*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| S8011XA - Contusion of right lower leg, initial encounter - as a primary diagnosis code | S8011XA - Contusion of right lower leg, initial encounter - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.85 | |
| Readmission Rate (%) | 24.71 | |
| Unplanned Readmission Rate (%) | 14.85 | |
| 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 571: SKIN DEBRIDEMENT WITH COMPLICATION OR COMORBIDITY (CC) | 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 570: SKIN DEBRIDEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 45,787 | ||||
| Total Hospitalizations with ICD S8011XA - Contusion of right lower leg, initial encounter | 1,373 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD S8011XA - Contusion of right lower leg, initial encounter in DRG | 51.19 | ||||
| Avg LOS at DRG | 3.25 | ||||
| Avg LOS with ICD S8011XA - Contusion of right lower leg, initial encounter | 3.82 | ||||
| Readmission Rate at DRG | 18.27 | ||||
| Readmission Rate with ICD S8011XA - Contusion of right lower leg, initial encounter | 24.0 | ||||
| Unplanned Readmission Rate at DRG | 10.63 | ||||
| Unplanned Readmission Rate with ICD S8011XA - Contusion of right lower leg, initial encounter | 14.67 | ||||
| Total Medicare payments at DRG | $234,309,332 | ||||
| Total Medicare payments with ICD S8011XA - Contusion of right lower leg, initial encounter | $6,781,396 | ||||
| Total Medicare payment per Day at DRG | $1,573 | ||||
| Total Medicare payment per Day with ICD S8011XA - Contusion of right lower leg, initial encounter | $1,292 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,117 | ||||
| Total Medicare payment per Hospitalization with ICD S8011XA - Contusion of right lower leg, initial encounter | $4,939 | ||||
| Total Medicare Charges at DRG | $1,321,005,538 | ||||
| Total Medicare Charges with ICD S8011XA - Contusion of right lower leg, initial encounter | $39,515,880 | ||||
| Avg Charges at DRG | $28,851 | ||||
| Avg Charges with ICD S8011XA - Contusion of right lower leg, initial encounter | $28,781 | ||||
| Mortality Rate at DRG | 0.2 | ||||
| Mortality Rate with ICD S8011XA - Contusion of right lower leg, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 32.81 | ||||
| SNF Discharge Rate with ICD S8011XA - Contusion of right lower leg, initial encounter | 33.79 | ||||
| Home Discharge Rate at DRG | 35.13 | ||||
| Home Discharge Rate with ICD S8011XA - Contusion of right lower leg, initial encounter | 32.77 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 577: SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 579: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 576: SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 572: SKIN DEBRIDEMENT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 581: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 4,954 | ||||
| Total Hospitalizations with ICD S8011XA - Contusion of right lower leg, initial encounter | 89 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD S8011XA - Contusion of right lower leg, initial encounter in DRG | 3.32 | ||||
| Avg LOS at DRG | 6.64 | ||||
| Avg LOS with ICD S8011XA - Contusion of right lower leg, initial encounter | 19.2 | ||||
| Readmission Rate at DRG | 17.16 | ||||
| Readmission Rate with ICD S8011XA - Contusion of right lower leg, initial encounter | 18.07 | ||||
| Unplanned Readmission Rate at DRG | 8.02 | ||||
| Unplanned Readmission Rate with ICD S8011XA - Contusion of right lower leg, initial encounter | NA | ||||
| Total Medicare payments at DRG | $84,474,633 | ||||
| Total Medicare payments with ICD S8011XA - Contusion of right lower leg, initial encounter | $1,563,688 | ||||
| Total Medicare payment per Day at DRG | $2,569 | ||||
| Total Medicare payment per Day with ICD S8011XA - Contusion of right lower leg, initial encounter | $915 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,052 | ||||
| Total Medicare payment per Hospitalization with ICD S8011XA - Contusion of right lower leg, initial encounter | $17,570 | ||||
| Total Medicare Charges at DRG | $441,452,397 | ||||
| Total Medicare Charges with ICD S8011XA - Contusion of right lower leg, initial encounter | $11,369,406 | ||||
| Avg Charges at DRG | $89,110 | ||||
| Avg Charges with ICD S8011XA - Contusion of right lower leg, initial encounter | $127,746 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD S8011XA - Contusion of right lower leg, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 22.29 | ||||
| SNF Discharge Rate with ICD S8011XA - Contusion of right lower leg, initial encounter | 51.69 | ||||
| Home Discharge Rate at DRG | 41.99 | ||||
| Home Discharge Rate with ICD S8011XA - Contusion of right lower leg, initial encounter | 14.61 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 52,726 | |
| Total Hospitalizations with ICD S8011XA - Contusion of right lower leg, initial encounter | 28 | |
| DRG Share of Total Hospitalizations | 0.16 | |
| % of Total ICD S8011XA - Contusion of right lower leg, initial encounter in DRG | 1.04 | |
