*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| S72002K - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with nonunion - as a primary diagnosis code | S72002K - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with nonunion - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.17 | |
| Readmission Rate (%) | 23.19 | |
| Unplanned Readmission Rate (%) | 9.84 | |
| 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 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD S72002K - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with nonunion | 522 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD S72002K - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with nonunion in DRG | 66.67 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD S72002K - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with nonunion | 3.5 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD S72002K - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with nonunion | 21.33 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD S72002K - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with nonunion | 7.65 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD S72002K - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with nonunion | $6,772,973 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD S72002K - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with nonunion | $3,707 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD S72002K - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with nonunion | $12,975 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD S72002K - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with nonunion | $36,568,567 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD S72002K - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with nonunion | $70,055 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD S72002K - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with nonunion | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD S72002K - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with nonunion | 52.68 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD S72002K - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with nonunion | 10.34 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 566: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 564: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 466: REVISION OF HIP OR KNEE REPLACEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 6,958 | ||
| Total Hospitalizations with ICD S72002K - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with nonunion | 19 | ||
| DRG Share of Total Hospitalizations | 0.02 | ||
| % of Total ICD S72002K - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with nonunion in DRG | 2.43 | ||
| Avg LOS at DRG | 3.81 | ||
| Avg LOS with ICD S72002K - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with nonunion | 8.42 | ||
| Readmission Rate at DRG | 15.77 | ||
| Readmission Rate with ICD S72002K - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with nonunion | NA | ||
| Unplanned Readmission Rate at DRG | 7.13 | ||
| Unplanned Readmission Rate with ICD S72002K - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with nonunion | NA | ||
| Total Medicare payments at DRG | $38,129,498 | ||
| Total Medicare payments with ICD S72002K - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with nonunion | $209,105 | ||
| Total Medicare payment per Day at DRG | $1,437 | ||
| Total Medicare payment per Day with ICD S72002K - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with nonunion | $1,307 | ||
| Total Medicare payment per Hospitalization at DRG | $5,480 | ||
| Total Medicare payment per Hospitalization with ICD S72002K - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with nonunion | $11,006 | ||
| Total Medicare Charges at DRG | $177,015,555 | ||
| Total Medicare Charges with ICD S72002K - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with nonunion | $512,026 | ||
| Avg Charges at DRG | $25,441 | ||
| Avg Charges with ICD S72002K - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with nonunion | $26,949 | ||
| Mortality Rate at DRG | NA | ||
| Mortality Rate with ICD S72002K - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with nonunion | NA | ||
| SNF Discharge Rate at DRG | 33.64 | ||
| SNF Discharge Rate with ICD S72002K - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with nonunion | NA | ||
| Home Discharge Rate at DRG | 33.75 | ||
| Home Discharge Rate with ICD S72002K - Fracture of unspecified part of neck of left 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 S72002K - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with nonunion | 731 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD S72002K - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with nonunion in DRG | 53.83 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD S72002K - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with nonunion | 3.45 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD S72002K - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with nonunion | 20.4 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD S72002K - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with nonunion | 6.85 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD S72002K - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with nonunion | $9,412,787 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD S72002K - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with nonunion | $3,729 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD S72002K - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with nonunion | $12,877 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD S72002K - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with nonunion | $53,111,746 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD S72002K - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with nonunion | $72,656 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD S72002K - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with nonunion | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD S72002K - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with nonunion | 51.71 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD S72002K - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with nonunion | 11.49 |
*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 498: LOCAL EXCISION AND REMOVAL INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH COMPLICATION OR COMORBIDITY (CC)/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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 466: REVISION OF HIP OR KNEE REPLACEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 188,863 | ||||
| Total Hospitalizations with ICD S72002K - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with nonunion | 27 | ||||
| DRG Share of Total Hospitalizations | 0.57 | ||||
| % of Total ICD S72002K - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with nonunion in DRG | 1.99 | ||||
| Avg LOS at DRG | 11.75 | ||||
| Avg LOS with ICD S72002K - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with nonunion | 10.04 | ||||
| Readmission Rate at DRG | 12.14 | ||||
| Readmission Rate with ICD S72002K - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with nonunion | NA | ||||
| Unplanned Readmission Rate at DRG | 7.97 | ||||
| Unplanned Readmission Rate with ICD S72002K - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with nonunion | NA | ||||
| Total Medicare payments at DRG | $3,216,901,374 | ||||
| Total Medicare payments with ICD S72002K - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with nonunion | $412,104 | ||||
| Total Medicare payment per Day at DRG | $1,450 | ||||
| Total Medicare payment per Day with ICD S72002K - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with nonunion | $1,521 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,033 | ||||
| Total Medicare payment per Hospitalization with ICD S72002K - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with nonunion | $15,263 | ||||
| Total Medicare Charges at DRG | $7,709,712,645 | ||||
| Total Medicare Charges with ICD S72002K - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with nonunion | $1,073,684 | ||||
| Avg Charges at DRG | $40,822 | ||||
| Avg Charges with ICD S72002K - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with nonunion | $39,766 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD S72002K - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with nonunion | NA | ||||
| SNF Discharge Rate at DRG | 19.54 | ||||
| SNF Discharge Rate with ICD S72002K - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with nonunion | NA | ||||
| Home Discharge Rate at DRG | 19.47 | ||||
| Home Discharge Rate with ICD S72002K - Fracture of unspecified part of neck of left 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 564: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 480: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 14,748 | |
| Total Hospitalizations with ICD S72002K - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with nonunion | 13 | |
| DRG Share of Total Hospitalizations | 0.04 | |
| % of Total ICD S72002K - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with nonunion in DRG | 0.96 | |
| Avg LOS at DRG | 7.44 | |
| Avg LOS with ICD S72002K - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with nonunion | 9.85 | |
| Readmission Rate at DRG | 28.16 | |
| Readmission Rate with ICD S72002K - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with nonunion | NA | |
| Unplanned Readmission Rate at DRG | 16.34 | |
| Unplanned Readmission Rate with ICD S72002K - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with nonunion | NA | |
| Total Medicare payments at DRG | $168,559,396 | |
| Total Medicare payments with ICD S72002K - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with nonunion | $162,502 | |
| Total Medicare payment per Day at DRG | $1,536 | |
| Total Medicare payment per Day with ICD S72002K - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with nonunion | $1,270 | |
| Total Medicare payment per Hospitalization at DRG | $11,429 | |
| Total Medicare payment per Hospitalization with ICD S72002K - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with nonunion | $12,500 | |
| Total Medicare Charges at DRG | $809,829,979 | |
| Total Medicare Charges with ICD S72002K - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with nonunion | $502,166 | |
| Avg Charges at DRG | $54,911 | |
| Avg Charges with ICD S72002K - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with nonunion | $38,628 | |
| Mortality Rate at DRG | 3.86 | |
| Mortality Rate with ICD S72002K - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with nonunion | NA | |
| SNF Discharge Rate at DRG | 41.09 | |
| SNF Discharge Rate with ICD S72002K - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with nonunion | NA | |
| Home Discharge Rate at DRG | 17.98 | |
| Home Discharge Rate with ICD S72002K - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with nonunion | NA |