*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| S0990XA - Unspecified injury of head, initial encounter - as a primary diagnosis code | S0990XA - Unspecified injury of head, initial encounter - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 4.76 | |
| Readmission Rate (%) | 23.32 | |
| Unplanned Readmission Rate (%) | 12.77 | |
| 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 914: TRAUMATIC INJURY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 913: TRAUMATIC INJURY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 908: OTHER O.R. PROCEDURES FOR INJURIES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 907: OTHER O.R. PROCEDURES FOR INJURIES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 909: OTHER O.R. PROCEDURES FOR INJURIES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 9,827 | ||||
| Total Hospitalizations with ICD S0990XA - Unspecified injury of head, initial encounter | 4,351 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD S0990XA - Unspecified injury of head, initial encounter in DRG | 76.11 | ||||
| Avg LOS at DRG | 3.41 | ||||
| Avg LOS with ICD S0990XA - Unspecified injury of head, initial encounter | 2.74 | ||||
| Readmission Rate at DRG | 19.07 | ||||
| Readmission Rate with ICD S0990XA - Unspecified injury of head, initial encounter | 19.13 | ||||
| Unplanned Readmission Rate at DRG | 10.37 | ||||
| Unplanned Readmission Rate with ICD S0990XA - Unspecified injury of head, initial encounter | 11.68 | ||||
| Total Medicare payments at DRG | $51,287,055 | ||||
| Total Medicare payments with ICD S0990XA - Unspecified injury of head, initial encounter | $20,065,424 | ||||
| Total Medicare payment per Day at DRG | $1,533 | ||||
| Total Medicare payment per Day with ICD S0990XA - Unspecified injury of head, initial encounter | $1,682 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,219 | ||||
| Total Medicare payment per Hospitalization with ICD S0990XA - Unspecified injury of head, initial encounter | $4,612 | ||||
| Total Medicare Charges at DRG | $277,245,212 | ||||
| Total Medicare Charges with ICD S0990XA - Unspecified injury of head, initial encounter | $123,363,910 | ||||
| Avg Charges at DRG | $28,213 | ||||
| Avg Charges with ICD S0990XA - Unspecified injury of head, initial encounter | $28,353 | ||||
| Mortality Rate at DRG | 0.45 | ||||
| Mortality Rate with ICD S0990XA - Unspecified injury of head, initial encounter | 0.46 | ||||
| SNF Discharge Rate at DRG | 29.22 | ||||
| SNF Discharge Rate with ICD S0990XA - Unspecified injury of head, initial encounter | 31.42 | ||||
| Home Discharge Rate at DRG | 36.85 | ||||
| Home Discharge Rate with ICD S0990XA - Unspecified injury of head, initial encounter | 35.76 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ST. CATHERINE OF SIENA HOSPITAL | 50 ROUTE 25A | SMITHTOWN | NY | 11787 | 85 |
| SARASOTA MEMORIAL HOSPITAL | 1700 S TAMIAMI TRL | SARASOTA | FL | 34239 | 63 |
| BEAUMONT HOSPITAL GROSSE POINTE | 468 CADIEUX RD | GROSSE POINTE | MI | 48230 | 47 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. LUIS DEL PRADO | 770 AVE HOSTOS | MAYAGUEZ | PR | 00682 | 13 |
| Dr. LUIS EDUARDO LLERENA | 14100 FIVAY RD | HUDSON | FL | 34667 | 11 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 914: TRAUMATIC INJURY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 312: SYNCOPE AND COLLAPSE | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 9,827 | ||||
| Total Hospitalizations with ICD S0990XA - Unspecified injury of head, initial encounter | 4,454 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD S0990XA - Unspecified injury of head, initial encounter in DRG | 6.18 | ||||
| Avg LOS at DRG | 3.41 | ||||
| Avg LOS with ICD S0990XA - Unspecified injury of head, initial encounter | 2.76 | ||||
| Readmission Rate at DRG | 19.07 | ||||
| Readmission Rate with ICD S0990XA - Unspecified injury of head, initial encounter | 19.04 | ||||
