*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z967 - Presence of other bone and tendon implants - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 9.52 | |
| 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 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD Z967 - Presence of other bone and tendon implants | 403 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD Z967 - Presence of other bone and tendon implants in DRG | 11.27 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD Z967 - Presence of other bone and tendon implants | 2.51 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD Z967 - Presence of other bone and tendon implants | 6.58 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD Z967 - Presence of other bone and tendon implants | 4.3 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD Z967 - Presence of other bone and tendon implants | $5,019,303 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD Z967 - Presence of other bone and tendon implants | $4,970 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD Z967 - Presence of other bone and tendon implants | $12,455 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD Z967 - Presence of other bone and tendon implants | $27,329,742 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD Z967 - Presence of other bone and tendon implants | $67,816 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD Z967 - Presence of other bone and tendon implants | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD Z967 - Presence of other bone and tendon implants | 25.81 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD Z967 - Presence of other bone and tendon implants | 36.97 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 559: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 536: FRACTURES OF HIP AND PELVIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 160,950 | ||||
| Total Hospitalizations with ICD Z967 - Presence of other bone and tendon implants | 82 | ||||
| DRG Share of Total Hospitalizations | 0.49 | ||||
| % of Total ICD Z967 - Presence of other bone and tendon implants in DRG | 2.29 | ||||
| Avg LOS at DRG | 4.98 | ||||
| Avg LOS with ICD Z967 - Presence of other bone and tendon implants | 9.83 | ||||
| Readmission Rate at DRG | 20.85 | ||||
| Readmission Rate with ICD Z967 - Presence of other bone and tendon implants | 15.58 | ||||
| Unplanned Readmission Rate at DRG | 13.4 | ||||
| Unplanned Readmission Rate with ICD Z967 - Presence of other bone and tendon implants | NA | ||||
| Total Medicare payments at DRG | $1,184,949,733 | ||||
| Total Medicare payments with ICD Z967 - Presence of other bone and tendon implants | $1,157,258 | ||||
| Total Medicare payment per Day at DRG | $1,477 | ||||
| Total Medicare payment per Day with ICD Z967 - Presence of other bone and tendon implants | $1,436 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,362 | ||||
| Total Medicare payment per Hospitalization with ICD Z967 - Presence of other bone and tendon implants | $14,113 | ||||
| Total Medicare Charges at DRG | $4,222,078,897 | ||||
| Total Medicare Charges with ICD Z967 - Presence of other bone and tendon implants | $2,253,273 | ||||
| Avg Charges at DRG | $26,232 | ||||
| Avg Charges with ICD Z967 - Presence of other bone and tendon implants | $27,479 | ||||
| Mortality Rate at DRG | 0.67 | ||||
| Mortality Rate with ICD Z967 - Presence of other bone and tendon implants | NA | ||||
| SNF Discharge Rate at DRG | 22.29 | ||||
| SNF Discharge Rate with ICD Z967 - Presence of other bone and tendon implants | 25.61 | ||||
| Home Discharge Rate at DRG | 35.46 | ||||
| Home Discharge Rate with ICD Z967 - Presence of other bone and tendon implants | 30.49 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 483: MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | DRG 885: PSYCHOSES | DRG 946: REHABILITATION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD Z967 - Presence of other bone and tendon implants | 54 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD Z967 - Presence of other bone and tendon implants in DRG | 1.51 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD Z967 - Presence of other bone and tendon implants | 4.96 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD Z967 - Presence of other bone and tendon implants | 23.4 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD Z967 - Presence of other bone and tendon implants | NA | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD Z967 - Presence of other bone and tendon implants | $548,310 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD Z967 - Presence of other bone and tendon implants | $2,046 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD Z967 - Presence of other bone and tendon implants | $10,154 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD Z967 - Presence of other bone and tendon implants | $2,073,921 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD Z967 - Presence of other bone and tendon implants | $38,406 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD Z967 - Presence of other bone and tendon implants | NA | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD Z967 - Presence of other bone and tendon implants | 24.07 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD Z967 - Presence of other bone and tendon implants | 42.59 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 493: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 120,351 | ||||
| Total Hospitalizations with ICD Z967 - Presence of other bone and tendon implants | 37 | ||||
| DRG Share of Total Hospitalizations | 0.37 | ||||
| % of Total ICD Z967 - Presence of other bone and tendon implants in DRG | 1.03 | ||||
| Avg LOS at DRG | 12.45 | ||||
| Avg LOS with ICD Z967 - Presence of other bone and tendon implants | 13.19 | ||||
| Readmission Rate at DRG | 17.61 | ||||
| Readmission Rate with ICD Z967 - Presence of other bone and tendon implants | NA | ||||
| Unplanned Readmission Rate at DRG | 12.6 | ||||
| Unplanned Readmission Rate with ICD Z967 - Presence of other bone and tendon implants | NA | ||||
| Total Medicare payments at DRG | $2,245,410,425 | ||||
| Total Medicare payments with ICD Z967 - Presence of other bone and tendon implants | $794,857 | ||||
| Total Medicare payment per Day at DRG | $1,499 | ||||
| Total Medicare payment per Day with ICD Z967 - Presence of other bone and tendon implants | $1,629 | ||||
| Total Medicare payment per Hospitalization at DRG | $18,657 | ||||
| Total Medicare payment per Hospitalization with ICD Z967 - Presence of other bone and tendon implants | $21,483 | ||||
| Total Medicare Charges at DRG | $5,810,478,166 | ||||
| Total Medicare Charges with ICD Z967 - Presence of other bone and tendon implants | $1,510,526 | ||||
| Avg Charges at DRG | $48,279 | ||||
| Avg Charges with ICD Z967 - Presence of other bone and tendon implants | $40,825 | ||||
| Mortality Rate at DRG | 0.55 | ||||
| Mortality Rate with ICD Z967 - Presence of other bone and tendon implants | NA | ||||
| SNF Discharge Rate at DRG | 14.77 | ||||
| SNF Discharge Rate with ICD Z967 - Presence of other bone and tendon implants | NA | ||||
| Home Discharge Rate at DRG | 22.27 | ||||
| Home Discharge Rate with ICD Z967 - Presence of other bone and tendon implants | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| SUNNYVIEW REHABILITATION HOSPITAL | 1270 BELMONT AVENUE | SCHENECTADY | NY | 12308 | 178 |
| PHELPS HEALTH HOSPITAL | 1000 W 10TH ST | ROLLA | MO | 65401 | 122 |
| BAPTIST MEMORIAL HOSPITAL DESOTO | 7601 SOUTHCREST PKWY | SOUTHAVEN | MS | 38671 | 99 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MARK L CUNNINGHAM | 7601 SOUTHCREST PKWY | SOUTHAVEN | MS | 38671 | 99 |
| Dr. TIM SHOWN | 4901 E JOHNSON AVE | JONESBORO | AR | 72401 | 47 |
| Dr. VINCENT M SOMAIO | 1270 BELMONT AVE | SCHENECTADY | NY | 12308 | 23 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MARK L CUNNINGHAM | 7601 SOUTHCREST PKWY | SOUTHAVEN | MS | 38671 | 99 |
| Dr. JOHN C. SORG | 545 BRANSON LANDING BLVD | BRANSON | MO | 65616 | 81 |
| Dr. DOUGLAS R FETKENHOUR | 2021 WINTON RD S | ROCHESTER | NY | 14618 | 61 |