*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
Z96643 - Presence of artificial hip joint, bilateral - as a primary or secondary diagnosis code | ||
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OUTCOMES | ||
Avg. LOS | ||
Readmission Rate (%) | ||
Unplanned Readmission Rate (%) | 11.88 | |
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 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 483: MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 1,522,684 | ||||
Total Hospitalizations with ICD Z96643 - Presence of artificial hip joint, bilateral | 11,830 | ||||
DRG Share of Total Hospitalizations | 4.63 | ||||
% of Total ICD Z96643 - Presence of artificial hip joint, bilateral in DRG | 5.28 | ||||
Avg LOS at DRG | 2.52 | ||||
Avg LOS with ICD Z96643 - Presence of artificial hip joint, bilateral | 2.42 | ||||
Readmission Rate at DRG | 9.03 | ||||
Readmission Rate with ICD Z96643 - Presence of artificial hip joint, bilateral | 7.81 | ||||
Unplanned Readmission Rate at DRG | 3.35 | ||||
Unplanned Readmission Rate with ICD Z96643 - Presence of artificial hip joint, bilateral | 3.08 | ||||
Total Medicare payments at DRG | $17,672,828,347 | ||||
Total Medicare payments with ICD Z96643 - Presence of artificial hip joint, bilateral | $141,295,486 | ||||
Total Medicare payment per Day at DRG | $4,606 | ||||
Total Medicare payment per Day with ICD Z96643 - Presence of artificial hip joint, bilateral | $4,929 | ||||
Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
Total Medicare payment per Hospitalization with ICD Z96643 - Presence of artificial hip joint, bilateral | $11,944 | ||||
Total Medicare Charges at DRG | $91,836,200,128 | ||||
Total Medicare Charges with ICD Z96643 - Presence of artificial hip joint, bilateral | $718,982,141 | ||||
Avg Charges at DRG | $60,312 | ||||
Avg Charges with ICD Z96643 - Presence of artificial hip joint, bilateral | $60,776 | ||||
Mortality Rate at DRG | 0.05 | ||||
Mortality Rate with ICD Z96643 - Presence of artificial hip joint, bilateral | NA | ||||
SNF Discharge Rate at DRG | 23.53 | ||||
SNF Discharge Rate with ICD Z96643 - Presence of artificial hip joint, bilateral | 24.33 | ||||
Home Discharge Rate at DRG | 30.67 | ||||
Home Discharge Rate with ICD Z96643 - Presence of artificial hip joint, bilateral | 28.18 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 467: REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS 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) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 63,482 | ||||
Total Hospitalizations with ICD Z96643 - Presence of artificial hip joint, bilateral | 3,762 | ||||
DRG Share of Total Hospitalizations | 0.19 | ||||
% of Total ICD Z96643 - Presence of artificial hip joint, bilateral in DRG | 1.68 | ||||
Avg LOS at DRG | 4.05 | ||||
Avg LOS with ICD Z96643 - Presence of artificial hip joint, bilateral | 4.37 | ||||
Readmission Rate at DRG | 19.14 | ||||
Readmission Rate with ICD Z96643 - Presence of artificial hip joint, bilateral | 20.57 | ||||
Unplanned Readmission Rate at DRG | 7.13 | ||||
Unplanned Readmission Rate with ICD Z96643 - Presence of artificial hip joint, bilateral | 7.71 | ||||
Total Medicare payments at DRG | $1,360,037,568 | ||||
Total Medicare payments with ICD Z96643 - Presence of artificial hip joint, bilateral | $82,928,508 | ||||
Total Medicare payment per Day at DRG | $5,286 | ||||
Total Medicare payment per Day with ICD Z96643 - Presence of artificial hip joint, bilateral | $5,041 | ||||
Total Medicare payment per Hospitalization at DRG | $21,424 | ||||
Total Medicare payment per Hospitalization with ICD Z96643 - Presence of artificial hip joint, bilateral | $22,044 | ||||
Total Medicare Charges at DRG | $6,614,169,258 | ||||
Total Medicare Charges with ICD Z96643 - Presence of artificial hip joint, bilateral | $372,568,551 | ||||
Avg Charges at DRG | $104,190 | ||||
Avg Charges with ICD Z96643 - Presence of artificial hip joint, bilateral | $99,035 | ||||
Mortality Rate at DRG | 0.11 | ||||
Mortality Rate with ICD Z96643 - Presence of artificial hip joint, bilateral | NA | ||||
SNF Discharge Rate at DRG | 37.05 | ||||
SNF Discharge Rate with ICD Z96643 - Presence of artificial hip joint, bilateral | 39.58 | ||||
Home Discharge Rate at DRG | 18.63 | ||||
Home Discharge Rate with ICD Z96643 - Presence of artificial hip joint, bilateral | 17.15 |
