*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| S134XXA - Sprain of ligaments of cervical spine, initial encounter - as a primary diagnosis code | S134XXA - Sprain of ligaments of cervical spine, initial encounter - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.13 | |
| Readmission Rate (%) | 28.91 | |
| Unplanned Readmission Rate (%) | 10.07 | |
| 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 S134XXA - Sprain of ligaments of cervical spine, initial encounter | 287 | |||
| DRG Share of Total Hospitalizations | 0.59 | |||
| % of Total ICD S134XXA - Sprain of ligaments of cervical spine, initial encounter in DRG | 65.38 | |||
| Avg LOS at DRG | 4.48 | |||
| Avg LOS with ICD S134XXA - Sprain of ligaments of cervical spine, initial encounter | 3.12 | |||
| Readmission Rate at DRG | 20.57 | |||
| Readmission Rate with ICD S134XXA - Sprain of ligaments of cervical spine, initial encounter | 18.89 | |||
| Unplanned Readmission Rate at DRG | 9.88 | |||
| Unplanned Readmission Rate with ICD S134XXA - Sprain of ligaments of cervical spine, initial encounter | 10.37 | |||
| Total Medicare payments at DRG | $1,320,662,237 | |||
| Total Medicare payments with ICD S134XXA - Sprain of ligaments of cervical spine, initial encounter | $1,578,025 | |||
| Total Medicare payment per Day at DRG | $1,508 | |||
| Total Medicare payment per Day with ICD S134XXA - Sprain of ligaments of cervical spine, initial encounter | $1,763 | |||
| Total Medicare payment per Hospitalization at DRG | $6,756 | |||
| Total Medicare payment per Hospitalization with ICD S134XXA - Sprain of ligaments of cervical spine, initial encounter | $5,498 | |||
| Total Medicare Charges at DRG | $6,024,639,461 | |||
| Total Medicare Charges with ICD S134XXA - Sprain of ligaments of cervical spine, initial encounter | $11,801,012 | |||
| Avg Charges at DRG | $30,820 | |||
| Avg Charges with ICD S134XXA - Sprain of ligaments of cervical spine, initial encounter | $41,119 | |||
| Mortality Rate at DRG | 0.24 | |||
| Mortality Rate with ICD S134XXA - Sprain of ligaments of cervical spine, initial encounter | NA | |||
| SNF Discharge Rate at DRG | 33.36 | |||
| SNF Discharge Rate with ICD S134XXA - Sprain of ligaments of cervical spine, initial encounter | 25.09 | |||
| Home Discharge Rate at DRG | 30.98 | |||
| Home Discharge Rate with ICD S134XXA - Sprain of ligaments of cervical spine, initial encounter | 41.46 |
*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 028: SPINAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 195,476 | ||||
| Total Hospitalizations with ICD S134XXA - Sprain of ligaments of cervical spine, initial encounter | 600 | ||||
| DRG Share of Total Hospitalizations | 0.59 | ||||
| % of Total ICD S134XXA - Sprain of ligaments of cervical spine, initial encounter in DRG | 16.87 | ||||
| Avg LOS at DRG | 4.48 | ||||
| Avg LOS with ICD S134XXA - Sprain of ligaments of cervical spine, initial encounter | 3.35 | ||||
| Readmission Rate at DRG | 20.57 | ||||
| Readmission Rate with ICD S134XXA - Sprain of ligaments of cervical spine, initial encounter | 18.57 | ||||
| Unplanned Readmission Rate at DRG | 9.88 | ||||
| Unplanned Readmission Rate with ICD S134XXA - Sprain of ligaments of cervical spine, initial encounter | 7.32 | ||||
| Total Medicare payments at DRG | $1,320,662,237 | ||||
| Total Medicare payments with ICD S134XXA - Sprain of ligaments of cervical spine, initial encounter | $3,349,214 | ||||
| Total Medicare payment per Day at DRG | $1,508 | ||||
| Total Medicare payment per Day with ICD S134XXA - Sprain of ligaments of cervical spine, initial encounter | $1,664 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,756 | ||||
| Total Medicare payment per Hospitalization with ICD S134XXA - Sprain of ligaments of cervical spine, initial encounter | $5,582 | ||||
| Total Medicare Charges at DRG | $6,024,639,461 | ||||
| Total Medicare Charges with ICD S134XXA - Sprain of ligaments of cervical spine, initial encounter | $24,824,410 | ||||
| Avg Charges at DRG | $30,820 | ||||
