*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| S0512XA - Contusion of eyeball and orbital tissues, left eye, initial encounter - as a primary diagnosis code | S0512XA - Contusion of eyeball and orbital tissues, left eye, initial encounter - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.16 | |
| Readmission Rate (%) | 23.63 | |
| Unplanned Readmission Rate (%) | 11.71 | |
| 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 115: EXTRAOCULAR PROCEDURES EXCEPT ORBIT | |
|---|---|---|---|
| Total Hospitalizations at DRG | 11,033 | ||
| Total Hospitalizations with ICD S0512XA - Contusion of eyeball and orbital tissues, left eye, initial encounter | 234 | ||
| DRG Share of Total Hospitalizations | 0.03 | ||
| % of Total ICD S0512XA - Contusion of eyeball and orbital tissues, left eye, initial encounter in DRG | 66.86 | ||
| Avg LOS at DRG | 3.12 | ||
| Avg LOS with ICD S0512XA - Contusion of eyeball and orbital tissues, left eye, initial encounter | 2.96 | ||
| Readmission Rate at DRG | 14.43 | ||
| Readmission Rate with ICD S0512XA - Contusion of eyeball and orbital tissues, left eye, initial encounter | 14.98 | ||
| Unplanned Readmission Rate at DRG | 9.53 | ||
| Unplanned Readmission Rate with ICD S0512XA - Contusion of eyeball and orbital tissues, left eye, initial encounter | 8.81 | ||
| Total Medicare payments at DRG | $51,804,064 | ||
| Total Medicare payments with ICD S0512XA - Contusion of eyeball and orbital tissues, left eye, initial encounter | $1,165,618 | ||
| Total Medicare payment per Day at DRG | $1,505 | ||
| Total Medicare payment per Day with ICD S0512XA - Contusion of eyeball and orbital tissues, left eye, initial encounter | $1,682 | ||
| Total Medicare payment per Hospitalization at DRG | $4,695 | ||
| Total Medicare payment per Hospitalization with ICD S0512XA - Contusion of eyeball and orbital tissues, left eye, initial encounter | $4,981 | ||
| Total Medicare Charges at DRG | $301,182,636 | ||
| Total Medicare Charges with ICD S0512XA - Contusion of eyeball and orbital tissues, left eye, initial encounter | $6,769,451 | ||
| Avg Charges at DRG | $27,298 | ||
| Avg Charges with ICD S0512XA - Contusion of eyeball and orbital tissues, left eye, initial encounter | $28,929 | ||
| Mortality Rate at DRG | 0.11 | ||
| Mortality Rate with ICD S0512XA - Contusion of eyeball and orbital tissues, left eye, initial encounter | NA | ||
| SNF Discharge Rate at DRG | 17.96 | ||
| SNF Discharge Rate with ICD S0512XA - Contusion of eyeball and orbital tissues, left eye, initial encounter | 33.33 | ||
| Home Discharge Rate at DRG | 57.38 | ||
| Home Discharge Rate with ICD S0512XA - Contusion of eyeball and orbital tissues, left eye, initial encounter | 31.62 |
*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 312: SYNCOPE AND COLLAPSE | DRG 125: OTHER DISORDERS OF THE EYE WITHOUT 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 563: FRACTURE SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 50,567 | ||||
| Total Hospitalizations with ICD S0512XA - Contusion of eyeball and orbital tissues, left eye, initial encounter | 547 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD S0512XA - Contusion of eyeball and orbital tissues, left eye, initial encounter in DRG | 5.24 | ||||
| Avg LOS at DRG | 4.05 | ||||
| Avg LOS with ICD S0512XA - Contusion of eyeball and orbital tissues, left eye, initial encounter | 3.92 | ||||
| Readmission Rate at DRG | 26.88 | ||||
| Readmission Rate with ICD S0512XA - Contusion of eyeball and orbital tissues, left eye, initial encounter | 24.66 | ||||
| Unplanned Readmission Rate at DRG | 12.36 | ||||
| Unplanned Readmission Rate with ICD S0512XA - Contusion of eyeball and orbital tissues, left eye, initial encounter | 10.02 | ||||
| Total Medicare payments at DRG | $378,594,631 | ||||
| Total Medicare payments with ICD S0512XA - Contusion of eyeball and orbital tissues, left eye, initial encounter | $4,137,930 | ||||
| Total Medicare payment per Day at DRG | $1,847 | ||||
