*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| S5001XA - Contusion of right elbow, initial encounter - as a primary diagnosis code | S5001XA - Contusion of right elbow, initial encounter - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 4.93 | |
| Readmission Rate (%) | 22.76 | |
| Unplanned Readmission Rate (%) | 18.09 | |
| 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 S5001XA - Contusion of right elbow, initial encounter | 75 | |
| DRG Share of Total Hospitalizations | 0.14 | |
| % of Total ICD S5001XA - Contusion of right elbow, initial encounter in DRG | 74.26 | |
| Avg LOS at DRG | 3.25 | |
| Avg LOS with ICD S5001XA - Contusion of right elbow, initial encounter | 3.07 | |
| Readmission Rate at DRG | 18.27 | |
| Readmission Rate with ICD S5001XA - Contusion of right elbow, initial encounter | 18.31 | |
| Unplanned Readmission Rate at DRG | 10.63 | |
| Unplanned Readmission Rate with ICD S5001XA - Contusion of right elbow, initial encounter | 15.49 | |
| Total Medicare payments at DRG | $234,309,332 | |
| Total Medicare payments with ICD S5001XA - Contusion of right elbow, initial encounter | $402,802 | |
| Total Medicare payment per Day at DRG | $1,573 | |
| Total Medicare payment per Day with ICD S5001XA - Contusion of right elbow, initial encounter | $1,751 | |
| Total Medicare payment per Hospitalization at DRG | $5,117 | |
| Total Medicare payment per Hospitalization with ICD S5001XA - Contusion of right elbow, initial encounter | $5,371 | |
| Total Medicare Charges at DRG | $1,321,005,538 | |
| Total Medicare Charges with ICD S5001XA - Contusion of right elbow, initial encounter | $2,109,640 | |
| Avg Charges at DRG | $28,851 | |
| Avg Charges with ICD S5001XA - Contusion of right elbow, initial encounter | $28,129 | |
| Mortality Rate at DRG | 0.2 | |
| Mortality Rate with ICD S5001XA - Contusion of right elbow, initial encounter | NA | |
| SNF Discharge Rate at DRG | 32.81 | |
| SNF Discharge Rate with ICD S5001XA - Contusion of right elbow, initial encounter | 42.67 | |
| Home Discharge Rate at DRG | 35.13 | |
| Home Discharge Rate with ICD S5001XA - Contusion of right elbow, initial encounter | 26.67 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| 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) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT 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 | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 240,618 | ||||
| Total Hospitalizations with ICD S5001XA - Contusion of right elbow, initial encounter | 372 | ||||
| DRG Share of Total Hospitalizations | 0.73 | ||||
| % of Total ICD S5001XA - Contusion of right elbow, initial encounter in DRG | 5.0 | ||||
| Avg LOS at DRG | 4.81 | ||||
| Avg LOS with ICD S5001XA - Contusion of right elbow, initial encounter | 4.77 | ||||
| Readmission Rate at DRG | 26.3 | ||||
| Readmission Rate with ICD S5001XA - Contusion of right elbow, initial encounter | 28.9 | ||||
| Unplanned Readmission Rate at DRG | 7.83 | ||||
| Unplanned Readmission Rate with ICD S5001XA - Contusion of right elbow, initial encounter | 7.93 | ||||
| Total Medicare payments at DRG | $2,989,116,299 | ||||
| Total Medicare payments with ICD S5001XA - Contusion of right elbow, initial encounter | $4,623,819 | ||||
| Total Medicare payment per Day at DRG | $2,581 | ||||
| Total Medicare payment per Day with ICD S5001XA - Contusion of right elbow, initial encounter | $2,606 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,423 | ||||
| Total Medicare payment per Hospitalization with ICD S5001XA - Contusion of right elbow, initial encounter | $12,430 | ||||
| Total Medicare Charges at DRG | $15,603,027,471 | ||||
| Total Medicare Charges with ICD S5001XA - Contusion of right elbow, initial encounter | $23,447,135 | ||||
| Avg Charges at DRG | $64,846 | ||||
| Avg Charges with ICD S5001XA - Contusion of right elbow, initial encounter | $63,030 | ||||
| Mortality Rate at DRG | 0.4 | ||||
| Mortality Rate with ICD S5001XA - Contusion of right elbow, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 66.28 | ||||
| SNF Discharge Rate with ICD S5001XA - Contusion of right elbow, initial encounter | 67.47 | ||||
| Home Discharge Rate at DRG | 3.84 | ||||
| Home Discharge Rate with ICD S5001XA - Contusion of right elbow, 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 690: KIDNEY AND URINARY TRACT INFECTIONS 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 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 086: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD S5001XA - Contusion of right elbow, initial encounter | 183 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD S5001XA - Contusion of right elbow, initial encounter in DRG | 2.46 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD S5001XA - Contusion of right elbow, initial encounter | 5.81 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD S5001XA - Contusion of right elbow, initial encounter | 25.83 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD S5001XA - Contusion