| Avg Charges with ICD S134XXA - Sprain of ligaments of cervical spine, initial encounter | $41,374 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD S134XXA - Sprain of ligaments of cervical spine, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 33.36 | ||||
| SNF Discharge Rate with ICD S134XXA - Sprain of ligaments of cervical spine, initial encounter | 30.5 | ||||
| Home Discharge Rate at DRG | 30.98 | ||||
| Home Discharge Rate with ICD S134XXA - Sprain of ligaments of cervical spine, initial encounter | 36.33 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 473: CERVICAL SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 086: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITH COMPLICATION OR COMORBIDITY (CC) | DRG 312: SYNCOPE AND COLLAPSE | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 087: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 63,286 | ||||
| Total Hospitalizations with ICD S134XXA - Sprain of ligaments of cervical spine, initial encounter | 70 | ||||
| DRG Share of Total Hospitalizations | 0.19 | ||||
| % of Total ICD S134XXA - Sprain of ligaments of cervical spine, initial encounter in DRG | 1.97 | ||||
| Avg LOS at DRG | 1.72 | ||||
| Avg LOS with ICD S134XXA - Sprain of ligaments of cervical spine, initial encounter | 4.89 | ||||
| Readmission Rate at DRG | 8.56 | ||||
| Readmission Rate with ICD S134XXA - Sprain of ligaments of cervical spine, initial encounter | 27.14 | ||||
| Unplanned Readmission Rate at DRG | 3.51 | ||||
| Unplanned Readmission Rate with ICD S134XXA - Sprain of ligaments of cervical spine, initial encounter | NA | ||||
| Total Medicare payments at DRG | $814,610,584 | ||||
| Total Medicare payments with ICD S134XXA - Sprain of ligaments of cervical spine, initial encounter | $1,063,755 | ||||
| Total Medicare payment per Day at DRG | $7,479 | ||||
| Total Medicare payment per Day with ICD S134XXA - Sprain of ligaments of cervical spine, initial encounter | $3,110 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,872 | ||||
| Total Medicare payment per Hospitalization with ICD S134XXA - Sprain of ligaments of cervical spine, initial encounter | $15,197 | ||||
| Total Medicare Charges at DRG | $4,641,508,729 | ||||
| Total Medicare Charges with ICD S134XXA - Sprain of ligaments of cervical spine, initial encounter | $7,309,700 | ||||
| Avg Charges at DRG | $73,342 | ||||
| Avg Charges with ICD S134XXA - Sprain of ligaments of cervical spine, initial encounter | $104,424 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD S134XXA - Sprain of ligaments of cervical spine, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 3.8 | ||||
| SNF Discharge Rate with ICD S134XXA - Sprain of ligaments of cervical spine, initial encounter | 18.57 | ||||
| Home Discharge Rate at DRG | 81.78 | ||||
| Home Discharge Rate with ICD S134XXA - Sprain of ligaments of cervical spine, initial encounter | 41.43 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 958: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) | DRG 052: SPINAL DISORDERS AND INJURIES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 957: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 184: MAJOR CHEST TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) | DRG 029: SPINAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) OR SPINAL NEUROSTIMULATORS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 4,715 | ||||
| Total Hospitalizations with ICD S134XXA - Sprain of ligaments of cervical spine, initial encounter | 55 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD S134XXA - Sprain of ligaments of cervical spine, initial encounter in DRG | 1.55 | ||||
| Avg LOS at DRG | 8.41 | ||||
| Avg LOS with ICD S134XXA - Sprain of ligaments of cervical spine, initial encounter | 8.76 | ||||
| Readmission Rate at DRG | 39.42 | ||||
| Readmission Rate with ICD S134XXA - Sprain of ligaments of cervical spine, initial encounter | 37.25 | ||||
| Unplanned Readmission Rate at DRG | 6.84 | ||||
