*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| S161XXA - Strain of muscle, fascia and tendon at neck level, initial encounter - as a primary diagnosis code | S161XXA - Strain of muscle, fascia and tendon at neck level, initial encounter - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 4.78 | |
| Readmission Rate (%) | 22.77 | |
| Unplanned Readmission Rate (%) | 9.9 | |
| 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) | |
|---|---|---|
| Total Hospitalizations at DRG | 195,476 | |
| Total Hospitalizations with ICD S161XXA - Strain of muscle, fascia and tendon at neck level, initial encounter | 540 | |
| DRG Share of Total Hospitalizations | 0.59 | |
| % of Total ICD S161XXA - Strain of muscle, fascia and tendon at neck level, initial encounter in DRG | 82.32 | |
| Avg LOS at DRG | 4.48 | |
| Avg LOS with ICD S161XXA - Strain of muscle, fascia and tendon at neck level, initial encounter | 2.58 | |
| Readmission Rate at DRG | 20.57 | |
| Readmission Rate with ICD S161XXA - Strain of muscle, fascia and tendon at neck level, initial encounter | 15.83 | |
| Unplanned Readmission Rate at DRG | 9.88 | |
| Unplanned Readmission Rate with ICD S161XXA - Strain of muscle, fascia and tendon at neck level, initial encounter | 9.07 | |
| Total Medicare payments at DRG | $1,320,662,237 | |
| Total Medicare payments with ICD S161XXA - Strain of muscle, fascia and tendon at neck level, initial encounter | $2,563,573 | |
| Total Medicare payment per Day at DRG | $1,508 | |
| Total Medicare payment per Day with ICD S161XXA - Strain of muscle, fascia and tendon at neck level, initial encounter | $1,843 | |
| Total Medicare payment per Hospitalization at DRG | $6,756 | |
| Total Medicare payment per Hospitalization with ICD S161XXA - Strain of muscle, fascia and tendon at neck level, initial encounter | $4,747 | |
| Total Medicare Charges at DRG | $6,024,639,461 | |
| Total Medicare Charges with ICD S161XXA - Strain of muscle, fascia and tendon at neck level, initial encounter | $16,336,261 | |
| Avg Charges at DRG | $30,820 | |
| Avg Charges with ICD S161XXA - Strain of muscle, fascia and tendon at neck level, initial encounter | $30,252 | |
| Mortality Rate at DRG | 0.24 | |
| Mortality Rate with ICD S161XXA - Strain of muscle, fascia and tendon at neck level, initial encounter | NA | |
| SNF Discharge Rate at DRG | 33.36 | |
| SNF Discharge Rate with ICD S161XXA - Strain of muscle, fascia and tendon at neck level, initial encounter | 21.48 | |
| Home Discharge Rate at DRG | 30.98 | |
| Home Discharge Rate with ICD S161XXA - Strain of muscle, fascia and tendon at neck level, initial encounter | 52.78 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| LEHIGH VALLEY HOSPITAL - CEDAR CREST | 1200 S CEDAR CREST BLVD | ALLENTOWN | PA | 18103 | 14 |
*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 312: SYNCOPE AND COLLAPSE | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH 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 | 195,476 | ||||
| Total Hospitalizations with ICD S161XXA - Strain of muscle, fascia and tendon at neck level, initial encounter | 906 | ||||
| DRG Share of Total Hospitalizations | 0.59 | ||||
| % of Total ICD S161XXA - Strain of muscle, fascia and tendon at neck level, initial encounter in DRG | 9.73 | ||||
| Avg LOS at DRG | 4.48 | ||||
| Avg LOS with ICD S161XXA - Strain of muscle, fascia and tendon at neck level, initial encounter | 2.81 | ||||
| Readmission Rate at DRG | 20.57 | ||||
| Readmission Rate with ICD S161XXA - Strain of muscle, fascia and tendon at neck level, initial encounter | 17.69 | ||||
| Unplanned Readmission Rate at DRG | 9.88 | ||||
| Unplanned Readmission Rate with ICD S161XXA - Strain of muscle, fascia and tendon at neck level, initial encounter | 8.85 | ||||
| Total Medicare payments at DRG | $1,320,662,237 | ||||
| Total Medicare payments with ICD S161XXA - Strain of muscle, fascia and tendon at neck level, initial encounter | $4,393,741 | ||||
| Total Medicare payment per Day at DRG | $1,508 | ||||
| Total Medicare payment per Day with ICD S161XXA - Strain of muscle, fascia and tendon at neck level, initial encounter | $1,723 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,756 | ||||
