*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| S40022A - Contusion of left upper arm, initial encounter - as a primary diagnosis code | S40022A - Contusion of left upper arm, initial encounter - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.92 | |
| Readmission Rate (%) | 24.71 | |
| Unplanned Readmission Rate (%) | 16.5 | |
| 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 S40022A - Contusion of left upper arm, initial encounter | 200 | |
| DRG Share of Total Hospitalizations | 0.14 | |
| % of Total ICD S40022A - Contusion of left upper arm, initial encounter in DRG | 62.7 | |
| Avg LOS at DRG | 3.25 | |
| Avg LOS with ICD S40022A - Contusion of left upper arm, initial encounter | 3.37 | |
| Readmission Rate at DRG | 18.27 | |
| Readmission Rate with ICD S40022A - Contusion of left upper arm, initial encounter | 17.37 | |
| Unplanned Readmission Rate at DRG | 10.63 | |
| Unplanned Readmission Rate with ICD S40022A - Contusion of left upper arm, initial encounter | 11.58 | |
| Total Medicare payments at DRG | $234,309,332 | |
| Total Medicare payments with ICD S40022A - Contusion of left upper arm, initial encounter | $1,018,766 | |
| Total Medicare payment per Day at DRG | $1,573 | |
| Total Medicare payment per Day with ICD S40022A - Contusion of left upper arm, initial encounter | $1,514 | |
| Total Medicare payment per Hospitalization at DRG | $5,117 | |
| Total Medicare payment per Hospitalization with ICD S40022A - Contusion of left upper arm, initial encounter | $5,094 | |
| Total Medicare Charges at DRG | $1,321,005,538 | |
| Total Medicare Charges with ICD S40022A - Contusion of left upper arm, initial encounter | $5,307,023 | |
| Avg Charges at DRG | $28,851 | |
| Avg Charges with ICD S40022A - Contusion of left upper arm, initial encounter | $26,535 | |
| Mortality Rate at DRG | 0.2 | |
| Mortality Rate with ICD S40022A - Contusion of left upper arm, initial encounter | NA | |
| SNF Discharge Rate at DRG | 32.81 | |
| SNF Discharge Rate with ICD S40022A - Contusion of left upper arm, initial encounter | 38.0 | |
| Home Discharge Rate at DRG | 35.13 | |
| Home Discharge Rate with ICD S40022A - Contusion of left upper arm, initial encounter | 27.5 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 605: TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 312: SYNCOPE AND COLLAPSE | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD S40022A - Contusion of left upper arm, initial encounter | 479 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD S40022A - Contusion of left upper arm, initial encounter in DRG | 4.35 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD S40022A - Contusion of left upper arm, initial encounter | 6.89 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD S40022A - Contusion of left upper arm, initial encounter | 25.99 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD S40022A - Contusion of left upper arm, initial encounter | 17.51 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD S40022A - Contusion of left upper arm, initial encounter | $5,712,101 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD S40022A - Contusion of left upper arm, initial encounter | $1,731 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD S40022A - Contusion of left upper arm, initial encounter | $11,925 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD S40022A - Contusion of left upper arm, initial encounter | $31,874,268 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD S40022A - Contusion of left upper arm, initial encounter | $66,543 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD S40022A - Contusion of left upper arm, initial encounter | 13.99 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD S40022A - Contusion of left upper arm, initial encounter | 35.49 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD S40022A - Contusion of left upper arm, initial encounter | 13.99 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 885: PSYCHOSES | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD S40022A - Contusion of left upper arm, initial encounter | 227 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD S40022A - Contusion of left upper arm, initial encounter in DRG | 2.06 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD S40022A - Contusion of left upper arm, initial encounter | 14.76 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD S40022A - Contusion of left upper arm, initial encounter | 23.94 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD S40022A - Contusion of left upper arm, initial encounter | 10.8 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD S40022A - Contusion of left upper arm, initial encounter | $2,574,990 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD S40022A - Contusion of left upper arm, initial encounter | $768 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD S40022A - Contusion of left upper arm, initial encounter | $11,344 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD S40022A - Contusion of left upper arm, initial encounter | $9,348,099 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD S40022A - Contusion of left upper arm, initial encounter | $41,181 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD S40022A - Contusion of left upper arm, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD S40022A - Contusion of left upper arm, initial encounter | 11.45 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD S40022A - Contusion of left upper arm, initial encounter | 71.81 |
