*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| T2131XA - Burn of third degree of chest wall, initial encounter - as a primary diagnosis code | T2131XA - Burn of third degree of chest wall, initial encounter - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 19.42 | |
| Readmission Rate (%) | 38.5 | |
| Unplanned Readmission Rate (%) | 6.43 | |
| 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 928: FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 934: FULL THICKNESS BURN WITHOUT SKIN GRFT OR INHALATION INJURY | DRG 927: EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 933: EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 3,470 | ||||
| Total Hospitalizations with ICD T2131XA - Burn of third degree of chest wall, initial encounter | 216 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD T2131XA - Burn of third degree of chest wall, initial encounter in DRG | 40.53 | ||||
| Avg LOS at DRG | 14.83 | ||||
| Avg LOS with ICD T2131XA - Burn of third degree of chest wall, initial encounter | 17.7 | ||||
| Readmission Rate at DRG | 29.62 | ||||
| Readmission Rate with ICD T2131XA - Burn of third degree of chest wall, initial encounter | 36.41 | ||||
| Unplanned Readmission Rate at DRG | 8.21 | ||||
| Unplanned Readmission Rate with ICD T2131XA - Burn of third degree of chest wall, initial encounter | 7.18 | ||||
| Total Medicare payments at DRG | $161,327,986 | ||||
| Total Medicare payments with ICD T2131XA - Burn of third degree of chest wall, initial encounter | $12,181,667 | ||||
| Total Medicare payment per Day at DRG | $3,135 | ||||
| Total Medicare payment per Day with ICD T2131XA - Burn of third degree of chest wall, initial encounter | $3,186 | ||||
| Total Medicare payment per Hospitalization at DRG | $46,492 | ||||
| Total Medicare payment per Hospitalization with ICD T2131XA - Burn of third degree of chest wall, initial encounter | $56,397 | ||||
| Total Medicare Charges at DRG | $649,506,511 | ||||
| Total Medicare Charges with ICD T2131XA - Burn of third degree of chest wall, initial encounter | $51,845,310 | ||||
| Avg Charges at DRG | $187,178 | ||||
| Avg Charges with ICD T2131XA - Burn of third degree of chest wall, initial encounter | $240,025 | ||||
| Mortality Rate at DRG | 4.01 | ||||
| Mortality Rate with ICD T2131XA - Burn of third degree of chest wall, initial encounter | 7.41 | ||||
| SNF Discharge Rate at DRG | 23.05 | ||||
| SNF Discharge Rate with ICD T2131XA - Burn of third degree of chest wall, initial encounter | 25.93 | ||||
| Home Discharge Rate at DRG | 33.54 | ||||
| Home Discharge Rate with ICD T2131XA - Burn of third degree of chest wall, initial encounter | 22.22 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 929: FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 993 |
| Total Hospitalizations with ICD T2131XA - Burn of third degree of chest wall, initial encounter | 56 |
| DRG Share of Total Hospitalizations | 0.0 |
| % of Total ICD T2131XA - Burn of third degree of chest wall, initial encounter in DRG | 10.51 |
| Avg LOS at DRG | 7.55 |
| Avg LOS with ICD T2131XA - Burn of third degree of chest wall, initial encounter | 8.39 |
| Readmission Rate at DRG | 17.0 |
| Readmission Rate with ICD T2131XA - Burn of third degree of chest wall, initial encounter | NA |
| Unplanned Readmission Rate at DRG | 3.65 |
| Unplanned Readmission Rate with ICD T2131XA - Burn of third degree of chest wall, initial encounter | NA |
| Total Medicare payments at DRG | $19,392,125 |
| Total Medicare payments with ICD T2131XA - Burn of third degree of chest wall, initial encounter | $1,007,939 |
| Total Medicare payment per Day at DRG | $2,587 |
| Total Medicare payment per Day with ICD T2131XA - Burn of third degree of chest wall, initial encounter | $2,145 |
| Total Medicare payment per Hospitalization at DRG | $19,529 |
| Total Medicare payment per Hospitalization with ICD T2131XA - Burn of third degree of chest wall, initial encounter | $17,999 |
| Total Medicare Charges at DRG | $88,344,589 |
| Total Medicare Charges with ICD T2131XA - Burn of third degree of chest wall, initial encounter | $5,525,758 |
| Avg Charges at DRG | $88,967 |
| Avg Charges with ICD T2131XA - Burn of third degree of chest wall, initial encounter | $98,674 |
| Mortality Rate at DRG | NA |
| Mortality Rate with ICD T2131XA - Burn of third degree of chest wall, initial encounter | NA |
| SNF Discharge Rate at DRG | 12.19 |
| SNF Discharge Rate with ICD T2131XA - Burn of third degree of chest wall, initial encounter | NA |
| Home Discharge Rate at DRG | 59.01 |
| Home Discharge Rate with ICD T2131XA - Burn of third degree of chest wall, initial encounter | 58.93 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UNIVERSITY OF NORTH CAROLINA HOSPITAL | 101 MANNING DR | CHAPEL HILL | NC | 27514 | 20 |
| DOCTORS HOSPITAL | 3651 WHEELER RD | AUGUSTA | GA | 30909 | 16 |
| UNIVERSITY OF ALABAMA HOSPITAL | 619 19TH ST S | BIRMINGHAM | AL | 35249 | 13 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JAMES HWANG | 304 COPPERLINE DR APT A | CHAPEL HILL | NC | 27516 | 12 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 928: FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 933: EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | DRG 927: EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 934: FULL THICKNESS BURN WITHOUT SKIN GRFT OR INHALATION INJURY | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 3,470 | ||||
