*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z472 - Encounter for removal of internal fixation device - as a primary diagnosis code | Z472 - Encounter for removal of internal fixation device - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 4.14 | |
| Readmission Rate (%) | 13.42 | |
| Unplanned Readmission Rate (%) | 4.61 | |
| Mortality Rate (%) | ||
| SNF Discharge Rate (%) | ||
| Home Discharge Rate (%) | ||
| PAYMENTS AND CHARGES | ||
| Total Medicare Payments | ||
| Payment Per Day | ||
| Payment Per Hospitalization | ||
| Total Medicare Charges | ||
| Avg. Charges | ||
| MARKET SIZING & INCIDENCE RATES | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - All) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - All) | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - Yes) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - Yes) | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - Not Y) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - Not Y) | ||
| Total Medicare Hospitalizations after Exclusion | ||
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 497: LOCAL EXCISION AND REMOVAL INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT 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 559: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH 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 | 188,863 | ||||
| Total Hospitalizations with ICD Z472 - Encounter for removal of internal fixation device | 61 | ||||
| DRG Share of Total Hospitalizations | 0.57 | ||||
| % of Total ICD Z472 - Encounter for removal of internal fixation device in DRG | 19.12 | ||||
| Avg LOS at DRG | 11.75 | ||||
| Avg LOS with ICD Z472 - Encounter for removal of internal fixation device | 12.3 | ||||
| Readmission Rate at DRG | 12.14 | ||||
| Readmission Rate with ICD Z472 - Encounter for removal of internal fixation device | NA | ||||
| Unplanned Readmission Rate at DRG | 7.97 | ||||
| Unplanned Readmission Rate with ICD Z472 - Encounter for removal of internal fixation device | NA | ||||
| Total Medicare payments at DRG | $3,216,901,374 | ||||
| Total Medicare payments with ICD Z472 - Encounter for removal of internal fixation device | $1,148,613 | ||||
| Total Medicare payment per Day at DRG | $1,450 | ||||
| Total Medicare payment per Day with ICD Z472 - Encounter for removal of internal fixation device | $1,531 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,033 | ||||
| Total Medicare payment per Hospitalization with ICD Z472 - Encounter for removal of internal fixation device | $18,830 | ||||
| Total Medicare Charges at DRG | $7,709,712,645 | ||||
| Total Medicare Charges with ICD Z472 - Encounter for removal of internal fixation device | $2,190,024 | ||||
| Avg Charges at DRG | $40,822 | ||||
| Avg Charges with ICD Z472 - Encounter for removal of internal fixation device | $35,902 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD Z472 - Encounter for removal of internal fixation device | NA | ||||
| SNF Discharge Rate at DRG | 19.54 | ||||
| SNF Discharge Rate with ICD Z472 - Encounter for removal of internal fixation device | 22.95 | ||||
| Home Discharge Rate at DRG | 19.47 | ||||
| Home Discharge Rate with ICD Z472 - Encounter for removal of internal fixation device | 21.31 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 498: LOCAL EXCISION AND REMOVAL INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 496: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH COMPLICATION OR COMORBIDITY (CC) | 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 | 3,664 | ||
| Total Hospitalizations with ICD Z472 - Encounter for removal of internal fixation device | 18 | ||
| DRG Share of Total Hospitalizations | 0.01 | ||
| % of Total ICD Z472 - Encounter for removal of internal fixation device in DRG | 5.64 | ||
| Avg LOS at DRG | 7.57 | ||
| Avg LOS with ICD Z472 - Encounter for removal of internal fixation device | 2.11 | ||
| Readmission Rate at DRG | 27.8 | ||
| Readmission Rate with ICD Z472 - Encounter for removal of internal fixation device | NA | ||
| Unplanned Readmission Rate at DRG | 11.19 | ||
| Unplanned Readmission Rate with ICD Z472 - Encounter for removal of internal fixation device | NA | ||
| Total Medicare payments at DRG | $62,673,828 | ||
| Total Medicare payments with ICD Z472 - Encounter for removal of internal fixation device | $203,740 | ||
| Total Medicare payment per Day at DRG | $2,260 | ||
| Total Medicare payment per Day with ICD Z472 - Encounter for removal of internal fixation device | $5,362 | ||
| Total Medicare payment per Hospitalization at DRG | $17,105 | ||
| Total Medicare payment per Hospitalization with ICD Z472 - Encounter for removal of internal fixation device | $11,319 | ||
| Total Medicare Charges at DRG | $315,941,097 | ||
| Total Medicare Charges with ICD Z472 - Encounter for removal of internal fixation device | $596,614 | ||
| Avg Charges at DRG | $86,228 | ||
