*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| S12390A - Other displaced fracture of fourth cervical vertebra, initial encounter for closed fracture - as a primary diagnosis code | S12390A - Other displaced fracture of fourth cervical vertebra, initial encounter for closed fracture - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.38 | |
| Readmission Rate (%) | 38.85 | |
| Unplanned Readmission Rate (%) | 8.7 | |
| 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) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 195,476 | |||
| Total Hospitalizations with ICD S12390A - Other displaced fracture of fourth cervical vertebra, initial encounter for closed fracture | 75 | |||
| DRG Share of Total Hospitalizations | 0.59 | |||
| % of Total ICD S12390A - Other displaced fracture of fourth cervical vertebra, initial encounter for closed fracture in DRG | 40.54 | |||
| Avg LOS at DRG | 4.48 | |||
| Avg LOS with ICD S12390A - Other displaced fracture of fourth cervical vertebra, initial encounter for closed fracture | 3.31 | |||
| Readmission Rate at DRG | 20.57 | |||
| Readmission Rate with ICD S12390A - Other displaced fracture of fourth cervical vertebra, initial encounter for closed fracture | 18.84 | |||
| Unplanned Readmission Rate at DRG | 9.88 | |||
| Unplanned Readmission Rate with ICD S12390A - Other displaced fracture of fourth cervical vertebra, initial encounter for closed fracture | NA | |||
| Total Medicare payments at DRG | $1,320,662,237 | |||
| Total Medicare payments with ICD S12390A - Other displaced fracture of fourth cervical vertebra, initial encounter for closed fracture | $501,237 | |||
| Total Medicare payment per Day at DRG | $1,508 | |||
| Total Medicare payment per Day with ICD S12390A - Other displaced fracture of fourth cervical vertebra, initial encounter for closed fracture | $2,021 | |||
| Total Medicare payment per Hospitalization at DRG | $6,756 | |||
| Total Medicare payment per Hospitalization with ICD S12390A - Other displaced fracture of fourth cervical vertebra, initial encounter for closed fracture | $6,683 | |||
| Total Medicare Charges at DRG | $6,024,639,461 | |||
| Total Medicare Charges with ICD S12390A - Other displaced fracture of fourth cervical vertebra, initial encounter for closed fracture | $2,829,209 | |||
| Avg Charges at DRG | $30,820 | |||
| Avg Charges with ICD S12390A - Other displaced fracture of fourth cervical vertebra, initial encounter for closed fracture | $37,723 | |||
| Mortality Rate at DRG | 0.24 | |||
| Mortality Rate with ICD S12390A - Other displaced fracture of fourth cervical vertebra, initial encounter for closed fracture | NA | |||
| SNF Discharge Rate at DRG | 33.36 | |||
| SNF Discharge Rate with ICD S12390A - Other displaced fracture of fourth cervical vertebra, initial encounter for closed fracture | 33.33 | |||
| Home Discharge Rate at DRG | 30.98 | |||
| Home Discharge Rate with ICD S12390A - Other displaced fracture of fourth cervical vertebra, initial encounter for closed fracture | 34.67 |
*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 028: SPINAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 957: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 195,476 | ||||
| Total Hospitalizations with ICD S12390A - Other displaced fracture of fourth cervical vertebra, initial encounter for closed fracture | 125 | ||||
| DRG Share of Total Hospitalizations | 0.59 | ||||
| % of Total ICD S12390A - Other displaced fracture of fourth cervical vertebra, initial encounter for closed fracture in DRG | 19.47 | ||||
| Avg LOS at DRG | 4.48 | ||||
| Avg LOS with ICD S12390A - Other displaced fracture of fourth cervical vertebra, initial encounter for closed fracture | 3.92 | ||||
| Readmission Rate at DRG | 20.57 | ||||
| Readmission Rate with ICD S12390A - Other displaced fracture of fourth cervical vertebra, initial encounter for closed fracture | 21.37 | ||||
| Unplanned Readmission Rate at DRG | 9.88 | ||||
| Unplanned Readmission Rate with ICD S12390A - Other displaced fracture of fourth cervical vertebra, initial encounter for closed fracture | NA | ||||
| Total Medicare payments at DRG | $1,320,662,237 | ||||
| Total Medicare payments with ICD S12390A - Other displaced fracture of fourth cervical vertebra, initial encounter for closed fracture | $842,854 | ||||
| Total Medicare payment per Day at DRG | $1,508 | ||||
| Total Medicare payment per Day with ICD S12390A - Other displaced fracture of fourth cervical vertebra, initial encounter for closed fracture | $1,720 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,756 | ||||
| Total Medicare payment per Hospitalization with ICD S12390A - Other displaced fracture of fourth cervical vertebra, initial encounter for closed fracture | $6,743 | ||||
| Total Medicare Charges at DRG | $6,024,639,461 | ||||
| Total Medicare Charges with ICD S12390A - Other displaced fracture of fourth cervical vertebra, initial encounter for closed fracture | $5,253,230 | ||||
| Avg Charges at DRG | $30,820 | ||||
| Avg Charges with ICD S12390A - Other displaced fracture of fourth cervical vertebra, initial encounter for closed fracture | $42,026 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD S12390A - Other displaced fracture of fourth cervical vertebra, initial encounter for closed fracture | NA | ||||
| SNF Discharge Rate at DRG | 33.36 | ||||
| SNF Discharge Rate with ICD S12390A - Other displaced fracture of fourth cervical vertebra, initial encounter for closed fracture | 35.2 | ||||
| Home Discharge Rate at DRG | 30.98 | ||||
