*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| S0232XA - Fracture of orbital floor, left side, initial encounter for closed fracture - as a primary diagnosis code | S0232XA - Fracture of orbital floor, left side, initial encounter for closed fracture - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.54 | |
| Readmission Rate (%) | 23.81 | |
| Unplanned Readmission Rate (%) | 10.76 | |
| 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 114: ORBITAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 115: EXTRAOCULAR PROCEDURES EXCEPT ORBIT | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 11,033 | ||||
| Total Hospitalizations with ICD S0232XA - Fracture of orbital floor, left side, initial encounter for closed fracture | 464 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD S0232XA - Fracture of orbital floor, left side, initial encounter for closed fracture in DRG | 49.05 | ||||
| Avg LOS at DRG | 3.12 | ||||
| Avg LOS with ICD S0232XA - Fracture of orbital floor, left side, initial encounter for closed fracture | 2.63 | ||||
| Readmission Rate at DRG | 14.43 | ||||
| Readmission Rate with ICD S0232XA - Fracture of orbital floor, left side, initial encounter for closed fracture | 17.87 | ||||
| Unplanned Readmission Rate at DRG | 9.53 | ||||
| Unplanned Readmission Rate with ICD S0232XA - Fracture of orbital floor, left side, initial encounter for closed fracture | 11.14 | ||||
| Total Medicare payments at DRG | $51,804,064 | ||||
| Total Medicare payments with ICD S0232XA - Fracture of orbital floor, left side, initial encounter for closed fracture | $2,218,068 | ||||
| Total Medicare payment per Day at DRG | $1,505 | ||||
| Total Medicare payment per Day with ICD S0232XA - Fracture of orbital floor, left side, initial encounter for closed fracture | $1,818 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,695 | ||||
| Total Medicare payment per Hospitalization with ICD S0232XA - Fracture of orbital floor, left side, initial encounter for closed fracture | $4,780 | ||||
| Total Medicare Charges at DRG | $301,182,636 | ||||
| Total Medicare Charges with ICD S0232XA - Fracture of orbital floor, left side, initial encounter for closed fracture | $14,166,770 | ||||
| Avg Charges at DRG | $27,298 | ||||
| Avg Charges with ICD S0232XA - Fracture of orbital floor, left side, initial encounter for closed fracture | $30,532 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD S0232XA - Fracture of orbital floor, left side, initial encounter for closed fracture | NA | ||||
| SNF Discharge Rate at DRG | 17.96 | ||||
| SNF Discharge Rate with ICD S0232XA - Fracture of orbital floor, left side, initial encounter for closed fracture | 25.43 | ||||
| Home Discharge Rate at DRG | 57.38 | ||||
| Home Discharge Rate with ICD S0232XA - Fracture of orbital floor, left side, initial encounter for closed fracture | 46.12 |
| 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 | 11 |
| THE JOHNS HOPKINS HOSPITAL | 600 N WOLFE ST | BALTIMORE | MD | 21287 | 11 |
*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 083: TRAUMATIC STUPOR AND COMA, COMA >1 HOUR WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 11,033 | ||||
| Total Hospitalizations with ICD S0232XA - Fracture of orbital floor, left side, initial encounter for closed fracture | 474 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD S0232XA - Fracture of orbital floor, left side, initial encounter for closed fracture in DRG | 9.06 | ||||
| Avg LOS at DRG | 3.12 | ||||
| Avg LOS with ICD S0232XA - Fracture of orbital floor, left side, initial encounter for closed fracture | 2.62 | ||||
| Readmission Rate at DRG | 14.43 | ||||
| Readmission Rate with ICD S0232XA - Fracture of orbital floor, left side, initial encounter for closed fracture | 17.81 | ||||
| Unplanned Readmission Rate at DRG | 9.53 | ||||
| Unplanned Readmission Rate with ICD S0232XA - Fracture of orbital floor, left side, initial encounter for closed fracture | 11.19 | ||||
| Total Medicare payments at DRG | $51,804,064 | ||||
| Total Medicare payments with ICD S0232XA - Fracture of orbital floor, left side, initial encounter for closed fracture | $2,278,551 | ||||
| Total Medicare payment per Day at DRG | $1,505 | ||||
| Total Medicare payment per Day with ICD S0232XA - Fracture of orbital floor, left side, initial encounter for closed fracture | $1,833 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,695 | ||||
