| 99677 - Other complications due to internal joint prosthesis - as a primary diagnosis code | 99677 - Other complications due to internal joint prosthesis - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 4.13 | |
| Readmission Rate (%) | 15.76 | |
| Unplanned Readmission Rate (%) | 4.58 | |
| 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 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) | DRG 489: KNEE PROCEDURES WITHOUT PDX OF INFECTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 488: KNEE PROCEDURES WITHOUT PDX OF INFECTION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 35,958 | ||||
| Total Hospitalizations with ICD 99677 - Other complications due to internal joint prosthesis | 4,183 | ||||
| DRG Share of Total Hospitalizations | 0.16 | ||||
| % of Total ICD 99677 - Other complications due to internal joint prosthesis in DRG | 29.78 | ||||
| Avg LOS at DRG | 2.99 | ||||
| Avg LOS with ICD 99677 - Other complications due to internal joint prosthesis | 2.73 | ||||
| Readmission Rate at DRG | 12.52 | ||||
| Readmission Rate with ICD 99677 - Other complications due to internal joint prosthesis | 9.39 | ||||
| Unplanned Readmission Rate at DRG | 3.68 | ||||
| Unplanned Readmission Rate with ICD 99677 - Other complications due to internal joint prosthesis | 2.93 | ||||
| Total Medicare payments at DRG | $583,650,288 | ||||
| Total Medicare payments with ICD 99677 - Other complications due to internal joint prosthesis | $65,057,217 | ||||
| Total Medicare payment per Day at DRG | $5,437 | ||||
| Total Medicare payment per Day with ICD 99677 - Other complications due to internal joint prosthesis | $5,696 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,231 | ||||
| Total Medicare payment per Hospitalization with ICD 99677 - Other complications due to internal joint prosthesis | $15,553 | ||||
| Total Medicare Charges at DRG | $2,634,206,014 | ||||
| Total Medicare Charges with ICD 99677 - Other complications due to internal joint prosthesis | $272,109,115 | ||||
| Avg Charges at DRG | $73,258 | ||||
| Avg Charges with ICD 99677 - Other complications due to internal joint prosthesis | $65,051 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD 99677 - Other complications due to internal joint prosthesis | NA | ||||
| SNF Discharge Rate at DRG | 25.14 | ||||
| SNF Discharge Rate with ICD 99677 - Other complications due to internal joint prosthesis | 21.8 | ||||
| Home Discharge Rate at DRG | 25.55 | ||||
| Home Discharge Rate with ICD 99677 - Other complications due to internal joint prosthesis | 27.61 |
| DRG 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE 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) | DRG 466: REVISION OF HIP OR KNEE REPLACEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 559: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 7,336 | ||||
| Total Hospitalizations with ICD 99677 - Other complications due to internal joint prosthesis | 465 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD 99677 - Other complications due to internal joint prosthesis in DRG | 3.31 | ||||
| Avg LOS at DRG | 4.08 | ||||
| Avg LOS with ICD 99677 - Other complications due to internal joint prosthesis | 3.75 | ||||
| Readmission Rate at DRG | 26.07 | ||||
| Readmission Rate with ICD 99677 - Other complications due to internal joint prosthesis | 16.33 | ||||
| Unplanned Readmission Rate at DRG | 10.31 | ||||
| Unplanned Readmission Rate with ICD 99677 - Other complications due to internal joint prosthesis | 6.26 | ||||
| Total Medicare payments at DRG | $41,275,525 | ||||
| Total Medicare payments with ICD 99677 - Other complications due to internal joint prosthesis | $2,438,339 | ||||
| Total Medicare payment per Day at DRG | $1,379 | ||||
| Total Medicare payment per Day with ICD 99677 - Other complications due to internal joint prosthesis | $1,397 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,626 | ||||
