*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
M4856XD - Collapsed vertebra, not elsewhere classified, lumbar region, subsequent encounter for fracture with routine healing - as a primary diagnosis code | M4856XD - Collapsed vertebra, not elsewhere classified, lumbar region, subsequent encounter for fracture with routine healing - as a primary or secondary diagnosis code | |
---|---|---|
OUTCOMES | ||
Avg. LOS | 8.3 | |
Readmission Rate (%) | 22.41 | |
Unplanned Readmission Rate (%) | 13.74 | |
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 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) | DRG 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | 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 | 188,863 | ||||
Total Hospitalizations with ICD M4856XD - Collapsed vertebra, not elsewhere classified, lumbar region, subsequent encounter for fracture with routine healing | 1,161 | ||||
DRG Share of Total Hospitalizations | 0.57 | ||||
% of Total ICD M4856XD - Collapsed vertebra, not elsewhere classified, lumbar region, subsequent encounter for fracture with routine healing in DRG | 54.71 | ||||
Avg LOS at DRG | 11.75 | ||||
Avg LOS with ICD M4856XD - Collapsed vertebra, not elsewhere classified, lumbar region, subsequent encounter for fracture with routine healing | 11.48 | ||||
Readmission Rate at DRG | 12.14 | ||||
Readmission Rate with ICD M4856XD - Collapsed vertebra, not elsewhere classified, lumbar region, subsequent encounter for fracture with routine healing | 16.94 | ||||
Unplanned Readmission Rate at DRG | 7.97 | ||||
Unplanned Readmission Rate with ICD M4856XD - Collapsed vertebra, not elsewhere classified, lumbar region, subsequent encounter for fracture with routine healing | 13.03 | ||||
Total Medicare payments at DRG | $3,216,901,374 | ||||
Total Medicare payments with ICD M4856XD - Collapsed vertebra, not elsewhere classified, lumbar region, subsequent encounter for fracture with routine healing | $18,974,410 | ||||
Total Medicare payment per Day at DRG | $1,450 | ||||
Total Medicare payment per Day with ICD M4856XD - Collapsed vertebra, not elsewhere classified, lumbar region, subsequent encounter for fracture with routine healing | $1,424 | ||||
Total Medicare payment per Hospitalization at DRG | $17,033 | ||||
Total Medicare payment per Hospitalization with ICD M4856XD - Collapsed vertebra, not elsewhere classified, lumbar region, subsequent encounter for fracture with routine healing | $16,343 | ||||
Total Medicare Charges at DRG | $7,709,712,645 | ||||
Total Medicare Charges with ICD M4856XD - Collapsed vertebra, not elsewhere classified, lumbar region, subsequent encounter for fracture with routine healing | $44,313,532 | ||||
Avg Charges at DRG | $40,822 | ||||
Avg Charges with ICD M4856XD - Collapsed vertebra, not elsewhere classified, lumbar region, subsequent encounter for fracture with routine healing | $38,168 | ||||
Mortality Rate at DRG | 0.11 | ||||
Mortality Rate with ICD M4856XD - Collapsed vertebra, not elsewhere classified, lumbar region, subsequent encounter for fracture with routine healing | NA | ||||
SNF Discharge Rate at DRG | 19.54 | ||||
SNF Discharge Rate with ICD M4856XD - Collapsed vertebra, not elsewhere classified, lumbar region, subsequent encounter for fracture with routine healing | 19.81 | ||||
Home Discharge Rate at DRG | 19.47 | ||||
Home Discharge Rate with ICD M4856XD - Collapsed vertebra, not elsewhere classified, lumbar region, subsequent encounter for fracture with routine healing | 14.21 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
ENCOMPASS HEALTH REHABILITATION HOSPITAL OF TOMS RIVER | 14 HOSPITAL DR | TOMS RIVER | NJ | 08755 | 46 |
HEALTHSOUTH SCOTTSDALE REHABILITATION HOSPITAL | 9630 E SHEA BLVD | SCOTTSDALE | AZ | 85260 | 22 |
HEALTHSOUTH REHABILITATION HOSPITAL AT MARTIN HEALTH | 5850 SE COMMUNITY DRIVE | STUART | FL | 34997 | 22 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. ADNAN M DAHDUL | 14 CHESTNUT PL | LUDLOW | MA | 01056 | 19 |
Dr. KELLY MARIE KOPKOWSKI | 145 W 23RD ST | ERIE | PA | 16502 | 14 |
