*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| S40021A - Contusion of right upper arm, initial encounter - as a primary diagnosis code | S40021A - Contusion of right upper arm, initial encounter - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.89 | |
| Readmission Rate (%) | 24.63 | |
| Unplanned Readmission Rate (%) | 11.46 | |
| 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 580: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 45,787 | ||
| Total Hospitalizations with ICD S40021A - Contusion of right upper arm, initial encounter | 242 | ||
| DRG Share of Total Hospitalizations | 0.14 | ||
| % of Total ICD S40021A - Contusion of right upper arm, initial encounter in DRG | 70.76 | ||
| Avg LOS at DRG | 3.25 | ||
| Avg LOS with ICD S40021A - Contusion of right upper arm, initial encounter | 3.52 | ||
| Readmission Rate at DRG | 18.27 | ||
| Readmission Rate with ICD S40021A - Contusion of right upper arm, initial encounter | 14.54 | ||
| Unplanned Readmission Rate at DRG | 10.63 | ||
| Unplanned Readmission Rate with ICD S40021A - Contusion of right upper arm, initial encounter | 10.57 | ||
| Total Medicare payments at DRG | $234,309,332 | ||
| Total Medicare payments with ICD S40021A - Contusion of right upper arm, initial encounter | $1,273,327 | ||
| Total Medicare payment per Day at DRG | $1,573 | ||
| Total Medicare payment per Day with ICD S40021A - Contusion of right upper arm, initial encounter | $1,493 | ||
| Total Medicare payment per Hospitalization at DRG | $5,117 | ||
| Total Medicare payment per Hospitalization with ICD S40021A - Contusion of right upper arm, initial encounter | $5,262 | ||
| Total Medicare Charges at DRG | $1,321,005,538 | ||
| Total Medicare Charges with ICD S40021A - Contusion of right upper arm, initial encounter | $7,346,375 | ||
| Avg Charges at DRG | $28,851 | ||
| Avg Charges with ICD S40021A - Contusion of right upper arm, initial encounter | $30,357 | ||
| Mortality Rate at DRG | 0.2 | ||
| Mortality Rate with ICD S40021A - Contusion of right upper arm, initial encounter | NA | ||
| SNF Discharge Rate at DRG | 32.81 | ||
| SNF Discharge Rate with ICD S40021A - Contusion of right upper arm, initial encounter | 38.43 | ||
| Home Discharge Rate at DRG | 35.13 | ||
| Home Discharge Rate with ICD S40021A - Contusion of right upper arm, initial encounter | 32.64 |
*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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 312: SYNCOPE AND COLLAPSE | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 885: PSYCHOSES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 45,787 | ||||
| Total Hospitalizations with ICD S40021A - Contusion of right upper arm, initial encounter | 506 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD S40021A - Contusion of right upper arm, initial encounter in DRG | 4.75 | ||||
| Avg LOS at DRG | 3.25 | ||||
| Avg LOS with ICD S40021A - Contusion of right upper arm, initial encounter | 3.51 | ||||
| Readmission Rate at DRG | 18.27 | ||||
| Readmission Rate with ICD S40021A - Contusion of right upper arm, initial encounter | 17.43 | ||||
| Unplanned Readmission Rate at DRG | 10.63 | ||||
| Unplanned Readmission Rate with ICD S40021A - Contusion of right upper arm, initial encounter | 10.37 | ||||
| Total Medicare payments at DRG | $234,309,332 | ||||
| Total Medicare payments with ICD S40021A - Contusion of right upper arm, initial encounter | $2,671,038 | ||||
| Total Medicare payment per Day at DRG | $1,573 | ||||
| Total Medicare payment per Day with ICD S40021A - Contusion of right upper arm, initial encounter | $1,504 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,117 | ||||
| Total Medicare payment per Hospitalization with ICD S40021A - Contusion of right upper arm, initial encounter | $5,279 | ||||
| Total Medicare Charges at DRG | $1,321,005,538 | ||||
| Total Medicare Charges with ICD S40021A - Contusion of right upper arm, initial encounter | $15,468,155 | ||||
| Avg Charges at DRG | $28,851 | ||||
| Avg Charges with ICD S40021A - Contusion of right upper arm, initial encounter | $30,569 | ||||
| Mortality Rate at DRG | 0.2 | ||||
| Mortality Rate with ICD S40021A - Contusion of right upper arm, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 32.81 | ||||
| SNF Discharge Rate with ICD S40021A - Contusion of right upper arm, initial encounter | 40.12 | ||||
| Home Discharge Rate at DRG | 35.13 | ||||
| Home Discharge Rate with ICD S40021A - Contusion of right upper arm, initial encounter | 28.46 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 291: HEART FAILURE AND SHOCK 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 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD S40021A - Contusion of right upper arm, initial encounter | 222 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD S40021A - Contusion of right upper arm, initial encounter in DRG | 2.08 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD S40021A - Contusion of right upper arm, initial encounter | 7.12 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD S40021A - Contusion of right upper arm, initial encounter | 33.85 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD S40021A - Contusion of right upper arm, initial encounter | 28.65 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD S40021A - Contusion of right upper arm, initial encounter | $2,312,322 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD S40021A - Contusion of right upper arm, initial encounter | $1,463 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD S40021A - Contusion of right upper arm, initial encounter | $10,416 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD S40021A - Contusion of right upper arm, initial encounter | $12,425,917 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD S40021A - Contusion of right upper arm, initial encounter | $55,973 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD S40021A - Contusion of right upper arm, initial encounter | 5.86 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD S40021A - Contusion of right upper arm, initial encounter | 36.49 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD S40021A - Contusion of right upper arm, initial encounter | 15.32 |
*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 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 086: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITH COMPLICATION OR COMORBIDITY (CC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 195,476 | ||||
| Total Hospitalizations with ICD S40021A - Contusion of right upper arm, initial encounter | 159 | ||||
| DRG Share of Total Hospitalizations | 0.59 | ||||
| % of Total ICD S40021A - Contusion of right upper arm, initial encounter in DRG | 1.49 | ||||
| Avg LOS at DRG | 4.48 | ||||
| Avg LOS with ICD S40021A - Contusion of right upper arm, initial encounter | 3.92 | ||||
| Readmission Rate at DRG | 20.57 | ||||
| Readmission Rate with ICD S40021A - Contusion of right upper arm, initial encounter | 26.32 | ||||
| Unplanned Readmission Rate at DRG | 9.88 | ||||
| Unplanned Readmission Rate with ICD S40021A - Contusion of right upper arm, initial encounter | 7.89 | ||||
| Total Medicare payments at DRG | $1,320,662,237 | ||||
| Total Medicare payments with ICD S40021A - Contusion of right upper arm, initial encounter | $876,898 | ||||
| Total Medicare payment per Day at DRG | $1,508 | ||||
| Total Medicare payment per Day with ICD S40021A - Contusion of right upper arm, initial encounter | $1,405 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,756 | ||||
| Total Medicare payment per Hospitalization with ICD S40021A - Contusion of right upper arm, initial encounter | $5,515 | ||||
| Total Medicare Charges at DRG | $6,024,639,461 | ||||
| Total Medicare Charges with ICD S40021A - Contusion of right upper arm, initial encounter | $5,957,647 | ||||
| Avg Charges at DRG | $30,820 | ||||
| Avg Charges with ICD S40021A - Contusion of right upper arm, initial encounter | $37,469 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD S40021A - Contusion of right upper arm, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 33.36 | ||||
| SNF Discharge Rate with ICD S40021A - Contusion of right upper arm, initial encounter | 44.03 | ||||
| Home Discharge Rate at DRG | 30.98 | ||||
| Home Discharge Rate with ICD S40021A - Contusion of right upper arm, initial encounter | 18.24 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 604: TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 10,714 | ||||
| Total Hospitalizations with ICD S40021A - Contusion of right upper arm, initial encounter | 143 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD S40021A - Contusion of right upper arm, initial encounter in DRG | 1.34 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD S40021A - Contusion of right upper arm, initial encounter | 4.48 | ||||
| Readmission Rate at DRG | 27.17 | ||||
| Readmission Rate with ICD S40021A - Contusion of right upper arm, initial encounter | 27.01 | ||||
| Unplanned Readmission Rate at DRG | 17.8 | ||||
| Unplanned Readmission Rate with ICD S40021A - Contusion of right upper arm, initial encounter | 16.06 | ||||
| Total Medicare payments at DRG | $106,039,380 | ||||
| Total Medicare payments with ICD S40021A - Contusion of right upper arm, initial encounter | $1,306,527 | ||||
| Total Medicare payment per Day at DRG | $1,854 | ||||
| Total Medicare payment per Day with ICD S40021A - Contusion of right upper arm, initial encounter | $2,038 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,897 | ||||
| Total Medicare payment per Hospitalization with ICD S40021A - Contusion of right upper arm, initial encounter | $9,137 | ||||
| Total Medicare Charges at DRG | $536,715,000 | ||||
| Total Medicare Charges with ICD S40021A - Contusion of right upper arm, initial encounter | $5,450,347 | ||||
| Avg Charges at DRG | $50,095 | ||||
| Avg Charges with ICD S40021A - Contusion of right upper arm, initial encounter | $38,114 | ||||
| Mortality Rate at DRG | 2.99 | ||||
| Mortality Rate with ICD S40021A - Contusion of right upper arm, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 39.11 | ||||
| SNF Discharge Rate with ICD S40021A - Contusion of right upper arm, initial encounter | 42.66 | ||||
| Home Discharge Rate at DRG | 23.05 | ||||
| Home Discharge Rate with ICD S40021A - Contusion of right upper arm, initial encounter | 26.57 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| COLUMBUS HOSPITAL LTACH | 495 NORTH 13TH STREET | NEWARK | NJ | 07107 | 42 |
| LEHIGH VALLEY HOSPITAL - CEDAR CREST | 1200 S CEDAR CREST BLVD | ALLENTOWN | PA | 18103 | 33 |
| HUNTINGTON HOSPITAL - NORTHWELL HEALTH | 270 PARK AVE | HUNTINGTON | NY | 11743 | 31 |