*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M4854XD - Collapsed vertebra, not elsewhere classified, thoracic region, subsequent encounter for fracture with routine healing - as a primary diagnosis code | M4854XD - Collapsed vertebra, not elsewhere classified, thoracic region, subsequent encounter for fracture with routine healing - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.94 | |
| Readmission Rate (%) | 23.57 | |
| Unplanned Readmission Rate (%) | 16.42 | |
| 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 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 559: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 188,863 | ||
| Total Hospitalizations with ICD M4854XD - Collapsed vertebra, not elsewhere classified, thoracic region, subsequent encounter for fracture with routine healing | 714 | ||
| DRG Share of Total Hospitalizations | 0.57 | ||
| % of Total ICD M4854XD - Collapsed vertebra, not elsewhere classified, thoracic region, subsequent encounter for fracture with routine healing in DRG | 53.4 | ||
| Avg LOS at DRG | 11.75 | ||
| Avg LOS with ICD M4854XD - Collapsed vertebra, not elsewhere classified, thoracic region, subsequent encounter for fracture with routine healing | 10.82 | ||
| Readmission Rate at DRG | 12.14 | ||
| Readmission Rate with ICD M4854XD - Collapsed vertebra, not elsewhere classified, thoracic region, subsequent encounter for fracture with routine healing | 18.92 | ||
| Unplanned Readmission Rate at DRG | 7.97 | ||
| Unplanned Readmission Rate with ICD M4854XD - Collapsed vertebra, not elsewhere classified, thoracic region, subsequent encounter for fracture with routine healing | 15.54 | ||
| Total Medicare payments at DRG | $3,216,901,374 | ||
| Total Medicare payments with ICD M4854XD - Collapsed vertebra, not elsewhere classified, thoracic region, subsequent encounter for fracture with routine healing | $11,335,658 | ||
| Total Medicare payment per Day at DRG | $1,450 | ||
| Total Medicare payment per Day with ICD M4854XD - Collapsed vertebra, not elsewhere classified, thoracic region, subsequent encounter for fracture with routine healing | $1,467 | ||
| Total Medicare payment per Hospitalization at DRG | $17,033 | ||
| Total Medicare payment per Hospitalization with ICD M4854XD - Collapsed vertebra, not elsewhere classified, thoracic region, subsequent encounter for fracture with routine healing | $15,876 | ||
| Total Medicare Charges at DRG | $7,709,712,645 | ||
| Total Medicare Charges with ICD M4854XD - Collapsed vertebra, not elsewhere classified, thoracic region, subsequent encounter for fracture with routine healing | $26,535,320 | ||
| Avg Charges at DRG | $40,822 | ||
| Avg Charges with ICD M4854XD - Collapsed vertebra, not elsewhere classified, thoracic region, subsequent encounter for fracture with routine healing | $37,164 | ||
| Mortality Rate at DRG | 0.11 | ||
| Mortality Rate with ICD M4854XD - Collapsed vertebra, not elsewhere classified, thoracic region, subsequent encounter for fracture with routine healing | NA | ||
| SNF Discharge Rate at DRG | 19.54 | ||
| SNF Discharge Rate with ICD M4854XD - Collapsed vertebra, not elsewhere classified, thoracic region, subsequent encounter for fracture with routine healing | 18.21 | ||
| Home Discharge Rate at DRG | 19.47 | ||
| Home Discharge Rate with ICD M4854XD - Collapsed vertebra, not elsewhere classified, thoracic region, subsequent encounter for fracture with routine healing | 16.11 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| HEALTHSOUTH REHABILITATION HOSPITAL OF COLORADO SPRINGS | 325 PARKSIDE DR | COLORADO SPRINGS | CO | 80910 | 15 |
| ENCOMPASS HEALTH REHABILITATION HOSPITAL OF COLUMBIA | 2935 COLONIAL DR | COLUMBIA | SC | 29203 | 13 |
| HEALTHSOUTH REHABILITATION HOSPITAL AT MARTIN HEALTH | 5850 SE COMMUNITY DRIVE | STUART | FL | 34997 | 13 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 559: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 188,863 | ||||
| Total Hospitalizations with ICD M4854XD - Collapsed vertebra, not elsewhere classified, thoracic region, subsequent encounter for fracture with routine healing | 1,147 | ||||
| DRG Share of Total Hospitalizations | 0.57 | ||||
| % of Total ICD M4854XD - Collapsed vertebra, not elsewhere classified, thoracic region, subsequent encounter for fracture with routine healing in DRG | 9.92 | ||||
| Avg LOS at DRG | 11.75 | ||||
| Avg LOS with ICD M4854XD - Collapsed vertebra, not elsewhere classified, thoracic region, subsequent encounter for fracture with routine healing | 11.63 | ||||
| Readmission Rate at DRG | 12.14 | ||||
| Readmission Rate with ICD M4854XD - Collapsed vertebra, not elsewhere classified, thoracic region, subsequent encounter for fracture with routine healing | 17.1 | ||||
| Unplanned Readmission Rate at DRG | 7.97 | ||||
| Unplanned Readmission Rate with ICD M4854XD - Collapsed vertebra, not elsewhere classified, thoracic region, subsequent encounter for fracture with routine healing | 13.91 | ||||
| Total Medicare payments at DRG | $3,216,901,374 | ||||
| Total Medicare payments with ICD M4854XD - Collapsed vertebra, not elsewhere classified, thoracic region, subsequent encounter for fracture with routine healing | $19,341,361 | ||||
