*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture - as a primary diagnosis code | S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.72 | |
| Readmission Rate (%) | 36.86 | |
| Unplanned Readmission Rate (%) | 10.29 | |
| 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 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 471: CERVICAL SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 472: CERVICAL SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 473: CERVICAL SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 195,476 | ||||
| Total Hospitalizations with ICD S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture | 388 | ||||
| DRG Share of Total Hospitalizations | 0.59 | ||||
| % of Total ICD S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture in DRG | 50.85 | ||||
| Avg LOS at DRG | 4.48 | ||||
| Avg LOS with ICD S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture | 3.43 | ||||
| Readmission Rate at DRG | 20.57 | ||||
| Readmission Rate with ICD S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture | 24.93 | ||||
| Unplanned Readmission Rate at DRG | 9.88 | ||||
| Unplanned Readmission Rate with ICD S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture | 11.33 | ||||
| Total Medicare payments at DRG | $1,320,662,237 | ||||
| Total Medicare payments with ICD S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture | $2,064,536 | ||||
| Total Medicare payment per Day at DRG | $1,508 | ||||
| Total Medicare payment per Day with ICD S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture | $1,550 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,756 | ||||
| Total Medicare payment per Hospitalization with ICD S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture | $5,321 | ||||
| Total Medicare Charges at DRG | $6,024,639,461 | ||||
| Total Medicare Charges with ICD S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture | $14,991,799 | ||||
| Avg Charges at DRG | $30,820 | ||||
| Avg Charges with ICD S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture | $38,639 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture | NA | ||||
| SNF Discharge Rate at DRG | 33.36 | ||||
| SNF Discharge Rate with ICD S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture | 31.19 | ||||
| Home Discharge Rate at DRG | 30.98 | ||||
| Home Discharge Rate with ICD S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture | 33.51 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 957: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 48,449 | |
| Total Hospitalizations with ICD S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture | 22 | |
| DRG Share of Total Hospitalizations | 0.15 | |
| % of Total ICD S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture in DRG | 2.88 | |
| Avg LOS at DRG | 29.97 | |
| Avg LOS with ICD S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture | 28.0 | |
| Readmission Rate at DRG | 76.3 | |
| Readmission Rate with ICD S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture | 72.22 | |
| Unplanned Readmission Rate at DRG | 6.46 | |
| Unplanned Readmission Rate with ICD S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture | NA | |
| Total Medicare payments at DRG | $6,190,071,785 | |
| Total Medicare payments with ICD S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture | $2,347,500 | |
| Total Medicare payment per Day at DRG | $4,263 | |
| Total Medicare payment per Day with ICD S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture | $3,811 | |
| Total Medicare payment per Hospitalization at DRG | $127,765 | |
| Total Medicare payment per Hospitalization with ICD S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture | $106,705 | |
| Total Medicare Charges at DRG | $28,754,600,069 | |
| Total Medicare Charges with ICD S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture | $11,550,235 | |
| Avg Charges at DRG | $593,502 | |
| Avg Charges with ICD S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture | $525,011 | |
| Mortality Rate at DRG | 20.61 | |
| Mortality Rate with ICD S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture | NA | |
| SNF Discharge Rate at DRG | 12.46 | |
| SNF Discharge Rate with ICD S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture | NA | |
| Home Discharge Rate at DRG | 2.36 | |
| Home Discharge Rate with ICD S12200A - Unspecified displaced fracture of third cervical vertebra, 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 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 551: MEDICAL BACK PROBLEMS WITH 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 471: CERVICAL SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 472: CERVICAL SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 195,476 | ||||
| Total Hospitalizations with ICD S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture | 730 | ||||
| DRG Share of Total Hospitalizations | 0.59 | ||||
| % of Total ICD S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture in DRG | 25.69 | ||||
| Avg LOS at DRG | 4.48 | ||||
| Avg LOS with ICD S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture | 3.72 | ||||
| Readmission Rate at DRG | 20.57 | ||||
| Readmission Rate with ICD S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture | 25.18 | ||||
| Unplanned Readmission Rate at DRG | 9.88 | ||||
| Unplanned Readmission Rate with ICD S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture | 11.05 | ||||
| Total Medicare payments at DRG | $1,320,662,237 | ||||
| Total Medicare payments with ICD S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture | $4,028,384 | ||||
| Total Medicare payment per Day at DRG | $1,508 | ||||
| Total Medicare payment per Day with ICD S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture | $1,482 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,756 | ||||
| Total Medicare payment per Hospitalization with ICD S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture | $5,518 | ||||
| Total Medicare Charges at DRG | $6,024,639,461 | ||||
| Total Medicare Charges with ICD S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture | $30,510,143 | ||||
| Avg Charges at DRG | $30,820 | ||||
| Avg Charges with ICD S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture | $41,795 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture | NA | ||||
| SNF Discharge Rate at DRG | 33.36 | ||||
| SNF Discharge Rate with ICD S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture | 33.7 | ||||
| Home Discharge Rate at DRG | 30.98 | ||||
| Home Discharge Rate with ICD S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture | 29.32 |
