*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| S80212A - Abrasion, left knee, initial encounter - as a primary diagnosis code | S80212A - Abrasion, left knee, initial encounter - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.52 | |
| Readmission Rate (%) | 23.75 | |
| Unplanned Readmission Rate (%) | NA | |
| 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) | |
|---|---|
| Total Hospitalizations at DRG | 45,787 |
| Total Hospitalizations with ICD S80212A - Abrasion, left knee, initial encounter | 54 |
| DRG Share of Total Hospitalizations | 0.14 |
| % of Total ICD S80212A - Abrasion, left knee, initial encounter in DRG | 80.6 |
| Avg LOS at DRG | 3.25 |
| Avg LOS with ICD S80212A - Abrasion, left knee, initial encounter | 2.98 |
| Readmission Rate at DRG | 18.27 |
| Readmission Rate with ICD S80212A - Abrasion, left knee, initial encounter | NA |
| Unplanned Readmission Rate at DRG | 10.63 |
| Unplanned Readmission Rate with ICD S80212A - Abrasion, left knee, initial encounter | NA |
| Total Medicare payments at DRG | $234,309,332 |
| Total Medicare payments with ICD S80212A - Abrasion, left knee, initial encounter | $336,519 |
| Total Medicare payment per Day at DRG | $1,573 |
| Total Medicare payment per Day with ICD S80212A - Abrasion, left knee, initial encounter | $2,090 |
| Total Medicare payment per Hospitalization at DRG | $5,117 |
| Total Medicare payment per Hospitalization with ICD S80212A - Abrasion, left knee, initial encounter | $6,232 |
| Total Medicare Charges at DRG | $1,321,005,538 |
| Total Medicare Charges with ICD S80212A - Abrasion, left knee, initial encounter | $1,441,157 |
| Avg Charges at DRG | $28,851 |
| Avg Charges with ICD S80212A - Abrasion, left knee, initial encounter | $26,688 |
| Mortality Rate at DRG | 0.2 |
| Mortality Rate with ICD S80212A - Abrasion, left knee, initial encounter | NA |
| SNF Discharge Rate at DRG | 32.81 |
| SNF Discharge Rate with ICD S80212A - Abrasion, left knee, initial encounter | 35.19 |
| Home Discharge Rate at DRG | 35.13 |
| Home Discharge Rate with ICD S80212A - Abrasion, left knee, initial encounter | 40.74 |
*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 563: FRACTURE SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 312: SYNCOPE AND COLLAPSE | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 885: PSYCHOSES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD S80212A - Abrasion, left knee, initial encounter | 824 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD S80212A - Abrasion, left knee, initial encounter in DRG | 3.85 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD S80212A - Abrasion, left knee, initial encounter | 6.79 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD S80212A - Abrasion, left knee, initial encounter | 21.16 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD S80212A - Abrasion, left knee, initial encounter | 13.19 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD S80212A - Abrasion, left knee, initial encounter | $9,561,510 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD S80212A - Abrasion, left knee, initial encounter | $1,708 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD S80212A - Abrasion, left knee, initial encounter | $11,604 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD S80212A - Abrasion, left knee, initial encounter | $48,206,100 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD S80212A - Abrasion, left knee, initial encounter | $58,503 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD S80212A - Abrasion, left knee, initial encounter | 9.34 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD S80212A - Abrasion, left knee, initial encounter | 40.78 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD S80212A - Abrasion, left knee, initial encounter | 16.5 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 558: TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 605: TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 39,224 | ||||
| Total Hospitalizations with ICD S80212A - Abrasion, left knee, initial encounter | 436 | ||||
| DRG Share of Total Hospitalizations | 0.12 | ||||
| % of Total ICD S80212A - Abrasion, left knee, initial encounter in DRG | 2.03 | ||||
| Avg LOS at DRG | 4.42 | ||||
| Avg LOS with ICD S80212A - Abrasion, left knee, initial encounter | 4.06 | ||||
| Readmission Rate at DRG | 18.22 | ||||
| Readmission Rate with ICD S80212A - Abrasion, left knee, initial encounter | 20.1 | ||||
| Unplanned Readmission Rate at DRG | 9.29 | ||||
| Unplanned Readmission Rate with ICD S80212A - Abrasion, left knee, initial encounter | 8.61 | ||||
| Total Medicare payments at DRG | $239,468,231 | ||||
| Total Medicare payments with ICD S80212A - Abrasion, left knee, initial encounter | $2,325,798 | ||||
| Total Medicare payment per Day at DRG | $1,381 | ||||
| Total Medicare payment per Day with ICD S80212A - Abrasion, left knee, initial encounter | $1,313 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,105 | ||||
| Total Medicare payment per Hospitalization with ICD S80212A - Abrasion, left knee, initial encounter | $5,334 | ||||