| Total Medicare payment per Hospitalization with ICD S161XXA - Strain of muscle, fascia and tendon at neck level, initial encounter | $4,850 | ||||
| Total Medicare Charges at DRG | $6,024,639,461 | ||||
| Total Medicare Charges with ICD S161XXA - Strain of muscle, fascia and tendon at neck level, initial encounter | $30,491,238 | ||||
| Avg Charges at DRG | $30,820 | ||||
| Avg Charges with ICD S161XXA - Strain of muscle, fascia and tendon at neck level, initial encounter | $33,655 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD S161XXA - Strain of muscle, fascia and tendon at neck level, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 33.36 | ||||
| SNF Discharge Rate with ICD S161XXA - Strain of muscle, fascia and tendon at neck level, initial encounter | 27.26 | ||||
| Home Discharge Rate at DRG | 30.98 | ||||
| Home Discharge Rate with ICD S161XXA - Strain of muscle, fascia and tendon at neck level, initial encounter | 44.92 |
*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 087: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 086: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITH COMPLICATION OR COMORBIDITY (CC) | DRG 885: PSYCHOSES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD S161XXA - Strain of muscle, fascia and tendon at neck level, initial encounter | 187 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD S161XXA - Strain of muscle, fascia and tendon at neck level, initial encounter in DRG | 2.01 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD S161XXA - Strain of muscle, fascia and tendon at neck level, initial encounter | 3.33 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD S161XXA - Strain of muscle, fascia and tendon at neck level, initial encounter | 23.6 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD S161XXA - Strain of muscle, fascia and tendon at neck level, initial encounter | 15.17 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD S161XXA - Strain of muscle, fascia and tendon at neck level, initial encounter | $954,986 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD S161XXA - Strain of muscle, fascia and tendon at neck level, initial encounter | $1,535 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD S161XXA - Strain of muscle, fascia and tendon at neck level, initial encounter | $5,107 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD S161XXA - Strain of muscle, fascia and tendon at neck level, initial encounter | $5,621,161 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD S161XXA - Strain of muscle, fascia and tendon at neck level, initial encounter | $30,060 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD S161XXA - Strain of muscle, fascia and tendon at neck level, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD S161XXA - Strain of muscle, fascia and tendon at neck level, initial encounter | 28.88 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD S161XXA - Strain of muscle, fascia and tendon at neck level, initial encounter | 36.36 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 605: TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 184: MAJOR CHEST TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 310,318 | ||||
| Total Hospitalizations with ICD S161XXA - Strain of muscle, fascia and tendon at neck level, initial encounter | 155 | ||||
| DRG Share of Total Hospitalizations | 0.94 | ||||
| % of Total ICD S161XXA - Strain of muscle, fascia and tendon at neck level, initial encounter in DRG | 1.66 | ||||
| Avg LOS at DRG | 3.19 | ||||
| Avg LOS with ICD S161XXA - Strain of muscle, fascia and tendon at neck level, initial encounter | 3.6 | ||||
| Readmission Rate at DRG | 20.19 | ||||
| Readmission Rate with ICD S161XXA - Strain of muscle, fascia and tendon at neck level, initial encounter | 17.01 | ||||
| Unplanned Readmission Rate at DRG | 13.62 | ||||
| Unplanned Readmission Rate with ICD S161XXA - Strain of muscle, fascia and tendon at neck level, initial encounter | 10.88 | ||||
| Total Medicare payments at DRG | $1,415,392,709 | ||||