*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 957: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 963: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 028: SPINAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 052: SPINAL DISORDERS AND INJURIES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 50,567 | ||||
| Total Hospitalizations with ICD S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture | 81 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture in DRG | 2.85 | ||||
| Avg LOS at DRG | 4.05 | ||||
| Avg LOS with ICD S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture | 3.89 | ||||
| Readmission Rate at DRG | 26.88 | ||||
| Readmission Rate with ICD S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture | 28.0 | ||||
| Unplanned Readmission Rate at DRG | 12.36 | ||||
| Unplanned Readmission Rate with ICD S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture | NA | ||||
| Total Medicare payments at DRG | $378,594,631 | ||||
| Total Medicare payments with ICD S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture | $574,934 | ||||
| Total Medicare payment per Day at DRG | $1,847 | ||||
| Total Medicare payment per Day with ICD S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture | $1,825 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,487 | ||||
| Total Medicare payment per Hospitalization with ICD S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture | $7,098 | ||||
| Total Medicare Charges at DRG | $2,140,437,521 | ||||
| Total Medicare Charges with ICD S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture | $3,697,267 | ||||
| Avg Charges at DRG | $42,329 | ||||
| Avg Charges with ICD S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture | $45,645 | ||||
| Mortality Rate at DRG | 1.75 | ||||
| Mortality Rate with ICD S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture | NA | ||||
| SNF Discharge Rate at DRG | 32.85 | ||||
| SNF Discharge Rate with ICD S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture | 32.1 | ||||
| Home Discharge Rate at DRG | 27.18 | ||||
| Home Discharge Rate with ICD S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture | 16.05 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 083: TRAUMATIC STUPOR AND COMA, COMA >1 HOUR WITH COMPLICATION OR COMORBIDITY (CC) | DRG 184: MAJOR CHEST TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) | DRG 085: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 473: CERVICAL SPINAL FUSION 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 19,415 | ||||
| Total Hospitalizations with ICD S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture | 43 | ||||
| DRG Share of Total Hospitalizations | 0.06 | ||||
| % of Total ICD S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture in DRG | 1.51 | ||||
| Avg LOS at DRG | 4.33 | ||||
| Avg LOS with ICD S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture | 3.88 | ||||
| Readmission Rate at DRG | 27.41 | ||||
| Readmission Rate with ICD S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture | NA | ||||
| Unplanned Readmission Rate at DRG | 11.53 | ||||
| Unplanned Readmission Rate with ICD S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture | NA | ||||
| Total Medicare payments at DRG | $170,996,169 | ||||
| Total Medicare payments with ICD S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture | $404,926 | ||||
| Total Medicare payment per Day at DRG | $2,034 | ||||
| Total Medicare payment per Day with ICD S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture | $2,425 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,807 | ||||
| Total Medicare payment per Hospitalization with ICD S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture | $9,417 | ||||
| Total Medicare Charges at DRG | $900,861,807 | ||||
| Total Medicare Charges with ICD S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture | $2,270,155 | ||||
| Avg Charges at DRG | $46,400 | ||||
| Avg Charges with ICD S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture | $52,794 | ||||
| Mortality Rate at DRG | 5.22 | ||||
| Mortality Rate with ICD S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture | NA | ||||
| SNF Discharge Rate at DRG | 29.13 | ||||
| SNF Discharge Rate with ICD S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture | 32.56 | ||||
| Home Discharge Rate at DRG | 28.24 | ||||
| Home Discharge Rate with ICD S12200A - Unspecified displaced fracture of third cervical vertebra, 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 964: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 082: TRAUMATIC STUPOR AND COMA, COMA >1 HOUR WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 12,816 | ||||
| Total Hospitalizations with ICD S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture | 33 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture in DRG | 1.16 | ||||
| Avg LOS at DRG | 4.93 | ||||
| Avg LOS with ICD S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture | 6.82 | ||||
| Readmission Rate at DRG | 25.56 | ||||
| Readmission Rate with ICD S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture | NA | ||||
| Unplanned Readmission Rate at DRG | 7.63 | ||||
| Unplanned Readmission Rate with ICD S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture | NA | ||||
| Total Medicare payments at DRG | $122,023,158 | ||||
| Total Medicare payments with ICD S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture | $423,709 | ||||
| Total Medicare payment per Day at DRG | $1,933 | ||||
| Total Medicare payment per Day with ICD S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture | $1,883 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,521 | ||||
| Total Medicare payment per Hospitalization with ICD S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture | $12,840 | ||||
| Total Medicare Charges at DRG | $664,585,733 | ||||
| Total Medicare Charges with ICD S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture | $2,103,470 | ||||
| Avg Charges at DRG | $51,856 | ||||
| Avg Charges with ICD S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture | $63,742 | ||||
| Mortality Rate at DRG | 3.46 | ||||
| Mortality Rate with ICD S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture | NA | ||||
| SNF Discharge Rate at DRG | 38.76 | ||||
| SNF Discharge Rate with ICD S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture | 36.36 | ||||
| Home Discharge Rate at DRG | 21.33 | ||||
| Home Discharge Rate with ICD S12200A - Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BRIGHAM AND WOMEN'S HOSPITAL | 75 FRANCIS ST | BOSTON | MA | 02115 | 22 |
| UNIVERSITY OF ALABAMA HOSPITAL | 619 19TH ST S | BIRMINGHAM | AL | 35249 | 21 |
| LEHIGH VALLEY HOSPITAL - CEDAR CREST | 1200 S CEDAR CREST BLVD | ALLENTOWN | PA | 18103 | 20 |