*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| S8002XA - Contusion of left knee, initial encounter - as a primary diagnosis code | S8002XA - Contusion of left knee, initial encounter - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 4.96 | |
| Readmission Rate (%) | 23.07 | |
| Unplanned Readmission Rate (%) | 12.45 | |
| 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 571: SKIN DEBRIDEMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 580: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES 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 S8002XA - Contusion of left knee, initial encounter | 1,453 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD S8002XA - Contusion of left knee, initial encounter in DRG | 76.11 | ||||
| Avg LOS at DRG | 3.25 | ||||
| Avg LOS with ICD S8002XA - Contusion of left knee, initial encounter | 3.41 | ||||
| Readmission Rate at DRG | 18.27 | ||||
| Readmission Rate with ICD S8002XA - Contusion of left knee, initial encounter | 20.24 | ||||
| Unplanned Readmission Rate at DRG | 10.63 | ||||
| Unplanned Readmission Rate with ICD S8002XA - Contusion of left knee, initial encounter | 11.7 | ||||
| Total Medicare payments at DRG | $234,309,332 | ||||
| Total Medicare payments with ICD S8002XA - Contusion of left knee, initial encounter | $7,151,810 | ||||
| Total Medicare payment per Day at DRG | $1,573 | ||||
| Total Medicare payment per Day with ICD S8002XA - Contusion of left knee, initial encounter | $1,442 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,117 | ||||
| Total Medicare payment per Hospitalization with ICD S8002XA - Contusion of left knee, initial encounter | $4,922 | ||||
| Total Medicare Charges at DRG | $1,321,005,538 | ||||
| Total Medicare Charges with ICD S8002XA - Contusion of left knee, initial encounter | $36,827,193 | ||||
| Avg Charges at DRG | $28,851 | ||||
| Avg Charges with ICD S8002XA - Contusion of left knee, initial encounter | $25,346 | ||||
| Mortality Rate at DRG | 0.2 | ||||
| Mortality Rate with ICD S8002XA - Contusion of left knee, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 32.81 | ||||
| SNF Discharge Rate with ICD S8002XA - Contusion of left knee, initial encounter | 44.87 | ||||
| Home Discharge Rate at DRG | 35.13 | ||||
| Home Discharge Rate with ICD S8002XA - Contusion of left knee, initial encounter | 21.06 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| 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) | DRG 577: SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 572: SKIN DEBRIDEMENT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 19,663 | ||||
| Total Hospitalizations with ICD S8002XA - Contusion of left knee, initial encounter | 21 | ||||
| DRG Share of Total Hospitalizations | 0.06 | ||||
| % of Total ICD S8002XA - Contusion of left knee, initial encounter in DRG | 1.1 | ||||
| Avg LOS at DRG | 13.89 | ||||
| Avg LOS with ICD S8002XA - Contusion of left knee, initial encounter | 12.67 | ||||
| Readmission Rate at DRG | 32.63 | ||||
| Readmission Rate with ICD S8002XA - Contusion of left knee, initial encounter | NA | ||||
| Unplanned Readmission Rate at DRG | 18.18 | ||||
| Unplanned Readmission Rate with ICD S8002XA - Contusion of left knee, initial encounter | NA | ||||
| Total Medicare payments at DRG | $387,130,602 | ||||
| Total Medicare payments with ICD S8002XA - Contusion of left knee, initial encounter | $371,928 | ||||
| Total Medicare payment per Day at DRG | $1,417 | ||||
| Total Medicare payment per Day with ICD S8002XA - Contusion of left knee, initial encounter | $1,398 | ||||
| Total Medicare payment per Hospitalization at DRG | $19,688 | ||||
| Total Medicare payment per Hospitalization with ICD S8002XA - Contusion of left knee, initial encounter | $17,711 | ||||
| Total Medicare Charges at DRG | $1,865,858,139 | ||||
| Total Medicare Charges with ICD S8002XA - Contusion of left knee, initial encounter | $2,105,565 | ||||
| Avg Charges at DRG | $94,892 | ||||
| Avg Charges with ICD S8002XA - Contusion of left knee, initial encounter | $100,265 | ||||
| Mortality Rate at DRG | 3.29 | ||||
| Mortality Rate with ICD S8002XA - Contusion of left knee, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 40.65 | ||||
| SNF Discharge Rate with ICD S8002XA - Contusion of left knee, initial encounter | NA | ||||
| Home Discharge Rate at DRG | 12.36 | ||||
| Home Discharge Rate with ICD S8002XA - Contusion of left knee, initial encounter | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 15 |
*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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 45,787 | ||||
| Total Hospitalizations with ICD S8002XA - Contusion of left knee, initial encounter | 2,158 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD S8002XA - Contusion of left knee, initial encounter in DRG | 9.09 | ||||
| Avg LOS at DRG | 3.25 | ||||
| Avg LOS with ICD S8002XA - Contusion of left knee, initial encounter | 3.4 | ||||
| Readmission Rate at DRG | 18.27 | ||||
| Readmission Rate with ICD S8002XA - Contusion of left knee, initial encounter | 19.45 | ||||
| Unplanned Readmission Rate at DRG | 10.63 | ||||
| Unplanned Readmission Rate with ICD S8002XA - Contusion of left knee, initial encounter | 10.84 | ||||
| Total Medicare payments at DRG | $234,309,332 | ||||
| Total Medicare payments with ICD S8002XA - Contusion of left knee, initial encounter | $10,558,691 | ||||
| Total Medicare payment per Day at DRG | $1,573 | ||||
| Total Medicare payment per Day with ICD S8002XA - Contusion of left knee, initial encounter | $1,440 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,117 | ||||
| Total Medicare payment per Hospitalization with ICD S8002XA - Contusion of left knee, initial encounter | $4,893 | ||||
| Total Medicare Charges at DRG | $1,321,005,538 | ||||
| Total Medicare Charges with ICD S8002XA - Contusion of left knee, initial encounter | $58,471,899 | ||||
| Avg Charges at DRG | $28,851 | ||||
| Avg Charges with ICD S8002XA - Contusion of left knee, initial encounter | $27,095 | ||||
| Mortality Rate at DRG | 0.2 | ||||