*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 604: TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH 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 | 195,476 | ||||
| Total Hospitalizations with ICD S40022A - Contusion of left upper arm, initial encounter | 168 | ||||
| DRG Share of Total Hospitalizations | 0.59 | ||||
| % of Total ICD S40022A - Contusion of left upper arm, initial encounter in DRG | 1.53 | ||||
| Avg LOS at DRG | 4.48 | ||||
| Avg LOS with ICD S40022A - Contusion of left upper arm, initial encounter | 4.06 | ||||
| Readmission Rate at DRG | 20.57 | ||||
| Readmission Rate with ICD S40022A - Contusion of left upper arm, initial encounter | 21.79 | ||||
| Unplanned Readmission Rate at DRG | 9.88 | ||||
| Unplanned Readmission Rate with ICD S40022A - Contusion of left upper arm, initial encounter | 8.33 | ||||
| Total Medicare payments at DRG | $1,320,662,237 | ||||
| Total Medicare payments with ICD S40022A - Contusion of left upper arm, initial encounter | $927,199 | ||||
| Total Medicare payment per Day at DRG | $1,508 | ||||
| Total Medicare payment per Day with ICD S40022A - Contusion of left upper arm, initial encounter | $1,360 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,756 | ||||
| Total Medicare payment per Hospitalization with ICD S40022A - Contusion of left upper arm, initial encounter | $5,519 | ||||
| Total Medicare Charges at DRG | $6,024,639,461 | ||||
| Total Medicare Charges with ICD S40022A - Contusion of left upper arm, initial encounter | $6,204,089 | ||||
| Avg Charges at DRG | $30,820 | ||||
| Avg Charges with ICD S40022A - Contusion of left upper arm, initial encounter | $36,929 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD S40022A - Contusion of left upper arm, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 33.36 | ||||
| SNF Discharge Rate with ICD S40022A - Contusion of left upper arm, initial encounter | 45.83 | ||||
| Home Discharge Rate at DRG | 30.98 | ||||
| Home Discharge Rate with ICD S40022A - Contusion of left upper arm, initial encounter | 20.24 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 086: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITH COMPLICATION OR COMORBIDITY (CC) | DRG 813: COAGULATION DISORDERS | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 364,421 | ||||
| Total Hospitalizations with ICD S40022A - Contusion of left upper arm, initial encounter | 141 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD S40022A - Contusion of left upper arm, initial encounter in DRG | 1.28 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD S40022A - Contusion of left upper arm, initial encounter | 4.08 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD S40022A - Contusion of left upper arm, initial encounter | 13.64 | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD S40022A - Contusion of left upper arm, initial encounter | NA | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD S40022A - Contusion of left upper arm, initial encounter | $813,325 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD S40022A - Contusion of left upper arm, initial encounter | $1,414 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD S40022A - Contusion of left upper arm, initial encounter | $5,768 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD S40022A - Contusion of left upper arm, initial encounter | $4,661,801 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD S40022A - Contusion of left upper arm, initial encounter | $33,062 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD S40022A - Contusion of left upper arm, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD S40022A - Contusion of left upper arm, initial encounter | 27.66 | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD S40022A - Contusion of left upper arm, initial encounter | 36.88 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| COLUMBUS HOSPITAL LTACH | 495 NORTH 13TH STREET | NEWARK | NJ | 07107 | 38 |
| HOUSTON METHODIST WILLOWBROOK HOSPITAL | 18220 STATE HIGHWAY 249 | HOUSTON | TX | 77070 | 33 |
| UNIVERSITY OF MARYLAND BALTIMORE WASHINGTON MEDICAL CENTER | 301 HOSPITAL DR | GLEN BURNIE | MD | 21061 | 32 |