| Avg Charges with ICD Z472 - Encounter for removal of internal fixation device | $33,145 | ||
| Mortality Rate at DRG | 2.05 | ||
| Mortality Rate with ICD Z472 - Encounter for removal of internal fixation device | NA | ||
| SNF Discharge Rate at DRG | 43.72 | ||
| SNF Discharge Rate with ICD Z472 - Encounter for removal of internal fixation device | NA | ||
| Home Discharge Rate at DRG | 14.22 | ||
| Home Discharge Rate with ICD Z472 - Encounter for removal of internal fixation device | 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 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 483: MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE 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 Z472 - Encounter for removal of internal fixation device | 1,280 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD Z472 - Encounter for removal of internal fixation device in DRG | 32.52 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD Z472 - Encounter for removal of internal fixation device | 2.63 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD Z472 - Encounter for removal of internal fixation device | 10.3 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD Z472 - Encounter for removal of internal fixation device | 3.7 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD Z472 - Encounter for removal of internal fixation device | $15,140,095 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD Z472 - Encounter for removal of internal fixation device | $4,493 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD Z472 - Encounter for removal of internal fixation device | $11,828 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD Z472 - Encounter for removal of internal fixation device | $90,814,141 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD Z472 - Encounter for removal of internal fixation device | $70,949 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD Z472 - Encounter for removal of internal fixation device | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD Z472 - Encounter for removal of internal fixation device | 23.98 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD Z472 - Encounter for removal of internal fixation device | 33.52 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 473: CERVICAL SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 454: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 497: LOCAL EXCISION AND REMOVAL INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 455: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 469: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 63,286 | ||||
| Total Hospitalizations with ICD Z472 - Encounter for removal of internal fixation device | 128 | ||||
| DRG Share of Total Hospitalizations | 0.19 | ||||
| % of Total ICD Z472 - Encounter for removal of internal fixation device in DRG | 3.25 | ||||
| Avg LOS at DRG | 1.72 | ||||
| Avg LOS with ICD Z472 - Encounter for removal of internal fixation device | 1.41 | ||||
| Readmission Rate at DRG | 8.56 | ||||
| Readmission Rate with ICD Z472 - Encounter for removal of internal fixation device | NA | ||||
| Unplanned Readmission Rate at DRG | 3.51 | ||||
| Unplanned Readmission Rate with ICD Z472 - Encounter for removal of internal fixation device | NA | ||||
| Total Medicare payments at DRG | $814,610,584 | ||||
| Total Medicare payments with ICD Z472 - Encounter for removal of internal fixation device | $1,388,581 | ||||
| Total Medicare payment per Day at DRG | $7,479 | ||||
| Total Medicare payment per Day with ICD Z472 - Encounter for removal of internal fixation device | $7,672 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,872 | ||||
| Total Medicare payment per Hospitalization with ICD Z472 - Encounter for removal of internal fixation device | $10,848 | ||||
| Total Medicare Charges at DRG | $4,641,508,729 | ||||
| Total Medicare Charges with ICD Z472 - Encounter for removal of internal fixation device | $8,332,776 | ||||
| Avg Charges at DRG | $73,342 | ||||
| Avg Charges with ICD Z472 - Encounter for removal of internal fixation device | $65,100 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD Z472 - Encounter for removal of internal fixation device | NA | ||||
| SNF Discharge Rate at DRG | 3.8 | ||||
| SNF Discharge Rate with ICD Z472 - Encounter for removal of internal fixation device | NA | ||||
| Home Discharge Rate at DRG | 81.78 | ||||
| Home Discharge Rate with ICD Z472 - Encounter for removal of internal fixation device | 85.94 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 493: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH COMPLICATION OR COMORBIDITY (CC) | DRG 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE 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 472: CERVICAL SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 494: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 58,855 | ||||
| Total Hospitalizations with ICD Z472 - Encounter for removal of internal fixation device | 81 | ||||