| Unplanned Readmission Rate with ICD S134XXA - Sprain of ligaments of cervical spine, initial encounter | NA | ||||
| Total Medicare payments at DRG | $134,152,817 | ||||
| Total Medicare payments with ICD S134XXA - Sprain of ligaments of cervical spine, initial encounter | $1,561,208 | ||||
| Total Medicare payment per Day at DRG | $3,383 | ||||
| Total Medicare payment per Day with ICD S134XXA - Sprain of ligaments of cervical spine, initial encounter | $3,239 | ||||
| Total Medicare payment per Hospitalization at DRG | $28,452 | ||||
| Total Medicare payment per Hospitalization with ICD S134XXA - Sprain of ligaments of cervical spine, initial encounter | $28,386 | ||||
| Total Medicare Charges at DRG | $710,915,261 | ||||
| Total Medicare Charges with ICD S134XXA - Sprain of ligaments of cervical spine, initial encounter | $9,476,260 | ||||
| Avg Charges at DRG | $150,777 | ||||
| Avg Charges with ICD S134XXA - Sprain of ligaments of cervical spine, initial encounter | $172,296 | ||||
| Mortality Rate at DRG | 2.08 | ||||
| Mortality Rate with ICD S134XXA - Sprain of ligaments of cervical spine, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 34.91 | ||||
| SNF Discharge Rate with ICD S134XXA - Sprain of ligaments of cervical spine, initial encounter | NA | ||||
| Home Discharge Rate at DRG | 18.56 | ||||
| Home Discharge Rate with ICD S134XXA - Sprain of ligaments of cervical spine, initial encounter | 29.09 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 563: FRACTURE SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 085: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 964: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) | DRG 089: CONCUSSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 83,488 | ||||
| Total Hospitalizations with ICD S134XXA - Sprain of ligaments of cervical spine, initial encounter | 46 | ||||
| DRG Share of Total Hospitalizations | 0.25 | ||||
| % of Total ICD S134XXA - Sprain of ligaments of cervical spine, initial encounter in DRG | 1.29 | ||||
| Avg LOS at DRG | 3.48 | ||||
| Avg LOS with ICD S134XXA - Sprain of ligaments of cervical spine, initial encounter | 3.63 | ||||
| Readmission Rate at DRG | 19.78 | ||||
| Readmission Rate with ICD S134XXA - Sprain of ligaments of cervical spine, initial encounter | 23.91 | ||||
| Unplanned Readmission Rate at DRG | 8.24 | ||||
| Unplanned Readmission Rate with ICD S134XXA - Sprain of ligaments of cervical spine, initial encounter | NA | ||||
| Total Medicare payments at DRG | $412,311,224 | ||||
| Total Medicare payments with ICD S134XXA - Sprain of ligaments of cervical spine, initial encounter | $216,399 | ||||
| Total Medicare payment per Day at DRG | $1,421 | ||||
| Total Medicare payment per Day with ICD S134XXA - Sprain of ligaments of cervical spine, initial encounter | $1,296 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,939 | ||||
| Total Medicare payment per Hospitalization with ICD S134XXA - Sprain of ligaments of cervical spine, initial encounter | $4,704 | ||||
| Total Medicare Charges at DRG | $2,194,270,678 | ||||
| Total Medicare Charges with ICD S134XXA - Sprain of ligaments of cervical spine, initial encounter | $1,794,009 | ||||
| Avg Charges at DRG | $26,282 | ||||
| Avg Charges with ICD S134XXA - Sprain of ligaments of cervical spine, initial encounter | $39,000 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD S134XXA - Sprain of ligaments of cervical spine, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 54.16 | ||||
| SNF Discharge Rate with ICD S134XXA - Sprain of ligaments of cervical spine, initial encounter | 56.52 | ||||
| Home Discharge Rate at DRG | 17.27 | ||||
| Home Discharge Rate with ICD S134XXA - Sprain of ligaments of cervical spine, initial encounter | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| COOPER UNIVERSITY HEALTH CARE | 1 COOPER PLZ | CAMDEN | NJ | 08103 | 47 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 45 |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER | 2315 STOCKTON BLVD | SACRAMENTO | CA | 95817 | 43 |