*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| G8911 - Acute pain due to trauma - as a primary diagnosis code | G8911 - Acute pain due to trauma - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.86 | |
| Readmission Rate (%) | 20.9 | |
| Unplanned Readmission Rate (%) | 8.92 | |
| 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 | ||
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 947: SIGNS AND SYMPTOMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 940: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 946: REHABILITATION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 160,950 | ||||
| Total Hospitalizations with ICD G8911 - Acute pain due to trauma | 2,346 | ||||
| DRG Share of Total Hospitalizations | 0.49 | ||||
| % of Total ICD G8911 - Acute pain due to trauma in DRG | 79.8 | ||||
| Avg LOS at DRG | 4.98 | ||||
| Avg LOS with ICD G8911 - Acute pain due to trauma | 3.39 | ||||
| Readmission Rate at DRG | 20.85 | ||||
| Readmission Rate with ICD G8911 - Acute pain due to trauma | 17.01 | ||||
| Unplanned Readmission Rate at DRG | 13.4 | ||||
| Unplanned Readmission Rate with ICD G8911 - Acute pain due to trauma | 8.5 | ||||
| Total Medicare payments at DRG | $1,184,949,733 | ||||
| Total Medicare payments with ICD G8911 - Acute pain due to trauma | $11,615,440 | ||||
| Total Medicare payment per Day at DRG | $1,477 | ||||
| Total Medicare payment per Day with ICD G8911 - Acute pain due to trauma | $1,461 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,362 | ||||
| Total Medicare payment per Hospitalization with ICD G8911 - Acute pain due to trauma | $4,951 | ||||
| Total Medicare Charges at DRG | $4,222,078,897 | ||||
| Total Medicare Charges with ICD G8911 - Acute pain due to trauma | $51,742,476 | ||||
| Avg Charges at DRG | $26,232 | ||||
| Avg Charges with ICD G8911 - Acute pain due to trauma | $22,056 | ||||
| Mortality Rate at DRG | 0.67 | ||||
| Mortality Rate with ICD G8911 - Acute pain due to trauma | NA | ||||
| SNF Discharge Rate at DRG | 22.29 | ||||
| SNF Discharge Rate with ICD G8911 - Acute pain due to trauma | 45.44 | ||||
| Home Discharge Rate at DRG | 35.46 | ||||
| Home Discharge Rate with ICD G8911 - Acute pain due to trauma | 21.1 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CAROLINA EAST MEDICAL CENTER | 2000 NEUSE BLVD | NEW BERN | NC | 28560 | 35 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 29 |
| MERCYONE NORTH IOWA MEDICAL CENTER | 1000 4TH ST SW | MASON CITY | IA | 50401 | 25 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 536: FRACTURES OF HIP AND PELVIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 160,950 | ||||
| Total Hospitalizations with ICD G8911 - Acute pain due to trauma | 2,473 | ||||
| DRG Share of Total Hospitalizations | 0.49 | ||||
| % of Total ICD G8911 - Acute pain due to trauma in DRG | 6.61 | ||||
| Avg LOS at DRG | 4.98 | ||||
| Avg LOS with ICD G8911 - Acute pain due to trauma | 3.53 | ||||
| Readmission Rate at DRG | 20.85 | ||||
| Readmission Rate with ICD G8911 - Acute pain due to trauma | 16.78 | ||||
| Unplanned Readmission Rate at DRG | 13.4 | ||||
| Unplanned Readmission Rate with ICD G8911 - Acute pain due to trauma | 8.54 | ||||
| Total Medicare payments at DRG | $1,184,949,733 | ||||
| Total Medicare payments with ICD G8911 - Acute pain due to trauma | $12,763,593 | ||||
| Total Medicare payment per Day at DRG | $1,477 | ||||
| Total Medicare payment per Day with ICD G8911 - Acute pain due to trauma | $1,462 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,362 | ||||
| Total Medicare payment per Hospitalization with ICD G8911 - Acute pain due to trauma | $5,161 | ||||
| Total Medicare Charges at DRG | $4,222,078,897 | ||||
| Total Medicare Charges with ICD G8911 - Acute pain due to trauma | $55,595,836 | ||||
| Avg Charges at DRG | $26,232 | ||||
| Avg Charges with ICD G8911 - Acute pain due to trauma | $22,481 | ||||
| Mortality Rate at DRG | 0.67 | ||||
| Mortality Rate with ICD G8911 - Acute pain due to trauma | NA | ||||
| SNF Discharge Rate at DRG | 22.29 | ||||
| SNF Discharge Rate with ICD G8911 - Acute pain due to trauma | 44.8 | ||||
| Home Discharge Rate at DRG | 35.46 | ||||
| Home Discharge Rate with ICD G8911 - Acute pain due to trauma | 21.27 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 184: MAJOR CHEST TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) | DRG 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 563: FRACTURE SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 086: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITH COMPLICATION OR COMORBIDITY (CC) | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 31,240 | ||||
| Total Hospitalizations with ICD G8911 - Acute pain due to trauma | 1,328 | ||||
| DRG Share of Total Hospitalizations | 0.1 | ||||
| % of Total ICD G8911 - Acute pain due to trauma in DRG | 3.55 | ||||
| Avg LOS at DRG | 3.72 | ||||
| Avg LOS with ICD G8911 - Acute pain due to trauma | 4.29 | ||||
| Readmission Rate at DRG | 17.85 | ||||
| Readmission Rate with ICD G8911 - Acute pain due to trauma | 15.13 | ||||
| Unplanned Readmission Rate at DRG | 9.34 | ||||
| Unplanned Readmission Rate with ICD G8911 - Acute pain due to trauma | 8.15 | ||||
| Total Medicare payments at DRG | $190,421,957 | ||||
| Total Medicare payments with ICD G8911 - Acute pain due to trauma | $8,442,843 | ||||
| Total Medicare payment per Day at DRG | $1,637 | ||||