| Home Discharge Rate with ICD S12390A - Other displaced fracture of fourth cervical vertebra, initial encounter for closed fracture | 29.6 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 471: CERVICAL SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 472: CERVICAL SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 029: SPINAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) OR SPINAL NEUROSTIMULATORS | DRG 963: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 958: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 11,165 | ||||
| Total Hospitalizations with ICD S12390A - Other displaced fracture of fourth cervical vertebra, initial encounter for closed fracture | 26 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD S12390A - Other displaced fracture of fourth cervical vertebra, initial encounter for closed fracture in DRG | 4.05 | ||||
| Avg LOS at DRG | 8.45 | ||||
| Avg LOS with ICD S12390A - Other displaced fracture of fourth cervical vertebra, initial encounter for closed fracture | 11.69 | ||||
| Readmission Rate at DRG | 43.41 | ||||
| Readmission Rate with ICD S12390A - Other displaced fracture of fourth cervical vertebra, initial encounter for closed fracture | 68.18 | ||||
| Unplanned Readmission Rate at DRG | 8.76 | ||||
| Unplanned Readmission Rate with ICD S12390A - Other displaced fracture of fourth cervical vertebra, initial encounter for closed fracture | NA | ||||
| Total Medicare payments at DRG | $378,975,481 | ||||
| Total Medicare payments with ICD S12390A - Other displaced fracture of fourth cervical vertebra, initial encounter for closed fracture | $986,330 | ||||
| Total Medicare payment per Day at DRG | $4,018 | ||||
| Total Medicare payment per Day with ICD S12390A - Other displaced fracture of fourth cervical vertebra, initial encounter for closed fracture | $3,245 | ||||
| Total Medicare payment per Hospitalization at DRG | $33,943 | ||||
| Total Medicare payment per Hospitalization with ICD S12390A - Other displaced fracture of fourth cervical vertebra, initial encounter for closed fracture | $37,936 | ||||
| Total Medicare Charges at DRG | $1,826,793,767 | ||||
| Total Medicare Charges with ICD S12390A - Other displaced fracture of fourth cervical vertebra, initial encounter for closed fracture | $6,256,788 | ||||
| Avg Charges at DRG | $163,618 | ||||
| Avg Charges with ICD S12390A - Other displaced fracture of fourth cervical vertebra, initial encounter for closed fracture | $240,646 | ||||
| Mortality Rate at DRG | 3.84 | ||||
| Mortality Rate with ICD S12390A - Other displaced fracture of fourth cervical vertebra, initial encounter for closed fracture | NA | ||||
| SNF Discharge Rate at DRG | 26.49 | ||||
| SNF Discharge Rate with ICD S12390A - Other displaced fracture of fourth cervical vertebra, initial encounter for closed fracture | NA | ||||
| Home Discharge Rate at DRG | 23.25 | ||||
| Home Discharge Rate with ICD S12390A - Other displaced fracture of fourth 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 052: SPINAL DISORDERS AND INJURIES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 184: MAJOR CHEST TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) | DRG 086: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITH COMPLICATION OR COMORBIDITY (CC) | DRG 964: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) | DRG 473: CERVICAL SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 10,542 | ||||
| Total Hospitalizations with ICD S12390A - Other displaced fracture of fourth cervical vertebra, initial encounter for closed fracture | 15 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD S12390A - Other displaced fracture of fourth cervical vertebra, initial encounter for closed fracture in DRG | 2.34 | ||||
| Avg LOS at DRG | 15.44 | ||||
| Avg LOS with ICD S12390A - Other displaced fracture of fourth cervical vertebra, initial encounter for closed fracture | 7.47 | ||||
| Readmission Rate at DRG | 22.26 | ||||
| Readmission Rate with ICD S12390A - Other displaced fracture of fourth cervical vertebra, initial encounter for closed fracture | NA | ||||
| Unplanned Readmission Rate at DRG | 11.51 | ||||
| Unplanned Readmission Rate with ICD S12390A - Other displaced fracture of fourth cervical vertebra, initial encounter for closed fracture | NA | ||||
| Total Medicare payments at DRG | $248,579,193 | ||||
| Total Medicare payments with ICD S12390A - Other displaced fracture of fourth cervical vertebra, initial encounter for closed fracture | $204,098 | ||||
| Total Medicare payment per Day at DRG | $1,528 | ||||
| Total Medicare payment per Day with ICD S12390A - Other displaced fracture of fourth cervical vertebra, initial encounter for closed fracture | $1,822 | ||||
| Total Medicare payment per Hospitalization at DRG | $23,580 | ||||
| Total Medicare payment per Hospitalization with ICD S12390A - Other displaced fracture of fourth cervical vertebra, initial encounter for closed fracture | $13,607 | ||||
| Total Medicare Charges at DRG | $728,953,355 | ||||
| Total Medicare Charges with ICD S12390A - Other displaced fracture of fourth cervical vertebra, initial encounter for closed fracture | $1,047,078 | ||||
| Avg Charges at DRG | $69,148 | ||||
| Avg Charges with ICD S12390A - Other displaced fracture of fourth cervical vertebra, initial encounter for closed fracture | $69,805 | ||||
| Mortality Rate at DRG | 2.72 | ||||
| Mortality Rate with ICD S12390A - Other displaced fracture of fourth cervical vertebra, initial encounter for closed fracture | NA | ||||
| SNF Discharge Rate at DRG | 23.06 | ||||
| SNF Discharge Rate with ICD S12390A - Other displaced fracture of fourth cervical vertebra, initial encounter for closed fracture | NA | ||||
| Home Discharge Rate at DRG | 20.74 | ||||
| Home Discharge Rate with ICD S12390A - Other displaced fracture of fourth cervical vertebra, initial encounter for closed fracture | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UNIVERSITY OF MARYLAND MEDICAL CENTER | 22 S GREENE STREET | BALTIMORE | MD | 21201 | 17 |