*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| W19XXXD - Unspecified fall, subsequent encounter - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 11.8 | |
| 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 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 559: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 188,863 | ||||
| Total Hospitalizations with ICD W19XXXD - Unspecified fall, subsequent encounter | 994 | ||||
| DRG Share of Total Hospitalizations | 0.57 | ||||
| % of Total ICD W19XXXD - Unspecified fall, subsequent encounter in DRG | 16.77 | ||||
| Avg LOS at DRG | 11.75 | ||||
| Avg LOS with ICD W19XXXD - Unspecified fall, subsequent encounter | 13.8 | ||||
| Readmission Rate at DRG | 12.14 | ||||
| Readmission Rate with ICD W19XXXD - Unspecified fall, subsequent encounter | 11.96 | ||||
| Unplanned Readmission Rate at DRG | 7.97 | ||||
| Unplanned Readmission Rate with ICD W19XXXD - Unspecified fall, subsequent encounter | 9.13 | ||||
| Total Medicare payments at DRG | $3,216,901,374 | ||||
| Total Medicare payments with ICD W19XXXD - Unspecified fall, subsequent encounter | $18,995,794 | ||||
| Total Medicare payment per Day at DRG | $1,450 | ||||
| Total Medicare payment per Day with ICD W19XXXD - Unspecified fall, subsequent encounter | $1,385 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,033 | ||||
| Total Medicare payment per Hospitalization with ICD W19XXXD - Unspecified fall, subsequent encounter | $19,110 | ||||
| Total Medicare Charges at DRG | $7,709,712,645 | ||||
| Total Medicare Charges with ICD W19XXXD - Unspecified fall, subsequent encounter | $37,338,649 | ||||
| Avg Charges at DRG | $40,822 | ||||
| Avg Charges with ICD W19XXXD - Unspecified fall, subsequent encounter | $37,564 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD W19XXXD - Unspecified fall, subsequent encounter | NA | ||||
| SNF Discharge Rate at DRG | 19.54 | ||||
| SNF Discharge Rate with ICD W19XXXD - Unspecified fall, subsequent encounter | 31.89 | ||||
| Home Discharge Rate at DRG | 19.47 | ||||
| Home Discharge Rate with ICD W19XXXD - Unspecified fall, subsequent encounter | 13.38 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 950: AFTERCARE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 359,935 | ||||
| Total Hospitalizations with ICD W19XXXD - Unspecified fall, subsequent encounter | 222 | ||||
| DRG Share of Total Hospitalizations | 1.1 | ||||
| % of Total ICD W19XXXD - Unspecified fall, subsequent encounter in DRG | 3.74 | ||||
| Avg LOS at DRG | 12.3 | ||||
| Avg LOS with ICD W19XXXD - Unspecified fall, subsequent encounter | 14.4 | ||||
| Readmission Rate at DRG | 16.01 | ||||
| Readmission Rate with ICD W19XXXD - Unspecified fall, subsequent encounter | 11.59 | ||||
| Unplanned Readmission Rate at DRG | 9.86 | ||||
| Unplanned Readmission Rate with ICD W19XXXD - Unspecified fall, subsequent encounter | 8.7 | ||||
| Total Medicare payments at DRG | $5,883,826,653 | ||||
| Total Medicare payments with ICD W19XXXD - Unspecified fall, subsequent encounter | $4,254,631 | ||||
| Total Medicare payment per Day at DRG | $1,329 | ||||
| Total Medicare payment per Day with ICD W19XXXD - Unspecified fall, subsequent encounter | $1,331 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
| Total Medicare payment per Hospitalization with ICD W19XXXD - Unspecified fall, subsequent encounter | $19,165 | ||||
| Total Medicare Charges at DRG | $15,374,824,749 | ||||
| Total Medicare Charges with ICD W19XXXD - Unspecified fall, subsequent encounter | $7,733,482 | ||||
| Avg Charges at DRG | $42,716 | ||||
| Avg Charges with ICD W19XXXD - Unspecified fall, subsequent encounter | $34,836 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD W19XXXD - Unspecified fall, subsequent encounter | NA | ||||
| SNF Discharge Rate at DRG | 27.95 | ||||
| SNF Discharge Rate with ICD W19XXXD - Unspecified fall, subsequent encounter | 38.29 | ||||
| Home Discharge Rate at DRG | 26.85 | ||||
| Home Discharge Rate with ICD W19XXXD - Unspecified fall, subsequent encounter | 16.67 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 884: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 071: NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 144,507 | ||||
