*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter - as a primary diagnosis code | T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.66 | |
| Readmission Rate (%) | 26.79 | |
| Unplanned Readmission Rate (%) | 9.5 | |
| 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 464: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 467: REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 486: KNEE PROCEDURES WITH PDX OF INFECTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 463: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 34,505 | ||||
| Total Hospitalizations with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | 4,965 | ||||
| DRG Share of Total Hospitalizations | 0.1 | ||||
| % of Total ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter in DRG | 22.66 | ||||
| Avg LOS at DRG | 7.5 | ||||
| Avg LOS with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | 6.35 | ||||
| Readmission Rate at DRG | 24.13 | ||||
| Readmission Rate with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | 23.28 | ||||
| Unplanned Readmission Rate at DRG | 9.59 | ||||
| Unplanned Readmission Rate with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | 8.67 | ||||
| Total Medicare payments at DRG | $661,706,701 | ||||
| Total Medicare payments with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | $89,896,924 | ||||
| Total Medicare payment per Day at DRG | $2,559 | ||||
| Total Medicare payment per Day with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | $2,851 | ||||
| Total Medicare payment per Hospitalization at DRG | $19,177 | ||||
| Total Medicare payment per Hospitalization with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | $18,106 | ||||
| Total Medicare Charges at DRG | $3,132,931,207 | ||||
| Total Medicare Charges with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | $472,166,766 | ||||
| Avg Charges at DRG | $90,796 | ||||
| Avg Charges with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | $95,099 | ||||
| Mortality Rate at DRG | 0.1 | ||||
| Mortality Rate with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 38.89 | ||||
| SNF Discharge Rate with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | 45.16 | ||||
| Home Discharge Rate at DRG | 17.15 | ||||
| Home Discharge Rate with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | 9.83 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 465: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS 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 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 466: REVISION OF HIP OR KNEE REPLACEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 12,888 | ||||
| Total Hospitalizations with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | 1,566 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter in DRG | 7.15 | ||||
| Avg LOS at DRG | 3.58 | ||||
| Avg LOS with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | 4.24 | ||||
| Readmission Rate at DRG | 13.44 | ||||
| Readmission Rate with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | 15.37 | ||||
| Unplanned Readmission Rate at DRG | 5.08 | ||||
| Unplanned Readmission Rate with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | 5.62 | ||||
| Total Medicare payments at DRG | $151,081,549 | ||||
| Total Medicare payments with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | $18,734,932 | ||||
| Total Medicare payment per Day at DRG | $3,272 | ||||
| Total Medicare payment per Day with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | $2,820 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,723 | ||||
| Total Medicare payment per Hospitalization with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | $11,964 | ||||
| Total Medicare Charges at DRG | $781,949,368 | ||||
| Total Medicare Charges with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | $114,640,163 | ||||
| Avg Charges at DRG | $60,673 | ||||
| Avg Charges with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | $73,206 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 21.14 | ||||
| SNF Discharge Rate with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | 31.8 | ||||
| Home Discharge Rate at DRG | 35.52 | ||||
| Home Discharge Rate with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | 18.2 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 487: KNEE PROCEDURES WITH PDX OF INFECTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 475: AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 474: AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 2,096 | ||||
| Total Hospitalizations with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | 670 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter in DRG | 3.06 | ||||
| Avg LOS at DRG | 4.28 | ||||
| Avg LOS with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | 4.1 | ||||
| Readmission Rate at DRG | 16.82 | ||||
| Readmission Rate with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | 13.78 | ||||
| Unplanned Readmission Rate at DRG | 7.55 | ||||
| Unplanned Readmission Rate with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | 4.9 | ||||
| Total Medicare payments at DRG | $20,328,871 | ||||
| Total Medicare payments with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | $6,510,642 | ||||
| Total Medicare payment per Day at DRG | $2,267 | ||||
| Total Medicare payment per Day with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | $2,370 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,699 | ||||
| Total Medicare payment per Hospitalization with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | $9,717 | ||||
| Total Medicare Charges at DRG | $111,879,402 | ||||
