*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| S2231XA - Fracture of one rib, right side, initial encounter for closed fracture - as a primary diagnosis code | S2231XA - Fracture of one rib, right side, initial encounter for closed fracture - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.69 | |
| Readmission Rate (%) | 25.01 | |
| Unplanned Readmission Rate (%) | 11.72 | |
| 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 206: OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 205: OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 964: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 963: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 35,500 | ||||
| Total Hospitalizations with ICD S2231XA - Fracture of one rib, right side, initial encounter for closed fracture | 2,300 | ||||
| DRG Share of Total Hospitalizations | 0.11 | ||||
| % of Total ICD S2231XA - Fracture of one rib, right side, initial encounter for closed fracture in DRG | 71.01 | ||||
| Avg LOS at DRG | 2.98 | ||||
| Avg LOS with ICD S2231XA - Fracture of one rib, right side, initial encounter for closed fracture | 3.18 | ||||
| Readmission Rate at DRG | 18.12 | ||||
| Readmission Rate with ICD S2231XA - Fracture of one rib, right side, initial encounter for closed fracture | 16.59 | ||||
| Unplanned Readmission Rate at DRG | 12.31 | ||||
| Unplanned Readmission Rate with ICD S2231XA - Fracture of one rib, right side, initial encounter for closed fracture | 10.06 | ||||
| Total Medicare payments at DRG | $186,659,137 | ||||
| Total Medicare payments with ICD S2231XA - Fracture of one rib, right side, initial encounter for closed fracture | $11,568,337 | ||||
| Total Medicare payment per Day at DRG | $1,763 | ||||
| Total Medicare payment per Day with ICD S2231XA - Fracture of one rib, right side, initial encounter for closed fracture | $1,580 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,258 | ||||
| Total Medicare payment per Hospitalization with ICD S2231XA - Fracture of one rib, right side, initial encounter for closed fracture | $5,030 | ||||
| Total Medicare Charges at DRG | $1,018,696,754 | ||||
| Total Medicare Charges with ICD S2231XA - Fracture of one rib, right side, initial encounter for closed fracture | $65,690,769 | ||||
| Avg Charges at DRG | $28,696 | ||||
| Avg Charges with ICD S2231XA - Fracture of one rib, right side, initial encounter for closed fracture | $28,561 | ||||
| Mortality Rate at DRG | 0.69 | ||||
| Mortality Rate with ICD S2231XA - Fracture of one rib, right side, initial encounter for closed fracture | NA | ||||
| SNF Discharge Rate at DRG | 17.76 | ||||
| SNF Discharge Rate with ICD S2231XA - Fracture of one rib, right side, initial encounter for closed fracture | 40.96 | ||||
| Home Discharge Rate at DRG | 54.9 | ||||
| Home Discharge Rate with ICD S2231XA - Fracture of one rib, right side, initial encounter for closed fracture | 28.96 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| SOUTH SHORE HOSPITAL | 55 FOGG ROAD | SOUTH WEYMOUTH | MA | 02190 | 23 |
| ABINGTON MEMORIAL HOSPITAL | 1200 OLD YORK RD | ABINGTON | PA | 19001 | 17 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 16 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 206: OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 200: PNEUMOTHORAX WITH COMPLICATION OR COMORBIDITY (CC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 205: OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 35,500 | ||||
| Total Hospitalizations with ICD S2231XA - Fracture of one rib, right side, initial encounter for closed fracture | 2,394 | ||||
| DRG Share of Total Hospitalizations | 0.11 | ||||
| % of Total ICD S2231XA - Fracture of one rib, right side, initial encounter for closed fracture in DRG | 9.96 | ||||
| Avg LOS at DRG | 2.98 | ||||
| Avg LOS with ICD S2231XA - Fracture of one rib, right side, initial encounter for closed fracture | 3.18 | ||||
| Readmission Rate at DRG | 18.12 | ||||
| Readmission Rate with ICD S2231XA - Fracture of one rib, right side, initial encounter for closed fracture | 17.01 | ||||
| Unplanned Readmission Rate at DRG | 12.31 | ||||
| Unplanned Readmission Rate with ICD S2231XA - Fracture of one rib, right side, initial encounter for closed fracture | 10.14 | ||||
| Total Medicare payments at DRG | $186,659,137 | ||||
| Total Medicare payments with ICD S2231XA - Fracture of one rib, right side, initial encounter for closed fracture | $12,015,224 | ||||
| Total Medicare payment per Day at DRG | $1,763 | ||||
| Total Medicare payment per Day with ICD S2231XA - Fracture of one rib, right side, initial encounter for closed fracture | $1,579 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,258 | ||||
| Total Medicare payment per Hospitalization with ICD S2231XA - Fracture of one rib, right side, initial encounter for closed fracture | $5,019 | ||||
| Total Medicare Charges at DRG | $1,018,696,754 | ||||
| Total Medicare Charges with ICD S2231XA - Fracture of one rib, right side, initial encounter for closed fracture | $68,672,944 | ||||
| Avg Charges at DRG | $28,696 | ||||
| Avg Charges with ICD S2231XA - Fracture of one rib, right side, initial encounter for closed fracture | $28,685 | ||||
| Mortality Rate at DRG | 0.69 | ||||
| Mortality Rate with ICD S2231XA - Fracture of one rib, right side, initial encounter for closed fracture | NA | ||||
| SNF Discharge Rate at DRG | 17.76 | ||||
| SNF Discharge Rate with ICD S2231XA - Fracture of one rib, right side, initial encounter for closed fracture | 40.35 | ||||
| Home Discharge Rate at DRG | 54.9 | ||||
| Home Discharge Rate with ICD S2231XA - Fracture of one rib, right side, initial encounter for closed fracture | 29.49 |
*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 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 312: SYNCOPE AND COLLAPSE | DRG 563: FRACTURE SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 964: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 50,567 | ||||
| Total Hospitalizations with ICD S2231XA - Fracture of one rib, right side, initial encounter for closed fracture | 501 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD S2231XA - Fracture of one rib, right side, initial encounter for closed fracture in DRG | 2.08 | ||||
| Avg LOS at DRG | 4.05 | ||||
