| 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft - as a primary diagnosis code | 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.32 | |
| Readmission Rate (%) | 23.26 | |
| Unplanned Readmission Rate (%) | 6.44 | |
| 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 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 473: CERVICAL SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 468: REVISION OF HIP OR KNEE REPLACEMENT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 467: REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 152,568 | ||||
| Total Hospitalizations with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | 6,796 | ||||
| DRG Share of Total Hospitalizations | 0.67 | ||||
| % of Total ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft in DRG | 27.58 | ||||
| Avg LOS at DRG | 3.42 | ||||
| Avg LOS with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | 3.81 | ||||
| Readmission Rate at DRG | 17.7 | ||||
| Readmission Rate with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | 19.09 | ||||
| Unplanned Readmission Rate at DRG | 4.43 | ||||
| Unplanned Readmission Rate with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | 5.17 | ||||
| Total Medicare payments at DRG | $3,694,867,855 | ||||
| Total Medicare payments with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | $172,475,881 | ||||
| Total Medicare payment per Day at DRG | $7,071 | ||||
| Total Medicare payment per Day with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | $6,659 | ||||
| Total Medicare payment per Hospitalization at DRG | $24,218 | ||||
| Total Medicare payment per Hospitalization with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | $25,379 | ||||
| Total Medicare Charges at DRG | $15,855,495,798 | ||||
| Total Medicare Charges with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | $764,361,162 | ||||
| Avg Charges at DRG | $103,924 | ||||
| Avg Charges with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | $112,472 | ||||
| Mortality Rate at DRG | 0.02 | ||||
| Mortality Rate with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | NA | ||||
| SNF Discharge Rate at DRG | 16.02 | ||||
| SNF Discharge Rate with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | 14.61 | ||||
| Home Discharge Rate at DRG | 51.64 | ||||
| Home Discharge Rate with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | 53.15 |
| DRG 497: LOCAL EXCISION AND REMOVAL INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR 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 496: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH COMPLICATION OR COMORBIDITY (CC) | DRG 454: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 472: CERVICAL SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 6,838 | ||||
| Total Hospitalizations with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | 939 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft in DRG | 3.81 | ||||
| Avg LOS at DRG | 2.63 | ||||
| Avg LOS with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | 1.99 | ||||
| Readmission Rate at DRG | 9.97 | ||||
| Readmission Rate with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | 8.75 | ||||
| Unplanned Readmission Rate at DRG | 4.12 | ||||
| Unplanned Readmission Rate with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | 4.48 | ||||
| Total Medicare payments at DRG | $49,003,568 | ||||
| Total Medicare payments with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | $6,546,924 | ||||
| Total Medicare payment per Day at DRG | $2,722 | ||||
| Total Medicare payment per Day with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | $3,505 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,166 | ||||
| Total Medicare payment per Hospitalization with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | $6,972 | ||||
| Total Medicare Charges at DRG | $264,673,216 | ||||
| Total Medicare Charges with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | $33,867,536 | ||||
| Avg Charges at DRG | $38,706 | ||||
| Avg Charges with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | $36,068 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | NA | ||||
| SNF Discharge Rate at DRG | 13.25 | ||||
| SNF Discharge Rate with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | 12.14 | ||||
| Home Discharge Rate at DRG | 61.49 | ||||
| Home Discharge Rate with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | 69.12 |
| DRG 493: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH COMPLICATION OR COMORBIDITY (CC) | DRG 469: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 459: SPINAL FUSION EXCEPT CERVICAL WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 455: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 41,593 | ||||
| Total Hospitalizations with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | 645 | ||||
| DRG Share of Total Hospitalizations | 0.18 | ||||
| % of Total ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft in DRG | 2.62 | ||||
| Avg LOS at DRG | 4.66 | ||||
| Avg LOS with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | 3.72 | ||||
| Readmission Rate at DRG | 20.9 | ||||
| Readmission Rate with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | 19.34 | ||||
| Unplanned Readmission Rate at DRG | 6.81 | ||||
| Unplanned Readmission Rate with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | 9.05 | ||||
| Total Medicare payments at DRG | $507,585,952 | ||||
| Total Medicare payments with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | $8,363,754 | ||||
| Total Medicare payment per Day at DRG | $2,620 | ||||
| Total Medicare payment per Day with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | $3,486 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,204 | ||||
| Total Medicare payment per Hospitalization with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | $12,967 | ||||
| Total Medicare Charges at DRG | $2,486,347,947 | ||||
| Total Medicare Charges with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | $40,750,441 | ||||
| Avg Charges at DRG | $59,778 | ||||
| Avg Charges with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | $63,179 | ||||
