*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z8781 - Personal history of (healed) traumatic fracture - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 12.04 | |
| 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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 885: PSYCHOSES | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD Z8781 - Personal history of (healed) traumatic fracture | 4,188 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD Z8781 - Personal history of (healed) traumatic fracture in DRG | 5.48 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD Z8781 - Personal history of (healed) traumatic fracture | 3.07 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD Z8781 - Personal history of (healed) traumatic fracture | 13.31 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD Z8781 - Personal history of (healed) traumatic fracture | 4.4 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD Z8781 - Personal history of (healed) traumatic fracture | $52,976,505 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD Z8781 - Personal history of (healed) traumatic fracture | $4,125 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD Z8781 - Personal history of (healed) traumatic fracture | $12,650 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD Z8781 - Personal history of (healed) traumatic fracture | $280,244,980 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD Z8781 - Personal history of (healed) traumatic fracture | $66,916 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD Z8781 - Personal history of (healed) traumatic fracture | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD Z8781 - Personal history of (healed) traumatic fracture | 35.67 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD Z8781 - Personal history of (healed) traumatic fracture | 22.33 |
*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 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 536: FRACTURES OF HIP AND PELVIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD Z8781 - Personal history of (healed) traumatic fracture | 1,333 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD Z8781 - Personal history of (healed) traumatic fracture in DRG | 1.74 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD Z8781 - Personal history of (healed) traumatic fracture | 3.78 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD Z8781 - Personal history of (healed) traumatic fracture | 17.06 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD Z8781 - Personal history of (healed) traumatic fracture | 11.74 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD Z8781 - Personal history of (healed) traumatic fracture | $6,762,153 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD Z8781 - Personal history of (healed) traumatic fracture | $1,343 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD Z8781 - Personal history of (healed) traumatic fracture | $5,073 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD Z8781 - Personal history of (healed) traumatic fracture | $34,447,131 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD Z8781 - Personal history of (healed) traumatic fracture | $25,842 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD Z8781 - Personal history of (healed) traumatic fracture | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD Z8781 - Personal history of (healed) traumatic fracture | 39.91 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD Z8781 - Personal history of (healed) traumatic fracture | 26.63 |
*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 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 364,421 | ||||
| Total Hospitalizations with ICD Z8781 - Personal history of (healed) traumatic fracture | 1,060 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD Z8781 - Personal history of (healed) traumatic fracture in DRG | 1.39 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD Z8781 - Personal history of (healed) traumatic fracture | 3.97 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD Z8781 - Personal history of (healed) traumatic fracture | 18.06 | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD Z8781 - Personal history of (healed) traumatic fracture | 11.88 | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD Z8781 - Personal history of (healed) traumatic fracture | $6,146,348 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD Z8781 - Personal history of (healed) traumatic fracture | $1,462 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD Z8781 - Personal history of (healed) traumatic fracture | $5,798 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD Z8781 - Personal history of (healed) traumatic fracture | $26,661,897 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD Z8781 - Personal history of (healed) traumatic fracture | $25,153 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD Z8781 - Personal history of (healed) traumatic fracture | NA | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD Z8781 - Personal history of (healed) traumatic fracture | 19.72 | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD Z8781 - Personal history of (healed) traumatic fracture | 47.55 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD Z8781 - Personal history of (healed) traumatic fracture | 949 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD Z8781 - Personal history of (healed) traumatic fracture in DRG | 1.24 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD Z8781 - Personal history of (healed) traumatic fracture | 4.48 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD Z8781 - Personal history of (healed) traumatic fracture | 15.27 | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD Z8781 - Personal history of (healed) traumatic fracture | 10.55 | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD Z8781 - Personal history of (healed) traumatic fracture | $6,304,776 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD Z8781 - Personal history of (healed) traumatic fracture | $1,482 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD Z8781 - Personal history of (healed) traumatic fracture | $6,644 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD Z8781 - Personal history of (healed) traumatic fracture | $28,291,478 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD Z8781 - Personal history of (healed) traumatic fracture | $29,812 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD Z8781 - Personal history of (healed) traumatic fracture | NA | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD Z8781 - Personal history of (healed) traumatic fracture | 30.56 | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD Z8781 - Personal history of (healed) traumatic fracture | 35.19 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ANNA JAQUES HOSPITAL | 25 HIGHLAND AVE | NEWBURYPORT | MA | 01950 | 357 |
| MAINE MEDICAL CENTER | 22 BRAMHALL ST | PORTLAND | ME | 04102 | 353 |
| ST. JOSEPH MEDICAL CENTER | 1000 CARONDELET DR | KANSAS CITY | MO | 64114 | 343 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DARRIN RICHARD MANGIACARNE | 5060 VALLEY VIEW BLVD NW | ROANOKE | VA | 24012 | 110 |
| Dr. WILLIAM W BOWEN | 84 MADRONE ST | WILLITS | CA | 95490 | 81 |
| Dr. GREG SMART | 209 THOMPSON AVE | EL DORADO | AR | 71730 | 34 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DARRIN RICHARD MANGIACARNE | 5060 VALLEY VIEW BLVD NW | ROANOKE | VA | 24012 | 111 |
| Dr. WILLIAM W BOWEN | 84 MADRONE ST | WILLITS | CA | 95490 | 91 |
| Dr. JOHN A. KLINE | 150 MUNDY ST | WILKES BARRE | PA | 18702 | 75 |