| Total Medicare payment per Day with ICD G8911 - Acute pain due to trauma | $1,480 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,095 | ||||
| Total Medicare payment per Hospitalization with ICD G8911 - Acute pain due to trauma | $6,358 | ||||
| Total Medicare Charges at DRG | $1,124,715,074 | ||||
| Total Medicare Charges with ICD G8911 - Acute pain due to trauma | $50,632,003 | ||||
| Avg Charges at DRG | $36,002 | ||||
| Avg Charges with ICD G8911 - Acute pain due to trauma | $38,127 | ||||
| Mortality Rate at DRG | 0.4 | ||||
| Mortality Rate with ICD G8911 - Acute pain due to trauma | NA | ||||
| SNF Discharge Rate at DRG | 38.96 | ||||
| SNF Discharge Rate with ICD G8911 - Acute pain due to trauma | 39.76 | ||||
| Home Discharge Rate at DRG | 30.83 | ||||
| Home Discharge Rate with ICD G8911 - Acute pain due to trauma | 31.93 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 559: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 183: MAJOR CHEST TRAUMA WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 964: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) | DRG 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD G8911 - Acute pain due to trauma | 727 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD G8911 - Acute pain due to trauma in DRG | 1.94 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD G8911 - Acute pain due to trauma | 4.67 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD G8911 - Acute pain due to trauma | 26.07 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD G8911 - Acute pain due to trauma | 7.55 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD G8911 - Acute pain due to trauma | $9,897,968 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD G8911 - Acute pain due to trauma | $2,914 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD G8911 - Acute pain due to trauma | $13,615 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD G8911 - Acute pain due to trauma | $55,946,951 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD G8911 - Acute pain due to trauma | $76,956 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD G8911 - Acute pain due to trauma | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD G8911 - Acute pain due to trauma | 62.59 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD G8911 - Acute pain due to trauma | 5.64 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 947: SIGNS AND SYMPTOMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 605: TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 087: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 200: PNEUMOTHORAX WITH COMPLICATION OR COMORBIDITY (CC) | DRG 493: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 58,218 | ||||
| Total Hospitalizations with ICD G8911 - Acute pain due to trauma | 556 | ||||
| DRG Share of Total Hospitalizations | 0.18 | ||||
| % of Total ICD G8911 - Acute pain due to trauma in DRG | 1.49 | ||||
| Avg LOS at DRG | 7.4 | ||||
| Avg LOS with ICD G8911 - Acute pain due to trauma | 5.08 | ||||
| Readmission Rate at DRG | 26.4 | ||||
| Readmission Rate with ICD G8911 - Acute pain due to trauma | 20.24 | ||||
| Unplanned Readmission Rate at DRG | 19.51 | ||||
| Unplanned Readmission Rate with ICD G8911 - Acute pain due to trauma | 11.51 | ||||
| Total Medicare payments at DRG | $694,366,430 | ||||
| Total Medicare payments with ICD G8911 - Acute pain due to trauma | $4,385,710 | ||||
| Total Medicare payment per Day at DRG | $1,611 | ||||
| Total Medicare payment per Day with ICD G8911 - Acute pain due to trauma | $1,552 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,927 | ||||
| Total Medicare payment per Hospitalization with ICD G8911 - Acute pain due to trauma | $7,888 | ||||
| Total Medicare Charges at DRG | $2,299,290,199 | ||||
| Total Medicare Charges with ICD G8911 - Acute pain due to trauma | $18,715,267 | ||||
| Avg Charges at DRG | $39,494 | ||||
| Avg Charges with ICD G8911 - Acute pain due to trauma | $33,661 | ||||
| Mortality Rate at DRG | 2.37 | ||||
| Mortality Rate with ICD G8911 - Acute pain due to trauma | 2.88 | ||||
| SNF Discharge Rate at DRG | 20.38 | ||||
| SNF Discharge Rate with ICD G8911 - Acute pain due to trauma | 50.9 | ||||
| Home Discharge Rate at DRG | 26.95 | ||||
| Home Discharge Rate with ICD G8911 - Acute pain due to trauma | 14.75 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| THE UNIVERSITY OF TENNESSEE MEDICAL CENTER | 1924 ALCOA HWY | KNOXVILLE | TN | 37920 | 967 |
| CENTURA HEALTH - PENROSE ST. FRANCIS HEALTH SERVICES | 2222 N NEVADA AVE | COLORADO SPRINGS | CO | 80907 | 715 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 709 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. THA CHA | 125 E BARSTOW AVE STE 118 | FRESNO | CA | 93710 | 111 |
| Dr. DEREK E BELL | 601 ELMWOOD AVE | ROCHESTER | NY | 14642 | 77 |
| Dr. DOUGLAS ALEXANDER SMITH | 2424 E 21 ST | TULSA | OK | 74114 | 66 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. TONYA C WASHBURN | 721 NW 6TH ST | OKLAHOMA CITY | OK | 73102 | 280 |
| Dr. LUCIAN P. BEDNARZ | 5 MORGAN HWY | SCRANTON | PA | 18508 | 276 |
| Dr. STANLEY E OKOSUN | 2300 S 16TH ST | LINCOLN | NE | 68502 | 229 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | Z9181 | History of falling |
| 2 | Z7982 | Long term (current) use of aspirin |
| 3 | E039 | Hypothyroidism, unspecified |
| 4 | I10 | Essential (primary) hypertension |