| Unplanned Readmission Rate at DRG | 10.37 | ||||
| Unplanned Readmission Rate with ICD S0990XA - Unspecified injury of head, initial encounter | 11.63 | ||||
| Total Medicare payments at DRG | $51,287,055 | ||||
| Total Medicare payments with ICD S0990XA - Unspecified injury of head, initial encounter | $20,558,812 | ||||
| Total Medicare payment per Day at DRG | $1,533 | ||||
| Total Medicare payment per Day with ICD S0990XA - Unspecified injury of head, initial encounter | $1,674 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,219 | ||||
| Total Medicare payment per Hospitalization with ICD S0990XA - Unspecified injury of head, initial encounter | $4,616 | ||||
| Total Medicare Charges at DRG | $277,245,212 | ||||
| Total Medicare Charges with ICD S0990XA - Unspecified injury of head, initial encounter | $126,497,133 | ||||
| Avg Charges at DRG | $28,213 | ||||
| Avg Charges with ICD S0990XA - Unspecified injury of head, initial encounter | $28,401 | ||||
| Mortality Rate at DRG | 0.45 | ||||
| Mortality Rate with ICD S0990XA - Unspecified injury of head, initial encounter | 0.47 | ||||
| SNF Discharge Rate at DRG | 29.22 | ||||
| SNF Discharge Rate with ICD S0990XA - Unspecified injury of head, initial encounter | 31.54 | ||||
| Home Discharge Rate at DRG | 36.85 | ||||
| Home Discharge Rate with ICD S0990XA - Unspecified injury of head, initial encounter | 35.68 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE 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 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD S0990XA - Unspecified injury of head, initial encounter | 1,851 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD S0990XA - Unspecified injury of head, initial encounter in DRG | 2.57 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD S0990XA - Unspecified injury of head, initial encounter | 3.47 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD S0990XA - Unspecified injury of head, initial encounter | 17.03 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD S0990XA - Unspecified injury of head, initial encounter | 11.52 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD S0990XA - Unspecified injury of head, initial encounter | $8,485,989 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD S0990XA - Unspecified injury of head, initial encounter | $1,321 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD S0990XA - Unspecified injury of head, initial encounter | $4,585 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD S0990XA - Unspecified injury of head, initial encounter | $53,265,038 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD S0990XA - Unspecified injury of head, initial encounter | $28,776 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD S0990XA - Unspecified injury of head, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD S0990XA - Unspecified injury of head, initial encounter | 43.33 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD S0990XA - Unspecified injury of head, initial encounter | 23.12 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 913: TRAUMATIC INJURY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 536: FRACTURES OF HIP AND PELVIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 2,687 | ||||
| Total Hospitalizations with ICD S0990XA - Unspecified injury of head, initial encounter | 1,219 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD S0990XA - Unspecified injury of head, initial encounter in DRG | 1.69 | ||||
| Avg LOS at DRG | 4.95 | ||||
| Avg LOS with ICD S0990XA - Unspecified injury of head, initial encounter | 4.18 | ||||
| Readmission Rate at DRG | 26.94 | ||||
| Readmission Rate with ICD S0990XA - Unspecified injury of head, initial encounter | 25.11 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD S0990XA - Unspecified injury of head, initial encounter | 16.47 | ||||
| Total Medicare payments at DRG | $24,558,119 | ||||
