*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
W19XXXA - Unspecified fall, initial encounter - as a primary or secondary diagnosis code | ||
---|---|---|
OUTCOMES | ||
Avg. LOS | ||
Readmission Rate (%) | ||
Unplanned Readmission Rate (%) | 11.16 | |
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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 240,618 | ||||
Total Hospitalizations with ICD W19XXXA - Unspecified fall, initial encounter | 1,117 | ||||
DRG Share of Total Hospitalizations | 0.73 | ||||
% of Total ICD W19XXXA - Unspecified fall, initial encounter in DRG | 4.66 | ||||
Avg LOS at DRG | 4.81 | ||||
Avg LOS with ICD W19XXXA - Unspecified fall, initial encounter | 4.95 | ||||
Readmission Rate at DRG | 26.3 | ||||
Readmission Rate with ICD W19XXXA - Unspecified fall, initial encounter | 21.53 | ||||
Unplanned Readmission Rate at DRG | 7.83 | ||||
Unplanned Readmission Rate with ICD W19XXXA - Unspecified fall, initial encounter | 7.91 | ||||
Total Medicare payments at DRG | $2,989,116,299 | ||||
Total Medicare payments with ICD W19XXXA - Unspecified fall, initial encounter | $14,387,087 | ||||
Total Medicare payment per Day at DRG | $2,581 | ||||
Total Medicare payment per Day with ICD W19XXXA - Unspecified fall, initial encounter | $2,600 | ||||
Total Medicare payment per Hospitalization at DRG | $12,423 | ||||
Total Medicare payment per Hospitalization with ICD W19XXXA - Unspecified fall, initial encounter | $12,880 | ||||
Total Medicare Charges at DRG | $15,603,027,471 | ||||
Total Medicare Charges with ICD W19XXXA - Unspecified fall, initial encounter | $56,466,622 | ||||
Avg Charges at DRG | $64,846 | ||||
Avg Charges with ICD W19XXXA - Unspecified fall, initial encounter | $50,552 | ||||
Mortality Rate at DRG | 0.4 | ||||
Mortality Rate with ICD W19XXXA - Unspecified fall, initial encounter | NA | ||||
SNF Discharge Rate at DRG | 66.28 | ||||
SNF Discharge Rate with ICD W19XXXA - Unspecified fall, initial encounter | 71.53 | ||||
Home Discharge Rate at DRG | 3.84 | ||||
Home Discharge Rate with ICD W19XXXA - Unspecified fall, initial encounter | 3.4 |
*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 312: SYNCOPE AND COLLAPSE | DRG 563: FRACTURE SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 482: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 474,314 | ||||
Total Hospitalizations with ICD W19XXXA - Unspecified fall, initial encounter | 649 | ||||
DRG Share of Total Hospitalizations | 1.44 | ||||
% of Total ICD W19XXXA - Unspecified fall, initial encounter in DRG | 2.71 | ||||
Avg LOS at DRG | 3.53 | ||||
Avg LOS with ICD W19XXXA - Unspecified fall, initial encounter | 3.82 | ||||
Readmission Rate at DRG | 18.03 | ||||
Readmission Rate with ICD W19XXXA - Unspecified fall, initial encounter | 19.62 | ||||
Unplanned Readmission Rate at DRG | 12.55 | ||||
Unplanned Readmission Rate with ICD W19XXXA - Unspecified fall, initial encounter | 11.48 | ||||
Total Medicare payments at DRG | $2,312,733,090 | ||||
Total Medicare payments with ICD W19XXXA - Unspecified fall, initial encounter | $3,383,915 | ||||
Total Medicare payment per Day at DRG | $1,380 | ||||
Total Medicare payment per Day with ICD W19XXXA - Unspecified fall, initial encounter | $1,365 | ||||
Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
Total Medicare payment per Hospitalization with ICD W19XXXA - Unspecified fall, initial encounter | $5,214 | ||||
Total Medicare Charges at DRG | $11,559,952,314 | ||||
Total Medicare Charges with ICD W19XXXA - Unspecified fall, initial encounter | $11,987,104 | ||||
Avg Charges at DRG | $24,372 | ||||
Avg Charges with ICD W19XXXA - Unspecified fall, initial encounter | $18,470 | ||||
Mortality Rate at DRG | 0.22 | ||||
Mortality Rate with ICD W19XXXA - Unspecified fall, initial encounter | NA | ||||
SNF Discharge Rate at DRG | 25.96 | ||||
SNF Discharge Rate with ICD W19XXXA - Unspecified fall, initial encounter | 40.99 | ||||
Home Discharge Rate at DRG | 43.58 | ||||
Home Discharge Rate with ICD W19XXXA - Unspecified fall, initial encounter | 20.49 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 480: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 310,318 | ||||
Total Hospitalizations with ICD W19XXXA - Unspecified fall, initial encounter | 411 | ||||
DRG Share of Total Hospitalizations | 0.94 | ||||
