*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| S01111A - Laceration without foreign body of right eyelid and periocular area, initial encounter - as a primary diagnosis code | S01111A - Laceration without foreign body of right eyelid and periocular area, initial encounter - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.32 | |
| Readmission Rate (%) | 22.87 | |
| Unplanned Readmission Rate (%) | 7.45 | |
| 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) | DRG 115: EXTRAOCULAR PROCEDURES EXCEPT ORBIT | DRG 113: ORBITAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 988: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 11,033 | ||||
| Total Hospitalizations with ICD S01111A - Laceration without foreign body of right eyelid and periocular area, initial encounter | 280 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD S01111A - Laceration without foreign body of right eyelid and periocular area, initial encounter in DRG | 62.64 | ||||
| Avg LOS at DRG | 3.12 | ||||
| Avg LOS with ICD S01111A - Laceration without foreign body of right eyelid and periocular area, initial encounter | 1.98 | ||||
| Readmission Rate at DRG | 14.43 | ||||
| Readmission Rate with ICD S01111A - Laceration without foreign body of right eyelid and periocular area, initial encounter | 11.24 | ||||
| Unplanned Readmission Rate at DRG | 9.53 | ||||
| Unplanned Readmission Rate with ICD S01111A - Laceration without foreign body of right eyelid and periocular area, initial encounter | 7.36 | ||||
| Total Medicare payments at DRG | $51,804,064 | ||||
| Total Medicare payments with ICD S01111A - Laceration without foreign body of right eyelid and periocular area, initial encounter | $1,384,426 | ||||
| Total Medicare payment per Day at DRG | $1,505 | ||||
| Total Medicare payment per Day with ICD S01111A - Laceration without foreign body of right eyelid and periocular area, initial encounter | $2,503 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,695 | ||||
| Total Medicare payment per Hospitalization with ICD S01111A - Laceration without foreign body of right eyelid and periocular area, initial encounter | $4,944 | ||||
| Total Medicare Charges at DRG | $301,182,636 | ||||
| Total Medicare Charges with ICD S01111A - Laceration without foreign body of right eyelid and periocular area, initial encounter | $8,055,480 | ||||
| Avg Charges at DRG | $27,298 | ||||
| Avg Charges with ICD S01111A - Laceration without foreign body of right eyelid and periocular area, initial encounter | $28,770 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD S01111A - Laceration without foreign body of right eyelid and periocular area, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 17.96 | ||||
| SNF Discharge Rate with ICD S01111A - Laceration without foreign body of right eyelid and periocular area, initial encounter | 23.57 | ||||
| Home Discharge Rate at DRG | 57.38 | ||||
| Home Discharge Rate with ICD S01111A - Laceration without foreign body of right eyelid and periocular area, initial encounter | 44.64 |
*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 087: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 125: OTHER DISORDERS OF THE EYE WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 083: TRAUMATIC STUPOR AND COMA, COMA >1 HOUR WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 50,567 | ||||
| Total Hospitalizations with ICD S01111A - Laceration without foreign body of right eyelid and periocular area, initial encounter | 814 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD S01111A - Laceration without foreign body of right eyelid and periocular area, initial encounter in DRG | 5.85 | ||||
| Avg LOS at DRG | 4.05 | ||||
| Avg LOS with ICD S01111A - Laceration without foreign body of right eyelid and periocular area, initial encounter | 3.59 | ||||
| Readmission Rate at DRG | 26.88 | ||||
| Readmission Rate with ICD S01111A - Laceration without foreign body of right eyelid and periocular area, initial encounter | 25.03 | ||||
| Unplanned Readmission Rate at DRG | 12.36 | ||||
| Unplanned Readmission Rate with ICD S01111A - Laceration without foreign body of right eyelid and periocular area, initial encounter | 10.78 | ||||
| Total Medicare payments at DRG | $378,594,631 | ||||
| Total Medicare payments with ICD S01111A - Laceration without foreign body of right eyelid and periocular area, initial encounter | $5,914,150 | ||||
| Total Medicare payment per Day at DRG | $1,847 | ||||
| Total Medicare payment per Day with ICD S01111A - Laceration without foreign body of right eyelid and periocular area, initial encounter | $2,021 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,487 | ||||