| Total Medicare payment per Day with ICD S0512XA - Contusion of eyeball and orbital tissues, left eye, initial encounter | $1,929 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,487 | ||||
| Total Medicare payment per Hospitalization with ICD S0512XA - Contusion of eyeball and orbital tissues, left eye, initial encounter | $7,565 | ||||
| Total Medicare Charges at DRG | $2,140,437,521 | ||||
| Total Medicare Charges with ICD S0512XA - Contusion of eyeball and orbital tissues, left eye, initial encounter | $25,236,977 | ||||
| Avg Charges at DRG | $42,329 | ||||
| Avg Charges with ICD S0512XA - Contusion of eyeball and orbital tissues, left eye, initial encounter | $46,137 | ||||
| Mortality Rate at DRG | 1.75 | ||||
| Mortality Rate with ICD S0512XA - Contusion of eyeball and orbital tissues, left eye, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 32.85 | ||||
| SNF Discharge Rate with ICD S0512XA - Contusion of eyeball and orbital tissues, left eye, initial encounter | 36.75 | ||||
| Home Discharge Rate at DRG | 27.18 | ||||
| Home Discharge Rate with ICD S0512XA - Contusion of eyeball and orbital tissues, left eye, initial encounter | 23.03 |
*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 605: TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 083: TRAUMATIC STUPOR AND COMA, COMA >1 HOUR WITH COMPLICATION OR COMORBIDITY (CC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 30,602 | ||||
| Total Hospitalizations with ICD S0512XA - Contusion of eyeball and orbital tissues, left eye, initial encounter | 234 | ||||
| DRG Share of Total Hospitalizations | 0.09 | ||||
| % of Total ICD S0512XA - Contusion of eyeball and orbital tissues, left eye, initial encounter in DRG | 2.24 | ||||
| Avg LOS at DRG | 6.57 | ||||
| Avg LOS with ICD S0512XA - Contusion of eyeball and orbital tissues, left eye, initial encounter | 6.4 | ||||
| Readmission Rate at DRG | 32.81 | ||||
| Readmission Rate with ICD S0512XA - Contusion of eyeball and orbital tissues, left eye, initial encounter | 33.01 | ||||
| Unplanned Readmission Rate at DRG | 15.0 | ||||
| Unplanned Readmission Rate with ICD S0512XA - Contusion of eyeball and orbital tissues, left eye, initial encounter | 15.53 | ||||
| Total Medicare payments at DRG | $424,301,347 | ||||
| Total Medicare payments with ICD S0512XA - Contusion of eyeball and orbital tissues, left eye, initial encounter | $3,137,594 | ||||
| Total Medicare payment per Day at DRG | $2,110 | ||||
| Total Medicare payment per Day with ICD S0512XA - Contusion of eyeball and orbital tissues, left eye, initial encounter | $2,095 | ||||
| Total Medicare payment per Hospitalization at DRG | $13,865 | ||||
| Total Medicare payment per Hospitalization with ICD S0512XA - Contusion of eyeball and orbital tissues, left eye, initial encounter | $13,409 | ||||
| Total Medicare Charges at DRG | $2,161,291,563 | ||||
| Total Medicare Charges with ICD S0512XA - Contusion of eyeball and orbital tissues, left eye, initial encounter | $15,990,216 | ||||
| Avg Charges at DRG | $70,626 | ||||
| Avg Charges with ICD S0512XA - Contusion of eyeball and orbital tissues, left eye, initial encounter | $68,334 | ||||
| Mortality Rate at DRG | 12.18 | ||||
| Mortality Rate with ICD S0512XA - Contusion of eyeball and orbital tissues, left eye, initial encounter | 9.4 | ||||
| SNF Discharge Rate at DRG | 33.65 | ||||
| SNF Discharge Rate with ICD S0512XA - Contusion of eyeball and orbital tissues, left eye, initial encounter | 31.62 | ||||
| Home Discharge Rate at DRG | 14.18 | ||||