| Total Medicare payment per Hospitalization with ICD 99677 - Other complications due to internal joint prosthesis | $5,244 | ||||
| Total Medicare Charges at DRG | $160,208,101 | ||||
| Total Medicare Charges with ICD 99677 - Other complications due to internal joint prosthesis | $8,802,877 | ||||
| Avg Charges at DRG | $21,839 | ||||
| Avg Charges with ICD 99677 - Other complications due to internal joint prosthesis | $18,931 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD 99677 - Other complications due to internal joint prosthesis | NA | ||||
| SNF Discharge Rate at DRG | 27.94 | ||||
| SNF Discharge Rate with ICD 99677 - Other complications due to internal joint prosthesis | 20.22 | ||||
| Home Discharge Rate at DRG | 35.32 | ||||
| Home Discharge Rate with ICD 99677 - Other complications due to internal joint prosthesis | 48.39 |
| DRG 464: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 482: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 484: MAJOR JOINT & LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 17,941 | ||||
| Total Hospitalizations with ICD 99677 - Other complications due to internal joint prosthesis | 144 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD 99677 - Other complications due to internal joint prosthesis in DRG | 1.03 | ||||
| Avg LOS at DRG | 8.8 | ||||
| Avg LOS with ICD 99677 - Other complications due to internal joint prosthesis | 6.42 | ||||
| Readmission Rate at DRG | 27.88 | ||||
| Readmission Rate with ICD 99677 - Other complications due to internal joint prosthesis | 22.7 | ||||
| Unplanned Readmission Rate at DRG | 9.55 | ||||
| Unplanned Readmission Rate with ICD 99677 - Other complications due to internal joint prosthesis | NA | ||||
| Total Medicare payments at DRG | $353,940,537 | ||||
| Total Medicare payments with ICD 99677 - Other complications due to internal joint prosthesis | $2,455,495 | ||||
| Total Medicare payment per Day at DRG | $2,242 | ||||
| Total Medicare payment per Day with ICD 99677 - Other complications due to internal joint prosthesis | $2,655 | ||||
| Total Medicare payment per Hospitalization at DRG | $19,728 | ||||
| Total Medicare payment per Hospitalization with ICD 99677 - Other complications due to internal joint prosthesis | $17,052 | ||||
| Total Medicare Charges at DRG | $1,551,556,908 | ||||
| Total Medicare Charges with ICD 99677 - Other complications due to internal joint prosthesis | $10,465,370 | ||||
| Avg Charges at DRG | $86,481 | ||||
| Avg Charges with ICD 99677 - Other complications due to internal joint prosthesis | $72,676 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD 99677 - Other complications due to internal joint prosthesis | NA | ||||
| SNF Discharge Rate at DRG | 42.08 | ||||
| SNF Discharge Rate with ICD 99677 - Other complications due to internal joint prosthesis | 44.44 | ||||
| Home Discharge Rate at DRG | 14.3 | ||||
| Home Discharge Rate with ICD 99677 - Other complications due to internal joint prosthesis | 15.28 |
| DRG 497: LOCAL EXCISION AND REMOVAL INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 502: SOFT TISSUE PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 501: SOFT TISSUE PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 483: MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 6,838 | ||||
| Total Hospitalizations with ICD 99677 - Other complications due to internal joint prosthesis | 95 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD 99677 - Other complications due to internal joint prosthesis in DRG | 0.68 | ||||
| Avg LOS at DRG | 2.63 | ||||
| Avg LOS with ICD 99677 - Other complications due to internal joint prosthesis | 1.94 | ||||
| Readmission Rate at DRG | 9.97 | ||||
| Readmission Rate with ICD 99677 - Other complications due to internal joint prosthesis | 14.74 | ||||
| Unplanned Readmission Rate at DRG | 4.12 | ||||
| Unplanned Readmission Rate with ICD 99677 - Other complications due to internal joint prosthesis | NA | ||||
