*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| S01511A - Laceration without foreign body of lip, initial encounter - as a primary diagnosis code | S01511A - Laceration without foreign body of lip, initial encounter - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.22 | |
| Readmission Rate (%) | 21.77 | |
| Unplanned Readmission Rate (%) | 9.31 | |
| 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 158: DENTAL AND ORAL DISEASES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 159: DENTAL AND ORAL DISEASES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 157: DENTAL AND ORAL DISEASES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 137: MOUTH PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 | 10,966 | ||||
| Total Hospitalizations with ICD S01511A - Laceration without foreign body of lip, initial encounter | 110 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD S01511A - Laceration without foreign body of lip, initial encounter in DRG | 31.52 | ||||
| Avg LOS at DRG | 3.55 | ||||
| Avg LOS with ICD S01511A - Laceration without foreign body of lip, initial encounter | 2.91 | ||||
| Readmission Rate at DRG | 16.16 | ||||
| Readmission Rate with ICD S01511A - Laceration without foreign body of lip, initial encounter | 13.46 | ||||
| Unplanned Readmission Rate at DRG | 10.54 | ||||
| Unplanned Readmission Rate with ICD S01511A - Laceration without foreign body of lip, initial encounter | NA | ||||
| Total Medicare payments at DRG | $61,877,531 | ||||
| Total Medicare payments with ICD S01511A - Laceration without foreign body of lip, initial encounter | $582,463 | ||||
| Total Medicare payment per Day at DRG | $1,590 | ||||
| Total Medicare payment per Day with ICD S01511A - Laceration without foreign body of lip, initial encounter | $1,820 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,643 | ||||
| Total Medicare payment per Hospitalization with ICD S01511A - Laceration without foreign body of lip, initial encounter | $5,295 | ||||
| Total Medicare Charges at DRG | $330,565,798 | ||||
| Total Medicare Charges with ICD S01511A - Laceration without foreign body of lip, initial encounter | $4,182,484 | ||||
| Avg Charges at DRG | $30,145 | ||||
| Avg Charges with ICD S01511A - Laceration without foreign body of lip, initial encounter | $38,023 | ||||
| Mortality Rate at DRG | 0.26 | ||||
| Mortality Rate with ICD S01511A - Laceration without foreign body of lip, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 13.73 | ||||
| SNF Discharge Rate with ICD S01511A - Laceration without foreign body of lip, initial encounter | 26.36 | ||||
| Home Discharge Rate at DRG | 61.66 | ||||
| Home Discharge Rate with ICD S01511A - Laceration without foreign body of lip, initial encounter | 40.91 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 138: MOUTH PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 1,417 |
| Total Hospitalizations with ICD S01511A - Laceration without foreign body of lip, initial encounter | 11 |
| DRG Share of Total Hospitalizations | 0.0 |
| % of Total ICD S01511A - Laceration without foreign body of lip, initial encounter in DRG | 3.15 |
| Avg LOS at DRG | 2.44 |
| Avg LOS with ICD S01511A - Laceration without foreign body of lip, initial encounter | 1.64 |
| Readmission Rate at DRG | 8.38 |
| Readmission Rate with ICD S01511A - Laceration without foreign body of lip, initial encounter | NA |
| Unplanned Readmission Rate at DRG | 4.34 |
| Unplanned Readmission Rate with ICD S01511A - Laceration without foreign body of lip, initial encounter | NA |
| Total Medicare payments at DRG | $7,218,397 |
| Total Medicare payments with ICD S01511A - Laceration without foreign body of lip, initial encounter | $43,596 |
| Total Medicare payment per Day at DRG | $2,084 |
| Total Medicare payment per Day with ICD S01511A - Laceration without foreign body of lip, initial encounter | $2,422 |
| Total Medicare payment per Hospitalization at DRG | $5,094 |
| Total Medicare payment per Hospitalization with ICD S01511A - Laceration without foreign body of lip, initial encounter | $3,963 |
| Total Medicare Charges at DRG | $47,001,774 |
| Total Medicare Charges with ICD S01511A - Laceration without foreign body of lip, initial encounter | $347,532 |
| Avg Charges at DRG | $33,170 |
| Avg Charges with ICD S01511A - Laceration without foreign body of lip, initial encounter | $31,594 |
| Mortality Rate at DRG | NA |
| Mortality Rate with ICD S01511A - Laceration without foreign body of lip, initial encounter | NA |
| SNF Discharge Rate at DRG | 4.09 |
| SNF Discharge Rate with ICD S01511A - Laceration without foreign body of lip, initial encounter | NA |
| Home Discharge Rate at DRG | 86.03 |
| Home Discharge Rate with ICD S01511A - Laceration without foreign body of lip, initial encounter | NA |