of right elbow, initial encounter | 14.57 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD S5001XA - Contusion of right elbow, initial encounter | $1,971,438 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD S5001XA - Contusion of right elbow, initial encounter | $1,855 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD S5001XA - Contusion of right elbow, initial encounter | $10,773 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD S5001XA - Contusion of right elbow, initial encounter | $10,108,691 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD S5001XA - Contusion of right elbow, initial encounter | $55,239 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD S5001XA - Contusion of right elbow, initial encounter | 8.74 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD S5001XA - Contusion of right elbow, initial encounter | 43.72 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD S5001XA - Contusion of right elbow, initial encounter | 9.84 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 480: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 482: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 558: TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 310,318 | ||||
| Total Hospitalizations with ICD S5001XA - Contusion of right elbow, initial encounter | 148 | ||||
| DRG Share of Total Hospitalizations | 0.94 | ||||
| % of Total ICD S5001XA - Contusion of right elbow, initial encounter in DRG | 1.99 | ||||
| Avg LOS at DRG | 3.19 | ||||
| Avg LOS with ICD S5001XA - Contusion of right elbow, initial encounter | 3.38 | ||||
| Readmission Rate at DRG | 20.19 | ||||
| Readmission Rate with ICD S5001XA - Contusion of right elbow, initial encounter | 15.11 | ||||
| Unplanned Readmission Rate at DRG | 13.62 | ||||
| Unplanned Readmission Rate with ICD S5001XA - Contusion of right elbow, initial encounter | 9.35 | ||||
| Total Medicare payments at DRG | $1,415,392,709 | ||||
| Total Medicare payments with ICD S5001XA - Contusion of right elbow, initial encounter | $637,413 | ||||
| Total Medicare payment per Day at DRG | $1,431 | ||||
| Total Medicare payment per Day with ICD S5001XA - Contusion of right elbow, initial encounter | $1,275 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,561 | ||||
| Total Medicare payment per Hospitalization with ICD S5001XA - Contusion of right elbow, initial encounter | $4,307 | ||||
| Total Medicare Charges at DRG | $7,113,640,596 | ||||
| Total Medicare Charges with ICD S5001XA - Contusion of right elbow, initial encounter | $4,183,828 | ||||
| Avg Charges at DRG | $22,924 | ||||
| Avg Charges with ICD S5001XA - Contusion of right elbow, initial encounter | $28,269 | ||||
| Mortality Rate at DRG | 0.63 | ||||
| Mortality Rate with ICD S5001XA - Contusion of right elbow, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 19.76 | ||||
| SNF Discharge Rate with ICD S5001XA - Contusion of right elbow, initial encounter | 37.84 | ||||
| Home Discharge Rate at DRG | 50.47 | ||||
| Home Discharge Rate with ICD S5001XA - Contusion of right elbow, initial encounter | 26.35 |
*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 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 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 | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD S5001XA - Contusion of right elbow, initial encounter | 100 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD S5001XA - Contusion of right elbow, initial encounter in DRG | 1.35 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD S5001XA - Contusion of right elbow, initial encounter | 20.66 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD S5001XA - Contusion of right elbow, initial encounter | 26.04 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD S5001XA - Contusion of right elbow, initial encounter | 15.63 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD S5001XA - Contusion of right elbow, initial encounter | $1,249,376 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD S5001XA - Contusion of right elbow, initial encounter | $605 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD S5001XA - Contusion of right elbow, initial encounter | $12,494 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD S5001XA - Contusion of right elbow, initial encounter | $5,179,747 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD S5001XA - Contusion of right elbow, initial encounter | $51,797 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD S5001XA - Contusion of right elbow, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD S5001XA - Contusion of right elbow, initial encounter | 14.0 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD S5001XA - Contusion of right elbow, initial encounter | 63.0 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| SCRIPPS MEMORIAL HOSPITAL LA JOLLA | 9888 GENESEE AVE | LA JOLLA | CA | 92037 | 28 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 25 |
| SARASOTA MEMORIAL HOSPITAL | 1700 S TAMIAMI TRL | SARASOTA | FL | 34239 | 25 |