*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 | ||
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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 |
*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 |
*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 |
*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 |
*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 |
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 |
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 |
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 |