| Avg LOS at DRG | 6.68 | |
| Avg LOS with ICD S8011XA - Contusion of right lower leg, initial encounter | 5.29 | |
| Readmission Rate at DRG | 24.76 | |
| Readmission Rate with ICD S8011XA - Contusion of right lower leg, initial encounter | NA | |
| Unplanned Readmission Rate at DRG | 14.45 | |
| Unplanned Readmission Rate with ICD S8011XA - Contusion of right lower leg, initial encounter | NA | |
| Total Medicare payments at DRG | $902,862,104 | |
| Total Medicare payments with ICD S8011XA - Contusion of right lower leg, initial encounter | $397,861 | |
| Total Medicare payment per Day at DRG | $2,565 | |
| Total Medicare payment per Day with ICD S8011XA - Contusion of right lower leg, initial encounter | $2,688 | |
| Total Medicare payment per Hospitalization at DRG | $17,124 | |
| Total Medicare payment per Hospitalization with ICD S8011XA - Contusion of right lower leg, initial encounter | $14,209 | |
| Total Medicare Charges at DRG | $4,216,562,728 | |
| Total Medicare Charges with ICD S8011XA - Contusion of right lower leg, initial encounter | $1,350,011 | |
| Avg Charges at DRG | $79,971 | |
| Avg Charges with ICD S8011XA - Contusion of right lower leg, initial encounter | $48,215 | |
| Mortality Rate at DRG | 0.83 | |
| Mortality Rate with ICD S8011XA - Contusion of right lower leg, initial encounter | NA | |
| SNF Discharge Rate at DRG | 22.41 | |
| SNF Discharge Rate with ICD S8011XA - Contusion of right lower leg, initial encounter | 39.29 | |
| Home Discharge Rate at DRG | 43.51 | |
| Home Discharge Rate with ICD S8011XA - Contusion of right lower leg, initial encounter | 39.29 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| HILLCREST HOSPITAL | 6780 MAYFIELD RD | MAYFIELD HTS | OH | 44124 | 13 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 12 |
| VALLEY HOSPITAL | 223 N VAN DIEN AVE | RIDGEWOOD | NJ | 07450 | 11 |
*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 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 571: SKIN DEBRIDEMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 45,787 | ||||
| Total Hospitalizations with ICD S8011XA - Contusion of right lower leg, initial encounter | 1,741 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD S8011XA - Contusion of right lower leg, initial encounter in DRG | 10.27 | ||||
| Avg LOS at DRG | 3.25 | ||||
| Avg LOS with ICD S8011XA - Contusion of right lower leg, initial encounter | 3.76 | ||||
| Readmission Rate at DRG | 18.27 | ||||
| Readmission Rate with ICD S8011XA - Contusion of right lower leg, initial encounter | 23.09 | ||||
| Unplanned Readmission Rate at DRG | 10.63 | ||||
| Unplanned Readmission Rate with ICD S8011XA - Contusion of right lower leg, initial encounter | 14.15 | ||||
| Total Medicare payments at DRG | $234,309,332 | ||||
| Total Medicare payments with ICD S8011XA - Contusion of right lower leg, initial encounter | $8,690,305 | ||||
| Total Medicare payment per Day at DRG | $1,573 | ||||
| Total Medicare payment per Day with ICD S8011XA - Contusion of right lower leg, initial encounter | $1,329 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,117 | ||||
| Total Medicare payment per Hospitalization with ICD S8011XA - Contusion of right lower leg, initial encounter | $4,992 | ||||
| Total Medicare Charges at DRG | $1,321,005,538 | ||||
| Total Medicare Charges with ICD S8011XA - Contusion of right lower leg, initial encounter | $51,241,388 | ||||
| Avg Charges at DRG | $28,851 | ||||
| Avg Charges with ICD S8011XA - Contusion of right lower leg, initial encounter | $29,432 | ||||
| Mortality Rate at DRG | 0.2 | ||||
| Mortality Rate with ICD S8011XA - Contusion of right lower leg, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 32.81 | ||||
| SNF Discharge Rate with ICD S8011XA - Contusion of right lower leg, initial encounter | 35.21 | ||||
| Home Discharge Rate at DRG | 35.13 | ||||
| Home Discharge Rate with ICD S8011XA - Contusion of right lower leg, initial encounter | 31.53 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 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 602: CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 10,714 | ||||
| Total Hospitalizations with ICD S8011XA - Contusion of right lower leg, initial encounter | 367 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD S8011XA - Contusion of right lower leg, initial encounter in DRG | 2.17 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD S8011XA - Contusion of right lower leg, initial encounter | 6.38 | ||||
| Readmission Rate at DRG | 27.17 | ||||
| Readmission Rate with ICD S8011XA - Contusion of right lower leg, initial encounter | 33.23 | ||||
| Unplanned Readmission Rate at DRG | 17.8 | ||||
| Unplanned Readmission Rate with ICD S8011XA - Contusion of right lower leg, initial encounter | 24.33 | ||||
| Total Medicare payments at DRG | $106,039,380 | ||||
| Total Medicare payments with ICD S8011XA - Contusion of right lower leg, initial encounter | $3,707,430 | ||||
| Total Medicare payment per Day at DRG | $1,854 | ||||
