*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| S51011A - Laceration without foreign body of right elbow, initial encounter - as a primary diagnosis code | S51011A - Laceration without foreign body of right elbow, initial encounter - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.33 | |
| Readmission Rate (%) | 23.35 | |
| Unplanned Readmission Rate (%) | 9.33 | |
| 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 580: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | 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 S51011A - Laceration without foreign body of right elbow, initial encounter | 80 | ||
| DRG Share of Total Hospitalizations | 0.14 | ||
| % of Total ICD S51011A - Laceration without foreign body of right elbow, initial encounter in DRG | 51.28 | ||
| Avg LOS at DRG | 3.25 | ||
| Avg LOS with ICD S51011A - Laceration without foreign body of right elbow, initial encounter | 2.77 | ||
| Readmission Rate at DRG | 18.27 | ||
| Readmission Rate with ICD S51011A - Laceration without foreign body of right elbow, initial encounter | 19.48 | ||
| Unplanned Readmission Rate at DRG | 10.63 | ||
| Unplanned Readmission Rate with ICD S51011A - Laceration without foreign body of right elbow, initial encounter | 14.29 | ||
| Total Medicare payments at DRG | $234,309,332 | ||
| Total Medicare payments with ICD S51011A - Laceration without foreign body of right elbow, initial encounter | $379,104 | ||
| Total Medicare payment per Day at DRG | $1,573 | ||
| Total Medicare payment per Day with ICD S51011A - Laceration without foreign body of right elbow, initial encounter | $1,708 | ||
| Total Medicare payment per Hospitalization at DRG | $5,117 | ||
| Total Medicare payment per Hospitalization with ICD S51011A - Laceration without foreign body of right elbow, initial encounter | $4,739 | ||
| Total Medicare Charges at DRG | $1,321,005,538 | ||
| Total Medicare Charges with ICD S51011A - Laceration without foreign body of right elbow, initial encounter | $2,057,738 | ||
| Avg Charges at DRG | $28,851 | ||
| Avg Charges with ICD S51011A - Laceration without foreign body of right elbow, initial encounter | $25,722 | ||
| Mortality Rate at DRG | 0.2 | ||
| Mortality Rate with ICD S51011A - Laceration without foreign body of right elbow, initial encounter | NA | ||
| SNF Discharge Rate at DRG | 32.81 | ||
| SNF Discharge Rate with ICD S51011A - Laceration without foreign body of right elbow, initial encounter | 41.25 | ||
| Home Discharge Rate at DRG | 35.13 | ||
| Home Discharge Rate with ICD S51011A - Laceration without foreign body of right elbow, initial encounter | 32.5 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 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 536: FRACTURES OF HIP AND PELVIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 312: SYNCOPE AND COLLAPSE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 240,618 | ||||
| Total Hospitalizations with ICD S51011A - Laceration without foreign body of right elbow, initial encounter | 794 | ||||
| DRG Share of Total Hospitalizations | 0.73 | ||||
| % of Total ICD S51011A - Laceration without foreign body of right elbow, initial encounter in DRG | 6.39 | ||||
| Avg LOS at DRG | 4.81 | ||||
| Avg LOS with ICD S51011A - Laceration without foreign body of right elbow, initial encounter | 4.95 | ||||
| Readmission Rate at DRG | 26.3 | ||||
| Readmission Rate with ICD S51011A - Laceration without foreign body of right elbow, initial encounter | 24.87 | ||||
| Unplanned Readmission Rate at DRG | 7.83 | ||||
| Unplanned Readmission Rate with ICD S51011A - Laceration without foreign body of right elbow, initial encounter | 9.52 | ||||
| Total Medicare payments at DRG | $2,989,116,299 | ||||
| Total Medicare payments with ICD S51011A - Laceration without foreign body of right elbow, initial encounter | $10,051,835 | ||||
| Total Medicare payment per Day at DRG | $2,581 | ||||
| Total Medicare payment per Day with ICD S51011A - Laceration without foreign body of right elbow, initial encounter | $2,557 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,423 | ||||
| Total Medicare payment per Hospitalization with ICD S51011A - Laceration without foreign body of right elbow, initial encounter | $12,660 | ||||
| Total Medicare Charges at DRG | $15,603,027,471 | ||||
| Total Medicare Charges with ICD S51011A - Laceration without foreign body of right elbow, initial encounter | $50,437,871 | ||||
| Avg Charges at DRG | $64,846 | ||||
| Avg Charges with ICD S51011A - Laceration without foreign body of right elbow, initial encounter | $63,524 | ||||
| Mortality Rate at DRG | 0.4 | ||||
| Mortality Rate with ICD S51011A - Laceration without foreign body of right elbow, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 66.28 | ||||
| SNF Discharge Rate with ICD S51011A - Laceration without foreign body of right elbow, initial encounter | 74.31 | ||||
| Home Discharge Rate at DRG | 3.84 | ||||
| Home Discharge Rate with ICD S51011A - Laceration without foreign body 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 480: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 605: TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST 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 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 086: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 88,007 | ||||
| Total Hospitalizations with ICD S51011A - Laceration without foreign body of right elbow, initial encounter | 295 | ||||
| DRG Share of Total Hospitalizations | 0.27 | ||||
| % of Total ICD S51011A - Laceration without foreign body of right elbow, initial encounter in DRG | 2.38 | ||||
| Avg LOS at DRG | 7.38 | ||||
| Avg LOS with ICD S51011A - Laceration without foreign body of right elbow, initial encounter | 7.04 | ||||
| Readmission Rate at DRG | 29.95 | ||||
| Readmission Rate with ICD S51011A - Laceration without foreign body of right elbow, initial encounter | 22.71 | ||||
| Unplanned Readmission Rate at DRG | 12.78 | ||||
| Unplanned Readmission Rate with ICD S51011A - Laceration without foreign body of right elbow, initial encounter | 11.36 | ||||
