*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| S0011XA - Contusion of right eyelid and periocular area, initial encounter - as a primary diagnosis code | S0011XA - Contusion of right eyelid and periocular area, initial encounter - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.3 | |
| Readmission Rate (%) | 23.0 | |
| Unplanned Readmission Rate (%) | 11.35 | |
| 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 125: OTHER DISORDERS OF THE EYE WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 124: OTHER DISORDERS OF THE EYE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 11,033 | |
| Total Hospitalizations with ICD S0011XA - Contusion of right eyelid and periocular area, initial encounter | 160 | |
| DRG Share of Total Hospitalizations | 0.03 | |
| % of Total ICD S0011XA - Contusion of right eyelid and periocular area, initial encounter in DRG | 80.81 | |
| Avg LOS at DRG | 3.12 | |
| Avg LOS with ICD S0011XA - Contusion of right eyelid and periocular area, initial encounter | 3.12 | |
| Readmission Rate at DRG | 14.43 | |
| Readmission Rate with ICD S0011XA - Contusion of right eyelid and periocular area, initial encounter | 16.56 | |
| Unplanned Readmission Rate at DRG | 9.53 | |
| Unplanned Readmission Rate with ICD S0011XA - Contusion of right eyelid and periocular area, initial encounter | 9.93 | |
| Total Medicare payments at DRG | $51,804,064 | |
| Total Medicare payments with ICD S0011XA - Contusion of right eyelid and periocular area, initial encounter | $744,950 | |
| Total Medicare payment per Day at DRG | $1,505 | |
| Total Medicare payment per Day with ICD S0011XA - Contusion of right eyelid and periocular area, initial encounter | $1,493 | |
| Total Medicare payment per Hospitalization at DRG | $4,695 | |
| Total Medicare payment per Hospitalization with ICD S0011XA - Contusion of right eyelid and periocular area, initial encounter | $4,656 | |
| Total Medicare Charges at DRG | $301,182,636 | |
| Total Medicare Charges with ICD S0011XA - Contusion of right eyelid and periocular area, initial encounter | $4,750,315 | |
| Avg Charges at DRG | $27,298 | |
| Avg Charges with ICD S0011XA - Contusion of right eyelid and periocular area, initial encounter | $29,689 | |
| Mortality Rate at DRG | 0.11 | |
| Mortality Rate with ICD S0011XA - Contusion of right eyelid and periocular area, initial encounter | NA | |
| SNF Discharge Rate at DRG | 17.96 | |
| SNF Discharge Rate with ICD S0011XA - Contusion of right eyelid and periocular area, initial encounter | 38.75 | |
| Home Discharge Rate at DRG | 57.38 | |
| Home Discharge Rate with ICD S0011XA - Contusion of right eyelid and periocular area, initial encounter | 30.63 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 086: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITH COMPLICATION OR COMORBIDITY (CC) | DRG 312: SYNCOPE AND COLLAPSE | DRG 605: TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 | 50,567 | ||||
| Total Hospitalizations with ICD S0011XA - Contusion of right eyelid and periocular area, initial encounter | 481 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD S0011XA - Contusion of right eyelid and periocular area, initial encounter in DRG | 4.34 | ||||
| Avg LOS at DRG | 4.05 | ||||
| Avg LOS with ICD S0011XA - Contusion of right eyelid and periocular area, initial encounter | 4.03 | ||||
| Readmission Rate at DRG | 26.88 | ||||
| Readmission Rate with ICD S0011XA - Contusion of right eyelid and periocular area, initial encounter | 26.15 | ||||
| Unplanned Readmission Rate at DRG | 12.36 | ||||
| Unplanned Readmission Rate with ICD S0011XA - Contusion of right eyelid and periocular area, initial encounter | 10.99 | ||||
| Total Medicare payments at DRG | $378,594,631 | ||||
| Total Medicare payments with ICD S0011XA - Contusion of right eyelid and periocular area, initial encounter | $3,541,327 | ||||
| Total Medicare payment per Day at DRG | $1,847 | ||||
| Total Medicare payment per Day with ICD S0011XA - Contusion of right eyelid and periocular area, initial encounter | $1,826 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,487 | ||||
| Total Medicare payment per Hospitalization with ICD S0011XA - Contusion of right eyelid and periocular area, initial encounter | $7,362 | ||||
| Total Medicare Charges at DRG | $2,140,437,521 | ||||
| Total Medicare Charges with ICD S0011XA - Contusion of right eyelid and periocular area, initial encounter | $19,673,468 | ||||
| Avg Charges at DRG | $42,329 | ||||
| Avg Charges with ICD S0011XA - Contusion of right eyelid and periocular area, initial encounter | $40,901 | ||||
| Mortality Rate at DRG | 1.75 | ||||
| Mortality Rate with ICD S0011XA - Contusion of right eyelid and periocular area, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 32.85 | ||||
| SNF Discharge Rate with ICD S0011XA - Contusion of right eyelid and periocular area, initial encounter | 31.6 | ||||
| Home Discharge Rate at DRG | 27.18 | ||||
| Home Discharge Rate with ICD S0011XA - Contusion of right eyelid and periocular area, initial encounter | 24.74 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 563: FRACTURE SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 125: OTHER DISORDERS OF THE EYE WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 085: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 83,488 | ||||
| Total Hospitalizations with ICD S0011XA - Contusion of right eyelid and periocular area, initial encounter | 271 | ||||
| DRG Share of Total Hospitalizations | 0.25 | ||||
| % of Total ICD S0011XA - Contusion of right eyelid and periocular area, initial encounter in DRG | 2.45 | ||||
| Avg LOS at DRG | 3.48 | ||||
| Avg LOS with ICD S0011XA - Contusion of right eyelid and periocular area, initial encounter | 3.49 | ||||
| Readmission Rate at DRG | 19.78 | ||||
| Readmission Rate with ICD S0011XA - Contusion of right eyelid and periocular area, initial encounter | 19.62 | ||||