| Total Medicare payments at DRG | $49,003,568 | ||||
| Total Medicare payments with ICD 99677 - Other complications due to internal joint prosthesis | $714,341 | ||||
| Total Medicare payment per Day at DRG | $2,722 | ||||
| Total Medicare payment per Day with ICD 99677 - Other complications due to internal joint prosthesis | $3,882 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,166 | ||||
| Total Medicare payment per Hospitalization with ICD 99677 - Other complications due to internal joint prosthesis | $7,519 | ||||
| Total Medicare Charges at DRG | $264,673,216 | ||||
| Total Medicare Charges with ICD 99677 - Other complications due to internal joint prosthesis | $3,461,450 | ||||
| Avg Charges at DRG | $38,706 | ||||
| Avg Charges with ICD 99677 - Other complications due to internal joint prosthesis | $36,436 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD 99677 - Other complications due to internal joint prosthesis | NA | ||||
| SNF Discharge Rate at DRG | 13.25 | ||||
| SNF Discharge Rate with ICD 99677 - Other complications due to internal joint prosthesis | NA | ||||
| Home Discharge Rate at DRG | 61.49 | ||||
| Home Discharge Rate with ICD 99677 - Other complications due to internal joint prosthesis | 62.11 |
| 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 | 160 |
| SSM HEALTH ST. ANTHONY HOSPITAL - OKLAHOMA CITY | 1000 N LEE AVE | OKLAHOMA CITY | OK | 73102 | 133 |
| JACK HUGHSTON MEMORIAL HOSPITAL | 4401 RIVER CHASE DR | PHENIX CITY | AL | 36867 | 112 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. JOHN I. WALDROP | 6262 VETERANS PKWY | COLUMBUS | GA | 31909 | 89 |
| Dr. THOMAS KELLY TKACH | 1110 N LEE AVE | OKLAHOMA CITY | OK | 73103 | 75 |
| Dr. EDWARD J MCPHERSON | 201 S ALVARADO ST | LOS ANGELES | CA | 90057 | 70 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. JOHN I. WALDROP | 6262 VETERANS PKWY | COLUMBUS | GA | 31909 | 93 |
| Dr. THOMAS KELLY TKACH | 1110 N LEE AVE | OKLAHOMA CITY | OK | 73103 | 75 |
| Dr. EDWARD J MCPHERSON | 201 S ALVARADO ST | LOS ANGELES | CA | 90057 | 72 |
| 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) | DRG 489: KNEE PROCEDURES WITHOUT PDX OF INFECTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 488: KNEE PROCEDURES WITHOUT PDX OF INFECTION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 35,958 | ||||
| Total Hospitalizations with ICD 99677 - Other complications due to internal joint prosthesis | 5,176 | ||||
| DRG Share of Total Hospitalizations | 0.16 | ||||
| % of Total ICD 99677 - Other complications due to internal joint prosthesis in DRG | 25.2 | ||||
| Avg LOS at DRG | 2.99 | ||||
| Avg LOS with ICD 99677 - Other complications due to internal joint prosthesis | 2.77 | ||||
| Readmission Rate at DRG | 12.52 | ||||
| Readmission Rate with ICD 99677 - Other complications due to internal joint prosthesis | 9.64 | ||||
| Unplanned Readmission Rate at DRG | 3.68 | ||||
| Unplanned Readmission Rate with ICD 99677 - Other complications due to internal joint prosthesis | 3.08 | ||||
| Total Medicare payments at DRG | $583,650,288 | ||||
| Total Medicare payments with ICD 99677 - Other complications due to internal joint prosthesis | $80,967,272 | ||||
| Total Medicare payment per Day at DRG | $5,437 | ||||
| Total Medicare payment per Day with ICD 99677 - Other complications due to internal joint prosthesis | $5,638 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,231 | ||||
| Total Medicare payment per Hospitalization with ICD 99677 - Other complications due to internal joint prosthesis | $15,643 | ||||
| Total Medicare Charges at DRG | $2,634,206,014 | ||||
| Total Medicare Charges with ICD 99677 - Other complications due to internal joint prosthesis | $347,984,435 | ||||
| Avg Charges at DRG | $73,258 | ||||
| Avg Charges with ICD 99677 - Other complications due to internal joint prosthesis | $67,230 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD 99677 - Other complications due to internal joint prosthesis | NA | ||||
