| 71906 - Effusion of joint, lower leg - as a primary diagnosis code | 71906 - Effusion of joint, lower leg - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.66 | |
| Readmission Rate (%) | 23.35 | |
| Unplanned Readmission Rate (%) | 11.48 | |
| 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 565: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 566: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 564: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 488: KNEE PROCEDURES WITHOUT PDX OF INFECTION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 489: KNEE PROCEDURES WITHOUT PDX OF INFECTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 8,900 | ||||
| Total Hospitalizations with ICD 71906 - Effusion of joint, lower leg | 1,410 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD 71906 - Effusion of joint, lower leg in DRG | 52.09 | ||||
| Avg LOS at DRG | 5.46 | ||||
| Avg LOS with ICD 71906 - Effusion of joint, lower leg | 3.83 | ||||
| Readmission Rate at DRG | 25.2 | ||||
| Readmission Rate with ICD 71906 - Effusion of joint, lower leg | 21.0 | ||||
| Unplanned Readmission Rate at DRG | 12.72 | ||||
| Unplanned Readmission Rate with ICD 71906 - Effusion of joint, lower leg | 11.11 | ||||
| Total Medicare payments at DRG | $63,477,327 | ||||
| Total Medicare payments with ICD 71906 - Effusion of joint, lower leg | $8,053,281 | ||||
| Total Medicare payment per Day at DRG | $1,306 | ||||
| Total Medicare payment per Day with ICD 71906 - Effusion of joint, lower leg | $1,491 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,132 | ||||
| Total Medicare payment per Hospitalization with ICD 71906 - Effusion of joint, lower leg | $5,712 | ||||
| Total Medicare Charges at DRG | $273,754,116 | ||||
| Total Medicare Charges with ICD 71906 - Effusion of joint, lower leg | $32,936,240 | ||||
| Avg Charges at DRG | $30,759 | ||||
| Avg Charges with ICD 71906 - Effusion of joint, lower leg | $23,359 | ||||
| Mortality Rate at DRG | 0.42 | ||||
| Mortality Rate with ICD 71906 - Effusion of joint, lower leg | NA | ||||
| SNF Discharge Rate at DRG | 27.96 | ||||
| SNF Discharge Rate with ICD 71906 - Effusion of joint, lower leg | 38.44 | ||||
| Home Discharge Rate at DRG | 34.81 | ||||
| Home Discharge Rate with ICD 71906 - Effusion of joint, lower leg | 31.13 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 23 |
| MONTEFIORE MEDICAL CENTER | 111 E 210TH ST | BRONX | NY | 10467 | 12 |
| DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 554: BONE DISEASES AND ARTHROPATHIES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 565: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES 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 | 939,378 | ||||
| Total Hospitalizations with ICD 71906 - Effusion of joint, lower leg | 2,945 | ||||
| DRG Share of Total Hospitalizations | 4.11 | ||||
| % of Total ICD 71906 - Effusion of joint, lower leg in DRG | 7.14 | ||||
| Avg LOS at DRG | 3.12 | ||||
| Avg LOS with ICD 71906 - Effusion of joint, lower leg | 3.18 | ||||
| Readmission Rate at DRG | 12.54 | ||||
| Readmission Rate with ICD 71906 - Effusion of joint, lower leg | 12.29 | ||||
| Unplanned Readmission Rate at DRG | 3.52 | ||||
| Unplanned Readmission Rate with ICD 71906 - Effusion of joint, lower leg | 3.24 | ||||
| Total Medicare payments at DRG | $11,301,359,598 | ||||
| Total Medicare payments with ICD 71906 - Effusion of joint, lower leg | $34,765,789 | ||||
| Total Medicare payment per Day at DRG | $3,853 | ||||
| Total Medicare payment per Day with ICD 71906 - Effusion of joint, lower leg | $3,710 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,031 | ||||
