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Z96612 - ICD 10 Diagnosis Code - Presence of left artificial shoulder joint - Market Size, Prevalence, Incidence, Quality Outcomes, Top Hospitals & Physicians


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Key Statistics Related to Z96612 - Presence of left artificial shoulder joint

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

Z96612 - Presence of left artificial shoulder joint - as a primary or secondary diagnosis code
OUTCOMES
Avg. LOS
Readmission Rate (%)
Unplanned Readmission Rate (%) 9.74
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

Top DRGs Associated With Z96612 - Presence of left artificial shoulder joint - as a primary or secondary diagnosis code

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Top 1 to 5 DRGs - Oct 2015 to Sep 2018

*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 Z96612 - Presence of left artificial shoulder joint 8,283
DRG Share of Total Hospitalizations 0.56
% of Total ICD Z96612 - Presence of left artificial shoulder joint in DRG 12.0
Avg LOS at DRG 1.88
Avg LOS with ICD Z96612 - Presence of left artificial shoulder joint 1.82
Readmission Rate at DRG 5.88
Readmission Rate with ICD Z96612 - Presence of left artificial shoulder joint 6.08
Unplanned Readmission Rate at DRG 2.95
Unplanned Readmission Rate with ICD Z96612 - Presence of left artificial shoulder joint 2.93
Total Medicare payments at DRG $2,646,620,753
Total Medicare payments with ICD Z96612 - Presence of left artificial shoulder joint $120,460,575
Total Medicare payment per Day at DRG $7,610
Total Medicare payment per Day with ICD Z96612 - Presence of left artificial shoulder joint $7,988
Total Medicare payment per Hospitalization at DRG $14,284
Total Medicare payment per Hospitalization with ICD Z96612 - Presence of left artificial shoulder joint $14,543
Total Medicare Charges at DRG $13,348,793,527
Total Medicare Charges with ICD Z96612 - Presence of left artificial shoulder joint $577,410,493
Avg Charges at DRG $72,044
Avg Charges with ICD Z96612 - Presence of left artificial shoulder joint $69,710
Mortality Rate at DRG 0.07
Mortality Rate with ICD Z96612 - Presence of left artificial shoulder joint NA
SNF Discharge Rate at DRG 12.21
SNF Discharge Rate with ICD Z96612 - Presence of left artificial shoulder joint 11.61
Home Discharge Rate at DRG 64.69
Home Discharge Rate with ICD Z96612 - Presence of left artificial shoulder joint 67.14

Top 5 to 10 DRGs - Oct 2015 to Sep 2018

*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 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 215,355
Total Hospitalizations with ICD Z96612 - Presence of left artificial shoulder joint 948
DRG Share of Total Hospitalizations 0.66
% of Total ICD Z96612 - Presence of left artificial shoulder joint in DRG 1.37
Avg LOS at DRG 3.28
Avg LOS with ICD Z96612 - Presence of left artificial shoulder joint 3.37
Readmission Rate at DRG 16.7
Readmission Rate with ICD Z96612 - Presence of left artificial shoulder joint 18.11
Unplanned Readmission Rate at DRG 4.47
Unplanned Readmission Rate with ICD Z96612 - Presence of left artificial shoulder joint 4.77
Total Medicare payments at DRG $5,278,830,730
Total Medicare payments with ICD Z96612 - Presence of left artificial shoulder joint $24,452,238
Total Medicare payment per Day at DRG $7,462
Total Medicare payment per Day with ICD Z96612 - Presence of left artificial shoulder joint $7,653
Total Medicare payment per Hospitalization at DRG $24,512
Total Medicare payment per Hospitalization with ICD Z96612 - Presence of left artificial shoulder joint $25,794
Total Medicare Charges at DRG $25,567,888,167
Total Medicare Charges with ICD Z96612 - Presence of left artificial shoulder joint $116,789,317
Avg Charges at DRG $118,724
Avg Charges with ICD Z96612 - Presence of left artificial shoulder joint $123,195
Mortality Rate at DRG 0.03
Mortality Rate with ICD Z96612 - Presence of left artificial shoulder joint NA
SNF Discharge Rate at DRG 15.71
SNF Discharge Rate with ICD Z96612 - Presence of left artificial shoulder joint 22.15
Home Discharge Rate at DRG 51.89
Home Discharge Rate with ICD Z96612 - Presence of left artificial shoulder joint 44.62

