*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| S0240DA - Maxillary fracture, left side, initial encounter for closed fracture - as a primary diagnosis code | S0240DA - Maxillary fracture, left side, initial encounter for closed fracture - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.51 | |
| Readmission Rate (%) | 24.05 | |
| Unplanned Readmission Rate (%) | 10.06 | |
| 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 132: CRANIAL AND FACIAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 10,966 | ||||
| Total Hospitalizations with ICD S0240DA - Maxillary fracture, left side, initial encounter for closed fracture | 340 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD S0240DA - Maxillary fracture, left side, initial encounter for closed fracture in DRG | 48.43 | ||||
| Avg LOS at DRG | 3.55 | ||||
| Avg LOS with ICD S0240DA - Maxillary fracture, left side, initial encounter for closed fracture | 2.86 | ||||
| Readmission Rate at DRG | 16.16 | ||||
| Readmission Rate with ICD S0240DA - Maxillary fracture, left side, initial encounter for closed fracture | 14.33 | ||||
| Unplanned Readmission Rate at DRG | 10.54 | ||||
| Unplanned Readmission Rate with ICD S0240DA - Maxillary fracture, left side, initial encounter for closed fracture | 8.6 | ||||
| Total Medicare payments at DRG | $61,877,531 | ||||
| Total Medicare payments with ICD S0240DA - Maxillary fracture, left side, initial encounter for closed fracture | $1,740,564 | ||||
| Total Medicare payment per Day at DRG | $1,590 | ||||
| Total Medicare payment per Day with ICD S0240DA - Maxillary fracture, left side, initial encounter for closed fracture | $1,791 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,643 | ||||
| Total Medicare payment per Hospitalization with ICD S0240DA - Maxillary fracture, left side, initial encounter for closed fracture | $5,119 | ||||
| Total Medicare Charges at DRG | $330,565,798 | ||||
| Total Medicare Charges with ICD S0240DA - Maxillary fracture, left side, initial encounter for closed fracture | $11,794,844 | ||||
| Avg Charges at DRG | $30,145 | ||||
| Avg Charges with ICD S0240DA - Maxillary fracture, left side, initial encounter for closed fracture | $34,691 | ||||
| Mortality Rate at DRG | 0.26 | ||||
| Mortality Rate with ICD S0240DA - Maxillary fracture, left side, initial encounter for closed fracture | NA | ||||
| SNF Discharge Rate at DRG | 13.73 | ||||
| SNF Discharge Rate with ICD S0240DA - Maxillary fracture, left side, initial encounter for closed fracture | 31.18 | ||||
| Home Discharge Rate at DRG | 61.66 | ||||
| Home Discharge Rate with ICD S0240DA - Maxillary fracture, left side, initial encounter for closed fracture | 33.82 |
*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 086: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR 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 131: CRANIAL AND FACIAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 10,966 | ||||
| Total Hospitalizations with ICD S0240DA - Maxillary fracture, left side, initial encounter for closed fracture | 484 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD S0240DA - Maxillary fracture, left side, initial encounter for closed fracture in DRG | 7.94 | ||||
| Avg LOS at DRG | 3.55 | ||||
| Avg LOS with ICD S0240DA - Maxillary fracture, left side, initial encounter for closed fracture | 2.88 | ||||
| Readmission Rate at DRG | 16.16 | ||||
| Readmission Rate with ICD S0240DA - Maxillary fracture, left side, initial encounter for closed fracture | 16.7 | ||||
| Unplanned Readmission Rate at DRG | 10.54 | ||||
| Unplanned Readmission Rate with ICD S0240DA - Maxillary fracture, left side, initial encounter for closed fracture | 10.24 | ||||
| Total Medicare payments at DRG | $61,877,531 | ||||
| Total Medicare payments with ICD S0240DA - Maxillary fracture, left side, initial encounter for closed fracture | $2,522,106 | ||||
| Total Medicare payment per Day at DRG | $1,590 | ||||
| Total Medicare payment per Day with ICD S0240DA - Maxillary fracture, left side, initial encounter for closed fracture | $1,807 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,643 | ||||
| Total Medicare payment per Hospitalization with ICD S0240DA - Maxillary fracture, left side, initial encounter for closed fracture | $5,211 | ||||
