*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| S0240CA - Maxillary fracture, right side, initial encounter for closed fracture - as a primary diagnosis code | S0240CA - Maxillary fracture, right side, initial encounter for closed fracture - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.43 | |
| Readmission Rate (%) | 23.63 | |
| Unplanned Readmission Rate (%) | 8.77 | |
| 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 131: CRANIAL AND FACIAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/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 | 10,966 | |||
| Total Hospitalizations with ICD S0240CA - Maxillary fracture, right side, initial encounter for closed fracture | 306 | |||
| DRG Share of Total Hospitalizations | 0.03 | |||
| % of Total ICD S0240CA - Maxillary fracture, right side, initial encounter for closed fracture in DRG | 47.59 | |||
| Avg LOS at DRG | 3.55 | |||
| Avg LOS with ICD S0240CA - Maxillary fracture, right side, initial encounter for closed fracture | 2.85 | |||
| Readmission Rate at DRG | 16.16 | |||
| Readmission Rate with ICD S0240CA - Maxillary fracture, right side, initial encounter for closed fracture | 15.63 | |||
| Unplanned Readmission Rate at DRG | 10.54 | |||
| Unplanned Readmission Rate with ICD S0240CA - Maxillary fracture, right side, initial encounter for closed fracture | 8.68 | |||
| Total Medicare payments at DRG | $61,877,531 | |||
| Total Medicare payments with ICD S0240CA - Maxillary fracture, right side, initial encounter for closed fracture | $1,537,983 | |||
| Total Medicare payment per Day at DRG | $1,590 | |||
| Total Medicare payment per Day with ICD S0240CA - Maxillary fracture, right side, initial encounter for closed fracture | $1,766 | |||
| Total Medicare payment per Hospitalization at DRG | $5,643 | |||
| Total Medicare payment per Hospitalization with ICD S0240CA - Maxillary fracture, right side, initial encounter for closed fracture | $5,026 | |||
| Total Medicare Charges at DRG | $330,565,798 | |||
| Total Medicare Charges with ICD S0240CA - Maxillary fracture, right side, initial encounter for closed fracture | $10,044,288 | |||
| Avg Charges at DRG | $30,145 | |||
| Avg Charges with ICD S0240CA - Maxillary fracture, right side, initial encounter for closed fracture | $32,824 | |||
| Mortality Rate at DRG | 0.26 | |||
| Mortality Rate with ICD S0240CA - Maxillary fracture, right side, initial encounter for closed fracture | NA | |||
| SNF Discharge Rate at DRG | 13.73 | |||
| SNF Discharge Rate with ICD S0240CA - Maxillary fracture, right side, initial encounter for closed fracture | 32.35 | |||
| Home Discharge Rate at DRG | 61.66 | |||
| Home Discharge Rate with ICD S0240CA - Maxillary fracture, right side, initial encounter for closed fracture | 38.56 |
*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 157: DENTAL AND ORAL DISEASES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 083: TRAUMATIC STUPOR AND COMA, COMA >1 HOUR WITH COMPLICATION OR COMORBIDITY (CC) | DRG 087: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 50,567 | ||||
| Total Hospitalizations with ICD S0240CA - Maxillary fracture, right side, initial encounter for closed fracture | 465 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD S0240CA - Maxillary fracture, right side, initial encounter for closed fracture in DRG | 8.11 | ||||
| Avg LOS at DRG | 4.05 | ||||
| Avg LOS with ICD S0240CA - Maxillary fracture, right side, initial encounter for closed fracture | 3.92 | ||||
| Readmission Rate at DRG | 26.88 | ||||
| Readmission Rate with ICD S0240CA - Maxillary fracture, right side, initial encounter for closed fracture | 23.29 | ||||
| Unplanned Readmission Rate at DRG | 12.36 | ||||
| Unplanned Readmission Rate with ICD S0240CA - Maxillary fracture, right side, initial encounter for closed fracture | 7.76 | ||||
| Total Medicare payments at DRG | $378,594,631 | ||||
| Total Medicare payments with ICD S0240CA - Maxillary fracture, right side, initial encounter for closed fracture | $3,563,850 | ||||
| Total Medicare payment per Day at DRG | $1,847 | ||||
| Total Medicare payment per Day with ICD S0240CA - Maxillary fracture, right side, initial encounter for closed fracture | $1,956 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,487 | ||||
| Total Medicare payment per Hospitalization with ICD S0240CA - Maxillary fracture, right side, initial encounter for closed fracture | $7,664 | ||||