% of Total ICD W19XXXA - Unspecified fall, initial encounter in DRG | 1.72 | ||||
Avg LOS at DRG | 3.19 | ||||
Avg LOS with ICD W19XXXA - Unspecified fall, initial encounter | 3.54 | ||||
Readmission Rate at DRG | 20.19 | ||||
Readmission Rate with ICD W19XXXA - Unspecified fall, initial encounter | 16.84 | ||||
Unplanned Readmission Rate at DRG | 13.62 | ||||
Unplanned Readmission Rate with ICD W19XXXA - Unspecified fall, initial encounter | 10.62 | ||||
Total Medicare payments at DRG | $1,415,392,709 | ||||
Total Medicare payments with ICD W19XXXA - Unspecified fall, initial encounter | $1,949,053 | ||||
Total Medicare payment per Day at DRG | $1,431 | ||||
Total Medicare payment per Day with ICD W19XXXA - Unspecified fall, initial encounter | $1,340 | ||||
Total Medicare payment per Hospitalization at DRG | $4,561 | ||||
Total Medicare payment per Hospitalization with ICD W19XXXA - Unspecified fall, initial encounter | $4,742 | ||||
Total Medicare Charges at DRG | $7,113,640,596 | ||||
Total Medicare Charges with ICD W19XXXA - Unspecified fall, initial encounter | $7,873,898 | ||||
Avg Charges at DRG | $22,924 | ||||
Avg Charges with ICD W19XXXA - Unspecified fall, initial encounter | $19,158 | ||||
Mortality Rate at DRG | 0.63 | ||||
Mortality Rate with ICD W19XXXA - Unspecified fall, initial encounter | NA | ||||
SNF Discharge Rate at DRG | 19.76 | ||||
SNF Discharge Rate with ICD W19XXXA - Unspecified fall, initial encounter | 35.04 | ||||
Home Discharge Rate at DRG | 50.47 | ||||
Home Discharge Rate with ICD W19XXXA - Unspecified fall, initial encounter | 32.12 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 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 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 469: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 50,567 | ||||
Total Hospitalizations with ICD W19XXXA - Unspecified fall, initial encounter | 327 | ||||
DRG Share of Total Hospitalizations | 0.15 | ||||
% of Total ICD W19XXXA - Unspecified fall, initial encounter in DRG | 1.37 | ||||
Avg LOS at DRG | 4.05 | ||||
Avg LOS with ICD W19XXXA - Unspecified fall, initial encounter | 4.5 | ||||
Readmission Rate at DRG | 26.88 | ||||
Readmission Rate with ICD W19XXXA - Unspecified fall, initial encounter | 29.18 | ||||
Unplanned Readmission Rate at DRG | 12.36 | ||||
Unplanned Readmission Rate with ICD W19XXXA - Unspecified fall, initial encounter | 11.8 | ||||
Total Medicare payments at DRG | $378,594,631 | ||||
Total Medicare payments with ICD W19XXXA - Unspecified fall, initial encounter | $2,566,648 | ||||
Total Medicare payment per Day at DRG | $1,847 | ||||
Total Medicare payment per Day with ICD W19XXXA - Unspecified fall, initial encounter | $1,744 | ||||
Total Medicare payment per Hospitalization at DRG | $7,487 | ||||
Total Medicare payment per Hospitalization with ICD W19XXXA - Unspecified fall, initial encounter | $7,849 | ||||
Total Medicare Charges at DRG | $2,140,437,521 | ||||
Total Medicare Charges with ICD W19XXXA - Unspecified fall, initial encounter | $10,726,591 | ||||
Avg Charges at DRG | $42,329 | ||||
Avg Charges with ICD W19XXXA - Unspecified fall, initial encounter | $32,803 | ||||
Mortality Rate at DRG | 1.75 | ||||
Mortality Rate with ICD W19XXXA - Unspecified fall, initial encounter | 3.36 | ||||
SNF Discharge Rate at DRG | 32.85 | ||||
SNF Discharge Rate with ICD W19XXXA - Unspecified fall, initial encounter | 35.47 | ||||
Home Discharge Rate at DRG | 27.18 | ||||
Home Discharge Rate with ICD W19XXXA - Unspecified fall, initial encounter | 21.1 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
BAPTIST MEDICAL CENTER JACKSONVILLE | 800 PRUDENTIAL DR | JACKSONVILLE | FL | 32207 | 1,223 |
ASCENSION SAINT THOMAS WEST HOSPITAL | 4220 HARDING RD | NASHVILLE | TN | 37205 | 715 |
HENDRICK MEDICAL CENTER | 1900 PINE ST | ABILENE | TX | 79601 | 708 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. PRASHANTH ANAND | 1200 N EAST ST | OLNEY | IL | 62450 | 54 |
Dr. JOHN J WIXTED | 55 LAKE AVE N | WORCESTER | MA | 01655 | 52 |
Dr. FRANZ AMADEO PINO-DELGADO | B1 CALLE SANTA CRUZ | BAYAMON | PR | 00961 | 49 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. NIMESH K VESUWALA | 82 TUNNEL RD | POTTSVILLE | PA | 17901 | 94 |
Dr. ADALBERTO R FONTICIELLA | 1000 WEST KINGSHIGHWAY | PARAGOULD | AR | 72450 | 93 |
Dr. DENNIS PETER PADLA | 211 HILLTOP RD | SAINT JOSEPH | MI | 49085 | 89 |