*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| S0181XA - Laceration without foreign body of other part of head, initial encounter - as a primary diagnosis code | S0181XA - Laceration without foreign body of other part of head, initial encounter - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.19 | |
| Readmission Rate (%) | 22.34 | |
| Unplanned Readmission Rate (%) | 11.37 | |
| 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) | DRG 580: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 581: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 579: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 45,787 | ||||
| Total Hospitalizations with ICD S0181XA - Laceration without foreign body of other part of head, initial encounter | 1,896 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD S0181XA - Laceration without foreign body of other part of head, initial encounter in DRG | 60.77 | ||||
| Avg LOS at DRG | 3.25 | ||||
| Avg LOS with ICD S0181XA - Laceration without foreign body of other part of head, initial encounter | 2.57 | ||||
| Readmission Rate at DRG | 18.27 | ||||
| Readmission Rate with ICD S0181XA - Laceration without foreign body of other part of head, initial encounter | 17.21 | ||||
| Unplanned Readmission Rate at DRG | 10.63 | ||||
| Unplanned Readmission Rate with ICD S0181XA - Laceration without foreign body of other part of head, initial encounter | 11.16 | ||||
| Total Medicare payments at DRG | $234,309,332 | ||||
| Total Medicare payments with ICD S0181XA - Laceration without foreign body of other part of head, initial encounter | $9,845,620 | ||||
| Total Medicare payment per Day at DRG | $1,573 | ||||
| Total Medicare payment per Day with ICD S0181XA - Laceration without foreign body of other part of head, initial encounter | $2,022 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,117 | ||||
| Total Medicare payment per Hospitalization with ICD S0181XA - Laceration without foreign body of other part of head, initial encounter | $5,193 | ||||
| Total Medicare Charges at DRG | $1,321,005,538 | ||||
| Total Medicare Charges with ICD S0181XA - Laceration without foreign body of other part of head, initial encounter | $59,423,329 | ||||
| Avg Charges at DRG | $28,851 | ||||
| Avg Charges with ICD S0181XA - Laceration without foreign body of other part of head, initial encounter | $31,341 | ||||
| Mortality Rate at DRG | 0.2 | ||||
| Mortality Rate with ICD S0181XA - Laceration without foreign body of other part of head, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 32.81 | ||||
| SNF Discharge Rate with ICD S0181XA - Laceration without foreign body of other part of head, initial encounter | 33.12 | ||||
| Home Discharge Rate at DRG | 35.13 | ||||
| Home Discharge Rate with ICD S0181XA - Laceration without foreign body of other part of head, initial encounter | 35.92 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 577: SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 571: SKIN DEBRIDEMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 576: SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 4,954 | |||
| Total Hospitalizations with ICD S0181XA - Laceration without foreign body of other part of head, initial encounter | 21 | |||
| DRG Share of Total Hospitalizations | 0.02 | |||
| % of Total ICD S0181XA - Laceration without foreign body of other part of head, initial encounter in DRG | 0.67 | |||
| Avg LOS at DRG | 6.64 | |||
| Avg LOS with ICD S0181XA - Laceration without foreign body of other part of head, initial encounter | 4.76 | |||
| Readmission Rate at DRG | 17.16 | |||
| Readmission Rate with ICD S0181XA - Laceration without foreign body of other part of head, initial encounter | NA | |||
| Unplanned Readmission Rate at DRG | 8.02 | |||
| Unplanned Readmission Rate with ICD S0181XA - Laceration without foreign body of other part of head, initial encounter | NA | |||
| Total Medicare payments at DRG | $84,474,633 | |||
| Total Medicare payments with ICD S0181XA - Laceration without foreign body of other part of head, initial encounter | $325,732 | |||
| Total Medicare payment per Day at DRG | $2,569 | |||
| Total Medicare payment per Day with ICD S0181XA - Laceration without foreign body of other part of head, initial encounter | $3,257 | |||
| Total Medicare payment per Hospitalization at DRG | $17,052 | |||
| Total Medicare payment per Hospitalization with ICD S0181XA - Laceration without foreign body of other part of head, initial encounter | $15,511 | |||
| Total Medicare Charges at DRG | $441,452,397 | |||
| Total Medicare Charges with ICD S0181XA - Laceration without foreign body of other part of head, initial encounter | $1,555,080 | |||
| Avg Charges at DRG | $89,110 | |||
| Avg Charges with ICD S0181XA - Laceration without foreign body of other part of head, initial encounter | $74,051 | |||
| Mortality Rate at DRG | NA | |||
| Mortality Rate with ICD S0181XA - Laceration without foreign body of other part of head, initial encounter | NA | |||
| SNF Discharge Rate at DRG | 22.29 | |||
| SNF Discharge Rate with ICD S0181XA - Laceration without foreign body of other part of head, initial encounter | NA | |||
| Home Discharge Rate at DRG | 41.99 | |||
