*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z96642 - Presence of left artificial hip joint - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 10.95 | |
| 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 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD Z96642 - Presence of left artificial hip joint | 47,312 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD Z96642 - Presence of left artificial hip joint in DRG | 14.67 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD Z96642 - Presence of left artificial hip joint | 2.39 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD Z96642 - Presence of left artificial hip joint | 8.44 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD Z96642 - Presence of left artificial hip joint | 3.13 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD Z96642 - Presence of left artificial hip joint | $567,922,828 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD Z96642 - Presence of left artificial hip joint | $5,027 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD Z96642 - Presence of left artificial hip joint | $12,004 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD Z96642 - Presence of left artificial hip joint | $2,875,411,832 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD Z96642 - Presence of left artificial hip joint | $60,776 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD Z96642 - Presence of left artificial hip joint | 0.05 | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD Z96642 - Presence of left artificial hip joint | 23.01 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD Z96642 - Presence of left artificial hip joint | 30.85 |
*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 559: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 467: REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 240,618 | ||||
| Total Hospitalizations with ICD Z96642 - Presence of left artificial hip joint | 5,539 | ||||
| DRG Share of Total Hospitalizations | 0.73 | ||||
| % of Total ICD Z96642 - Presence of left artificial hip joint in DRG | 1.72 | ||||
| Avg LOS at DRG | 4.81 | ||||
| Avg LOS with ICD Z96642 - Presence of left artificial hip joint | 4.87 | ||||
| Readmission Rate at DRG | 26.3 | ||||
| Readmission Rate with ICD Z96642 - Presence of left artificial hip joint | 24.48 | ||||
| Unplanned Readmission Rate at DRG | 7.83 | ||||
| Unplanned Readmission Rate with ICD Z96642 - Presence of left artificial hip joint | 7.9 | ||||
| Total Medicare payments at DRG | $2,989,116,299 | ||||
| Total Medicare payments with ICD Z96642 - Presence of left artificial hip joint | $70,481,630 | ||||
| Total Medicare payment per Day at DRG | $2,581 | ||||
| Total Medicare payment per Day with ICD Z96642 - Presence of left artificial hip joint | $2,615 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,423 | ||||
| Total Medicare payment per Hospitalization with ICD Z96642 - Presence of left artificial hip joint | $12,725 | ||||
| Total Medicare Charges at DRG | $15,603,027,471 | ||||
| Total Medicare Charges with ICD Z96642 - Presence of left artificial hip joint | $391,877,847 | ||||
| Avg Charges at DRG | $64,846 | ||||
| Avg Charges with ICD Z96642 - Presence of left artificial hip joint | $70,749 | ||||
| Mortality Rate at DRG | 0.4 | ||||
| Mortality Rate with ICD Z96642 - Presence of left artificial hip joint | 0.25 | ||||
| SNF Discharge Rate at DRG | 66.28 | ||||
| SNF Discharge Rate with ICD Z96642 - Presence of left artificial hip joint | 68.32 | ||||
| Home Discharge Rate at DRG | 3.84 | ||||
| Home Discharge Rate with ICD Z96642 - Presence of left artificial hip joint | 3.79 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 536: FRACTURES OF HIP AND PELVIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 483: MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD Z96642 - Presence of left artificial hip joint | 3,952 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD Z96642 - Presence of left artificial hip joint in DRG | 1.23 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD Z96642 - Presence of left artificial hip joint | 3.27 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD Z96642 - Presence of left artificial hip joint | 17.35 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD Z96642 - Presence of left artificial hip joint | 12.58 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD Z96642 - Presence of left artificial hip joint | $17,800,591 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD Z96642 - Presence of left artificial hip joint | $1,378 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD Z96642 - Presence of left artificial hip joint | $4,504 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD Z96642 - Presence of left artificial hip joint | $108,802,175 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD Z96642 - Presence of left artificial hip joint | $27,531 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD Z96642 - Presence of left artificial hip joint | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD Z96642 - Presence of left artificial hip joint | 13.99 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD Z96642 - Presence of left artificial hip joint | 62.42 |
*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 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD Z96642 - Presence of left artificial hip joint | 3,435 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD Z96642 - Presence of left artificial hip joint in DRG | 1.06 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD Z96642 - Presence of left artificial hip joint | 4.68 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD Z96642 - Presence of left artificial hip joint | 24.43 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD Z96642 - Presence of left artificial hip joint | 19.93 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD Z96642 - Presence of left artificial hip joint | $24,735,647 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD Z96642 - Presence of left artificial hip joint | $1,539 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD Z96642 - Presence of left artificial hip joint | $7,201 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD Z96642 - Presence of left artificial hip joint | $125,461,361 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD Z96642 - Presence of left artificial hip joint | $36,524 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD Z96642 - Presence of left artificial hip joint | 1.46 | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD Z96642 - Presence of left artificial hip joint | 19.1 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD Z96642 - Presence of left artificial hip joint | 43.7 |
| 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 | 1,334 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 949 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 923 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOHN TERRY DEARBORN | 2000 MOWRY AVE | FREMONT | CA | 94538 | 139 |
| Dr. ANDREW GLEN YUN | 13160 MINDANAO WAY | MARINA DEL REY | CA | 90292 | 135 |
| Dr. EDWARD J STOLARSKI | 6050 CATTLERIDGE BLVD STE 201 | SARASOTA | FL | 34232 | 117 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MICHAEL A ROSEMORE | 3004 ALLISON BONNETT MEMORIAL DR | HUEYTOWN | AL | 35023 | 150 |
| Dr. JOHN TERRY DEARBORN | 2000 MOWRY AVE | FREMONT | CA | 94538 | 139 |
| Dr. EDWARD J STOLARSKI | 6050 CATTLERIDGE BLVD STE 201 | SARASOTA | FL | 34232 | 111 |