*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 536: FRACTURES OF HIP AND PELVIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 468: REVISION OF HIP OR KNEE REPLACEMENT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 408,103 | ||||
Total Hospitalizations with ICD Z96643 - Presence of artificial hip joint, bilateral | 3,067 | ||||
DRG Share of Total Hospitalizations | 1.24 | ||||
% of Total ICD Z96643 - Presence of artificial hip joint, bilateral in DRG | 1.37 | ||||
Avg LOS at DRG | 3.52 | ||||
Avg LOS with ICD Z96643 - Presence of artificial hip joint, bilateral | 3.53 | ||||
Readmission Rate at DRG | 17.83 | ||||
Readmission Rate with ICD Z96643 - Presence of artificial hip joint, bilateral | 16.74 | ||||
Unplanned Readmission Rate at DRG | 13.81 | ||||
Unplanned Readmission Rate with ICD Z96643 - Presence of artificial hip joint, bilateral | 13.24 | ||||
Total Medicare payments at DRG | $2,416,862,532 | ||||
Total Medicare payments with ICD Z96643 - Presence of artificial hip joint, bilateral | $18,287,199 | ||||
Total Medicare payment per Day at DRG | $1,682 | ||||
Total Medicare payment per Day with ICD Z96643 - Presence of artificial hip joint, bilateral | $1,687 | ||||
Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
Total Medicare payment per Hospitalization with ICD Z96643 - Presence of artificial hip joint, bilateral | $5,963 | ||||
Total Medicare Charges at DRG | $13,267,744,847 | ||||
Total Medicare Charges with ICD Z96643 - Presence of artificial hip joint, bilateral | $100,041,708 | ||||
Avg Charges at DRG | $32,511 | ||||
Avg Charges with ICD Z96643 - Presence of artificial hip joint, bilateral | $32,619 | ||||
Mortality Rate at DRG | 0.72 | ||||
Mortality Rate with ICD Z96643 - Presence of artificial hip joint, bilateral | 0.42 | ||||
SNF Discharge Rate at DRG | 14.1 | ||||
SNF Discharge Rate with ICD Z96643 - Presence of artificial hip joint, bilateral | 17.67 | ||||
Home Discharge Rate at DRG | 62.97 | ||||
Home Discharge Rate with ICD Z96643 - Presence of artificial hip joint, bilateral | 58.04 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 539,642 | ||||
Total Hospitalizations with ICD Z96643 - Presence of artificial hip joint, bilateral | 2,682 | ||||
DRG Share of Total Hospitalizations | 1.64 | ||||
% of Total ICD Z96643 - Presence of artificial hip joint, bilateral in DRG | 1.2 | ||||
Avg LOS at DRG | 6.42 | ||||
Avg LOS with ICD Z96643 - Presence of artificial hip joint, bilateral | 5.65 | ||||
Readmission Rate at DRG | 26.55 | ||||
Readmission Rate with ICD Z96643 - Presence of artificial hip joint, bilateral | 25.52 | ||||
Unplanned Readmission Rate at DRG | 20.01 | ||||
Unplanned Readmission Rate with ICD Z96643 - Presence of artificial hip joint, bilateral | 19.58 | ||||
Total Medicare payments at DRG | $5,267,842,463 | ||||
Total Medicare payments with ICD Z96643 - Presence of artificial hip joint, bilateral | $25,288,495 | ||||
Total Medicare payment per Day at DRG | $1,520 | ||||
Total Medicare payment per Day with ICD Z96643 - Presence of artificial hip joint, bilateral | $1,668 | ||||
Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
Total Medicare payment per Hospitalization with ICD Z96643 - Presence of artificial hip joint, bilateral | $9,429 | ||||
Total Medicare Charges at DRG | $25,503,568,329 | ||||
Total Medicare Charges with ICD Z96643 - Presence of artificial hip joint, bilateral | $116,580,054 | ||||
Avg Charges at DRG | $47,260 | ||||
Avg Charges with ICD Z96643 - Presence of artificial hip joint, bilateral | $43,468 | ||||
Mortality Rate at DRG | 5.62 | ||||
Mortality Rate with ICD Z96643 - Presence of artificial hip joint, bilateral | 5.48 | ||||
SNF Discharge Rate at DRG | 19.26 | ||||
SNF Discharge Rate with ICD Z96643 - Presence of artificial hip joint, bilateral | 22.52 | ||||
Home Discharge Rate at DRG | 39.65 | ||||
Home Discharge Rate with ICD Z96643 - Presence of artificial hip joint, bilateral | 36.43 |
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 | 916 |
HOSPITAL FOR SPECIAL SURGERY | 535 E 70TH ST | NEW YORK | NY | 10021 | 817 |
BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 711 |
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 | 74 |
Dr. JOHN TERRY DEARBORN | 2000 MOWRY AVE | FREMONT | CA | 94538 | 73 |
Dr. EDWARD J STOLARSKI | 6050 CATTLERIDGE BLVD STE 201 | SARASOTA | FL | 34232 | 60 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. JOHN TERRY DEARBORN | 2000 MOWRY AVE | FREMONT | CA | 94538 | 74 |
Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 72 |
Dr. ROBERT SIEW | 301 W HUNTINGTON DR | ARCADIA | CA | 91007 | 63 |