| Total Hospitalizations with ICD W19XXXD - Unspecified fall, subsequent encounter | 76 | ||||
| DRG Share of Total Hospitalizations | 0.44 | ||||
| % of Total ICD W19XXXD - Unspecified fall, subsequent encounter in DRG | 1.28 | ||||
| Avg LOS at DRG | 11.23 | ||||
| Avg LOS with ICD W19XXXD - Unspecified fall, subsequent encounter | 15.59 | ||||
| Readmission Rate at DRG | 20.52 | ||||
| Readmission Rate with ICD W19XXXD - Unspecified fall, subsequent encounter | 23.53 | ||||
| Unplanned Readmission Rate at DRG | 12.21 | ||||
| Unplanned Readmission Rate with ICD W19XXXD - Unspecified fall, subsequent encounter | NA | ||||
| Total Medicare payments at DRG | $1,495,371,248 | ||||
| Total Medicare payments with ICD W19XXXD - Unspecified fall, subsequent encounter | $1,014,239 | ||||
| Total Medicare payment per Day at DRG | $922 | ||||
| Total Medicare payment per Day with ICD W19XXXD - Unspecified fall, subsequent encounter | $856 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,348 | ||||
| Total Medicare payment per Hospitalization with ICD W19XXXD - Unspecified fall, subsequent encounter | $13,345 | ||||
| Total Medicare Charges at DRG | $5,107,483,805 | ||||
| Total Medicare Charges with ICD W19XXXD - Unspecified fall, subsequent encounter | $2,237,663 | ||||
| Avg Charges at DRG | $35,344 | ||||
| Avg Charges with ICD W19XXXD - Unspecified fall, subsequent encounter | $29,443 | ||||
| Mortality Rate at DRG | 0.73 | ||||
| Mortality Rate with ICD W19XXXD - Unspecified fall, subsequent encounter | NA | ||||
| SNF Discharge Rate at DRG | 38.43 | ||||
| SNF Discharge Rate with ICD W19XXXD - Unspecified fall, subsequent encounter | 47.37 | ||||
| Home Discharge Rate at DRG | 27.81 | ||||
| Home Discharge Rate with ICD W19XXXD - Unspecified fall, subsequent encounter | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 312: SYNCOPE AND COLLAPSE | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD W19XXXD - Unspecified fall, subsequent encounter | 51 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD W19XXXD - Unspecified fall, subsequent encounter in DRG | 0.86 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD W19XXXD - Unspecified fall, subsequent encounter | 10.02 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD W19XXXD - Unspecified fall, subsequent encounter | 34.09 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD W19XXXD - Unspecified fall, subsequent encounter | NA | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD W19XXXD - Unspecified fall, subsequent encounter | $555,818 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD W19XXXD - Unspecified fall, subsequent encounter | $1,088 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD W19XXXD - Unspecified fall, subsequent encounter | $10,898 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD W19XXXD - Unspecified fall, subsequent encounter | $2,168,867 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD W19XXXD - Unspecified fall, subsequent encounter | $42,527 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD W19XXXD - Unspecified fall, subsequent encounter | NA | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD W19XXXD - Unspecified fall, subsequent encounter | 54.9 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD W19XXXD - Unspecified fall, subsequent encounter | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| VILLA MARIA NURSING CENTER | 1050 NE 125TH ST | NORTH MIAMI | FL | 33161 | 507 |
| SAN JOAQUIN VALLEY REHABILITATION HOSPITAL | 7173 N SHARON AVE | FRESNO | CA | 93720 | 359 |
| CARRUS HOSPITALS | 1810 W US HIGHWAY 82 | SHERMAN | TX | 75092 | 296 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID MARK GORDON | 28455 HAGGERTY RD | NOVI | MI | 48377 | 240 |
| Dr. THA CHA | 125 E BARSTOW AVE STE 118 | FRESNO | CA | 93710 | 136 |
| Dr. HARWINDER SINGH | 1805 E FIR AVE | FRESNO | CA | 93720 | 89 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID MARK GORDON | 28455 HAGGERTY RD | NOVI | MI | 48377 | 240 |
| Dr. LINA HURTADO | 8850 NW 122ND ST | HIALEAH GARDENS | FL | 33018 | 216 |
| Dr. TONYA C WASHBURN | 721 NW 6TH ST | OKLAHOMA CITY | OK | 73102 | 197 |