*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| S0001XA - Abrasion of scalp, initial encounter - as a primary diagnosis code | S0001XA - Abrasion of scalp, initial encounter - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.08 | |
| Readmission Rate (%) | 23.2 | |
| Unplanned Readmission Rate (%) | 13.55 | |
| 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 605: TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 604: TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 45,787 | |
| Total Hospitalizations with ICD S0001XA - Abrasion of scalp, initial encounter | 135 | |
| DRG Share of Total Hospitalizations | 0.14 | |
| % of Total ICD S0001XA - Abrasion of scalp, initial encounter in DRG | 80.36 | |
| Avg LOS at DRG | 3.25 | |
| Avg LOS with ICD S0001XA - Abrasion of scalp, initial encounter | 2.14 | |
| Readmission Rate at DRG | 18.27 | |
| Readmission Rate with ICD S0001XA - Abrasion of scalp, initial encounter | 19.05 | |
| Unplanned Readmission Rate at DRG | 10.63 | |
| Unplanned Readmission Rate with ICD S0001XA - Abrasion of scalp, initial encounter | 12.7 | |
| Total Medicare payments at DRG | $234,309,332 | |
| Total Medicare payments with ICD S0001XA - Abrasion of scalp, initial encounter | $737,864 | |
| Total Medicare payment per Day at DRG | $1,573 | |
| Total Medicare payment per Day with ICD S0001XA - Abrasion of scalp, initial encounter | $2,553 | |
| Total Medicare payment per Hospitalization at DRG | $5,117 | |
| Total Medicare payment per Hospitalization with ICD S0001XA - Abrasion of scalp, initial encounter | $5,466 | |
| Total Medicare Charges at DRG | $1,321,005,538 | |
| Total Medicare Charges with ICD S0001XA - Abrasion of scalp, initial encounter | $3,666,163 | |
| Avg Charges at DRG | $28,851 | |
| Avg Charges with ICD S0001XA - Abrasion of scalp, initial encounter | $27,157 | |
| Mortality Rate at DRG | 0.2 | |
| Mortality Rate with ICD S0001XA - Abrasion of scalp, initial encounter | NA | |
| SNF Discharge Rate at DRG | 32.81 | |
| SNF Discharge Rate with ICD S0001XA - Abrasion of scalp, initial encounter | 26.67 | |
| Home Discharge Rate at DRG | 35.13 | |
| Home Discharge Rate with ICD S0001XA - Abrasion of scalp, initial encounter | 42.96 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 312: SYNCOPE AND COLLAPSE | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 086: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITH COMPLICATION OR COMORBIDITY (CC) | DRG 087: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 243,742 | ||||
| Total Hospitalizations with ICD S0001XA - Abrasion of scalp, initial encounter | 489 | ||||
| DRG Share of Total Hospitalizations | 0.74 | ||||
| % of Total ICD S0001XA - Abrasion of scalp, initial encounter in DRG | 4.48 | ||||
| Avg LOS at DRG | 2.84 | ||||
| Avg LOS with ICD S0001XA - Abrasion of scalp, initial encounter | 2.54 | ||||
| Readmission Rate at DRG | 16.31 | ||||
| Readmission Rate with ICD S0001XA - Abrasion of scalp, initial encounter | 13.3 | ||||
| Unplanned Readmission Rate at DRG | 11.3 | ||||
| Unplanned Readmission Rate with ICD S0001XA - Abrasion of scalp, initial encounter | 6.87 | ||||
| Total Medicare payments at DRG | $1,150,233,161 | ||||
| Total Medicare payments with ICD S0001XA - Abrasion of scalp, initial encounter | $2,284,892 | ||||
| Total Medicare payment per Day at DRG | $1,663 | ||||
| Total Medicare payment per Day with ICD S0001XA - Abrasion of scalp, initial encounter | $1,837 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,719 | ||||
| Total Medicare payment per Hospitalization with ICD S0001XA - Abrasion of scalp, initial encounter | $4,673 | ||||
| Total Medicare Charges at DRG | $6,931,408,244 | ||||
| Total Medicare Charges with ICD S0001XA - Abrasion of scalp, initial encounter | $15,530,478 | ||||
| Avg Charges at DRG | $28,437 | ||||
| Avg Charges with ICD S0001XA - Abrasion of scalp, initial encounter | $31,760 | ||||
| Mortality Rate at DRG | 0.31 | ||||
| Mortality Rate with ICD S0001XA - Abrasion of scalp, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 18.06 | ||||
| SNF Discharge Rate with ICD S0001XA - Abrasion of scalp, initial encounter | 20.86 | ||||
| Home Discharge Rate at DRG | 53.49 | ||||
| Home Discharge Rate with ICD S0001XA - Abrasion of scalp, initial encounter | 50.1 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 605: TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 085: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 885: PSYCHOSES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 45,787 | ||||
| Total Hospitalizations with ICD S0001XA - Abrasion of scalp, initial encounter | 277 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD S0001XA - Abrasion of scalp, initial encounter in DRG | 2.54 | ||||
| Avg LOS at DRG | 3.25 | ||||
| Avg LOS with ICD S0001XA - Abrasion of scalp, initial encounter | 2.56 | ||||
| Readmission Rate at DRG | 18.27 | ||||
| Readmission Rate with ICD S0001XA - Abrasion of scalp, initial encounter | 15.91 | ||||
| Unplanned Readmission Rate at DRG | 10.63 | ||||
| Unplanned Readmission Rate with ICD S0001XA - Abrasion of scalp, initial encounter | 11.36 | ||||
| Total Medicare payments at DRG | $234,309,332 | ||||
| Total Medicare payments with ICD S0001XA - Abrasion of scalp, initial encounter | $1,460,634 | ||||
| Total Medicare payment per Day at DRG | $1,573 | ||||
