*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| S72001K - Fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with nonunion - as a primary diagnosis code | S72001K - Fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with nonunion - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.24 | |
| Readmission Rate (%) | 24.01 | |
| Unplanned Readmission Rate (%) | 8.32 | |
| 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 469: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 565: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 467: REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 566: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD S72001K - Fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with nonunion | 564 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD S72001K - Fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with nonunion in DRG | 67.79 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD S72001K - Fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with nonunion | 3.38 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD S72001K - Fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with nonunion | 21.77 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD S72001K - Fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with nonunion | 7.56 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD S72001K - Fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with nonunion | $7,279,346 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD S72001K - Fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with nonunion | $3,813 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD S72001K - Fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with nonunion | $12,907 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD S72001K - Fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with nonunion | $40,652,296 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD S72001K - Fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with nonunion | $72,079 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD S72001K - Fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with nonunion | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD S72001K - Fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with nonunion | 46.45 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD S72001K - Fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with nonunion | 14.01 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 564: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 482: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 14,748 | ||
| Total Hospitalizations with ICD S72001K - Fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with nonunion | 17 | ||
| DRG Share of Total Hospitalizations | 0.04 | ||
| % of Total ICD S72001K - Fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with nonunion in DRG | 2.04 | ||
| Avg LOS at DRG | 7.44 | ||
| Avg LOS with ICD S72001K - Fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with nonunion | 13.35 | ||
| Readmission Rate at DRG | 28.16 | ||
| Readmission Rate with ICD S72001K - Fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with nonunion | NA | ||
| Unplanned Readmission Rate at DRG | 16.34 | ||
| Unplanned Readmission Rate with ICD S72001K - Fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with nonunion | NA | ||
| Total Medicare payments at DRG | $168,559,396 | ||
| Total Medicare payments with ICD S72001K - Fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with nonunion | $368,433 | ||
| Total Medicare payment per Day at DRG | $1,536 | ||
| Total Medicare payment per Day with ICD S72001K - Fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with nonunion | $1,623 | ||
| Total Medicare payment per Hospitalization at DRG | $11,429 | ||
| Total Medicare payment per Hospitalization with ICD S72001K - Fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with nonunion | $21,673 | ||
| Total Medicare Charges at DRG | $809,829,979 | ||
| Total Medicare Charges with ICD S72001K - Fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with nonunion | $1,161,034 | ||
| Avg Charges at DRG | $54,911 | ||
| Avg Charges with ICD S72001K - Fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with nonunion | $68,296 | ||
| Mortality Rate at DRG | 3.86 | ||
| Mortality Rate with ICD S72001K - Fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with nonunion | NA | ||
| SNF Discharge Rate at DRG | 41.09 | ||
| SNF Discharge Rate with ICD S72001K - Fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with nonunion | NA | ||
| Home Discharge Rate at DRG | 17.98 | ||
| Home Discharge Rate with ICD S72001K - Fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with nonunion | 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 469: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 467: REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 565: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD S72001K - Fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with nonunion | 810 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD S72001K - Fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with nonunion in DRG | 54.88 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD S72001K - Fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with nonunion | 3.52 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD S72001K - Fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with nonunion | 21.82 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD S72001K - Fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with nonunion | 7.45 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD S72001K - Fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with nonunion | $10,469,852 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD S72001K - Fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with nonunion | $3,675 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD S72001K - Fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with nonunion | $12,926 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD S72001K - Fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with nonunion | $61,043,606 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD S72001K - Fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with nonunion | $75,362 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD S72001K - Fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with nonunion | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD S72001K - Fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with nonunion | 47.53 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD S72001K - Fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with nonunion | 13.21 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 566: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 498: LOCAL EXCISION AND REMOVAL INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 564: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD S72001K - Fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with nonunion | 24 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD S72001K - Fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with nonunion in DRG | 1.63 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD S72001K - Fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with nonunion | 6.71 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD S72001K - Fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with nonunion | NA | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD S72001K - Fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with nonunion | NA | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD S72001K - Fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with nonunion | $268,743 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD S72001K - Fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with nonunion | $1,669 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD S72001K - Fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with nonunion | $11,198 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD S72001K - Fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with nonunion | $1,265,082 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD S72001K - Fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with nonunion | $52,712 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD S72001K - Fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with nonunion | NA | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD S72001K - Fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with nonunion | NA | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD S72001K - Fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with nonunion | 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 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 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 482: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 12,481 | ||||
| Total Hospitalizations with ICD S72001K - Fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with nonunion | 17 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD S72001K - Fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with nonunion in DRG | 1.15 | ||||
| Avg LOS at DRG | 8.13 | ||||
| Avg LOS with ICD S72001K - Fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with nonunion | 8.06 | ||||
| Readmission Rate at DRG | 32.43 | ||||
| Readmission Rate with ICD S72001K - Fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with nonunion | NA | ||||
| Unplanned Readmission Rate at DRG | 12.96 | ||||
| Unplanned Readmission Rate with ICD S72001K - Fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with nonunion | NA | ||||
| Total Medicare payments at DRG | $400,883,135 | ||||
| Total Medicare payments with ICD S72001K - Fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with nonunion | $521,777 | ||||
| Total Medicare payment per Day at DRG | $3,948 | ||||
| Total Medicare payment per Day with ICD S72001K - Fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with nonunion | $3,809 | ||||
| Total Medicare payment per Hospitalization at DRG | $32,119 | ||||
| Total Medicare payment per Hospitalization with ICD S72001K - Fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with nonunion | $30,693 | ||||
| Total Medicare Charges at DRG | $1,850,418,970 | ||||
| Total Medicare Charges with ICD S72001K - Fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with nonunion | $2,350,246 | ||||
| Avg Charges at DRG | $148,259 | ||||
| Avg Charges with ICD S72001K - Fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with nonunion | $138,250 | ||||
| Mortality Rate at DRG | 3.33 | ||||
| Mortality Rate with ICD S72001K - Fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with nonunion | NA | ||||
| SNF Discharge Rate at DRG | 53.25 | ||||
| SNF Discharge Rate with ICD S72001K - Fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with nonunion | 64.71 | ||||
| Home Discharge Rate at DRG | 6.69 | ||||
| Home Discharge Rate with ICD S72001K - Fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with nonunion | NA |