| Total Medicare Charges at DRG | $1,104,766,925 | ||||
| Total Medicare Charges with ICD S80212A - Abrasion, left knee, initial encounter | $11,438,522 | ||||
| Avg Charges at DRG | $28,166 | ||||
| Avg Charges with ICD S80212A - Abrasion, left knee, initial encounter | $26,235 | ||||
| Mortality Rate at DRG | 0.2 | ||||
| Mortality Rate with ICD S80212A - Abrasion, left knee, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 32.92 | ||||
| SNF Discharge Rate with ICD S80212A - Abrasion, left knee, initial encounter | 51.38 | ||||
| Home Discharge Rate at DRG | 33.95 | ||||
| Home Discharge Rate with ICD S80212A - Abrasion, left knee, initial encounter | 18.35 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 364,421 | ||||
| Total Hospitalizations with ICD S80212A - Abrasion, left knee, initial encounter | 386 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD S80212A - Abrasion, left knee, initial encounter in DRG | 1.8 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD S80212A - Abrasion, left knee, initial encounter | 4.12 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD S80212A - Abrasion, left knee, initial encounter | 17.32 | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD S80212A - Abrasion, left knee, initial encounter | 11.17 | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD S80212A - Abrasion, left knee, initial encounter | $2,100,524 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD S80212A - Abrasion, left knee, initial encounter | $1,322 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD S80212A - Abrasion, left knee, initial encounter | $5,442 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD S80212A - Abrasion, left knee, initial encounter | $9,973,420 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD S80212A - Abrasion, left knee, initial encounter | $25,838 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD S80212A - Abrasion, left knee, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD S80212A - Abrasion, left knee, initial encounter | 25.39 | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD S80212A - Abrasion, left knee, initial encounter | 41.45 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 087: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 565: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 184: MAJOR CHEST TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 34,301 | ||||
| Total Hospitalizations with ICD S80212A - Abrasion, left knee, initial encounter | 329 | ||||
| DRG Share of Total Hospitalizations | 0.1 | ||||
| % of Total ICD S80212A - Abrasion, left knee, initial encounter in DRG | 1.54 | ||||
| Avg LOS at DRG | 2.55 | ||||
| Avg LOS with ICD S80212A - Abrasion, left knee, initial encounter | 2.26 | ||||
| Readmission Rate at DRG | 19.05 | ||||
| Readmission Rate with ICD S80212A - Abrasion, left knee, initial encounter | 16.35 | ||||
| Unplanned Readmission Rate at DRG | 9.31 | ||||
| Unplanned Readmission Rate with ICD S80212A - Abrasion, left knee, initial encounter | 7.05 | ||||
| Total Medicare payments at DRG | $165,565,037 | ||||
| Total Medicare payments with ICD S80212A - Abrasion, left knee, initial encounter | $1,600,806 | ||||
| Total Medicare payment per Day at DRG | $1,896 | ||||
| Total Medicare payment per Day with ICD S80212A - Abrasion, left knee, initial encounter | $2,149 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,827 | ||||
| Total Medicare payment per Hospitalization with ICD S80212A - Abrasion, left knee, initial encounter | $4,866 | ||||
| Total Medicare Charges at DRG | $1,045,144,829 | ||||
| Total Medicare Charges with ICD S80212A - Abrasion, left knee, initial encounter | $11,595,812 | ||||
| Avg Charges at DRG | $30,470 | ||||
| Avg Charges with ICD S80212A - Abrasion, left knee, initial encounter | $35,246 | ||||
| Mortality Rate at DRG | 1.23 | ||||
| Mortality Rate with ICD S80212A - Abrasion, left knee, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 20.31 | ||||
| SNF Discharge Rate with ICD S80212A - Abrasion, left knee, initial encounter | 12.77 | ||||
| Home Discharge Rate at DRG | 47.25 | ||||
| Home Discharge Rate with ICD S80212A - Abrasion, left knee, initial encounter | 56.53 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| SARASOTA MEMORIAL HOSPITAL | 1700 S TAMIAMI TRL | SARASOTA | FL | 34239 | 112 |
| HIGHLAND HOSPITAL | 1411 E 31ST ST | OAKLAND | CA | 94602 | 66 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 65 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ANDREW MCCAGUE | 400 N PEPPER AVE | COLTON | CA | 92324 | 12 |
| Dr. DAVID M ROGERS | 5645 MAIN ST | FLUSHING | NY | 11355 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CHRISTIAN R SCHUETZ | 2042 FRIST BLVD | FORT PIERCE | FL | 34950 | 21 |
| Dr. STANLEY E OKOSUN | 2300 S 16TH ST | LINCOLN | NE | 68502 | 18 |
| Dr. ALAN CLAYTON BROCKHURST | 720 W OAK ST | KISSIMMEE | FL | 34741 | 16 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | S80211A | Abrasion, right knee, initial encounter |
| 2 | E119 | Type 2 diabetes mellitus without complications |
| 3 | I10 | Essential (primary) hypertension |
| 4 | Z7982 | Long term (current) use of aspirin |