| 71590 - Osteoarthrosis, unspecified whether generalized or localized, site unspecified - as a primary diagnosis code | 71590 - Osteoarthrosis, unspecified whether generalized or localized, site unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.72 | |
| Readmission Rate (%) | 21.27 | |
| Unplanned Readmission Rate (%) | 6.67 | |
| 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 | ||
| DRG 554: BONE DISEASES AND ARTHROPATHIES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 553: BONE DISEASES AND ARTHROPATHIES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 483: MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | DRG 484: MAJOR JOINT & LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 32,641 | ||||
| Total Hospitalizations with ICD 71590 - Osteoarthrosis, unspecified whether generalized or localized, site unspecified | 370 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD 71590 - Osteoarthrosis, unspecified whether generalized or localized, site unspecified in DRG | 55.06 | ||||
| Avg LOS at DRG | 4.59 | ||||
| Avg LOS with ICD 71590 - Osteoarthrosis, unspecified whether generalized or localized, site unspecified | 4.78 | ||||
| Readmission Rate at DRG | 16.83 | ||||
| Readmission Rate with ICD 71590 - Osteoarthrosis, unspecified whether generalized or localized, site unspecified | 13.81 | ||||
| Unplanned Readmission Rate at DRG | 8.85 | ||||
| Unplanned Readmission Rate with ICD 71590 - Osteoarthrosis, unspecified whether generalized or localized, site unspecified | 9.12 | ||||
| Total Medicare payments at DRG | $203,124,203 | ||||
| Total Medicare payments with ICD 71590 - Osteoarthrosis, unspecified whether generalized or localized, site unspecified | $2,059,559 | ||||
| Total Medicare payment per Day at DRG | $1,355 | ||||
| Total Medicare payment per Day with ICD 71590 - Osteoarthrosis, unspecified whether generalized or localized, site unspecified | $1,166 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,223 | ||||
| Total Medicare payment per Hospitalization with ICD 71590 - Osteoarthrosis, unspecified whether generalized or localized, site unspecified | $5,566 | ||||
| Total Medicare Charges at DRG | $655,789,653 | ||||
| Total Medicare Charges with ICD 71590 - Osteoarthrosis, unspecified whether generalized or localized, site unspecified | $7,412,380 | ||||
| Avg Charges at DRG | $20,091 | ||||
| Avg Charges with ICD 71590 - Osteoarthrosis, unspecified whether generalized or localized, site unspecified | $20,033 | ||||
| Mortality Rate at DRG | 0.07 | ||||
| Mortality Rate with ICD 71590 - Osteoarthrosis, unspecified whether generalized or localized, site unspecified | NA | ||||
| SNF Discharge Rate at DRG | 23.36 | ||||
| SNF Discharge Rate with ICD 71590 - Osteoarthrosis, unspecified whether generalized or localized, site unspecified | 40.0 | ||||
| Home Discharge Rate at DRG | 44.86 | ||||
| Home Discharge Rate with ICD 71590 - Osteoarthrosis, unspecified whether generalized or localized, site unspecified | 31.89 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| HONORHEALTH REHABILITATION HOSPITAL | 8850 E. PIMA CENTER PARKWAY | SCOTTSDALE | AZ | 85258 | 23 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. SUNIL K JAIN | 525 N 18TH ST | PHOENIX | AZ | 85006 | 14 |
| DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | 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 | 602,372 | ||||
| Total Hospitalizations with ICD 71590 - Osteoarthrosis, unspecified whether generalized or localized, site unspecified | 69,012 | ||||
| DRG Share of Total Hospitalizations | 2.64 | ||||
| % of Total ICD 71590 - Osteoarthrosis, unspecified whether generalized or localized, site unspecified in DRG | 3.72 | ||||
| Avg LOS at DRG | 13.11 | ||||
| Avg LOS with ICD 71590 - Osteoarthrosis, unspecified whether generalized or localized, site unspecified | 12.87 | ||||
| Readmission Rate at DRG | 15.99 | ||||
| Readmission Rate with ICD 71590 - Osteoarthrosis, unspecified whether generalized or localized, site unspecified | 14.79 | ||||
| Unplanned Readmission Rate at DRG | 12.22 | ||||
| Unplanned Readmission Rate with ICD 71590 - Osteoarthrosis, unspecified whether generalized or localized, site unspecified | 11.41 | ||||
| Total Medicare payments at DRG | $11,047,686,856 | ||||
| Total Medicare payments with ICD 71590 - Osteoarthrosis, unspecified whether generalized or localized, site unspecified | $1,215,290,964 | ||||
| Total Medicare payment per Day at DRG | $1,399 | ||||
| Total Medicare payment per Day with ICD 71590 - Osteoarthrosis, unspecified whether generalized or localized, site unspecified | $1,368 | ||||