| Total Medicare payments at DRG | $1,679,975,081 | ||||
| Total Medicare payments with ICD S51011A - Laceration without foreign body of right elbow, initial encounter | $5,801,284 | ||||
| Total Medicare payment per Day at DRG | $2,585 | ||||
| Total Medicare payment per Day with ICD S51011A - Laceration without foreign body of right elbow, initial encounter | $2,793 | ||||
| Total Medicare payment per Hospitalization at DRG | $19,089 | ||||
| Total Medicare payment per Hospitalization with ICD S51011A - Laceration without foreign body of right elbow, initial encounter | $19,665 | ||||
| Total Medicare Charges at DRG | $8,209,996,060 | ||||
| Total Medicare Charges with ICD S51011A - Laceration without foreign body of right elbow, initial encounter | $24,004,597 | ||||
| Avg Charges at DRG | $93,288 | ||||
| Avg Charges with ICD S51011A - Laceration without foreign body of right elbow, initial encounter | $81,372 | ||||
| Mortality Rate at DRG | 5.86 | ||||
| Mortality Rate with ICD S51011A - Laceration without foreign body of right elbow, initial encounter | 4.75 | ||||
| SNF Discharge Rate at DRG | 63.57 | ||||
| SNF Discharge Rate with ICD S51011A - Laceration without foreign body of right elbow, initial encounter | 69.83 | ||||
| Home Discharge Rate at DRG | 2.5 | ||||
| Home Discharge Rate with ICD S51011A - Laceration without foreign body 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 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 482: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 469: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 195,476 | ||||
| Total Hospitalizations with ICD S51011A - Laceration without foreign body of right elbow, initial encounter | 232 | ||||
| DRG Share of Total Hospitalizations | 0.59 | ||||
| % of Total ICD S51011A - Laceration without foreign body of right elbow, initial encounter in DRG | 1.87 | ||||
| Avg LOS at DRG | 4.48 | ||||
| Avg LOS with ICD S51011A - Laceration without foreign body of right elbow, initial encounter | 3.63 | ||||
| Readmission Rate at DRG | 20.57 | ||||
| Readmission Rate with ICD S51011A - Laceration without foreign body of right elbow, initial encounter | 23.11 | ||||
| Unplanned Readmission Rate at DRG | 9.88 | ||||
| Unplanned Readmission Rate with ICD S51011A - Laceration without foreign body of right elbow, initial encounter | 8.44 | ||||
| Total Medicare payments at DRG | $1,320,662,237 | ||||
| Total Medicare payments with ICD S51011A - Laceration without foreign body of right elbow, initial encounter | $1,191,152 | ||||
| Total Medicare payment per Day at DRG | $1,508 | ||||
| Total Medicare payment per Day with ICD S51011A - Laceration without foreign body of right elbow, initial encounter | $1,416 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,756 | ||||
| Total Medicare payment per Hospitalization with ICD S51011A - Laceration without foreign body of right elbow, initial encounter | $5,134 | ||||
| Total Medicare Charges at DRG | $6,024,639,461 | ||||
| Total Medicare Charges with ICD S51011A - Laceration without foreign body of right elbow, initial encounter | $8,672,948 | ||||
| Avg Charges at DRG | $30,820 | ||||
| Avg Charges with ICD S51011A - Laceration without foreign body of right elbow, initial encounter | $37,383 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD S51011A - Laceration without foreign body of right elbow, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 33.36 | ||||
| SNF Discharge Rate with ICD S51011A - Laceration without foreign body of right elbow, initial encounter | 50.86 | ||||
| Home Discharge Rate at DRG | 30.98 | ||||
| Home Discharge Rate with ICD S51011A - Laceration without foreign body of right elbow, initial encounter | 14.66 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 535: FRACTURES OF HIP AND PELVIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 184: MAJOR CHEST TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) | DRG 087: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD S51011A - Laceration without foreign body of right elbow, initial encounter | 181 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD S51011A - Laceration without foreign body of right elbow, initial encounter in DRG | 1.46 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD S51011A - Laceration without foreign body of right elbow, initial encounter | 5.51 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD S51011A - Laceration without foreign body of right elbow, initial encounter | 26.45 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD S51011A - Laceration without foreign body of right elbow, initial encounter | 18.71 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD S51011A - Laceration without foreign body of right elbow, initial encounter | $1,633,601 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD S51011A - Laceration without foreign body of right elbow, initial encounter | $1,637 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD S51011A - Laceration without foreign body of right elbow, initial encounter | $9,025 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD S51011A - Laceration without foreign body of right elbow, initial encounter | $7,620,318 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD S51011A - Laceration without foreign body of right elbow, initial encounter | $42,101 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD S51011A - Laceration without foreign body of right elbow, initial encounter | 8.29 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD S51011A - Laceration without foreign body of right elbow, initial encounter | 41.44 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD S51011A - Laceration without foreign body of right elbow, initial encounter | 13.26 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| SARASOTA MEMORIAL HOSPITAL | 1700 S TAMIAMI TRL | SARASOTA | FL | 34239 | 54 |
| LEE MEMORIAL HOSPITAL | 2776 CLEVELAND AVE | FT MYERS | FL | 33901 | 40 |
| LAKELAND REGIONAL MEDICAL CENTER | 1324 LAKELAND HILLS BLVD | LAKELAND | FL | 33805 | 36 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CHRISTIAN R SCHUETZ | 2042 FRIST BLVD | FORT PIERCE | FL | 34950 | 12 |