| DRG Share of Total Hospitalizations | 0.18 | ||||
| % of Total ICD Z472 - Encounter for removal of internal fixation device in DRG | 2.06 | ||||
| Avg LOS at DRG | 4.7 | ||||
| Avg LOS with ICD Z472 - Encounter for removal of internal fixation device | 3.6 | ||||
| Readmission Rate at DRG | 20.92 | ||||
| Readmission Rate with ICD Z472 - Encounter for removal of internal fixation device | 20.51 | ||||
| Unplanned Readmission Rate at DRG | 7.19 | ||||
| Unplanned Readmission Rate with ICD Z472 - Encounter for removal of internal fixation device | NA | ||||
| Total Medicare payments at DRG | $781,452,176 | ||||
| Total Medicare payments with ICD Z472 - Encounter for removal of internal fixation device | $1,004,540 | ||||
| Total Medicare payment per Day at DRG | $2,822 | ||||
| Total Medicare payment per Day with ICD Z472 - Encounter for removal of internal fixation device | $3,440 | ||||
| Total Medicare payment per Hospitalization at DRG | $13,278 | ||||
| Total Medicare payment per Hospitalization with ICD Z472 - Encounter for removal of internal fixation device | $12,402 | ||||
| Total Medicare Charges at DRG | $4,305,521,120 | ||||
| Total Medicare Charges with ICD Z472 - Encounter for removal of internal fixation device | $5,529,146 | ||||
| Avg Charges at DRG | $73,155 | ||||
| Avg Charges with ICD Z472 - Encounter for removal of internal fixation device | $68,261 | ||||
| Mortality Rate at DRG | 0.08 | ||||
| Mortality Rate with ICD Z472 - Encounter for removal of internal fixation device | NA | ||||
| SNF Discharge Rate at DRG | 51.36 | ||||
| SNF Discharge Rate with ICD Z472 - Encounter for removal of internal fixation device | 38.27 | ||||
| Home Discharge Rate at DRG | 17.49 | ||||
| Home Discharge Rate with ICD Z472 - Encounter for removal of internal fixation device | 23.46 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 480: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 496: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH COMPLICATION OR COMORBIDITY (CC) | DRG 559: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE 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 | 120,351 | ||||
| Total Hospitalizations with ICD Z472 - Encounter for removal of internal fixation device | 47 | ||||
| DRG Share of Total Hospitalizations | 0.37 | ||||
| % of Total ICD Z472 - Encounter for removal of internal fixation device in DRG | 1.19 | ||||
| Avg LOS at DRG | 12.45 | ||||
| Avg LOS with ICD Z472 - Encounter for removal of internal fixation device | 11.34 | ||||
| Readmission Rate at DRG | 17.61 | ||||
| Readmission Rate with ICD Z472 - Encounter for removal of internal fixation device | 29.27 | ||||
| Unplanned Readmission Rate at DRG | 12.6 | ||||
| Unplanned Readmission Rate with ICD Z472 - Encounter for removal of internal fixation device | NA | ||||
| Total Medicare payments at DRG | $2,245,410,425 | ||||
| Total Medicare payments with ICD Z472 - Encounter for removal of internal fixation device | $834,380 | ||||
| Total Medicare payment per Day at DRG | $1,499 | ||||
| Total Medicare payment per Day with ICD Z472 - Encounter for removal of internal fixation device | $1,565 | ||||
| Total Medicare payment per Hospitalization at DRG | $18,657 | ||||
| Total Medicare payment per Hospitalization with ICD Z472 - Encounter for removal of internal fixation device | $17,753 | ||||
| Total Medicare Charges at DRG | $5,810,478,166 | ||||
| Total Medicare Charges with ICD Z472 - Encounter for removal of internal fixation device | $1,540,963 | ||||
| Avg Charges at DRG | $48,279 | ||||
| Avg Charges with ICD Z472 - Encounter for removal of internal fixation device | $32,786 | ||||
| Mortality Rate at DRG | 0.55 | ||||
| Mortality Rate with ICD Z472 - Encounter for removal of internal fixation device | NA | ||||
| SNF Discharge Rate at DRG | 14.77 | ||||
| SNF Discharge Rate with ICD Z472 - Encounter for removal of internal fixation device | NA | ||||
| Home Discharge Rate at DRG | 22.27 | ||||
| Home Discharge Rate with ICD Z472 - Encounter for removal of internal fixation device | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MCBRIDE ORTHOPEDIC HOSPITAL | 9600 BROADWAY EXT | OKLAHOMA CITY | OK | 73114 | 76 |
| THE ORTHOPEDIC SPECIALTY HOSPITAL | 5848 FASHION BLVD | MURRAY | UT | 84107 | 74 |
| CHESAPEAKE REGIONAL MEDICAL CENTER | 736 BATTLEFIELD BLVD N | CHESAPEAKE | VA | 23320 | 55 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JUNIUS CLAWSON | 5770 SOUTH 250 EAST | SALT LAKE CITY | UT | 84107 | 31 |
| Dr. JAMIE E GOTTLIEB | 3301 COUNTY ROAD 6 EAST | ELKHART | IN | 46514 | 26 |
| Dr. THOMAS KELLY TKACH | 1110 N LEE AVE | OKLAHOMA CITY | OK | 73103 | 18 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JUNIUS CLAWSON | 5770 SOUTH 250 EAST | SALT LAKE CITY | UT | 84107 | 31 |
| Dr. JAMIE E GOTTLIEB | 3301 COUNTY ROAD 6 EAST | ELKHART | IN | 46514 | 27 |
| Dr. CLAYTON E TURNER | 419 S WASHINGTON ST | CASPER | WY | 82601 | 18 |