| Home Discharge Rate with ICD S0512XA - Contusion of eyeball and orbital tissues, left eye, initial encounter | 20.94 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 885: PSYCHOSES | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT 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 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 082: TRAUMATIC STUPOR AND COMA, COMA >1 HOUR WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD S0512XA - Contusion of eyeball and orbital tissues, left eye, initial encounter | 188 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD S0512XA - Contusion of eyeball and orbital tissues, left eye, initial encounter in DRG | 1.8 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD S0512XA - Contusion of eyeball and orbital tissues, left eye, initial encounter | 14.87 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD S0512XA - Contusion of eyeball and orbital tissues, left eye, initial encounter | 31.07 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD S0512XA - Contusion of eyeball and orbital tissues, left eye, initial encounter | 18.64 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD S0512XA - Contusion of eyeball and orbital tissues, left eye, initial encounter | $2,154,998 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD S0512XA - Contusion of eyeball and orbital tissues, left eye, initial encounter | $771 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD S0512XA - Contusion of eyeball and orbital tissues, left eye, initial encounter | $11,463 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD S0512XA - Contusion of eyeball and orbital tissues, left eye, initial encounter | $8,210,409 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD S0512XA - Contusion of eyeball and orbital tissues, left eye, initial encounter | $43,672 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD S0512XA - Contusion of eyeball and orbital tissues, left eye, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD S0512XA - Contusion of eyeball and orbital tissues, left eye, initial encounter | 12.23 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD S0512XA - Contusion of eyeball and orbital tissues, left eye, initial encounter | 70.21 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 124: OTHER DISORDERS OF THE EYE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD S0512XA - Contusion of eyeball and orbital tissues, left eye, initial encounter | 125 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD S0512XA - Contusion of eyeball and orbital tissues, left eye, initial encounter in DRG | 1.2 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD S0512XA - Contusion of eyeball and orbital tissues, left eye, initial encounter | 4.02 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD S0512XA - Contusion of eyeball and orbital tissues, left eye, initial encounter | 26.5 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD S0512XA - Contusion of eyeball and orbital tissues, left eye, initial encounter | 18.8 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD S0512XA - Contusion of eyeball and orbital tissues, left eye, initial encounter | $693,056 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD S0512XA - Contusion of eyeball and orbital tissues, left eye, initial encounter | $1,381 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD S0512XA - Contusion of eyeball and orbital tissues, left eye, initial encounter | $5,544 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD S0512XA - Contusion of eyeball and orbital tissues, left eye, initial encounter | $4,419,041 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD S0512XA - Contusion of eyeball and orbital tissues, left eye, initial encounter | $35,352 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD S0512XA - Contusion of eyeball and orbital tissues, left eye, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD S0512XA - Contusion of eyeball and orbital tissues, left eye, initial encounter | 45.6 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD S0512XA - Contusion of eyeball and orbital tissues, left eye, initial encounter | 27.2 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| READING HOSPITAL | 420 S 5TH AVE | WEST READING | PA | 19611 | 68 |
| UPMC PRESBYTERIAN SHADYSIDE | 200 LOTHROP ST | PITTSBURGH | PA | 15213 | 51 |
| HOLMES REGIONAL MEDICAL CENTER | 1350 HICKORY ST | MELBOURNE | FL | 32901 | 50 |
| 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 | 18 |
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 12 |