*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| S27321A - Contusion of lung, unilateral, initial encounter - as a primary diagnosis code | S27321A - Contusion of lung, unilateral, initial encounter - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.64 | |
| Readmission Rate (%) | 27.42 | |
| Unplanned Readmission Rate (%) | 9.63 | |
| 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 963: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 35,500 | ||||
| Total Hospitalizations with ICD S27321A - Contusion of lung, unilateral, initial encounter | 473 | ||||
| DRG Share of Total Hospitalizations | 0.11 | ||||
| % of Total ICD S27321A - Contusion of lung, unilateral, initial encounter in DRG | 45.57 | ||||
| Avg LOS at DRG | 2.98 | ||||
| Avg LOS with ICD S27321A - Contusion of lung, unilateral, initial encounter | 3.0 | ||||
| Readmission Rate at DRG | 18.12 | ||||
| Readmission Rate with ICD S27321A - Contusion of lung, unilateral, initial encounter | 16.78 | ||||
| Unplanned Readmission Rate at DRG | 12.31 | ||||
| Unplanned Readmission Rate with ICD S27321A - Contusion of lung, unilateral, initial encounter | 6.58 | ||||
| Total Medicare payments at DRG | $186,659,137 | ||||
| Total Medicare payments with ICD S27321A - Contusion of lung, unilateral, initial encounter | $2,298,043 | ||||
| Total Medicare payment per Day at DRG | $1,763 | ||||
| Total Medicare payment per Day with ICD S27321A - Contusion of lung, unilateral, initial encounter | $1,619 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,258 | ||||
| Total Medicare payment per Hospitalization with ICD S27321A - Contusion of lung, unilateral, initial encounter | $4,858 | ||||
| Total Medicare Charges at DRG | $1,018,696,754 | ||||
| Total Medicare Charges with ICD S27321A - Contusion of lung, unilateral, initial encounter | $14,571,502 | ||||
| Avg Charges at DRG | $28,696 | ||||
| Avg Charges with ICD S27321A - Contusion of lung, unilateral, initial encounter | $30,807 | ||||
| Mortality Rate at DRG | 0.69 | ||||
| Mortality Rate with ICD S27321A - Contusion of lung, unilateral, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 17.76 | ||||
| SNF Discharge Rate with ICD S27321A - Contusion of lung, unilateral, initial encounter | 21.14 | ||||
| Home Discharge Rate at DRG | 54.9 | ||||
| Home Discharge Rate with ICD S27321A - Contusion of lung, unilateral, initial encounter | 48.63 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 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 | 37,276 | |||
| Total Hospitalizations with ICD S27321A - Contusion of lung, unilateral, initial encounter | 13 | |||
| DRG Share of Total Hospitalizations | 0.11 | |||
| % of Total ICD S27321A - Contusion of lung, unilateral, initial encounter in DRG | 1.25 | |||
| Avg LOS at DRG | 12.15 | |||
| Avg LOS with ICD S27321A - Contusion of lung, unilateral, initial encounter | 10.69 | |||
| Readmission Rate at DRG | 27.64 | |||
| Readmission Rate with ICD S27321A - Contusion of lung, unilateral, initial encounter | NA | |||
| Unplanned Readmission Rate at DRG | 14.04 | |||
| Unplanned Readmission Rate with ICD S27321A - Contusion of lung, unilateral, initial encounter | NA | |||
| Total Medicare payments at DRG | $1,238,611,931 | |||
| Total Medicare payments with ICD S27321A - Contusion of lung, unilateral, initial encounter | $428,724 | |||
| Total Medicare payment per Day at DRG | $2,735 | |||
| Total Medicare payment per Day with ICD S27321A - Contusion of lung, unilateral, initial encounter | $3,084 | |||
| Total Medicare payment per Hospitalization at DRG | $33,228 | |||
| Total Medicare payment per Hospitalization with ICD S27321A - Contusion of lung, unilateral, initial encounter | $32,979 | |||
| Total Medicare Charges at DRG | $5,969,079,351 | |||
| Total Medicare Charges with ICD S27321A - Contusion of lung, unilateral, initial encounter | $2,052,723 | |||
| Avg Charges at DRG | $160,132 | |||
| Avg Charges with ICD S27321A - Contusion of lung, unilateral, initial encounter | $157,902 | |||
| Mortality Rate at DRG | 8.94 | |||
| Mortality Rate with ICD S27321A - Contusion of lung, unilateral, initial encounter | NA | |||
| SNF Discharge Rate at DRG | 17.97 | |||
| SNF Discharge Rate with ICD S27321A - Contusion of lung, unilateral, initial encounter | NA | |||
| Home Discharge Rate at DRG | 31.66 | |||
