*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
Z96651 - Presence of right artificial knee joint - as a primary or secondary diagnosis code | ||
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OUTCOMES | ||
Avg. LOS | ||
Readmission Rate (%) | ||
Unplanned Readmission Rate (%) | 9.43 | |
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 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 1,522,684 | ||||
Total Hospitalizations with ICD Z96651 - Presence of right artificial knee joint | 87,723 | ||||
DRG Share of Total Hospitalizations | 4.63 | ||||
% of Total ICD Z96651 - Presence of right artificial knee joint in DRG | 19.7 | ||||
Avg LOS at DRG | 2.52 | ||||
Avg LOS with ICD Z96651 - Presence of right artificial knee joint | 2.37 | ||||
Readmission Rate at DRG | 9.03 | ||||
Readmission Rate with ICD Z96651 - Presence of right artificial knee joint | 7.19 | ||||
Unplanned Readmission Rate at DRG | 3.35 | ||||
Unplanned Readmission Rate with ICD Z96651 - Presence of right artificial knee joint | 2.82 | ||||
Total Medicare payments at DRG | $17,672,828,347 | ||||
Total Medicare payments with ICD Z96651 - Presence of right artificial knee joint | $1,020,830,666 | ||||
Total Medicare payment per Day at DRG | $4,606 | ||||
Total Medicare payment per Day with ICD Z96651 - Presence of right artificial knee joint | $4,917 | ||||
Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
Total Medicare payment per Hospitalization with ICD Z96651 - Presence of right artificial knee joint | $11,637 | ||||
Total Medicare Charges at DRG | $91,836,200,128 | ||||
Total Medicare Charges with ICD Z96651 - Presence of right artificial knee joint | $5,155,577,496 | ||||
Avg Charges at DRG | $60,312 | ||||
Avg Charges with ICD Z96651 - Presence of right artificial knee joint | $58,771 | ||||
Mortality Rate at DRG | 0.05 | ||||
Mortality Rate with ICD Z96651 - Presence of right artificial knee joint | 0.02 | ||||
SNF Discharge Rate at DRG | 23.53 | ||||
SNF Discharge Rate with ICD Z96651 - Presence of right artificial knee joint | 21.89 | ||||
Home Discharge Rate at DRG | 30.67 | ||||
Home Discharge Rate with ICD Z96651 - Presence of right artificial knee joint | 31.54 |
*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 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 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 185,287 | ||||
Total Hospitalizations with ICD Z96651 - Presence of right artificial knee joint | 6,534 | ||||
DRG Share of Total Hospitalizations | 0.56 | ||||
% of Total ICD Z96651 - Presence of right artificial knee joint in DRG | 1.47 | ||||
Avg LOS at DRG | 1.88 | ||||
Avg LOS with ICD Z96651 - Presence of right artificial knee joint | 1.84 | ||||
Readmission Rate at DRG | 5.88 | ||||
Readmission Rate with ICD Z96651 - Presence of right artificial knee joint | 5.65 | ||||
Unplanned Readmission Rate at DRG | 2.95 | ||||
Unplanned Readmission Rate with ICD Z96651 - Presence of right artificial knee joint | 2.86 | ||||
Total Medicare payments at DRG | $2,646,620,753 | ||||
Total Medicare payments with ICD Z96651 - Presence of right artificial knee joint | $94,864,746 | ||||
Total Medicare payment per Day at DRG | $7,610 | ||||
Total Medicare payment per Day with ICD Z96651 - Presence of right artificial knee joint | $7,875 | ||||
Total Medicare payment per Hospitalization at DRG | $14,284 | ||||
Total Medicare payment per Hospitalization with ICD Z96651 - Presence of right artificial knee joint | $14,519 | ||||
Total Medicare Charges at DRG | $13,348,793,527 | ||||
Total Medicare Charges with ICD Z96651 - Presence of right artificial knee joint | $468,334,821 | ||||
Avg Charges at DRG | $72,044 | ||||
Avg Charges with ICD Z96651 - Presence of right artificial knee joint | $71,677 | ||||
Mortality Rate at DRG | 0.07 | ||||
Mortality Rate with ICD Z96651 - Presence of right artificial knee joint | NA | ||||
SNF Discharge Rate at DRG | 12.21 | ||||
SNF Discharge Rate with ICD Z96651 - Presence of right artificial knee joint | 13.16 | ||||
Home Discharge Rate at DRG | 64.69 | ||||
Home Discharge Rate with ICD Z96651 - Presence of right artificial knee joint | 63.1 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 474,314 | ||||
Total Hospitalizations with ICD Z96651 - Presence of right artificial knee joint | 5,550 | ||||
DRG Share of Total Hospitalizations | 1.44 | ||||