Dr. STEPHEN LACKEY CHASTAIN | 5850 SE COMMUNITY DR | 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 M4856XD - Collapsed vertebra, not elsewhere classified, lumbar region, subsequent encounter for fracture with routine healing | 1,663 | ||||
DRG Share of Total Hospitalizations | 0.57 | ||||
% of Total ICD M4856XD - Collapsed vertebra, not elsewhere classified, lumbar region, subsequent encounter for fracture with routine healing in DRG | 12.7 | ||||
Avg LOS at DRG | 11.75 | ||||
Avg LOS with ICD M4856XD - Collapsed vertebra, not elsewhere classified, lumbar region, subsequent encounter for fracture with routine healing | 11.7 | ||||
Readmission Rate at DRG | 12.14 | ||||
Readmission Rate with ICD M4856XD - Collapsed vertebra, not elsewhere classified, lumbar region, subsequent encounter for fracture with routine healing | 16.71 | ||||
Unplanned Readmission Rate at DRG | 7.97 | ||||
Unplanned Readmission Rate with ICD M4856XD - Collapsed vertebra, not elsewhere classified, lumbar region, subsequent encounter for fracture with routine healing | 12.84 | ||||
Total Medicare payments at DRG | $3,216,901,374 | ||||
Total Medicare payments with ICD M4856XD - Collapsed vertebra, not elsewhere classified, lumbar region, subsequent encounter for fracture with routine healing | $27,871,630 | ||||
Total Medicare payment per Day at DRG | $1,450 | ||||
Total Medicare payment per Day with ICD M4856XD - Collapsed vertebra, not elsewhere classified, lumbar region, subsequent encounter for fracture with routine healing | $1,432 | ||||
Total Medicare payment per Hospitalization at DRG | $17,033 | ||||
Total Medicare payment per Hospitalization with ICD M4856XD - Collapsed vertebra, not elsewhere classified, lumbar region, subsequent encounter for fracture with routine healing | $16,760 | ||||
Total Medicare Charges at DRG | $7,709,712,645 | ||||
Total Medicare Charges with ICD M4856XD - Collapsed vertebra, not elsewhere classified, lumbar region, subsequent encounter for fracture with routine healing | $66,097,772 | ||||
Avg Charges at DRG | $40,822 | ||||
Avg Charges with ICD M4856XD - Collapsed vertebra, not elsewhere classified, lumbar region, subsequent encounter for fracture with routine healing | $39,746 | ||||
Mortality Rate at DRG | 0.11 | ||||
Mortality Rate with ICD M4856XD - Collapsed vertebra, not elsewhere classified, lumbar region, subsequent encounter for fracture with routine healing | NA | ||||
SNF Discharge Rate at DRG | 19.54 | ||||
SNF Discharge Rate with ICD M4856XD - Collapsed vertebra, not elsewhere classified, lumbar region, subsequent encounter for fracture with routine healing | 20.26 | ||||
Home Discharge Rate at DRG | 19.47 | ||||
Home Discharge Rate with ICD M4856XD - Collapsed vertebra, not elsewhere classified, lumbar region, subsequent encounter for fracture with routine healing | 14.01 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 359,935 | ||||
Total Hospitalizations with ICD M4856XD - Collapsed vertebra, not elsewhere classified, lumbar region, subsequent encounter for fracture with routine healing | 311 | ||||
DRG Share of Total Hospitalizations | 1.1 | ||||
% of Total ICD M4856XD - Collapsed vertebra, not elsewhere classified, lumbar region, subsequent encounter for fracture with routine healing in DRG | 2.38 | ||||
Avg LOS at DRG | 12.3 | ||||
Avg LOS with ICD M4856XD - Collapsed vertebra, not elsewhere classified, lumbar region, subsequent encounter for fracture with routine healing | 13.46 | ||||
Readmission Rate at DRG | 16.01 | ||||
Readmission Rate with ICD M4856XD - Collapsed vertebra, not elsewhere classified, lumbar region, subsequent encounter for fracture with routine healing | 19.66 | ||||
Unplanned Readmission Rate at DRG | 9.86 | ||||
Unplanned Readmission Rate with ICD M4856XD - Collapsed vertebra, not elsewhere classified, lumbar region, subsequent encounter for fracture with routine healing | 15.17 | ||||
Total Medicare payments at DRG | $5,883,826,653 | ||||
Total Medicare payments with ICD M4856XD - Collapsed vertebra, not elsewhere classified, lumbar region, subsequent encounter for fracture with routine healing | $6,220,713 | ||||
