*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
Z96652 - Presence of left artificial knee joint - as a primary or secondary diagnosis code | ||
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OUTCOMES | ||
Avg. LOS | ||
Readmission Rate (%) | ||
Unplanned Readmission Rate (%) | 9.21 | |
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 Z96652 - Presence of left artificial knee joint | 82,525 | ||||
DRG Share of Total Hospitalizations | 4.63 | ||||
% of Total ICD Z96652 - Presence of left artificial knee joint in DRG | 21.1 | ||||
Avg LOS at DRG | 2.52 | ||||
Avg LOS with ICD Z96652 - Presence of left artificial knee joint | 2.35 | ||||
Readmission Rate at DRG | 9.03 | ||||
Readmission Rate with ICD Z96652 - Presence of left artificial knee joint | 7.04 | ||||
Unplanned Readmission Rate at DRG | 3.35 | ||||
Unplanned Readmission Rate with ICD Z96652 - Presence of left artificial knee joint | 2.81 | ||||
Total Medicare payments at DRG | $17,672,828,347 | ||||
Total Medicare payments with ICD Z96652 - Presence of left artificial knee joint | $957,914,244 | ||||
Total Medicare payment per Day at DRG | $4,606 | ||||
Total Medicare payment per Day with ICD Z96652 - Presence of left artificial knee joint | $4,931 | ||||
Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
Total Medicare payment per Hospitalization with ICD Z96652 - Presence of left artificial knee joint | $11,608 | ||||
Total Medicare Charges at DRG | $91,836,200,128 | ||||
Total Medicare Charges with ICD Z96652 - Presence of left artificial knee joint | $4,820,798,324 | ||||
Avg Charges at DRG | $60,312 | ||||
Avg Charges with ICD Z96652 - Presence of left artificial knee joint | $58,416 | ||||
Mortality Rate at DRG | 0.05 | ||||
Mortality Rate with ICD Z96652 - Presence of left artificial knee joint | 0.02 | ||||
SNF Discharge Rate at DRG | 23.53 | ||||
SNF Discharge Rate with ICD Z96652 - Presence of left artificial knee joint | 21.11 | ||||
Home Discharge Rate at DRG | 30.67 | ||||
Home Discharge Rate with ICD Z96652 - Presence of left artificial knee joint | 31.77 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 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 Z96652 - Presence of left artificial knee joint | 5,727 | ||||
DRG Share of Total Hospitalizations | 0.56 | ||||
% of Total ICD Z96652 - Presence of left artificial knee joint in DRG | 1.46 | ||||
Avg LOS at DRG | 1.88 | ||||
Avg LOS with ICD Z96652 - Presence of left artificial knee joint | 1.78 | ||||
Readmission Rate at DRG | 5.88 | ||||
Readmission Rate with ICD Z96652 - Presence of left artificial knee joint | 5.42 | ||||
Unplanned Readmission Rate at DRG | 2.95 | ||||
Unplanned Readmission Rate with ICD Z96652 - Presence of left artificial knee joint | 2.73 | ||||
Total Medicare payments at DRG | $2,646,620,753 | ||||
Total Medicare payments with ICD Z96652 - Presence of left artificial knee joint | $82,290,751 | ||||
Total Medicare payment per Day at DRG | $7,610 | ||||
Total Medicare payment per Day with ICD Z96652 - Presence of left artificial knee joint | $8,074 | ||||
Total Medicare payment per Hospitalization at DRG | $14,284 | ||||
Total Medicare payment per Hospitalization with ICD Z96652 - Presence of left artificial knee joint | $14,369 | ||||
Total Medicare Charges at DRG | $13,348,793,527 | ||||
Total Medicare Charges with ICD Z96652 - Presence of left artificial knee joint | $398,909,012 | ||||
Avg Charges at DRG | $72,044 | ||||
Avg Charges with ICD Z96652 - Presence of left artificial knee joint | $69,654 | ||||
Mortality Rate at DRG | 0.07 | ||||
Mortality Rate with ICD Z96652 - Presence of left artificial knee joint | NA | ||||
SNF Discharge Rate at DRG | 12.21 | ||||
SNF Discharge Rate with ICD Z96652 - Presence of left artificial knee joint | 11.98 | ||||
Home Discharge Rate at DRG | 64.69 | ||||
Home Discharge Rate with ICD Z96652 - Presence of left artificial knee joint | 64.96 |
*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 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) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 474,314 | ||||
Total Hospitalizations with ICD Z96652 - Presence of left artificial knee joint | 4,744 | ||||
