*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture - as a primary diagnosis code | S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.6 | |
| Readmission Rate (%) | 24.01 | |
| Unplanned Readmission Rate (%) | 7.94 | |
| 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 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 131: CRANIAL AND FACIAL 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 S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture | 426 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture in DRG | 47.39 | ||||
| Avg LOS at DRG | 3.55 | ||||
| Avg LOS with ICD S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture | 3.19 | ||||
| Readmission Rate at DRG | 16.16 | ||||
| Readmission Rate with ICD S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture | 14.77 | ||||
| Unplanned Readmission Rate at DRG | 10.54 | ||||
| Unplanned Readmission Rate with ICD S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture | 7.02 | ||||
| Total Medicare payments at DRG | $61,877,531 | ||||
| Total Medicare payments with ICD S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture | $2,310,052 | ||||
| Total Medicare payment per Day at DRG | $1,590 | ||||
| Total Medicare payment per Day with ICD S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture | $1,701 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,643 | ||||
| Total Medicare payment per Hospitalization with ICD S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture | $5,423 | ||||
| Total Medicare Charges at DRG | $330,565,798 | ||||
| Total Medicare Charges with ICD S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture | $14,374,070 | ||||
| Avg Charges at DRG | $30,145 | ||||
| Avg Charges with ICD S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture | $33,742 | ||||
| Mortality Rate at DRG | 0.26 | ||||
| Mortality Rate with ICD S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture | NA | ||||
| SNF Discharge Rate at DRG | 13.73 | ||||
| SNF Discharge Rate with ICD S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture | 35.92 | ||||
| Home Discharge Rate at DRG | 61.66 | ||||
| Home Discharge Rate with ICD S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture | 36.85 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 132: CRANIAL AND FACIAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 1,790 | |
| Total Hospitalizations with ICD S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture | 14 | |
| DRG Share of Total Hospitalizations | 0.01 | |
| % of Total ICD S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture in DRG | 1.56 | |
| Avg LOS at DRG | 2.42 | |
| Avg LOS with ICD S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture | 0.5 | |
| Readmission Rate at DRG | 8.1 | |
| Readmission Rate with ICD S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture | NA | |
| Unplanned Readmission Rate at DRG | 5.15 | |
| Unplanned Readmission Rate with ICD S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture | NA | |
| Total Medicare payments at DRG | $17,897,469 | |
| Total Medicare payments with ICD S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture | $145,440 | |
| Total Medicare payment per Day at DRG | $4,130 | |
| Total Medicare payment per Day with ICD S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture | $20,777 | |
| Total Medicare payment per Hospitalization at DRG | $9,999 | |
| Total Medicare payment per Hospitalization with ICD S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture | $10,389 | |
| Total Medicare Charges at DRG | $108,894,934 | |
| Total Medicare Charges with ICD S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture | $724,966 | |
| Avg Charges at DRG | $60,835 | |
| Avg Charges with ICD S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture | $51,783 | |
| Mortality Rate at DRG | NA | |
| Mortality Rate with ICD S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture | NA | |
| SNF Discharge Rate at DRG | 4.08 | |
| SNF Discharge Rate with ICD S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture | NA | |
| Home Discharge Rate at DRG | 84.8 | |
| Home Discharge Rate with ICD S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture | 92.86 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| PROVIDENCE SAINT JOSEPH MEDICAL CENTER | 501 S BUENA VISTA ST | BURBANK | CA | 91505 | 28 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. LAWRENCE ALAN WOLFF | 16550 VENTURA BLVD STE 209 | ENCINO | CA | 91436 | 27 |
*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 158: DENTAL AND ORAL DISEASES 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 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 | 50,567 | ||||
| Total Hospitalizations with ICD S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture | 543 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture in DRG | 7.4 | ||||
| Avg LOS at DRG | 4.05 | ||||
| Avg LOS with ICD S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture | 4.21 | ||||
| Readmission Rate at DRG | 26.88 | ||||
| Readmission Rate with ICD S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture | 24.57 | ||||
| Unplanned Readmission Rate at DRG | 12.36 | ||||
| Unplanned Readmission Rate with ICD S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture | 9.71 | ||||
| Total Medicare payments at DRG | $378,594,631 | ||||
| Total Medicare payments with ICD S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture | $4,034,960 | ||||
| Total Medicare payment per Day at DRG | $1,847 | ||||
| Total Medicare payment per Day with ICD S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture | $1,767 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,487 | ||||
| Total Medicare payment per Hospitalization with ICD S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture | $7,431 | ||||
| Total Medicare Charges at DRG | $2,140,437,521 | ||||
| Total Medicare Charges with ICD S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture | $24,176,613 | ||||
| Avg Charges at DRG | $42,329 | ||||
| Avg Charges with ICD S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture | $44,524 | ||||
| Mortality Rate at DRG | 1.75 | ||||
| Mortality Rate with ICD S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture | NA | ||||
| SNF Discharge Rate at DRG | 32.85 | ||||
| SNF Discharge Rate with ICD S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture | 35.17 | ||||
| Home Discharge Rate at DRG | 27.18 | ||||
| Home Discharge Rate with ICD S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture | 27.44 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 565: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES 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) | DRG 155: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 312: SYNCOPE AND COLLAPSE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 23,663 | ||||
| Total Hospitalizations with ICD S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture | 254 | ||||