Total Medicare payment per Day at DRG | $1,329 | ||||
Total Medicare payment per Day with ICD M4856XD - Collapsed vertebra, not elsewhere classified, lumbar region, subsequent encounter for fracture with routine healing | $1,486 | ||||
Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
Total Medicare payment per Hospitalization with ICD M4856XD - Collapsed vertebra, not elsewhere classified, lumbar region, subsequent encounter for fracture with routine healing | $20,002 | ||||
Total Medicare Charges at DRG | $15,374,824,749 | ||||
Total Medicare Charges with ICD M4856XD - Collapsed vertebra, not elsewhere classified, lumbar region, subsequent encounter for fracture with routine healing | $14,707,644 | ||||
Avg Charges at DRG | $42,716 | ||||
Avg Charges with ICD M4856XD - Collapsed vertebra, not elsewhere classified, lumbar region, subsequent encounter for fracture with routine healing | $47,291 | ||||
Mortality Rate at DRG | 0.3 | ||||
Mortality Rate with ICD M4856XD - Collapsed vertebra, not elsewhere classified, lumbar region, subsequent encounter for fracture with routine healing | NA | ||||
SNF Discharge Rate at DRG | 27.95 | ||||
SNF Discharge Rate with ICD M4856XD - Collapsed vertebra, not elsewhere classified, lumbar region, subsequent encounter for fracture with routine healing | 24.44 | ||||
Home Discharge Rate at DRG | 26.85 | ||||
Home Discharge Rate with ICD M4856XD - Collapsed vertebra, not elsewhere classified, lumbar region, subsequent encounter for fracture with routine healing | 14.47 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 1,013,774 | ||||
Total Hospitalizations with ICD M4856XD - Collapsed vertebra, not elsewhere classified, lumbar region, subsequent encounter for fracture with routine healing | 202 | ||||
DRG Share of Total Hospitalizations | 3.08 | ||||
% of Total ICD M4856XD - Collapsed vertebra, not elsewhere classified, lumbar region, subsequent encounter for fracture with routine healing in DRG | 1.54 | ||||
Avg LOS at DRG | 5.34 | ||||
Avg LOS with ICD M4856XD - Collapsed vertebra, not elsewhere classified, lumbar region, subsequent encounter for fracture with routine healing | 6.22 | ||||
Readmission Rate at DRG | 28.25 | ||||
Readmission Rate with ICD M4856XD - Collapsed vertebra, not elsewhere classified, lumbar region, subsequent encounter for fracture with routine healing | 28.65 | ||||
Unplanned Readmission Rate at DRG | 21.93 | ||||
Unplanned Readmission Rate with ICD M4856XD - Collapsed vertebra, not elsewhere classified, lumbar region, subsequent encounter for fracture with routine healing | 21.35 | ||||
Total Medicare payments at DRG | $9,469,067,156 | ||||
Total Medicare payments with ICD M4856XD - Collapsed vertebra, not elsewhere classified, lumbar region, subsequent encounter for fracture with routine healing | $2,064,438 | ||||
Total Medicare payment per Day at DRG | $1,751 | ||||
Total Medicare payment per Day with ICD M4856XD - Collapsed vertebra, not elsewhere classified, lumbar region, subsequent encounter for fracture with routine healing | $1,642 | ||||
Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
Total Medicare payment per Hospitalization with ICD M4856XD - Collapsed vertebra, not elsewhere classified, lumbar region, subsequent encounter for fracture with routine healing | $10,220 | ||||
Total Medicare Charges at DRG | $43,343,716,813 | ||||
Total Medicare Charges with ICD M4856XD - Collapsed vertebra, not elsewhere classified, lumbar region, subsequent encounter for fracture with routine healing | $9,034,533 | ||||
Avg Charges at DRG | $42,755 | ||||
Avg Charges with ICD M4856XD - Collapsed vertebra, not elsewhere classified, lumbar region, subsequent encounter for fracture with routine healing | $44,725 | ||||
Mortality Rate at DRG | 3.72 | ||||
Mortality Rate with ICD M4856XD - Collapsed vertebra, not elsewhere classified, lumbar region, subsequent encounter for fracture with routine healing | 5.45 | ||||
SNF Discharge Rate at DRG | 20.84 | ||||