| Home Discharge Rate with ICD S0181XA - Laceration without foreign body of other part of head, initial encounter | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 20 |
| LAWNWOOD REGIONAL MEDICAL CENTER & HEART INSTITUTE | 1700 S 23RD ST | FORT PIERCE | FL | 34950 | 19 |
| DELRAY MEDICAL CENTER | 5352 LINTON BLVD | DELRAY BEACH | FL | 33484 | 18 |
*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 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 50,567 | ||||
| Total Hospitalizations with ICD S0181XA - Laceration without foreign body of other part of head, initial encounter | 3,296 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD S0181XA - Laceration without foreign body of other part of head, initial encounter in DRG | 5.02 | ||||
| Avg LOS at DRG | 4.05 | ||||
| Avg LOS with ICD S0181XA - Laceration without foreign body of other part of head, initial encounter | 3.76 | ||||
| Readmission Rate at DRG | 26.88 | ||||
| Readmission Rate with ICD S0181XA - Laceration without foreign body of other part of head, initial encounter | 22.74 | ||||
| Unplanned Readmission Rate at DRG | 12.36 | ||||
| Unplanned Readmission Rate with ICD S0181XA - Laceration without foreign body of other part of head, initial encounter | 10.6 | ||||
| Total Medicare payments at DRG | $378,594,631 | ||||
| Total Medicare payments with ICD S0181XA - Laceration without foreign body of other part of head, initial encounter | $23,811,701 | ||||
| Total Medicare payment per Day at DRG | $1,847 | ||||
| Total Medicare payment per Day with ICD S0181XA - Laceration without foreign body of other part of head, initial encounter | $1,921 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,487 | ||||
| Total Medicare payment per Hospitalization with ICD S0181XA - Laceration without foreign body of other part of head, initial encounter | $7,224 | ||||
| Total Medicare Charges at DRG | $2,140,437,521 | ||||
| Total Medicare Charges with ICD S0181XA - Laceration without foreign body of other part of head, initial encounter | $143,121,752 | ||||
| Avg Charges at DRG | $42,329 | ||||
| Avg Charges with ICD S0181XA - Laceration without foreign body of other part of head, initial encounter | $43,423 | ||||
| Mortality Rate at DRG | 1.75 | ||||
| Mortality Rate with ICD S0181XA - Laceration without foreign body of other part of head, initial encounter | 1.15 | ||||
| SNF Discharge Rate at DRG | 32.85 | ||||
| SNF Discharge Rate with ICD S0181XA - Laceration without foreign body of other part of head, initial encounter | 34.83 | ||||
| Home Discharge Rate at DRG | 27.18 | ||||
| Home Discharge Rate with ICD S0181XA - Laceration without foreign body of other part of head, initial encounter | 26.61 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 563: FRACTURE SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 085: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 083: TRAUMATIC STUPOR AND COMA, COMA >1 HOUR WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 83,488 | ||||
| Total Hospitalizations with ICD S0181XA - Laceration without foreign body of other part of head, initial encounter | 1,440 | ||||
| DRG Share of Total Hospitalizations | 0.25 | ||||
| % of Total ICD S0181XA - Laceration without foreign body of other part of head, initial encounter in DRG | 2.19 | ||||
| Avg LOS at DRG | 3.48 | ||||
| Avg LOS with ICD S0181XA - Laceration without foreign body of other part of head, initial encounter | 3.33 | ||||
| Readmission Rate at DRG | 19.78 | ||||
| Readmission Rate with ICD S0181XA - Laceration without foreign body of other part of head, initial encounter | 17.81 | ||||
| Unplanned Readmission Rate at DRG | 8.24 | ||||
| Unplanned Readmission Rate with ICD S0181XA - Laceration without foreign body of other part of head, initial encounter | 6.28 | ||||
| Total Medicare payments at DRG | $412,311,224 | ||||
| Total Medicare payments with ICD S0181XA - Laceration without foreign body of other part of head, initial encounter | $6,914,541 | ||||
| Total Medicare payment per Day at DRG | $1,421 | ||||
| Total Medicare payment per Day with ICD S0181XA - Laceration without foreign body of other part of head, initial encounter | $1,442 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,939 | ||||
| Total Medicare payment per Hospitalization with ICD S0181XA - Laceration without foreign body of other part of head, initial encounter | $4,802 | ||||
| Total Medicare Charges at DRG | $2,194,270,678 | ||||
| Total Medicare Charges with ICD S0181XA - Laceration without foreign body of other part of head, initial encounter | $46,880,622 | ||||
| Avg Charges at DRG | $26,282 | ||||
| Avg Charges with ICD S0181XA - Laceration without foreign body of other part of head, initial encounter | $32,556 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD S0181XA - Laceration without foreign body of other part of head, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 54.16 | ||||
| SNF Discharge Rate with ICD S0181XA - Laceration without foreign body of other part of head, initial encounter | 52.01 | ||||
| Home Discharge Rate at DRG | 17.27 | ||||
| Home Discharge Rate with ICD S0181XA - Laceration without foreign body of other part of head, initial encounter | 16.81 |
