*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture - as a primary diagnosis code | M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.27 | |
| Readmission Rate (%) | 27.18 | |
| Unplanned Readmission Rate (%) | 15.74 | |
| 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 543: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 542: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 544: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 478: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 47,199 | ||||
| Total Hospitalizations with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | 4,722 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture in DRG | 32.85 | ||||
| Avg LOS at DRG | 4.61 | ||||
| Avg LOS with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | 4.09 | ||||
| Readmission Rate at DRG | 24.6 | ||||
| Readmission Rate with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | 26.11 | ||||
| Unplanned Readmission Rate at DRG | 15.23 | ||||
| Unplanned Readmission Rate with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | 15.78 | ||||
| Total Medicare payments at DRG | $344,528,731 | ||||
| Total Medicare payments with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | $31,365,993 | ||||
| Total Medicare payment per Day at DRG | $1,583 | ||||
| Total Medicare payment per Day with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | $1,623 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,299 | ||||
| Total Medicare payment per Hospitalization with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | $6,643 | ||||
| Total Medicare Charges at DRG | $1,680,848,591 | ||||
| Total Medicare Charges with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | $151,205,762 | ||||
| Avg Charges at DRG | $35,612 | ||||
| Avg Charges with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | $32,022 | ||||
| Mortality Rate at DRG | 0.94 | ||||
| Mortality Rate with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | 0.32 | ||||
| SNF Discharge Rate at DRG | 39.23 | ||||
| SNF Discharge Rate with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | 41.63 | ||||
| Home Discharge Rate at DRG | 22.76 | ||||
| Home Discharge Rate with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | 22.7 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 517: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 515: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 477: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 479: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 43,598 | ||||
| Total Hospitalizations with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | 850 | ||||
| DRG Share of Total Hospitalizations | 0.13 | ||||
| % of Total ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture in DRG | 5.91 | ||||
| Avg LOS at DRG | 2.56 | ||||
| Avg LOS with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | 3.63 | ||||
| Readmission Rate at DRG | 13.58 | ||||
| Readmission Rate with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | 21.6 | ||||
| Unplanned Readmission Rate at DRG | 5.0 | ||||
| Unplanned Readmission Rate with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | 13.72 | ||||
| Total Medicare payments at DRG | $405,277,239 | ||||
| Total Medicare payments with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | $8,047,028 | ||||
| Total Medicare payment per Day at DRG | $3,633 | ||||
| Total Medicare payment per Day with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | $2,606 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,296 | ||||
| Total Medicare payment per Hospitalization with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | $9,467 | ||||
| Total Medicare Charges at DRG | $2,108,105,162 | ||||
| Total Medicare Charges with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | $46,884,088 | ||||
| Avg Charges at DRG | $48,353 | ||||
| Avg Charges with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | $55,158 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | NA | ||||
| SNF Discharge Rate at DRG | 16.27 | ||||
| SNF Discharge Rate with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | 29.65 | ||||
| Home Discharge Rate at DRG | 57.43 | ||||
| Home Discharge Rate with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | 37.53 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 456: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 458: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 519: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 518: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR DISC DEVICE OR NEUROSTIMULATOR | DRG 453: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 5,040 | ||||
| Total Hospitalizations with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | 191 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture in DRG | 1.33 | ||||
| Avg LOS at DRG | 11.53 | ||||
| Avg LOS with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | 12.2 | ||||
| Readmission Rate at DRG | 51.77 | ||||
| Readmission Rate with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | 51.74 | ||||
| Unplanned Readmission Rate at DRG | 11.61 | ||||
| Unplanned Readmission Rate with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | 9.3 | ||||
| Total Medicare payments at DRG | $358,064,249 | ||||
| Total Medicare payments with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | $12,560,015 | ||||