| Total Medicare Charges with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | $39,672,066 | ||||
| Avg Charges at DRG | $53,378 | ||||
| Avg Charges with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | $59,212 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 24.71 | ||||
| SNF Discharge Rate with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | 19.85 | ||||
| Home Discharge Rate at DRG | 25.67 | ||||
| Home Discharge Rate with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | 25.37 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 501: SOFT TISSUE PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 476: AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 500: SOFT TISSUE PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 469: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 502: SOFT TISSUE PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 19,011 | ||||
| Total Hospitalizations with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | 172 | ||||
| DRG Share of Total Hospitalizations | 0.06 | ||||
| % of Total ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter in DRG | 0.78 | ||||
| Avg LOS at DRG | 5.43 | ||||
| Avg LOS with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | 5.73 | ||||
| Readmission Rate at DRG | 20.44 | ||||
| Readmission Rate with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | 21.82 | ||||
| Unplanned Readmission Rate at DRG | 8.73 | ||||
| Unplanned Readmission Rate with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | 6.67 | ||||
| Total Medicare payments at DRG | $202,875,030 | ||||
| Total Medicare payments with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | $1,830,582 | ||||
| Total Medicare payment per Day at DRG | $1,966 | ||||
| Total Medicare payment per Day with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | $1,858 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,671 | ||||
| Total Medicare payment per Hospitalization with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | $10,643 | ||||
| Total Medicare Charges at DRG | $1,080,886,366 | ||||
| Total Medicare Charges with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | $9,674,700 | ||||
| Avg Charges at DRG | $56,856 | ||||
| Avg Charges with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | $56,248 | ||||
| Mortality Rate at DRG | 0.16 | ||||
| Mortality Rate with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 30.6 | ||||
| SNF Discharge Rate with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | 31.98 | ||||
| Home Discharge Rate at DRG | 30.88 | ||||
| Home Discharge Rate with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | 19.77 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 124 |
| BAYLOR UNIVERSITY MEDICAL CENTER | 3500 GASTON AVE | DALLAS | TX | 75246 | 105 |
| HOSPITAL FOR SPECIAL SURGERY | 535 E 70TH ST | NEW YORK | NY | 10021 | 93 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CYRUS ERIK ABBASCHIAN | 12230 COIT RD | DALLAS | TX | 75251 | 70 |
| Dr. EDWARD J MCPHERSON | 201 S ALVARADO ST | LOS ANGELES | CA | 90057 | 59 |
| Dr. ALLAADDIN MOLLABASHY | 12230 COIT RD | DALLAS | TX | 75251 | 55 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JORGE CASAS | 12222 N CENTRAL EXPY | DALLAS | TX | 75243 | 47 |
| Dr. ALLAADDIN MOLLABASHY | 12230 COIT RD | DALLAS | TX | 75251 | 46 |
| Dr. GWO-CHIN LEE | 3737 MARKET ST | PHILADELPHIA | PA | 19104 | 42 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 464: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 467: REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 486: KNEE PROCEDURES WITH PDX OF INFECTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 463: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 34,505 | ||||
| Total Hospitalizations with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | 5,136 | ||||
| DRG Share of Total Hospitalizations | 0.1 | ||||
| % of Total ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter in DRG | 19.56 | ||||
| Avg LOS at DRG | 7.5 | ||||
| Avg LOS with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | 6.41 | ||||
| Readmission Rate at DRG | 24.13 | ||||
| Readmission Rate with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | 23.61 | ||||
| Unplanned Readmission Rate at DRG | 9.59 | ||||
| Unplanned Readmission Rate with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | 8.72 | ||||
| Total Medicare payments at DRG | $661,706,701 | ||||
| Total Medicare payments with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | $93,346,937 | ||||
| Total Medicare payment per Day at DRG | $2,559 | ||||
| Total Medicare payment per Day with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | $2,837 | ||||
| Total Medicare payment per Hospitalization at DRG | $19,177 | ||||
| Total Medicare payment per Hospitalization with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | $18,175 | ||||
| Total Medicare Charges at DRG | $3,132,931,207 | ||||
| Total Medicare Charges with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | $493,055,044 | ||||
| Avg Charges at DRG | $90,796 | ||||
| Avg Charges with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | $96,000 | ||||
| Mortality Rate at DRG | 0.1 | ||||
| Mortality Rate with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 38.89 | ||||
| SNF Discharge Rate with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | 45.31 | ||||
| Home Discharge Rate at DRG | 17.15 | ||||