*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 084: TRAUMATIC STUPOR AND COMA, COMA >1 HOUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 885: PSYCHOSES | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 28,142 | ||||
| Total Hospitalizations with ICD S0181XA - Laceration without foreign body of other part of head, initial encounter | 900 | ||||
| DRG Share of Total Hospitalizations | 0.09 | ||||
| % of Total ICD S0181XA - Laceration without foreign body of other part of head, initial encounter in DRG | 1.37 | ||||
| Avg LOS at DRG | 5.88 | ||||
| Avg LOS with ICD S0181XA - Laceration without foreign body of other part of head, initial encounter | 4.22 | ||||
| Readmission Rate at DRG | 23.6 | ||||
| Readmission Rate with ICD S0181XA - Laceration without foreign body of other part of head, initial encounter | 19.95 | ||||
| Unplanned Readmission Rate at DRG | 15.33 | ||||
| Unplanned Readmission Rate with ICD S0181XA - Laceration without foreign body of other part of head, initial encounter | 10.56 | ||||
| Total Medicare payments at DRG | $317,761,689 | ||||
| Total Medicare payments with ICD S0181XA - Laceration without foreign body of other part of head, initial encounter | $9,324,861 | ||||
| Total Medicare payment per Day at DRG | $1,919 | ||||
| Total Medicare payment per Day with ICD S0181XA - Laceration without foreign body of other part of head, initial encounter | $2,454 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,291 | ||||
| Total Medicare payment per Hospitalization with ICD S0181XA - Laceration without foreign body of other part of head, initial encounter | $10,361 | ||||
| Total Medicare Charges at DRG | $1,612,718,515 | ||||
| Total Medicare Charges with ICD S0181XA - Laceration without foreign body of other part of head, initial encounter | $38,425,560 | ||||
| Avg Charges at DRG | $57,306 | ||||
| Avg Charges with ICD S0181XA - Laceration without foreign body of other part of head, initial encounter | $42,695 | ||||
| Mortality Rate at DRG | 0.56 | ||||
| Mortality Rate with ICD S0181XA - Laceration without foreign body of other part of head, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 18.42 | ||||
| SNF Discharge Rate with ICD S0181XA - Laceration without foreign body of other part of head, initial encounter | 32.22 | ||||
| Home Discharge Rate at DRG | 50.45 | ||||
| Home Discharge Rate with ICD S0181XA - Laceration without foreign body of other part of head, initial encounter | 34.44 |
*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 082: TRAUMATIC STUPOR AND COMA, COMA >1 HOUR WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 101: SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD S0181XA - Laceration without foreign body of other part of head, initial encounter | 857 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD S0181XA - Laceration without foreign body of other part of head, initial encounter in DRG | 1.31 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD S0181XA - Laceration without foreign body of other part of head, initial encounter | 3.24 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD S0181XA - Laceration without foreign body of other part of head, initial encounter | 14.68 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD S0181XA - Laceration without foreign body of other part of head, initial encounter | 10.07 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD S0181XA - Laceration without foreign body of other part of head, initial encounter | $4,053,670 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD S0181XA - Laceration without foreign body of other part of head, initial encounter | $1,459 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD S0181XA - Laceration without foreign body of other part of head, initial encounter | $4,730 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD S0181XA - Laceration without foreign body of other part of head, initial encounter | $23,711,952 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD S0181XA - Laceration without foreign body of other part of head, initial encounter | $27,669 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD S0181XA - Laceration without foreign body of other part of head, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD S0181XA - Laceration without foreign body of other part of head, initial encounter | 44.81 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD S0181XA - Laceration without foreign body of other part of head, initial encounter | 22.75 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 194 |
| DELRAY MEDICAL CENTER | 5352 LINTON BLVD | DELRAY BEACH | FL | 33484 | 182 |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH | 1301 PENNSYLVANIA AVE | FORT WORTH | TX | 76104 | 181 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. FRANK CARL NASTANSKI | 999 N TUSTIN AVE | SANTA ANA | CA | 92705 | 32 |
| Dr. VLADIMIR RUBINSHTEYN | 475 SEAVIEW AVE | STATEN ISLAND | NY | 10305 | 19 |
| Dr. REBECA M RICO | 836 W WELLINGTON AVE | CHICAGO | IL | 60657 | 18 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. FRANK CARL NASTANSKI | 999 N TUSTIN AVE | SANTA ANA | CA | 92705 | 33 |
| Dr. STANLEY E OKOSUN | 2300 S 16TH ST | LINCOLN | NE | 68502 | 30 |
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 29 |