*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| S0191XA - Laceration without foreign body of unspecified part of head, initial encounter - as a primary diagnosis code | S0191XA - Laceration without foreign body of unspecified part of head, initial encounter - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.61 | |
| Readmission Rate (%) | 22.99 | |
| Unplanned Readmission Rate (%) | 13.47 | |
| 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) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 45,787 | ||
| Total Hospitalizations with ICD S0191XA - Laceration without foreign body of unspecified part of head, initial encounter | 185 | ||
| DRG Share of Total Hospitalizations | 0.14 | ||
| % of Total ICD S0191XA - Laceration without foreign body of unspecified part of head, initial encounter in DRG | 71.15 | ||
| Avg LOS at DRG | 3.25 | ||
| Avg LOS with ICD S0191XA - Laceration without foreign body of unspecified part of head, initial encounter | 2.68 | ||
| Readmission Rate at DRG | 18.27 | ||
| Readmission Rate with ICD S0191XA - Laceration without foreign body of unspecified part of head, initial encounter | 19.43 | ||
| Unplanned Readmission Rate at DRG | 10.63 | ||
| Unplanned Readmission Rate with ICD S0191XA - Laceration without foreign body of unspecified part of head, initial encounter | 12.57 | ||
| Total Medicare payments at DRG | $234,309,332 | ||
| Total Medicare payments with ICD S0191XA - Laceration without foreign body of unspecified part of head, initial encounter | $910,470 | ||
| Total Medicare payment per Day at DRG | $1,573 | ||
| Total Medicare payment per Day with ICD S0191XA - Laceration without foreign body of unspecified part of head, initial encounter | $1,839 | ||
| Total Medicare payment per Hospitalization at DRG | $5,117 | ||
| Total Medicare payment per Hospitalization with ICD S0191XA - Laceration without foreign body of unspecified part of head, initial encounter | $4,921 | ||
| Total Medicare Charges at DRG | $1,321,005,538 | ||
| Total Medicare Charges with ICD S0191XA - Laceration without foreign body of unspecified part of head, initial encounter | $5,963,453 | ||
| Avg Charges at DRG | $28,851 | ||
| Avg Charges with ICD S0191XA - Laceration without foreign body of unspecified part of head, initial encounter | $32,235 | ||
| Mortality Rate at DRG | 0.2 | ||
| Mortality Rate with ICD S0191XA - Laceration without foreign body of unspecified part of head, initial encounter | NA | ||
| SNF Discharge Rate at DRG | 32.81 | ||
| SNF Discharge Rate with ICD S0191XA - Laceration without foreign body of unspecified part of head, initial encounter | 30.81 | ||
| Home Discharge Rate at DRG | 35.13 | ||
| Home Discharge Rate with ICD S0191XA - Laceration without foreign body of unspecified part of head, initial encounter | 32.97 |
*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 605: TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 086: 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 087: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 243,742 | ||||
| Total Hospitalizations with ICD S0191XA - Laceration without foreign body of unspecified part of head, initial encounter | 346 | ||||
| DRG Share of Total Hospitalizations | 0.74 | ||||
| % of Total ICD S0191XA - Laceration without foreign body of unspecified part of head, initial encounter in DRG | 5.61 | ||||
| Avg LOS at DRG | 2.84 | ||||
| Avg LOS with ICD S0191XA - Laceration without foreign body of unspecified part of head, initial encounter | 2.92 | ||||
| Readmission Rate at DRG | 16.31 | ||||
| Readmission Rate with ICD S0191XA - Laceration without foreign body of unspecified part of head, initial encounter | 16.41 | ||||
| Unplanned Readmission Rate at DRG | 11.3 | ||||
| Unplanned Readmission Rate with ICD S0191XA - Laceration without foreign body of unspecified part of head, initial encounter | 9.73 | ||||
| Total Medicare payments at DRG | $1,150,233,161 | ||||
| Total Medicare payments with ICD S0191XA - Laceration without foreign body of unspecified part of head, initial encounter | $1,598,003 | ||||
| Total Medicare payment per Day at DRG | $1,663 | ||||
| Total Medicare payment per Day with ICD S0191XA - Laceration without foreign body of unspecified part of head, initial encounter | $1,582 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,719 | ||||
| Total Medicare payment per Hospitalization with ICD S0191XA - Laceration without foreign body of unspecified part of head, initial encounter | $4,619 | ||||
