*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| S5012XA - Contusion of left forearm, initial encounter - as a primary diagnosis code | S5012XA - Contusion of left forearm, initial encounter - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.82 | |
| Readmission Rate (%) | 23.22 | |
| Unplanned Readmission Rate (%) | 15.53 | |
| 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) | DRG 571: SKIN DEBRIDEMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 579: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 45,787 | ||||
| Total Hospitalizations with ICD S5012XA - Contusion of left forearm, initial encounter | 168 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD S5012XA - Contusion of left forearm, initial encounter in DRG | 61.31 | ||||
| Avg LOS at DRG | 3.25 | ||||
| Avg LOS with ICD S5012XA - Contusion of left forearm, initial encounter | 3.39 | ||||
| Readmission Rate at DRG | 18.27 | ||||
| Readmission Rate with ICD S5012XA - Contusion of left forearm, initial encounter | 15.43 | ||||
| Unplanned Readmission Rate at DRG | 10.63 | ||||
| Unplanned Readmission Rate with ICD S5012XA - Contusion of left forearm, initial encounter | 10.49 | ||||
| Total Medicare payments at DRG | $234,309,332 | ||||
| Total Medicare payments with ICD S5012XA - Contusion of left forearm, initial encounter | $872,217 | ||||
| Total Medicare payment per Day at DRG | $1,573 | ||||
| Total Medicare payment per Day with ICD S5012XA - Contusion of left forearm, initial encounter | $1,530 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,117 | ||||
| Total Medicare payment per Hospitalization with ICD S5012XA - Contusion of left forearm, initial encounter | $5,192 | ||||
| Total Medicare Charges at DRG | $1,321,005,538 | ||||
| Total Medicare Charges with ICD S5012XA - Contusion of left forearm, initial encounter | $4,748,113 | ||||
| Avg Charges at DRG | $28,851 | ||||
| Avg Charges with ICD S5012XA - Contusion of left forearm, initial encounter | $28,263 | ||||
| Mortality Rate at DRG | 0.2 | ||||
| Mortality Rate with ICD S5012XA - Contusion of left forearm, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 32.81 | ||||
| SNF Discharge Rate with ICD S5012XA - Contusion of left forearm, initial encounter | 27.38 | ||||
| Home Discharge Rate at DRG | 35.13 | ||||
| Home Discharge Rate with ICD S5012XA - Contusion of left forearm, initial encounter | 37.5 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 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 885: PSYCHOSES | DRG 312: SYNCOPE AND COLLAPSE | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 45,787 | ||||
| Total Hospitalizations with ICD S5012XA - Contusion of left forearm, initial encounter | 348 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD S5012XA - Contusion of left forearm, initial encounter in DRG | 6.53 | ||||
| Avg LOS at DRG | 3.25 | ||||
| Avg LOS with ICD S5012XA - Contusion of left forearm, initial encounter | 3.25 | ||||
| Readmission Rate at DRG | 18.27 | ||||
| Readmission Rate with ICD S5012XA - Contusion of left forearm, initial encounter | 16.72 | ||||
| Unplanned Readmission Rate at DRG | 10.63 | ||||
| Unplanned Readmission Rate with ICD S5012XA - Contusion of left forearm, initial encounter | 10.15 | ||||
| Total Medicare payments at DRG | $234,309,332 | ||||
| Total Medicare payments with ICD S5012XA - Contusion of left forearm, initial encounter | $1,818,183 | ||||
| Total Medicare payment per Day at DRG | $1,573 | ||||
| Total Medicare payment per Day with ICD S5012XA - Contusion of left forearm, initial encounter | $1,609 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,117 | ||||
| Total Medicare payment per Hospitalization with ICD S5012XA - Contusion of left forearm, initial encounter | $5,225 | ||||
| Total Medicare Charges at DRG | $1,321,005,538 | ||||
| Total Medicare Charges with ICD S5012XA - Contusion of left forearm, initial encounter | $9,856,237 | ||||
| Avg Charges at DRG | $28,851 | ||||
| Avg Charges with ICD S5012XA - Contusion of left forearm, initial encounter | $28,323 | ||||
| Mortality Rate at DRG | 0.2 | ||||
| Mortality Rate with ICD S5012XA - Contusion of left forearm, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 32.81 | ||||
| SNF Discharge Rate with ICD S5012XA - Contusion of left forearm, initial encounter | 31.32 | ||||
| Home Discharge Rate at DRG | 35.13 | ||||
| Home Discharge Rate with ICD S5012XA - Contusion of left forearm, initial encounter | 36.78 |
*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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 195,476 | ||||
| Total Hospitalizations with ICD S5012XA - Contusion of left forearm, initial encounter | 99 | ||||
| DRG Share of Total Hospitalizations | 0.59 | ||||
| % of Total ICD S5012XA - Contusion of left forearm, initial encounter in DRG | 1.86 | ||||
| Avg LOS at DRG | 4.48 | ||||
| Avg LOS with ICD S5012XA - Contusion of left forearm, initial encounter | 3.88 | ||||
| Readmission Rate at DRG | 20.57 | ||||
| Readmission Rate with ICD S5012XA - Contusion of left forearm, initial encounter | 22.34 | ||||
| Unplanned Readmission Rate at DRG | 9.88 | ||||
| Unplanned Readmission Rate with ICD S5012XA - Contusion of left forearm, initial encounter | NA | ||||