| Home Discharge Rate with ICD S27321A - Contusion of lung, unilateral, initial encounter | 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 184: MAJOR CHEST TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) | DRG 964: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) | DRG 200: PNEUMOTHORAX WITH COMPLICATION OR COMORBIDITY (CC) | DRG 183: MAJOR CHEST TRAUMA WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 963: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 31,240 | ||||
| Total Hospitalizations with ICD S27321A - Contusion of lung, unilateral, initial encounter | 1,596 | ||||
| DRG Share of Total Hospitalizations | 0.1 | ||||
| % of Total ICD S27321A - Contusion of lung, unilateral, initial encounter in DRG | 12.07 | ||||
| Avg LOS at DRG | 3.72 | ||||
| Avg LOS with ICD S27321A - Contusion of lung, unilateral, initial encounter | 3.77 | ||||
| Readmission Rate at DRG | 17.85 | ||||
| Readmission Rate with ICD S27321A - Contusion of lung, unilateral, initial encounter | 15.67 | ||||
| Unplanned Readmission Rate at DRG | 9.34 | ||||
| Unplanned Readmission Rate with ICD S27321A - Contusion of lung, unilateral, initial encounter | 8.19 | ||||
| Total Medicare payments at DRG | $190,421,957 | ||||
| Total Medicare payments with ICD S27321A - Contusion of lung, unilateral, initial encounter | $9,706,721 | ||||
| Total Medicare payment per Day at DRG | $1,637 | ||||
| Total Medicare payment per Day with ICD S27321A - Contusion of lung, unilateral, initial encounter | $1,612 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,095 | ||||
| Total Medicare payment per Hospitalization with ICD S27321A - Contusion of lung, unilateral, initial encounter | $6,082 | ||||
| Total Medicare Charges at DRG | $1,124,715,074 | ||||
| Total Medicare Charges with ICD S27321A - Contusion of lung, unilateral, initial encounter | $59,912,361 | ||||
| Avg Charges at DRG | $36,002 | ||||
| Avg Charges with ICD S27321A - Contusion of lung, unilateral, initial encounter | $37,539 | ||||
| Mortality Rate at DRG | 0.4 | ||||
| Mortality Rate with ICD S27321A - Contusion of lung, unilateral, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 38.96 | ||||
| SNF Discharge Rate with ICD S27321A - Contusion of lung, unilateral, initial encounter | 28.13 | ||||
| Home Discharge Rate at DRG | 30.83 | ||||
| Home Discharge Rate with ICD S27321A - Contusion of lung, unilateral, initial encounter | 44.61 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 957: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 199: PNEUMOTHORAX WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 206: OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 958: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) | DRG 956: LIMB REATTACHMENT, HIP AND FEMUR PROC FOR MULTIPLE SIGNIFICANT TRAUMA | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 6,001 | ||||
| Total Hospitalizations with ICD S27321A - Contusion of lung, unilateral, initial encounter | 752 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD S27321A - Contusion of lung, unilateral, initial encounter in DRG | 5.69 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD S27321A - Contusion of lung, unilateral, initial encounter | 14.02 | ||||
| Readmission Rate at DRG | 47.06 | ||||
| Readmission Rate with ICD S27321A - Contusion of lung, unilateral, initial encounter | 48.39 | ||||
| Unplanned Readmission Rate at DRG | 9.12 | ||||
| Unplanned Readmission Rate with ICD S27321A - Contusion of lung, unilateral, initial encounter | 7.61 | ||||
| Total Medicare payments at DRG | $326,749,599 | ||||
| Total Medicare payments with ICD S27321A - Contusion of lung, unilateral, initial encounter | $40,415,485 | ||||
| Total Medicare payment per Day at DRG | $4,131 | ||||
| Total Medicare payment per Day with ICD S27321A - Contusion of lung, unilateral, initial encounter | $3,834 | ||||
| Total Medicare payment per Hospitalization at DRG | $54,449 | ||||
| Total Medicare payment per Hospitalization with ICD S27321A - Contusion of lung, unilateral, initial encounter | $53,744 | ||||
| Total Medicare Charges at DRG | $1,594,482,525 | ||||
| Total Medicare Charges with ICD S27321A - Contusion of lung, unilateral, initial encounter | $197,502,607 | ||||
| Avg Charges at DRG | $265,703 | ||||
| Avg Charges with ICD S27321A - Contusion of lung, unilateral, initial encounter | $262,636 | ||||
| Mortality Rate at DRG | 22.66 | ||||
| Mortality Rate with ICD S27321A - Contusion of lung, unilateral, initial encounter | 17.15 | ||||
| SNF Discharge Rate at DRG | 27.33 | ||||
| SNF Discharge Rate with ICD S27321A - Contusion of lung, unilateral, initial encounter | 25.4 | ||||
| Home Discharge Rate at DRG | 9.3 | ||||