| Avg LOS with ICD S2231XA - Fracture of one rib, right side, initial encounter for closed fracture | 3.98 | ||||
| Readmission Rate at DRG | 26.88 | ||||
| Readmission Rate with ICD S2231XA - Fracture of one rib, right side, initial encounter for closed fracture | 22.96 | ||||
| Unplanned Readmission Rate at DRG | 12.36 | ||||
| Unplanned Readmission Rate with ICD S2231XA - Fracture of one rib, right side, initial encounter for closed fracture | 8.77 | ||||
| Total Medicare payments at DRG | $378,594,631 | ||||
| Total Medicare payments with ICD S2231XA - Fracture of one rib, right side, initial encounter for closed fracture | $3,750,385 | ||||
| Total Medicare payment per Day at DRG | $1,847 | ||||
| Total Medicare payment per Day with ICD S2231XA - Fracture of one rib, right side, initial encounter for closed fracture | $1,880 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,487 | ||||
| Total Medicare payment per Hospitalization with ICD S2231XA - Fracture of one rib, right side, initial encounter for closed fracture | $7,486 | ||||
| Total Medicare Charges at DRG | $2,140,437,521 | ||||
| Total Medicare Charges with ICD S2231XA - Fracture of one rib, right side, initial encounter for closed fracture | $23,418,325 | ||||
| Avg Charges at DRG | $42,329 | ||||
| Avg Charges with ICD S2231XA - Fracture of one rib, right side, initial encounter for closed fracture | $46,743 | ||||
| Mortality Rate at DRG | 1.75 | ||||
| Mortality Rate with ICD S2231XA - Fracture of one rib, right side, initial encounter for closed fracture | NA | ||||
| SNF Discharge Rate at DRG | 32.85 | ||||
| SNF Discharge Rate with ICD S2231XA - Fracture of one rib, right side, initial encounter for closed fracture | 32.34 | ||||
| Home Discharge Rate at DRG | 27.18 | ||||
| Home Discharge Rate with ICD S2231XA - Fracture of one rib, right side, initial encounter for closed fracture | 30.74 |
*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 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 199: PNEUMOTHORAX WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD S2231XA - Fracture of one rib, right side, initial encounter for closed fracture | 392 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD S2231XA - Fracture of one rib, right side, initial encounter for closed fracture in DRG | 1.63 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD S2231XA - Fracture of one rib, right side, initial encounter for closed fracture | 3.97 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD S2231XA - Fracture of one rib, right side, initial encounter for closed fracture | 22.97 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD S2231XA - Fracture of one rib, right side, initial encounter for closed fracture | 15.41 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD S2231XA - Fracture of one rib, right side, initial encounter for closed fracture | $2,134,974 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD S2231XA - Fracture of one rib, right side, initial encounter for closed fracture | $1,373 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD S2231XA - Fracture of one rib, right side, initial encounter for closed fracture | $5,446 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD S2231XA - Fracture of one rib, right side, initial encounter for closed fracture | $11,655,292 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD S2231XA - Fracture of one rib, right side, initial encounter for closed fracture | $29,733 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD S2231XA - Fracture of one rib, right side, initial encounter for closed fracture | NA | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD S2231XA - Fracture of one rib, right side, initial encounter for closed fracture | 41.58 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD S2231XA - Fracture of one rib, right side, initial encounter for closed fracture | 29.59 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 536: FRACTURES OF HIP AND PELVIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD S2231XA - Fracture of one rib, right side, initial encounter for closed fracture | 289 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD S2231XA - Fracture of one rib, right side, initial encounter for closed fracture in DRG | 1.2 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD S2231XA - Fracture of one rib, right side, initial encounter for closed fracture | 4.81 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD S2231XA - Fracture of one rib, right side, initial encounter for closed fracture | 26.28 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD S2231XA - Fracture of one rib, right side, initial encounter for closed fracture | 18.98 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD S2231XA - Fracture of one rib, right side, initial encounter for closed fracture | $1,926,077 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD S2231XA - Fracture of one rib, right side, initial encounter for closed fracture | $1,385 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD S2231XA - Fracture of one rib, right side, initial encounter for closed fracture | $6,665 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD S2231XA - Fracture of one rib, right side, initial encounter for closed fracture | $11,421,042 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD S2231XA - Fracture of one rib, right side, initial encounter for closed fracture | $39,519 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD S2231XA - Fracture of one rib, right side, initial encounter for closed fracture | NA | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD S2231XA - Fracture of one rib, right side, initial encounter for closed fracture | 25.26 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD S2231XA - Fracture of one rib, right side, initial encounter for closed fracture | 40.83 |
| 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 | 81 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 75 |
| SOUTH SHORE HOSPITAL | 55 FOGG ROAD | SOUTH WEYMOUTH | MA | 02190 | 72 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RYAN MARC SHADIS | 1245 HIGHLAND AVENUE | ABINGTON | PA | 19001 | 17 |
| Dr. JAMES VICTOR YUSCHAK | 1245 HIGHLAND AVE | ABINGTON | PA | 19001 | 15 |
| Dr. DIANNE J. LEONARD | 100 N ACADEMY AVE | DANVILLE | PA | 17822 | 13 |