| Total Medicare payments at DRG | $1,320,662,237 | ||||
| Total Medicare payments with ICD S5012XA - Contusion of left forearm, initial encounter | $547,880 | ||||
| Total Medicare payment per Day at DRG | $1,508 | ||||
| Total Medicare payment per Day with ICD S5012XA - Contusion of left forearm, initial encounter | $1,427 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,756 | ||||
| Total Medicare payment per Hospitalization with ICD S5012XA - Contusion of left forearm, initial encounter | $5,534 | ||||
| Total Medicare Charges at DRG | $6,024,639,461 | ||||
| Total Medicare Charges with ICD S5012XA - Contusion of left forearm, initial encounter | $3,732,477 | ||||
| Avg Charges at DRG | $30,820 | ||||
| Avg Charges with ICD S5012XA - Contusion of left forearm, initial encounter | $37,702 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD S5012XA - Contusion of left forearm, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 33.36 | ||||
| SNF Discharge Rate with ICD S5012XA - Contusion of left forearm, initial encounter | 41.41 | ||||
| Home Discharge Rate at DRG | 30.98 | ||||
| Home Discharge Rate with ICD S5012XA - Contusion of left forearm, initial encounter | 18.18 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT 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 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 359,935 | ||||
| Total Hospitalizations with ICD S5012XA - Contusion of left forearm, initial encounter | 85 | ||||
| DRG Share of Total Hospitalizations | 1.1 | ||||
| % of Total ICD S5012XA - Contusion of left forearm, initial encounter in DRG | 1.6 | ||||
| Avg LOS at DRG | 12.3 | ||||
| Avg LOS with ICD S5012XA - Contusion of left forearm, initial encounter | 12.62 | ||||
| Readmission Rate at DRG | 16.01 | ||||
| Readmission Rate with ICD S5012XA - Contusion of left forearm, initial encounter | NA | ||||
| Unplanned Readmission Rate at DRG | 9.86 | ||||
| Unplanned Readmission Rate with ICD S5012XA - Contusion of left forearm, initial encounter | NA | ||||
| Total Medicare payments at DRG | $5,883,826,653 | ||||
| Total Medicare payments with ICD S5012XA - Contusion of left forearm, initial encounter | $1,187,242 | ||||
| Total Medicare payment per Day at DRG | $1,329 | ||||
| Total Medicare payment per Day with ICD S5012XA - Contusion of left forearm, initial encounter | $1,106 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
| Total Medicare payment per Hospitalization with ICD S5012XA - Contusion of left forearm, initial encounter | $13,968 | ||||
| Total Medicare Charges at DRG | $15,374,824,749 | ||||
| Total Medicare Charges with ICD S5012XA - Contusion of left forearm, initial encounter | $3,844,489 | ||||
| Avg Charges at DRG | $42,716 | ||||
| Avg Charges with ICD S5012XA - Contusion of left forearm, initial encounter | $45,229 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD S5012XA - Contusion of left forearm, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 27.95 | ||||
| SNF Discharge Rate with ICD S5012XA - Contusion of left forearm, initial encounter | 43.53 | ||||
| Home Discharge Rate at DRG | 26.85 | ||||
| Home Discharge Rate with ICD S5012XA - Contusion of left forearm, 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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 604: TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 184: MAJOR CHEST TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD S5012XA - Contusion of left forearm, initial encounter | 71 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD S5012XA - Contusion of left forearm, initial encounter in DRG | 1.33 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD S5012XA - Contusion of left forearm, initial encounter | 4.89 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD S5012XA - Contusion of left forearm, initial encounter | 36.23 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD S5012XA - Contusion of left forearm, initial encounter | NA | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD S5012XA - Contusion of left forearm, initial encounter | $981,048 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD S5012XA - Contusion of left forearm, initial encounter | $2,827 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD S5012XA - Contusion of left forearm, initial encounter | $13,818 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD S5012XA - Contusion of left forearm, initial encounter | $4,607,977 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD S5012XA - Contusion of left forearm, initial encounter | $64,901 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD S5012XA - Contusion of left forearm, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD S5012XA - Contusion of left forearm, initial encounter | 60.56 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD S5012XA - Contusion of left forearm, initial encounter | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 30 |
| LOGAN REGIONAL MEDICAL CENTER | 20 HOSPITAL DR | LOGAN | WV | 25601 | 23 |
| CHG HOSPITAL MCALLEN, LLC | 301 W EXPRESSWAY 83 FL 8 | MCALLEN | TX | 78503 | 22 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. STANLEY E OKOSUN | 2300 S 16TH ST | LINCOLN | NE | 68502 | 12 |