*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture - as a primary diagnosis code | S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture - as a primary or secondary diagnosis code | |
---|---|---|
OUTCOMES | ||
Avg. LOS | 6.57 | |
Readmission Rate (%) | 30.24 | |
Unplanned Readmission Rate (%) | 10.68 | |
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) | DRG 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 478: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 195,476 | ||||
Total Hospitalizations with ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture | 871 | ||||
DRG Share of Total Hospitalizations | 0.59 | ||||
% of Total ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture in DRG | 57.57 | ||||
Avg LOS at DRG | 4.48 | ||||
Avg LOS with ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture | 3.81 | ||||
Readmission Rate at DRG | 20.57 | ||||
Readmission Rate with ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture | 26.75 | ||||
Unplanned Readmission Rate at DRG | 9.88 | ||||
Unplanned Readmission Rate with ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture | 10.24 | ||||
Total Medicare payments at DRG | $1,320,662,237 | ||||
Total Medicare payments with ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture | $4,611,723 | ||||
Total Medicare payment per Day at DRG | $1,508 | ||||
Total Medicare payment per Day with ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture | $1,388 | ||||
Total Medicare payment per Hospitalization at DRG | $6,756 | ||||
Total Medicare payment per Hospitalization with ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture | $5,295 | ||||
Total Medicare Charges at DRG | $6,024,639,461 | ||||
Total Medicare Charges with ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture | $26,543,913 | ||||
Avg Charges at DRG | $30,820 | ||||
Avg Charges with ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture | $30,475 | ||||
Mortality Rate at DRG | 0.24 | ||||
Mortality Rate with ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture | NA | ||||
SNF Discharge Rate at DRG | 33.36 | ||||
SNF Discharge Rate with ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture | 53.39 | ||||
Home Discharge Rate at DRG | 30.98 | ||||
Home Discharge Rate with ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture | 12.17 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 517: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 515: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 479: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 477: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|
Total Hospitalizations at DRG | 43,598 | |||
Total Hospitalizations with ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture | 39 | |||
DRG Share of Total Hospitalizations | 0.13 | |||
% of Total ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture in DRG | 2.58 | |||
Avg LOS at DRG | 2.56 | |||
Avg LOS with ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture | 4.28 | |||
Readmission Rate at DRG | 13.58 | |||
Readmission Rate with ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture | NA | |||
Unplanned Readmission Rate at DRG | 5.0 | |||
Unplanned Readmission Rate with ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture | NA | |||
Total Medicare payments at DRG | $405,277,239 | |||
Total Medicare payments with ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture | $337,465 | |||
Total Medicare payment per Day at DRG | $3,633 | |||
Total Medicare payment per Day with ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture | $2,021 | |||
Total Medicare payment per Hospitalization at DRG | $9,296 | |||
Total Medicare payment per Hospitalization with ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture | $8,653 | |||
Total Medicare Charges at DRG | $2,108,105,162 | |||
Total Medicare Charges with ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture | $1,954,718 | |||
Avg Charges at DRG | $48,353 | |||
Avg Charges with ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture | $50,121 | |||
Mortality Rate at DRG | NA | |||
Mortality Rate with ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture | NA | |||
SNF Discharge Rate at DRG | 16.27 | |||
SNF Discharge Rate with ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture | 53.85 | |||
Home Discharge Rate at DRG | 57.43 | |||
Home Discharge Rate with ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture | 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 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 957: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 195,476 | ||||
Total Hospitalizations with ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture | 1,960 | ||||
DRG Share of Total Hospitalizations | 0.59 | ||||
% of Total ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture in DRG | 25.61 | ||||
Avg LOS at DRG | 4.48 | ||||
Avg LOS with ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture | 3.87 | ||||
Readmission Rate at DRG | 20.57 | ||||
Readmission Rate with ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture | 25.18 | ||||
Unplanned Readmission Rate at DRG | 9.88 | ||||
Unplanned Readmission Rate with ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture | 10.16 | ||||
Total Medicare payments at DRG | $1,320,662,237 | ||||
Total Medicare payments with ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture | $10,441,776 | ||||
Total Medicare payment per Day at DRG | $1,508 | ||||
Total Medicare payment per Day with ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture | $1,376 | ||||
Total Medicare payment per Hospitalization at DRG | $6,756 | ||||
Total Medicare payment per Hospitalization with ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture | $5,327 | ||||
Total Medicare Charges at DRG | $6,024,639,461 | ||||
Total Medicare Charges with ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture | $61,227,577 | ||||
Avg Charges at DRG | $30,820 | ||||
Avg Charges with ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture | $31,239 | ||||
Mortality Rate at DRG | 0.24 | ||||
Mortality Rate with ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture | NA | ||||
SNF Discharge Rate at DRG | 33.36 | ||||
SNF Discharge Rate with ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture | 52.81 | ||||
Home Discharge Rate at DRG | 30.98 | ||||
Home Discharge Rate with ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture | 13.83 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 536: FRACTURES OF HIP AND PELVIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 964: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) | 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 | DRG 184: MAJOR CHEST TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 86,923 | ||||