| Total Medicare payment per Hospitalization at DRG | $18,340 | ||||
| Total Medicare payment per Hospitalization with ICD 71590 - Osteoarthrosis, unspecified whether generalized or localized, site unspecified | $17,610 | ||||
| Total Medicare Charges at DRG | $25,171,736,043 | ||||
| Total Medicare Charges with ICD 71590 - Osteoarthrosis, unspecified whether generalized or localized, site unspecified | $2,696,735,296 | ||||
| Avg Charges at DRG | $41,788 | ||||
| Avg Charges with ICD 71590 - Osteoarthrosis, unspecified whether generalized or localized, site unspecified | $39,076 | ||||
| Mortality Rate at DRG | 0.21 | ||||
| Mortality Rate with ICD 71590 - Osteoarthrosis, unspecified whether generalized or localized, site unspecified | 0.19 | ||||
| SNF Discharge Rate at DRG | 17.37 | ||||
| SNF Discharge Rate with ICD 71590 - Osteoarthrosis, unspecified whether generalized or localized, site unspecified | 17.65 | ||||
| Home Discharge Rate at DRG | 21.02 | ||||
| Home Discharge Rate with ICD 71590 - Osteoarthrosis, unspecified whether generalized or localized, site unspecified | 19.92 |
| DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 414,616 | ||||
| Total Hospitalizations with ICD 71590 - Osteoarthrosis, unspecified whether generalized or localized, site unspecified | 38,159 | ||||
| DRG Share of Total Hospitalizations | 1.81 | ||||
| % of Total ICD 71590 - Osteoarthrosis, unspecified whether generalized or localized, site unspecified in DRG | 2.06 | ||||
| Avg LOS at DRG | 4.4 | ||||
| Avg LOS with ICD 71590 - Osteoarthrosis, unspecified whether generalized or localized, site unspecified | 4.43 | ||||
| Readmission Rate at DRG | 25.69 | ||||
| Readmission Rate with ICD 71590 - Osteoarthrosis, unspecified whether generalized or localized, site unspecified | 24.44 | ||||
| Unplanned Readmission Rate at DRG | 19.35 | ||||
| Unplanned Readmission Rate with ICD 71590 - Osteoarthrosis, unspecified whether generalized or localized, site unspecified | 18.26 | ||||
| Total Medicare payments at DRG | $2,579,957,747 | ||||
| Total Medicare payments with ICD 71590 - Osteoarthrosis, unspecified whether generalized or localized, site unspecified | $227,916,895 | ||||
| Total Medicare payment per Day at DRG | $1,415 | ||||
| Total Medicare payment per Day with ICD 71590 - Osteoarthrosis, unspecified whether generalized or localized, site unspecified | $1,347 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,223 | ||||
| Total Medicare payment per Hospitalization with ICD 71590 - Osteoarthrosis, unspecified whether generalized or localized, site unspecified | $5,973 | ||||
| Total Medicare Charges at DRG | $11,090,898,185 | ||||
| Total Medicare Charges with ICD 71590 - Osteoarthrosis, unspecified whether generalized or localized, site unspecified | $980,167,832 | ||||
| Avg Charges at DRG | $26,750 | ||||
| Avg Charges with ICD 71590 - Osteoarthrosis, unspecified whether generalized or localized, site unspecified | $25,686 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD 71590 - Osteoarthrosis, unspecified whether generalized or localized, site unspecified | 1.16 | ||||
| SNF Discharge Rate at DRG | 17.4 | ||||
| SNF Discharge Rate with ICD 71590 - Osteoarthrosis, unspecified whether generalized or localized, site unspecified | 21.33 | ||||
| Home Discharge Rate at DRG | 45.44 | ||||
| Home Discharge Rate with ICD 71590 - Osteoarthrosis, unspecified whether generalized or localized, site unspecified | 40.26 |
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 311,763 | ||||
| Total Hospitalizations with ICD 71590 - Osteoarthrosis, unspecified whether generalized or localized, site unspecified | 29,637 | ||||
| DRG Share of Total Hospitalizations | 1.36 | ||||
| % of Total ICD 71590 - Osteoarthrosis, unspecified whether generalized or localized, site unspecified in DRG | 1.6 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD 71590 - Osteoarthrosis, unspecified whether generalized or localized, site unspecified | 4.4 | ||||
| Readmission Rate at DRG | 23.41 | ||||
| Readmission Rate with ICD 71590 - Osteoarthrosis, unspecified whether generalized or localized, site unspecified | 22.3 | ||||
| Unplanned Readmission Rate at DRG | 16.67 | ||||
| Unplanned Readmission Rate with ICD 71590 - Osteoarthrosis, unspecified whether generalized or localized, site unspecified | 15.48 | ||||
| Total Medicare payments at DRG | $1,867,955,174 | ||||
| Total Medicare payments with ICD 71590 - Osteoarthrosis, unspecified whether generalized or localized, site unspecified | $170,634,214 | ||||