| Total Medicare payment per Hospitalization with ICD S01111A - Laceration without foreign body of right eyelid and periocular area, initial encounter | $7,266 | ||||
| Total Medicare Charges at DRG | $2,140,437,521 | ||||
| Total Medicare Charges with ICD S01111A - Laceration without foreign body of right eyelid and periocular area, initial encounter | $34,754,385 | ||||
| Avg Charges at DRG | $42,329 | ||||
| Avg Charges with ICD S01111A - Laceration without foreign body of right eyelid and periocular area, initial encounter | $42,696 | ||||
| Mortality Rate at DRG | 1.75 | ||||
| Mortality Rate with ICD S01111A - Laceration without foreign body of right eyelid and periocular area, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 32.85 | ||||
| SNF Discharge Rate with ICD S01111A - Laceration without foreign body of right eyelid and periocular area, initial encounter | 35.63 | ||||
| Home Discharge Rate at DRG | 27.18 | ||||
| Home Discharge Rate with ICD S01111A - Laceration without foreign body of right eyelid and periocular area, initial encounter | 27.76 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 085: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITH 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 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 988: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 30,602 | ||||
| Total Hospitalizations with ICD S01111A - Laceration without foreign body of right eyelid and periocular area, initial encounter | 307 | ||||
| DRG Share of Total Hospitalizations | 0.09 | ||||
| % of Total ICD S01111A - Laceration without foreign body of right eyelid and periocular area, initial encounter in DRG | 2.2 | ||||
| Avg LOS at DRG | 6.57 | ||||
| Avg LOS with ICD S01111A - Laceration without foreign body of right eyelid and periocular area, initial encounter | 6.41 | ||||
| Readmission Rate at DRG | 32.81 | ||||
| Readmission Rate with ICD S01111A - Laceration without foreign body of right eyelid and periocular area, initial encounter | 27.59 | ||||
| Unplanned Readmission Rate at DRG | 15.0 | ||||
| Unplanned Readmission Rate with ICD S01111A - Laceration without foreign body of right eyelid and periocular area, initial encounter | 12.26 | ||||
| Total Medicare payments at DRG | $424,301,347 | ||||
| Total Medicare payments with ICD S01111A - Laceration without foreign body of right eyelid and periocular area, initial encounter | $4,406,431 | ||||
| Total Medicare payment per Day at DRG | $2,110 | ||||
| Total Medicare payment per Day with ICD S01111A - Laceration without foreign body of right eyelid and periocular area, initial encounter | $2,240 | ||||
| Total Medicare payment per Hospitalization at DRG | $13,865 | ||||
| Total Medicare payment per Hospitalization with ICD S01111A - Laceration without foreign body of right eyelid and periocular area, initial encounter | $14,353 | ||||
| Total Medicare Charges at DRG | $2,161,291,563 | ||||
| Total Medicare Charges with ICD S01111A - Laceration without foreign body of right eyelid and periocular area, initial encounter | $22,244,592 | ||||
| Avg Charges at DRG | $70,626 | ||||
| Avg Charges with ICD S01111A - Laceration without foreign body of right eyelid and periocular area, initial encounter | $72,458 | ||||
| Mortality Rate at DRG | 12.18 | ||||
| Mortality Rate with ICD S01111A - Laceration without foreign body of right eyelid and periocular area, initial encounter | 9.45 | ||||
| SNF Discharge Rate at DRG | 33.65 | ||||
| SNF Discharge Rate with ICD S01111A - Laceration without foreign body of right eyelid and periocular area, initial encounter | 34.85 | ||||
| Home Discharge Rate at DRG | 14.18 | ||||
| Home Discharge Rate with ICD S01111A - Laceration without foreign body of right eyelid and periocular area, initial encounter | 15.64 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 084: TRAUMATIC STUPOR AND COMA, COMA >1 HOUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 082: TRAUMATIC STUPOR AND COMA, COMA >1 HOUR 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 | 195,476 | ||||
| Total Hospitalizations with ICD S01111A - Laceration without foreign body of right eyelid and periocular area, initial encounter | 215 | ||||
| DRG Share of Total Hospitalizations | 0.59 | ||||
| % of Total ICD S01111A - Laceration without foreign body of right eyelid and periocular area, initial encounter in DRG | 1.54 | ||||
| Avg LOS at DRG | 4.48 | ||||
| Avg LOS with ICD S01111A - Laceration without foreign body of right eyelid and periocular area, initial encounter | 3.28 | ||||