| Home Discharge Rate with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | 9.79 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 465: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS 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 468: REVISION OF HIP OR KNEE REPLACEMENT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 485: KNEE PROCEDURES WITH PDX OF INFECTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 466: REVISION OF HIP OR KNEE REPLACEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 12,888 | ||||
| Total Hospitalizations with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | 1,625 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter in DRG | 6.19 | ||||
| Avg LOS at DRG | 3.58 | ||||
| Avg LOS with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | 4.26 | ||||
| Readmission Rate at DRG | 13.44 | ||||
| Readmission Rate with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | 15.75 | ||||
| Unplanned Readmission Rate at DRG | 5.08 | ||||
| Unplanned Readmission Rate with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | 5.67 | ||||
| Total Medicare payments at DRG | $151,081,549 | ||||
| Total Medicare payments with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | $19,409,158 | ||||
| Total Medicare payment per Day at DRG | $3,272 | ||||
| Total Medicare payment per Day with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | $2,804 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,723 | ||||
| Total Medicare payment per Hospitalization with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | $11,944 | ||||
| Total Medicare Charges at DRG | $781,949,368 | ||||
| Total Medicare Charges with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | $119,372,476 | ||||
| Avg Charges at DRG | $60,673 | ||||
| Avg Charges with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | $73,460 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 21.14 | ||||
| SNF Discharge Rate with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | 31.75 | ||||
| Home Discharge Rate at DRG | 35.52 | ||||
| Home Discharge Rate with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | 18.28 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 487: KNEE PROCEDURES WITH PDX OF INFECTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 475: AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 2,096 | ||||
| Total Hospitalizations with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | 679 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter in DRG | 2.59 | ||||
| Avg LOS at DRG | 4.28 | ||||
| Avg LOS with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | 4.1 | ||||
| Readmission Rate at DRG | 16.82 | ||||
| Readmission Rate with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | 13.9 | ||||
| Unplanned Readmission Rate at DRG | 7.55 | ||||
| Unplanned Readmission Rate with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | 4.83 | ||||
| Total Medicare payments at DRG | $20,328,871 | ||||
| Total Medicare payments with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | $6,605,596 | ||||
| Total Medicare payment per Day at DRG | $2,267 | ||||
| Total Medicare payment per Day with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | $2,373 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,699 | ||||
| Total Medicare payment per Hospitalization with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | $9,728 | ||||
| Total Medicare Charges at DRG | $111,879,402 | ||||
| Total Medicare Charges with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | $40,427,149 | ||||
| Avg Charges at DRG | $53,378 | ||||
| Avg Charges with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | $59,539 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 24.71 | ||||
| SNF Discharge Rate with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | 19.88 | ||||
| Home Discharge Rate at DRG | 25.67 | ||||
| Home Discharge Rate with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | 25.48 |
*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 474: AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 501: SOFT TISSUE PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 908: OTHER O.R. PROCEDURES FOR INJURIES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | 214 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter in DRG | 0.81 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | 8.14 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | 33.54 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | 16.77 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | $2,733,786 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | $1,569 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | $12,775 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | $17,425,331 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | $81,427 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | 13.08 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | 31.78 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD T8453XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | 6.07 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 165 |
| BAYLOR UNIVERSITY MEDICAL CENTER | 3500 GASTON AVE | DALLAS | TX | 75246 | 126 |
| UAMS MEDICAL CENTER | 4301 W MARKHAM ST | LITTLE ROCK | AR | 72205 | 100 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CYRUS ERIK ABBASCHIAN | 12230 COIT RD | DALLAS | TX | 75251 | 76 |
| Dr. ALLAADDIN MOLLABASHY | 12230 COIT RD | DALLAS | TX | 75251 | 66 |
| Dr. EDWARD J MCPHERSON | 201 S ALVARADO ST | LOS ANGELES | CA | 90057 | 66 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JORGE CASAS | 12222 N CENTRAL EXPY | DALLAS | TX | 75243 | 56 |
| Dr. ALLAADDIN MOLLABASHY | 12230 COIT RD | DALLAS | TX | 75251 | 54 |
| Dr. JEREMY KINDER | 1601 E 19TH AVE | DENVER | CO | 80218 | 43 |