*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| S0121XA - Laceration without foreign body of nose, initial encounter - as a primary diagnosis code | S0121XA - Laceration without foreign body of nose, initial encounter - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.07 | |
| Readmission Rate (%) | 21.67 | |
| Unplanned Readmission Rate (%) | 8.33 | |
| 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 155: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 133: OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 156: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 154: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 134: OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 13,587 | ||||
| Total Hospitalizations with ICD S0121XA - Laceration without foreign body of nose, initial encounter | 67 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD S0121XA - Laceration without foreign body of nose, initial encounter in DRG | 31.6 | ||||
| Avg LOS at DRG | 3.62 | ||||
| Avg LOS with ICD S0121XA - Laceration without foreign body of nose, initial encounter | 3.45 | ||||
| Readmission Rate at DRG | 16.1 | ||||
| Readmission Rate with ICD S0121XA - Laceration without foreign body of nose, initial encounter | 17.46 | ||||
| Unplanned Readmission Rate at DRG | 10.91 | ||||
| Unplanned Readmission Rate with ICD S0121XA - Laceration without foreign body of nose, initial encounter | NA | ||||
| Total Medicare payments at DRG | $76,567,952 | ||||
| Total Medicare payments with ICD S0121XA - Laceration without foreign body of nose, initial encounter | $389,119 | ||||
| Total Medicare payment per Day at DRG | $1,558 | ||||
| Total Medicare payment per Day with ICD S0121XA - Laceration without foreign body of nose, initial encounter | $1,684 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,635 | ||||
| Total Medicare payment per Hospitalization with ICD S0121XA - Laceration without foreign body of nose, initial encounter | $5,808 | ||||
| Total Medicare Charges at DRG | $413,036,189 | ||||
| Total Medicare Charges with ICD S0121XA - Laceration without foreign body of nose, initial encounter | $2,555,821 | ||||
| Avg Charges at DRG | $30,399 | ||||
| Avg Charges with ICD S0121XA - Laceration without foreign body of nose, initial encounter | $38,147 | ||||
| Mortality Rate at DRG | 0.38 | ||||
| Mortality Rate with ICD S0121XA - Laceration without foreign body of nose, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 19.94 | ||||
| SNF Discharge Rate with ICD S0121XA - Laceration without foreign body of nose, initial encounter | 23.88 | ||||
| Home Discharge Rate at DRG | 54.58 | ||||
| Home Discharge Rate with ICD S0121XA - Laceration without foreign body of nose, initial encounter | 44.78 |
*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 155: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | 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 133: OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 243,742 | ||||
| Total Hospitalizations with ICD S0121XA - Laceration without foreign body of nose, initial encounter | 471 | ||||
| DRG Share of Total Hospitalizations | 0.74 | ||||
| % of Total ICD S0121XA - Laceration without foreign body of nose, initial encounter in DRG | 5.39 | ||||
| Avg LOS at DRG | 2.84 | ||||
| Avg LOS with ICD S0121XA - Laceration without foreign body of nose, initial encounter | 2.7 | ||||
| Readmission Rate at DRG | 16.31 | ||||
| Readmission Rate with ICD S0121XA - Laceration without foreign body of nose, initial encounter | 13.77 | ||||
| Unplanned Readmission Rate at DRG | 11.3 | ||||
| Unplanned Readmission Rate with ICD S0121XA - Laceration without foreign body of nose, initial encounter | 6.09 | ||||
| Total Medicare payments at DRG | $1,150,233,161 | ||||
| Total Medicare payments with ICD S0121XA - Laceration without foreign body of nose, initial encounter | $2,190,723 | ||||
| Total Medicare payment per Day at DRG | $1,663 | ||||
| Total Medicare payment per Day with ICD S0121XA - Laceration without foreign body of nose, initial encounter | $1,722 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,719 | ||||