| Unplanned Readmission Rate at DRG | 8.24 | ||||
| Unplanned Readmission Rate with ICD S0011XA - Contusion of right eyelid and periocular area, initial encounter | 8.85 | ||||
| Total Medicare payments at DRG | $412,311,224 | ||||
| Total Medicare payments with ICD S0011XA - Contusion of right eyelid and periocular area, initial encounter | $1,410,693 | ||||
| Total Medicare payment per Day at DRG | $1,421 | ||||
| Total Medicare payment per Day with ICD S0011XA - Contusion of right eyelid and periocular area, initial encounter | $1,491 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,939 | ||||
| Total Medicare payment per Hospitalization with ICD S0011XA - Contusion of right eyelid and periocular area, initial encounter | $5,206 | ||||
| Total Medicare Charges at DRG | $2,194,270,678 | ||||
| Total Medicare Charges with ICD S0011XA - Contusion of right eyelid and periocular area, initial encounter | $8,295,754 | ||||
| Avg Charges at DRG | $26,282 | ||||
| Avg Charges with ICD S0011XA - Contusion of right eyelid and periocular area, initial encounter | $30,612 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD S0011XA - Contusion of right eyelid and periocular area, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 54.16 | ||||
| SNF Discharge Rate with ICD S0011XA - Contusion of right eyelid and periocular area, initial encounter | 54.98 | ||||
| Home Discharge Rate at DRG | 17.27 | ||||
| Home Discharge Rate with ICD S0011XA - Contusion of right eyelid and periocular area, initial encounter | 16.61 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 083: TRAUMATIC STUPOR AND COMA, COMA >1 HOUR WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD S0011XA - Contusion of right eyelid and periocular area, initial encounter | 210 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD S0011XA - Contusion of right eyelid and periocular area, initial encounter in DRG | 1.9 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD S0011XA - Contusion of right eyelid and periocular area, initial encounter | 3.85 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD S0011XA - Contusion of right eyelid and periocular area, initial encounter | 11.5 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD S0011XA - Contusion of right eyelid and periocular area, initial encounter | 9.0 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD S0011XA - Contusion of right eyelid and periocular area, initial encounter | $1,093,745 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD S0011XA - Contusion of right eyelid and periocular area, initial encounter | $1,354 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD S0011XA - Contusion of right eyelid and periocular area, initial encounter | $5,208 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD S0011XA - Contusion of right eyelid and periocular area, initial encounter | $5,984,552 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD S0011XA - Contusion of right eyelid and periocular area, initial encounter | $28,498 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD S0011XA - Contusion of right eyelid and periocular area, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD S0011XA - Contusion of right eyelid and periocular area, initial encounter | 53.33 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD S0011XA - Contusion of right eyelid and periocular area, initial encounter | 16.19 |
*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 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 084: TRAUMATIC STUPOR AND COMA, COMA >1 HOUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD S0011XA - Contusion of right eyelid and periocular area, initial encounter | 140 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD S0011XA - Contusion of right eyelid and periocular area, initial encounter in DRG | 1.26 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD S0011XA - Contusion of right eyelid and periocular area, initial encounter | 6.32 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD S0011XA - Contusion of right eyelid and periocular area, initial encounter | 37.5 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD S0011XA - Contusion of right eyelid and periocular area, initial encounter | 35.0 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD S0011XA - Contusion of right eyelid and periocular area, initial encounter | $1,361,429 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD S0011XA - Contusion of right eyelid and periocular area, initial encounter | $1,538 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD S0011XA - Contusion of right eyelid and periocular area, initial encounter | $9,724 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD S0011XA - Contusion of right eyelid and periocular area, initial encounter | $7,154,007 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD S0011XA - Contusion of right eyelid and periocular area, initial encounter | $51,100 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD S0011XA - Contusion of right eyelid and periocular area, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD S0011XA - Contusion of right eyelid and periocular area, initial encounter | 32.86 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD S0011XA - Contusion of right eyelid and periocular area, initial encounter | 16.43 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| DELRAY MEDICAL CENTER | 5352 LINTON BLVD | DELRAY BEACH | FL | 33484 | 82 |
| SARASOTA MEMORIAL HOSPITAL | 1700 S TAMIAMI TRL | SARASOTA | FL | 34239 | 61 |
| HENNEPIN COUNTY MEDICAL CENTER | 701 PARK AVE, P1-FINANCE | MINNEAPOLIS | MN | 55415 | 42 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ANGELA N. JONES | 1601 CLINT MOORE RD | BOCA RATON | FL | 33487 | 14 |
| Dr. ALAN CLAYTON BROCKHURST | 720 W OAK ST | KISSIMMEE | FL | 34741 | 13 |
| Dr. STANLEY E OKOSUN | 2300 S 16TH ST | LINCOLN | NE | 68502 | 12 |