*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| S40211A - Abrasion of right shoulder, initial encounter - as a primary diagnosis code | S40211A - Abrasion of right shoulder, initial encounter - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.52 | |
| Readmission Rate (%) | 23.82 | |
| Unplanned Readmission Rate (%) | NA | |
| 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) | |
|---|---|
| Total Hospitalizations at DRG | 45,787 |
| Total Hospitalizations with ICD S40211A - Abrasion of right shoulder, initial encounter | 12 |
| DRG Share of Total Hospitalizations | 0.14 |
| % of Total ICD S40211A - Abrasion of right shoulder, initial encounter in DRG | 85.71 |
| Avg LOS at DRG | 3.25 |
| Avg LOS with ICD S40211A - Abrasion of right shoulder, initial encounter | 2.83 |
| Readmission Rate at DRG | 18.27 |
| Readmission Rate with ICD S40211A - Abrasion of right shoulder, initial encounter | NA |
| Unplanned Readmission Rate at DRG | 10.63 |
| Unplanned Readmission Rate with ICD S40211A - Abrasion of right shoulder, initial encounter | NA |
| Total Medicare payments at DRG | $234,309,332 |
| Total Medicare payments with ICD S40211A - Abrasion of right shoulder, initial encounter | $55,123 |
| Total Medicare payment per Day at DRG | $1,573 |
| Total Medicare payment per Day with ICD S40211A - Abrasion of right shoulder, initial encounter | $1,621 |
| Total Medicare payment per Hospitalization at DRG | $5,117 |
| Total Medicare payment per Hospitalization with ICD S40211A - Abrasion of right shoulder, initial encounter | $4,594 |
| Total Medicare Charges at DRG | $1,321,005,538 |
| Total Medicare Charges with ICD S40211A - Abrasion of right shoulder, initial encounter | $264,147 |
| Avg Charges at DRG | $28,851 |
| Avg Charges with ICD S40211A - Abrasion of right shoulder, initial encounter | $22,012 |
| Mortality Rate at DRG | 0.2 |
| Mortality Rate with ICD S40211A - Abrasion of right shoulder, initial encounter | NA |
| SNF Discharge Rate at DRG | 32.81 |
| SNF Discharge Rate with ICD S40211A - Abrasion of right shoulder, initial encounter | NA |
| Home Discharge Rate at DRG | 35.13 |
| Home Discharge Rate with ICD S40211A - Abrasion 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 086: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITH COMPLICATION OR COMORBIDITY (CC) | DRG 605: TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 312: SYNCOPE AND COLLAPSE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD S40211A - Abrasion of right shoulder, initial encounter | 100 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD S40211A - Abrasion of right shoulder, initial encounter in DRG | 3.69 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD S40211A - Abrasion of right shoulder, initial encounter | 5.69 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD S40211A - Abrasion of right shoulder, initial encounter | 17.28 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD S40211A - Abrasion of right shoulder, initial encounter | 14.81 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD S40211A - Abrasion of right shoulder, initial encounter | $1,111,860 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD S40211A - Abrasion of right shoulder, initial encounter | $1,954 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD S40211A - Abrasion of right shoulder, initial encounter | $11,119 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD S40211A - Abrasion of right shoulder, initial encounter | $5,501,398 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD S40211A - Abrasion of right shoulder, initial encounter | $55,014 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD S40211A - Abrasion of right shoulder, initial encounter | 11.0 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD S40211A - Abrasion of right shoulder, initial encounter | 35.0 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD S40211A - Abrasion of right shoulder, initial encounter | 21.0 |
*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 964: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 885: PSYCHOSES | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 34,301 | ||||
| Total Hospitalizations with ICD S40211A - Abrasion of right shoulder, initial encounter | 64 | ||||
| DRG Share of Total Hospitalizations | 0.1 | ||||
| % of Total ICD S40211A - Abrasion of right shoulder, initial encounter in DRG | 2.36 | ||||
| Avg LOS at DRG | 2.55 | ||||
| Avg LOS with ICD S40211A - Abrasion of right shoulder, initial encounter | 1.83 | ||||
| Readmission Rate at DRG | 19.05 | ||||
| Readmission Rate with ICD S40211A - Abrasion of right shoulder, initial encounter | NA | ||||
| Unplanned Readmission Rate at DRG | 9.31 | ||||
| Unplanned Readmission Rate with ICD S40211A - Abrasion of right shoulder, initial encounter | NA | ||||
| Total Medicare payments at DRG | $165,565,037 | ||||
| Total Medicare payments with ICD S40211A - Abrasion of right shoulder, initial encounter | $320,597 | ||||
| Total Medicare payment per Day at DRG | $1,896 | ||||