| SNF Discharge Rate at DRG | 25.14 | ||||
| SNF Discharge Rate with ICD 99677 - Other complications due to internal joint prosthesis | 21.79 | ||||
| Home Discharge Rate at DRG | 25.55 | ||||
| Home Discharge Rate with ICD 99677 - Other complications due to internal joint prosthesis | 28.03 |
| DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 466: REVISION OF HIP OR KNEE REPLACEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE 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) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 939,378 | ||||
| Total Hospitalizations with ICD 99677 - Other complications due to internal joint prosthesis | 719 | ||||
| DRG Share of Total Hospitalizations | 4.11 | ||||
| % of Total ICD 99677 - Other complications due to internal joint prosthesis in DRG | 3.5 | ||||
| Avg LOS at DRG | 3.12 | ||||
| Avg LOS with ICD 99677 - Other complications due to internal joint prosthesis | 4.18 | ||||
| Readmission Rate at DRG | 12.54 | ||||
| Readmission Rate with ICD 99677 - Other complications due to internal joint prosthesis | 17.16 | ||||
| Unplanned Readmission Rate at DRG | 3.52 | ||||
| Unplanned Readmission Rate with ICD 99677 - Other complications due to internal joint prosthesis | 4.78 | ||||
| Total Medicare payments at DRG | $11,301,359,598 | ||||
| Total Medicare payments with ICD 99677 - Other complications due to internal joint prosthesis | $9,132,956 | ||||
| Total Medicare payment per Day at DRG | $3,853 | ||||
| Total Medicare payment per Day with ICD 99677 - Other complications due to internal joint prosthesis | $3,038 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,031 | ||||
| Total Medicare payment per Hospitalization with ICD 99677 - Other complications due to internal joint prosthesis | $12,702 | ||||
| Total Medicare Charges at DRG | $51,993,364,479 | ||||
| Total Medicare Charges with ICD 99677 - Other complications due to internal joint prosthesis | $48,218,130 | ||||
| Avg Charges at DRG | $55,349 | ||||
| Avg Charges with ICD 99677 - Other complications due to internal joint prosthesis | $67,063 | ||||
| Mortality Rate at DRG | 0.07 | ||||
| Mortality Rate with ICD 99677 - Other complications due to internal joint prosthesis | NA | ||||
| SNF Discharge Rate at DRG | 32.49 | ||||
| SNF Discharge Rate with ICD 99677 - Other complications due to internal joint prosthesis | 35.88 | ||||
| Home Discharge Rate at DRG | 21.06 | ||||
| Home Discharge Rate with ICD 99677 - Other complications due to internal joint prosthesis | 16.97 |
| DRG 464: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 559: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 486: KNEE PROCEDURES WITH PDX OF INFECTION WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 17,941 | ||||
| Total Hospitalizations with ICD 99677 - Other complications due to internal joint prosthesis | 306 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD 99677 - Other complications due to internal joint prosthesis in DRG | 1.49 | ||||
| Avg LOS at DRG | 8.8 | ||||
| Avg LOS with ICD 99677 - Other complications due to internal joint prosthesis | 7.88 | ||||
| Readmission Rate at DRG | 27.88 | ||||
| Readmission Rate with ICD 99677 - Other complications due to internal joint prosthesis | 25.83 | ||||
| Unplanned Readmission Rate at DRG | 9.55 | ||||
| Unplanned Readmission Rate with ICD 99677 - Other complications due to internal joint prosthesis | 6.62 | ||||
| Total Medicare payments at DRG | $353,940,537 | ||||
| Total Medicare payments with ICD 99677 - Other complications due to internal joint prosthesis | $5,771,316 | ||||
| Total Medicare payment per Day at DRG | $2,242 | ||||
| Total Medicare payment per Day with ICD 99677 - Other complications due to internal joint prosthesis | $2,395 | ||||
| Total Medicare payment per Hospitalization at DRG | $19,728 | ||||