% of Total ICD Z96651 - Presence of right artificial knee joint in DRG | 1.25 | ||||
Avg LOS at DRG | 3.53 | ||||
Avg LOS with ICD Z96651 - Presence of right artificial knee joint | 3.44 | ||||
Readmission Rate at DRG | 18.03 | ||||
Readmission Rate with ICD Z96651 - Presence of right artificial knee joint | 18.11 | ||||
Unplanned Readmission Rate at DRG | 12.55 | ||||
Unplanned Readmission Rate with ICD Z96651 - Presence of right artificial knee joint | 12.63 | ||||
Total Medicare payments at DRG | $2,312,733,090 | ||||
Total Medicare payments with ICD Z96651 - Presence of right artificial knee joint | $26,560,456 | ||||
Total Medicare payment per Day at DRG | $1,380 | ||||
Total Medicare payment per Day with ICD Z96651 - Presence of right artificial knee joint | $1,392 | ||||
Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
Total Medicare payment per Hospitalization with ICD Z96651 - Presence of right artificial knee joint | $4,786 | ||||
Total Medicare Charges at DRG | $11,559,952,314 | ||||
Total Medicare Charges with ICD Z96651 - Presence of right artificial knee joint | $137,340,921 | ||||
Avg Charges at DRG | $24,372 | ||||
Avg Charges with ICD Z96651 - Presence of right artificial knee joint | $24,746 | ||||
Mortality Rate at DRG | 0.22 | ||||
Mortality Rate with ICD Z96651 - Presence of right artificial knee joint | NA | ||||
SNF Discharge Rate at DRG | 25.96 | ||||
SNF Discharge Rate with ICD Z96651 - Presence of right artificial knee joint | 27.86 | ||||
Home Discharge Rate at DRG | 43.58 | ||||
Home Discharge Rate with ICD Z96651 - Presence of right artificial knee joint | 41.6 |
*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 468: REVISION OF HIP OR KNEE REPLACEMENT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 63,482 | ||||
Total Hospitalizations with ICD Z96651 - Presence of right artificial knee joint | 4,439 | ||||
DRG Share of Total Hospitalizations | 0.19 | ||||
% of Total ICD Z96651 - Presence of right artificial knee joint in DRG | 1.0 | ||||
Avg LOS at DRG | 4.05 | ||||
Avg LOS with ICD Z96651 - Presence of right artificial knee joint | 3.74 | ||||
Readmission Rate at DRG | 19.14 | ||||
Readmission Rate with ICD Z96651 - Presence of right artificial knee joint | 17.17 | ||||
Unplanned Readmission Rate at DRG | 7.13 | ||||
Unplanned Readmission Rate with ICD Z96651 - Presence of right artificial knee joint | 5.72 | ||||
Total Medicare payments at DRG | $1,360,037,568 | ||||
Total Medicare payments with ICD Z96651 - Presence of right artificial knee joint | $93,684,025 | ||||
Total Medicare payment per Day at DRG | $5,286 | ||||
Total Medicare payment per Day with ICD Z96651 - Presence of right artificial knee joint | $5,642 | ||||
Total Medicare payment per Hospitalization at DRG | $21,424 | ||||
Total Medicare payment per Hospitalization with ICD Z96651 - Presence of right artificial knee joint | $21,105 | ||||
Total Medicare Charges at DRG | $6,614,169,258 | ||||
Total Medicare Charges with ICD Z96651 - Presence of right artificial knee joint | $466,249,581 | ||||
Avg Charges at DRG | $104,190 | ||||
Avg Charges with ICD Z96651 - Presence of right artificial knee joint | $105,035 | ||||
Mortality Rate at DRG | 0.11 | ||||
Mortality Rate with ICD Z96651 - Presence of right artificial knee joint | NA | ||||
SNF Discharge Rate at DRG | 37.05 | ||||
SNF Discharge Rate with ICD Z96651 - Presence of right artificial knee joint | 32.8 | ||||
Home Discharge Rate at DRG | 18.63 | ||||
Home Discharge Rate with ICD Z96651 - Presence of right artificial knee joint | 20.48 |
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 | 1,690 |
CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 1,621 |
RIVERSIDE METHODIST HOSPITAL | 3535 OLENTANGY RIVER RD | COLUMBUS | OH | 43214 | 1,260 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. COREY E PONDER | 13401 N. WESTERN AVE. | OKLAHOMA CITY | OK | 73114 | 213 |
Dr. ALVIN CHUA ONG | 2500 ENGLISH CREEK AVE | EGG HARBOR TOWNSHIP | NJ | 08234 | 194 |
Dr. THOMAS KELLY TKACH | 1110 N LEE AVE | OKLAHOMA CITY | OK | 73103 | 156 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. COREY E PONDER | 13401 N. WESTERN AVE. | OKLAHOMA CITY | OK | 73114 | 206 |
Dr. ALVIN CHUA ONG | 2500 ENGLISH CREEK AVE | EGG HARBOR TOWNSHIP | NJ | 08234 | 192 |
Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 167 |