| Total Medicare payment per Day at DRG | $6,161 | ||||
| Total Medicare payment per Day with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | $5,391 | ||||
| Total Medicare payment per Hospitalization at DRG | $71,044 | ||||
| Total Medicare payment per Hospitalization with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | $65,759 | ||||
| Total Medicare Charges at DRG | $1,557,634,832 | ||||
| Total Medicare Charges with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | $50,968,255 | ||||
| Avg Charges at DRG | $309,055 | ||||
| Avg Charges with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | $266,850 | ||||
| Mortality Rate at DRG | 3.35 | ||||
| Mortality Rate with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | 6.28 | ||||
| SNF Discharge Rate at DRG | 36.57 | ||||
| SNF Discharge Rate with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | 44.5 | ||||
| Home Discharge Rate at DRG | 9.72 | ||||
| Home Discharge Rate with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 454: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 472: CERVICAL SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 30,121 | ||
| Total Hospitalizations with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | 28 | ||
| DRG Share of Total Hospitalizations | 0.09 | ||
| % of Total ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture in DRG | 0.19 | ||
| Avg LOS at DRG | 4.83 | ||
| Avg LOS with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | 8.5 | ||
| Readmission Rate at DRG | 25.27 | ||
| Readmission Rate with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | 44.44 | ||
| Unplanned Readmission Rate at DRG | 5.39 | ||
| Unplanned Readmission Rate with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | NA | ||
| Total Medicare payments at DRG | $1,452,399,208 | ||
| Total Medicare payments with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | $1,470,132 | ||
| Total Medicare payment per Day at DRG | $9,984 | ||
| Total Medicare payment per Day with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | $6,177 | ||
| Total Medicare payment per Hospitalization at DRG | $48,219 | ||
| Total Medicare payment per Hospitalization with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | $52,505 | ||
| Total Medicare Charges at DRG | $6,527,772,651 | ||
| Total Medicare Charges with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | $8,068,053 | ||
| Avg Charges at DRG | $216,718 | ||
| Avg Charges with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | $288,145 | ||
| Mortality Rate at DRG | 0.06 | ||
| Mortality Rate with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | NA | ||
| SNF Discharge Rate at DRG | 21.6 | ||
| SNF Discharge Rate with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | 39.29 | ||
| Home Discharge Rate at DRG | 38.16 | ||
| Home Discharge Rate with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 94 |
| DEACONESS HOSPITAL | 600 MARY ST | EVANSVILLE | IN | 47710 | 64 |
| BEAUMONT HOSPITAL TROY | 44201 DEQUINDRE RD | TROY | MI | 48085 | 63 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID MICHAEL SULLIVAN | 350 W COLUMBIA ST | EVANSVILLE | IN | 47710 | 24 |
| Dr. FRANK R HELLINGER | 1605 W FAIRBANKS AVE. | WINTER PARK | FL | 32789 | 23 |
| Dr. SAMER M ELFALLAL | 5452 FORT ST STE 200 | TRENTON | MI | 48183 | 23 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 543: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 542: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 544: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 47,199 | ||||
| Total Hospitalizations with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | 5,742 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture in DRG | 8.36 | ||||
| Avg LOS at DRG | 4.61 | ||||
| Avg LOS with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | 4.18 | ||||
| Readmission Rate at DRG | 24.6 | ||||
| Readmission Rate with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | 25.91 | ||||
| Unplanned Readmission Rate at DRG | 15.23 | ||||
| Unplanned Readmission Rate with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | 15.9 | ||||
| Total Medicare payments at DRG | $344,528,731 | ||||
| Total Medicare payments with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | $38,477,427 | ||||
| Total Medicare payment per Day at DRG | $1,583 | ||||
| Total Medicare payment per Day with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | $1,603 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,299 | ||||
| Total Medicare payment per Hospitalization with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | $6,701 | ||||
| Total Medicare Charges at DRG | $1,680,848,591 | ||||
| Total Medicare Charges with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | $190,031,932 | ||||
| Avg Charges at DRG | $35,612 | ||||
| Avg Charges with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | $33,095 | ||||
| Mortality Rate at DRG | 0.94 | ||||
| Mortality Rate with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | 0.45 | ||||
| SNF Discharge Rate at DRG | 39.23 | ||||
| SNF Discharge Rate with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | 41.88 | ||||
| Home Discharge Rate at DRG | 22.76 | ||||
| Home Discharge Rate with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | 22.15 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 478: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 195,476 | ||||