| Total Medicare Charges at DRG | $2,140,437,521 | ||||
| Total Medicare Charges with ICD S0240CA - Maxillary fracture, right side, initial encounter for closed fracture | $22,130,484 | ||||
| Avg Charges at DRG | $42,329 | ||||
| Avg Charges with ICD S0240CA - Maxillary fracture, right side, initial encounter for closed fracture | $47,592 | ||||
| Mortality Rate at DRG | 1.75 | ||||
| Mortality Rate with ICD S0240CA - Maxillary fracture, right side, initial encounter for closed fracture | NA | ||||
| SNF Discharge Rate at DRG | 32.85 | ||||
| SNF Discharge Rate with ICD S0240CA - Maxillary fracture, right side, initial encounter for closed fracture | 33.55 | ||||
| Home Discharge Rate at DRG | 27.18 | ||||
| Home Discharge Rate with ICD S0240CA - Maxillary fracture, right side, initial encounter for closed fracture | 29.68 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 131: CRANIAL AND FACIAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 085: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 565: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | 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 | 3,927 | ||||
| Total Hospitalizations with ICD S0240CA - Maxillary fracture, right side, initial encounter for closed fracture | 228 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD S0240CA - Maxillary fracture, right side, initial encounter for closed fracture in DRG | 3.98 | ||||
| Avg LOS at DRG | 5.65 | ||||
| Avg LOS with ICD S0240CA - Maxillary fracture, right side, initial encounter for closed fracture | 5.25 | ||||
| Readmission Rate at DRG | 17.41 | ||||
| Readmission Rate with ICD S0240CA - Maxillary fracture, right side, initial encounter for closed fracture | 19.44 | ||||
| Unplanned Readmission Rate at DRG | 7.98 | ||||
| Unplanned Readmission Rate with ICD S0240CA - Maxillary fracture, right side, initial encounter for closed fracture | 6.94 | ||||
| Total Medicare payments at DRG | $74,250,533 | ||||
| Total Medicare payments with ICD S0240CA - Maxillary fracture, right side, initial encounter for closed fracture | $3,999,262 | ||||
| Total Medicare payment per Day at DRG | $3,344 | ||||
| Total Medicare payment per Day with ICD S0240CA - Maxillary fracture, right side, initial encounter for closed fracture | $3,341 | ||||
| Total Medicare payment per Hospitalization at DRG | $18,908 | ||||
| Total Medicare payment per Hospitalization with ICD S0240CA - Maxillary fracture, right side, initial encounter for closed fracture | $17,541 | ||||
| Total Medicare Charges at DRG | $386,848,425 | ||||
| Total Medicare Charges with ICD S0240CA - Maxillary fracture, right side, initial encounter for closed fracture | $22,360,421 | ||||
| Avg Charges at DRG | $98,510 | ||||
| Avg Charges with ICD S0240CA - Maxillary fracture, right side, initial encounter for closed fracture | $98,072 | ||||
| Mortality Rate at DRG | 1.17 | ||||
| Mortality Rate with ICD S0240CA - Maxillary fracture, right side, initial encounter for closed fracture | NA | ||||
| SNF Discharge Rate at DRG | 15.48 | ||||
| SNF Discharge Rate with ICD S0240CA - Maxillary fracture, right side, initial encounter for closed fracture | 21.05 | ||||
| Home Discharge Rate at DRG | 59.66 | ||||
| Home Discharge Rate with ICD S0240CA - Maxillary fracture, right side, initial encounter for closed fracture | 53.51 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| 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 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 964: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) | DRG 312: SYNCOPE AND COLLAPSE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 12,615 | ||||
| Total Hospitalizations with ICD S0240CA - Maxillary fracture, right side, initial encounter for closed fracture | 149 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD S0240CA - Maxillary fracture, right side, initial encounter for closed fracture in DRG | 2.6 | ||||
| Avg LOS at DRG | 2.67 | ||||
| Avg LOS with ICD S0240CA - Maxillary fracture, right side, initial encounter for closed fracture | 2.98 | ||||
| Readmission Rate at DRG | 19.38 | ||||
| Readmission Rate with ICD S0240CA - Maxillary fracture, right side, initial encounter for closed fracture | 25.56 | ||||
| Unplanned Readmission Rate at DRG | 8.86 | ||||
