*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z96659 - Presence of unspecified artificial knee joint - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 12.41 | |
| 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 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD Z96659 - Presence of unspecified artificial knee joint | 8,342 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Z96659 - Presence of unspecified artificial knee joint in DRG | 4.86 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Z96659 - Presence of unspecified artificial knee joint | 5.47 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Z96659 - Presence of unspecified artificial knee joint | 22.37 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Z96659 - Presence of unspecified artificial knee joint | 15.22 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Z96659 - Presence of unspecified artificial knee joint | $91,666,184 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Z96659 - Presence of unspecified artificial knee joint | $2,008 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Z96659 - Presence of unspecified artificial knee joint | $10,989 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Z96659 - Presence of unspecified artificial knee joint | $422,030,673 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Z96659 - Presence of unspecified artificial knee joint | $50,591 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Z96659 - Presence of unspecified artificial knee joint | 10.07 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Z96659 - Presence of unspecified artificial knee joint | 27.3 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Z96659 - Presence of unspecified artificial knee joint | 27.38 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD Z96659 - Presence of unspecified artificial knee joint | 3,092 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD Z96659 - Presence of unspecified artificial knee joint in DRG | 1.8 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD Z96659 - Presence of unspecified artificial knee joint | 4.08 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD Z96659 - Presence of unspecified artificial knee joint | 16.39 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD Z96659 - Presence of unspecified artificial knee joint | 11.82 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD Z96659 - Presence of unspecified artificial knee joint | $19,259,714 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD Z96659 - Presence of unspecified artificial knee joint | $1,526 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD Z96659 - Presence of unspecified artificial knee joint | $6,229 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD Z96659 - Presence of unspecified artificial knee joint | $101,604,422 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD Z96659 - Presence of unspecified artificial knee joint | $32,860 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD Z96659 - Presence of unspecified artificial knee joint | 0.87 | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD Z96659 - Presence of unspecified artificial knee joint | 20.86 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD Z96659 - Presence of unspecified artificial knee joint | 49.29 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH 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 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 483: MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD Z96659 - Presence of unspecified artificial knee joint | 2,570 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD Z96659 - Presence of unspecified artificial knee joint in DRG | 1.5 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD Z96659 - Presence of unspecified artificial knee joint | 4.4 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD Z96659 - Presence of unspecified artificial knee joint | 22.39 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD Z96659 - Presence of unspecified artificial knee joint | 17.66 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD Z96659 - Presence of unspecified artificial knee joint | $17,697,377 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD Z96659 - Presence of unspecified artificial knee joint | $1,564 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD Z96659 - Presence of unspecified artificial knee joint | $6,886 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD Z96659 - Presence of unspecified artificial knee joint | $93,269,555 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD Z96659 - Presence of unspecified artificial knee joint | $36,292 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD Z96659 - Presence of unspecified artificial knee joint | 0.66 | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD Z96659 - Presence of unspecified artificial knee joint | 15.88 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD Z96659 - Presence of unspecified artificial knee joint | 49.22 |
*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 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 292,335 | ||||
| Total Hospitalizations with ICD Z96659 - Presence of unspecified artificial knee joint | 2,287 | ||||
| DRG Share of Total Hospitalizations | 0.89 | ||||
| % of Total ICD Z96659 - Presence of unspecified artificial knee joint in DRG | 1.33 | ||||
| Avg LOS at DRG | 2.96 | ||||
| Avg LOS with ICD Z96659 - Presence of unspecified artificial knee joint | 2.76 | ||||
| Readmission Rate at DRG | 19.18 | ||||
| Readmission Rate with ICD Z96659 - Presence of unspecified artificial knee joint | 17.38 | ||||
| Unplanned Readmission Rate at DRG | 13.96 | ||||
| Unplanned Readmission Rate with ICD Z96659 - Presence of unspecified artificial knee joint | 12.21 | ||||
| Total Medicare payments at DRG | $1,347,436,356 | ||||
| Total Medicare payments with ICD Z96659 - Presence of unspecified artificial knee joint | $10,007,253 | ||||
| Total Medicare payment per Day at DRG | $1,557 | ||||
| Total Medicare payment per Day with ICD Z96659 - Presence of unspecified artificial knee joint | $1,584 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,609 | ||||
| Total Medicare payment per Hospitalization with ICD Z96659 - Presence of unspecified artificial knee joint | $4,376 | ||||
| Total Medicare Charges at DRG | $7,385,462,160 | ||||
| Total Medicare Charges with ICD Z96659 - Presence of unspecified artificial knee joint | $55,747,087 | ||||
| Avg Charges at DRG | $25,264 | ||||
| Avg Charges with ICD Z96659 - Presence of unspecified artificial knee joint | $24,376 | ||||
| Mortality Rate at DRG | 0.57 | ||||
| Mortality Rate with ICD Z96659 - Presence of unspecified artificial knee joint | NA | ||||
| SNF Discharge Rate at DRG | 11.55 | ||||
| SNF Discharge Rate with ICD Z96659 - Presence of unspecified artificial knee joint | 11.19 | ||||
| Home Discharge Rate at DRG | 63.79 | ||||
| Home Discharge Rate with ICD Z96659 - Presence of unspecified artificial knee joint | 65.63 |
| 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 | 1,015 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 997 |
| MERCY HOSPITAL ST. LOUIS | 615 S NEW BALLAS RD | SAINT LOUIS | MO | 63141 | 801 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. KIRK MATTHEW DOWN | 50 N PERRY ST | PONTIAC | MI | 48342 | 37 |
| Dr. JUAN CARLOS ALVAREZ | 6325 US HIGHWAY 27 N | SEBRING | FL | 33870 | 32 |
| Dr. CHRISTOPHER MITCHELL YOUNG | 1662 HIGDON FERRY RD | HOT SPRINGS | AR | 71913 | 29 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SUBBURAMAN SIVAKUMAR | 37650 PROFESSIONAL CENTER DR | LIVONIA | MI | 48154 | 108 |
| Dr. KATHY H LEE | 4200 SUN N LAKE BLVD | SEBRING | FL | 33872 | 80 |
| Dr. DEREK DONGWOO LEE | 6901 MEDICAL PKWY | WACO | TX | 76712 | 80 |