| Mortality Rate at DRG | 0.13 | ||||
| Mortality Rate with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | NA | ||||
| SNF Discharge Rate at DRG | 51.1 | ||||
| SNF Discharge Rate with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | 40.16 | ||||
| Home Discharge Rate at DRG | 18.29 | ||||
| Home Discharge Rate with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | 30.54 |
| DRG 457: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 480: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 491: BACK & NECK PROCEDURE EXCEPT SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 494: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 517: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 8,026 | ||||
| Total Hospitalizations with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | 414 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft in DRG | 1.68 | ||||
| Avg LOS at DRG | 6.49 | ||||
| Avg LOS with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | 6.67 | ||||
| Readmission Rate at DRG | 39.14 | ||||
| Readmission Rate with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | 32.85 | ||||
| Unplanned Readmission Rate at DRG | 7.23 | ||||
| Unplanned Readmission Rate with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | 5.56 | ||||
| Total Medicare payments at DRG | $388,262,335 | ||||
| Total Medicare payments with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | $21,291,918 | ||||
| Total Medicare payment per Day at DRG | $7,452 | ||||
| Total Medicare payment per Day with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | $7,714 | ||||
| Total Medicare payment per Hospitalization at DRG | $48,376 | ||||
| Total Medicare payment per Hospitalization with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | $51,430 | ||||
| Total Medicare Charges at DRG | $1,602,705,164 | ||||
| Total Medicare Charges with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | $99,065,298 | ||||
| Avg Charges at DRG | $199,689 | ||||
| Avg Charges with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | $239,288 | ||||
| Mortality Rate at DRG | 0.26 | ||||
| Mortality Rate with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | NA | ||||
| SNF Discharge Rate at DRG | 27.02 | ||||
| SNF Discharge Rate with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | 26.81 | ||||
| Home Discharge Rate at DRG | 25.92 | ||||
| Home Discharge Rate with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | 26.09 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| HOSPITAL FOR SPECIAL SURGERY | 535 E 70TH ST | NEW YORK | NY | 10021 | 146 |
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 135 |
| UCSF MEDICAL CENTER | 505 PARNASSUS AVE | SAN FRANCISCO | CA | 94143 | 120 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. GERALD R SCHELL | 4677 TOWNE CENTRE RD | SAGINAW | MI | 48604 | 48 |
| Dr. MICHAEL FRANCIS O'BRIEN | 4708 ALLIANCE BLVD. | PLANO | TX | 75093 | 45 |
| Dr. JOSEPH CHENG | 333 CEDAR ST # 4 | NEW HAVEN | CT | 06510 | 38 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. GERALD R SCHELL | 4677 TOWNE CENTRE RD | SAGINAW | MI | 48604 | 47 |
| Dr. MICHAEL FRANCIS O'BRIEN | 4708 ALLIANCE BLVD. | PLANO | TX | 75093 | 44 |
| Dr. CHRISTIAN G ZIMMERMAN | 6140 CURTISIAN AVE | BOISE | ID | 83704 | 38 |
| DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 467: REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 454: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 152,568 | ||||
| Total Hospitalizations with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | 8,700 | ||||
| DRG Share of Total Hospitalizations | 0.67 | ||||
| % of Total ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft in DRG | 23.24 | ||||
| Avg LOS at DRG | 3.42 | ||||
| Avg LOS with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | 3.92 | ||||
| Readmission Rate at DRG | 17.7 | ||||
| Readmission Rate with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | 19.38 | ||||
| Unplanned Readmission Rate at DRG | 4.43 | ||||
| Unplanned Readmission Rate with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | 5.06 | ||||
| Total Medicare payments at DRG | $3,694,867,855 | ||||
| Total Medicare payments with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | $221,298,931 | ||||
| Total Medicare payment per Day at DRG | $7,071 | ||||
| Total Medicare payment per Day with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | $6,493 | ||||
| Total Medicare payment per Hospitalization at DRG | $24,218 | ||||
| Total Medicare payment per Hospitalization with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | $25,437 | ||||
| Total Medicare Charges at DRG | $15,855,495,798 | ||||
| Total Medicare Charges with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | $994,681,938 | ||||
| Avg Charges at DRG | $103,924 | ||||
| Avg Charges with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | $114,331 | ||||
| Mortality Rate at DRG | 0.02 | ||||
| Mortality Rate with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | NA | ||||
| SNF Discharge Rate at DRG | 16.02 | ||||
| SNF Discharge Rate with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | 15.14 | ||||
| Home Discharge Rate at DRG | 51.64 | ||||
| Home Discharge Rate with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | 52.11 |
| DRG 472: CERVICAL SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 496: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH COMPLICATION OR COMORBIDITY (CC) | DRG 473: CERVICAL SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 468: REVISION OF HIP OR KNEE REPLACEMENT WITHOUT 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 24,951 | ||||
| Total Hospitalizations with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | 1,191 | ||||
| DRG Share of Total Hospitalizations | 0.11 | ||||
| % of Total ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft in DRG | 3.18 | ||||
| Avg LOS at DRG | 3.32 | ||||
| Avg LOS with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | 3.22 | ||||
| Readmission Rate at DRG | 19.78 | ||||
| Readmission Rate with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | 14.85 | ||||
| Unplanned Readmission Rate at DRG | 5.13 | ||||
