| 99666 - Infection and inflammatory reaction due to internal joint prosthesis - as a primary diagnosis code | 99666 - Infection and inflammatory reaction due to internal joint prosthesis - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.99 | |
| Readmission Rate (%) | 29.39 | |
| Unplanned Readmission Rate (%) | 9.8 | |
| 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 464: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 467: REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 486: KNEE PROCEDURES WITH PDX OF INFECTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 559: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 17,941 | ||||
| Total Hospitalizations with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | 7,607 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis in DRG | 17.86 | ||||
| Avg LOS at DRG | 8.8 | ||||
| Avg LOS with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | 7.26 | ||||
| Readmission Rate at DRG | 27.88 | ||||
| Readmission Rate with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | 28.29 | ||||
| Unplanned Readmission Rate at DRG | 9.55 | ||||
| Unplanned Readmission Rate with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | 9.03 | ||||
| Total Medicare payments at DRG | $353,940,537 | ||||
| Total Medicare payments with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | $139,762,129 | ||||
| Total Medicare payment per Day at DRG | $2,242 | ||||
| Total Medicare payment per Day with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | $2,532 | ||||
| Total Medicare payment per Hospitalization at DRG | $19,728 | ||||
| Total Medicare payment per Hospitalization with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | $18,373 | ||||
| Total Medicare Charges at DRG | $1,551,556,908 | ||||
| Total Medicare Charges with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | $682,859,818 | ||||
| Avg Charges at DRG | $86,481 | ||||
| Avg Charges with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | $89,767 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | NA | ||||
| SNF Discharge Rate at DRG | 42.08 | ||||
| SNF Discharge Rate with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | 50.18 | ||||
| Home Discharge Rate at DRG | 14.3 | ||||
| Home Discharge Rate with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | 7.09 |
| DRG 463: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 466: REVISION OF HIP OR KNEE REPLACEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 465: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS 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 485: KNEE PROCEDURES WITH PDX OF INFECTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 12,408 | ||||
| Total Hospitalizations with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | 3,251 | ||||
| DRG Share of Total Hospitalizations | 0.05 | ||||
| % of Total ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis in DRG | 7.63 | ||||
| Avg LOS at DRG | 19.43 | ||||
| Avg LOS with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | 14.27 | ||||
| Readmission Rate at DRG | 39.45 | ||||
| Readmission Rate with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | 43.64 | ||||
| Unplanned Readmission Rate at DRG | 15.46 | ||||
| Unplanned Readmission Rate with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | 14.51 | ||||
| Total Medicare payments at DRG | $467,855,968 | ||||
| Total Medicare payments with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | $111,714,619 | ||||
| Total Medicare payment per Day at DRG | $1,940 | ||||
| Total Medicare payment per Day with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | $2,408 | ||||
| Total Medicare payment per Hospitalization at DRG | $37,706 | ||||
| Total Medicare payment per Hospitalization with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | $34,363 | ||||
| Total Medicare Charges at DRG | $1,848,751,296 | ||||
| Total Medicare Charges with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | $497,965,290 | ||||
| Avg Charges at DRG | $148,997 | ||||
| Avg Charges with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | $153,173 | ||||
| Mortality Rate at DRG | 4.36 | ||||
| Mortality Rate with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | 4.61 | ||||
| SNF Discharge Rate at DRG | 42.26 | ||||
| SNF Discharge Rate with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | 51.22 | ||||
| Home Discharge Rate at DRG | 8.45 | ||||
| Home Discharge Rate with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | 3.38 |
| DRG 496: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH COMPLICATION OR COMORBIDITY (CC) | DRG 487: KNEE PROCEDURES WITH PDX OF INFECTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 498: LOCAL EXCISION AND REMOVAL INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 9,714 | ||||
| Total Hospitalizations with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | 1,178 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis in DRG | 2.77 | ||||
| Avg LOS at DRG | 5.24 | ||||
| Avg LOS with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | 5.55 | ||||
| Readmission Rate at DRG | 20.16 | ||||
| Readmission Rate with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | 24.12 | ||||
| Unplanned Readmission Rate at DRG | 8.08 | ||||
| Unplanned Readmission Rate with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | 8.15 | ||||
| Total Medicare payments at DRG | $107,936,970 | ||||
| Total Medicare payments with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | $13,543,790 | ||||
| Total Medicare payment per Day at DRG | $2,122 | ||||
| Total Medicare payment per Day with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | $2,070 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,111 | ||||
| Total Medicare payment per Hospitalization with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | $11,497 | ||||
| Total Medicare Charges at DRG | $526,226,363 | ||||
| Total Medicare Charges with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | $75,123,438 | ||||
| Avg Charges at DRG | $54,172 | ||||