| Total Medicare payment per Day at DRG | $1,450 | ||||
| Total Medicare payment per Day with ICD M4854XD - Collapsed vertebra, not elsewhere classified, thoracic region, subsequent encounter for fracture with routine healing | $1,450 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,033 | ||||
| Total Medicare payment per Hospitalization with ICD M4854XD - Collapsed vertebra, not elsewhere classified, thoracic region, subsequent encounter for fracture with routine healing | $16,863 | ||||
| Total Medicare Charges at DRG | $7,709,712,645 | ||||
| Total Medicare Charges with ICD M4854XD - Collapsed vertebra, not elsewhere classified, thoracic region, subsequent encounter for fracture with routine healing | $46,261,029 | ||||
| Avg Charges at DRG | $40,822 | ||||
| Avg Charges with ICD M4854XD - Collapsed vertebra, not elsewhere classified, thoracic region, subsequent encounter for fracture with routine healing | $40,332 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD M4854XD - Collapsed vertebra, not elsewhere classified, thoracic region, subsequent encounter for fracture with routine healing | NA | ||||
| SNF Discharge Rate at DRG | 19.54 | ||||
| SNF Discharge Rate with ICD M4854XD - Collapsed vertebra, not elsewhere classified, thoracic region, subsequent encounter for fracture with routine healing | 20.4 | ||||
| Home Discharge Rate at DRG | 19.47 | ||||
| Home Discharge Rate with ICD M4854XD - Collapsed vertebra, not elsewhere classified, thoracic region, subsequent encounter for fracture with routine healing | 16.04 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD M4854XD - Collapsed vertebra, not elsewhere classified, thoracic region, subsequent encounter for fracture with routine healing | 310 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD M4854XD - Collapsed vertebra, not elsewhere classified, thoracic region, subsequent encounter for fracture with routine healing in DRG | 2.68 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD M4854XD - Collapsed vertebra, not elsewhere classified, thoracic region, subsequent encounter for fracture with routine healing | 8.75 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD M4854XD - Collapsed vertebra, not elsewhere classified, thoracic region, subsequent encounter for fracture with routine healing | 34.06 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD M4854XD - Collapsed vertebra, not elsewhere classified, thoracic region, subsequent encounter for fracture with routine healing | 28.62 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD M4854XD - Collapsed vertebra, not elsewhere classified, thoracic region, subsequent encounter for fracture with routine healing | $4,070,559 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD M4854XD - Collapsed vertebra, not elsewhere classified, thoracic region, subsequent encounter for fracture with routine healing | $1,500 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD M4854XD - Collapsed vertebra, not elsewhere classified, thoracic region, subsequent encounter for fracture with routine healing | $13,131 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD M4854XD - Collapsed vertebra, not elsewhere classified, thoracic region, subsequent encounter for fracture with routine healing | $18,461,117 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD M4854XD - Collapsed vertebra, not elsewhere classified, thoracic region, subsequent encounter for fracture with routine healing | $59,552 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD M4854XD - Collapsed vertebra, not elsewhere classified, thoracic region, subsequent encounter for fracture with routine healing | 6.77 | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD M4854XD - Collapsed vertebra, not elsewhere classified, thoracic region, subsequent encounter for fracture with routine healing | 31.29 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD M4854XD - Collapsed vertebra, not elsewhere classified, thoracic region, subsequent encounter for fracture with routine healing | 25.48 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/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 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 120,351 | ||||
| Total Hospitalizations with ICD M4854XD - Collapsed vertebra, not elsewhere classified, thoracic region, subsequent encounter for fracture with routine healing | 195 | ||||
| DRG Share of Total Hospitalizations | 0.37 | ||||
| % of Total ICD M4854XD - Collapsed vertebra, not elsewhere classified, thoracic region, subsequent encounter for fracture with routine healing in DRG | 1.69 | ||||
| Avg LOS at DRG | 12.45 | ||||
| Avg LOS with ICD M4854XD - Collapsed vertebra, not elsewhere classified, thoracic region, subsequent encounter for fracture with routine healing | 13.55 | ||||
| Readmission Rate at DRG | 17.61 | ||||
| Readmission Rate with ICD M4854XD - Collapsed vertebra, not elsewhere classified, thoracic region, subsequent encounter for fracture with routine healing | 16.56 | ||||
| Unplanned Readmission Rate at DRG | 12.6 | ||||
| Unplanned Readmission Rate with ICD M4854XD - Collapsed vertebra, not elsewhere classified, thoracic region, subsequent encounter for fracture with routine healing | 13.5 | ||||