| Total Medicare payment per Day with ICD S40211A - Abrasion of right shoulder, initial encounter | $2,740 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,827 | ||||
| Total Medicare payment per Hospitalization with ICD S40211A - Abrasion of right shoulder, initial encounter | $5,009 | ||||
| Total Medicare Charges at DRG | $1,045,144,829 | ||||
| Total Medicare Charges with ICD S40211A - Abrasion of right shoulder, initial encounter | $2,163,684 | ||||
| Avg Charges at DRG | $30,470 | ||||
| Avg Charges with ICD S40211A - Abrasion of right shoulder, initial encounter | $33,808 | ||||
| Mortality Rate at DRG | 1.23 | ||||
| Mortality Rate with ICD S40211A - Abrasion of right shoulder, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 20.31 | ||||
| SNF Discharge Rate with ICD S40211A - Abrasion of right shoulder, initial encounter | NA | ||||
| Home Discharge Rate at DRG | 47.25 | ||||
| Home Discharge Rate with ICD S40211A - Abrasion of right shoulder, initial encounter | 70.31 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 558: TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 083: TRAUMATIC STUPOR AND COMA, COMA >1 HOUR WITH COMPLICATION OR COMORBIDITY (CC) | DRG 200: PNEUMOTHORAX WITH COMPLICATION OR COMORBIDITY (CC) | DRG 085: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 39,224 | ||||
| Total Hospitalizations with ICD S40211A - Abrasion of right shoulder, initial encounter | 48 | ||||
| DRG Share of Total Hospitalizations | 0.12 | ||||
| % of Total ICD S40211A - Abrasion of right shoulder, initial encounter in DRG | 1.77 | ||||
| Avg LOS at DRG | 4.42 | ||||
| Avg LOS with ICD S40211A - Abrasion of right shoulder, initial encounter | 4.13 | ||||
| Readmission Rate at DRG | 18.22 | ||||
| Readmission Rate with ICD S40211A - Abrasion of right shoulder, initial encounter | 26.09 | ||||
| Unplanned Readmission Rate at DRG | 9.29 | ||||
| Unplanned Readmission Rate with ICD S40211A - Abrasion of right shoulder, initial encounter | NA | ||||
| Total Medicare payments at DRG | $239,468,231 | ||||
| Total Medicare payments with ICD S40211A - Abrasion of right shoulder, initial encounter | $253,529 | ||||
| Total Medicare payment per Day at DRG | $1,381 | ||||
| Total Medicare payment per Day with ICD S40211A - Abrasion of right shoulder, initial encounter | $1,280 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,105 | ||||
| Total Medicare payment per Hospitalization with ICD S40211A - Abrasion of right shoulder, initial encounter | $5,282 | ||||
| Total Medicare Charges at DRG | $1,104,766,925 | ||||
| Total Medicare Charges with ICD S40211A - Abrasion of right shoulder, initial encounter | $1,313,864 | ||||
| Avg Charges at DRG | $28,166 | ||||
| Avg Charges with ICD S40211A - Abrasion of right shoulder, initial encounter | $27,372 | ||||
| Mortality Rate at DRG | 0.2 | ||||
| Mortality Rate with ICD S40211A - Abrasion of right shoulder, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 32.92 | ||||
| SNF Discharge Rate with ICD S40211A - Abrasion of right shoulder, initial encounter | 75.0 | ||||
| Home Discharge Rate at DRG | 33.95 | ||||
| Home Discharge Rate with ICD S40211A - Abrasion 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 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 184: MAJOR CHEST TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 563: FRACTURE SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD S40211A - Abrasion of right shoulder, initial encounter | 42 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD S40211A - Abrasion of right shoulder, initial encounter in DRG | 1.55 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD S40211A - Abrasion of right shoulder, initial encounter | 3.21 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD S40211A - Abrasion of right shoulder, initial encounter | NA | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD S40211A - Abrasion of right shoulder, initial encounter | NA | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD S40211A - Abrasion of right shoulder, initial encounter | $204,385 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD S40211A - Abrasion of right shoulder, initial encounter | $1,514 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD S40211A - Abrasion of right shoulder, initial encounter | $4,866 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD S40211A - Abrasion of right shoulder, initial encounter | $1,073,874 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD S40211A - Abrasion of right shoulder, initial encounter | $25,568 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD S40211A - Abrasion of right shoulder, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD S40211A - Abrasion of right shoulder, initial encounter | 42.86 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD S40211A - Abrasion of right shoulder, initial encounter | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| SARASOTA MEMORIAL HOSPITAL | 1700 S TAMIAMI TRL | SARASOTA | FL | 34239 | 22 |
| NATIVIDAD MEDICAL CENTER | 1441 CONSTITUTION BLVD | SALINAS | CA | 93906 | 16 |
| ST. LUKE'S UNIVERSITY HOSPITAL - BETHLEHEM CAMPUS | 801 OSTRUM ST | BETHLEHEM | PA | 18015 | 15 |