SNF Discharge Rate with ICD M4856XD - Collapsed vertebra, not elsewhere classified, lumbar region, subsequent encounter for fracture with routine healing | 35.64 | ||||
Home Discharge Rate at DRG | 37.68 | ||||
Home Discharge Rate with ICD M4856XD - Collapsed vertebra, not elsewhere classified, lumbar region, subsequent encounter for fracture with routine healing | 19.31 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 38,773 | ||||
Total Hospitalizations with ICD M4856XD - Collapsed vertebra, not elsewhere classified, lumbar region, subsequent encounter for fracture with routine healing | 153 | ||||
DRG Share of Total Hospitalizations | 0.12 | ||||
% of Total ICD M4856XD - Collapsed vertebra, not elsewhere classified, lumbar region, subsequent encounter for fracture with routine healing in DRG | 1.17 | ||||
Avg LOS at DRG | 11.96 | ||||
Avg LOS with ICD M4856XD - Collapsed vertebra, not elsewhere classified, lumbar region, subsequent encounter for fracture with routine healing | 12.24 | ||||
Readmission Rate at DRG | 18.12 | ||||
Readmission Rate with ICD M4856XD - Collapsed vertebra, not elsewhere classified, lumbar region, subsequent encounter for fracture with routine healing | 18.52 | ||||
Unplanned Readmission Rate at DRG | 14.28 | ||||
Unplanned Readmission Rate with ICD M4856XD - Collapsed vertebra, not elsewhere classified, lumbar region, subsequent encounter for fracture with routine healing | 14.81 | ||||
Total Medicare payments at DRG | $739,082,714 | ||||
Total Medicare payments with ICD M4856XD - Collapsed vertebra, not elsewhere classified, lumbar region, subsequent encounter for fracture with routine healing | $2,601,677 | ||||
Total Medicare payment per Day at DRG | $1,594 | ||||
Total Medicare payment per Day with ICD M4856XD - Collapsed vertebra, not elsewhere classified, lumbar region, subsequent encounter for fracture with routine healing | $1,389 | ||||
Total Medicare payment per Hospitalization at DRG | $19,062 | ||||
Total Medicare payment per Hospitalization with ICD M4856XD - Collapsed vertebra, not elsewhere classified, lumbar region, subsequent encounter for fracture with routine healing | $17,004 | ||||
Total Medicare Charges at DRG | $2,416,011,805 | ||||
Total Medicare Charges with ICD M4856XD - Collapsed vertebra, not elsewhere classified, lumbar region, subsequent encounter for fracture with routine healing | $9,615,650 | ||||
Avg Charges at DRG | $62,312 | ||||
Avg Charges with ICD M4856XD - Collapsed vertebra, not elsewhere classified, lumbar region, subsequent encounter for fracture with routine healing | $62,847 | ||||
Mortality Rate at DRG | 0.2 | ||||
Mortality Rate with ICD M4856XD - Collapsed vertebra, not elsewhere classified, lumbar region, subsequent encounter for fracture with routine healing | NA | ||||
SNF Discharge Rate at DRG | 17.34 | ||||
SNF Discharge Rate with ICD M4856XD - Collapsed vertebra, not elsewhere classified, lumbar region, subsequent encounter for fracture with routine healing | 30.72 | ||||
Home Discharge Rate at DRG | 21.02 | ||||
Home Discharge Rate with ICD M4856XD - Collapsed vertebra, not elsewhere classified, lumbar region, subsequent encounter for fracture with routine healing | 14.38 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
ENCOMPASS HEALTH REHABILITATION HOSPITAL OF TOMS RIVER | 14 HOSPITAL DR | TOMS RIVER | NJ | 08755 | 97 |
HEALTHSOUTH REHABILITATION HOSPITAL OF SOUTHERN ARIZONA | 1921 W HOSPITAL DR | TUCSON | AZ | 85704 | 60 |
NORTHEAST REHABILITATION HOSPITAL - SALEM | 70 BUTLER STREET | SALEM | NH | 03079 | 48 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. DAVID MARK GORDON | 28455 HAGGERTY RD | NOVI | MI | 48377 | 41 |
Dr. MOHAMMED A CHOWDHURY | 909 E PALATINE RD | PALATINE | IL | 60074 | 14 |
Dr. ROGER GREGORY GIORDANO | 5700 FITZHUGH AVE | RICHMOND | VA | 23226 | 13 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. DAVID MARK GORDON | 28455 HAGGERTY RD | NOVI | MI | 48377 | 41 |
Dr. ADNAN M DAHDUL | 14 CHESTNUT PL | LUDLOW | MA | 01056 | 32 |
Dr. LUCIAN P. BEDNARZ | 5 MORGAN HWY | SCRANTON | PA | 18508 | 32 |