| Avg Charges with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | $63,772 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | NA | ||||
| SNF Discharge Rate at DRG | 27.47 | ||||
| SNF Discharge Rate with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | 31.83 | ||||
| Home Discharge Rate at DRG | 33.15 | ||||
| Home Discharge Rate with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | 21.22 |
| DRG 497: LOCAL EXCISION AND REMOVAL INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 475: AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 501: SOFT TISSUE PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 495: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATIOM DEVICES EXCEPT HIP AND FEMUR WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 480: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 6,838 | ||||
| Total Hospitalizations with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | 461 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis in DRG | 1.08 | ||||
| Avg LOS at DRG | 2.63 | ||||
| Avg LOS with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | 3.62 | ||||
| Readmission Rate at DRG | 9.97 | ||||
| Readmission Rate with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | 14.91 | ||||
| Unplanned Readmission Rate at DRG | 4.12 | ||||
| Unplanned Readmission Rate with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | 6.14 | ||||
| Total Medicare payments at DRG | $49,003,568 | ||||
| Total Medicare payments with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | $3,517,860 | ||||
| Total Medicare payment per Day at DRG | $2,722 | ||||
| Total Medicare payment per Day with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | $2,105 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,166 | ||||
| Total Medicare payment per Hospitalization with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | $7,631 | ||||
| Total Medicare Charges at DRG | $264,673,216 | ||||
| Total Medicare Charges with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | $22,763,663 | ||||
| Avg Charges at DRG | $38,706 | ||||
| Avg Charges with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | $49,379 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | NA | ||||
| SNF Discharge Rate at DRG | 13.25 | ||||
| SNF Discharge Rate with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | 17.35 | ||||
| Home Discharge Rate at DRG | 61.49 | ||||
| Home Discharge Rate with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | 30.37 |
| 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 | 213 |
| HOUSTON METHODIST HOSPITAL | 6565 FANNIN ST | HOUSTON | TX | 77030 | 203 |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS | 8200 WALNUT HILL LANE | DALLAS | TX | 75231 | 200 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. ALLAADDIN MOLLABASHY | 12230 COIT RD | DALLAS | TX | 75251 | 91 |
| Dr. JORGE CASAS | 12222 N CENTRAL EXPY | DALLAS | TX | 75243 | 88 |
| Dr. PAUL K EDWARDS | 600 S MCKINLEY ST | LITTLE ROCK | AR | 72205 | 85 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. JORGE CASAS | 12222 N CENTRAL EXPY | DALLAS | TX | 75243 | 94 |
| Dr. PAUL K EDWARDS | 600 S MCKINLEY ST | LITTLE ROCK | AR | 72205 | 86 |
| Dr. HERRICK JOVE SIEGEL | 1201 11TH AVE S | BIRMINGHAM | AL | 35205 | 75 |
| DRG 464: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 467: REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 486: KNEE PROCEDURES WITH PDX OF INFECTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 463: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 17,941 | ||||
| Total Hospitalizations with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | 7,936 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis in DRG | 14.61 | ||||
| Avg LOS at DRG | 8.8 | ||||
| Avg LOS with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | 7.31 | ||||
| Readmission Rate at DRG | 27.88 | ||||
| Readmission Rate with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | 28.46 | ||||
| Unplanned Readmission Rate at DRG | 9.55 | ||||
| Unplanned Readmission Rate with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | 9.01 | ||||
| Total Medicare payments at DRG | $353,940,537 | ||||
| Total Medicare payments with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | $146,476,962 | ||||
| Total Medicare payment per Day at DRG | $2,242 | ||||
| Total Medicare payment per Day with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | $2,524 | ||||
| Total Medicare payment per Hospitalization at DRG | $19,728 | ||||
| Total Medicare payment per Hospitalization with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | $18,457 | ||||
| Total Medicare Charges at DRG | $1,551,556,908 | ||||
| Total Medicare Charges with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | $716,380,585 | ||||
| Avg Charges at DRG | $86,481 | ||||
| Avg Charges with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | $90,270 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | NA | ||||
| SNF Discharge Rate at DRG | 42.08 | ||||
| SNF Discharge Rate with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | 50.28 | ||||
| Home Discharge Rate at DRG | 14.3 | ||||
| Home Discharge Rate with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | 7.04 |
| DRG 559: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 466: REVISION OF HIP OR KNEE REPLACEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 468: REVISION OF HIP OR KNEE REPLACEMENT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 465: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 8,955 | ||||
| Total Hospitalizations with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | 3,315 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis in DRG | 6.1 | ||||
| Avg LOS at DRG | 16.36 | ||||
| Avg LOS with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | 17.37 | ||||
| Readmission Rate at DRG | 31.85 | ||||
| Readmission Rate with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | 32.65 | ||||
| Unplanned Readmission Rate at DRG | 15.37 | ||||
| Unplanned Readmission Rate with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | 14.21 | ||||