*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 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 563: FRACTURE SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 158: DENTAL AND ORAL DISEASES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 243,742 | ||||
| Total Hospitalizations with ICD S01511A - Laceration without foreign body of lip, initial encounter | 713 | ||||
| DRG Share of Total Hospitalizations | 0.74 | ||||
| % of Total ICD S01511A - Laceration without foreign body of lip, initial encounter in DRG | 5.47 | ||||
| Avg LOS at DRG | 2.84 | ||||
| Avg LOS with ICD S01511A - Laceration without foreign body of lip, initial encounter | 2.64 | ||||
| Readmission Rate at DRG | 16.31 | ||||
| Readmission Rate with ICD S01511A - Laceration without foreign body of lip, initial encounter | 13.44 | ||||
| Unplanned Readmission Rate at DRG | 11.3 | ||||
| Unplanned Readmission Rate with ICD S01511A - Laceration without foreign body of lip, initial encounter | 8.71 | ||||
| Total Medicare payments at DRG | $1,150,233,161 | ||||
| Total Medicare payments with ICD S01511A - Laceration without foreign body of lip, initial encounter | $3,270,860 | ||||
| Total Medicare payment per Day at DRG | $1,663 | ||||
| Total Medicare payment per Day with ICD S01511A - Laceration without foreign body of lip, initial encounter | $1,740 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,719 | ||||
| Total Medicare payment per Hospitalization with ICD S01511A - Laceration without foreign body of lip, initial encounter | $4,587 | ||||
| Total Medicare Charges at DRG | $6,931,408,244 | ||||
| Total Medicare Charges with ICD S01511A - Laceration without foreign body of lip, initial encounter | $23,028,898 | ||||
| Avg Charges at DRG | $28,437 | ||||
| Avg Charges with ICD S01511A - Laceration without foreign body of lip, initial encounter | $32,299 | ||||
| Mortality Rate at DRG | 0.31 | ||||
| Mortality Rate with ICD S01511A - Laceration without foreign body of lip, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 18.06 | ||||
| SNF Discharge Rate with ICD S01511A - Laceration without foreign body of lip, initial encounter | 17.53 | ||||
| Home Discharge Rate at DRG | 53.49 | ||||
| Home Discharge Rate with ICD S01511A - Laceration without foreign body of lip, initial encounter | 57.22 |
*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 083: TRAUMATIC STUPOR AND COMA, COMA >1 HOUR WITH COMPLICATION OR COMORBIDITY (CC) | DRG 131: CRANIAL AND FACIAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 085: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 195,476 | ||||
| Total Hospitalizations with ICD S01511A - Laceration without foreign body of lip, initial encounter | 260 | ||||
| DRG Share of Total Hospitalizations | 0.59 | ||||
| % of Total ICD S01511A - Laceration without foreign body of lip, initial encounter in DRG | 2.0 | ||||
| Avg LOS at DRG | 4.48 | ||||
| Avg LOS with ICD S01511A - Laceration without foreign body of lip, initial encounter | 3.08 | ||||
| Readmission Rate at DRG | 20.57 | ||||
| Readmission Rate with ICD S01511A - Laceration without foreign body of lip, initial encounter | 18.8 | ||||
| Unplanned Readmission Rate at DRG | 9.88 | ||||
| Unplanned Readmission Rate with ICD S01511A - Laceration without foreign body of lip, initial encounter | 5.2 | ||||
| Total Medicare payments at DRG | $1,320,662,237 | ||||
| Total Medicare payments with ICD S01511A - Laceration without foreign body of lip, initial encounter | $1,440,462 | ||||
| Total Medicare payment per Day at DRG | $1,508 | ||||
| Total Medicare payment per Day with ICD S01511A - Laceration without foreign body of lip, initial encounter | $1,798 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,756 | ||||
| Total Medicare payment per Hospitalization with ICD S01511A - Laceration without foreign body of lip, initial encounter | $5,540 | ||||
| Total Medicare Charges at DRG | $6,024,639,461 | ||||
| Total Medicare Charges with ICD S01511A - Laceration without foreign body of lip, initial encounter | $9,670,045 | ||||
| Avg Charges at DRG | $30,820 | ||||
| Avg Charges with ICD S01511A - Laceration without foreign body of lip, initial encounter | $37,192 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD S01511A - Laceration without foreign body of lip, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 33.36 | ||||
| SNF Discharge Rate with ICD S01511A - Laceration without foreign body of lip, initial encounter | 34.23 | ||||
| Home Discharge Rate at DRG | 30.98 | ||||
| Home Discharge Rate with ICD S01511A - Laceration without foreign body of lip, initial encounter | 31.15 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 988: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 101: SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH 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 155: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 28,142 | ||||