| Total Hospitalizations with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | 1,608 | ||||
| DRG Share of Total Hospitalizations | 0.59 | ||||
| % of Total ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture in DRG | 2.34 | ||||
| Avg LOS at DRG | 4.48 | ||||
| Avg LOS with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | 3.88 | ||||
| Readmission Rate at DRG | 20.57 | ||||
| Readmission Rate with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | 23.43 | ||||
| Unplanned Readmission Rate at DRG | 9.88 | ||||
| Unplanned Readmission Rate with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | 13.19 | ||||
| Total Medicare payments at DRG | $1,320,662,237 | ||||
| Total Medicare payments with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | $8,880,433 | ||||
| Total Medicare payment per Day at DRG | $1,508 | ||||
| Total Medicare payment per Day with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | $1,422 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,756 | ||||
| Total Medicare payment per Hospitalization with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | $5,523 | ||||
| Total Medicare Charges at DRG | $6,024,639,461 | ||||
| Total Medicare Charges with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | $53,969,766 | ||||
| Avg Charges at DRG | $30,820 | ||||
| Avg Charges with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | $33,563 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | NA | ||||
| SNF Discharge Rate at DRG | 33.36 | ||||
| SNF Discharge Rate with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | 46.27 | ||||
| Home Discharge Rate at DRG | 30.98 | ||||
| Home Discharge Rate with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | 20.4 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT 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 | 417,755 | ||||
| Total Hospitalizations with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | 1,122 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture in DRG | 1.63 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | 4.48 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | 22.51 | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | 16.14 | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | $7,039,865 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | $1,402 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | $6,274 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | $37,821,370 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | $33,709 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | 0.98 | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | 26.38 | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | 38.24 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 515: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 16,044 | ||||
| Total Hospitalizations with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | 968 | ||||
| DRG Share of Total Hospitalizations | 0.05 | ||||
| % of Total ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture in DRG | 1.41 | ||||
| Avg LOS at DRG | 8.82 | ||||
| Avg LOS with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | 7.8 | ||||
| Readmission Rate at DRG | 32.29 | ||||
| Readmission Rate with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | 33.08 | ||||
| Unplanned Readmission Rate at DRG | 14.96 | ||||
| Unplanned Readmission Rate with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | 20.13 | ||||
| Total Medicare payments at DRG | $336,031,207 | ||||
| Total Medicare payments with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | $18,113,430 | ||||
| Total Medicare payment per Day at DRG | $2,375 | ||||
| Total Medicare payment per Day with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | $2,398 | ||||
| Total Medicare payment per Hospitalization at DRG | $20,944 | ||||
| Total Medicare payment per Hospitalization with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | $18,712 | ||||
| Total Medicare Charges at DRG | $1,654,393,936 | ||||
| Total Medicare Charges with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | $89,888,587 | ||||
| Avg Charges at DRG | $103,116 | ||||
| Avg Charges with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | $92,860 | ||||
| Mortality Rate at DRG | 2.56 | ||||
| Mortality Rate with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | 2.69 | ||||
| SNF Discharge Rate at DRG | 40.52 | ||||
| SNF Discharge Rate with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | 42.46 | ||||
| Home Discharge Rate at DRG | 19.02 | ||||
| Home Discharge Rate with ICD M4854XA - Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture | 18.6 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 290 |
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 216 |
| LEHIGH VALLEY HOSPITAL - CEDAR CREST | 1200 S CEDAR CREST BLVD | ALLENTOWN | PA | 18103 | 206 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID MICHAEL SULLIVAN | 350 W COLUMBIA ST | EVANSVILLE | IN | 47710 | 39 |
| Dr. FRANK R HELLINGER | 1605 W FAIRBANKS AVE. | WINTER PARK | FL | 32789 | 32 |
| Dr. SAMER M ELFALLAL | 5452 FORT ST STE 200 | TRENTON | MI | 48183 | 32 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DANIEL N RUTIGLIANO | STONY BROOK UNIVERSITY HOSPITAL | STONY BROOK | NY | 11794 | 29 |
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 26 |
| Dr. GARY LANGNAS | 27483 DEQUINDRE RD | MADISON HEIGHTS | MI | 48071 | 21 |