*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| S20212A - Contusion of left front wall of thorax, initial encounter - as a primary diagnosis code | S20212A - Contusion of left front wall of thorax, initial encounter - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.01 | |
| Readmission Rate (%) | 22.02 | |
| Unplanned Readmission Rate (%) | 12.52 | |
| 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 605: TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 604: TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 580: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 579: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 45,787 | |||
| Total Hospitalizations with ICD S20212A - Contusion of left front wall of thorax, initial encounter | 864 | |||
| DRG Share of Total Hospitalizations | 0.14 | |||
| % of Total ICD S20212A - Contusion of left front wall of thorax, initial encounter in DRG | 73.59 | |||
| Avg LOS at DRG | 3.25 | |||
| Avg LOS with ICD S20212A - Contusion of left front wall of thorax, initial encounter | 3.05 | |||
| Readmission Rate at DRG | 18.27 | |||
| Readmission Rate with ICD S20212A - Contusion of left front wall of thorax, initial encounter | 15.98 | |||
| Unplanned Readmission Rate at DRG | 10.63 | |||
| Unplanned Readmission Rate with ICD S20212A - Contusion of left front wall of thorax, initial encounter | 10.73 | |||
| Total Medicare payments at DRG | $234,309,332 | |||
| Total Medicare payments with ICD S20212A - Contusion of left front wall of thorax, initial encounter | $4,355,153 | |||
| Total Medicare payment per Day at DRG | $1,573 | |||
| Total Medicare payment per Day with ICD S20212A - Contusion of left front wall of thorax, initial encounter | $1,651 | |||
| Total Medicare payment per Hospitalization at DRG | $5,117 | |||
| Total Medicare payment per Hospitalization with ICD S20212A - Contusion of left front wall of thorax, initial encounter | $5,041 | |||
| Total Medicare Charges at DRG | $1,321,005,538 | |||
| Total Medicare Charges with ICD S20212A - Contusion of left front wall of thorax, initial encounter | $25,217,972 | |||
| Avg Charges at DRG | $28,851 | |||
| Avg Charges with ICD S20212A - Contusion of left front wall of thorax, initial encounter | $29,187 | |||
| Mortality Rate at DRG | 0.2 | |||
| Mortality Rate with ICD S20212A - Contusion of left front wall of thorax, initial encounter | NA | |||
| SNF Discharge Rate at DRG | 32.81 | |||
| SNF Discharge Rate with ICD S20212A - Contusion of left front wall of thorax, initial encounter | 35.3 | |||
| Home Discharge Rate at DRG | 35.13 | |||
| Home Discharge Rate with ICD S20212A - Contusion of left front wall of thorax, initial encounter | 36.0 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 605: TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 184: MAJOR CHEST TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) | DRG 604: TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 312: SYNCOPE AND COLLAPSE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 45,787 | ||||
| Total Hospitalizations with ICD S20212A - Contusion of left front wall of thorax, initial encounter | 1,056 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD S20212A - Contusion of left front wall of thorax, initial encounter in DRG | 10.02 | ||||
| Avg LOS at DRG | 3.25 | ||||
| Avg LOS with ICD S20212A - Contusion of left front wall of thorax, initial encounter | 3.05 | ||||
| Readmission Rate at DRG | 18.27 | ||||
| Readmission Rate with ICD S20212A - Contusion of left front wall of thorax, initial encounter | 16.08 | ||||
| Unplanned Readmission Rate at DRG | 10.63 | ||||
| Unplanned Readmission Rate with ICD S20212A - Contusion of left front wall of thorax, initial encounter | 10.55 | ||||
| Total Medicare payments at DRG | $234,309,332 | ||||
| Total Medicare payments with ICD S20212A - Contusion of left front wall of thorax, initial encounter | $5,307,538 | ||||
| Total Medicare payment per Day at DRG | $1,573 | ||||
| Total Medicare payment per Day with ICD S20212A - Contusion of left front wall of thorax, initial encounter | $1,649 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,117 | ||||
| Total Medicare payment per Hospitalization with ICD S20212A - Contusion of left front wall of thorax, initial encounter | $5,026 | ||||
| Total Medicare Charges at DRG | $1,321,005,538 | ||||
| Total Medicare Charges with ICD S20212A - Contusion of left front wall of thorax, initial encounter | $31,413,409 | ||||
| Avg Charges at DRG | $28,851 | ||||
| Avg Charges with ICD S20212A - Contusion of left front wall of thorax, initial encounter | $29,748 | ||||
| Mortality Rate at DRG | 0.2 | ||||
| Mortality Rate with ICD S20212A - Contusion of left front wall of thorax, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 32.81 | ||||
| SNF Discharge Rate with ICD S20212A - Contusion of left front wall of thorax, initial encounter | 34.38 | ||||
| Home Discharge Rate at DRG | 35.13 | ||||
| Home Discharge Rate with ICD S20212A - Contusion of left front wall of thorax, initial encounter | 36.27 |
*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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 83,488 | ||||
| Total Hospitalizations with ICD S20212A - Contusion of left front wall of thorax, initial encounter | 224 | ||||
| DRG Share of Total Hospitalizations | 0.25 | ||||
| % of Total ICD S20212A - Contusion of left front wall of thorax, initial encounter in DRG | 2.13 | ||||
| Avg LOS at DRG | 3.48 | ||||
| Avg LOS with ICD S20212A - Contusion of left front wall of thorax, initial encounter | 3.48 | ||||
| Readmission Rate at DRG | 19.78 | ||||
| Readmission Rate with ICD S20212A - Contusion of left front wall of thorax, initial encounter | 15.89 | ||||
| Unplanned Readmission Rate at DRG | 8.24 | ||||
