*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M795 - Residual foreign body in soft tissue - as a primary diagnosis code | M795 - Residual foreign body in soft tissue - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.84 | |
| Readmission Rate (%) | 22.73 | |
| Unplanned Readmission Rate (%) | 9.77 | |
| 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 565: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 501: SOFT TISSUE PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 464: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 566: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 564: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 23,663 | ||||
| Total Hospitalizations with ICD M795 - Residual foreign body in soft tissue | 62 | ||||
| DRG Share of Total Hospitalizations | 0.07 | ||||
| % of Total ICD M795 - Residual foreign body in soft tissue in DRG | 32.98 | ||||
| Avg LOS at DRG | 4.81 | ||||
| Avg LOS with ICD M795 - Residual foreign body in soft tissue | 3.24 | ||||
| Readmission Rate at DRG | 21.07 | ||||
| Readmission Rate with ICD M795 - Residual foreign body in soft tissue | NA | ||||
| Unplanned Readmission Rate at DRG | 11.02 | ||||
| Unplanned Readmission Rate with ICD M795 - Residual foreign body in soft tissue | NA | ||||
| Total Medicare payments at DRG | $163,590,689 | ||||
| Total Medicare payments with ICD M795 - Residual foreign body in soft tissue | $321,680 | ||||
| Total Medicare payment per Day at DRG | $1,438 | ||||
| Total Medicare payment per Day with ICD M795 - Residual foreign body in soft tissue | $1,600 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,913 | ||||
| Total Medicare payment per Hospitalization with ICD M795 - Residual foreign body in soft tissue | $5,188 | ||||
| Total Medicare Charges at DRG | $779,108,044 | ||||
| Total Medicare Charges with ICD M795 - Residual foreign body in soft tissue | $1,814,444 | ||||
| Avg Charges at DRG | $32,925 | ||||
| Avg Charges with ICD M795 - Residual foreign body in soft tissue | $29,265 | ||||
| Mortality Rate at DRG | 0.29 | ||||
| Mortality Rate with ICD M795 - Residual foreign body in soft tissue | NA | ||||
| SNF Discharge Rate at DRG | 39.56 | ||||
| SNF Discharge Rate with ICD M795 - Residual foreign body in soft tissue | NA | ||||
| Home Discharge Rate at DRG | 25.13 | ||||
| Home Discharge Rate with ICD M795 - Residual foreign body in soft tissue | 61.29 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 364,421 | ||||
| Total Hospitalizations with ICD M795 - Residual foreign body in soft tissue | 285 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD M795 - Residual foreign body in soft tissue in DRG | 7.55 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD M795 - Residual foreign body in soft tissue | 3.98 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD M795 - Residual foreign body in soft tissue | 16.28 | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD M795 - Residual foreign body in soft tissue | 9.3 | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD M795 - Residual foreign body in soft tissue | $1,614,802 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD M795 - Residual foreign body in soft tissue | $1,424 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD M795 - Residual foreign body in soft tissue | $5,666 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD M795 - Residual foreign body in soft tissue | $7,759,754 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD M795 - Residual foreign body in soft tissue | $27,227 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD M795 - Residual foreign body in soft tissue | NA | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD M795 - Residual foreign body in soft tissue | 10.18 | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD M795 - Residual foreign body in soft tissue | 61.05 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 580: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 565: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 857: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 32,775 | ||||
| Total Hospitalizations with ICD M795 - Residual foreign body in soft tissue | 71 | ||||
| DRG Share of Total Hospitalizations | 0.1 | ||||
| % of Total ICD M795 - Residual foreign body in soft tissue in DRG | 1.88 | ||||
| Avg LOS at DRG | 4.93 | ||||
| Avg LOS with ICD M795 - Residual foreign body in soft tissue | 4.94 | ||||
| Readmission Rate at DRG | 16.64 | ||||
| Readmission Rate with ICD M795 - Residual foreign body in soft tissue | NA | ||||
| Unplanned Readmission Rate at DRG | 9.37 | ||||
| Unplanned Readmission Rate with ICD M795 - Residual foreign body in soft tissue | NA | ||||
| Total Medicare payments at DRG | $321,966,863 | ||||
| Total Medicare payments with ICD M795 - Residual foreign body in soft tissue | $645,382 | ||||
| Total Medicare payment per Day at DRG | $1,993 | ||||
| Total Medicare payment per Day with ICD M795 - Residual foreign body in soft tissue | $1,839 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,824 | ||||