| Total Medicare Charges at DRG | $6,931,408,244 | ||||
| Total Medicare Charges with ICD S0191XA - Laceration without foreign body of unspecified part of head, initial encounter | $11,662,948 | ||||
| Avg Charges at DRG | $28,437 | ||||
| Avg Charges with ICD S0191XA - Laceration without foreign body of unspecified part of head, initial encounter | $33,708 | ||||
| Mortality Rate at DRG | 0.31 | ||||
| Mortality Rate with ICD S0191XA - Laceration without foreign body of unspecified part of head, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 18.06 | ||||
| SNF Discharge Rate with ICD S0191XA - Laceration without foreign body of unspecified part of head, initial encounter | 22.83 | ||||
| Home Discharge Rate at DRG | 53.49 | ||||
| Home Discharge Rate with ICD S0191XA - Laceration without foreign body of unspecified part of head, initial encounter | 48.84 |
*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 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 085: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 195,476 | ||||
| Total Hospitalizations with ICD S0191XA - Laceration without foreign body of unspecified part of head, initial encounter | 150 | ||||
| DRG Share of Total Hospitalizations | 0.59 | ||||
| % of Total ICD S0191XA - Laceration without foreign body of unspecified part of head, initial encounter in DRG | 2.43 | ||||
| Avg LOS at DRG | 4.48 | ||||
| Avg LOS with ICD S0191XA - Laceration without foreign body of unspecified part of head, initial encounter | 3.43 | ||||
| Readmission Rate at DRG | 20.57 | ||||
| Readmission Rate with ICD S0191XA - Laceration without foreign body of unspecified part of head, initial encounter | 23.36 | ||||
| Unplanned Readmission Rate at DRG | 9.88 | ||||
| Unplanned Readmission Rate with ICD S0191XA - Laceration without foreign body of unspecified part of head, initial encounter | 9.49 | ||||
| Total Medicare payments at DRG | $1,320,662,237 | ||||
| Total Medicare payments with ICD S0191XA - Laceration without foreign body of unspecified part of head, initial encounter | $837,468 | ||||
| Total Medicare payment per Day at DRG | $1,508 | ||||
| Total Medicare payment per Day with ICD S0191XA - Laceration without foreign body of unspecified part of head, initial encounter | $1,626 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,756 | ||||
| Total Medicare payment per Hospitalization with ICD S0191XA - Laceration without foreign body of unspecified part of head, initial encounter | $5,583 | ||||
| Total Medicare Charges at DRG | $6,024,639,461 | ||||
| Total Medicare Charges with ICD S0191XA - Laceration without foreign body of unspecified part of head, initial encounter | $5,761,049 | ||||
| Avg Charges at DRG | $30,820 | ||||
| Avg Charges with ICD S0191XA - Laceration without foreign body of unspecified part of head, initial encounter | $38,407 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD S0191XA - Laceration without foreign body of unspecified part of head, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 33.36 | ||||
| SNF Discharge Rate with ICD S0191XA - Laceration without foreign body of unspecified part of head, initial encounter | 34.0 | ||||
| Home Discharge Rate at DRG | 30.98 | ||||
| Home Discharge Rate with ICD S0191XA - Laceration without foreign body of unspecified part of head, initial encounter | 26.0 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 083: TRAUMATIC STUPOR AND COMA, COMA >1 HOUR WITH COMPLICATION OR COMORBIDITY (CC) | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 292,335 | ||||
| Total Hospitalizations with ICD S0191XA - Laceration without foreign body of unspecified part of head, initial encounter | 106 | ||||
| DRG Share of Total Hospitalizations | 0.89 | ||||
| % of Total ICD S0191XA - Laceration without foreign body of unspecified part of head, initial encounter in DRG | 1.72 | ||||
| Avg LOS at DRG | 2.96 | ||||
| Avg LOS with ICD S0191XA - Laceration without foreign body of unspecified part of head, initial encounter | 3.17 | ||||
| Readmission Rate at DRG | 19.18 | ||||
| Readmission Rate with ICD S0191XA - Laceration without foreign body of unspecified part of head, initial encounter | 20.21 | ||||
| Unplanned Readmission Rate at DRG | 13.96 | ||||
| Unplanned Readmission Rate with ICD S0191XA - Laceration without foreign body of unspecified part of head, initial encounter | NA | ||||
