| 7318 - Other bone involvement in diseases classified elsewhere - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 14.98 | |
| 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 617: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 629: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 623: SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 20,670 | ||||
| Total Hospitalizations with ICD 7318 - Other bone involvement in diseases classified elsewhere | 17,348 | ||||
| DRG Share of Total Hospitalizations | 0.09 | ||||
| % of Total ICD 7318 - Other bone involvement in diseases classified elsewhere in DRG | 17.38 | ||||
| Avg LOS at DRG | 7.59 | ||||
| Avg LOS with ICD 7318 - Other bone involvement in diseases classified elsewhere | 7.47 | ||||
| Readmission Rate at DRG | 26.17 | ||||
| Readmission Rate with ICD 7318 - Other bone involvement in diseases classified elsewhere | 25.17 | ||||
| Unplanned Readmission Rate at DRG | 9.88 | ||||
| Unplanned Readmission Rate with ICD 7318 - Other bone involvement in diseases classified elsewhere | 9.69 | ||||
| Total Medicare payments at DRG | $261,045,689 | ||||
| Total Medicare payments with ICD 7318 - Other bone involvement in diseases classified elsewhere | $217,873,660 | ||||
| Total Medicare payment per Day at DRG | $1,664 | ||||
| Total Medicare payment per Day with ICD 7318 - Other bone involvement in diseases classified elsewhere | $1,682 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,629 | ||||
| Total Medicare payment per Hospitalization with ICD 7318 - Other bone involvement in diseases classified elsewhere | $12,559 | ||||
| Total Medicare Charges at DRG | $1,184,666,235 | ||||
| Total Medicare Charges with ICD 7318 - Other bone involvement in diseases classified elsewhere | $984,891,896 | ||||
| Avg Charges at DRG | $57,313 | ||||
| Avg Charges with ICD 7318 - Other bone involvement in diseases classified elsewhere | $56,773 | ||||
| Mortality Rate at DRG | 0.2 | ||||
| Mortality Rate with ICD 7318 - Other bone involvement in diseases classified elsewhere | 0.2 | ||||
| SNF Discharge Rate at DRG | 26.15 | ||||
| SNF Discharge Rate with ICD 7318 - Other bone involvement in diseases classified elsewhere | 25.94 | ||||
| Home Discharge Rate at DRG | 28.39 | ||||
| Home Discharge Rate with ICD 7318 - Other bone involvement in diseases classified elsewhere | 28.93 |
| DRG 616: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 637: DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 239: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 4,298 | ||||
| Total Hospitalizations with ICD 7318 - Other bone involvement in diseases classified elsewhere | 3,090 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD 7318 - Other bone involvement in diseases classified elsewhere in DRG | 3.1 | ||||
| Avg LOS at DRG | 14.61 | ||||
| Avg LOS with ICD 7318 - Other bone involvement in diseases classified elsewhere | 14.0 | ||||
| Readmission Rate at DRG | 41.95 | ||||
| Readmission Rate with ICD 7318 - Other bone involvement in diseases classified elsewhere | 40.07 | ||||
| Unplanned Readmission Rate at DRG | 16.34 | ||||
| Unplanned Readmission Rate with ICD 7318 - Other bone involvement in diseases classified elsewhere | 15.49 | ||||
| Total Medicare payments at DRG | $120,096,501 | ||||
| Total Medicare payments with ICD 7318 - Other bone involvement in diseases classified elsewhere | $84,701,563 | ||||
| Total Medicare payment per Day at DRG | $1,912 | ||||
| Total Medicare payment per Day with ICD 7318 - Other bone involvement in diseases classified elsewhere | $1,958 | ||||
| Total Medicare payment per Hospitalization at DRG | $27,942 | ||||
| Total Medicare payment per Hospitalization with ICD 7318 - Other bone involvement in diseases classified elsewhere | $27,412 | ||||
| Total Medicare Charges at DRG | $490,960,034 | ||||
| Total Medicare Charges with ICD 7318 - Other bone involvement in diseases classified elsewhere | $333,134,914 | ||||
| Avg Charges at DRG | $114,230 | ||||
| Avg Charges with ICD 7318 - Other bone involvement in diseases classified elsewhere | $107,811 | ||||
| Mortality Rate at DRG | 3.96 | ||||
| Mortality Rate with ICD 7318 - Other bone involvement in diseases classified elsewhere | 3.37 | ||||
| SNF Discharge Rate at DRG | 39.81 | ||||
| SNF Discharge Rate with ICD 7318 - Other bone involvement in diseases classified elsewhere | 40.52 | ||||
| Home Discharge Rate at DRG | 11.35 | ||||
| Home Discharge Rate with ICD 7318 - Other bone involvement in diseases classified elsewhere | 12.01 |
| DRG 253: OTHER VASCULAR PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 240: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 041: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) OR PERIPHERAL NEUROSTIMULATOR | DRG 628: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 74,943 | ||||
| Total Hospitalizations with ICD 7318 - Other bone involvement in diseases classified elsewhere | 2,071 | ||||
