*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture - as a primary diagnosis code | S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.1 | |
| Readmission Rate (%) | 25.93 | |
| Unplanned Readmission Rate (%) | 9.2 | |
| 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 565: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 564: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 566: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 988: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 23,663 | ||||
| Total Hospitalizations with ICD S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture | 404 | ||||
| DRG Share of Total Hospitalizations | 0.07 | ||||
| % of Total ICD S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture in DRG | 54.67 | ||||
| Avg LOS at DRG | 4.81 | ||||
| Avg LOS with ICD S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture | 3.05 | ||||
| Readmission Rate at DRG | 21.07 | ||||
| Readmission Rate with ICD S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture | 18.08 | ||||
| Unplanned Readmission Rate at DRG | 11.02 | ||||
| Unplanned Readmission Rate with ICD S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture | 9.59 | ||||
| Total Medicare payments at DRG | $163,590,689 | ||||
| Total Medicare payments with ICD S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture | $2,467,228 | ||||
| Total Medicare payment per Day at DRG | $1,438 | ||||
| Total Medicare payment per Day with ICD S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture | $2,004 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,913 | ||||
| Total Medicare payment per Hospitalization with ICD S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture | $6,107 | ||||
| Total Medicare Charges at DRG | $779,108,044 | ||||
| Total Medicare Charges with ICD S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture | $14,053,350 | ||||
| Avg Charges at DRG | $32,925 | ||||
| Avg Charges with ICD S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture | $34,786 | ||||
| Mortality Rate at DRG | 0.29 | ||||
| Mortality Rate with ICD S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture | NA | ||||
| SNF Discharge Rate at DRG | 39.56 | ||||
| SNF Discharge Rate with ICD S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture | 31.68 | ||||
| Home Discharge Rate at DRG | 25.13 | ||||
| Home Discharge Rate with ICD S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture | 39.85 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 515: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 16,044 |
| Total Hospitalizations with ICD S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture | 11 |
| DRG Share of Total Hospitalizations | 0.05 |
| % of Total ICD S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture in DRG | 1.49 |
| Avg LOS at DRG | 8.82 |
| Avg LOS with ICD S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture | 7.45 |
| Readmission Rate at DRG | 32.29 |
| Readmission Rate with ICD S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture | NA |
| Unplanned Readmission Rate at DRG | 14.96 |
| Unplanned Readmission Rate with ICD S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture | NA |
| Total Medicare payments at DRG | $336,031,207 |
| Total Medicare payments with ICD S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture | $262,771 |
| Total Medicare payment per Day at DRG | $2,375 |
| Total Medicare payment per Day with ICD S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture | $3,205 |
| Total Medicare payment per Hospitalization at DRG | $20,944 |
| Total Medicare payment per Hospitalization with ICD S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture | $23,888 |
| Total Medicare Charges at DRG | $1,654,393,936 |
| Total Medicare Charges with ICD S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture | $1,280,246 |
| Avg Charges at DRG | $103,116 |
| Avg Charges with ICD S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture | $116,386 |
| Mortality Rate at DRG | 2.56 |
| Mortality Rate with ICD S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture | NA |
| SNF Discharge Rate at DRG | 40.52 |
| SNF Discharge Rate with ICD S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture | NA |
| Home Discharge Rate at DRG | 19.02 |
| Home Discharge Rate with ICD S0282XA - Fracture of other specified skull and facial bones, 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 565: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 086: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITH COMPLICATION OR COMORBIDITY (CC) | DRG 564: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES 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 | 23,663 | ||||
| Total Hospitalizations with ICD S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture | 417 | ||||
| DRG Share of Total Hospitalizations | 0.07 | ||||
| % of Total ICD S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture in DRG | 10.62 | ||||
| Avg LOS at DRG | 4.81 | ||||
| Avg LOS with ICD S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture | 3.06 | ||||
| Readmission Rate at DRG | 21.07 | ||||
| Readmission Rate with ICD S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture | 17.72 | ||||
| Unplanned Readmission Rate at DRG | 11.02 | ||||
| Unplanned Readmission Rate with ICD S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture | 9.26 | ||||
| Total Medicare payments at DRG | $163,590,689 | ||||
| Total Medicare payments with ICD S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture | $2,536,109 | ||||
| Total Medicare payment per Day at DRG | $1,438 | ||||
| Total Medicare payment per Day with ICD S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture | $1,986 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,913 | ||||
| Total Medicare payment per Hospitalization with ICD S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture | $6,082 | ||||
| Total Medicare Charges at DRG | $779,108,044 | ||||
| Total Medicare Charges with ICD S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture | $14,635,176 | ||||
| Avg Charges at DRG | $32,925 | ||||
| Avg Charges with ICD S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture | $35,096 | ||||
| Mortality Rate at DRG | 0.29 | ||||
| Mortality Rate with ICD S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture | NA | ||||
| SNF Discharge Rate at DRG | 39.56 | ||||
| SNF Discharge Rate with ICD S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture | 30.94 | ||||
| Home Discharge Rate at DRG | 25.13 | ||||