DRG Share of Total Hospitalizations | 1.44 | ||||
% of Total ICD Z96652 - Presence of left artificial knee joint in DRG | 1.21 | ||||
Avg LOS at DRG | 3.53 | ||||
Avg LOS with ICD Z96652 - Presence of left artificial knee joint | 3.4 | ||||
Readmission Rate at DRG | 18.03 | ||||
Readmission Rate with ICD Z96652 - Presence of left artificial knee joint | 17.88 | ||||
Unplanned Readmission Rate at DRG | 12.55 | ||||
Unplanned Readmission Rate with ICD Z96652 - Presence of left artificial knee joint | 12.51 | ||||
Total Medicare payments at DRG | $2,312,733,090 | ||||
Total Medicare payments with ICD Z96652 - Presence of left artificial knee joint | $22,406,511 | ||||
Total Medicare payment per Day at DRG | $1,380 | ||||
Total Medicare payment per Day with ICD Z96652 - Presence of left artificial knee joint | $1,388 | ||||
Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
Total Medicare payment per Hospitalization with ICD Z96652 - Presence of left artificial knee joint | $4,723 | ||||
Total Medicare Charges at DRG | $11,559,952,314 | ||||
Total Medicare Charges with ICD Z96652 - Presence of left artificial knee joint | $113,502,235 | ||||
Avg Charges at DRG | $24,372 | ||||
Avg Charges with ICD Z96652 - Presence of left artificial knee joint | $23,925 | ||||
Mortality Rate at DRG | 0.22 | ||||
Mortality Rate with ICD Z96652 - Presence of left artificial knee joint | NA | ||||
SNF Discharge Rate at DRG | 25.96 | ||||
SNF Discharge Rate with ICD Z96652 - Presence of left artificial knee joint | 26.33 | ||||
Home Discharge Rate at DRG | 43.58 | ||||
Home Discharge Rate with ICD Z96652 - Presence of left artificial knee joint | 42.96 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 434,264 | ||||
Total Hospitalizations with ICD Z96652 - Presence of left artificial knee joint | 3,957 | ||||
DRG Share of Total Hospitalizations | 1.32 | ||||
% of Total ICD Z96652 - Presence of left artificial knee joint in DRG | 1.01 | ||||
Avg LOS at DRG | 3.94 | ||||
Avg LOS with ICD Z96652 - Presence of left artificial knee joint | 3.79 | ||||
Readmission Rate at DRG | 22.76 | ||||
Readmission Rate with ICD Z96652 - Presence of left artificial knee joint | 21.92 | ||||
Unplanned Readmission Rate at DRG | 16.46 | ||||
Unplanned Readmission Rate with ICD Z96652 - Presence of left artificial knee joint | 15.29 | ||||
Total Medicare payments at DRG | $2,472,138,198 | ||||
Total Medicare payments with ICD Z96652 - Presence of left artificial knee joint | $21,887,371 | ||||
Total Medicare payment per Day at DRG | $1,444 | ||||
Total Medicare payment per Day with ICD Z96652 - Presence of left artificial knee joint | $1,459 | ||||
Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
Total Medicare payment per Hospitalization with ICD Z96652 - Presence of left artificial knee joint | $5,531 | ||||
Total Medicare Charges at DRG | $12,478,361,060 | ||||
Total Medicare Charges with ICD Z96652 - Presence of left artificial knee joint | $108,922,901 | ||||
Avg Charges at DRG | $28,735 | ||||
Avg Charges with ICD Z96652 - Presence of left artificial knee joint | $27,527 | ||||
Mortality Rate at DRG | 0.91 | ||||
Mortality Rate with ICD Z96652 - Presence of left artificial knee joint | 0.66 | ||||
SNF Discharge Rate at DRG | 22.02 | ||||
SNF Discharge Rate with ICD Z96652 - Presence of left artificial knee joint | 22.85 | ||||
Home Discharge Rate at DRG | 46.68 | ||||
Home Discharge Rate with ICD Z96652 - Presence of left artificial knee joint | 46.04 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 1,519 |
HOSPITAL FOR SPECIAL SURGERY | 535 E 70TH ST | NEW YORK | NY | 10021 | 1,479 |
BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 1,100 |
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 | 176 |
Dr. THOMAS KELLY TKACH | 1110 N LEE AVE | OKLAHOMA CITY | OK | 73103 | 163 |
Dr. ALVIN CHUA ONG | 2500 ENGLISH CREEK AVE | EGG HARBOR TOWNSHIP | NJ | 08234 | 139 |
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 | 170 |
Dr. THOMAS KELLY TKACH | 1110 N LEE AVE | OKLAHOMA CITY | OK | 73103 | 161 |
Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 147 |