| Total Medicare payment per Hospitalization with ICD 71906 - Effusion of joint, lower leg | $11,805 | ||||
| Total Medicare Charges at DRG | $51,993,364,479 | ||||
| Total Medicare Charges with ICD 71906 - Effusion of joint, lower leg | $161,891,015 | ||||
| Avg Charges at DRG | $55,349 | ||||
| Avg Charges with ICD 71906 - Effusion of joint, lower leg | $54,971 | ||||
| Mortality Rate at DRG | 0.07 | ||||
| Mortality Rate with ICD 71906 - Effusion of joint, lower leg | NA | ||||
| SNF Discharge Rate at DRG | 32.49 | ||||
| SNF Discharge Rate with ICD 71906 - Effusion of joint, lower leg | 29.88 | ||||
| Home Discharge Rate at DRG | 21.06 | ||||
| Home Discharge Rate with ICD 71906 - Effusion of joint, lower leg | 21.9 |
| DRG 563: FRACTURE SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 566: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS 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 | 54,401 | ||||
| Total Hospitalizations with ICD 71906 - Effusion of joint, lower leg | 1,161 | ||||
| DRG Share of Total Hospitalizations | 0.24 | ||||
| % of Total ICD 71906 - Effusion of joint, lower leg in DRG | 2.81 | ||||
| Avg LOS at DRG | 3.61 | ||||
| Avg LOS with ICD 71906 - Effusion of joint, lower leg | 3.91 | ||||
| Readmission Rate at DRG | 20.53 | ||||
| Readmission Rate with ICD 71906 - Effusion of joint, lower leg | 20.4 | ||||
| Unplanned Readmission Rate at DRG | 8.56 | ||||
| Unplanned Readmission Rate with ICD 71906 - Effusion of joint, lower leg | 8.14 | ||||
| Total Medicare payments at DRG | $258,345,366 | ||||
| Total Medicare payments with ICD 71906 - Effusion of joint, lower leg | $5,330,253 | ||||
| Total Medicare payment per Day at DRG | $1,316 | ||||
| Total Medicare payment per Day with ICD 71906 - Effusion of joint, lower leg | $1,174 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,749 | ||||
| Total Medicare payment per Hospitalization with ICD 71906 - Effusion of joint, lower leg | $4,591 | ||||
| Total Medicare Charges at DRG | $1,208,977,591 | ||||
| Total Medicare Charges with ICD 71906 - Effusion of joint, lower leg | $26,777,540 | ||||
| Avg Charges at DRG | $22,223 | ||||
| Avg Charges with ICD 71906 - Effusion of joint, lower leg | $23,064 | ||||
| Mortality Rate at DRG | 0.27 | ||||
| Mortality Rate with ICD 71906 - Effusion of joint, lower leg | NA | ||||
| SNF Discharge Rate at DRG | 52.32 | ||||
| SNF Discharge Rate with ICD 71906 - Effusion of joint, lower leg | 52.97 | ||||
| Home Discharge Rate at DRG | 18.53 | ||||
| Home Discharge Rate with ICD 71906 - Effusion of joint, lower leg | 15.5 |
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 946: REHABILITATION 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 486: KNEE PROCEDURES WITH PDX OF INFECTION WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 311,763 | ||||
| Total Hospitalizations with ICD 71906 - Effusion of joint, lower leg | 595 | ||||
| DRG Share of Total Hospitalizations | 1.36 | ||||
| % of Total ICD 71906 - Effusion of joint, lower leg in DRG | 1.44 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD 71906 - Effusion of joint, lower leg | 5.79 | ||||
| Readmission Rate at DRG | 23.41 | ||||
| Readmission Rate with ICD 71906 - Effusion of joint, lower leg | 25.95 | ||||
| Unplanned Readmission Rate at DRG | 16.67 | ||||
| Unplanned Readmission Rate with ICD 71906 - Effusion of joint, lower leg | 15.74 | ||||
| Total Medicare payments at DRG | $1,867,955,174 | ||||
| Total Medicare payments with ICD 71906 - Effusion of joint, lower leg | $3,592,962 | ||||