| Home Discharge Rate with ICD S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture | 40.53 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 085: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 082: TRAUMATIC STUPOR AND COMA, COMA >1 HOUR WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 131: CRANIAL AND FACIAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/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 | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 30,602 | ||||
| Total Hospitalizations with ICD S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture | 144 | ||||
| DRG Share of Total Hospitalizations | 0.09 | ||||
| % of Total ICD S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture in DRG | 3.67 | ||||
| Avg LOS at DRG | 6.57 | ||||
| Avg LOS with ICD S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture | 8.06 | ||||
| Readmission Rate at DRG | 32.81 | ||||
| Readmission Rate with ICD S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture | 29.31 | ||||
| Unplanned Readmission Rate at DRG | 15.0 | ||||
| Unplanned Readmission Rate with ICD S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture | 10.34 | ||||
| Total Medicare payments at DRG | $424,301,347 | ||||
| Total Medicare payments with ICD S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture | $2,137,721 | ||||
| Total Medicare payment per Day at DRG | $2,110 | ||||
| Total Medicare payment per Day with ICD S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture | $1,843 | ||||
| Total Medicare payment per Hospitalization at DRG | $13,865 | ||||
| Total Medicare payment per Hospitalization with ICD S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture | $14,845 | ||||
| Total Medicare Charges at DRG | $2,161,291,563 | ||||
| Total Medicare Charges with ICD S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture | $14,249,048 | ||||
| Avg Charges at DRG | $70,626 | ||||
| Avg Charges with ICD S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture | $98,952 | ||||
| Mortality Rate at DRG | 12.18 | ||||
| Mortality Rate with ICD S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture | 15.97 | ||||
| SNF Discharge Rate at DRG | 33.65 | ||||
| SNF Discharge Rate with ICD S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture | 29.86 | ||||
| Home Discharge Rate at DRG | 14.18 | ||||
| Home Discharge Rate with ICD S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture | 13.19 |
*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 963: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 312: SYNCOPE AND COLLAPSE | DRG 964: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 10,966 | ||||
| Total Hospitalizations with ICD S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture | 89 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture in DRG | 2.27 | ||||
| Avg LOS at DRG | 3.55 | ||||
| Avg LOS with ICD S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture | 2.87 | ||||
| Readmission Rate at DRG | 16.16 | ||||
| Readmission Rate with ICD S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture | 20.48 | ||||
| Unplanned Readmission Rate at DRG | 10.54 | ||||
| Unplanned Readmission Rate with ICD S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture | NA | ||||
| Total Medicare payments at DRG | $61,877,531 | ||||
| Total Medicare payments with ICD S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture | $479,121 | ||||
| Total Medicare payment per Day at DRG | $1,590 | ||||
| Total Medicare payment per Day with ICD S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture | $1,879 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,643 | ||||
| Total Medicare payment per Hospitalization with ICD S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture | $5,383 | ||||
| Total Medicare Charges at DRG | $330,565,798 | ||||
| Total Medicare Charges with ICD S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture | $2,967,100 | ||||
| Avg Charges at DRG | $30,145 | ||||
| Avg Charges with ICD S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture | $33,338 | ||||
| Mortality Rate at DRG | 0.26 | ||||
| Mortality Rate with ICD S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture | NA | ||||
| SNF Discharge Rate at DRG | 13.73 | ||||
| SNF Discharge Rate with ICD S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture | 24.72 | ||||
| Home Discharge Rate at DRG | 61.66 | ||||
| Home Discharge Rate with ICD S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture | 47.19 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 025: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 957: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 566: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 958: OTHER O.R. PROCEDURES FOR 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 61,140 | ||||
| Total Hospitalizations with ICD S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture | 61 | ||||
| DRG Share of Total Hospitalizations | 0.19 | ||||
| % of Total ICD S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture in DRG | 1.55 | ||||
| Avg LOS at DRG | 8.85 | ||||
| Avg LOS with ICD S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture | 9.61 | ||||
| Readmission Rate at DRG | 42.86 | ||||
| Readmission Rate with ICD S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture | 46.88 | ||||
| Unplanned Readmission Rate at DRG | 10.16 | ||||
| Unplanned Readmission Rate with ICD S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture | NA | ||||
| Total Medicare payments at DRG | $1,858,013,928 | ||||
| Total Medicare payments with ICD S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture | $1,877,296 | ||||
| Total Medicare payment per Day at DRG | $3,435 | ||||
| Total Medicare payment per Day with ICD S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture | $3,204 | ||||
| Total Medicare payment per Hospitalization at DRG | $30,389 | ||||
| Total Medicare payment per Hospitalization with ICD S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture | $30,775 | ||||
| Total Medicare Charges at DRG | $9,494,684,408 | ||||
| Total Medicare Charges with ICD S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture | $11,241,536 | ||||
| Avg Charges at DRG | $155,294 | ||||
| Avg Charges with ICD S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture | $184,287 | ||||
| Mortality Rate at DRG | 7.92 | ||||
| Mortality Rate with ICD S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture | 45.9 | ||||
| SNF Discharge Rate at DRG | 19.16 | ||||
| SNF Discharge Rate with ICD S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture | 18.03 | ||||
| Home Discharge Rate at DRG | 25.64 | ||||
| Home Discharge Rate with ICD S0282XA - Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ERLANGER HEALTH SYSTEM | 975 E THIRD STREET | CHATTANOOGA | TN | 37403 | 24 |
| LEHIGH VALLEY HOSPITAL - CEDAR CREST | 1200 S CEDAR CREST BLVD | ALLENTOWN | PA | 18103 | 20 |
| UW MEDICINE HARBORVIEW MEDICAL CENTER | 325 9TH AVE | SEATTLE | WA | 98104 | 19 |