*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| S8001XA - Contusion of right knee, initial encounter - as a primary diagnosis code | S8001XA - Contusion of right knee, initial encounter - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 4.92 | |
| Readmission Rate (%) | 22.99 | |
| Unplanned Readmission Rate (%) | 12.26 | |
| 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 988: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 45,787 | ||||
| Total Hospitalizations with ICD S8001XA - Contusion of right knee, initial encounter | 1,362 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD S8001XA - Contusion of right knee, initial encounter in DRG | 75.08 | ||||
| Avg LOS at DRG | 3.25 | ||||
| Avg LOS with ICD S8001XA - Contusion of right knee, initial encounter | 3.55 | ||||
| Readmission Rate at DRG | 18.27 | ||||
| Readmission Rate with ICD S8001XA - Contusion of right knee, initial encounter | 19.08 | ||||
| Unplanned Readmission Rate at DRG | 10.63 | ||||
| Unplanned Readmission Rate with ICD S8001XA - Contusion of right knee, initial encounter | 10.8 | ||||
| Total Medicare payments at DRG | $234,309,332 | ||||
| Total Medicare payments with ICD S8001XA - Contusion of right knee, initial encounter | $6,712,103 | ||||
| Total Medicare payment per Day at DRG | $1,573 | ||||
| Total Medicare payment per Day with ICD S8001XA - Contusion of right knee, initial encounter | $1,387 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,117 | ||||
| Total Medicare payment per Hospitalization with ICD S8001XA - Contusion of right knee, initial encounter | $4,928 | ||||
| Total Medicare Charges at DRG | $1,321,005,538 | ||||
| Total Medicare Charges with ICD S8001XA - Contusion of right knee, initial encounter | $35,285,777 | ||||
| Avg Charges at DRG | $28,851 | ||||
| Avg Charges with ICD S8001XA - Contusion of right knee, initial encounter | $25,907 | ||||
| Mortality Rate at DRG | 0.2 | ||||
| Mortality Rate with ICD S8001XA - Contusion of right knee, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 32.81 | ||||
| SNF Discharge Rate with ICD S8001XA - Contusion of right knee, initial encounter | 43.54 | ||||
| Home Discharge Rate at DRG | 35.13 | ||||
| Home Discharge Rate with ICD S8001XA - Contusion of right knee, initial encounter | 23.94 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 581: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 570: SKIN DEBRIDEMENT 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 | 18,169 | ||
| Total Hospitalizations with ICD S8001XA - Contusion of right knee, initial encounter | 20 | ||
| DRG Share of Total Hospitalizations | 0.06 | ||
| % of Total ICD S8001XA - Contusion of right knee, initial encounter in DRG | 1.1 | ||
| Avg LOS at DRG | 2.77 | ||
| Avg LOS with ICD S8001XA - Contusion of right knee, initial encounter | 3.9 | ||
| Readmission Rate at DRG | 8.43 | ||
| Readmission Rate with ICD S8001XA - Contusion of right knee, initial encounter | NA | ||
| Unplanned Readmission Rate at DRG | 4.51 | ||
| Unplanned Readmission Rate with ICD S8001XA - Contusion of right knee, initial encounter | NA | ||
| Total Medicare payments at DRG | $125,868,264 | ||
| Total Medicare payments with ICD S8001XA - Contusion of right knee, initial encounter | $124,024 | ||
| Total Medicare payment per Day at DRG | $2,503 | ||
| Total Medicare payment per Day with ICD S8001XA - Contusion of right knee, initial encounter | $1,590 | ||
| Total Medicare payment per Hospitalization at DRG | $6,928 | ||
| Total Medicare payment per Hospitalization with ICD S8001XA - Contusion of right knee, initial encounter | $6,201 | ||
| Total Medicare Charges at DRG | $793,060,397 | ||
| Total Medicare Charges with ICD S8001XA - Contusion of right knee, initial encounter | $641,191 | ||
| Avg Charges at DRG | $43,649 | ||
| Avg Charges with ICD S8001XA - Contusion of right knee, initial encounter | $32,060 | ||
| Mortality Rate at DRG | NA | ||
| Mortality Rate with ICD S8001XA - Contusion of right knee, initial encounter | NA | ||
| SNF Discharge Rate at DRG | 6.85 | ||
| SNF Discharge Rate with ICD S8001XA - Contusion of right knee, initial encounter | NA | ||