| Total Medicare payment per Day with ICD S0001XA - Abrasion of scalp, initial encounter | $2,057 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,117 | ||||
| Total Medicare payment per Hospitalization with ICD S0001XA - Abrasion of scalp, initial encounter | $5,273 | ||||
| Total Medicare Charges at DRG | $1,321,005,538 | ||||
| Total Medicare Charges with ICD S0001XA - Abrasion of scalp, initial encounter | $8,777,932 | ||||
| Avg Charges at DRG | $28,851 | ||||
| Avg Charges with ICD S0001XA - Abrasion of scalp, initial encounter | $31,689 | ||||
| Mortality Rate at DRG | 0.2 | ||||
| Mortality Rate with ICD S0001XA - Abrasion of scalp, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 32.81 | ||||
| SNF Discharge Rate with ICD S0001XA - Abrasion of scalp, initial encounter | 31.05 | ||||
| Home Discharge Rate at DRG | 35.13 | ||||
| Home Discharge Rate with ICD S0001XA - Abrasion of scalp, initial encounter | 41.88 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 083: TRAUMATIC STUPOR AND COMA, COMA >1 HOUR WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT 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 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 19,415 | ||||
| Total Hospitalizations with ICD S0001XA - Abrasion of scalp, initial encounter | 186 | ||||
| DRG Share of Total Hospitalizations | 0.06 | ||||
| % of Total ICD S0001XA - Abrasion of scalp, initial encounter in DRG | 1.7 | ||||
| Avg LOS at DRG | 4.33 | ||||
| Avg LOS with ICD S0001XA - Abrasion of scalp, initial encounter | 3.69 | ||||
| Readmission Rate at DRG | 27.41 | ||||
| Readmission Rate with ICD S0001XA - Abrasion of scalp, initial encounter | 28.32 | ||||
| Unplanned Readmission Rate at DRG | 11.53 | ||||
| Unplanned Readmission Rate with ICD S0001XA - Abrasion of scalp, initial encounter | 10.98 | ||||
| Total Medicare payments at DRG | $170,996,169 | ||||
| Total Medicare payments with ICD S0001XA - Abrasion of scalp, initial encounter | $1,603,796 | ||||
| Total Medicare payment per Day at DRG | $2,034 | ||||
| Total Medicare payment per Day with ICD S0001XA - Abrasion of scalp, initial encounter | $2,338 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,807 | ||||
| Total Medicare payment per Hospitalization with ICD S0001XA - Abrasion of scalp, initial encounter | $8,623 | ||||
| Total Medicare Charges at DRG | $900,861,807 | ||||
| Total Medicare Charges with ICD S0001XA - Abrasion of scalp, initial encounter | $8,813,093 | ||||
| Avg Charges at DRG | $46,400 | ||||
| Avg Charges with ICD S0001XA - Abrasion of scalp, initial encounter | $47,382 | ||||
| Mortality Rate at DRG | 5.22 | ||||
| Mortality Rate with ICD S0001XA - Abrasion of scalp, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 29.13 | ||||
| SNF Discharge Rate with ICD S0001XA - Abrasion of scalp, initial encounter | 19.89 | ||||
| Home Discharge Rate at DRG | 28.24 | ||||
| Home Discharge Rate with ICD S0001XA - Abrasion of scalp, initial encounter | 32.8 |
*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 084: TRAUMATIC STUPOR AND COMA, COMA >1 HOUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 536: FRACTURES OF HIP AND PELVIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 184: MAJOR CHEST TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD S0001XA - Abrasion of scalp, initial encounter | 147 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD S0001XA - Abrasion of scalp, initial encounter in DRG | 1.35 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD S0001XA - Abrasion of scalp, initial encounter | 4.89 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD S0001XA - Abrasion of scalp, initial encounter | 22.3 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD S0001XA - Abrasion of scalp, initial encounter | 8.63 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD S0001XA - Abrasion of scalp, initial encounter | $1,896,947 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD S0001XA - Abrasion of scalp, initial encounter | $2,638 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD S0001XA - Abrasion of scalp, initial encounter | $12,904 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD S0001XA - Abrasion of scalp, initial encounter | $10,887,215 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD S0001XA - Abrasion of scalp, initial encounter | $74,063 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD S0001XA - Abrasion of scalp, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD S0001XA - Abrasion of scalp, initial encounter | 68.71 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD S0001XA - Abrasion of scalp, initial encounter | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| SARASOTA MEMORIAL HOSPITAL | 1700 S TAMIAMI TRL | SARASOTA | FL | 34239 | 56 |
| LEHIGH VALLEY HOSPITAL - CEDAR CREST | 1200 S CEDAR CREST BLVD | ALLENTOWN | PA | 18103 | 46 |
| ST. LUKE'S UNIVERSITY HOSPITAL - BETHLEHEM CAMPUS | 801 OSTRUM ST | BETHLEHEM | PA | 18015 | 38 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. STANLEY E OKOSUN | 2300 S 16TH ST | LINCOLN | NE | 68502 | 25 |
| Dr. CHRISTIAN R SCHUETZ | 2042 FRIST BLVD | FORT PIERCE | FL | 34950 | 12 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | F0390 | Unspecified dementia without behavioral disturbance |
| 2 | Z9181 | History of falling |
| 3 | Z7982 | Long term (current) use of aspirin |
| 4 | I10 | Essential (primary) hypertension |
| 5 | I4891 | Unspecified atrial fibrillation |