| Mortality Rate with ICD S8002XA - Contusion of left knee, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 32.81 | ||||
| SNF Discharge Rate with ICD S8002XA - Contusion of left knee, initial encounter | 43.93 | ||||
| Home Discharge Rate at DRG | 35.13 | ||||
| Home Discharge Rate with ICD S8002XA - Contusion of left knee, initial encounter | 22.43 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT 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 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 086: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD S8002XA - Contusion of left knee, initial encounter | 575 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD S8002XA - Contusion of left knee, initial encounter in DRG | 2.42 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD S8002XA - Contusion of left knee, initial encounter | 3.66 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD S8002XA - Contusion of left knee, initial encounter | 19.17 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD S8002XA - Contusion of left knee, initial encounter | 11.93 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD S8002XA - Contusion of left knee, initial encounter | $2,793,465 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD S8002XA - Contusion of left knee, initial encounter | $1,329 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD S8002XA - Contusion of left knee, initial encounter | $4,858 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD S8002XA - Contusion of left knee, initial encounter | $14,847,536 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD S8002XA - Contusion of left knee, initial encounter | $25,822 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD S8002XA - Contusion of left knee, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD S8002XA - Contusion of left knee, initial encounter | 53.91 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD S8002XA - Contusion of left knee, initial encounter | 17.04 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 604: TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 558: TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 565: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 10,714 | ||||
| Total Hospitalizations with ICD S8002XA - Contusion of left knee, initial encounter | 339 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD S8002XA - Contusion of left knee, initial encounter in DRG | 1.43 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD S8002XA - Contusion of left knee, initial encounter | 4.87 | ||||
| Readmission Rate at DRG | 27.17 | ||||
| Readmission Rate with ICD S8002XA - Contusion of left knee, initial encounter | 23.51 | ||||
| Unplanned Readmission Rate at DRG | 17.8 | ||||
| Unplanned Readmission Rate with ICD S8002XA - Contusion of left knee, initial encounter | 15.67 | ||||
| Total Medicare payments at DRG | $106,039,380 | ||||
| Total Medicare payments with ICD S8002XA - Contusion of left knee, initial encounter | $2,870,955 | ||||
| Total Medicare payment per Day at DRG | $1,854 | ||||
| Total Medicare payment per Day with ICD S8002XA - Contusion of left knee, initial encounter | $1,739 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,897 | ||||
| Total Medicare payment per Hospitalization with ICD S8002XA - Contusion of left knee, initial encounter | $8,469 | ||||
| Total Medicare Charges at DRG | $536,715,000 | ||||
| Total Medicare Charges with ICD S8002XA - Contusion of left knee, initial encounter | $14,471,270 | ||||
| Avg Charges at DRG | $50,095 | ||||
| Avg Charges with ICD S8002XA - Contusion of left knee, initial encounter | $42,688 | ||||
| Mortality Rate at DRG | 2.99 | ||||
| Mortality Rate with ICD S8002XA - Contusion of left knee, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 39.11 | ||||
| SNF Discharge Rate with ICD S8002XA - Contusion of left knee, initial encounter | 52.8 | ||||
| Home Discharge Rate at DRG | 23.05 | ||||
| Home Discharge Rate with ICD S8002XA - Contusion of left knee, initial encounter | 15.04 |
*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 682: RENAL FAILURE 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 | 1,013,774 | ||||
| Total Hospitalizations with ICD S8002XA - Contusion of left knee, initial encounter | 306 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD S8002XA - Contusion of left knee, initial encounter in DRG | 1.29 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD S8002XA - Contusion of left knee, initial encounter | 5.92 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD S8002XA - Contusion of left knee, initial encounter | 26.74 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD S8002XA - Contusion of left knee, initial encounter | 16.85 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD S8002XA - Contusion of left knee, initial encounter | $2,726,464 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD S8002XA - Contusion of left knee, initial encounter | $1,506 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD S8002XA - Contusion of left knee, initial encounter | $8,910 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD S8002XA - Contusion of left knee, initial encounter | $13,432,882 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD S8002XA - Contusion of left knee, initial encounter | $43,898 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD S8002XA - Contusion of left knee, initial encounter | 5.56 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD S8002XA - Contusion of left knee, initial encounter | 33.66 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD S8002XA - Contusion of left knee, initial encounter | 18.95 |
| 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 | 66 |
| SARASOTA MEMORIAL HOSPITAL | 1700 S TAMIAMI TRL | SARASOTA | FL | 34239 | 65 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 63 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JAMES G. SCHWENDIG | 9888 GENESEE AVE | LA JOLLA | CA | 92037 | 15 |
| Dr. STANLEY E OKOSUN | 2300 S 16TH ST | LINCOLN | NE | 68502 | 15 |
| Dr. CHRISTIAN R SCHUETZ | 2042 FRIST BLVD | FORT PIERCE | FL | 34950 | 11 |