*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z96611 - Presence of right artificial shoulder joint - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 9.96 | |
| 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 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 185,287 | ||||
| Total Hospitalizations with ICD Z96611 - Presence of right artificial shoulder joint | 9,727 | ||||
| DRG Share of Total Hospitalizations | 0.56 | ||||
| % of Total ICD Z96611 - Presence of right artificial shoulder joint in DRG | 11.44 | ||||
| Avg LOS at DRG | 1.88 | ||||
| Avg LOS with ICD Z96611 - Presence of right artificial shoulder joint | 1.85 | ||||
| Readmission Rate at DRG | 5.88 | ||||
| Readmission Rate with ICD Z96611 - Presence of right artificial shoulder joint | 6.06 | ||||
| Unplanned Readmission Rate at DRG | 2.95 | ||||
| Unplanned Readmission Rate with ICD Z96611 - Presence of right artificial shoulder joint | 2.79 | ||||
| Total Medicare payments at DRG | $2,646,620,753 | ||||
| Total Medicare payments with ICD Z96611 - Presence of right artificial shoulder joint | $141,712,080 | ||||
| Total Medicare payment per Day at DRG | $7,610 | ||||
| Total Medicare payment per Day with ICD Z96611 - Presence of right artificial shoulder joint | $7,886 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,284 | ||||
| Total Medicare payment per Hospitalization with ICD Z96611 - Presence of right artificial shoulder joint | $14,569 | ||||
| Total Medicare Charges at DRG | $13,348,793,527 | ||||
| Total Medicare Charges with ICD Z96611 - Presence of right artificial shoulder joint | $681,862,981 | ||||
| Avg Charges at DRG | $72,044 | ||||
| Avg Charges with ICD Z96611 - Presence of right artificial shoulder joint | $70,100 | ||||
| Mortality Rate at DRG | 0.07 | ||||
| Mortality Rate with ICD Z96611 - Presence of right artificial shoulder joint | NA | ||||
| SNF Discharge Rate at DRG | 12.21 | ||||
| SNF Discharge Rate with ICD Z96611 - Presence of right artificial shoulder joint | 11.83 | ||||
| Home Discharge Rate at DRG | 64.69 | ||||
| Home Discharge Rate with ICD Z96611 - Presence of right artificial shoulder joint | 66.39 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 215,355 | ||||
| Total Hospitalizations with ICD Z96611 - Presence of right artificial shoulder joint | 1,174 | ||||
| DRG Share of Total Hospitalizations | 0.66 | ||||
| % of Total ICD Z96611 - Presence of right artificial shoulder joint in DRG | 1.38 | ||||
| Avg LOS at DRG | 3.28 | ||||
| Avg LOS with ICD Z96611 - Presence of right artificial shoulder joint | 3.5 | ||||
| Readmission Rate at DRG | 16.7 | ||||
| Readmission Rate with ICD Z96611 - Presence of right artificial shoulder joint | 19.91 | ||||
| Unplanned Readmission Rate at DRG | 4.47 | ||||
| Unplanned Readmission Rate with ICD Z96611 - Presence of right artificial shoulder joint | 4.63 | ||||
| Total Medicare payments at DRG | $5,278,830,730 | ||||
| Total Medicare payments with ICD Z96611 - Presence of right artificial shoulder joint | $30,015,421 | ||||
| Total Medicare payment per Day at DRG | $7,462 | ||||
| Total Medicare payment per Day with ICD Z96611 - Presence of right artificial shoulder joint | $7,310 | ||||
| Total Medicare payment per Hospitalization at DRG | $24,512 | ||||
| Total Medicare payment per Hospitalization with ICD Z96611 - Presence of right artificial shoulder joint | $25,567 | ||||
| Total Medicare Charges at DRG | $25,567,888,167 | ||||
| Total Medicare Charges with ICD Z96611 - Presence of right artificial shoulder joint | $147,683,080 | ||||
| Avg Charges at DRG | $118,724 | ||||
| Avg Charges with ICD Z96611 - Presence of right artificial shoulder joint | $125,795 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD Z96611 - Presence of right artificial shoulder joint | NA | ||||
| SNF Discharge Rate at DRG | 15.71 | ||||
| SNF Discharge Rate with ICD Z96611 - Presence of right artificial shoulder joint | 21.72 | ||||
| Home Discharge Rate at DRG | 51.89 | ||||
| Home Discharge Rate with ICD Z96611 - Presence of right artificial shoulder joint | 44.89 |
*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 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 95,335 | ||||
