*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z96641 - Presence of right artificial hip joint - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 10.75 | |
| 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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH 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 | 1,522,684 | ||||
| Total Hospitalizations with ICD Z96641 - Presence of right artificial hip joint | 57,470 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD Z96641 - Presence of right artificial hip joint in DRG | 14.7 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD Z96641 - Presence of right artificial hip joint | 2.39 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD Z96641 - Presence of right artificial hip joint | 8.44 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD Z96641 - Presence of right artificial hip joint | 3.19 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD Z96641 - Presence of right artificial hip joint | $689,237,937 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD Z96641 - Presence of right artificial hip joint | $5,012 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD Z96641 - Presence of right artificial hip joint | $11,993 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD Z96641 - Presence of right artificial hip joint | $3,487,625,691 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD Z96641 - Presence of right artificial hip joint | $60,686 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD Z96641 - Presence of right artificial hip joint | 0.03 | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD Z96641 - Presence of right artificial hip joint | 23.15 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD Z96641 - Presence of right artificial hip joint | 30.83 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS 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 483: MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 240,618 | ||||
| Total Hospitalizations with ICD Z96641 - Presence of right artificial hip joint | 6,749 | ||||
| DRG Share of Total Hospitalizations | 0.73 | ||||
| % of Total ICD Z96641 - Presence of right artificial hip joint in DRG | 1.73 | ||||
| Avg LOS at DRG | 4.81 | ||||
| Avg LOS with ICD Z96641 - Presence of right artificial hip joint | 4.86 | ||||
| Readmission Rate at DRG | 26.3 | ||||
| Readmission Rate with ICD Z96641 - Presence of right artificial hip joint | 24.2 | ||||
| Unplanned Readmission Rate at DRG | 7.83 | ||||
| Unplanned Readmission Rate with ICD Z96641 - Presence of right artificial hip joint | 7.33 | ||||
| Total Medicare payments at DRG | $2,989,116,299 | ||||
| Total Medicare payments with ICD Z96641 - Presence of right artificial hip joint | $86,022,888 | ||||
| Total Medicare payment per Day at DRG | $2,581 | ||||
| Total Medicare payment per Day with ICD Z96641 - Presence of right artificial hip joint | $2,621 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,423 | ||||
| Total Medicare payment per Hospitalization with ICD Z96641 - Presence of right artificial hip joint | $12,746 | ||||
| Total Medicare Charges at DRG | $15,603,027,471 | ||||
| Total Medicare Charges with ICD Z96641 - Presence of right artificial hip joint | $470,796,767 | ||||
| Avg Charges at DRG | $64,846 | ||||
| Avg Charges with ICD Z96641 - Presence of right artificial hip joint | $69,758 | ||||
| Mortality Rate at DRG | 0.4 | ||||
| Mortality Rate with ICD Z96641 - Presence of right artificial hip joint | 0.36 | ||||
| SNF Discharge Rate at DRG | 66.28 | ||||
| SNF Discharge Rate with ICD Z96641 - Presence of right artificial hip joint | 68.54 | ||||
| Home Discharge Rate at DRG | 3.84 | ||||
| Home Discharge Rate with ICD Z96641 - Presence of right artificial hip joint | 3.69 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 467: REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 559: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 536: FRACTURES OF HIP AND PELVIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 408,103 | ||||
| Total Hospitalizations with ICD Z96641 - Presence of right artificial hip joint | 4,714 | ||||
| DRG Share of Total Hospitalizations | 1.24 | ||||
| % of Total ICD Z96641 - Presence of right artificial hip joint in DRG | 1.21 | ||||
| Avg LOS at DRG | 3.52 | ||||
| Avg LOS with ICD Z96641 - Presence of right artificial hip joint | 3.5 | ||||
| Readmission Rate at DRG | 17.83 | ||||
| Readmission Rate with ICD Z96641 - Presence of right artificial hip joint | 17.26 | ||||
| Unplanned Readmission Rate at DRG | 13.81 | ||||
| Unplanned Readmission Rate with ICD Z96641 - Presence of right artificial hip joint | 13.34 | ||||
| Total Medicare payments at DRG | $2,416,862,532 | ||||
| Total Medicare payments with ICD Z96641 - Presence of right artificial hip joint | $28,165,730 | ||||
| Total Medicare payment per Day at DRG | $1,682 | ||||
| Total Medicare payment per Day with ICD Z96641 - Presence of right artificial hip joint | $1,706 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
| Total Medicare payment per Hospitalization with ICD Z96641 - Presence of right artificial hip joint | $5,975 | ||||
| Total Medicare Charges at DRG | $13,267,744,847 | ||||
| Total Medicare Charges with ICD Z96641 - Presence of right artificial hip joint | $152,584,952 | ||||
| Avg Charges at DRG | $32,511 | ||||
| Avg Charges with ICD Z96641 - Presence of right artificial hip joint | $32,368 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD Z96641 - Presence of right artificial hip joint | 0.64 | ||||
| SNF Discharge Rate at DRG | 14.1 | ||||
| SNF Discharge Rate with ICD Z96641 - Presence of right artificial hip joint | 19.3 | ||||
| Home Discharge Rate at DRG | 62.97 | ||||
| Home Discharge Rate with ICD Z96641 - Presence of right artificial hip joint | 54.99 |
*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 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD Z96641 - Presence of right artificial hip joint | 4,046 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD Z96641 - Presence of right artificial hip joint in DRG | 1.03 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD Z96641 - Presence of right artificial hip joint | 4.63 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD Z96641 - Presence of right artificial hip joint | 23.64 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD Z96641 - Presence of right artificial hip joint | 19.1 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD Z96641 - Presence of right artificial hip joint | $29,017,871 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD Z96641 - Presence of right artificial hip joint | $1,548 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD Z96641 - Presence of right artificial hip joint | $7,172 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD Z96641 - Presence of right artificial hip joint | $149,176,972 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD Z96641 - Presence of right artificial hip joint | $36,870 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD Z96641 - Presence of right artificial hip joint | 1.16 | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD Z96641 - Presence of right artificial hip joint | 18.69 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD Z96641 - Presence of right artificial hip joint | 46.39 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| HOSPITAL FOR SPECIAL SURGERY | 535 E 70TH ST | NEW YORK | NY | 10021 | 1,606 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 1,167 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 1,160 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ANDREW GLEN YUN | 13160 MINDANAO WAY | MARINA DEL REY | CA | 90292 | 180 |
| Dr. JOHN TERRY DEARBORN | 2000 MOWRY AVE | FREMONT | CA | 94538 | 178 |
| Dr. KIRK A KINDSFATER | 2500 E PROSPECT RD | FORT COLLINS | CO | 80525 | 149 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOHN TERRY DEARBORN | 2000 MOWRY AVE | FREMONT | CA | 94538 | 178 |
| Dr. MICHAEL A ROSEMORE | 3004 ALLISON BONNETT MEMORIAL DR | HUEYTOWN | AL | 35023 | 153 |
| Dr. KIRK A KINDSFATER | 2500 E PROSPECT RD | FORT COLLINS | CO | 80525 | 150 |