| Total Medicare payment per Day at DRG | $1,382 | ||||
| Total Medicare payment per Day with ICD 71906 - Effusion of joint, lower leg | $1,042 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,992 | ||||
| Total Medicare payment per Hospitalization with ICD 71906 - Effusion of joint, lower leg | $6,039 | ||||
| Total Medicare Charges at DRG | $8,358,483,119 | ||||
| Total Medicare Charges with ICD 71906 - Effusion of joint, lower leg | $19,416,305 | ||||
| Avg Charges at DRG | $26,810 | ||||
| Avg Charges with ICD 71906 - Effusion of joint, lower leg | $32,632 | ||||
| Mortality Rate at DRG | 1.37 | ||||
| Mortality Rate with ICD 71906 - Effusion of joint, lower leg | NA | ||||
| SNF Discharge Rate at DRG | 23.3 | ||||
| SNF Discharge Rate with ICD 71906 - Effusion of joint, lower leg | 40.0 | ||||
| Home Discharge Rate at DRG | 45.55 | ||||
| Home Discharge Rate with ICD 71906 - Effusion of joint, lower leg | 24.03 |
| DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 564: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 312: SYNCOPE AND COLLAPSE | DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 414,616 | ||||
| Total Hospitalizations with ICD 71906 - Effusion of joint, lower leg | 446 | ||||
| DRG Share of Total Hospitalizations | 1.81 | ||||
| % of Total ICD 71906 - Effusion of joint, lower leg in DRG | 1.08 | ||||
| Avg LOS at DRG | 4.4 | ||||
| Avg LOS with ICD 71906 - Effusion of joint, lower leg | 6.29 | ||||
| Readmission Rate at DRG | 25.69 | ||||
| Readmission Rate with ICD 71906 - Effusion of joint, lower leg | 31.02 | ||||
| Unplanned Readmission Rate at DRG | 19.35 | ||||
| Unplanned Readmission Rate with ICD 71906 - Effusion of joint, lower leg | 21.76 | ||||
| Total Medicare payments at DRG | $2,579,957,747 | ||||
| Total Medicare payments with ICD 71906 - Effusion of joint, lower leg | $2,992,487 | ||||
| Total Medicare payment per Day at DRG | $1,415 | ||||
| Total Medicare payment per Day with ICD 71906 - Effusion of joint, lower leg | $1,067 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,223 | ||||
| Total Medicare payment per Hospitalization with ICD 71906 - Effusion of joint, lower leg | $6,710 | ||||
| Total Medicare Charges at DRG | $11,090,898,185 | ||||
| Total Medicare Charges with ICD 71906 - Effusion of joint, lower leg | $15,571,498 | ||||
| Avg Charges at DRG | $26,750 | ||||
| Avg Charges with ICD 71906 - Effusion of joint, lower leg | $34,914 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD 71906 - Effusion of joint, lower leg | NA | ||||
| SNF Discharge Rate at DRG | 17.4 | ||||
| SNF Discharge Rate with ICD 71906 - Effusion of joint, lower leg | 29.37 | ||||
| Home Discharge Rate at DRG | 45.44 | ||||
| Home Discharge Rate with ICD 71906 - Effusion of joint, lower leg | 32.06 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 123 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 117 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 108 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. BRIAN P. MURPHY | 2605 E CREEKS EDGE DR | BLOOMINGTON | IN | 47401 | 68 |
| Dr. RICK WILLIAM BASSETT | 1601 TREASURE HILLS BLVD | HARLINGEN | TX | 78550 | 61 |
| Dr. THOMAS E BATES | 3714 GUARDIAN AVE STE E | MOREHEAD CITY | NC | 28557 | 46 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. BRIAN P. MURPHY | 2605 E CREEKS EDGE DR | BLOOMINGTON | IN | 47401 | 68 |
| Dr. RICK WILLIAM BASSETT | 1601 TREASURE HILLS BLVD | HARLINGEN | TX | 78550 | 60 |
| Dr. THOMAS E BATES | 3714 GUARDIAN AVE STE E | MOREHEAD CITY | NC | 28557 | 45 |