| Total Medicare payment per Hospitalization with ICD S0121XA - Laceration without foreign body of nose, initial encounter | $4,651 | ||||
| Total Medicare Charges at DRG | $6,931,408,244 | ||||
| Total Medicare Charges with ICD S0121XA - Laceration without foreign body of nose, initial encounter | $14,800,365 | ||||
| Avg Charges at DRG | $28,437 | ||||
| Avg Charges with ICD S0121XA - Laceration without foreign body of nose, initial encounter | $31,423 | ||||
| Mortality Rate at DRG | 0.31 | ||||
| Mortality Rate with ICD S0121XA - Laceration without foreign body of nose, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 18.06 | ||||
| SNF Discharge Rate with ICD S0121XA - Laceration without foreign body of nose, initial encounter | 20.59 | ||||
| Home Discharge Rate at DRG | 53.49 | ||||
| Home Discharge Rate with ICD S0121XA - Laceration without foreign body of nose, initial encounter | 49.47 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 087: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITHOUT 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) | DRG 563: FRACTURE SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH 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 | 34,301 | ||||
| Total Hospitalizations with ICD S0121XA - Laceration without foreign body of nose, initial encounter | 205 | ||||
| DRG Share of Total Hospitalizations | 0.1 | ||||
| % of Total ICD S0121XA - Laceration without foreign body of nose, initial encounter in DRG | 2.34 | ||||
| Avg LOS at DRG | 2.55 | ||||
| Avg LOS with ICD S0121XA - Laceration without foreign body of nose, initial encounter | 2.45 | ||||
| Readmission Rate at DRG | 19.05 | ||||
| Readmission Rate with ICD S0121XA - Laceration without foreign body of nose, initial encounter | 11.22 | ||||
| Unplanned Readmission Rate at DRG | 9.31 | ||||
| Unplanned Readmission Rate with ICD S0121XA - Laceration without foreign body of nose, initial encounter | NA | ||||
| Total Medicare payments at DRG | $165,565,037 | ||||
| Total Medicare payments with ICD S0121XA - Laceration without foreign body of nose, initial encounter | $951,656 | ||||
| Total Medicare payment per Day at DRG | $1,896 | ||||
| Total Medicare payment per Day with ICD S0121XA - Laceration without foreign body of nose, initial encounter | $1,896 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,827 | ||||
| Total Medicare payment per Hospitalization with ICD S0121XA - Laceration without foreign body of nose, initial encounter | $4,642 | ||||
| Total Medicare Charges at DRG | $1,045,144,829 | ||||
| Total Medicare Charges with ICD S0121XA - Laceration without foreign body of nose, initial encounter | $6,955,411 | ||||
| Avg Charges at DRG | $30,470 | ||||
| Avg Charges with ICD S0121XA - Laceration without foreign body of nose, initial encounter | $33,929 | ||||
| Mortality Rate at DRG | 1.23 | ||||
| Mortality Rate with ICD S0121XA - Laceration without foreign body of nose, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 20.31 | ||||
| SNF Discharge Rate with ICD S0121XA - Laceration without foreign body of nose, initial encounter | 19.51 | ||||
| Home Discharge Rate at DRG | 47.25 | ||||
| Home Discharge Rate with ICD S0121XA - Laceration without foreign body of nose, initial encounter | 53.17 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 156: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 154: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 085: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 264: OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 6,038 | ||||
| Total Hospitalizations with ICD S0121XA - Laceration without foreign body of nose, initial encounter | 136 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD S0121XA - Laceration without foreign body of nose, initial encounter in DRG | 1.56 | ||||
| Avg LOS at DRG | 2.59 | ||||
| Avg LOS with ICD S0121XA - Laceration without foreign body of nose, initial encounter | 1.92 | ||||
| Readmission Rate at DRG | 10.57 | ||||