| Total Medicare payment per Day with ICD S8011XA - Contusion of right lower leg, initial encounter | $1,583 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,897 | ||||
| Total Medicare payment per Hospitalization with ICD S8011XA - Contusion of right lower leg, initial encounter | $10,102 | ||||
| Total Medicare Charges at DRG | $536,715,000 | ||||
| Total Medicare Charges with ICD S8011XA - Contusion of right lower leg, initial encounter | $19,669,032 | ||||
| Avg Charges at DRG | $50,095 | ||||
| Avg Charges with ICD S8011XA - Contusion of right lower leg, initial encounter | $53,594 | ||||
| Mortality Rate at DRG | 2.99 | ||||
| Mortality Rate with ICD S8011XA - Contusion of right lower leg, initial encounter | 3.54 | ||||
| SNF Discharge Rate at DRG | 39.11 | ||||
| SNF Discharge Rate with ICD S8011XA - Contusion of right lower leg, initial encounter | 43.87 | ||||
| Home Discharge Rate at DRG | 23.05 | ||||
| Home Discharge Rate with ICD S8011XA - Contusion of right lower leg, initial encounter | 17.44 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 563: FRACTURE SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 570: SKIN DEBRIDEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 312: SYNCOPE AND COLLAPSE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 83,488 | ||||
| Total Hospitalizations with ICD S8011XA - Contusion of right lower leg, initial encounter | 226 | ||||
| DRG Share of Total Hospitalizations | 0.25 | ||||
| % of Total ICD S8011XA - Contusion of right lower leg, initial encounter in DRG | 1.33 | ||||
| Avg LOS at DRG | 3.48 | ||||
| Avg LOS with ICD S8011XA - Contusion of right lower leg, initial encounter | 3.51 | ||||
| Readmission Rate at DRG | 19.78 | ||||
| Readmission Rate with ICD S8011XA - Contusion of right lower leg, initial encounter | 21.76 | ||||
| Unplanned Readmission Rate at DRG | 8.24 | ||||
| Unplanned Readmission Rate with ICD S8011XA - Contusion of right lower leg, initial encounter | 10.19 | ||||
| Total Medicare payments at DRG | $412,311,224 | ||||
| Total Medicare payments with ICD S8011XA - Contusion of right lower leg, initial encounter | $1,059,066 | ||||
| Total Medicare payment per Day at DRG | $1,421 | ||||
| Total Medicare payment per Day with ICD S8011XA - Contusion of right lower leg, initial encounter | $1,334 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,939 | ||||
| Total Medicare payment per Hospitalization with ICD S8011XA - Contusion of right lower leg, initial encounter | $4,686 | ||||
| Total Medicare Charges at DRG | $2,194,270,678 | ||||
| Total Medicare Charges with ICD S8011XA - Contusion of right lower leg, initial encounter | $6,407,658 | ||||
| Avg Charges at DRG | $26,282 | ||||
| Avg Charges with ICD S8011XA - Contusion of right lower leg, initial encounter | $28,352 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD S8011XA - Contusion of right lower leg, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 54.16 | ||||
| SNF Discharge Rate with ICD S8011XA - Contusion of right lower leg, initial encounter | 54.87 | ||||
| Home Discharge Rate at DRG | 17.27 | ||||
| Home Discharge Rate with ICD S8011XA - Contusion of right lower leg, initial encounter | 15.93 |
*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 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD S8011XA - Contusion of right lower leg, initial encounter | 194 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD S8011XA - Contusion of right lower leg, initial encounter in DRG | 1.14 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD S8011XA - Contusion of right lower leg, initial encounter | 5.81 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD S8011XA - Contusion of right lower leg, initial encounter | 32.93 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD S8011XA - Contusion of right lower leg, initial encounter | 20.36 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD S8011XA - Contusion of right lower leg, initial encounter | $1,871,681 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD S8011XA - Contusion of right lower leg, initial encounter | $1,661 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD S8011XA - Contusion of right lower leg, initial encounter | $9,648 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD S8011XA - Contusion of right lower leg, initial encounter | $9,093,426 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD S8011XA - Contusion of right lower leg, initial encounter | $46,873 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD S8011XA - Contusion of right lower leg, initial encounter | 8.76 | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD S8011XA - Contusion of right lower leg, initial encounter | 41.75 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD S8011XA - Contusion of right lower leg, initial encounter | 16.49 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 56 |
| YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 46 |
| PALOS HEALTH | 12251 S 80TH AVE | PALOS HEIGHTS | IL | 60463 | 43 |