| Total Medicare payment per Hospitalization with ICD M795 - Residual foreign body in soft tissue | $9,090 | ||||
| Total Medicare Charges at DRG | $1,646,314,545 | ||||
| Total Medicare Charges with ICD M795 - Residual foreign body in soft tissue | $2,656,093 | ||||
| Avg Charges at DRG | $50,231 | ||||
| Avg Charges with ICD M795 - Residual foreign body in soft tissue | $37,410 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD M795 - Residual foreign body in soft tissue | NA | ||||
| SNF Discharge Rate at DRG | 17.01 | ||||
| SNF Discharge Rate with ICD M795 - Residual foreign body in soft tissue | 16.9 | ||||
| Home Discharge Rate at DRG | 43.69 | ||||
| Home Discharge Rate with ICD M795 - Residual foreign body in soft tissue | 56.34 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 617: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 885: PSYCHOSES | DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 464: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 602: CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 38,029 | ||||
| Total Hospitalizations with ICD M795 - Residual foreign body in soft tissue | 53 | ||||
| DRG Share of Total Hospitalizations | 0.12 | ||||
| % of Total ICD M795 - Residual foreign body in soft tissue in DRG | 1.4 | ||||
| Avg LOS at DRG | 7.14 | ||||
| Avg LOS with ICD M795 - Residual foreign body in soft tissue | 7.77 | ||||
| Readmission Rate at DRG | 23.6 | ||||
| Readmission Rate with ICD M795 - Residual foreign body in soft tissue | 23.53 | ||||
| Unplanned Readmission Rate at DRG | 10.44 | ||||
| Unplanned Readmission Rate with ICD M795 - Residual foreign body in soft tissue | NA | ||||
| Total Medicare payments at DRG | $484,755,193 | ||||
| Total Medicare payments with ICD M795 - Residual foreign body in soft tissue | $638,418 | ||||
| Total Medicare payment per Day at DRG | $1,786 | ||||
| Total Medicare payment per Day with ICD M795 - Residual foreign body in soft tissue | $1,550 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,747 | ||||
| Total Medicare payment per Hospitalization with ICD M795 - Residual foreign body in soft tissue | $12,046 | ||||
| Total Medicare Charges at DRG | $2,463,395,263 | ||||
| Total Medicare Charges with ICD M795 - Residual foreign body in soft tissue | $3,546,595 | ||||
| Avg Charges at DRG | $64,777 | ||||
| Avg Charges with ICD M795 - Residual foreign body in soft tissue | $66,917 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD M795 - Residual foreign body in soft tissue | NA | ||||
| SNF Discharge Rate at DRG | 26.57 | ||||
| SNF Discharge Rate with ICD M795 - Residual foreign body in soft tissue | 37.74 | ||||
| Home Discharge Rate at DRG | 30.05 | ||||
| Home Discharge Rate with ICD M795 - Residual foreign body in soft tissue | 20.75 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 501: SOFT TISSUE PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 571: SKIN DEBRIDEMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 623: SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 483: MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 19,011 | ||||
| Total Hospitalizations with ICD M795 - Residual foreign body in soft tissue | 39 | ||||
| DRG Share of Total Hospitalizations | 0.06 | ||||
| % of Total ICD M795 - Residual foreign body in soft tissue in DRG | 1.03 | ||||
| Avg LOS at DRG | 5.43 | ||||
| Avg LOS with ICD M795 - Residual foreign body in soft tissue | 6.31 | ||||
| Readmission Rate at DRG | 20.44 | ||||
| Readmission Rate with ICD M795 - Residual foreign body in soft tissue | NA | ||||
| Unplanned Readmission Rate at DRG | 8.73 | ||||
| Unplanned Readmission Rate with ICD M795 - Residual foreign body in soft tissue | NA | ||||
| Total Medicare payments at DRG | $202,875,030 | ||||
| Total Medicare payments with ICD M795 - Residual foreign body in soft tissue | $402,419 | ||||
| Total Medicare payment per Day at DRG | $1,966 | ||||
| Total Medicare payment per Day with ICD M795 - Residual foreign body in soft tissue | $1,636 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,671 | ||||
| Total Medicare payment per Hospitalization with ICD M795 - Residual foreign body in soft tissue | $10,318 | ||||
| Total Medicare Charges at DRG | $1,080,886,366 | ||||
| Total Medicare Charges with ICD M795 - Residual foreign body in soft tissue | $2,418,506 | ||||
| Avg Charges at DRG | $56,856 | ||||
| Avg Charges with ICD M795 - Residual foreign body in soft tissue | $62,013 | ||||
| Mortality Rate at DRG | 0.16 | ||||
| Mortality Rate with ICD M795 - Residual foreign body in soft tissue | NA | ||||
| SNF Discharge Rate at DRG | 30.6 | ||||
| SNF Discharge Rate with ICD M795 - Residual foreign body in soft tissue | NA | ||||
| Home Discharge Rate at DRG | 30.88 | ||||
| Home Discharge Rate with ICD M795 - Residual foreign body in soft tissue | 48.72 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| NUVANCE HEALTH - DANBURY HOSPITAL | 24 HOSPITAL AVE | DANBURY | CT | 06810 | 45 |
| MONTEFIORE MEDICAL CENTER | 111 E 210TH ST | BRONX | NY | 10467 | 17 |
| MOUNT SINAI HOSPITAL | 1 GUSTAVE L LEVY PL | NEW YORK | NY | 10029 | 16 |