*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture - as a primary diagnosis code | S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.66 | |
| Readmission Rate (%) | 23.62 | |
| Unplanned Readmission Rate (%) | 9.26 | |
| 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 113: ORBITAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 115: EXTRAOCULAR PROCEDURES EXCEPT ORBIT | DRG 114: ORBITAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 11,033 | ||||
| Total Hospitalizations with ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture | 483 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture in DRG | 51.55 | ||||
| Avg LOS at DRG | 3.12 | ||||
| Avg LOS with ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture | 2.85 | ||||
| Readmission Rate at DRG | 14.43 | ||||
| Readmission Rate with ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture | 14.22 | ||||
| Unplanned Readmission Rate at DRG | 9.53 | ||||
| Unplanned Readmission Rate with ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture | 9.11 | ||||
| Total Medicare payments at DRG | $51,804,064 | ||||
| Total Medicare payments with ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture | $2,354,578 | ||||
| Total Medicare payment per Day at DRG | $1,505 | ||||
| Total Medicare payment per Day with ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture | $1,709 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,695 | ||||
| Total Medicare payment per Hospitalization with ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture | $4,875 | ||||
| Total Medicare Charges at DRG | $301,182,636 | ||||
| Total Medicare Charges with ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture | $15,121,030 | ||||
| Avg Charges at DRG | $27,298 | ||||
| Avg Charges with ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture | $31,306 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture | NA | ||||
| SNF Discharge Rate at DRG | 17.96 | ||||
| SNF Discharge Rate with ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture | 24.43 | ||||
| Home Discharge Rate at DRG | 57.38 | ||||
| Home Discharge Rate with ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture | 42.65 |
*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) | |
|---|---|
| Total Hospitalizations at DRG | 28,142 |
| Total Hospitalizations with ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture | 13 |
| DRG Share of Total Hospitalizations | 0.09 |
| % of Total ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture in DRG | 1.39 |
| Avg LOS at DRG | 5.88 |
| Avg LOS with ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture | 3.85 |
| Readmission Rate at DRG | 23.6 |
| Readmission Rate with ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture | NA |
| Unplanned Readmission Rate at DRG | 15.33 |
| Unplanned Readmission Rate with ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture | NA |
| Total Medicare payments at DRG | $317,761,689 |
| Total Medicare payments with ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture | $131,879 |
| Total Medicare payment per Day at DRG | $1,919 |
| Total Medicare payment per Day with ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture | $2,638 |
| Total Medicare payment per Hospitalization at DRG | $11,291 |
| Total Medicare payment per Hospitalization with ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture | $10,145 |
| Total Medicare Charges at DRG | $1,612,718,515 |
| Total Medicare Charges with ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture | $534,870 |
| Avg Charges at DRG | $57,306 |
| Avg Charges with ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture | $41,144 |
| Mortality Rate at DRG | 0.56 |
| Mortality Rate with ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture | NA |
| SNF Discharge Rate at DRG | 18.42 |
| SNF Discharge Rate with ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture | NA |
| Home Discharge Rate at DRG | 50.45 |
| Home Discharge Rate with ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture | 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 125: OTHER DISORDERS OF THE EYE WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 086: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITH COMPLICATION OR COMORBIDITY (CC) | DRG 158: DENTAL AND ORAL DISEASES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 131: CRANIAL AND FACIAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/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 | 11,033 | ||||
| Total Hospitalizations with ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture | 506 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture in DRG | 9.87 | ||||
| Avg LOS at DRG | 3.12 | ||||
| Avg LOS with ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture | 2.83 | ||||
| Readmission Rate at DRG | 14.43 | ||||
| Readmission Rate with ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture | 13.98 | ||||
| Unplanned Readmission Rate at DRG | 9.53 | ||||
| Unplanned Readmission Rate with ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture | 8.69 | ||||
| Total Medicare payments at DRG | $51,804,064 | ||||
| Total Medicare payments with ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture | $2,467,672 | ||||
| Total Medicare payment per Day at DRG | $1,505 | ||||
| Total Medicare payment per Day with ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture | $1,724 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,695 | ||||
| Total Medicare payment per Hospitalization with ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture | $4,877 | ||||
| Total Medicare Charges at DRG | $301,182,636 | ||||
| Total Medicare Charges with ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture | $15,885,221 | ||||
| Avg Charges at DRG | $27,298 | ||||
| Avg Charges with ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture | $31,394 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture | NA | ||||
| SNF Discharge Rate at DRG | 17.96 | ||||
| SNF Discharge Rate with ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture | 23.72 | ||||
| Home Discharge Rate at DRG | 57.38 | ||||
| Home Discharge Rate with ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture | 43.48 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 083: TRAUMATIC STUPOR AND COMA, COMA >1 HOUR WITH COMPLICATION OR COMORBIDITY (CC) | DRG 113: ORBITAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 124: OTHER DISORDERS OF THE EYE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 157: DENTAL AND ORAL DISEASES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 085: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 19,415 | ||||