| Home Discharge Rate with ICD S27321A - Contusion of lung, unilateral, initial encounter | 11.57 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 205: OTHER RESPIRATORY SYSTEM DIAGNOSES 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 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 955: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 25,762 | ||||
| Total Hospitalizations with ICD S27321A - Contusion of lung, unilateral, initial encounter | 376 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD S27321A - Contusion of lung, unilateral, initial encounter in DRG | 2.84 | ||||
| Avg LOS at DRG | 5.4 | ||||
| Avg LOS with ICD S27321A - Contusion of lung, unilateral, initial encounter | 5.19 | ||||
| Readmission Rate at DRG | 26.53 | ||||
| Readmission Rate with ICD S27321A - Contusion of lung, unilateral, initial encounter | 20.69 | ||||
| Unplanned Readmission Rate at DRG | 17.68 | ||||
| Unplanned Readmission Rate with ICD S27321A - Contusion of lung, unilateral, initial encounter | 12.36 | ||||
| Total Medicare payments at DRG | $258,625,689 | ||||
| Total Medicare payments with ICD S27321A - Contusion of lung, unilateral, initial encounter | $3,429,810 | ||||
| Total Medicare payment per Day at DRG | $1,859 | ||||
| Total Medicare payment per Day with ICD S27321A - Contusion of lung, unilateral, initial encounter | $1,759 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,039 | ||||
| Total Medicare payment per Hospitalization with ICD S27321A - Contusion of lung, unilateral, initial encounter | $9,122 | ||||
| Total Medicare Charges at DRG | $1,285,891,031 | ||||
| Total Medicare Charges with ICD S27321A - Contusion of lung, unilateral, initial encounter | $18,874,390 | ||||
| Avg Charges at DRG | $49,914 | ||||
| Avg Charges with ICD S27321A - Contusion of lung, unilateral, initial encounter | $50,198 | ||||
| Mortality Rate at DRG | 3.49 | ||||
| Mortality Rate with ICD S27321A - Contusion of lung, unilateral, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 21.29 | ||||
| SNF Discharge Rate with ICD S27321A - Contusion of lung, unilateral, initial encounter | 30.59 | ||||
| Home Discharge Rate at DRG | 40.23 | ||||
| Home Discharge Rate with ICD S27321A - Contusion of lung, unilateral, initial encounter | 36.17 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD S27321A - Contusion of lung, unilateral, initial encounter | 149 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD S27321A - Contusion of lung, unilateral, initial encounter in DRG | 1.13 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD S27321A - Contusion of lung, unilateral, initial encounter | 7.31 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD S27321A - Contusion of lung, unilateral, initial encounter | 31.03 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD S27321A - Contusion of lung, unilateral, initial encounter | 14.66 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD S27321A - Contusion of lung, unilateral, initial encounter | $1,883,505 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD S27321A - Contusion of lung, unilateral, initial encounter | $1,730 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD S27321A - Contusion of lung, unilateral, initial encounter | $12,641 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD S27321A - Contusion of lung, unilateral, initial encounter | $11,340,873 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD S27321A - Contusion of lung, unilateral, initial encounter | $76,113 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD S27321A - Contusion of lung, unilateral, initial encounter | 15.44 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD S27321A - Contusion of lung, unilateral, initial encounter | 32.89 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD S27321A - Contusion of lung, unilateral, initial encounter | 21.48 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| VANDERBILT UNIVERSITY MEDICAL CENTER | 1211 MEDICAL CENTER DRIVE | NASHVILLE | TN | 37232 | 138 |
| UNIVERSITY OF ALABAMA HOSPITAL | 619 19TH ST S | BIRMINGHAM | AL | 35249 | 100 |
| THE UNIVERSITY OF TENNESSEE MEDICAL CENTER | 1924 ALCOA HWY | KNOXVILLE | TN | 37920 | 93 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CATHERINE LINDSAY MCKNIGHT | 1932 ALCOA HWY | KNOXVILLE | TN | 37920 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MARK A REYNOLDS | 800 E CHEVES ST | FLORENCE | SC | 29506 | 23 |
| Dr. LARRY CHRISTOPHER MARTIN | 2500 NORTH STATE STREET | JACKSON | MS | 39216 | 19 |
| Dr. STANLEY E OKOSUN | 2300 S 16TH ST | LINCOLN | NE | 68502 | 17 |