*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| S40012A - Contusion of left shoulder, initial encounter - as a primary diagnosis code | S40012A - Contusion of left shoulder, initial encounter - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 4.9 | |
| Readmission Rate (%) | 23.61 | |
| Unplanned Readmission Rate (%) | 12.85 | |
| 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 S40012A - Contusion of left shoulder, initial encounter | 244 | |
| DRG Share of Total Hospitalizations | 0.14 | |
| % of Total ICD S40012A - Contusion of left shoulder, initial encounter in DRG | 81.88 | |
| Avg LOS at DRG | 3.25 | |
| Avg LOS with ICD S40012A - Contusion of left shoulder, initial encounter | 2.97 | |
| Readmission Rate at DRG | 18.27 | |
| Readmission Rate with ICD S40012A - Contusion of left shoulder, initial encounter | 19.92 | |
| Unplanned Readmission Rate at DRG | 10.63 | |
| Unplanned Readmission Rate with ICD S40012A - Contusion of left shoulder, initial encounter | 11.02 | |
| Total Medicare payments at DRG | $234,309,332 | |
| Total Medicare payments with ICD S40012A - Contusion of left shoulder, initial encounter | $1,162,947 | |
| Total Medicare payment per Day at DRG | $1,573 | |
| Total Medicare payment per Day with ICD S40012A - Contusion of left shoulder, initial encounter | $1,604 | |
| Total Medicare payment per Hospitalization at DRG | $5,117 | |
| Total Medicare payment per Hospitalization with ICD S40012A - Contusion of left shoulder, initial encounter | $4,766 | |
| Total Medicare Charges at DRG | $1,321,005,538 | |
| Total Medicare Charges with ICD S40012A - Contusion of left shoulder, initial encounter | $6,672,412 | |
| Avg Charges at DRG | $28,851 | |
| Avg Charges with ICD S40012A - Contusion of left shoulder, initial encounter | $27,346 | |
| Mortality Rate at DRG | 0.2 | |
| Mortality Rate with ICD S40012A - Contusion of left shoulder, initial encounter | NA | |
| SNF Discharge Rate at DRG | 32.81 | |
| SNF Discharge Rate with ICD S40012A - Contusion of left shoulder, initial encounter | 43.85 | |
| Home Discharge Rate at DRG | 35.13 | |
| Home Discharge Rate with ICD S40012A - Contusion of left shoulder, initial encounter | 22.54 |
*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 563: FRACTURE SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 45,787 | ||||
| Total Hospitalizations with ICD S40012A - Contusion of left shoulder, initial encounter | 571 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD S40012A - Contusion of left shoulder, initial encounter in DRG | 5.37 | ||||
| Avg LOS at DRG | 3.25 | ||||
| Avg LOS with ICD S40012A - Contusion of left shoulder, initial encounter | 2.99 | ||||
| Readmission Rate at DRG | 18.27 | ||||
| Readmission Rate with ICD S40012A - Contusion of left shoulder, initial encounter | 17.49 | ||||
| Unplanned Readmission Rate at DRG | 10.63 | ||||
| Unplanned Readmission Rate with ICD S40012A - Contusion of left shoulder, initial encounter | 8.93 | ||||
| Total Medicare payments at DRG | $234,309,332 | ||||
| Total Medicare payments with ICD S40012A - Contusion of left shoulder, initial encounter | $2,723,526 | ||||
| Total Medicare payment per Day at DRG | $1,573 | ||||
| Total Medicare payment per Day with ICD S40012A - Contusion of left shoulder, initial encounter | $1,597 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,117 | ||||
| Total Medicare payment per Hospitalization with ICD S40012A - Contusion of left shoulder, initial encounter | $4,770 | ||||
| Total Medicare Charges at DRG | $1,321,005,538 | ||||
| Total Medicare Charges with ICD S40012A - Contusion of left shoulder, initial encounter | $16,705,255 | ||||
| Avg Charges at DRG | $28,851 | ||||
| Avg Charges with ICD S40012A - Contusion of left shoulder, initial encounter | $29,256 | ||||
| Mortality Rate at DRG | 0.2 | ||||
| Mortality Rate with ICD S40012A - Contusion of left shoulder, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 32.81 | ||||
| SNF Discharge Rate with ICD S40012A - Contusion of left shoulder, initial encounter | 40.28 | ||||
| Home Discharge Rate at DRG | 35.13 | ||||
| Home Discharge Rate with ICD S40012A - Contusion of left shoulder, initial encounter | 27.85 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 536: FRACTURES OF HIP AND PELVIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 086: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITH COMPLICATION OR COMORBIDITY (CC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD S40012A - Contusion of left shoulder, initial encounter | 264 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD S40012A - Contusion of left shoulder, initial encounter in DRG | 2.48 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD S40012A - Contusion of left shoulder, initial encounter | 3.69 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD S40012A - Contusion of left shoulder, initial encounter | 15.56 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD S40012A - Contusion of left shoulder, initial encounter | 8.95 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD S40012A - Contusion of left shoulder, initial encounter | $1,290,727 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD S40012A - Contusion of left shoulder, initial encounter | $1,324 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD S40012A - Contusion of left shoulder, initial encounter | $4,889 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD S40012A - Contusion of left shoulder, initial encounter | $7,126,464 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD S40012A - Contusion of left shoulder, initial encounter | $26,994 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD S40012A - Contusion of left shoulder, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD S40012A - Contusion of left shoulder, initial encounter | 54.55 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD S40012A - Contusion of left shoulder, initial encounter | 17.8 |
*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 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 558: TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 184: MAJOR CHEST TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD S40012A - Contusion of left shoulder, initial encounter | 200 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD S40012A - Contusion of left shoulder, initial encounter in DRG | 1.88 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD S40012A - Contusion of left shoulder, initial encounter | 4.69 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD S40012A - Contusion of left shoulder, initial encounter | 30.21 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD S40012A - Contusion of left shoulder, initial encounter | 9.9 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD S40012A - Contusion of left shoulder, initial encounter | $2,449,387 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD S40012A - Contusion of left shoulder, initial encounter | $2,611 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD S40012A - Contusion of left shoulder, initial encounter | $12,247 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD S40012A - Contusion of left shoulder, initial encounter | $12,993,696 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD S40012A - Contusion of left shoulder, initial encounter | $64,968 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD S40012A - Contusion of left shoulder, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD S40012A - Contusion of left shoulder, initial encounter | 67.0 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD S40012A - Contusion of left 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 087: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 565: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 34,301 | ||||
| Total Hospitalizations with ICD S40012A - Contusion of left shoulder, initial encounter | 149 | ||||
| DRG Share of Total Hospitalizations | 0.1 | ||||
| % of Total ICD S40012A - Contusion of left shoulder, initial encounter in DRG | 1.4 | ||||
| Avg LOS at DRG | 2.55 | ||||
| Avg LOS with ICD S40012A - Contusion of left shoulder, initial encounter | 2.6 | ||||
| Readmission Rate at DRG | 19.05 | ||||
| Readmission Rate with ICD S40012A - Contusion of left shoulder, initial encounter | 16.9 | ||||
| Unplanned Readmission Rate at DRG | 9.31 | ||||
| Unplanned Readmission Rate with ICD S40012A - Contusion of left shoulder, initial encounter | 7.75 | ||||
| Total Medicare payments at DRG | $165,565,037 | ||||
| Total Medicare payments with ICD S40012A - Contusion of left shoulder, initial encounter | $670,677 | ||||
| Total Medicare payment per Day at DRG | $1,896 | ||||
| Total Medicare payment per Day with ICD S40012A - Contusion of left shoulder, initial encounter | $1,733 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,827 | ||||
| Total Medicare payment per Hospitalization with ICD S40012A - Contusion of left shoulder, initial encounter | $4,501 | ||||
| Total Medicare Charges at DRG | $1,045,144,829 | ||||
| Total Medicare Charges with ICD S40012A - Contusion of left shoulder, initial encounter | $5,422,557 | ||||
| Avg Charges at DRG | $30,470 | ||||
| Avg Charges with ICD S40012A - Contusion of left shoulder, initial encounter | $36,393 | ||||
| Mortality Rate at DRG | 1.23 | ||||
| Mortality Rate with ICD S40012A - Contusion of left shoulder, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 20.31 | ||||
| SNF Discharge Rate with ICD S40012A - Contusion of left shoulder, initial encounter | 24.83 | ||||
| Home Discharge Rate at DRG | 47.25 | ||||
| Home Discharge Rate with ICD S40012A - Contusion of left shoulder, initial encounter | 49.66 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 40 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 32 |
| ST. JOSEPHS HOSPITAL | 3001 W DR MLK JR BLVD | TAMPA | FL | 33607 | 32 |