| Total Medicare Charges at DRG | $330,565,798 | ||||
| Total Medicare Charges with ICD S0240DA - Maxillary fracture, left side, initial encounter for closed fracture | $16,609,436 | ||||
| Avg Charges at DRG | $30,145 | ||||
| Avg Charges with ICD S0240DA - Maxillary fracture, left side, initial encounter for closed fracture | $34,317 | ||||
| Mortality Rate at DRG | 0.26 | ||||
| Mortality Rate with ICD S0240DA - Maxillary fracture, left side, initial encounter for closed fracture | NA | ||||
| SNF Discharge Rate at DRG | 13.73 | ||||
| SNF Discharge Rate with ICD S0240DA - Maxillary fracture, left side, initial encounter for closed fracture | 32.85 | ||||
| Home Discharge Rate at DRG | 61.66 | ||||
| Home Discharge Rate with ICD S0240DA - Maxillary fracture, left side, initial encounter for closed fracture | 34.92 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 087: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 565: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 085: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITH 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 | 34,301 | ||||
| Total Hospitalizations with ICD S0240DA - Maxillary fracture, left side, initial encounter for closed fracture | 230 | ||||
| DRG Share of Total Hospitalizations | 0.1 | ||||
| % of Total ICD S0240DA - Maxillary fracture, left side, initial encounter for closed fracture in DRG | 3.77 | ||||
| Avg LOS at DRG | 2.55 | ||||
| Avg LOS with ICD S0240DA - Maxillary fracture, left side, initial encounter for closed fracture | 2.65 | ||||
| Readmission Rate at DRG | 19.05 | ||||
| Readmission Rate with ICD S0240DA - Maxillary fracture, left side, initial encounter for closed fracture | 15.07 | ||||
| Unplanned Readmission Rate at DRG | 9.31 | ||||
| Unplanned Readmission Rate with ICD S0240DA - Maxillary fracture, left side, initial encounter for closed fracture | 5.48 | ||||
| Total Medicare payments at DRG | $165,565,037 | ||||
| Total Medicare payments with ICD S0240DA - Maxillary fracture, left side, initial encounter for closed fracture | $1,171,022 | ||||
| Total Medicare payment per Day at DRG | $1,896 | ||||
| Total Medicare payment per Day with ICD S0240DA - Maxillary fracture, left side, initial encounter for closed fracture | $1,923 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,827 | ||||
| Total Medicare payment per Hospitalization with ICD S0240DA - Maxillary fracture, left side, initial encounter for closed fracture | $5,091 | ||||
| Total Medicare Charges at DRG | $1,045,144,829 | ||||
| Total Medicare Charges with ICD S0240DA - Maxillary fracture, left side, initial encounter for closed fracture | $7,375,674 | ||||
| Avg Charges at DRG | $30,470 | ||||
| Avg Charges with ICD S0240DA - Maxillary fracture, left side, initial encounter for closed fracture | $32,068 | ||||
| Mortality Rate at DRG | 1.23 | ||||
| Mortality Rate with ICD S0240DA - Maxillary fracture, left side, initial encounter for closed fracture | NA | ||||
| SNF Discharge Rate at DRG | 20.31 | ||||
| SNF Discharge Rate with ICD S0240DA - Maxillary fracture, left side, initial encounter for closed fracture | 23.91 | ||||
| Home Discharge Rate at DRG | 47.25 | ||||
| Home Discharge Rate with ICD S0240DA - Maxillary fracture, left side, initial encounter for closed fracture | 43.04 |
*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 312: SYNCOPE AND COLLAPSE | 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 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 12,615 | ||||
| Total Hospitalizations with ICD S0240DA - Maxillary fracture, left side, initial encounter for closed fracture | 147 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD S0240DA - Maxillary fracture, left side, initial encounter for closed fracture in DRG | 2.41 | ||||
| Avg LOS at DRG | 2.67 | ||||
| Avg LOS with ICD S0240DA - Maxillary fracture, left side, initial encounter for closed fracture | 3.0 | ||||
| Readmission Rate at DRG | 19.38 | ||||
| Readmission Rate with ICD S0240DA - Maxillary fracture, left side, initial encounter for closed fracture | 13.33 | ||||
| Unplanned Readmission Rate at DRG | 8.86 | ||||
| Unplanned Readmission Rate with ICD S0240DA - Maxillary fracture, left side, initial encounter for closed fracture | NA | ||||