| Total Medicare payments at DRG | $2,245,410,425 | ||||
| Total Medicare payments with ICD M4854XD - Collapsed vertebra, not elsewhere classified, thoracic region, subsequent encounter for fracture with routine healing | $3,905,632 | ||||
| Total Medicare payment per Day at DRG | $1,499 | ||||
| Total Medicare payment per Day with ICD M4854XD - Collapsed vertebra, not elsewhere classified, thoracic region, subsequent encounter for fracture with routine healing | $1,478 | ||||
| Total Medicare payment per Hospitalization at DRG | $18,657 | ||||
| Total Medicare payment per Hospitalization with ICD M4854XD - Collapsed vertebra, not elsewhere classified, thoracic region, subsequent encounter for fracture with routine healing | $20,029 | ||||
| Total Medicare Charges at DRG | $5,810,478,166 | ||||
| Total Medicare Charges with ICD M4854XD - Collapsed vertebra, not elsewhere classified, thoracic region, subsequent encounter for fracture with routine healing | $10,403,566 | ||||
| Avg Charges at DRG | $48,279 | ||||
| Avg Charges with ICD M4854XD - Collapsed vertebra, not elsewhere classified, thoracic region, subsequent encounter for fracture with routine healing | $53,352 | ||||
| Mortality Rate at DRG | 0.55 | ||||
| Mortality Rate with ICD M4854XD - Collapsed vertebra, not elsewhere classified, thoracic region, subsequent encounter for fracture with routine healing | NA | ||||
| SNF Discharge Rate at DRG | 14.77 | ||||
| SNF Discharge Rate with ICD M4854XD - Collapsed vertebra, not elsewhere classified, thoracic region, subsequent encounter for fracture with routine healing | 16.92 | ||||
| Home Discharge Rate at DRG | 22.27 | ||||
| Home Discharge Rate with ICD M4854XD - Collapsed vertebra, not elsewhere classified, thoracic region, subsequent encounter for fracture with routine healing | 18.46 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD M4854XD - Collapsed vertebra, not elsewhere classified, thoracic region, subsequent encounter for fracture with routine healing | 157 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD M4854XD - Collapsed vertebra, not elsewhere classified, thoracic region, subsequent encounter for fracture with routine healing in DRG | 1.36 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD M4854XD - Collapsed vertebra, not elsewhere classified, thoracic region, subsequent encounter for fracture with routine healing | 6.18 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD M4854XD - Collapsed vertebra, not elsewhere classified, thoracic region, subsequent encounter for fracture with routine healing | 17.99 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD M4854XD - Collapsed vertebra, not elsewhere classified, thoracic region, subsequent encounter for fracture with routine healing | 10.79 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD M4854XD - Collapsed vertebra, not elsewhere classified, thoracic region, subsequent encounter for fracture with routine healing | $1,612,436 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD M4854XD - Collapsed vertebra, not elsewhere classified, thoracic region, subsequent encounter for fracture with routine healing | $1,662 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD M4854XD - Collapsed vertebra, not elsewhere classified, thoracic region, subsequent encounter for fracture with routine healing | $10,270 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD M4854XD - Collapsed vertebra, not elsewhere classified, thoracic region, subsequent encounter for fracture with routine healing | $7,553,185 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD M4854XD - Collapsed vertebra, not elsewhere classified, thoracic region, subsequent encounter for fracture with routine healing | $48,109 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD M4854XD - Collapsed vertebra, not elsewhere classified, thoracic region, subsequent encounter for fracture with routine healing | NA | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD M4854XD - Collapsed vertebra, not elsewhere classified, thoracic region, subsequent encounter for fracture with routine healing | 31.85 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD M4854XD - Collapsed vertebra, not elsewhere classified, thoracic region, subsequent encounter for fracture with routine healing | 16.56 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| NORTHEAST REHABILITATION HOSPITAL - SALEM | 70 BUTLER STREET | SALEM | NH | 03079 | 48 |
| ENCOMPASS HEALTH REHABILITATION HOSPITAL OF TOMS RIVER | 14 HOSPITAL DR | TOMS RIVER | NJ | 08755 | 45 |
| HEALTHSOUTH REHABILITATION HOSPITAL OF SOUTHERN ARIZONA | 1921 W HOSPITAL DR | TUCSON | AZ | 85704 | 42 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID MARK GORDON | 28455 HAGGERTY RD | NOVI | MI | 48377 | 21 |
| Dr. CHUNG HSU LUE | 600 N GARFIELD AVE | MONTEREY PARK | CA | 91754 | 16 |
| Dr. KENNETH L SHAPIRO | 1270 BELMONT AVE | SCHENECTADY | NY | 12308 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DALE P CUNNINGHAM | 3265 W SARAZENS CIR | MEMPHIS | TN | 38125 | 26 |
| Dr. CHUNG HSU LUE | 600 N GARFIELD AVE | MONTEREY PARK | CA | 91754 | 24 |
| Dr. ADNAN M DAHDUL | 14 CHESTNUT PL | LUDLOW | MA | 01056 | 23 |