| Total Medicare payments with ICD S161XXA - Strain of muscle, fascia and tendon at neck level, initial encounter | $652,842 | ||||
| Total Medicare payment per Day at DRG | $1,431 | ||||
| Total Medicare payment per Day with ICD S161XXA - Strain of muscle, fascia and tendon at neck level, initial encounter | $1,170 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,561 | ||||
| Total Medicare payment per Hospitalization with ICD S161XXA - Strain of muscle, fascia and tendon at neck level, initial encounter | $4,212 | ||||
| Total Medicare Charges at DRG | $7,113,640,596 | ||||
| Total Medicare Charges with ICD S161XXA - Strain of muscle, fascia and tendon at neck level, initial encounter | $4,773,489 | ||||
| Avg Charges at DRG | $22,924 | ||||
| Avg Charges with ICD S161XXA - Strain of muscle, fascia and tendon at neck level, initial encounter | $30,797 | ||||
| Mortality Rate at DRG | 0.63 | ||||
| Mortality Rate with ICD S161XXA - Strain of muscle, fascia and tendon at neck level, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 19.76 | ||||
| SNF Discharge Rate with ICD S161XXA - Strain of muscle, fascia and tendon at neck level, initial encounter | 34.19 | ||||
| Home Discharge Rate at DRG | 50.47 | ||||
| Home Discharge Rate with ICD S161XXA - Strain of muscle, fascia and tendon at neck level, initial encounter | 40.0 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 089: CONCUSSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 5,865 | ||||
| Total Hospitalizations with ICD S161XXA - Strain of muscle, fascia and tendon at neck level, initial encounter | 109 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD S161XXA - Strain of muscle, fascia and tendon at neck level, initial encounter in DRG | 1.17 | ||||
| Avg LOS at DRG | 3.3 | ||||
| Avg LOS with ICD S161XXA - Strain of muscle, fascia and tendon at neck level, initial encounter | 2.98 | ||||
| Readmission Rate at DRG | 19.09 | ||||
| Readmission Rate with ICD S161XXA - Strain of muscle, fascia and tendon at neck level, initial encounter | 20.0 | ||||
| Unplanned Readmission Rate at DRG | 8.89 | ||||
| Unplanned Readmission Rate with ICD S161XXA - Strain of muscle, fascia and tendon at neck level, initial encounter | NA | ||||
| Total Medicare payments at DRG | $35,765,926 | ||||
| Total Medicare payments with ICD S161XXA - Strain of muscle, fascia and tendon at neck level, initial encounter | $587,147 | ||||
| Total Medicare payment per Day at DRG | $1,850 | ||||
| Total Medicare payment per Day with ICD S161XXA - Strain of muscle, fascia and tendon at neck level, initial encounter | $1,807 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,098 | ||||
| Total Medicare payment per Hospitalization with ICD S161XXA - Strain of muscle, fascia and tendon at neck level, initial encounter | $5,387 | ||||
| Total Medicare Charges at DRG | $218,045,265 | ||||
| Total Medicare Charges with ICD S161XXA - Strain of muscle, fascia and tendon at neck level, initial encounter | $3,914,776 | ||||
| Avg Charges at DRG | $37,177 | ||||
| Avg Charges with ICD S161XXA - Strain of muscle, fascia and tendon at neck level, initial encounter | $35,915 | ||||
| Mortality Rate at DRG | 0.29 | ||||
| Mortality Rate with ICD S161XXA - Strain of muscle, fascia and tendon at neck level, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 30.33 | ||||
| SNF Discharge Rate with ICD S161XXA - Strain of muscle, fascia and tendon at neck level, initial encounter | 27.52 | ||||
| Home Discharge Rate at DRG | 38.02 | ||||
| Home Discharge Rate with ICD S161XXA - Strain of muscle, fascia and tendon at neck level, initial encounter | 41.28 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| PRINCE GEORGE'S HOSPITAL CENTER | 3001 HOSPITAL DR | CHEVERLY | MD | 20785 | 83 |
| PORTSMOUTH REGIONAL HOSPITAL | 333 BORTHWICK AVE | PORTSMOUTH | NH | 03801 | 54 |
| SCRIPPS MEMORIAL HOSPITAL LA JOLLA | 9888 GENESEE AVE | LA JOLLA | CA | 92037 | 52 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JENNIFER L. WEYMOUTH | 44 BIRCH ST | DERRY | NH | 03038 | 24 |
| Dr. KENNETH RANSOM | 1044 BELMONT AVE | YOUNGSTOWN | OH | 44504 | 17 |
| Dr. BIJAN BAHMANYAR | 7311 HANOVER PKWY | GREENBELT | MD | 20770 | 14 |