*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| S300XXA - Contusion of lower back and pelvis, initial encounter - as a primary diagnosis code | S300XXA - Contusion of lower back and pelvis, initial encounter - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.6 | |
| Readmission Rate (%) | 24.2 | |
| Unplanned Readmission Rate (%) | 11.23 | |
| 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 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 580: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 45,787 | ||||
| Total Hospitalizations with ICD S300XXA - Contusion of lower back and pelvis, initial encounter | 2,491 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD S300XXA - Contusion of lower back and pelvis, initial encounter in DRG | 76.93 | ||||
| Avg LOS at DRG | 3.25 | ||||
| Avg LOS with ICD S300XXA - Contusion of lower back and pelvis, initial encounter | 3.28 | ||||
| Readmission Rate at DRG | 18.27 | ||||
| Readmission Rate with ICD S300XXA - Contusion of lower back and pelvis, initial encounter | 17.41 | ||||
| Unplanned Readmission Rate at DRG | 10.63 | ||||
| Unplanned Readmission Rate with ICD S300XXA - Contusion of lower back and pelvis, initial encounter | 9.96 | ||||
| Total Medicare payments at DRG | $234,309,332 | ||||
| Total Medicare payments with ICD S300XXA - Contusion of lower back and pelvis, initial encounter | $12,563,791 | ||||
| Total Medicare payment per Day at DRG | $1,573 | ||||
| Total Medicare payment per Day with ICD S300XXA - Contusion of lower back and pelvis, initial encounter | $1,536 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,117 | ||||
| Total Medicare payment per Hospitalization with ICD S300XXA - Contusion of lower back and pelvis, initial encounter | $5,044 | ||||
| Total Medicare Charges at DRG | $1,321,005,538 | ||||
| Total Medicare Charges with ICD S300XXA - Contusion of lower back and pelvis, initial encounter | $71,815,614 | ||||
| Avg Charges at DRG | $28,851 | ||||
| Avg Charges with ICD S300XXA - Contusion of lower back and pelvis, initial encounter | $28,830 | ||||
| Mortality Rate at DRG | 0.2 | ||||
| Mortality Rate with ICD S300XXA - Contusion of lower back and pelvis, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 32.81 | ||||
| SNF Discharge Rate with ICD S300XXA - Contusion of lower back and pelvis, initial encounter | 38.02 | ||||
| Home Discharge Rate at DRG | 35.13 | ||||
| Home Discharge Rate with ICD S300XXA - Contusion of lower back and pelvis, initial encounter | 30.71 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 579: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 571: SKIN DEBRIDEMENT WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|
| Total Hospitalizations at DRG | 19,564 | |
| Total Hospitalizations with ICD S300XXA - Contusion of lower back and pelvis, initial encounter | 17 | |
| DRG Share of Total Hospitalizations | 0.06 | |
| % of Total ICD S300XXA - Contusion of lower back and pelvis, initial encounter in DRG | 0.53 | |
| Avg LOS at DRG | 11.79 | |
| Avg LOS with ICD S300XXA - Contusion of lower back and pelvis, initial encounter | 7.76 | |
| Readmission Rate at DRG | 31.21 | |
| Readmission Rate with ICD S300XXA - Contusion of lower back and pelvis, initial encounter | NA | |
| Unplanned Readmission Rate at DRG | 16.98 | |
| Unplanned Readmission Rate with ICD S300XXA - Contusion of lower back and pelvis, initial encounter | NA | |
| Total Medicare payments at DRG | $382,049,643 | |
| Total Medicare payments with ICD S300XXA - Contusion of lower back and pelvis, initial encounter | $276,549 | |
| Total Medicare payment per Day at DRG | $1,656 | |
| Total Medicare payment per Day with ICD S300XXA - Contusion of lower back and pelvis, initial encounter | $2,095 | |
| Total Medicare payment per Hospitalization at DRG | $19,528 | |
| Total Medicare payment per Hospitalization with ICD S300XXA - Contusion of lower back and pelvis, initial encounter | $16,268 | |
| Total Medicare Charges at DRG | $1,800,893,222 | |
| Total Medicare Charges with ICD S300XXA - Contusion of lower back and pelvis, initial encounter | $1,413,505 | |
| Avg Charges at DRG | $92,051 | |
| Avg Charges with ICD S300XXA - Contusion of lower back and pelvis, initial encounter | $83,147 | |
| Mortality Rate at DRG | 2.9 | |
| Mortality Rate with ICD S300XXA - Contusion of lower back and pelvis, initial encounter | NA | |
| SNF Discharge Rate at DRG | 33.4 | |
| SNF Discharge Rate with ICD S300XXA - Contusion of lower back and pelvis, initial encounter | NA | |
| Home Discharge Rate at DRG | 19.47 | |