Total Hospitalizations with ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture | 289 | ||||
DRG Share of Total Hospitalizations | 0.26 | ||||
% of Total ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture in DRG | 3.78 | ||||
Avg LOS at DRG | 3.82 | ||||
Avg LOS with ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture | 4.05 | ||||
Readmission Rate at DRG | 20.39 | ||||
Readmission Rate with ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture | 26.67 | ||||
Unplanned Readmission Rate at DRG | 6.82 | ||||
Unplanned Readmission Rate with ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture | 7.78 | ||||
Total Medicare payments at DRG | $449,496,604 | ||||
Total Medicare payments with ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture | $1,515,458 | ||||
Total Medicare payment per Day at DRG | $1,355 | ||||
Total Medicare payment per Day with ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture | $1,295 | ||||
Total Medicare payment per Hospitalization at DRG | $5,171 | ||||
Total Medicare payment per Hospitalization with ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture | $5,244 | ||||
Total Medicare Charges at DRG | $2,051,298,316 | ||||
Total Medicare Charges with ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture | $8,074,270 | ||||
Avg Charges at DRG | $23,599 | ||||
Avg Charges with ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture | $27,939 | ||||
Mortality Rate at DRG | 1.0 | ||||
Mortality Rate with ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture | NA | ||||
SNF Discharge Rate at DRG | 53.64 | ||||
SNF Discharge Rate with ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture | 53.29 | ||||
Home Discharge Rate at DRG | 7.08 | ||||
Home Discharge Rate with ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture | 9.69 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 963: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 515: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 535: FRACTURES OF HIP AND PELVIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 478: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 8,080 | ||||
Total Hospitalizations with ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture | 140 | ||||
DRG Share of Total Hospitalizations | 0.02 | ||||
% of Total ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture in DRG | 1.83 | ||||
Avg LOS at DRG | 7.67 | ||||
Avg LOS with ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture | 9.54 | ||||
Readmission Rate at DRG | 32.12 | ||||
Readmission Rate with ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture | 41.38 | ||||
Unplanned Readmission Rate at DRG | 11.67 | ||||
Unplanned Readmission Rate with ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture | 12.64 | ||||
Total Medicare payments at DRG | $153,438,187 | ||||
Total Medicare payments with ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture | $2,816,752 | ||||
Total Medicare payment per Day at DRG | $2,475 | ||||
Total Medicare payment per Day with ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture | $2,108 | ||||
Total Medicare payment per Hospitalization at DRG | $18,990 | ||||
Total Medicare payment per Hospitalization with ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture | $20,120 | ||||
Total Medicare Charges at DRG | $755,223,950 | ||||
Total Medicare Charges with ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture | $16,775,204 | ||||
Avg Charges at DRG | $93,468 | ||||
Avg Charges with ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture | $119,823 | ||||
Mortality Rate at DRG | 26.42 | ||||
Mortality Rate with ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture | 32.14 | ||||
SNF Discharge Rate at DRG | 31.27 | ||||
SNF Discharge Rate with ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture | 27.86 | ||||
Home Discharge Rate at DRG | 8.44 | ||||
Home Discharge Rate with ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture | 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 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 454: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 543: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 517: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 519: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 48,449 | ||||
Total Hospitalizations with ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture | 103 | ||||
DRG Share of Total Hospitalizations | 0.15 | ||||
% of Total ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture in DRG | 1.35 | ||||
Avg LOS at DRG | 29.97 | ||||
Avg LOS with ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture | 25.65 | ||||
Readmission Rate at DRG | 76.3 | ||||
Readmission Rate with ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture | 75.53 | ||||
Unplanned Readmission Rate at DRG | 6.46 | ||||
Unplanned Readmission Rate with ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture | NA | ||||
Total Medicare payments at DRG | $6,190,071,785 | ||||
Total Medicare payments with ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture | $12,172,165 | ||||
Total Medicare payment per Day at DRG | $4,263 | ||||
Total Medicare payment per Day with ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture | $4,607 | ||||
Total Medicare payment per Hospitalization at DRG | $127,765 | ||||
Total Medicare payment per Hospitalization with ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture | $118,176 | ||||
Total Medicare Charges at DRG | $28,754,600,069 | ||||
Total Medicare Charges with ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture | $64,411,173 | ||||
Avg Charges at DRG | $593,502 | ||||
Avg Charges with ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture | $625,351 | ||||
Mortality Rate at DRG | 20.61 | ||||
Mortality Rate with ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture | NA | ||||
SNF Discharge Rate at DRG | 12.46 | ||||
SNF Discharge Rate with ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture | 12.62 | ||||
Home Discharge Rate at DRG | 2.36 | ||||
Home Discharge Rate with ICD S32059A - Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture | NA |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
UNIVERSITY OF ALABAMA HOSPITAL | 619 19TH ST S | BIRMINGHAM | AL | 35249 | 39 |
THE UNIVERSITY OF MISSISSIPPI MEDICAL CENTER | 2500 N STATE ST | JACKSON | MS | 39216 | 30 |
UNIVERSITY OF VIRGINIA HEALTH SYSTEM UNIVERSITY HOSPITAL | 1215 LEE ST PFS | CHARLOTTESVILLE | VA | 22908 | 27 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. JEFFREY S. YOUNG | 4 HOSPITAL DR | CHARLOTTESVILLE | VA | 22908 | 11 |