| Total Hospitalizations with ICD T2131XA - Burn of third degree of chest wall, initial encounter | 436 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD T2131XA - Burn of third degree of chest wall, initial encounter in DRG | 33.11 | ||||
| Avg LOS at DRG | 14.83 | ||||
| Avg LOS with ICD T2131XA - Burn of third degree of chest wall, initial encounter | 17.8 | ||||
| Readmission Rate at DRG | 29.62 | ||||
| Readmission Rate with ICD T2131XA - Burn of third degree of chest wall, initial encounter | 34.95 | ||||
| Unplanned Readmission Rate at DRG | 8.21 | ||||
| Unplanned Readmission Rate with ICD T2131XA - Burn of third degree of chest wall, initial encounter | 6.38 | ||||
| Total Medicare payments at DRG | $161,327,986 | ||||
| Total Medicare payments with ICD T2131XA - Burn of third degree of chest wall, initial encounter | $23,776,836 | ||||
| Total Medicare payment per Day at DRG | $3,135 | ||||
| Total Medicare payment per Day with ICD T2131XA - Burn of third degree of chest wall, initial encounter | $3,064 | ||||
| Total Medicare payment per Hospitalization at DRG | $46,492 | ||||
| Total Medicare payment per Hospitalization with ICD T2131XA - Burn of third degree of chest wall, initial encounter | $54,534 | ||||
| Total Medicare Charges at DRG | $649,506,511 | ||||
| Total Medicare Charges with ICD T2131XA - Burn of third degree of chest wall, initial encounter | $106,364,346 | ||||
| Avg Charges at DRG | $187,178 | ||||
| Avg Charges with ICD T2131XA - Burn of third degree of chest wall, initial encounter | $243,955 | ||||
| Mortality Rate at DRG | 4.01 | ||||
| Mortality Rate with ICD T2131XA - Burn of third degree of chest wall, initial encounter | 8.03 | ||||
| SNF Discharge Rate at DRG | 23.05 | ||||
| SNF Discharge Rate with ICD T2131XA - Burn of third degree of chest wall, initial encounter | 24.08 | ||||
| Home Discharge Rate at DRG | 33.54 | ||||
| Home Discharge Rate with ICD T2131XA - Burn of third degree of chest wall, initial encounter | 26.15 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 929: FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 993 |
| Total Hospitalizations with ICD T2131XA - Burn of third degree of chest wall, initial encounter | 101 |
| DRG Share of Total Hospitalizations | 0.0 |
| % of Total ICD T2131XA - Burn of third degree of chest wall, initial encounter in DRG | 7.67 |
| Avg LOS at DRG | 7.55 |
| Avg LOS with ICD T2131XA - Burn of third degree of chest wall, initial encounter | 8.71 |
| Readmission Rate at DRG | 17.0 |
| Readmission Rate with ICD T2131XA - Burn of third degree of chest wall, initial encounter | 23.23 |
| Unplanned Readmission Rate at DRG | 3.65 |
| Unplanned Readmission Rate with ICD T2131XA - Burn of third degree of chest wall, initial encounter | NA |
| Total Medicare payments at DRG | $19,392,125 |
| Total Medicare payments with ICD T2131XA - Burn of third degree of chest wall, initial encounter | $2,069,021 |
| Total Medicare payment per Day at DRG | $2,587 |
| Total Medicare payment per Day with ICD T2131XA - Burn of third degree of chest wall, initial encounter | $2,351 |
| Total Medicare payment per Hospitalization at DRG | $19,529 |
| Total Medicare payment per Hospitalization with ICD T2131XA - Burn of third degree of chest wall, initial encounter | $20,485 |
| Total Medicare Charges at DRG | $88,344,589 |
| Total Medicare Charges with ICD T2131XA - Burn of third degree of chest wall, initial encounter | $10,913,675 |
| Avg Charges at DRG | $88,967 |
| Avg Charges with ICD T2131XA - Burn of third degree of chest wall, initial encounter | $108,056 |
| Mortality Rate at DRG | NA |
| Mortality Rate with ICD T2131XA - Burn of third degree of chest wall, initial encounter | NA |
| SNF Discharge Rate at DRG | 12.19 |
| SNF Discharge Rate with ICD T2131XA - Burn of third degree of chest wall, initial encounter | 12.87 |
| Home Discharge Rate at DRG | 59.01 |
| Home Discharge Rate with ICD T2131XA - Burn of third degree of chest wall, initial encounter | 59.41 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| DOCTORS HOSPITAL | 3651 WHEELER RD | AUGUSTA | GA | 30909 | 50 |
| UNIVERSITY OF NORTH CAROLINA HOSPITAL | 101 MANNING DR | CHAPEL HILL | NC | 27514 | 35 |
| NORTH CAROLINA BAPTIST HOSPITAL | MEDICAL CENTER BLVD | WINSTON SALEM | NC | 27157 | 34 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JAMES HWANG | 304 COPPERLINE DR APT A | CHAPEL HILL | NC | 27516 | 19 |
| Dr. S.M.A ZAHEED HASSAN | 3675 J DEWEY GRAY CIRCLE | AUGUSTA | GA | 30909 | 15 |
| Dr. BRETT D ARNOLDO | 5323 HARRY HINES BLVD | DALLAS | TX | 75390 | 12 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. S.M.A ZAHEED HASSAN | 3675 J DEWEY GRAY CIRCLE | AUGUSTA | GA | 30909 | 21 |
| Dr. SAMUEL WAYNE JONES | 101 MANNING DRIVE CAMPUS BOX 7600 | CHAPEL HILL | NC | 27599 | 17 |
| Dr. ROBERT FRED MULLINS | 3675 J DEWEY GRAY CIR | AUGUSTA | GA | 30909 | 15 |