| Home Discharge Rate with ICD S300XXA - Contusion of lower back and pelvis, initial encounter | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ABINGTON MEMORIAL HOSPITAL | 1200 OLD YORK RD | ABINGTON | PA | 19001 | 23 |
| NORTH SHORE UNIVERSITY HOSPITAL | 300 COMMUNITY DRIVE | MANHASSET | NY | 11030 | 18 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 18 |
*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 536: FRACTURES OF HIP AND PELVIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 604: TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 45,787 | ||||
| Total Hospitalizations with ICD S300XXA - Contusion of lower back and pelvis, initial encounter | 3,257 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD S300XXA - Contusion of lower back and pelvis, initial encounter in DRG | 11.56 | ||||
| Avg LOS at DRG | 3.25 | ||||
| Avg LOS with ICD S300XXA - Contusion of lower back and pelvis, initial encounter | 3.31 | ||||
| Readmission Rate at DRG | 18.27 | ||||
| Readmission Rate with ICD S300XXA - Contusion of lower back and pelvis, initial encounter | 17.68 | ||||
| Unplanned Readmission Rate at DRG | 10.63 | ||||
| Unplanned Readmission Rate with ICD S300XXA - Contusion of lower back and pelvis, initial encounter | 9.91 | ||||
| Total Medicare payments at DRG | $234,309,332 | ||||
| Total Medicare payments with ICD S300XXA - Contusion of lower back and pelvis, initial encounter | $16,406,621 | ||||
| Total Medicare payment per Day at DRG | $1,573 | ||||
| Total Medicare payment per Day with ICD S300XXA - Contusion of lower back and pelvis, initial encounter | $1,522 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,117 | ||||
| Total Medicare payment per Hospitalization with ICD S300XXA - Contusion of lower back and pelvis, initial encounter | $5,037 | ||||
| Total Medicare Charges at DRG | $1,321,005,538 | ||||
| Total Medicare Charges with ICD S300XXA - Contusion of lower back and pelvis, initial encounter | $95,638,656 | ||||
| Avg Charges at DRG | $28,851 | ||||
| Avg Charges with ICD S300XXA - Contusion of lower back and pelvis, initial encounter | $29,364 | ||||
| Mortality Rate at DRG | 0.2 | ||||
| Mortality Rate with ICD S300XXA - Contusion of lower back and pelvis, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 32.81 | ||||
| SNF Discharge Rate with ICD S300XXA - Contusion of lower back and pelvis, initial encounter | 37.89 | ||||
| Home Discharge Rate at DRG | 35.13 | ||||
| Home Discharge Rate with ICD S300XXA - Contusion of lower back and pelvis, initial encounter | 31.1 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 812: RED BLOOD CELL DISORDERS 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 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 535: FRACTURES OF HIP AND PELVIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 201,938 | ||||
| Total Hospitalizations with ICD S300XXA - Contusion of lower back and pelvis, initial encounter | 648 | ||||
| DRG Share of Total Hospitalizations | 0.61 | ||||
| % of Total ICD S300XXA - Contusion of lower back and pelvis, initial encounter in DRG | 2.3 | ||||
| Avg LOS at DRG | 3.4 | ||||
| Avg LOS with ICD S300XXA - Contusion of lower back and pelvis, initial encounter | 3.65 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD S300XXA - Contusion of lower back and pelvis, initial encounter | 21.15 | ||||
| Unplanned Readmission Rate at DRG | 21.29 | ||||
| Unplanned Readmission Rate with ICD S300XXA - Contusion of lower back and pelvis, initial encounter | 14.9 | ||||
| Total Medicare payments at DRG | $1,046,791,335 | ||||
| Total Medicare payments with ICD S300XXA - Contusion of lower back and pelvis, initial encounter | $3,408,300 | ||||
| Total Medicare payment per Day at DRG | $1,523 | ||||
| Total Medicare payment per Day with ICD S300XXA - Contusion of lower back and pelvis, initial encounter | $1,443 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,184 | ||||
| Total Medicare payment per Hospitalization with ICD S300XXA - Contusion of lower back and pelvis, initial encounter | $5,260 | ||||
| Total Medicare Charges at DRG | $5,572,284,000 | ||||
| Total Medicare Charges with ICD S300XXA - Contusion of lower back and pelvis, initial encounter | $19,254,292 | ||||
| Avg Charges at DRG | $27,594 | ||||
| Avg Charges with ICD S300XXA - Contusion of lower back and pelvis, initial encounter | $29,713 | ||||
| Mortality Rate at DRG | 0.31 | ||||
| Mortality Rate with ICD S300XXA - Contusion of lower back and pelvis, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 12.45 | ||||
| SNF Discharge Rate with ICD S300XXA - Contusion of lower back and pelvis, initial encounter | 38.27 | ||||
| Home Discharge Rate at DRG | 66.72 | ||||
