*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z96653 - Presence of artificial knee joint, bilateral - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 11.03 | |
| 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 Z96653 - Presence of artificial knee joint, bilateral | 23,991 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD Z96653 - Presence of artificial knee joint, bilateral in DRG | 4.77 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD Z96653 - Presence of artificial knee joint, bilateral | 2.57 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD Z96653 - Presence of artificial knee joint, bilateral | 11.81 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD Z96653 - Presence of artificial knee joint, bilateral | 3.95 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD Z96653 - Presence of artificial knee joint, bilateral | $289,104,876 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD Z96653 - Presence of artificial knee joint, bilateral | $4,690 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD Z96653 - Presence of artificial knee joint, bilateral | $12,051 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD Z96653 - Presence of artificial knee joint, bilateral | $1,502,422,555 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD Z96653 - Presence of artificial knee joint, bilateral | $62,624 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD Z96653 - Presence of artificial knee joint, bilateral | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD Z96653 - Presence of artificial knee joint, bilateral | 27.28 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD Z96653 - Presence of artificial knee joint, bilateral | 28.32 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 364,421 | ||||
| Total Hospitalizations with ICD Z96653 - Presence of artificial knee joint, bilateral | 9,196 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD Z96653 - Presence of artificial knee joint, bilateral in DRG | 1.83 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD Z96653 - Presence of artificial knee joint, bilateral | 3.99 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD Z96653 - Presence of artificial knee joint, bilateral | 15.85 | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD Z96653 - Presence of artificial knee joint, bilateral | 10.79 | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD Z96653 - Presence of artificial knee joint, bilateral | $47,510,253 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD Z96653 - Presence of artificial knee joint, bilateral | $1,296 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD Z96653 - Presence of artificial knee joint, bilateral | $5,166 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD Z96653 - Presence of artificial knee joint, bilateral | $226,132,677 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD Z96653 - Presence of artificial knee joint, bilateral | $24,590 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD Z96653 - Presence of artificial knee joint, bilateral | NA | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD Z96653 - Presence of artificial knee joint, bilateral | 16.9 | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD Z96653 - Presence of artificial knee joint, bilateral | 50.82 |
*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 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 408,103 | ||||
| Total Hospitalizations with ICD Z96653 - Presence of artificial knee joint, bilateral | 7,504 | ||||
| DRG Share of Total Hospitalizations | 1.24 | ||||
| % of Total ICD Z96653 - Presence of artificial knee joint, bilateral in DRG | 1.49 | ||||
| Avg LOS at DRG | 3.52 | ||||
| Avg LOS with ICD Z96653 - Presence of artificial knee joint, bilateral | 3.43 | ||||
| Readmission Rate at DRG | 17.83 | ||||
| Readmission Rate with ICD Z96653 - Presence of artificial knee joint, bilateral | 16.76 | ||||
| Unplanned Readmission Rate at DRG | 13.81 | ||||
| Unplanned Readmission Rate with ICD Z96653 - Presence of artificial knee joint, bilateral | 12.77 | ||||
| Total Medicare payments at DRG | $2,416,862,532 | ||||
| Total Medicare payments with ICD Z96653 - Presence of artificial knee joint, bilateral | $43,420,070 | ||||
| Total Medicare payment per Day at DRG | $1,682 | ||||
| Total Medicare payment per Day with ICD Z96653 - Presence of artificial knee joint, bilateral | $1,688 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
| Total Medicare payment per Hospitalization with ICD Z96653 - Presence of artificial knee joint, bilateral | $5,786 | ||||
| Total Medicare Charges at DRG | $13,267,744,847 | ||||
| Total Medicare Charges with ICD Z96653 - Presence of artificial knee joint, bilateral | $237,610,676 | ||||
| Avg Charges at DRG | $32,511 | ||||
| Avg Charges with ICD Z96653 - Presence of artificial knee joint, bilateral | $31,665 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD Z96653 - Presence of artificial knee joint, bilateral | 0.49 | ||||
| SNF Discharge Rate at DRG | 14.1 | ||||
| SNF Discharge Rate with ICD Z96653 - Presence of artificial knee joint, bilateral | 14.19 | ||||
| Home Discharge Rate at DRG | 62.97 | ||||
| Home Discharge Rate with ICD Z96653 - Presence of artificial knee joint, bilateral | 63.33 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 467: REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 292,335 | ||||
| Total Hospitalizations with ICD Z96653 - Presence of artificial knee joint, bilateral | 5,716 | ||||
| DRG Share of Total Hospitalizations | 0.89 | ||||
| % of Total ICD Z96653 - Presence of artificial knee joint, bilateral in DRG | 1.14 | ||||
| Avg LOS at DRG | 2.96 | ||||
| Avg LOS with ICD Z96653 - Presence of artificial knee joint, bilateral | 2.91 | ||||
| Readmission Rate at DRG | 19.18 | ||||
| Readmission Rate with ICD Z96653 - Presence of artificial knee joint, bilateral | 17.54 | ||||
| Unplanned Readmission Rate at DRG | 13.96 | ||||
| Unplanned Readmission Rate with ICD Z96653 - Presence of artificial knee joint, bilateral | 12.35 | ||||
| Total Medicare payments at DRG | $1,347,436,356 | ||||
| Total Medicare payments with ICD Z96653 - Presence of artificial knee joint, bilateral | $25,646,963 | ||||
| Total Medicare payment per Day at DRG | $1,557 | ||||
| Total Medicare payment per Day with ICD Z96653 - Presence of artificial knee joint, bilateral | $1,542 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,609 | ||||
| Total Medicare payment per Hospitalization with ICD Z96653 - Presence of artificial knee joint, bilateral | $4,487 | ||||
| Total Medicare Charges at DRG | $7,385,462,160 | ||||
| Total Medicare Charges with ICD Z96653 - Presence of artificial knee joint, bilateral | $142,685,053 | ||||
| Avg Charges at DRG | $25,264 | ||||
| Avg Charges with ICD Z96653 - Presence of artificial knee joint, bilateral | $24,962 | ||||
| Mortality Rate at DRG | 0.57 | ||||
| Mortality Rate with ICD Z96653 - Presence of artificial knee joint, bilateral | 0.33 | ||||
| SNF Discharge Rate at DRG | 11.55 | ||||
| SNF Discharge Rate with ICD Z96653 - Presence of artificial knee joint, bilateral | 11.63 | ||||
| Home Discharge Rate at DRG | 63.79 | ||||
| Home Discharge Rate with ICD Z96653 - Presence of artificial knee joint, bilateral | 64.29 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| RIVERSIDE METHODIST HOSPITAL | 3535 OLENTANGY RIVER RD | COLUMBUS | OH | 43214 | 1,639 |
| NCH BAKER HOSPITAL DOWNTOWN | 350 7TH ST N | NAPLES | FL | 34102 | 1,601 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 1,539 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. THOMAS KELLY TKACH | 1110 N LEE AVE | OKLAHOMA CITY | OK | 73103 | 113 |
| Dr. JOHN TERRY DEARBORN | 2000 MOWRY AVE | FREMONT | CA | 94538 | 106 |
| Dr. KIRK A KINDSFATER | 2500 E PROSPECT RD | FORT COLLINS | CO | 80525 | 95 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 264 |
| Dr. JEFFREY M FRIEDMAN | 414 PAOLI PIKE | MALVERN | PA | 19355 | 167 |
| Dr. AARON THOMAS SELZER | 1509 WILSON TER | GLENDALE | CA | 91206 | 159 |