| Home Discharge Rate at DRG | 61.18 | ||
| Home Discharge Rate with ICD S8001XA - Contusion of right knee, 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 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 312: SYNCOPE AND COLLAPSE | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 45,787 | ||||
| Total Hospitalizations with ICD S8001XA - Contusion of right knee, initial encounter | 2,164 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD S8001XA - Contusion of right knee, initial encounter in DRG | 8.85 | ||||
| Avg LOS at DRG | 3.25 | ||||
| Avg LOS with ICD S8001XA - Contusion of right knee, initial encounter | 3.42 | ||||
| Readmission Rate at DRG | 18.27 | ||||
| Readmission Rate with ICD S8001XA - Contusion of right knee, initial encounter | 19.17 | ||||
| Unplanned Readmission Rate at DRG | 10.63 | ||||
| Unplanned Readmission Rate with ICD S8001XA - Contusion of right knee, initial encounter | 10.86 | ||||
| Total Medicare payments at DRG | $234,309,332 | ||||
| Total Medicare payments with ICD S8001XA - Contusion of right knee, initial encounter | $10,636,577 | ||||
| Total Medicare payment per Day at DRG | $1,573 | ||||
| Total Medicare payment per Day with ICD S8001XA - Contusion of right knee, initial encounter | $1,438 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,117 | ||||
| Total Medicare payment per Hospitalization with ICD S8001XA - Contusion of right knee, initial encounter | $4,915 | ||||
| Total Medicare Charges at DRG | $1,321,005,538 | ||||
| Total Medicare Charges with ICD S8001XA - Contusion of right knee, initial encounter | $59,280,965 | ||||
| Avg Charges at DRG | $28,851 | ||||
| Avg Charges with ICD S8001XA - Contusion of right knee, initial encounter | $27,394 | ||||
| Mortality Rate at DRG | 0.2 | ||||
| Mortality Rate with ICD S8001XA - Contusion of right knee, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 32.81 | ||||
| SNF Discharge Rate with ICD S8001XA - Contusion of right knee, initial encounter | 43.11 | ||||
| Home Discharge Rate at DRG | 35.13 | ||||
| Home Discharge Rate with ICD S8001XA - Contusion of right knee, initial encounter | 24.45 |
*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 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 086: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD S8001XA - Contusion of right knee, initial encounter | 633 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD S8001XA - Contusion of right knee, initial encounter in DRG | 2.59 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD S8001XA - Contusion of right knee, initial encounter | 6.45 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD S8001XA - Contusion of right knee, initial encounter | 26.0 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD S8001XA - Contusion of right knee, initial encounter | 16.36 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD S8001XA - Contusion of right knee, initial encounter | $7,164,081 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD S8001XA - Contusion of right knee, initial encounter | $1,755 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD S8001XA - Contusion of right knee, initial encounter | $11,318 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD S8001XA - Contusion of right knee, initial encounter | $35,602,550 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD S8001XA - Contusion of right knee, initial encounter | $56,244 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD S8001XA - Contusion of right knee, initial encounter | 7.74 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD S8001XA - Contusion of right knee, initial encounter | 44.87 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD S8001XA - Contusion of right knee, initial encounter | 14.53 |
*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 604: TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 558: TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 240,618 | ||||
| Total Hospitalizations with ICD S8001XA - Contusion of right knee, initial encounter | 363 | ||||
| DRG Share of Total Hospitalizations | 0.73 | ||||
