*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| S5002XA - Contusion of left elbow, initial encounter - as a primary diagnosis code | S5002XA - Contusion of left elbow, initial encounter - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 4.91 | |
| Readmission Rate (%) | 23.46 | |
| Unplanned Readmission Rate (%) | 15.0 | |
| 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 S5002XA - Contusion of left elbow, initial encounter | 86 | |
| DRG Share of Total Hospitalizations | 0.14 | |
| % of Total ICD S5002XA - Contusion of left elbow, initial encounter in DRG | 68.25 | |
| Avg LOS at DRG | 3.25 | |
| Avg LOS with ICD S5002XA - Contusion of left elbow, initial encounter | 3.44 | |
| Readmission Rate at DRG | 18.27 | |
| Readmission Rate with ICD S5002XA - Contusion of left elbow, initial encounter | 19.77 | |
| Unplanned Readmission Rate at DRG | 10.63 | |
| Unplanned Readmission Rate with ICD S5002XA - Contusion of left elbow, initial encounter | NA | |
| Total Medicare payments at DRG | $234,309,332 | |
| Total Medicare payments with ICD S5002XA - Contusion of left elbow, initial encounter | $391,883 | |
| Total Medicare payment per Day at DRG | $1,573 | |
| Total Medicare payment per Day with ICD S5002XA - Contusion of left elbow, initial encounter | $1,324 | |
| Total Medicare payment per Hospitalization at DRG | $5,117 | |
| Total Medicare payment per Hospitalization with ICD S5002XA - Contusion of left elbow, initial encounter | $4,557 | |
| Total Medicare Charges at DRG | $1,321,005,538 | |
| Total Medicare Charges with ICD S5002XA - Contusion of left elbow, initial encounter | $2,369,959 | |
| Avg Charges at DRG | $28,851 | |
| Avg Charges with ICD S5002XA - Contusion of left elbow, initial encounter | $27,558 | |
| Mortality Rate at DRG | 0.2 | |
| Mortality Rate with ICD S5002XA - Contusion of left elbow, initial encounter | NA | |
| SNF Discharge Rate at DRG | 32.81 | |
| SNF Discharge Rate with ICD S5002XA - Contusion of left elbow, initial encounter | 50.0 | |
| Home Discharge Rate at DRG | 35.13 | |
| Home Discharge Rate with ICD S5002XA - Contusion of left elbow, initial encounter | 22.09 |
*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 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 536: FRACTURES OF HIP AND PELVIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 312: SYNCOPE AND COLLAPSE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 240,618 | ||||
| Total Hospitalizations with ICD S5002XA - Contusion of left elbow, initial encounter | 338 | ||||
| DRG Share of Total Hospitalizations | 0.73 | ||||
| % of Total ICD S5002XA - Contusion of left elbow, initial encounter in DRG | 4.67 | ||||
| Avg LOS at DRG | 4.81 | ||||
| Avg LOS with ICD S5002XA - Contusion of left elbow, initial encounter | 4.68 | ||||
| Readmission Rate at DRG | 26.3 | ||||
| Readmission Rate with ICD S5002XA - Contusion of left elbow, initial encounter | 29.0 | ||||
| Unplanned Readmission Rate at DRG | 7.83 | ||||
| Unplanned Readmission Rate with ICD S5002XA - Contusion of left elbow, initial encounter | 6.04 | ||||
| Total Medicare payments at DRG | $2,989,116,299 | ||||
| Total Medicare payments with ICD S5002XA - Contusion of left elbow, initial encounter | $4,182,699 | ||||
| Total Medicare payment per Day at DRG | $2,581 | ||||
| Total Medicare payment per Day with ICD S5002XA - Contusion of left elbow, initial encounter | $2,642 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,423 | ||||
| Total Medicare payment per Hospitalization with ICD S5002XA - Contusion of left elbow, initial encounter | $12,375 | ||||
| Total Medicare Charges at DRG | $15,603,027,471 | ||||
| Total Medicare Charges with ICD S5002XA - Contusion of left elbow, initial encounter | $20,830,141 | ||||
| Avg Charges at DRG | $64,846 | ||||
| Avg Charges with ICD S5002XA - Contusion of left elbow, initial encounter | $61,628 | ||||
| Mortality Rate at DRG | 0.4 | ||||
| Mortality Rate with ICD S5002XA - Contusion of left elbow, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 66.28 | ||||
| SNF Discharge Rate with ICD S5002XA - Contusion of left elbow, initial encounter | 68.05 | ||||
| Home Discharge Rate at DRG | 3.84 | ||||