| Total Medicare payments at DRG | $72,478,990 | ||||
| Total Medicare payments with ICD S0240DA - Maxillary fracture, left side, initial encounter for closed fracture | $999,350 | ||||
| Total Medicare payment per Day at DRG | $2,150 | ||||
| Total Medicare payment per Day with ICD S0240DA - Maxillary fracture, left side, initial encounter for closed fracture | $2,266 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,745 | ||||
| Total Medicare payment per Hospitalization with ICD S0240DA - Maxillary fracture, left side, initial encounter for closed fracture | $6,798 | ||||
| Total Medicare Charges at DRG | $424,862,672 | ||||
| Total Medicare Charges with ICD S0240DA - Maxillary fracture, left side, initial encounter for closed fracture | $6,029,643 | ||||
| Avg Charges at DRG | $33,679 | ||||
| Avg Charges with ICD S0240DA - Maxillary fracture, left side, initial encounter for closed fracture | $41,018 | ||||
| Mortality Rate at DRG | 6.9 | ||||
| Mortality Rate with ICD S0240DA - Maxillary fracture, left side, initial encounter for closed fracture | NA | ||||
| SNF Discharge Rate at DRG | 17.21 | ||||
| SNF Discharge Rate with ICD S0240DA - Maxillary fracture, left side, initial encounter for closed fracture | 18.37 | ||||
| Home Discharge Rate at DRG | 46.56 | ||||
| Home Discharge Rate with ICD S0240DA - Maxillary fracture, left side, initial encounter for closed fracture | 44.9 |
*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 563: FRACTURE SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 957: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 964: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) | DRG 184: MAJOR CHEST TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 8,080 | ||||
| Total Hospitalizations with ICD S0240DA - Maxillary fracture, left side, initial encounter for closed fracture | 89 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD S0240DA - Maxillary fracture, left side, initial encounter for closed fracture in DRG | 1.46 | ||||
| Avg LOS at DRG | 7.67 | ||||
| Avg LOS with ICD S0240DA - Maxillary fracture, left side, initial encounter for closed fracture | 6.9 | ||||
| Readmission Rate at DRG | 32.12 | ||||
| Readmission Rate with ICD S0240DA - Maxillary fracture, left side, initial encounter for closed fracture | 47.5 | ||||
| Unplanned Readmission Rate at DRG | 11.67 | ||||
| Unplanned Readmission Rate with ICD S0240DA - Maxillary fracture, left side, initial encounter for closed fracture | NA | ||||
| Total Medicare payments at DRG | $153,438,187 | ||||
| Total Medicare payments with ICD S0240DA - Maxillary fracture, left side, initial encounter for closed fracture | $1,856,616 | ||||
| Total Medicare payment per Day at DRG | $2,475 | ||||
| Total Medicare payment per Day with ICD S0240DA - Maxillary fracture, left side, initial encounter for closed fracture | $3,024 | ||||
| Total Medicare payment per Hospitalization at DRG | $18,990 | ||||
| Total Medicare payment per Hospitalization with ICD S0240DA - Maxillary fracture, left side, initial encounter for closed fracture | $20,861 | ||||
| Total Medicare Charges at DRG | $755,223,950 | ||||
| Total Medicare Charges with ICD S0240DA - Maxillary fracture, left side, initial encounter for closed fracture | $10,276,796 | ||||
| Avg Charges at DRG | $93,468 | ||||
| Avg Charges with ICD S0240DA - Maxillary fracture, left side, initial encounter for closed fracture | $115,470 | ||||
| Mortality Rate at DRG | 26.42 | ||||
| Mortality Rate with ICD S0240DA - Maxillary fracture, left side, initial encounter for closed fracture | 49.44 | ||||
| SNF Discharge Rate at DRG | 31.27 | ||||
| SNF Discharge Rate with ICD S0240DA - Maxillary fracture, left side, initial encounter for closed fracture | 19.1 | ||||
| Home Discharge Rate at DRG | 8.44 | ||||
| Home Discharge Rate with ICD S0240DA - Maxillary fracture, left side, initial encounter for closed fracture | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| GRANT MEDICAL CENTER | 111 S GRANT AVE | COLUMBUS | OH | 43215 | 40 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 37 |
| UPMC PRESBYTERIAN SHADYSIDE | 200 LOTHROP ST | PITTSBURGH | PA | 15213 | 37 |
| 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 |