| Total Hospitalizations with ICD Z96611 - Presence of right artificial shoulder joint | 986 | ||||
| DRG Share of Total Hospitalizations | 0.29 | ||||
| % of Total ICD Z96611 - Presence of right artificial shoulder joint in DRG | 1.16 | ||||
| Avg LOS at DRG | 10.22 | ||||
| Avg LOS with ICD Z96611 - Presence of right artificial shoulder joint | 9.44 | ||||
| Readmission Rate at DRG | 9.28 | ||||
| Readmission Rate with ICD Z96611 - Presence of right artificial shoulder joint | 8.72 | ||||
| Unplanned Readmission Rate at DRG | 5.52 | ||||
| Unplanned Readmission Rate with ICD Z96611 - Presence of right artificial shoulder joint | 3.72 | ||||
| Total Medicare payments at DRG | $1,423,955,801 | ||||
| Total Medicare payments with ICD Z96611 - Presence of right artificial shoulder joint | $14,098,002 | ||||
| Total Medicare payment per Day at DRG | $1,462 | ||||
| Total Medicare payment per Day with ICD Z96611 - Presence of right artificial shoulder joint | $1,515 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,936 | ||||
| Total Medicare payment per Hospitalization with ICD Z96611 - Presence of right artificial shoulder joint | $14,298 | ||||
| Total Medicare Charges at DRG | $2,977,958,847 | ||||
| Total Medicare Charges with ICD Z96611 - Presence of right artificial shoulder joint | $28,411,423 | ||||
| Avg Charges at DRG | $31,237 | ||||
| Avg Charges with ICD Z96611 - Presence of right artificial shoulder joint | $28,815 | ||||
| Mortality Rate at DRG | 0.08 | ||||
| Mortality Rate with ICD Z96611 - Presence of right artificial shoulder joint | NA | ||||
| SNF Discharge Rate at DRG | 15.14 | ||||
| SNF Discharge Rate with ICD Z96611 - Presence of right artificial shoulder joint | 14.3 | ||||
| Home Discharge Rate at DRG | 25.42 | ||||
| Home Discharge Rate with ICD Z96611 - Presence of right artificial shoulder joint | 27.08 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 467: REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD Z96611 - Presence of right artificial shoulder joint | 829 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD Z96611 - Presence of right artificial shoulder joint in DRG | 0.98 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD Z96611 - Presence of right artificial shoulder joint | 3.79 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD Z96611 - Presence of right artificial shoulder joint | 16.29 | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD Z96611 - Presence of right artificial shoulder joint | 10.78 | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD Z96611 - Presence of right artificial shoulder joint | $4,792,030 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD Z96611 - Presence of right artificial shoulder joint | $1,527 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD Z96611 - Presence of right artificial shoulder joint | $5,780 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD Z96611 - Presence of right artificial shoulder joint | $22,374,120 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD Z96611 - Presence of right artificial shoulder joint | $26,989 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD Z96611 - Presence of right artificial shoulder joint | NA | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD Z96611 - Presence of right artificial shoulder joint | 15.08 | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD Z96611 - Presence of right artificial shoulder joint | 52.96 |
| 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 | 509 |
| HOSPITAL FOR SPECIAL SURGERY | 535 E 70TH ST | NEW YORK | NY | 10021 | 390 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 380 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOHN W SPERLING | 200 1ST ST SW | ROCHESTER | MN | 55905 | 70 |
| Dr. JOSEPH ZUCKERMAN | 303 2ND AVE | NEW YORK | NY | 10016 | 55 |
| Dr. SEAN G GREY | 2500 E PROSPECT RD | FORT COLLINS | CO | 80525 | 54 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOHN W SPERLING | 200 1ST ST SW | ROCHESTER | MN | 55905 | 71 |
| Dr. JOSEPH ZUCKERMAN | 303 2ND AVE | NEW YORK | NY | 10016 | 56 |
| Dr. SEAN G GREY | 2500 E PROSPECT RD | FORT COLLINS | CO | 80525 | 54 |