*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| S51012A - Laceration without foreign body of left elbow, initial encounter - as a primary diagnosis code | S51012A - Laceration without foreign body of left elbow, initial encounter - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.4 | |
| Readmission Rate (%) | 23.96 | |
| Unplanned Readmission Rate (%) | 11.96 | |
| 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) | 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 S51012A - Laceration without foreign body of left elbow, initial encounter | 97 | |||
| DRG Share of Total Hospitalizations | 0.14 | |||
| % of Total ICD S51012A - Laceration without foreign body of left elbow, initial encounter in DRG | 50.26 | |||
| Avg LOS at DRG | 3.25 | |||
| Avg LOS with ICD S51012A - Laceration without foreign body of left elbow, initial encounter | 3.23 | |||
| Readmission Rate at DRG | 18.27 | |||
| Readmission Rate with ICD S51012A - Laceration without foreign body of left elbow, initial encounter | 21.98 | |||
| Unplanned Readmission Rate at DRG | 10.63 | |||
| Unplanned Readmission Rate with ICD S51012A - Laceration without foreign body of left elbow, initial encounter | 13.19 | |||
| Total Medicare payments at DRG | $234,309,332 | |||
| Total Medicare payments with ICD S51012A - Laceration without foreign body of left elbow, initial encounter | $505,755 | |||
| Total Medicare payment per Day at DRG | $1,573 | |||
| Total Medicare payment per Day with ICD S51012A - Laceration without foreign body of left elbow, initial encounter | $1,616 | |||
| Total Medicare payment per Hospitalization at DRG | $5,117 | |||
| Total Medicare payment per Hospitalization with ICD S51012A - Laceration without foreign body of left elbow, initial encounter | $5,214 | |||
| Total Medicare Charges at DRG | $1,321,005,538 | |||
| Total Medicare Charges with ICD S51012A - Laceration without foreign body of left elbow, initial encounter | $2,679,622 | |||
| Avg Charges at DRG | $28,851 | |||
| Avg Charges with ICD S51012A - Laceration without foreign body of left elbow, initial encounter | $27,625 | |||
| Mortality Rate at DRG | 0.2 | |||
| Mortality Rate with ICD S51012A - Laceration without foreign body of left elbow, initial encounter | NA | |||
| SNF Discharge Rate at DRG | 32.81 | |||
| SNF Discharge Rate with ICD S51012A - Laceration without foreign body of left elbow, initial encounter | 31.96 | |||
| Home Discharge Rate at DRG | 35.13 | |||
| Home Discharge Rate with ICD S51012A - Laceration without foreign body of left elbow, initial encounter | 40.21 |
*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 S51012A - Laceration without foreign body of left elbow, initial encounter | 741 | ||||
| DRG Share of Total Hospitalizations | 0.73 | ||||
| % of Total ICD S51012A - Laceration without foreign body of left elbow, initial encounter in DRG | 5.7 | ||||
| Avg LOS at DRG | 4.81 | ||||
| Avg LOS with ICD S51012A - Laceration without foreign body of left elbow, initial encounter | 4.77 | ||||
| Readmission Rate at DRG | 26.3 | ||||
| Readmission Rate with ICD S51012A - Laceration without foreign body of left elbow, initial encounter | 29.18 | ||||
| Unplanned Readmission Rate at DRG | 7.83 | ||||
| Unplanned Readmission Rate with ICD S51012A - Laceration without foreign body of left elbow, initial encounter | 9.92 | ||||
| Total Medicare payments at DRG | $2,989,116,299 | ||||
| Total Medicare payments with ICD S51012A - Laceration without foreign body of left elbow, initial encounter | $9,092,392 | ||||
| Total Medicare payment per Day at DRG | $2,581 | ||||
| Total Medicare payment per Day with ICD S51012A - Laceration without foreign body of left elbow, initial encounter | $2,570 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,423 | ||||
| Total Medicare payment per Hospitalization with ICD S51012A - Laceration without foreign body of left elbow, initial encounter | $12,270 | ||||
| Total Medicare Charges at DRG | $15,603,027,471 | ||||
| Total Medicare Charges with ICD S51012A - Laceration without foreign body of left elbow, initial encounter | $46,130,854 | ||||
| Avg Charges at DRG | $64,846 | ||||
| Avg Charges with ICD S51012A - Laceration without foreign body of left elbow, initial encounter | $62,255 | ||||
| Mortality Rate at DRG | 0.4 | ||||
| Mortality Rate with ICD S51012A - Laceration without foreign body of left elbow, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 66.28 | ||||
| SNF Discharge Rate with ICD S51012A - Laceration without foreign body of left elbow, initial encounter | 71.79 | ||||
| Home Discharge Rate at DRG | 3.84 | ||||
| Home Discharge Rate with ICD S51012A - Laceration without foreign body of left elbow, initial encounter | 2.16 |
*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 480: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH 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 086: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 45,787 | ||||
| Total Hospitalizations with ICD S51012A - Laceration without foreign body of left elbow, initial encounter | 314 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD S51012A - Laceration without foreign body of left elbow, initial encounter in DRG | 2.41 | ||||
| Avg LOS at DRG | 3.25 | ||||
| Avg LOS with ICD S51012A - Laceration without foreign body of left elbow, initial encounter | 3.21 | ||||
| Readmission Rate at DRG | 18.27 | ||||
| Readmission Rate with ICD S51012A - Laceration without foreign body of left elbow, initial encounter | 19.86 | ||||
| Unplanned Readmission Rate at DRG | 10.63 | ||||
| Unplanned Readmission Rate with ICD S51012A - Laceration without foreign body of left elbow, initial encounter | 10.45 | ||||
| Total Medicare payments at DRG | $234,309,332 | ||||
| Total Medicare payments with ICD S51012A - Laceration without foreign body of left elbow, initial encounter | $1,580,848 | ||||