| Total Medicare payments at DRG | $185,103,357 | ||||
| Total Medicare payments with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | $69,695,645 | ||||
| Total Medicare payment per Day at DRG | $1,264 | ||||
| Total Medicare payment per Day with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | $1,211 | ||||
| Total Medicare payment per Hospitalization at DRG | $20,670 | ||||
| Total Medicare payment per Hospitalization with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | $21,024 | ||||
| Total Medicare Charges at DRG | $712,021,236 | ||||
| Total Medicare Charges with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | $293,642,556 | ||||
| Avg Charges at DRG | $79,511 | ||||
| Avg Charges with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | $88,580 | ||||
| Mortality Rate at DRG | 6.12 | ||||
| Mortality Rate with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | 5.91 | ||||
| SNF Discharge Rate at DRG | 38.3 | ||||
| SNF Discharge Rate with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | 35.11 | ||||
| Home Discharge Rate at DRG | 10.52 | ||||
| Home Discharge Rate with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | 10.32 |
| DRG 485: KNEE PROCEDURES WITH PDX OF INFECTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 496: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH COMPLICATION OR COMORBIDITY (CC) | DRG 487: KNEE PROCEDURES WITH PDX OF INFECTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 2,686 | ||||
| Total Hospitalizations with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | 1,509 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis in DRG | 2.78 | ||||
| Avg LOS at DRG | 9.74 | ||||
| Avg LOS with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | 9.4 | ||||
| Readmission Rate at DRG | 35.79 | ||||
| Readmission Rate with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | 34.56 | ||||
| Unplanned Readmission Rate at DRG | 13.99 | ||||
| Unplanned Readmission Rate with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | 13.0 | ||||
| Total Medicare payments at DRG | $58,478,040 | ||||
| Total Medicare payments with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | $32,898,582 | ||||
| Total Medicare payment per Day at DRG | $2,234 | ||||
| Total Medicare payment per Day with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | $2,319 | ||||
| Total Medicare payment per Hospitalization at DRG | $21,771 | ||||
| Total Medicare payment per Hospitalization with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | $21,802 | ||||
| Total Medicare Charges at DRG | $254,992,758 | ||||
| Total Medicare Charges with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | $148,129,982 | ||||
| Avg Charges at DRG | $94,934 | ||||
| Avg Charges with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | $98,164 | ||||
| Mortality Rate at DRG | 3.24 | ||||
| Mortality Rate with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | 2.85 | ||||
| SNF Discharge Rate at DRG | 43.6 | ||||
| SNF Discharge Rate with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | 45.13 | ||||
| Home Discharge Rate at DRG | 11.65 | ||||
| Home Discharge Rate with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | 9.41 |
| DRG 498: LOCAL EXCISION AND REMOVAL INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 497: LOCAL EXCISION AND REMOVAL INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 475: AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 501: SOFT TISSUE PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 2,592 | ||||
| Total Hospitalizations with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | 697 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis in DRG | 1.28 | ||||
| Avg LOS at DRG | 7.57 | ||||
| Avg LOS with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | 8.33 | ||||
| Readmission Rate at DRG | 29.38 | ||||
| Readmission Rate with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | 34.43 | ||||
| Unplanned Readmission Rate at DRG | 10.25 | ||||
| Unplanned Readmission Rate with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | 11.92 | ||||
| Total Medicare payments at DRG | $39,253,621 | ||||
| Total Medicare payments with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | $10,677,014 | ||||
| Total Medicare payment per Day at DRG | $2,000 | ||||
| Total Medicare payment per Day with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | $1,839 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,144 | ||||
| Total Medicare payment per Hospitalization with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | $15,319 | ||||
| Total Medicare Charges at DRG | $179,675,071 | ||||
| Total Medicare Charges with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | $54,818,608 | ||||
| Avg Charges at DRG | $69,319 | ||||
| Avg Charges with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | $78,649 | ||||
| Mortality Rate at DRG | 1.54 | ||||
| Mortality Rate with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | NA | ||||
| SNF Discharge Rate at DRG | 38.77 | ||||
| SNF Discharge Rate with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | 40.6 | ||||
| Home Discharge Rate at DRG | 15.97 | ||||
| Home Discharge Rate with ICD 99666 - Infection and inflammatory reaction due to internal joint prosthesis | 12.91 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 247 |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS | 8200 WALNUT HILL LANE | DALLAS | TX | 75231 | 238 |
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 234 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. JORGE CASAS | 12222 N CENTRAL EXPY | DALLAS | TX | 75243 | 104 |
| Dr. ALLAADDIN MOLLABASHY | 12230 COIT RD | DALLAS | TX | 75251 | 98 |
| Dr. PAUL K EDWARDS | 600 S MCKINLEY ST | LITTLE ROCK | AR | 72205 | 88 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. JORGE CASAS | 12222 N CENTRAL EXPY | DALLAS | TX | 75243 | 113 |
| Dr. PAUL K EDWARDS | 600 S MCKINLEY ST | LITTLE ROCK | AR | 72205 | 89 |
| Dr. HERRICK JOVE SIEGEL | 1201 11TH AVE S | BIRMINGHAM | AL | 35205 | 82 |