*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter - as a primary diagnosis code | T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 2.97 | |
| Readmission Rate (%) | 12.73 | |
| Unplanned Readmission Rate (%) | 4.51 | |
| 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 468: REVISION OF HIP OR KNEE REPLACEMENT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 467: REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 483: MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 517: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 55,395 | ||||
| Total Hospitalizations with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | 4,774 | ||||
| DRG Share of Total Hospitalizations | 0.17 | ||||
| % of Total ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter in DRG | 24.97 | ||||
| Avg LOS at DRG | 2.48 | ||||
| Avg LOS with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | 2.15 | ||||
| Readmission Rate at DRG | 10.12 | ||||
| Readmission Rate with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | 7.06 | ||||
| Unplanned Readmission Rate at DRG | 3.88 | ||||
| Unplanned Readmission Rate with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | 2.85 | ||||
| Total Medicare payments at DRG | $919,481,919 | ||||
| Total Medicare payments with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | $74,874,526 | ||||
| Total Medicare payment per Day at DRG | $6,689 | ||||
| Total Medicare payment per Day with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | $7,280 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,599 | ||||
| Total Medicare payment per Hospitalization with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | $15,684 | ||||
| Total Medicare Charges at DRG | $4,627,801,183 | ||||
| Total Medicare Charges with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | $357,291,921 | ||||
| Avg Charges at DRG | $83,542 | ||||
| Avg Charges with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | $74,841 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 18.76 | ||||
| SNF Discharge Rate with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | 14.14 | ||||
| Home Discharge Rate at DRG | 33.3 | ||||
| Home Discharge Rate with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | 37.37 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 497: LOCAL EXCISION AND REMOVAL INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 489: KNEE PROCEDURES WITHOUT PDX OF INFECTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 4,143 | ||||
| Total Hospitalizations with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | 811 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter in DRG | 4.24 | ||||
| Avg LOS at DRG | 2.16 | ||||
| Avg LOS with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | 1.37 | ||||
| Readmission Rate at DRG | 10.52 | ||||
| Readmission Rate with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | 6.47 | ||||
| Unplanned Readmission Rate at DRG | 4.4 | ||||
| Unplanned Readmission Rate with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | 2.66 | ||||
| Total Medicare payments at DRG | $31,682,174 | ||||
| Total Medicare payments with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | $5,510,413 | ||||
| Total Medicare payment per Day at DRG | $3,543 | ||||
| Total Medicare payment per Day with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | $4,951 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,647 | ||||
| Total Medicare payment per Hospitalization with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | $6,795 | ||||
| Total Medicare Charges at DRG | $202,654,919 | ||||
| Total Medicare Charges with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | $29,943,246 | ||||
| Avg Charges at DRG | $48,915 | ||||
| Avg Charges with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | $36,921 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 11.22 | ||||
| SNF Discharge Rate with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | 5.06 | ||||
| Home Discharge Rate at DRG | 63.55 | ||||
| Home Discharge Rate with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | 79.78 |
*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 464: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 496: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH COMPLICATION OR COMORBIDITY (CC) | DRG 488: KNEE PROCEDURES WITHOUT PDX OF INFECTION WITH 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 95,335 | ||||
| Total Hospitalizations with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | 447 | ||||
| DRG Share of Total Hospitalizations | 0.29 | ||||
| % of Total ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter in DRG | 2.34 | ||||
| Avg LOS at DRG | 10.22 | ||||
| Avg LOS with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | 2.62 | ||||
| Readmission Rate at DRG | 9.28 | ||||
| Readmission Rate with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | 22.04 | ||||
| Unplanned Readmission Rate at DRG | 5.52 | ||||
| Unplanned Readmission Rate with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | 6.4 | ||||
| Total Medicare payments at DRG | $1,423,955,801 | ||||
| Total Medicare payments with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | $2,119,161 | ||||
| Total Medicare payment per Day at DRG | $1,462 | ||||
| Total Medicare payment per Day with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | $1,810 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,936 | ||||
| Total Medicare payment per Hospitalization with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | $4,741 | ||||
| Total Medicare Charges at DRG | $2,977,958,847 | ||||
| Total Medicare Charges with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | $7,923,541 | ||||
| Avg Charges at DRG | $31,237 | ||||
| Avg Charges with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | $17,726 | ||||
| Mortality Rate at DRG | 0.08 | ||||