| DRG Share of Total Hospitalizations | 0.07 | ||||
| % of Total ICD S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture in DRG | 3.46 | ||||
| Avg LOS at DRG | 4.81 | ||||
| Avg LOS with ICD S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture | 3.06 | ||||
| Readmission Rate at DRG | 21.07 | ||||
| Readmission Rate with ICD S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture | 10.89 | ||||
| Unplanned Readmission Rate at DRG | 11.02 | ||||
| Unplanned Readmission Rate with ICD S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture | NA | ||||
| Total Medicare payments at DRG | $163,590,689 | ||||
| Total Medicare payments with ICD S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture | $1,447,489 | ||||
| Total Medicare payment per Day at DRG | $1,438 | ||||
| Total Medicare payment per Day with ICD S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture | $1,861 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,913 | ||||
| Total Medicare payment per Hospitalization with ICD S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture | $5,699 | ||||
| Total Medicare Charges at DRG | $779,108,044 | ||||
| Total Medicare Charges with ICD S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture | $7,943,538 | ||||
| Avg Charges at DRG | $32,925 | ||||
| Avg Charges with ICD S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture | $31,274 | ||||
| Mortality Rate at DRG | 0.29 | ||||
| Mortality Rate with ICD S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture | NA | ||||
| SNF Discharge Rate at DRG | 39.56 | ||||
| SNF Discharge Rate with ICD S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture | 31.89 | ||||
| Home Discharge Rate at DRG | 25.13 | ||||
| Home Discharge Rate with ICD S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture | 40.16 |
*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 125: OTHER DISORDERS OF THE EYE WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT 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 | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 16,887 | ||||
| Total Hospitalizations with ICD S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture | 160 | ||||
| DRG Share of Total Hospitalizations | 0.05 | ||||
| % of Total ICD S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture in DRG | 2.18 | ||||
| Avg LOS at DRG | 6.32 | ||||
| Avg LOS with ICD S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture | 7.04 | ||||
| Readmission Rate at DRG | 32.67 | ||||
| Readmission Rate with ICD S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture | 30.0 | ||||
| Unplanned Readmission Rate at DRG | 12.74 | ||||
| Unplanned Readmission Rate with ICD S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture | NA | ||||
| Total Medicare payments at DRG | $261,162,717 | ||||
| Total Medicare payments with ICD S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture | $2,544,970 | ||||
| Total Medicare payment per Day at DRG | $2,446 | ||||
| Total Medicare payment per Day with ICD S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture | $2,258 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,465 | ||||
| Total Medicare payment per Hospitalization with ICD S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture | $15,906 | ||||
| Total Medicare Charges at DRG | $1,308,172,656 | ||||
| Total Medicare Charges with ICD S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture | $13,786,837 | ||||
| Avg Charges at DRG | $77,466 | ||||
| Avg Charges with ICD S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture | $86,168 | ||||
| Mortality Rate at DRG | 32.04 | ||||
| Mortality Rate with ICD S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture | 34.38 | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture | 27.5 | ||||
| Home Discharge Rate at DRG | 11.05 | ||||
| Home Discharge Rate with ICD S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture | 8.75 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 963: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 964: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) | DRG 563: FRACTURE SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 564: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 159: DENTAL AND ORAL DISEASES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 8,080 | ||||
| Total Hospitalizations with ICD S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture | 102 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture in DRG | 1.39 | ||||
| Avg LOS at DRG | 7.67 | ||||
| Avg LOS with ICD S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture | 7.72 | ||||
| Readmission Rate at DRG | 32.12 | ||||
| Readmission Rate with ICD S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture | 32.14 | ||||
| Unplanned Readmission Rate at DRG | 11.67 | ||||
| Unplanned Readmission Rate with ICD S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture | NA | ||||
| Total Medicare payments at DRG | $153,438,187 | ||||
| Total Medicare payments with ICD S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture | $2,086,370 | ||||
| Total Medicare payment per Day at DRG | $2,475 | ||||
| Total Medicare payment per Day with ICD S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture | $2,651 | ||||
| Total Medicare payment per Hospitalization at DRG | $18,990 | ||||
| Total Medicare payment per Hospitalization with ICD S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture | $20,455 | ||||
| Total Medicare Charges at DRG | $755,223,950 | ||||
| Total Medicare Charges with ICD S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture | $11,424,630 | ||||
| Avg Charges at DRG | $93,468 | ||||
| Avg Charges with ICD S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture | $112,006 | ||||
| Mortality Rate at DRG | 26.42 | ||||
| Mortality Rate with ICD S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture | 43.14 | ||||
| SNF Discharge Rate at DRG | 31.27 | ||||
| SNF Discharge Rate with ICD S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture | 20.59 | ||||
| Home Discharge Rate at DRG | 8.44 | ||||
| Home Discharge Rate with ICD S02401A - Maxillary fracture, unspecified side, initial encounter for closed fracture | 11.76 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| PROVIDENCE SAINT JOSEPH MEDICAL CENTER | 501 S BUENA VISTA ST | BURBANK | CA | 91505 | 69 |
| RIVERSIDE METHODIST HOSPITAL | 3535 OLENTANGY RIVER RD | COLUMBUS | OH | 43214 | 39 |
| RHODE ISLAND HOSPITAL | 593 EDDY ST | PROVIDENCE | RI | 02903 | 39 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. LAWRENCE ALAN WOLFF | 16550 VENTURA BLVD STE 209 | ENCINO | CA | 91436 | 64 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MAYUR C PATEL | 2625 W ALAMEDA AVE | BURBANK | CA | 91505 | 31 |
| Dr. LAWRENCE ALAN WOLFF | 16550 VENTURA BLVD STE 209 | ENCINO | CA | 91436 | 15 |
| Dr. WAYNEINDER SINGH ANAND | 2625 W ALAMEDA AVE | BURBANK | CA | 91505 | 11 |