| Total Medicare payment per Day at DRG | $1,573 | ||||
| Total Medicare payment per Day with ICD S51012A - Laceration without foreign body of left elbow, initial encounter | $1,568 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,117 | ||||
| Total Medicare payment per Hospitalization with ICD S51012A - Laceration without foreign body of left elbow, initial encounter | $5,035 | ||||
| Total Medicare Charges at DRG | $1,321,005,538 | ||||
| Total Medicare Charges with ICD S51012A - Laceration without foreign body of left elbow, initial encounter | $9,309,626 | ||||
| Avg Charges at DRG | $28,851 | ||||
| Avg Charges with ICD S51012A - Laceration without foreign body of left elbow, initial encounter | $29,648 | ||||
| Mortality Rate at DRG | 0.2 | ||||
| Mortality Rate with ICD S51012A - Laceration without foreign body of left elbow, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 32.81 | ||||
| SNF Discharge Rate with ICD S51012A - Laceration without foreign body of left elbow, initial encounter | 35.99 | ||||
| Home Discharge Rate at DRG | 35.13 | ||||
| Home Discharge Rate with ICD S51012A - Laceration without foreign body of left elbow, initial encounter | 31.21 |
*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 184: MAJOR CHEST TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) | DRG 469: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 195,476 | ||||
| Total Hospitalizations with ICD S51012A - Laceration without foreign body of left elbow, initial encounter | 247 | ||||
| DRG Share of Total Hospitalizations | 0.59 | ||||
| % of Total ICD S51012A - Laceration without foreign body of left elbow, initial encounter in DRG | 1.9 | ||||
| Avg LOS at DRG | 4.48 | ||||
| Avg LOS with ICD S51012A - Laceration without foreign body of left elbow, initial encounter | 3.57 | ||||
| Readmission Rate at DRG | 20.57 | ||||
| Readmission Rate with ICD S51012A - Laceration without foreign body of left elbow, initial encounter | 21.93 | ||||
| Unplanned Readmission Rate at DRG | 9.88 | ||||
| Unplanned Readmission Rate with ICD S51012A - Laceration without foreign body of left elbow, initial encounter | 8.77 | ||||
| Total Medicare payments at DRG | $1,320,662,237 | ||||
| Total Medicare payments with ICD S51012A - Laceration without foreign body of left elbow, initial encounter | $1,314,545 | ||||
| Total Medicare payment per Day at DRG | $1,508 | ||||
| Total Medicare payment per Day with ICD S51012A - Laceration without foreign body of left elbow, initial encounter | $1,489 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,756 | ||||
| Total Medicare payment per Hospitalization with ICD S51012A - Laceration without foreign body of left elbow, initial encounter | $5,322 | ||||
| Total Medicare Charges at DRG | $6,024,639,461 | ||||
| Total Medicare Charges with ICD S51012A - Laceration without foreign body of left elbow, initial encounter | $8,966,524 | ||||
| Avg Charges at DRG | $30,820 | ||||
| Avg Charges with ICD S51012A - Laceration without foreign body of left elbow, initial encounter | $36,302 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD S51012A - Laceration without foreign body of left elbow, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 33.36 | ||||
| SNF Discharge Rate with ICD S51012A - Laceration without foreign body of left elbow, initial encounter | 45.75 | ||||
| Home Discharge Rate at DRG | 30.98 | ||||
| Home Discharge Rate with ICD S51012A - Laceration without foreign body of left elbow, initial encounter | 18.62 |
*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 482: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD S51012A - Laceration without foreign body of left elbow, initial encounter | 196 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD S51012A - Laceration without foreign body of left elbow, initial encounter in DRG | 1.51 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD S51012A - Laceration without foreign body of left elbow, initial encounter | 6.0 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD S51012A - Laceration without foreign body of left elbow, initial encounter | 26.01 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD S51012A - Laceration without foreign body of left elbow, initial encounter | 21.39 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD S51012A - Laceration without foreign body of left elbow, initial encounter | $1,868,889 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD S51012A - Laceration without foreign body of left elbow, initial encounter | $1,589 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD S51012A - Laceration without foreign body of left elbow, initial encounter | $9,535 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD S51012A - Laceration without foreign body of left elbow, initial encounter | $8,757,223 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD S51012A - Laceration without foreign body of left elbow, initial encounter | $44,680 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD S51012A - Laceration without foreign body of left elbow, initial encounter | 7.65 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD S51012A - Laceration without foreign body of left elbow, initial encounter | 41.84 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD S51012A - Laceration without foreign body of left elbow, initial encounter | 12.24 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| SARASOTA MEMORIAL HOSPITAL | 1700 S TAMIAMI TRL | SARASOTA | FL | 34239 | 72 |
| LAKELAND REGIONAL MEDICAL CENTER | 1324 LAKELAND HILLS BLVD | LAKELAND | FL | 33805 | 43 |
| MARTIN MEDICAL CENTER | 200 SE HOSPITAL AVE | STUART | FL | 34994 | 43 |
| 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 |
| Dr. CHRISTIAN R SCHUETZ | 2042 FRIST BLVD | FORT PIERCE | FL | 34950 | 11 |