| Total Hospitalizations with ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture | 197 | ||||
| DRG Share of Total Hospitalizations | 0.06 | ||||
| % of Total ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture in DRG | 3.84 | ||||
| Avg LOS at DRG | 4.33 | ||||
| Avg LOS with ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture | 4.52 | ||||
| Readmission Rate at DRG | 27.41 | ||||
| Readmission Rate with ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture | 28.26 | ||||
| Unplanned Readmission Rate at DRG | 11.53 | ||||
| Unplanned Readmission Rate with ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture | 8.15 | ||||
| Total Medicare payments at DRG | $170,996,169 | ||||
| Total Medicare payments with ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture | $1,758,842 | ||||
| Total Medicare payment per Day at DRG | $2,034 | ||||
| Total Medicare payment per Day with ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture | $1,974 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,807 | ||||
| Total Medicare payment per Hospitalization with ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture | $8,928 | ||||
| Total Medicare Charges at DRG | $900,861,807 | ||||
| Total Medicare Charges with ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture | $9,702,241 | ||||
| Avg Charges at DRG | $46,400 | ||||
| Avg Charges with ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture | $49,250 | ||||
| Mortality Rate at DRG | 5.22 | ||||
| Mortality Rate with ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture | NA | ||||
| SNF Discharge Rate at DRG | 29.13 | ||||
| SNF Discharge Rate with ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture | 29.44 | ||||
| Home Discharge Rate at DRG | 28.24 | ||||
| Home Discharge Rate with ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture | 29.44 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 312: SYNCOPE AND COLLAPSE | 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) | DRG 082: TRAUMATIC STUPOR AND COMA, COMA >1 HOUR WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 48,449 | ||||
| Total Hospitalizations with ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture | 117 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture in DRG | 2.28 | ||||
| Avg LOS at DRG | 29.97 | ||||
| Avg LOS with ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture | 23.74 | ||||
| Readmission Rate at DRG | 76.3 | ||||
| Readmission Rate with ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture | 81.73 | ||||
| Unplanned Readmission Rate at DRG | 6.46 | ||||
| Unplanned Readmission Rate with ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture | NA | ||||
| Total Medicare payments at DRG | $6,190,071,785 | ||||
| Total Medicare payments with ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture | $13,375,362 | ||||
| Total Medicare payment per Day at DRG | $4,263 | ||||
| Total Medicare payment per Day with ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture | $4,816 | ||||
| Total Medicare payment per Hospitalization at DRG | $127,765 | ||||
| Total Medicare payment per Hospitalization with ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture | $114,319 | ||||
| Total Medicare Charges at DRG | $28,754,600,069 | ||||
| Total Medicare Charges with ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture | $60,226,318 | ||||
| Avg Charges at DRG | $593,502 | ||||
| Avg Charges with ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture | $514,755 | ||||
| Mortality Rate at DRG | 20.61 | ||||
| Mortality Rate with ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture | NA | ||||
| SNF Discharge Rate at DRG | 12.46 | ||||
| SNF Discharge Rate with ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture | 13.68 | ||||
| Home Discharge Rate at DRG | 2.36 | ||||
| Home Discharge Rate with ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture | 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 563: FRACTURE SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 964: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 115: EXTRAOCULAR PROCEDURES EXCEPT ORBIT | DRG 957: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 83,488 | ||||
| Total Hospitalizations with ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture | 85 | ||||
| DRG Share of Total Hospitalizations | 0.25 | ||||
| % of Total ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture in DRG | 1.66 | ||||
| Avg LOS at DRG | 3.48 | ||||
| Avg LOS with ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture | 3.8 | ||||
| Readmission Rate at DRG | 19.78 | ||||
| Readmission Rate with ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture | 14.46 | ||||
| Unplanned Readmission Rate at DRG | 8.24 | ||||
| Unplanned Readmission Rate with ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture | NA | ||||
| Total Medicare payments at DRG | $412,311,224 | ||||
| Total Medicare payments with ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture | $433,046 | ||||
| Total Medicare payment per Day at DRG | $1,421 | ||||
| Total Medicare payment per Day with ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture | $1,341 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,939 | ||||
| Total Medicare payment per Hospitalization with ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture | $5,095 | ||||
| Total Medicare Charges at DRG | $2,194,270,678 | ||||
| Total Medicare Charges with ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture | $2,935,459 | ||||
| Avg Charges at DRG | $26,282 | ||||
| Avg Charges with ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture | $34,535 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture | NA | ||||
| SNF Discharge Rate at DRG | 54.16 | ||||
| SNF Discharge Rate with ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture | 52.94 | ||||
| Home Discharge Rate at DRG | 17.27 | ||||
| Home Discharge Rate with ICD S0231XA - Fracture of orbital floor, right side, initial encounter for closed fracture | 16.47 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| VANDERBILT UNIVERSITY MEDICAL CENTER | 1211 MEDICAL CENTER DRIVE | NASHVILLE | TN | 37232 | 50 |
| UNIVERSITY OF ALABAMA HOSPITAL | 619 19TH ST S | BIRMINGHAM | AL | 35249 | 36 |
| UNIVERSITY OF MARYLAND MEDICAL CENTER | 22 S GREENE STREET | BALTIMORE | MD | 21201 | 35 |