| Total Medicare payment per Hospitalization with ICD 99677 - Other complications due to internal joint prosthesis | $18,861 | ||||
| Total Medicare Charges at DRG | $1,551,556,908 | ||||
| Total Medicare Charges with ICD 99677 - Other complications due to internal joint prosthesis | $28,079,751 | ||||
| Avg Charges at DRG | $86,481 | ||||
| Avg Charges with ICD 99677 - Other complications due to internal joint prosthesis | $91,764 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD 99677 - Other complications due to internal joint prosthesis | NA | ||||
| SNF Discharge Rate at DRG | 42.08 | ||||
| SNF Discharge Rate with ICD 99677 - Other complications due to internal joint prosthesis | 47.71 | ||||
| Home Discharge Rate at DRG | 14.3 | ||||
| Home Discharge Rate with ICD 99677 - Other complications due to internal joint prosthesis | 9.8 |
| DRG 482: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 501: SOFT TISSUE PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 483: MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | DRG 497: LOCAL EXCISION AND REMOVAL INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 484: MAJOR JOINT & LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 53,932 | ||||
| Total Hospitalizations with ICD 99677 - Other complications due to internal joint prosthesis | 125 | ||||
| DRG Share of Total Hospitalizations | 0.24 | ||||
| % of Total ICD 99677 - Other complications due to internal joint prosthesis in DRG | 0.61 | ||||
| Avg LOS at DRG | 4.06 | ||||
| Avg LOS with ICD 99677 - Other complications due to internal joint prosthesis | 3.22 | ||||
| Readmission Rate at DRG | 26.59 | ||||
| Readmission Rate with ICD 99677 - Other complications due to internal joint prosthesis | 15.2 | ||||
| Unplanned Readmission Rate at DRG | 5.08 | ||||
| Unplanned Readmission Rate with ICD 99677 - Other complications due to internal joint prosthesis | NA | ||||
| Total Medicare payments at DRG | $521,291,114 | ||||
| Total Medicare payments with ICD 99677 - Other complications due to internal joint prosthesis | $1,234,561 | ||||
| Total Medicare payment per Day at DRG | $2,384 | ||||
| Total Medicare payment per Day with ICD 99677 - Other complications due to internal joint prosthesis | $3,063 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,666 | ||||
| Total Medicare payment per Hospitalization with ICD 99677 - Other complications due to internal joint prosthesis | $9,876 | ||||
| Total Medicare Charges at DRG | $2,437,341,816 | ||||
| Total Medicare Charges with ICD 99677 - Other complications due to internal joint prosthesis | $4,422,683 | ||||
| Avg Charges at DRG | $45,193 | ||||
| Avg Charges with ICD 99677 - Other complications due to internal joint prosthesis | $35,381 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD 99677 - Other complications due to internal joint prosthesis | NA | ||||
| SNF Discharge Rate at DRG | 53.97 | ||||
| SNF Discharge Rate with ICD 99677 - Other complications due to internal joint prosthesis | 24.8 | ||||
| Home Discharge Rate at DRG | 8.87 | ||||
| Home Discharge Rate with ICD 99677 - Other complications due to internal joint prosthesis | 34.4 |
| 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 | 186 |
| JACK HUGHSTON MEMORIAL HOSPITAL | 4401 RIVER CHASE DR | PHENIX CITY | AL | 36867 | 135 |
| SSM HEALTH ST. ANTHONY HOSPITAL - OKLAHOMA CITY | 1000 N LEE AVE | OKLAHOMA CITY | OK | 73102 | 133 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. JOHN I. WALDROP | 6262 VETERANS PKWY | COLUMBUS | GA | 31909 | 102 |
| Dr. EDWARD J MCPHERSON | 201 S ALVARADO ST | LOS ANGELES | CA | 90057 | 82 |
| Dr. THOMAS KELLY TKACH | 1110 N LEE AVE | OKLAHOMA CITY | OK | 73103 | 75 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. JOHN I. WALDROP | 6262 VETERANS PKWY | COLUMBUS | GA | 31909 | 106 |
| Dr. EDWARD J MCPHERSON | 201 S ALVARADO ST | LOS ANGELES | CA | 90057 | 83 |
| Dr. THOMAS KELLY TKACH | 1110 N LEE AVE | OKLAHOMA CITY | OK | 73103 | 75 |