Top 10 to 15 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 467: REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION OR COMORBIDITY (CC)
Total Hospitalizations at DRG 535,322
Total Hospitalizations with ICD Z96612 - Presence of left artificial shoulder joint 770
DRG Share of Total Hospitalizations 1.63
% of Total ICD Z96612 - Presence of left artificial shoulder joint in DRG 1.12
Avg LOS at DRG 4.68
Avg LOS with ICD Z96612 - Presence of left artificial shoulder joint 4.67
Readmission Rate at DRG 23.65
Readmission Rate with ICD Z96612 - Presence of left artificial shoulder joint 21.88
Unplanned Readmission Rate at DRG 18.66
Unplanned Readmission Rate with ICD Z96612 - Presence of left artificial shoulder joint 16.91
Total Medicare payments at DRG $3,844,806,408
Total Medicare payments with ICD Z96612 - Presence of left artificial shoulder joint $5,187,097
Total Medicare payment per Day at DRG $1,536
Total Medicare payment per Day with ICD Z96612 - Presence of left artificial shoulder joint $1,443
Total Medicare payment per Hospitalization at DRG $7,182
Total Medicare payment per Hospitalization with ICD Z96612 - Presence of left artificial shoulder joint $6,736
Total Medicare Charges at DRG $19,258,468,078
Total Medicare Charges with ICD Z96612 - Presence of left artificial shoulder joint $29,095,162
Avg Charges at DRG $35,975
Avg Charges with ICD Z96612 - Presence of left artificial shoulder joint $37,786
Mortality Rate at DRG 1.27
Mortality Rate with ICD Z96612 - Presence of left artificial shoulder joint NA
SNF Discharge Rate at DRG 14.61
SNF Discharge Rate with ICD Z96612 - Presence of left artificial shoulder joint 17.14
Home Discharge Rate at DRG 52.12
Home Discharge Rate with ICD Z96612 - Presence of left artificial shoulder joint 50.39

Top 15 to 20 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC)
Total Hospitalizations at DRG 443,386
Total Hospitalizations with ICD Z96612 - Presence of left artificial shoulder joint 702
DRG Share of Total Hospitalizations 1.35
% of Total ICD Z96612 - Presence of left artificial shoulder joint in DRG 1.02
Avg LOS at DRG 5.27
Avg LOS with ICD Z96612 - Presence of left artificial shoulder joint 4.88
Readmission Rate at DRG 21.6
Readmission Rate with ICD Z96612 - Presence of left artificial shoulder joint 20.46
Unplanned Readmission Rate at DRG 15.91
Unplanned Readmission Rate with ICD Z96612 - Presence of left artificial shoulder joint 13.44
Total Medicare payments at DRG $3,812,834,208
Total Medicare payments with ICD Z96612 - Presence of left artificial shoulder joint $5,875,744
Total Medicare payment per Day at DRG $1,632
Total Medicare payment per Day with ICD Z96612 - Presence of left artificial shoulder joint $1,717
Total Medicare payment per Hospitalization at DRG $8,599
Total Medicare payment per Hospitalization with ICD Z96612 - Presence of left artificial shoulder joint $8,370
Total Medicare Charges at DRG $18,110,468,211
Total Medicare Charges with ICD Z96612 - Presence of left artificial shoulder joint $26,524,650
Avg Charges at DRG $40,846
Avg Charges with ICD Z96612 - Presence of left artificial shoulder joint $37,784
Mortality Rate at DRG 3.59
Mortality Rate with ICD Z96612 - Presence of left artificial shoulder joint 2.28
SNF Discharge Rate at DRG 22.57
SNF Discharge Rate with ICD Z96612 - Presence of left artificial shoulder joint 24.64
Home Discharge Rate at DRG 40.95
Home Discharge Rate with ICD Z96612 - Presence of left artificial shoulder joint 40.6

Top Hospitals Associated With Z96612 - Presence of left artificial shoulder joint - as a primary or secondary diagnosis code

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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 450
BEAUMONT HOSPITAL ROYAL OAK 3601 W 13 MILE RD ROYAL OAK MI 48073 336
HOSPITAL FOR SPECIAL SURGERY 535 E 70TH ST NEW YORK NY 10021 326

Top Operating Physicians Associated With Z96612 - Presence of left artificial shoulder joint - as a primary or secondary diagnosis code

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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 62
Dr. JOSEPH ZUCKERMAN 303 2ND AVE NEW YORK NY 10016 53
Dr. J MICHAEL WIATER 17877 W 14 MILE RD BEVERLY HILLS MI 48025 49

Top Attending Physicians Associated With Z96612 - Presence of left artificial shoulder joint - as a primary or secondary diagnosis code

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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 62
Dr. JOSEPH ZUCKERMAN 303 2ND AVE NEW YORK NY 10016 54
Dr. J MICHAEL WIATER 17877 W 14 MILE RD BEVERLY HILLS MI 48025 48