| Mortality Rate with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 15.14 | ||||
| SNF Discharge Rate with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | 22.15 | ||||
| Home Discharge Rate at DRG | 25.42 | ||||
| Home Discharge Rate with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | 49.22 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 466: REVISION OF HIP OR KNEE REPLACEMENT WITH 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) | DRG 499: LOCAL EXCISION AND REMOVAL INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 42,559 | ||||
| Total Hospitalizations with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | 291 | ||||
| DRG Share of Total Hospitalizations | 0.13 | ||||
| % of Total ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter in DRG | 1.52 | ||||
| Avg LOS at DRG | 4.67 | ||||
| Avg LOS with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | 2.12 | ||||
| Readmission Rate at DRG | 23.96 | ||||
| Readmission Rate with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | 7.12 | ||||
| Unplanned Readmission Rate at DRG | 9.89 | ||||
| Unplanned Readmission Rate with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | 4.27 | ||||
| Total Medicare payments at DRG | $524,182,097 | ||||
| Total Medicare payments with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | $3,111,917 | ||||
| Total Medicare payment per Day at DRG | $2,636 | ||||
| Total Medicare payment per Day with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | $5,035 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,317 | ||||
| Total Medicare payment per Hospitalization with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | $10,694 | ||||
| Total Medicare Charges at DRG | $2,765,571,309 | ||||
| Total Medicare Charges with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | $13,148,868 | ||||
| Avg Charges at DRG | $64,982 | ||||
| Avg Charges with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | $45,185 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 33.62 | ||||
| SNF Discharge Rate with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | 8.59 | ||||
| Home Discharge Rate at DRG | 31.52 | ||||
| Home Discharge Rate with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | 69.76 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MISSION HOSPITAL | 509 BILTMORE AVE | ASHEVILLE | NC | 28801 | 146 |
| ATLANTICARE REGIONAL MEDICAL CENTER - MAINLAND CAMPUS | 65 W JIMMIE LEEDS RD | POMONA | NJ | 08240 | 116 |
| HUNTSVILLE HOSPITAL | 101 SIVLEY RD SW | HUNTSVILLE | AL | 35801 | 115 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DONALD M KNAPKE | 1350 KIRTS BLVD | TROY | MI | 48084 | 79 |
| Dr. EDWARD J MCPHERSON | 201 S ALVARADO ST | LOS ANGELES | CA | 90057 | 70 |
| Dr. ROBERT WILLIAM EASTON | 8080 BLUEBONNET BLVD | BATON ROUGE | LA | 70810 | 66 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DONALD M KNAPKE | 1350 KIRTS BLVD | TROY | MI | 48084 | 80 |
| Dr. ROBERT WILLIAM EASTON | 8080 BLUEBONNET BLVD | BATON ROUGE | LA | 70810 | 67 |
| Dr. JAMES C KAREGEANNES | 129 MCDOWELL ST | ASHEVILLE | NC | 28801 | 54 |
*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 467: REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 483: MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 55,395 | ||||
| Total Hospitalizations with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | 7,736 | ||||
| DRG Share of Total Hospitalizations | 0.17 | ||||
| % of Total ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter in DRG | 22.86 | ||||
| Avg LOS at DRG | 2.48 | ||||
| Avg LOS with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | 2.2 | ||||
| Readmission Rate at DRG | 10.12 | ||||
| Readmission Rate with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | 7.33 | ||||
| Unplanned Readmission Rate at DRG | 3.88 | ||||
| Unplanned Readmission Rate with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | 2.95 | ||||
| Total Medicare payments at DRG | $919,481,919 | ||||
| Total Medicare payments with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | $123,728,239 | ||||
| Total Medicare payment per Day at DRG | $6,689 | ||||
| Total Medicare payment per Day with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | $7,260 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,599 | ||||
| Total Medicare payment per Hospitalization with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | $15,994 | ||||
| Total Medicare Charges at DRG | $4,627,801,183 | ||||
| Total Medicare Charges with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | $615,470,608 | ||||
| Avg Charges at DRG | $83,542 | ||||
| Avg Charges with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | $79,559 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 18.76 | ||||
| SNF Discharge Rate with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | 14.56 | ||||
| Home Discharge Rate at DRG | 33.3 | ||||
| Home Discharge Rate with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | 36.22 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 489: KNEE PROCEDURES WITHOUT PDX OF INFECTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 497: LOCAL EXCISION AND REMOVAL INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 517: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES 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 | 8,316 | ||||
| Total Hospitalizations with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | 1,034 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter in DRG | 3.06 | ||||
| Avg LOS at DRG | 2.38 | ||||
| Avg LOS with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | 1.8 | ||||
| Readmission Rate at DRG | 9.79 | ||||
| Readmission Rate with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | 7.28 | ||||
| Unplanned Readmission Rate at DRG | 3.56 | ||||
| Unplanned Readmission Rate with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | 3.39 | ||||