| Unplanned Readmission Rate with ICD S20212A - Contusion of left front wall of thorax, initial encounter | 9.35 | ||||
| Total Medicare payments at DRG | $412,311,224 | ||||
| Total Medicare payments with ICD S20212A - Contusion of left front wall of thorax, initial encounter | $1,069,039 | ||||
| Total Medicare payment per Day at DRG | $1,421 | ||||
| Total Medicare payment per Day with ICD S20212A - Contusion of left front wall of thorax, initial encounter | $1,371 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,939 | ||||
| Total Medicare payment per Hospitalization with ICD S20212A - Contusion of left front wall of thorax, initial encounter | $4,772 | ||||
| Total Medicare Charges at DRG | $2,194,270,678 | ||||
| Total Medicare Charges with ICD S20212A - Contusion of left front wall of thorax, initial encounter | $6,598,644 | ||||
| Avg Charges at DRG | $26,282 | ||||
| Avg Charges with ICD S20212A - Contusion of left front wall of thorax, initial encounter | $29,458 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD S20212A - Contusion of left front wall of thorax, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 54.16 | ||||
| SNF Discharge Rate with ICD S20212A - Contusion of left front wall of thorax, initial encounter | 49.55 | ||||
| Home Discharge Rate at DRG | 17.27 | ||||
| Home Discharge Rate with ICD S20212A - Contusion of left front wall of thorax, initial encounter | 20.09 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 183: MAJOR CHEST TRAUMA WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 536: FRACTURES OF HIP AND PELVIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD S20212A - Contusion of left front wall of thorax, initial encounter | 171 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD S20212A - Contusion of left front wall of thorax, initial encounter in DRG | 1.62 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD S20212A - Contusion of left front wall of thorax, initial encounter | 5.29 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD S20212A - Contusion of left front wall of thorax, initial encounter | 16.03 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD S20212A - Contusion of left front wall of thorax, initial encounter | 12.82 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD S20212A - Contusion of left front wall of thorax, initial encounter | $1,433,615 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD S20212A - Contusion of left front wall of thorax, initial encounter | $1,586 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD S20212A - Contusion of left front wall of thorax, initial encounter | $8,384 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD S20212A - Contusion of left front wall of thorax, initial encounter | $7,601,206 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD S20212A - Contusion of left front wall of thorax, initial encounter | $44,451 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD S20212A - Contusion of left front wall of thorax, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD S20212A - Contusion of left front wall of thorax, initial encounter | 26.9 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD S20212A - Contusion of left front wall of thorax, initial encounter | 39.77 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 206: OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 240,618 | ||||
| Total Hospitalizations with ICD S20212A - Contusion of left front wall of thorax, initial encounter | 128 | ||||
| DRG Share of Total Hospitalizations | 0.73 | ||||
| % of Total ICD S20212A - Contusion of left front wall of thorax, initial encounter in DRG | 1.21 | ||||
| Avg LOS at DRG | 4.81 | ||||
| Avg LOS with ICD S20212A - Contusion of left front wall of thorax, initial encounter | 5.05 | ||||
| Readmission Rate at DRG | 26.3 | ||||
| Readmission Rate with ICD S20212A - Contusion of left front wall of thorax, initial encounter | 25.2 | ||||
| Unplanned Readmission Rate at DRG | 7.83 | ||||
| Unplanned Readmission Rate with ICD S20212A - Contusion of left front wall of thorax, initial encounter | NA | ||||
| Total Medicare payments at DRG | $2,989,116,299 | ||||
| Total Medicare payments with ICD S20212A - Contusion of left front wall of thorax, initial encounter | $1,674,888 | ||||
| Total Medicare payment per Day at DRG | $2,581 | ||||
| Total Medicare payment per Day with ICD S20212A - Contusion of left front wall of thorax, initial encounter | $2,589 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,423 | ||||
| Total Medicare payment per Hospitalization with ICD S20212A - Contusion of left front wall of thorax, initial encounter | $13,085 | ||||
| Total Medicare Charges at DRG | $15,603,027,471 | ||||
| Total Medicare Charges with ICD S20212A - Contusion of left front wall of thorax, initial encounter | $8,553,490 | ||||
| Avg Charges at DRG | $64,846 | ||||
| Avg Charges with ICD S20212A - Contusion of left front wall of thorax, initial encounter | $66,824 | ||||
| Mortality Rate at DRG | 0.4 | ||||
| Mortality Rate with ICD S20212A - Contusion of left front wall of thorax, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 66.28 | ||||
| SNF Discharge Rate with ICD S20212A - Contusion of left front wall of thorax, initial encounter | 64.84 | ||||
| Home Discharge Rate at DRG | 3.84 | ||||
| Home Discharge Rate with ICD S20212A - Contusion of left front wall of thorax, initial encounter | NA |
| 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 | 40 |
| SCRIPPS MEMORIAL HOSPITAL LA JOLLA | 9888 GENESEE AVE | LA JOLLA | CA | 92037 | 38 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 34 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. FADY S NASRALLAH | 9888 GENESEE AVE | LA JOLLA | CA | 92037 | 11 |