| Total Medicare payment per Hospitalization with ICD S0232XA - Fracture of orbital floor, left side, initial encounter for closed fracture | $4,807 | ||||
| Total Medicare Charges at DRG | $301,182,636 | ||||
| Total Medicare Charges with ICD S0232XA - Fracture of orbital floor, left side, initial encounter for closed fracture | $14,499,279 | ||||
| Avg Charges at DRG | $27,298 | ||||
| Avg Charges with ICD S0232XA - Fracture of orbital floor, left side, initial encounter for closed fracture | $30,589 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD S0232XA - Fracture of orbital floor, left side, initial encounter for closed fracture | NA | ||||
| SNF Discharge Rate at DRG | 17.96 | ||||
| SNF Discharge Rate with ICD S0232XA - Fracture of orbital floor, left side, initial encounter for closed fracture | 25.32 | ||||
| Home Discharge Rate at DRG | 57.38 | ||||
| Home Discharge Rate with ICD S0232XA - Fracture of orbital floor, left side, initial encounter for closed fracture | 46.2 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 113: ORBITAL 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) | DRG 157: DENTAL AND ORAL DISEASES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 124: OTHER DISORDERS OF THE EYE 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 | 1,486 | ||||
| Total Hospitalizations with ICD S0232XA - Fracture of orbital floor, left side, initial encounter for closed fracture | 199 | ||||
| DRG Share of Total Hospitalizations | 0.0 | ||||
| % of Total ICD S0232XA - Fracture of orbital floor, left side, initial encounter for closed fracture in DRG | 3.8 | ||||
| Avg LOS at DRG | 5.75 | ||||
| Avg LOS with ICD S0232XA - Fracture of orbital floor, left side, initial encounter for closed fracture | 5.03 | ||||
| Readmission Rate at DRG | 17.52 | ||||
| Readmission Rate with ICD S0232XA - Fracture of orbital floor, left side, initial encounter for closed fracture | 19.57 | ||||
| Unplanned Readmission Rate at DRG | 9.11 | ||||
| Unplanned Readmission Rate with ICD S0232XA - Fracture of orbital floor, left side, initial encounter for closed fracture | 10.87 | ||||
| Total Medicare payments at DRG | $23,895,770 | ||||
| Total Medicare payments with ICD S0232XA - Fracture of orbital floor, left side, initial encounter for closed fracture | $3,125,365 | ||||
| Total Medicare payment per Day at DRG | $2,796 | ||||
| Total Medicare payment per Day with ICD S0232XA - Fracture of orbital floor, left side, initial encounter for closed fracture | $3,125 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,081 | ||||
| Total Medicare payment per Hospitalization with ICD S0232XA - Fracture of orbital floor, left side, initial encounter for closed fracture | $15,705 | ||||
| Total Medicare Charges at DRG | $123,406,710 | ||||
| Total Medicare Charges with ICD S0232XA - Fracture of orbital floor, left side, initial encounter for closed fracture | $16,361,812 | ||||
| Avg Charges at DRG | $83,046 | ||||
| Avg Charges with ICD S0232XA - Fracture of orbital floor, left side, initial encounter for closed fracture | $82,220 | ||||
| Mortality Rate at DRG | 0.74 | ||||
| Mortality Rate with ICD S0232XA - Fracture of orbital floor, left side, initial encounter for closed fracture | NA | ||||
| SNF Discharge Rate at DRG | 24.02 | ||||
| SNF Discharge Rate with ICD S0232XA - Fracture of orbital floor, left side, initial encounter for closed fracture | 23.62 | ||||
| Home Discharge Rate at DRG | 48.79 | ||||
| Home Discharge Rate with ICD S0232XA - Fracture of orbital floor, left side, initial encounter for closed fracture | 51.26 |
*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 084: TRAUMATIC STUPOR AND COMA, COMA >1 HOUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 155: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 16,887 | ||||
| Total Hospitalizations with ICD S0232XA - Fracture of orbital floor, left side, initial encounter for closed fracture | 115 | ||||
| DRG Share of Total Hospitalizations | 0.05 | ||||
| % of Total ICD S0232XA - Fracture of orbital floor, left side, initial encounter for closed fracture in DRG | 2.2 | ||||
| Avg LOS at DRG | 6.32 | ||||
| Avg LOS with ICD S0232XA - Fracture of orbital floor, left side, initial encounter for closed fracture | 8.23 | ||||
| Readmission Rate at DRG | 32.67 | ||||
| Readmission Rate with ICD S0232XA - Fracture of orbital floor, left side, initial encounter for closed fracture | 37.5 | ||||