| Unplanned Readmission Rate with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | 4.64 | ||||
| Total Medicare payments at DRG | $453,479,963 | ||||
| Total Medicare payments with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | $21,394,781 | ||||
| Total Medicare payment per Day at DRG | $5,476 | ||||
| Total Medicare payment per Day with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | $5,574 | ||||
| Total Medicare payment per Hospitalization at DRG | $18,175 | ||||
| Total Medicare payment per Hospitalization with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | $17,964 | ||||
| Total Medicare Charges at DRG | $2,085,064,895 | ||||
| Total Medicare Charges with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | $104,106,409 | ||||
| Avg Charges at DRG | $83,566 | ||||
| Avg Charges with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | $87,411 | ||||
| Mortality Rate at DRG | 0.1 | ||||
| Mortality Rate with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | NA | ||||
| SNF Discharge Rate at DRG | 11.56 | ||||
| SNF Discharge Rate with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | 9.24 | ||||
| Home Discharge Rate at DRG | 61.87 | ||||
| Home Discharge Rate with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | 67.34 |
| DRG 497: LOCAL EXCISION AND REMOVAL INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 457: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 469: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 459: SPINAL FUSION EXCEPT CERVICAL WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 6,838 | ||||
| Total Hospitalizations with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | 1,028 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft in DRG | 2.75 | ||||
| Avg LOS at DRG | 2.63 | ||||
| Avg LOS with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | 2.12 | ||||
| Readmission Rate at DRG | 9.97 | ||||
| Readmission Rate with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | 9.17 | ||||
| Unplanned Readmission Rate at DRG | 4.12 | ||||
| Unplanned Readmission Rate with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | 4.49 | ||||
| Total Medicare payments at DRG | $49,003,568 | ||||
| Total Medicare payments with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | $7,197,098 | ||||
| Total Medicare payment per Day at DRG | $2,722 | ||||
| Total Medicare payment per Day with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | $3,300 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,166 | ||||
| Total Medicare payment per Hospitalization with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | $7,001 | ||||
| Total Medicare Charges at DRG | $264,673,216 | ||||
| Total Medicare Charges with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | $38,057,239 | ||||
| Avg Charges at DRG | $38,706 | ||||
| Avg Charges with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | $37,021 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | NA | ||||
| SNF Discharge Rate at DRG | 13.25 | ||||
| SNF Discharge Rate with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | 12.26 | ||||
| Home Discharge Rate at DRG | 61.49 | ||||
| Home Discharge Rate with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | 67.51 |
| DRG 480: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 455: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 453: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 483: MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 54,570 | ||||
| Total Hospitalizations with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | 499 | ||||
| DRG Share of Total Hospitalizations | 0.24 | ||||
| % of Total ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft in DRG | 1.33 | ||||
| Avg LOS at DRG | 7.95 | ||||
| Avg LOS with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | 8.02 | ||||
| Readmission Rate at DRG | 32.22 | ||||
| Readmission Rate with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | 27.91 | ||||
| Unplanned Readmission Rate at DRG | 13.05 | ||||
| Unplanned Readmission Rate with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | 10.57 | ||||
| Total Medicare payments at DRG | $1,052,429,206 | ||||
| Total Medicare payments with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | $10,065,733 | ||||
| Total Medicare payment per Day at DRG | $2,426 | ||||
| Total Medicare payment per Day with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | $2,515 | ||||
| Total Medicare payment per Hospitalization at DRG | $19,286 | ||||
| Total Medicare payment per Hospitalization with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | $20,172 | ||||
| Total Medicare Charges at DRG | $4,562,898,063 | ||||
| Total Medicare Charges with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | $47,902,544 | ||||
| Avg Charges at DRG | $83,616 | ||||
| Avg Charges with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | $95,997 | ||||
| Mortality Rate at DRG | 6.97 | ||||
| Mortality Rate with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | 3.61 | ||||
| SNF Discharge Rate at DRG | 61.65 | ||||
| SNF Discharge Rate with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | 65.93 | ||||
| Home Discharge Rate at DRG | 2.42 | ||||
| Home Discharge Rate with ICD 99649 - Other mechanical complication of other internal orthopedic device, implant, and graft | 4.01 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| HOSPITAL FOR SPECIAL SURGERY | 535 E 70TH ST | NEW YORK | NY | 10021 | 192 |
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 189 |
| ABBOTT NORTHWESTERN HOSPITAL | 800 E 28TH ST | MINNEAPOLIS | MN | 55407 | 183 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. REX E.H. ARENDALL | 2400 PATTERSON ST | NASHVILLE | TN | 37203 | 56 |
| Dr. MICHAEL FRANCIS O'BRIEN | 4708 ALLIANCE BLVD. | PLANO | TX | 75093 | 53 |
| Dr. GERALD R SCHELL | 4677 TOWNE CENTRE RD | SAGINAW | MI | 48604 | 52 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. REX E.H. ARENDALL | 2400 PATTERSON ST | NASHVILLE | TN | 37203 | 56 |
| Dr. MICHAEL FRANCIS O'BRIEN | 4708 ALLIANCE BLVD. | PLANO | TX | 75093 | 54 |
| Dr. GERALD R SCHELL | 4677 TOWNE CENTRE RD | SAGINAW | MI | 48604 | 50 |