| Total Medicare payments at DRG | $60,167,626 | ||||
| Total Medicare payments with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | $7,224,697 | ||||
| Total Medicare payment per Day at DRG | $3,044 | ||||
| Total Medicare payment per Day with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | $3,891 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,235 | ||||
| Total Medicare payment per Hospitalization with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | $6,987 | ||||
| Total Medicare Charges at DRG | $348,193,427 | ||||
| Total Medicare Charges with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | $39,667,006 | ||||
| Avg Charges at DRG | $41,870 | ||||
| Avg Charges with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | $38,363 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 17.4 | ||||
| SNF Discharge Rate with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | 8.12 | ||||
| Home Discharge Rate at DRG | 41.37 | ||||
| Home Discharge Rate with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | 42.07 |
*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 496: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH COMPLICATION OR COMORBIDITY (CC) | DRG 488: KNEE PROCEDURES WITHOUT PDX OF INFECTION WITH 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 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 188,863 | ||||
| Total Hospitalizations with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | 632 | ||||
| DRG Share of Total Hospitalizations | 0.57 | ||||
| % of Total ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter in DRG | 1.87 | ||||
| Avg LOS at DRG | 11.75 | ||||
| Avg LOS with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | 4.89 | ||||
| Readmission Rate at DRG | 12.14 | ||||
| Readmission Rate with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | 24.53 | ||||
| Unplanned Readmission Rate at DRG | 7.97 | ||||
| Unplanned Readmission Rate with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | 10.98 | ||||
| Total Medicare payments at DRG | $3,216,901,374 | ||||
| Total Medicare payments with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | $5,386,570 | ||||
| Total Medicare payment per Day at DRG | $1,450 | ||||
| Total Medicare payment per Day with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | $1,744 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,033 | ||||
| Total Medicare payment per Hospitalization with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | $8,523 | ||||
| Total Medicare Charges at DRG | $7,709,712,645 | ||||
| Total Medicare Charges with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | $17,998,514 | ||||
| Avg Charges at DRG | $40,822 | ||||
| Avg Charges with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | $28,479 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 19.54 | ||||
| SNF Discharge Rate with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | 30.06 | ||||
| Home Discharge Rate at DRG | 19.47 | ||||
| Home Discharge Rate with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | 34.18 |
*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 493: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH COMPLICATION OR COMORBIDITY (CC) | DRG 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 469: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 12,481 | ||||
| Total Hospitalizations with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | 473 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter in DRG | 1.4 | ||||
| Avg LOS at DRG | 8.13 | ||||
| Avg LOS with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | 5.78 | ||||
| Readmission Rate at DRG | 32.43 | ||||
| Readmission Rate with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | 29.08 | ||||
| Unplanned Readmission Rate at DRG | 12.96 | ||||
| Unplanned Readmission Rate with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | 10.74 | ||||
| Total Medicare payments at DRG | $400,883,135 | ||||
| Total Medicare payments with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | $13,302,902 | ||||
| Total Medicare payment per Day at DRG | $3,948 | ||||
| Total Medicare payment per Day with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | $4,864 | ||||
| Total Medicare payment per Hospitalization at DRG | $32,119 | ||||
| Total Medicare payment per Hospitalization with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | $28,125 | ||||
| Total Medicare Charges at DRG | $1,850,418,970 | ||||
| Total Medicare Charges with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | $60,690,582 | ||||
| Avg Charges at DRG | $148,259 | ||||
| Avg Charges with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | $128,310 | ||||
| Mortality Rate at DRG | 3.33 | ||||
| Mortality Rate with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 53.25 | ||||
| SNF Discharge Rate with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | 43.34 | ||||
| Home Discharge Rate at DRG | 6.69 | ||||
| Home Discharge Rate with ICD T8484XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | 10.15 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MISSION HOSPITAL | 509 BILTMORE AVE | ASHEVILLE | NC | 28801 | 182 |
| HUNTSVILLE HOSPITAL | 101 SIVLEY RD SW | HUNTSVILLE | AL | 35801 | 179 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 176 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DONALD M KNAPKE | 1350 KIRTS BLVD | TROY | MI | 48084 | 110 |
| Dr. EDWARD J MCPHERSON | 201 S ALVARADO ST | LOS ANGELES | CA | 90057 | 97 |
| Dr. STEFAN W KREUZER | 10496 KATY FWY | HOUSTON | TX | 77043 | 75 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DONALD M KNAPKE | 1350 KIRTS BLVD | TROY | MI | 48084 | 110 |
| Dr. ROBERT WILLIAM EASTON | 8080 BLUEBONNET BLVD | BATON ROUGE | LA | 70810 | 73 |
| Dr. WAYNE A GOODSON | 927 FRANKLIN ST | HUNTSVILLE | AL | 35801 | 70 |