICD M978XXD - Periprosthetic fracture around other internal prosthetic joint, subsequent encounter | $48,584 | ||
| Mortality Rate at DRG | 0.11 | ||
| Mortality Rate with ICD M978XXD - Periprosthetic fracture around other internal prosthetic joint, subsequent encounter | NA | ||
| SNF Discharge Rate at DRG | 19.54 | ||
| SNF Discharge Rate with ICD M978XXD - Periprosthetic fracture around other internal prosthetic joint, subsequent encounter | 34.88 | ||
| Home Discharge Rate at DRG | 19.47 | ||
| Home Discharge Rate with ICD M978XXD - Periprosthetic fracture around other internal prosthetic joint, subsequent encounter | NA |