*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| S40011A - Contusion of right shoulder, initial encounter - as a primary diagnosis code | S40011A - Contusion of right shoulder, initial encounter - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 4.85 | |
| Readmission Rate (%) | 23.12 | |
| Unplanned Readmission Rate (%) | 11.7 | |
| 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) | |
|---|---|---|
| Total Hospitalizations at DRG | 45,787 | |
| Total Hospitalizations with ICD S40011A - Contusion of right shoulder, initial encounter | 290 | |
| DRG Share of Total Hospitalizations | 0.14 | |
| % of Total ICD S40011A - Contusion of right shoulder, initial encounter in DRG | 82.15 | |
| Avg LOS at DRG | 3.25 | |
| Avg LOS with ICD S40011A - Contusion of right shoulder, initial encounter | 3.13 | |
| Readmission Rate at DRG | 18.27 | |
| Readmission Rate with ICD S40011A - Contusion of right shoulder, initial encounter | 16.37 | |
| Unplanned Readmission Rate at DRG | 10.63 | |
| Unplanned Readmission Rate with ICD S40011A - Contusion of right shoulder, initial encounter | 9.61 | |
| Total Medicare payments at DRG | $234,309,332 | |
| Total Medicare payments with ICD S40011A - Contusion of right shoulder, initial encounter | $1,410,090 | |
| Total Medicare payment per Day at DRG | $1,573 | |
| Total Medicare payment per Day with ICD S40011A - Contusion of right shoulder, initial encounter | $1,553 | |
| Total Medicare payment per Hospitalization at DRG | $5,117 | |
| Total Medicare payment per Hospitalization with ICD S40011A - Contusion of right shoulder, initial encounter | $4,862 | |
| Total Medicare Charges at DRG | $1,321,005,538 | |
| Total Medicare Charges with ICD S40011A - Contusion of right shoulder, initial encounter | $7,234,079 | |
| Avg Charges at DRG | $28,851 | |
| Avg Charges with ICD S40011A - Contusion of right shoulder, initial encounter | $24,945 | |
| Mortality Rate at DRG | 0.2 | |
| Mortality Rate with ICD S40011A - Contusion of right shoulder, initial encounter | NA | |
| SNF Discharge Rate at DRG | 32.81 | |
| SNF Discharge Rate with ICD S40011A - Contusion of right shoulder, initial encounter | 42.07 | |
| Home Discharge Rate at DRG | 35.13 | |
| Home Discharge Rate with ICD S40011A - Contusion of right shoulder, initial encounter | 25.86 |
*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 312: SYNCOPE AND COLLAPSE | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 536: FRACTURES OF HIP AND PELVIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 45,787 | ||||
| Total Hospitalizations with ICD S40011A - Contusion of right shoulder, initial encounter | 594 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD S40011A - Contusion of right shoulder, initial encounter in DRG | 5.46 | ||||
| Avg LOS at DRG | 3.25 | ||||
| Avg LOS with ICD S40011A - Contusion of right shoulder, initial encounter | 3.21 | ||||
| Readmission Rate at DRG | 18.27 | ||||
| Readmission Rate with ICD S40011A - Contusion of right shoulder, initial encounter | 17.25 | ||||
| Unplanned Readmission Rate at DRG | 10.63 | ||||
| Unplanned Readmission Rate with ICD S40011A - Contusion of right shoulder, initial encounter | 10.39 | ||||
| Total Medicare payments at DRG | $234,309,332 | ||||
| Total Medicare payments with ICD S40011A - Contusion of right shoulder, initial encounter | $2,902,232 | ||||
| Total Medicare payment per Day at DRG | $1,573 | ||||
| Total Medicare payment per Day with ICD S40011A - Contusion of right shoulder, initial encounter | $1,524 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,117 | ||||
| Total Medicare payment per Hospitalization with ICD S40011A - Contusion of right shoulder, initial encounter | $4,886 | ||||
| Total Medicare Charges at DRG | $1,321,005,538 | ||||
| Total Medicare Charges with ICD S40011A - Contusion of right shoulder, initial encounter | $16,344,934 | ||||
| Avg Charges at DRG | $28,851 | ||||
| Avg Charges with ICD S40011A - Contusion of right shoulder, initial encounter | $27,517 | ||||
| Mortality Rate at DRG | 0.2 | ||||
| Mortality Rate with ICD S40011A - Contusion of right shoulder, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 32.81 | ||||
| SNF Discharge Rate with ICD S40011A - Contusion of right shoulder, initial encounter | 41.75 | ||||
| Home Discharge Rate at DRG | 35.13 | ||||
| Home Discharge Rate with ICD S40011A - Contusion of right shoulder, initial encounter | 25.08 |
*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 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT 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 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 50,567 | ||||
| Total Hospitalizations with ICD S40011A - Contusion of right shoulder, initial encounter | 285 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD S40011A - Contusion of right shoulder, initial encounter in DRG | 2.62 | ||||
| Avg LOS at DRG | 4.05 | ||||
| Avg LOS with ICD S40011A - Contusion of right shoulder, initial encounter | 3.59 | ||||
| Readmission Rate at DRG | 26.88 | ||||
