*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z96649 - Presence of unspecified artificial hip joint - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 13.51 | |
| 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 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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD Z96649 - Presence of unspecified artificial hip joint | 9,579 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Z96649 - Presence of unspecified artificial hip joint in DRG | 6.1 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Z96649 - Presence of unspecified artificial hip joint | 5.6 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Z96649 - Presence of unspecified artificial hip joint | 21.96 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Z96649 - Presence of unspecified artificial hip joint | 15.74 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Z96649 - Presence of unspecified artificial hip joint | $108,061,887 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Z96649 - Presence of unspecified artificial hip joint | $2,013 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Z96649 - Presence of unspecified artificial hip joint | $11,281 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Z96649 - Presence of unspecified artificial hip joint | $490,693,126 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Z96649 - Presence of unspecified artificial hip joint | $51,226 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Z96649 - Presence of unspecified artificial hip joint | 12.04 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Z96649 - Presence of unspecified artificial hip joint | 30.47 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Z96649 - Presence of unspecified artificial hip joint | 21.77 |
*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 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 | 408,103 | ||||
| Total Hospitalizations with ICD Z96649 - Presence of unspecified artificial hip joint | 2,876 | ||||
| DRG Share of Total Hospitalizations | 1.24 | ||||
| % of Total ICD Z96649 - Presence of unspecified artificial hip joint in DRG | 1.83 | ||||
| Avg LOS at DRG | 3.52 | ||||
| Avg LOS with ICD Z96649 - Presence of unspecified artificial hip joint | 3.49 | ||||
| Readmission Rate at DRG | 17.83 | ||||
| Readmission Rate with ICD Z96649 - Presence of unspecified artificial hip joint | 17.22 | ||||
| Unplanned Readmission Rate at DRG | 13.81 | ||||
| Unplanned Readmission Rate with ICD Z96649 - Presence of unspecified artificial hip joint | 13.77 | ||||
| Total Medicare payments at DRG | $2,416,862,532 | ||||
| Total Medicare payments with ICD Z96649 - Presence of unspecified artificial hip joint | $16,939,389 | ||||
| Total Medicare payment per Day at DRG | $1,682 | ||||
| Total Medicare payment per Day with ICD Z96649 - Presence of unspecified artificial hip joint | $1,686 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
| Total Medicare payment per Hospitalization with ICD Z96649 - Presence of unspecified artificial hip joint | $5,890 | ||||
| Total Medicare Charges at DRG | $13,267,744,847 | ||||
| Total Medicare Charges with ICD Z96649 - Presence of unspecified artificial hip joint | $91,046,948 | ||||
| Avg Charges at DRG | $32,511 | ||||
| Avg Charges with ICD Z96649 - Presence of unspecified artificial hip joint | $31,657 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD Z96649 - Presence of unspecified artificial hip joint | 0.9 | ||||
| SNF Discharge Rate at DRG | 14.1 | ||||
| SNF Discharge Rate with ICD Z96649 - Presence of unspecified artificial hip joint | 19.37 | ||||
| Home Discharge Rate at DRG | 62.97 | ||||
| Home Discharge Rate with ICD Z96649 - Presence of unspecified artificial hip joint | 54.83 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD Z96649 - Presence of unspecified artificial hip joint | 2,556 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD Z96649 - Presence of unspecified artificial hip joint in DRG | 1.63 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD Z96649 - Presence of unspecified artificial hip joint | 3.17 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD Z96649 - Presence of unspecified artificial hip joint | 18.2 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD Z96649 - Presence of unspecified artificial hip joint | 13.79 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD Z96649 - Presence of unspecified artificial hip joint | $11,143,882 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD Z96649 - Presence of unspecified artificial hip joint | $1,374 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD Z96649 - Presence of unspecified artificial hip joint | $4,360 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD Z96649 - Presence of unspecified artificial hip joint | $69,100,122 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD Z96649 - Presence of unspecified artificial hip joint | $27,034 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD Z96649 - Presence of unspecified artificial hip joint | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD Z96649 - Presence of unspecified artificial hip joint | 14.36 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD Z96649 - Presence of unspecified artificial hip joint | 61.58 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 483: MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 352,097 | ||||
| Total Hospitalizations with ICD Z96649 - Presence of unspecified artificial hip joint | 2,015 | ||||
| DRG Share of Total Hospitalizations | 1.07 | ||||
| % of Total ICD Z96649 - Presence of unspecified artificial hip joint in DRG | 1.28 | ||||
| Avg LOS at DRG | 3.96 | ||||
| Avg LOS with ICD Z96649 - Presence of unspecified artificial hip joint | 3.74 | ||||
| Readmission Rate at DRG | 35.38 | ||||
| Readmission Rate with ICD Z96649 - Presence of unspecified artificial hip joint | 32.21 | ||||
| Unplanned Readmission Rate at DRG | 7.63 | ||||
| Unplanned Readmission Rate with ICD Z96649 - Presence of unspecified artificial hip joint | 8.12 | ||||
| Total Medicare payments at DRG | $2,360,891,966 | ||||
| Total Medicare payments with ICD Z96649 - Presence of unspecified artificial hip joint | $12,673,803 | ||||
| Total Medicare payment per Day at DRG | $1,693 | ||||
| Total Medicare payment per Day with ICD Z96649 - Presence of unspecified artificial hip joint | $1,681 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,705 | ||||
| Total Medicare payment per Hospitalization with ICD Z96649 - Presence of unspecified artificial hip joint | $6,290 | ||||
| Total Medicare Charges at DRG | $13,014,640,264 | ||||
| Total Medicare Charges with ICD Z96649 - Presence of unspecified artificial hip joint | $72,076,972 | ||||
| Avg Charges at DRG | $36,963 | ||||
| Avg Charges with ICD Z96649 - Presence of unspecified artificial hip joint | $35,770 | ||||
| Mortality Rate at DRG | 1.54 | ||||
| Mortality Rate with ICD Z96649 - Presence of unspecified artificial hip joint | 1.89 | ||||
| SNF Discharge Rate at DRG | 24.0 | ||||
| SNF Discharge Rate with ICD Z96649 - Presence of unspecified artificial hip joint | 30.02 | ||||
| Home Discharge Rate at DRG | 26.62 | ||||
| Home Discharge Rate with ICD Z96649 - Presence of unspecified artificial hip joint | 21.04 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ASCENSION PROVIDENCE HOSPITAL - SOUTHFIELD CAMPUS | 16001 W 9 MILE RD | SOUTHFIELD | MI | 48075 | 765 |
| VALLEY HOSPITAL | 223 N VAN DIEN AVE | RIDGEWOOD | NJ | 07450 | 695 |
| MISSION HOSPITAL | 509 BILTMORE AVE | ASHEVILLE | NC | 28801 | 675 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JUAN CARLOS ALVAREZ | 6325 US HIGHWAY 27 N | SEBRING | FL | 33870 | 45 |
| Dr. KIRK A KINDSFATER | 2500 E PROSPECT RD | FORT COLLINS | CO | 80525 | 30 |
| Dr. KIRK MATTHEW DOWN | 50 N PERRY ST | PONTIAC | MI | 48342 | 28 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. KATHY H LEE | 4200 SUN N LAKE BLVD | SEBRING | FL | 33872 | 77 |
| Dr. SUBBURAMAN SIVAKUMAR | 37650 PROFESSIONAL CENTER DR | LIVONIA | MI | 48154 | 61 |
| Dr. SHAWNNA MINNETTE HAMPTON | 2900 N MILITARY TRL | BOCA RATON | FL | 33431 | 53 |