| Total Medicare payment per Day at DRG | $1,382 | ||||
| Total Medicare payment per Day with ICD 71590 - Osteoarthrosis, unspecified whether generalized or localized, site unspecified | $1,310 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,992 | ||||
| Total Medicare payment per Hospitalization with ICD 71590 - Osteoarthrosis, unspecified whether generalized or localized, site unspecified | $5,757 | ||||
| Total Medicare Charges at DRG | $8,358,483,119 | ||||
| Total Medicare Charges with ICD 71590 - Osteoarthrosis, unspecified whether generalized or localized, site unspecified | $773,675,208 | ||||
| Avg Charges at DRG | $26,810 | ||||
| Avg Charges with ICD 71590 - Osteoarthrosis, unspecified whether generalized or localized, site unspecified | $26,105 | ||||
| Mortality Rate at DRG | 1.37 | ||||
| Mortality Rate with ICD 71590 - Osteoarthrosis, unspecified whether generalized or localized, site unspecified | 1.3 | ||||
| SNF Discharge Rate at DRG | 23.3 | ||||
| SNF Discharge Rate with ICD 71590 - Osteoarthrosis, unspecified whether generalized or localized, site unspecified | 27.32 | ||||
| Home Discharge Rate at DRG | 45.55 | ||||
| Home Discharge Rate with ICD 71590 - Osteoarthrosis, unspecified whether generalized or localized, site unspecified | 40.36 |
| DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 257,265 | ||||
| Total Hospitalizations with ICD 71590 - Osteoarthrosis, unspecified whether generalized or localized, site unspecified | 24,145 | ||||
| DRG Share of Total Hospitalizations | 1.13 | ||||
| % of Total ICD 71590 - Osteoarthrosis, unspecified whether generalized or localized, site unspecified in DRG | 1.3 | ||||
| Avg LOS at DRG | 3.34 | ||||
| Avg LOS with ICD 71590 - Osteoarthrosis, unspecified whether generalized or localized, site unspecified | 3.43 | ||||
| Readmission Rate at DRG | 20.42 | ||||
| Readmission Rate with ICD 71590 - Osteoarthrosis, unspecified whether generalized or localized, site unspecified | 18.47 | ||||
| Unplanned Readmission Rate at DRG | 13.45 | ||||
| Unplanned Readmission Rate with ICD 71590 - Osteoarthrosis, unspecified whether generalized or localized, site unspecified | 12.12 | ||||
| Total Medicare payments at DRG | $1,129,638,166 | ||||
| Total Medicare payments with ICD 71590 - Osteoarthrosis, unspecified whether generalized or localized, site unspecified | $101,567,109 | ||||
| Total Medicare payment per Day at DRG | $1,314 | ||||
| Total Medicare payment per Day with ICD 71590 - Osteoarthrosis, unspecified whether generalized or localized, site unspecified | $1,226 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,391 | ||||
| Total Medicare payment per Hospitalization with ICD 71590 - Osteoarthrosis, unspecified whether generalized or localized, site unspecified | $4,207 | ||||
| Total Medicare Charges at DRG | $5,148,191,149 | ||||
| Total Medicare Charges with ICD 71590 - Osteoarthrosis, unspecified whether generalized or localized, site unspecified | $468,926,070 | ||||
| Avg Charges at DRG | $20,011 | ||||
| Avg Charges with ICD 71590 - Osteoarthrosis, unspecified whether generalized or localized, site unspecified | $19,421 | ||||
| Mortality Rate at DRG | 0.85 | ||||
| Mortality Rate with ICD 71590 - Osteoarthrosis, unspecified whether generalized or localized, site unspecified | 0.56 | ||||
| SNF Discharge Rate at DRG | 20.19 | ||||
| SNF Discharge Rate with ICD 71590 - Osteoarthrosis, unspecified whether generalized or localized, site unspecified | 24.49 | ||||
| Home Discharge Rate at DRG | 51.02 | ||||
| Home Discharge Rate with ICD 71590 - Osteoarthrosis, unspecified whether generalized or localized, site unspecified | 46.12 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| WILLIS KNIGHTON MEDICAL CENTER | 2600 GREENWOOD RD | SHREVEPORT | LA | 71103 | 5,491 |
| MCLAREN BAY REGION | 1900 COLUMBUS AVE | BAY CITY | MI | 48708 | 5,443 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 5,215 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. T GEORGE STOEV | 526 HALLE PARK DRIVE | COLLIERVILLE | TN | 38017 | 513 |
| Dr. ROHIDAS T. PATIL | 1770 E LAKESHORE DR | DECATUR | IL | 62521 | 346 |
| Dr. RYSZARD SAPINSKI | GLEN COVE HOSPITAL-DEPT OF PM&R | GLEN COVE | NY | 11542 | 301 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. RAJESH AGARWAL | 6770 MAYFIELD RD | MAYFIELD HEIGHTS | OH | 44124 | 1,042 |
| Dr. PHILIP ATIGRE | 5112 N HABANA AVE | TAMPA | FL | 33614 | 900 |
| Dr. DAVID MARK GORDON | 28455 HAGGERTY RD | NOVI | MI | 48377 | 732 |