| Total Hospitalizations with ICD S01511A - Laceration without foreign body of lip, initial encounter | 205 | ||||
| DRG Share of Total Hospitalizations | 0.09 | ||||
| % of Total ICD S01511A - Laceration without foreign body of lip, initial encounter in DRG | 1.57 | ||||
| Avg LOS at DRG | 5.88 | ||||
| Avg LOS with ICD S01511A - Laceration without foreign body of lip, initial encounter | 4.09 | ||||
| Readmission Rate at DRG | 23.6 | ||||
| Readmission Rate with ICD S01511A - Laceration without foreign body of lip, initial encounter | 16.23 | ||||
| Unplanned Readmission Rate at DRG | 15.33 | ||||
| Unplanned Readmission Rate with ICD S01511A - Laceration without foreign body of lip, initial encounter | 8.9 | ||||
| Total Medicare payments at DRG | $317,761,689 | ||||
| Total Medicare payments with ICD S01511A - Laceration without foreign body of lip, initial encounter | $2,223,831 | ||||
| Total Medicare payment per Day at DRG | $1,919 | ||||
| Total Medicare payment per Day with ICD S01511A - Laceration without foreign body of lip, initial encounter | $2,654 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,291 | ||||
| Total Medicare payment per Hospitalization with ICD S01511A - Laceration without foreign body of lip, initial encounter | $10,848 | ||||
| Total Medicare Charges at DRG | $1,612,718,515 | ||||
| Total Medicare Charges with ICD S01511A - Laceration without foreign body of lip, initial encounter | $8,743,037 | ||||
| Avg Charges at DRG | $57,306 | ||||
| Avg Charges with ICD S01511A - Laceration without foreign body of lip, initial encounter | $42,649 | ||||
| Mortality Rate at DRG | 0.56 | ||||
| Mortality Rate with ICD S01511A - Laceration without foreign body of lip, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 18.42 | ||||
| SNF Discharge Rate with ICD S01511A - Laceration without foreign body of lip, initial encounter | 25.37 | ||||
| Home Discharge Rate at DRG | 50.45 | ||||
| Home Discharge Rate with ICD S01511A - Laceration without foreign body of lip, initial encounter | 44.88 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 605: TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 157: DENTAL AND ORAL DISEASES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 159: DENTAL AND ORAL DISEASES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 310,318 | ||||
| Total Hospitalizations with ICD S01511A - Laceration without foreign body of lip, initial encounter | 157 | ||||
| DRG Share of Total Hospitalizations | 0.94 | ||||
| % of Total ICD S01511A - Laceration without foreign body of lip, initial encounter in DRG | 1.21 | ||||
| Avg LOS at DRG | 3.19 | ||||
| Avg LOS with ICD S01511A - Laceration without foreign body of lip, initial encounter | 3.13 | ||||
| Readmission Rate at DRG | 20.19 | ||||
| Readmission Rate with ICD S01511A - Laceration without foreign body of lip, initial encounter | 15.65 | ||||
| Unplanned Readmission Rate at DRG | 13.62 | ||||
| Unplanned Readmission Rate with ICD S01511A - Laceration without foreign body of lip, initial encounter | 12.24 | ||||
| Total Medicare payments at DRG | $1,415,392,709 | ||||
| Total Medicare payments with ICD S01511A - Laceration without foreign body of lip, initial encounter | $714,392 | ||||
| Total Medicare payment per Day at DRG | $1,431 | ||||
| Total Medicare payment per Day with ICD S01511A - Laceration without foreign body of lip, initial encounter | $1,455 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,561 | ||||
| Total Medicare payment per Hospitalization with ICD S01511A - Laceration without foreign body of lip, initial encounter | $4,550 | ||||
| Total Medicare Charges at DRG | $7,113,640,596 | ||||
| Total Medicare Charges with ICD S01511A - Laceration without foreign body of lip, initial encounter | $4,668,590 | ||||
| Avg Charges at DRG | $22,924 | ||||
| Avg Charges with ICD S01511A - Laceration without foreign body of lip, initial encounter | $29,736 | ||||
| Mortality Rate at DRG | 0.63 | ||||
| Mortality Rate with ICD S01511A - Laceration without foreign body of lip, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 19.76 | ||||
| SNF Discharge Rate with ICD S01511A - Laceration without foreign body of lip, initial encounter | 22.29 | ||||
| Home Discharge Rate at DRG | 50.47 | ||||
| Home Discharge Rate with ICD S01511A - Laceration without foreign body of lip, initial encounter | 45.86 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 50 |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER | 2315 STOCKTON BLVD | SACRAMENTO | CA | 95817 | 47 |
| RHODE ISLAND HOSPITAL | 593 EDDY ST | PROVIDENCE | RI | 02903 | 46 |