| Readmission Rate at DRG | 20.57 | ||||
| Readmission Rate with ICD S01111A - Laceration without foreign body of right eyelid and periocular area, initial encounter | 19.21 | ||||
| Unplanned Readmission Rate at DRG | 9.88 | ||||
| Unplanned Readmission Rate with ICD S01111A - Laceration without foreign body of right eyelid and periocular area, initial encounter | 6.9 | ||||
| Total Medicare payments at DRG | $1,320,662,237 | ||||
| Total Medicare payments with ICD S01111A - Laceration without foreign body of right eyelid and periocular area, initial encounter | $1,085,103 | ||||
| Total Medicare payment per Day at DRG | $1,508 | ||||
| Total Medicare payment per Day with ICD S01111A - Laceration without foreign body of right eyelid and periocular area, initial encounter | $1,537 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,756 | ||||
| Total Medicare payment per Hospitalization with ICD S01111A - Laceration without foreign body of right eyelid and periocular area, initial encounter | $5,047 | ||||
| Total Medicare Charges at DRG | $6,024,639,461 | ||||
| Total Medicare Charges with ICD S01111A - Laceration without foreign body of right eyelid and periocular area, initial encounter | $8,031,755 | ||||
| Avg Charges at DRG | $30,820 | ||||
| Avg Charges with ICD S01111A - Laceration without foreign body of right eyelid and periocular area, initial encounter | $37,357 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD S01111A - Laceration without foreign body of right eyelid and periocular area, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 33.36 | ||||
| SNF Discharge Rate with ICD S01111A - Laceration without foreign body of right eyelid and periocular area, initial encounter | 40.0 | ||||
| Home Discharge Rate at DRG | 30.98 | ||||
| Home Discharge Rate with ICD S01111A - Laceration without foreign body of right eyelid and periocular area, initial encounter | 25.12 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 536: FRACTURES OF HIP AND PELVIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 101: SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 605: TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD S01111A - Laceration without foreign body of right eyelid and periocular area, initial encounter | 156 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD S01111A - Laceration without foreign body of right eyelid and periocular area, initial encounter in DRG | 1.12 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD S01111A - Laceration without foreign body of right eyelid and periocular area, initial encounter | 4.04 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD S01111A - Laceration without foreign body of right eyelid and periocular area, initial encounter | 17.57 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD S01111A - Laceration without foreign body of right eyelid and periocular area, initial encounter | 11.49 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD S01111A - Laceration without foreign body of right eyelid and periocular area, initial encounter | $932,449 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD S01111A - Laceration without foreign body of right eyelid and periocular area, initial encounter | $1,478 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD S01111A - Laceration without foreign body of right eyelid and periocular area, initial encounter | $5,977 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD S01111A - Laceration without foreign body of right eyelid and periocular area, initial encounter | $5,608,516 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD S01111A - Laceration without foreign body of right eyelid and periocular area, initial encounter | $35,952 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD S01111A - Laceration without foreign body of right eyelid and periocular area, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD S01111A - Laceration without foreign body of right eyelid and periocular area, initial encounter | 35.26 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD S01111A - Laceration without foreign body of right eyelid and periocular area, initial encounter | 34.62 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| SARASOTA MEMORIAL HOSPITAL | 1700 S TAMIAMI TRL | SARASOTA | FL | 34239 | 76 |
| INOVA FAIRFAX HOSPITAL | 3300 GALLOWS RD | FALLS CHURCH | VA | 22042 | 54 |
| RHODE ISLAND HOSPITAL | 593 EDDY ST | PROVIDENCE | RI | 02903 | 53 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ALAN CLAYTON BROCKHURST | 720 W OAK ST | KISSIMMEE | FL | 34741 | 13 |
| Dr. LUIS EDUARDO LLERENA | 14100 FIVAY RD | HUDSON | FL | 34667 | 11 |