| Home Discharge Rate with ICD S300XXA - Contusion of lower back and pelvis, initial encounter | 28.7 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 964: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) | DRG 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 184: MAJOR CHEST TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD S300XXA - Contusion of lower back and pelvis, initial encounter | 397 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD S300XXA - Contusion of lower back and pelvis, initial encounter in DRG | 1.41 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD S300XXA - Contusion of lower back and pelvis, initial encounter | 6.24 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD S300XXA - Contusion of lower back and pelvis, initial encounter | 28.53 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD S300XXA - Contusion of lower back and pelvis, initial encounter | 19.67 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD S300XXA - Contusion of lower back and pelvis, initial encounter | $3,649,359 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD S300XXA - Contusion of lower back and pelvis, initial encounter | $1,472 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD S300XXA - Contusion of lower back and pelvis, initial encounter | $9,192 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD S300XXA - Contusion of lower back and pelvis, initial encounter | $18,986,733 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD S300XXA - Contusion of lower back and pelvis, initial encounter | $47,826 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD S300XXA - Contusion of lower back and pelvis, initial encounter | 3.78 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD S300XXA - Contusion of lower back and pelvis, initial encounter | 36.52 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD S300XXA - Contusion of lower back and pelvis, initial encounter | 14.11 |
*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 682: RENAL FAILURE 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) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 50,567 | ||||
| Total Hospitalizations with ICD S300XXA - Contusion of lower back and pelvis, initial encounter | 309 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD S300XXA - Contusion of lower back and pelvis, initial encounter in DRG | 1.1 | ||||
| Avg LOS at DRG | 4.05 | ||||
| Avg LOS with ICD S300XXA - Contusion of lower back and pelvis, initial encounter | 4.88 | ||||
| Readmission Rate at DRG | 26.88 | ||||
| Readmission Rate with ICD S300XXA - Contusion of lower back and pelvis, initial encounter | 29.83 | ||||
| Unplanned Readmission Rate at DRG | 12.36 | ||||
| Unplanned Readmission Rate with ICD S300XXA - Contusion of lower back and pelvis, initial encounter | 13.9 | ||||
| Total Medicare payments at DRG | $378,594,631 | ||||
| Total Medicare payments with ICD S300XXA - Contusion of lower back and pelvis, initial encounter | $2,441,904 | ||||
| Total Medicare payment per Day at DRG | $1,847 | ||||
| Total Medicare payment per Day with ICD S300XXA - Contusion of lower back and pelvis, initial encounter | $1,620 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,487 | ||||
| Total Medicare payment per Hospitalization with ICD S300XXA - Contusion of lower back and pelvis, initial encounter | $7,903 | ||||
| Total Medicare Charges at DRG | $2,140,437,521 | ||||
| Total Medicare Charges with ICD S300XXA - Contusion of lower back and pelvis, initial encounter | $16,976,294 | ||||
| Avg Charges at DRG | $42,329 | ||||
| Avg Charges with ICD S300XXA - Contusion of lower back and pelvis, initial encounter | $54,939 | ||||
| Mortality Rate at DRG | 1.75 | ||||
| Mortality Rate with ICD S300XXA - Contusion of lower back and pelvis, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 32.85 | ||||
| SNF Discharge Rate with ICD S300XXA - Contusion of lower back and pelvis, initial encounter | 38.51 | ||||
| Home Discharge Rate at DRG | 27.18 | ||||
| Home Discharge Rate with ICD S300XXA - Contusion of lower back and pelvis, initial encounter | 25.57 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 91 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 90 |
| SARASOTA MEMORIAL HOSPITAL | 1700 S TAMIAMI TRL | SARASOTA | FL | 34239 | 84 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MATTHEW LEE KLIMA | 1921 WALDEMERE ST | SARASOTA | FL | 34239 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JAMES VICTOR YUSCHAK | 1245 HIGHLAND AVE | ABINGTON | PA | 19001 | 22 |
| Dr. RYAN MARC SHADIS | 1245 HIGHLAND AVENUE | ABINGTON | PA | 19001 | 19 |
| Dr. SUSAN M. BARO | 100 N ACADEMY AVE | DANVILLE | PA | 17822 | 17 |