| Home Discharge Rate with ICD S5002XA - Contusion of left 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 086: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITH COMPLICATION OR COMORBIDITY (CC) | 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 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD S5002XA - Contusion of left elbow, initial encounter | 168 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD S5002XA - Contusion of left elbow, initial encounter in DRG | 2.32 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD S5002XA - Contusion of left elbow, initial encounter | 5.89 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD S5002XA - Contusion of left elbow, initial encounter | 24.09 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD S5002XA - Contusion of left elbow, initial encounter | 15.33 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD S5002XA - Contusion of left elbow, initial encounter | $1,867,535 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD S5002XA - Contusion of left elbow, initial encounter | $1,888 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD S5002XA - Contusion of left elbow, initial encounter | $11,116 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD S5002XA - Contusion of left elbow, initial encounter | $8,634,930 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD S5002XA - Contusion of left elbow, initial encounter | $51,398 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD S5002XA - Contusion of left elbow, initial encounter | 11.31 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD S5002XA - Contusion of left elbow, initial encounter | 38.69 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD S5002XA - Contusion of left elbow, initial encounter | 10.71 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 480: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH 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 482: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD S5002XA - Contusion of left elbow, initial encounter | 126 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD S5002XA - Contusion of left elbow, initial encounter in DRG | 1.74 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD S5002XA - Contusion of left elbow, initial encounter | 3.67 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD S5002XA - Contusion of left elbow, initial encounter | 25.21 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD S5002XA - Contusion of left elbow, initial encounter | 15.13 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD S5002XA - Contusion of left elbow, initial encounter | $703,602 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD S5002XA - Contusion of left elbow, initial encounter | $1,520 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD S5002XA - Contusion of left elbow, initial encounter | $5,584 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD S5002XA - Contusion of left elbow, initial encounter | $3,332,650 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD S5002XA - Contusion of left elbow, initial encounter | $26,450 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD S5002XA - Contusion of left elbow, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD S5002XA - Contusion of left elbow, initial encounter | 40.48 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD S5002XA - Contusion of left elbow, initial encounter | 26.19 |
*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 558: TENDONITIS, MYOSITIS AND BURSITIS WITHOUT 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 565: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD S5002XA - Contusion of left elbow, initial encounter | 107 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD S5002XA - Contusion of left elbow, initial encounter in DRG | 1.48 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD S5002XA - Contusion of left elbow, initial encounter | 23.99 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD S5002XA - Contusion of left elbow, initial encounter | 30.53 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD S5002XA - Contusion of left elbow, initial encounter | 15.79 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD S5002XA - Contusion of left elbow, initial encounter | $1,501,406 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD S5002XA - Contusion of left elbow, initial encounter | $585 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD S5002XA - Contusion of left elbow, initial encounter | $14,032 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD S5002XA - Contusion of left elbow, initial encounter | $7,491,812 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD S5002XA - Contusion of left elbow, initial encounter | $70,017 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD S5002XA - Contusion of left elbow, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD S5002XA - Contusion of left elbow, initial encounter | 13.08 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD S5002XA - Contusion of left elbow, initial encounter | 61.68 |
| 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 | 26 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 23 |
| SARASOTA MEMORIAL HOSPITAL | 1700 S TAMIAMI TRL | SARASOTA | FL | 34239 | 23 |