*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture - as a primary diagnosis code | S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.9 | |
| Readmission Rate (%) | 27.37 | |
| Unplanned Readmission Rate (%) | 11.11 | |
| 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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 469: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture | 143 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture in DRG | 35.31 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture | 4.93 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture | 29.5 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture | 12.23 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture | $1,838,129 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture | $2,607 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture | $12,854 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture | $10,160,011 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture | $71,049 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture | 62.94 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture | 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 535: FRACTURES OF HIP AND PELVIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 88,007 | |
| Total Hospitalizations with ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture | 23 | |
| DRG Share of Total Hospitalizations | 0.27 | |
| % of Total ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture in DRG | 5.68 | |
| Avg LOS at DRG | 7.38 | |
| Avg LOS with ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture | 14.39 | |
| Readmission Rate at DRG | 29.95 | |
| Readmission Rate with ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture | NA | |
| Unplanned Readmission Rate at DRG | 12.78 | |
| Unplanned Readmission Rate with ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture | NA | |
| Total Medicare payments at DRG | $1,679,975,081 | |
| Total Medicare payments with ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture | $389,397 | |
| Total Medicare payment per Day at DRG | $2,585 | |
| Total Medicare payment per Day with ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture | $1,176 | |
| Total Medicare payment per Hospitalization at DRG | $19,089 | |
| Total Medicare payment per Hospitalization with ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture | $16,930 | |
| Total Medicare Charges at DRG | $8,209,996,060 | |
| Total Medicare Charges with ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture | $3,029,768 | |
| Avg Charges at DRG | $93,288 | |
| Avg Charges with ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture | $131,729 | |
| Mortality Rate at DRG | 5.86 | |
| Mortality Rate with ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture | NA | |
| SNF Discharge Rate at DRG | 63.57 | |
| SNF Discharge Rate with ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture | 47.83 | |
| Home Discharge Rate at DRG | 2.5 | |
| Home Discharge Rate with ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture | 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 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 469: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 536: FRACTURES OF HIP AND PELVIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture | 162 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture in DRG | 16.09 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture | 4.76 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture | 28.48 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture | 12.03 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture | $2,053,974 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture | $2,664 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture | $12,679 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture | $11,369,884 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture | $70,184 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture | 61.73 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture | 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 482: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 466: REVISION OF HIP OR KNEE REPLACEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 964: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) | DRG 956: LIMB REATTACHMENT, HIP AND FEMUR PROC FOR MULTIPLE SIGNIFICANT TRAUMA | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 88,007 | ||||
| Total Hospitalizations with ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture | 48 | ||||
| DRG Share of Total Hospitalizations | 0.27 | ||||
| % of Total ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture in DRG | 4.77 | ||||
| Avg LOS at DRG | 7.38 | ||||
| Avg LOS with ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture | 11.71 | ||||
| Readmission Rate at DRG | 29.95 | ||||
| Readmission Rate with ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture | 44.44 | ||||
| Unplanned Readmission Rate at DRG | 12.78 | ||||
| Unplanned Readmission Rate with ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture | NA | ||||
| Total Medicare payments at DRG | $1,679,975,081 | ||||
| Total Medicare payments with ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture | $929,404 | ||||
| Total Medicare payment per Day at DRG | $2,585 | ||||
| Total Medicare payment per Day with ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture | $1,654 | ||||
| Total Medicare payment per Hospitalization at DRG | $19,089 | ||||
| Total Medicare payment per Hospitalization with ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture | $19,363 | ||||
| Total Medicare Charges at DRG | $8,209,996,060 | ||||
| Total Medicare Charges with ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture | $6,458,318 | ||||
| Avg Charges at DRG | $93,288 | ||||
| Avg Charges with ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture | $134,548 | ||||
| Mortality Rate at DRG | 5.86 | ||||
| Mortality Rate with ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture | NA | ||||
| SNF Discharge Rate at DRG | 63.57 | ||||
| SNF Discharge Rate with ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture | 47.92 | ||||
| Home Discharge Rate at DRG | 2.5 | ||||
| Home Discharge Rate with ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture | 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 535: FRACTURES OF HIP AND PELVIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 467: REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 25,743 | ||||
| Total Hospitalizations with ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture | 16 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture in DRG | 1.59 | ||||
| Avg LOS at DRG | 5.12 | ||||
| Avg LOS with ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture | 4.75 | ||||
| Readmission Rate at DRG | 23.06 | ||||
| Readmission Rate with ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture | NA | ||||
| Unplanned Readmission Rate at DRG | 11.04 | ||||
| Unplanned Readmission Rate with ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture | NA | ||||
| Total Medicare payments at DRG | $210,624,489 | ||||
| Total Medicare payments with ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture | $144,316 | ||||
| Total Medicare payment per Day at DRG | $1,597 | ||||
| Total Medicare payment per Day with ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture | $1,899 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,182 | ||||
| Total Medicare payment per Hospitalization with ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture | $9,020 | ||||
| Total Medicare Charges at DRG | $990,174,326 | ||||
| Total Medicare Charges with ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture | $794,245 | ||||
| Avg Charges at DRG | $38,464 | ||||
| Avg Charges with ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture | $49,640 | ||||
| Mortality Rate at DRG | 8.45 | ||||
| Mortality Rate with ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture | NA | ||||
| SNF Discharge Rate at DRG | 50.96 | ||||
| SNF Discharge Rate with ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture | NA | ||||
| Home Discharge Rate at DRG | 4.79 | ||||
| Home Discharge Rate with ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture | 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 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture | 13 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture in DRG | 1.29 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture | 4.08 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture | NA | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture | NA | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture | $115,722 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture | $2,183 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture | $8,902 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture | $337,210 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture | $25,939 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture | NA | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture | NA | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD S72009A - Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture | NA |