| % of Total ICD S8001XA - Contusion of right knee, initial encounter in DRG | 1.49 | ||||
| Avg LOS at DRG | 4.81 | ||||
| Avg LOS with ICD S8001XA - Contusion of right knee, initial encounter | 5.09 | ||||
| Readmission Rate at DRG | 26.3 | ||||
| Readmission Rate with ICD S8001XA - Contusion of right knee, initial encounter | 29.55 | ||||
| Unplanned Readmission Rate at DRG | 7.83 | ||||
| Unplanned Readmission Rate with ICD S8001XA - Contusion of right knee, initial encounter | 9.94 | ||||
| Total Medicare payments at DRG | $2,989,116,299 | ||||
| Total Medicare payments with ICD S8001XA - Contusion of right knee, initial encounter | $4,467,247 | ||||
| Total Medicare payment per Day at DRG | $2,581 | ||||
| Total Medicare payment per Day with ICD S8001XA - Contusion of right knee, initial encounter | $2,416 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,423 | ||||
| Total Medicare payment per Hospitalization with ICD S8001XA - Contusion of right knee, initial encounter | $12,306 | ||||
| Total Medicare Charges at DRG | $15,603,027,471 | ||||
| Total Medicare Charges with ICD S8001XA - Contusion of right knee, initial encounter | $24,096,272 | ||||
| Avg Charges at DRG | $64,846 | ||||
| Avg Charges with ICD S8001XA - Contusion of right knee, initial encounter | $66,381 | ||||
| Mortality Rate at DRG | 0.4 | ||||
| Mortality Rate with ICD S8001XA - Contusion of right knee, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 66.28 | ||||
| SNF Discharge Rate with ICD S8001XA - Contusion of right knee, initial encounter | 69.7 | ||||
| Home Discharge Rate at DRG | 3.84 | ||||
| Home Discharge Rate with ICD S8001XA - Contusion of right knee, 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 565: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 184: MAJOR CHEST TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 23,663 | ||||
| Total Hospitalizations with ICD S8001XA - Contusion of right knee, initial encounter | 335 | ||||
| DRG Share of Total Hospitalizations | 0.07 | ||||
| % of Total ICD S8001XA - Contusion of right knee, initial encounter in DRG | 1.37 | ||||
| Avg LOS at DRG | 4.81 | ||||
| Avg LOS with ICD S8001XA - Contusion of right knee, initial encounter | 3.84 | ||||
| Readmission Rate at DRG | 21.07 | ||||
| Readmission Rate with ICD S8001XA - Contusion of right knee, initial encounter | 16.51 | ||||
| Unplanned Readmission Rate at DRG | 11.02 | ||||
| Unplanned Readmission Rate with ICD S8001XA - Contusion of right knee, initial encounter | 7.48 | ||||
| Total Medicare payments at DRG | $163,590,689 | ||||
| Total Medicare payments with ICD S8001XA - Contusion of right knee, initial encounter | $1,997,521 | ||||
| Total Medicare payment per Day at DRG | $1,438 | ||||
| Total Medicare payment per Day with ICD S8001XA - Contusion of right knee, initial encounter | $1,553 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,913 | ||||
| Total Medicare payment per Hospitalization with ICD S8001XA - Contusion of right knee, initial encounter | $5,963 | ||||
| Total Medicare Charges at DRG | $779,108,044 | ||||
| Total Medicare Charges with ICD S8001XA - Contusion of right knee, initial encounter | $9,966,201 | ||||
| Avg Charges at DRG | $32,925 | ||||
| Avg Charges with ICD S8001XA - Contusion of right knee, initial encounter | $29,750 | ||||
| Mortality Rate at DRG | 0.29 | ||||
| Mortality Rate with ICD S8001XA - Contusion of right knee, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 39.56 | ||||
| SNF Discharge Rate with ICD S8001XA - Contusion of right knee, initial encounter | 54.63 | ||||
| Home Discharge Rate at DRG | 25.13 | ||||
| Home Discharge Rate with ICD S8001XA - Contusion of right knee, initial encounter | 17.01 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| LEHIGH VALLEY HOSPITAL - CEDAR CREST | 1200 S CEDAR CREST BLVD | ALLENTOWN | PA | 18103 | 78 |
| SARASOTA MEMORIAL HOSPITAL | 1700 S TAMIAMI TRL | SARASOTA | FL | 34239 | 71 |
| BEAUMONT HOSPITAL TROY | 44201 DEQUINDRE RD | TROY | MI | 48085 | 69 |
| 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 | 19 |
| Dr. JAMES G. SCHWENDIG | 9888 GENESEE AVE | LA JOLLA | CA | 92037 | 13 |