| Readmission Rate with ICD S40011A - Contusion of right shoulder, initial encounter | 26.28 | ||||
| Unplanned Readmission Rate at DRG | 12.36 | ||||
| Unplanned Readmission Rate with ICD S40011A - Contusion of right shoulder, initial encounter | 9.49 | ||||
| Total Medicare payments at DRG | $378,594,631 | ||||
| Total Medicare payments with ICD S40011A - Contusion of right shoulder, initial encounter | $1,914,624 | ||||
| Total Medicare payment per Day at DRG | $1,847 | ||||
| Total Medicare payment per Day with ICD S40011A - Contusion of right shoulder, initial encounter | $1,873 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,487 | ||||
| Total Medicare payment per Hospitalization with ICD S40011A - Contusion of right shoulder, initial encounter | $6,718 | ||||
| Total Medicare Charges at DRG | $2,140,437,521 | ||||
| Total Medicare Charges with ICD S40011A - Contusion of right shoulder, initial encounter | $11,869,197 | ||||
| Avg Charges at DRG | $42,329 | ||||
| Avg Charges with ICD S40011A - Contusion of right shoulder, initial encounter | $41,646 | ||||
| Mortality Rate at DRG | 1.75 | ||||
| Mortality Rate with ICD S40011A - Contusion of right shoulder, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 32.85 | ||||
| SNF Discharge Rate with ICD S40011A - Contusion of right shoulder, initial encounter | 34.39 | ||||
| Home Discharge Rate at DRG | 27.18 | ||||
| Home Discharge Rate with ICD S40011A - Contusion of right shoulder, initial encounter | 22.46 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 087: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 558: TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD S40011A - Contusion of right shoulder, initial encounter | 188 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD S40011A - Contusion of right shoulder, initial encounter in DRG | 1.73 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD S40011A - Contusion of right shoulder, initial encounter | 4.57 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD S40011A - Contusion of right shoulder, initial encounter | 24.59 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD S40011A - Contusion of right shoulder, initial encounter | 7.1 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD S40011A - Contusion of right shoulder, initial encounter | $2,310,620 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD S40011A - Contusion of right shoulder, initial encounter | $2,690 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD S40011A - Contusion of right shoulder, initial encounter | $12,291 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD S40011A - Contusion of right shoulder, initial encounter | $13,049,051 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD S40011A - Contusion of right shoulder, initial encounter | $69,410 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD S40011A - Contusion of right shoulder, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD S40011A - Contusion of right shoulder, initial encounter | 67.55 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD S40011A - Contusion of right shoulder, 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 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 184: MAJOR CHEST TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD S40011A - Contusion of right shoulder, initial encounter | 142 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD S40011A - Contusion of right shoulder, initial encounter in DRG | 1.31 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD S40011A - Contusion of right shoulder, initial encounter | 5.56 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD S40011A - Contusion of right shoulder, initial encounter | 20.77 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD S40011A - Contusion of right shoulder, initial encounter | 10.77 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD S40011A - Contusion of right shoulder, initial encounter | $1,332,462 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD S40011A - Contusion of right shoulder, initial encounter | $1,689 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD S40011A - Contusion of right shoulder, initial encounter | $9,384 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD S40011A - Contusion of right shoulder, initial encounter | $6,480,188 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD S40011A - Contusion of right shoulder, initial encounter | $45,635 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD S40011A - Contusion of right shoulder, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD S40011A - Contusion of right shoulder, initial encounter | 51.41 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD S40011A - Contusion of right shoulder, initial encounter | 16.2 |
| 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 | 36 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 35 |
| ST. LUKE'S UNIVERSITY HOSPITAL - BETHLEHEM CAMPUS | 801 OSTRUM ST | BETHLEHEM | PA | 18015 | 32 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. STANLEY E OKOSUN | 2300 S 16TH ST | LINCOLN | NE | 68502 | 15 |