| DRG Share of Total Hospitalizations | 0.33 | ||||
| % of Total ICD 7318 - Other bone involvement in diseases classified elsewhere in DRG | 2.08 | ||||
| Avg LOS at DRG | 5.72 | ||||
| Avg LOS with ICD 7318 - Other bone involvement in diseases classified elsewhere | 9.55 | ||||
| Readmission Rate at DRG | 25.87 | ||||
| Readmission Rate with ICD 7318 - Other bone involvement in diseases classified elsewhere | 33.94 | ||||
| Unplanned Readmission Rate at DRG | 13.25 | ||||
| Unplanned Readmission Rate with ICD 7318 - Other bone involvement in diseases classified elsewhere | 13.65 | ||||
| Total Medicare payments at DRG | $1,251,824,275 | ||||
| Total Medicare payments with ICD 7318 - Other bone involvement in diseases classified elsewhere | $38,008,933 | ||||
| Total Medicare payment per Day at DRG | $2,920 | ||||
| Total Medicare payment per Day with ICD 7318 - Other bone involvement in diseases classified elsewhere | $1,923 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,704 | ||||
| Total Medicare payment per Hospitalization with ICD 7318 - Other bone involvement in diseases classified elsewhere | $18,353 | ||||
| Total Medicare Charges at DRG | $5,982,531,861 | ||||
| Total Medicare Charges with ICD 7318 - Other bone involvement in diseases classified elsewhere | $237,621,889 | ||||
| Avg Charges at DRG | $79,828 | ||||
| Avg Charges with ICD 7318 - Other bone involvement in diseases classified elsewhere | $114,738 | ||||
| Mortality Rate at DRG | 0.52 | ||||
| Mortality Rate with ICD 7318 - Other bone involvement in diseases classified elsewhere | NA | ||||
| SNF Discharge Rate at DRG | 21.34 | ||||
| SNF Discharge Rate with ICD 7318 - Other bone involvement in diseases classified elsewhere | 34.09 | ||||
| Home Discharge Rate at DRG | 47.23 | ||||
| Home Discharge Rate with ICD 7318 - Other bone involvement in diseases classified elsewhere | 20.86 |
| DRG 622: SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 255: UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 256: UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 3,074 | ||||
| Total Hospitalizations with ICD 7318 - Other bone involvement in diseases classified elsewhere | 1,167 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD 7318 - Other bone involvement in diseases classified elsewhere in DRG | 1.17 | ||||
| Avg LOS at DRG | 19.16 | ||||
| Avg LOS with ICD 7318 - Other bone involvement in diseases classified elsewhere | 23.04 | ||||
| Readmission Rate at DRG | 39.05 | ||||
| Readmission Rate with ICD 7318 - Other bone involvement in diseases classified elsewhere | 38.36 | ||||
| Unplanned Readmission Rate at DRG | 20.77 | ||||
| Unplanned Readmission Rate with ICD 7318 - Other bone involvement in diseases classified elsewhere | 17.94 | ||||
| Total Medicare payments at DRG | $90,386,832 | ||||
| Total Medicare payments with ICD 7318 - Other bone involvement in diseases classified elsewhere | $38,612,952 | ||||
| Total Medicare payment per Day at DRG | $1,534 | ||||
| Total Medicare payment per Day with ICD 7318 - Other bone involvement in diseases classified elsewhere | $1,436 | ||||
| Total Medicare payment per Hospitalization at DRG | $29,404 | ||||
| Total Medicare payment per Hospitalization with ICD 7318 - Other bone involvement in diseases classified elsewhere | $33,087 | ||||
| Total Medicare Charges at DRG | $365,569,484 | ||||
| Total Medicare Charges with ICD 7318 - Other bone involvement in diseases classified elsewhere | $161,183,421 | ||||
| Avg Charges at DRG | $118,923 | ||||
| Avg Charges with ICD 7318 - Other bone involvement in diseases classified elsewhere | $138,118 | ||||
| Mortality Rate at DRG | 4.13 | ||||
| Mortality Rate with ICD 7318 - Other bone involvement in diseases classified elsewhere | 2.83 | ||||
| SNF Discharge Rate at DRG | 37.83 | ||||
| SNF Discharge Rate with ICD 7318 - Other bone involvement in diseases classified elsewhere | 39.85 | ||||
| Home Discharge Rate at DRG | 11.97 | ||||
| Home Discharge Rate with ICD 7318 - Other bone involvement in diseases classified elsewhere | 9.94 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| METHODIST CHARLTON MEDICAL CENTER | 3500 W WHEATLAND RD | DALLAS | TX | 75237 | 582 |
| MEMORIAL HERMANN HOSPITAL SYSTEM | 1635 NORTH LOOP W | HOUSTON | TX | 77008 | 425 |
| MONTEFIORE MEDICAL CENTER | 111 E 210TH ST | BRONX | NY | 10467 | 380 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. WILLIAM J NAMEN | 1351 13TH AVENUE SOUTH | JACKSONVILLE BEACH | FL | 32250 | 103 |
| Dr. PETER BRIAN WOOD | 3600 GASTON AVE | DALLAS | TX | 75246 | 95 |
| Dr. CHRISTOPHER PAUL WERNER | 215 OLD HIGHWAY 1187 | BURLESON | TX | 76028 | 74 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. DENNIS OCHEI | 2727 BOLTON BOONE DR | DESOTO | TX | 75115 | 73 |
| Dr. PETER A BLUME | 508 BLAKE ST | NEW HAVEN | CT | 06515 | 51 |
| Dr. OLADAYO A SANUSI | 1901 PEASE ST | HARLINGEN | TX | 78550 | 51 |