*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| W1830XA - Fall on same level, unspecified, initial encounter - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 10.72 | |
| 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 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 536: FRACTURES OF HIP AND PELVIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 480: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 240,618 | ||||
| Total Hospitalizations with ICD W1830XA - Fall on same level, unspecified, initial encounter | 1,109 | ||||
| DRG Share of Total Hospitalizations | 0.73 | ||||
| % of Total ICD W1830XA - Fall on same level, unspecified, initial encounter in DRG | 8.23 | ||||
| Avg LOS at DRG | 4.81 | ||||
| Avg LOS with ICD W1830XA - Fall on same level, unspecified, initial encounter | 4.94 | ||||
| Readmission Rate at DRG | 26.3 | ||||
| Readmission Rate with ICD W1830XA - Fall on same level, unspecified, initial encounter | 23.89 | ||||
| Unplanned Readmission Rate at DRG | 7.83 | ||||
| Unplanned Readmission Rate with ICD W1830XA - Fall on same level, unspecified, initial encounter | 9.81 | ||||
| Total Medicare payments at DRG | $2,989,116,299 | ||||
| Total Medicare payments with ICD W1830XA - Fall on same level, unspecified, initial encounter | $14,465,914 | ||||
| Total Medicare payment per Day at DRG | $2,581 | ||||
| Total Medicare payment per Day with ICD W1830XA - Fall on same level, unspecified, initial encounter | $2,640 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,423 | ||||
| Total Medicare payment per Hospitalization with ICD W1830XA - Fall on same level, unspecified, initial encounter | $13,044 | ||||
| Total Medicare Charges at DRG | $15,603,027,471 | ||||
| Total Medicare Charges with ICD W1830XA - Fall on same level, unspecified, initial encounter | $55,930,000 | ||||
| Avg Charges at DRG | $64,846 | ||||
| Avg Charges with ICD W1830XA - Fall on same level, unspecified, initial encounter | $50,433 | ||||
| Mortality Rate at DRG | 0.4 | ||||
| Mortality Rate with ICD W1830XA - Fall on same level, unspecified, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 66.28 | ||||
| SNF Discharge Rate with ICD W1830XA - Fall on same level, unspecified, initial encounter | 71.15 | ||||
| Home Discharge Rate at DRG | 3.84 | ||||
| Home Discharge Rate with ICD W1830XA - Fall on same level, unspecified, initial encounter | 3.88 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 482: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 312: SYNCOPE AND COLLAPSE | DRG 563: FRACTURE SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 086: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 72,876 | ||||
| Total Hospitalizations with ICD W1830XA - Fall on same level, unspecified, initial encounter | 388 | ||||
| DRG Share of Total Hospitalizations | 0.22 | ||||
| % of Total ICD W1830XA - Fall on same level, unspecified, initial encounter in DRG | 2.88 | ||||
| Avg LOS at DRG | 3.74 | ||||
| Avg LOS with ICD W1830XA - Fall on same level, unspecified, initial encounter | 4.17 | ||||
| Readmission Rate at DRG | 24.38 | ||||
| Readmission Rate with ICD W1830XA - Fall on same level, unspecified, initial encounter | 25.46 | ||||
| Unplanned Readmission Rate at DRG | 4.75 | ||||
| Unplanned Readmission Rate with ICD W1830XA - Fall on same level, unspecified, initial encounter | 6.9 | ||||
| Total Medicare payments at DRG | $724,201,881 | ||||
| Total Medicare payments with ICD W1830XA - Fall on same level, unspecified, initial encounter | $4,004,620 | ||||
| Total Medicare payment per Day at DRG | $2,654 | ||||
| Total Medicare payment per Day with ICD W1830XA - Fall on same level, unspecified, initial encounter | $2,477 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,937 | ||||
| Total Medicare payment per Hospitalization with ICD W1830XA - Fall on same level, unspecified, initial encounter | $10,321 | ||||
| Total Medicare Charges at DRG | $3,794,322,454 | ||||
| Total Medicare Charges with ICD W1830XA - Fall on same level, unspecified, initial encounter | $15,078,796 | ||||
| Avg Charges at DRG | $52,065 | ||||
| Avg Charges with ICD W1830XA - Fall on same level, unspecified, initial encounter | $38,863 | ||||
| Mortality Rate at DRG | 0.19 | ||||
| Mortality Rate with ICD W1830XA - Fall on same level, unspecified, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 53.08 | ||||
| SNF Discharge Rate with ICD W1830XA - Fall on same level, unspecified, initial encounter | 56.96 | ||||
| Home Discharge Rate at DRG | 10.18 | ||||
| Home Discharge Rate with ICD W1830XA - Fall on same level, unspecified, initial encounter | 9.79 |