| Total Medicare payments at DRG | $1,347,436,356 | ||||
| Total Medicare payments with ICD S0191XA - Laceration without foreign body of unspecified part of head, initial encounter | $487,746 | ||||
| Total Medicare payment per Day at DRG | $1,557 | ||||
| Total Medicare payment per Day with ICD S0191XA - Laceration without foreign body of unspecified part of head, initial encounter | $1,452 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,609 | ||||
| Total Medicare payment per Hospitalization with ICD S0191XA - Laceration without foreign body of unspecified part of head, initial encounter | $4,601 | ||||
| Total Medicare Charges at DRG | $7,385,462,160 | ||||
| Total Medicare Charges with ICD S0191XA - Laceration without foreign body of unspecified part of head, initial encounter | $3,551,874 | ||||
| Avg Charges at DRG | $25,264 | ||||
| Avg Charges with ICD S0191XA - Laceration without foreign body of unspecified part of head, initial encounter | $33,508 | ||||
| Mortality Rate at DRG | 0.57 | ||||
| Mortality Rate with ICD S0191XA - Laceration without foreign body of unspecified part of head, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 11.55 | ||||
| SNF Discharge Rate with ICD S0191XA - Laceration without foreign body of unspecified part of head, initial encounter | 30.19 | ||||
| Home Discharge Rate at DRG | 63.79 | ||||
| Home Discharge Rate with ICD S0191XA - Laceration without foreign body of unspecified part of head, initial encounter | 40.57 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 082: TRAUMATIC STUPOR AND COMA, COMA >1 HOUR WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 101: SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 536: FRACTURES OF HIP AND PELVIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 16,887 | ||||
| Total Hospitalizations with ICD S0191XA - Laceration without foreign body of unspecified part of head, initial encounter | 80 | ||||
| DRG Share of Total Hospitalizations | 0.05 | ||||
| % of Total ICD S0191XA - Laceration without foreign body of unspecified part of head, initial encounter in DRG | 1.3 | ||||
| Avg LOS at DRG | 6.32 | ||||
| Avg LOS with ICD S0191XA - Laceration without foreign body of unspecified part of head, initial encounter | 5.35 | ||||
| Readmission Rate at DRG | 32.67 | ||||
| Readmission Rate with ICD S0191XA - Laceration without foreign body of unspecified part of head, initial encounter | 44.23 | ||||
| Unplanned Readmission Rate at DRG | 12.74 | ||||
| Unplanned Readmission Rate with ICD S0191XA - Laceration without foreign body of unspecified part of head, initial encounter | NA | ||||
| Total Medicare payments at DRG | $261,162,717 | ||||
| Total Medicare payments with ICD S0191XA - Laceration without foreign body of unspecified part of head, initial encounter | $1,130,476 | ||||
| Total Medicare payment per Day at DRG | $2,446 | ||||
| Total Medicare payment per Day with ICD S0191XA - Laceration without foreign body of unspecified part of head, initial encounter | $2,641 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,465 | ||||
| Total Medicare payment per Hospitalization with ICD S0191XA - Laceration without foreign body of unspecified part of head, initial encounter | $14,131 | ||||
| Total Medicare Charges at DRG | $1,308,172,656 | ||||
| Total Medicare Charges with ICD S0191XA - Laceration without foreign body of unspecified part of head, initial encounter | $6,411,779 | ||||
| Avg Charges at DRG | $77,466 | ||||
| Avg Charges with ICD S0191XA - Laceration without foreign body of unspecified part of head, initial encounter | $80,147 | ||||
| Mortality Rate at DRG | 32.04 | ||||
| Mortality Rate with ICD S0191XA - Laceration without foreign body of unspecified part of head, initial encounter | 31.25 | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD S0191XA - Laceration without foreign body of unspecified part of head, initial encounter | 28.75 | ||||
| Home Discharge Rate at DRG | 11.05 | ||||
| Home Discharge Rate with ICD S0191XA - Laceration without foreign body of unspecified part of head, initial encounter | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ORLANDO HEALTH ORLANDO REGIONAL MEDICAL CENTER | 1414 KUHL AVE | ORLANDO | FL | 32806 | 41 |
| SAINT FRANCIS HOSPITAL | 6161 S YALE AVE | TULSA | OK | 74136 | 40 |
| GRAND STRAND REGIONAL MEDICAL CENTER | 809 82ND PARKWAY | MYRTLE BEACH | SC | 29572 | 31 |