| Unplanned Readmission Rate with ICD S0240CA - Maxillary fracture, right side, initial encounter for closed fracture | 9.77 | ||||
| Total Medicare payments at DRG | $72,478,990 | ||||
| Total Medicare payments with ICD S0240CA - Maxillary fracture, right side, initial encounter for closed fracture | $932,656 | ||||
| Total Medicare payment per Day at DRG | $2,150 | ||||
| Total Medicare payment per Day with ICD S0240CA - Maxillary fracture, right side, initial encounter for closed fracture | $2,101 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,745 | ||||
| Total Medicare payment per Hospitalization with ICD S0240CA - Maxillary fracture, right side, initial encounter for closed fracture | $6,259 | ||||
| Total Medicare Charges at DRG | $424,862,672 | ||||
| Total Medicare Charges with ICD S0240CA - Maxillary fracture, right side, initial encounter for closed fracture | $5,650,775 | ||||
| Avg Charges at DRG | $33,679 | ||||
| Avg Charges with ICD S0240CA - Maxillary fracture, right side, initial encounter for closed fracture | $37,925 | ||||
| Mortality Rate at DRG | 6.9 | ||||
| Mortality Rate with ICD S0240CA - Maxillary fracture, right side, initial encounter for closed fracture | NA | ||||
| SNF Discharge Rate at DRG | 17.21 | ||||
| SNF Discharge Rate with ICD S0240CA - Maxillary fracture, right side, initial encounter for closed fracture | 21.48 | ||||
| Home Discharge Rate at DRG | 46.56 | ||||
| Home Discharge Rate with ICD S0240CA - Maxillary fracture, right side, initial encounter for closed fracture | 42.28 |
*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 963: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 563: FRACTURE SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 184: MAJOR CHEST TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) | DRG 564: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 195,476 | ||||
| Total Hospitalizations with ICD S0240CA - Maxillary fracture, right side, initial encounter for closed fracture | 94 | ||||
| DRG Share of Total Hospitalizations | 0.59 | ||||
| % of Total ICD S0240CA - Maxillary fracture, right side, initial encounter for closed fracture in DRG | 1.64 | ||||
| Avg LOS at DRG | 4.48 | ||||
| Avg LOS with ICD S0240CA - Maxillary fracture, right side, initial encounter for closed fracture | 3.8 | ||||
| Readmission Rate at DRG | 20.57 | ||||
| Readmission Rate with ICD S0240CA - Maxillary fracture, right side, initial encounter for closed fracture | 17.05 | ||||
| Unplanned Readmission Rate at DRG | 9.88 | ||||
| Unplanned Readmission Rate with ICD S0240CA - Maxillary fracture, right side, initial encounter for closed fracture | NA | ||||
| Total Medicare payments at DRG | $1,320,662,237 | ||||
| Total Medicare payments with ICD S0240CA - Maxillary fracture, right side, initial encounter for closed fracture | $520,058 | ||||
| Total Medicare payment per Day at DRG | $1,508 | ||||
| Total Medicare payment per Day with ICD S0240CA - Maxillary fracture, right side, initial encounter for closed fracture | $1,457 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,756 | ||||
| Total Medicare payment per Hospitalization with ICD S0240CA - Maxillary fracture, right side, initial encounter for closed fracture | $5,533 | ||||
| Total Medicare Charges at DRG | $6,024,639,461 | ||||
| Total Medicare Charges with ICD S0240CA - Maxillary fracture, right side, initial encounter for closed fracture | $3,596,093 | ||||
| Avg Charges at DRG | $30,820 | ||||
| Avg Charges with ICD S0240CA - Maxillary fracture, right side, initial encounter for closed fracture | $38,256 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD S0240CA - Maxillary fracture, right side, initial encounter for closed fracture | NA | ||||
| SNF Discharge Rate at DRG | 33.36 | ||||
| SNF Discharge Rate with ICD S0240CA - Maxillary fracture, right side, initial encounter for closed fracture | 50.0 | ||||
| Home Discharge Rate at DRG | 30.98 | ||||
| Home Discharge Rate with ICD S0240CA - Maxillary fracture, right side, initial encounter for closed fracture | 23.4 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UPMC PRESBYTERIAN SHADYSIDE | 200 LOTHROP ST | PITTSBURGH | PA | 15213 | 42 |
| GRANT MEDICAL CENTER | 111 S GRANT AVE | COLUMBUS | OH | 43215 | 36 |
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 34 |
| 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 | 15 |
| 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 | 11 |