*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 469: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 605: TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 493: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD W1830XA - Fall on same level, unspecified, initial encounter | 238 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD W1830XA - Fall on same level, unspecified, initial encounter in DRG | 1.77 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD W1830XA - Fall on same level, unspecified, initial encounter | 3.64 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD W1830XA - Fall on same level, unspecified, initial encounter | 16.23 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD W1830XA - Fall on same level, unspecified, initial encounter | 8.33 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD W1830XA - Fall on same level, unspecified, initial encounter | $1,243,626 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD W1830XA - Fall on same level, unspecified, initial encounter | $1,436 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD W1830XA - Fall on same level, unspecified, initial encounter | $5,225 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD W1830XA - Fall on same level, unspecified, initial encounter | $4,443,104 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD W1830XA - Fall on same level, unspecified, initial encounter | $18,669 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD W1830XA - Fall on same level, unspecified, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD W1830XA - Fall on same level, unspecified, initial encounter | 47.06 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD W1830XA - Fall on same level, unspecified, initial encounter | 18.07 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 085: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 087: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 083: TRAUMATIC STUPOR AND COMA, COMA >1 HOUR WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 30,602 | ||||
| Total Hospitalizations with ICD W1830XA - Fall on same level, unspecified, initial encounter | 165 | ||||
| DRG Share of Total Hospitalizations | 0.09 | ||||
| % of Total ICD W1830XA - Fall on same level, unspecified, initial encounter in DRG | 1.22 | ||||
| Avg LOS at DRG | 6.57 | ||||
| Avg LOS with ICD W1830XA - Fall on same level, unspecified, initial encounter | 6.97 | ||||
| Readmission Rate at DRG | 32.81 | ||||
| Readmission Rate with ICD W1830XA - Fall on same level, unspecified, initial encounter | 27.94 | ||||
| Unplanned Readmission Rate at DRG | 15.0 | ||||
| Unplanned Readmission Rate with ICD W1830XA - Fall on same level, unspecified, initial encounter | 10.29 | ||||
| Total Medicare payments at DRG | $424,301,347 | ||||
| Total Medicare payments with ICD W1830XA - Fall on same level, unspecified, initial encounter | $2,277,177 | ||||
| Total Medicare payment per Day at DRG | $2,110 | ||||
| Total Medicare payment per Day with ICD W1830XA - Fall on same level, unspecified, initial encounter | $1,980 | ||||
| Total Medicare payment per Hospitalization at DRG | $13,865 | ||||
| Total Medicare payment per Hospitalization with ICD W1830XA - Fall on same level, unspecified, initial encounter | $13,801 | ||||
| Total Medicare Charges at DRG | $2,161,291,563 | ||||
| Total Medicare Charges with ICD W1830XA - Fall on same level, unspecified, initial encounter | $10,093,963 | ||||
| Avg Charges at DRG | $70,626 | ||||
| Avg Charges with ICD W1830XA - Fall on same level, unspecified, initial encounter | $61,176 | ||||
| Mortality Rate at DRG | 12.18 | ||||
| Mortality Rate with ICD W1830XA - Fall on same level, unspecified, initial encounter | 13.94 | ||||
| SNF Discharge Rate at DRG | 33.65 | ||||
| SNF Discharge Rate with ICD W1830XA - Fall on same level, unspecified, initial encounter | 38.79 | ||||
| Home Discharge Rate at DRG | 14.18 | ||||
| Home Discharge Rate with ICD W1830XA - Fall on same level, unspecified, initial encounter | 13.94 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BAPTIST MEDICAL CENTER JACKSONVILLE | 800 PRUDENTIAL DR | JACKSONVILLE | FL | 32207 | 587 |
| MOBILE INFIRMARY | 3 MOBILE INFIRMARY CIR | MOBILE | AL | 36607 | 553 |
| WESTERN MARYLAND HEALTH SYSTEM | 12500 WILLOWBROOK RD | CUMBERLAND | MD | 21502 | 512 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RUSSELL D GOODE | 6144 AIRPORT BLVD | MOBILE | AL | 36608 | 66 |
| Dr. JAY MICHAEL CULPEPPER | 701 GROVE RD | GREENVILLE | SC | 29605 | 58 |
| Dr. EDWARD K RODRIGUEZ | B.I.D.M.C. | BOSTON | MA | 02115 | 43 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. FULTON G DEFOUR | 750 MORPHY AVE | FAIRHOPE | AL | 36532 | 60 |
| Dr. ADOLPH ISOM | 3280 DAUPHIN ST | MOBILE | AL | 36606 | 57 |
| Dr. JAY MICHAEL CULPEPPER | 701 GROVE RD | GREENVILLE | SC | 29605 | 57 |