| Total Medicare payments with ICD S0990XA - Unspecified injury of head, initial encounter | $10,363,224 | ||||
| Total Medicare payment per Day at DRG | $1,846 | ||||
| Total Medicare payment per Day with ICD S0990XA - Unspecified injury of head, initial encounter | $2,035 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,140 | ||||
| Total Medicare payment per Hospitalization with ICD S0990XA - Unspecified injury of head, initial encounter | $8,501 | ||||
| Total Medicare Charges at DRG | $125,513,007 | ||||
| Total Medicare Charges with ICD S0990XA - Unspecified injury of head, initial encounter | $52,533,503 | ||||
| Avg Charges at DRG | $46,711 | ||||
| Avg Charges with ICD S0990XA - Unspecified injury of head, initial encounter | $43,096 | ||||
| Mortality Rate at DRG | 3.83 | ||||
| Mortality Rate with ICD S0990XA - Unspecified injury of head, initial encounter | 3.77 | ||||
| SNF Discharge Rate at DRG | 34.65 | ||||
| SNF Discharge Rate with ICD S0990XA - Unspecified injury of head, initial encounter | 38.8 | ||||
| Home Discharge Rate at DRG | 25.34 | ||||
| Home Discharge Rate with ICD S0990XA - Unspecified injury of head, initial encounter | 23.3 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 605: TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 480: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 270,209 | ||||
| Total Hospitalizations with ICD S0990XA - Unspecified injury of head, initial encounter | 999 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD S0990XA - Unspecified injury of head, initial encounter in DRG | 1.39 | ||||
| Avg LOS at DRG | 4.84 | ||||
| Avg LOS with ICD S0990XA - Unspecified injury of head, initial encounter | 4.34 | ||||
| Readmission Rate at DRG | 22.35 | ||||
| Readmission Rate with ICD S0990XA - Unspecified injury of head, initial encounter | 20.94 | ||||
| Unplanned Readmission Rate at DRG | 16.33 | ||||
| Unplanned Readmission Rate with ICD S0990XA - Unspecified injury of head, initial encounter | 12.67 | ||||
| Total Medicare payments at DRG | $1,824,333,389 | ||||
| Total Medicare payments with ICD S0990XA - Unspecified injury of head, initial encounter | $6,201,685 | ||||
| Total Medicare payment per Day at DRG | $1,395 | ||||
| Total Medicare payment per Day with ICD S0990XA - Unspecified injury of head, initial encounter | $1,430 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,752 | ||||
| Total Medicare payment per Hospitalization with ICD S0990XA - Unspecified injury of head, initial encounter | $6,208 | ||||
| Total Medicare Charges at DRG | $9,128,673,695 | ||||
| Total Medicare Charges with ICD S0990XA - Unspecified injury of head, initial encounter | $33,844,973 | ||||
| Avg Charges at DRG | $33,784 | ||||
| Avg Charges with ICD S0990XA - Unspecified injury of head, initial encounter | $33,879 | ||||
| Mortality Rate at DRG | 1.32 | ||||
| Mortality Rate with ICD S0990XA - Unspecified injury of head, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 39.0 | ||||
| SNF Discharge Rate with ICD S0990XA - Unspecified injury of head, initial encounter | 53.25 | ||||
| Home Discharge Rate at DRG | 24.73 | ||||
| Home Discharge Rate with ICD S0990XA - Unspecified injury of head, initial encounter | 15.62 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 388 |
| SAINT FRANCIS HOSPITAL | 6161 S YALE AVE | TULSA | OK | 74136 | 376 |
| BEAUMONT HOSPITAL TROY | 44201 DEQUINDRE RD | TROY | MI | 48085 | 357 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CHARLES LAWTON OGBURN | 125 KING AVE | ATHENS | GA | 30606 | 21 |
| Dr. JONATHAN ELIOT LEVINE | 6160 S YALE AVE | TULSA | OK | 74136 | 18 |
| Dr. MARK J AULT | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 13 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RAJESH AGARWAL | 6770 MAYFIELD RD | MAYFIELD HEIGHTS | OH | 44124 | 45 |
| Dr. FARSHID A ZANDI | 1815 E 15TH ST | TULSA | OK | 74104 | 43 |
| Dr. GHULAM MUSTAFA ANWAR | 10250 SE 167TH PLACE RD | SUMMERFIELD | FL | 34491 | 40 |