| Readmission Rate with ICD S0121XA - Laceration without foreign body of nose, initial encounter | 11.02 | ||||
| Unplanned Readmission Rate at DRG | 6.88 | ||||
| Unplanned Readmission Rate with ICD S0121XA - Laceration without foreign body of nose, initial encounter | NA | ||||
| Total Medicare payments at DRG | $23,633,785 | ||||
| Total Medicare payments with ICD S0121XA - Laceration without foreign body of nose, initial encounter | $483,624 | ||||
| Total Medicare payment per Day at DRG | $1,511 | ||||
| Total Medicare payment per Day with ICD S0121XA - Laceration without foreign body of nose, initial encounter | $1,853 | ||||
| Total Medicare payment per Hospitalization at DRG | $3,914 | ||||
| Total Medicare payment per Hospitalization with ICD S0121XA - Laceration without foreign body of nose, initial encounter | $3,556 | ||||
| Total Medicare Charges at DRG | $137,620,530 | ||||
| Total Medicare Charges with ICD S0121XA - Laceration without foreign body of nose, initial encounter | $3,678,854 | ||||
| Avg Charges at DRG | $22,792 | ||||
| Avg Charges with ICD S0121XA - Laceration without foreign body of nose, initial encounter | $27,050 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD S0121XA - Laceration without foreign body of nose, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 10.09 | ||||
| SNF Discharge Rate with ICD S0121XA - Laceration without foreign body of nose, initial encounter | 23.53 | ||||
| Home Discharge Rate at DRG | 72.56 | ||||
| Home Discharge Rate with ICD S0121XA - Laceration without foreign body of nose, initial encounter | 41.91 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT 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 | 45,626 | ||||
| Total Hospitalizations with ICD S0121XA - Laceration without foreign body of nose, initial encounter | 109 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD S0121XA - Laceration without foreign body of nose, initial encounter in DRG | 1.25 | ||||
| Avg LOS at DRG | 6.58 | ||||
| Avg LOS with ICD S0121XA - Laceration without foreign body of nose, initial encounter | 6.09 | ||||
| Readmission Rate at DRG | 28.01 | ||||
| Readmission Rate with ICD S0121XA - Laceration without foreign body of nose, initial encounter | 24.44 | ||||
| Unplanned Readmission Rate at DRG | 15.44 | ||||
| Unplanned Readmission Rate with ICD S0121XA - Laceration without foreign body of nose, initial encounter | NA | ||||
| Total Medicare payments at DRG | $509,048,598 | ||||
| Total Medicare payments with ICD S0121XA - Laceration without foreign body of nose, initial encounter | $1,105,058 | ||||
| Total Medicare payment per Day at DRG | $1,696 | ||||
| Total Medicare payment per Day with ICD S0121XA - Laceration without foreign body of nose, initial encounter | $1,664 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,157 | ||||
| Total Medicare payment per Hospitalization with ICD S0121XA - Laceration without foreign body of nose, initial encounter | $10,138 | ||||
| Total Medicare Charges at DRG | $2,333,825,338 | ||||
| Total Medicare Charges with ICD S0121XA - Laceration without foreign body of nose, initial encounter | $7,380,544 | ||||
| Avg Charges at DRG | $51,151 | ||||
| Avg Charges with ICD S0121XA - Laceration without foreign body of nose, initial encounter | $67,711 | ||||
| Mortality Rate at DRG | 4.28 | ||||
| Mortality Rate with ICD S0121XA - Laceration without foreign body of nose, initial encounter | 14.68 | ||||
| SNF Discharge Rate at DRG | 39.84 | ||||
| SNF Discharge Rate with ICD S0121XA - Laceration without foreign body of nose, initial encounter | 36.7 | ||||
| Home Discharge Rate at DRG | 18.35 | ||||
| Home Discharge Rate with ICD S0121XA - Laceration without foreign body of nose, initial encounter | 16.51 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| THE UNIVERSITY OF TENNESSEE MEDICAL CENTER | 1924 ALCOA HWY | KNOXVILLE | TN | 37920 | 33 |
| COOPER UNIVERSITY HEALTH CARE | 1 COOPER PLZ | CAMDEN | NJ | 08103 | 32 |
| SARASOTA MEMORIAL HOSPITAL | 1700 S TAMIAMI TRL | SARASOTA | FL | 34239 | 32 |