| Unplanned Readmission Rate at DRG | 12.74 | ||||
| Unplanned Readmission Rate with ICD S0232XA - Fracture of orbital floor, left side, initial encounter for closed fracture | NA | ||||
| Total Medicare payments at DRG | $261,162,717 | ||||
| Total Medicare payments with ICD S0232XA - Fracture of orbital floor, left side, initial encounter for closed fracture | $2,025,468 | ||||
| Total Medicare payment per Day at DRG | $2,446 | ||||
| Total Medicare payment per Day with ICD S0232XA - Fracture of orbital floor, left side, initial encounter for closed fracture | $2,139 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,465 | ||||
| Total Medicare payment per Hospitalization with ICD S0232XA - Fracture of orbital floor, left side, initial encounter for closed fracture | $17,613 | ||||
| Total Medicare Charges at DRG | $1,308,172,656 | ||||
| Total Medicare Charges with ICD S0232XA - Fracture of orbital floor, left side, initial encounter for closed fracture | $12,272,477 | ||||
| Avg Charges at DRG | $77,466 | ||||
| Avg Charges with ICD S0232XA - Fracture of orbital floor, left side, initial encounter for closed fracture | $106,717 | ||||
| Mortality Rate at DRG | 32.04 | ||||
| Mortality Rate with ICD S0232XA - Fracture of orbital floor, left side, initial encounter for closed fracture | 26.09 | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD S0232XA - Fracture of orbital floor, left side, initial encounter for closed fracture | 27.83 | ||||
| Home Discharge Rate at DRG | 11.05 | ||||
| Home Discharge Rate with ICD S0232XA - Fracture of orbital floor, left 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 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 115: EXTRAOCULAR PROCEDURES EXCEPT ORBIT | DRG 964: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) | 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 S0232XA - Fracture of orbital floor, left side, initial encounter for closed fracture | 89 | ||||
| DRG Share of Total Hospitalizations | 0.25 | ||||
| % of Total ICD S0232XA - Fracture of orbital floor, left side, initial encounter for closed fracture in DRG | 1.7 | ||||
| Avg LOS at DRG | 3.48 | ||||
| Avg LOS with ICD S0232XA - Fracture of orbital floor, left side, initial encounter for closed fracture | 3.9 | ||||
| Readmission Rate at DRG | 19.78 | ||||
| Readmission Rate with ICD S0232XA - Fracture of orbital floor, left side, initial encounter for closed fracture | 24.14 | ||||
| Unplanned Readmission Rate at DRG | 8.24 | ||||
| Unplanned Readmission Rate with ICD S0232XA - Fracture of orbital floor, left side, initial encounter for closed fracture | NA | ||||
| Total Medicare payments at DRG | $412,311,224 | ||||
| Total Medicare payments with ICD S0232XA - Fracture of orbital floor, left side, initial encounter for closed fracture | $435,381 | ||||
| Total Medicare payment per Day at DRG | $1,421 | ||||
| Total Medicare payment per Day with ICD S0232XA - Fracture of orbital floor, left side, initial encounter for closed fracture | $1,255 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,939 | ||||
| Total Medicare payment per Hospitalization with ICD S0232XA - Fracture of orbital floor, left side, initial encounter for closed fracture | $4,892 | ||||
| Total Medicare Charges at DRG | $2,194,270,678 | ||||
| Total Medicare Charges with ICD S0232XA - Fracture of orbital floor, left side, initial encounter for closed fracture | $2,946,877 | ||||
| Avg Charges at DRG | $26,282 | ||||
| Avg Charges with ICD S0232XA - Fracture of orbital floor, left side, initial encounter for closed fracture | $33,111 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD S0232XA - Fracture of orbital floor, left side, initial encounter for closed fracture | NA | ||||
| SNF Discharge Rate at DRG | 54.16 | ||||
| SNF Discharge Rate with ICD S0232XA - Fracture of orbital floor, left side, initial encounter for closed fracture | 46.07 | ||||
| Home Discharge Rate at DRG | 17.27 | ||||
| Home Discharge Rate with ICD S0232XA - Fracture of orbital floor, left side, initial encounter for closed fracture | 20.22 |
| 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 |
| GRANT MEDICAL CENTER | 111 S GRANT AVE | COLUMBUS | OH | 43215 | 38 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 37 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. STANLEY E OKOSUN | 2300 S 16TH ST | LINCOLN | NE | 68502 | 13 |