*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z87828 - Personal history of other (healed) physical injury and trauma - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 12.32 | |
| 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 885: PSYCHOSES | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD Z87828 - Personal history of other (healed) physical injury and trauma | 2,110 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD Z87828 - Personal history of other (healed) physical injury and trauma in DRG | 9.46 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD Z87828 - Personal history of other (healed) physical injury and trauma | 11.65 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD Z87828 - Personal history of other (healed) physical injury and trauma | 26.3 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD Z87828 - Personal history of other (healed) physical injury and trauma | 12.95 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD Z87828 - Personal history of other (healed) physical injury and trauma | $17,606,552 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD Z87828 - Personal history of other (healed) physical injury and trauma | $716 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD Z87828 - Personal history of other (healed) physical injury and trauma | $8,344 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD Z87828 - Personal history of other (healed) physical injury and trauma | $63,676,898 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD Z87828 - Personal history of other (healed) physical injury and trauma | $30,179 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD Z87828 - Personal history of other (healed) physical injury and trauma | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD Z87828 - Personal history of other (healed) physical injury and trauma | 4.27 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD Z87828 - Personal history of other (healed) physical injury and trauma | 81.28 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 101: SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD Z87828 - Personal history of other (healed) physical injury and trauma | 336 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD Z87828 - Personal history of other (healed) physical injury and trauma in DRG | 1.51 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD Z87828 - Personal history of other (healed) physical injury and trauma | 4.35 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD Z87828 - Personal history of other (healed) physical injury and trauma | 17.16 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD Z87828 - Personal history of other (healed) physical injury and trauma | 12.87 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD Z87828 - Personal history of other (healed) physical injury and trauma | $2,245,509 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD Z87828 - Personal history of other (healed) physical injury and trauma | $1,537 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD Z87828 - Personal history of other (healed) physical injury and trauma | $6,683 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD Z87828 - Personal history of other (healed) physical injury and trauma | $10,779,096 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD Z87828 - Personal history of other (healed) physical injury and trauma | $32,081 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD Z87828 - Personal history of other (healed) physical injury and trauma | NA | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD Z87828 - Personal history of other (healed) physical injury and trauma | 16.07 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD Z87828 - Personal history of other (healed) physical injury and trauma | 55.36 |
*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 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 359,935 | ||||
| Total Hospitalizations with ICD Z87828 - Personal history of other (healed) physical injury and trauma | 275 | ||||
| DRG Share of Total Hospitalizations | 1.1 | ||||
| % of Total ICD Z87828 - Personal history of other (healed) physical injury and trauma in DRG | 1.23 | ||||
| Avg LOS at DRG | 12.3 | ||||
| Avg LOS with ICD Z87828 - Personal history of other (healed) physical injury and trauma | 12.88 | ||||
| Readmission Rate at DRG | 16.01 | ||||
| Readmission Rate with ICD Z87828 - Personal history of other (healed) physical injury and trauma | 15.77 | ||||
| Unplanned Readmission Rate at DRG | 9.86 | ||||
| Unplanned Readmission Rate with ICD Z87828 - Personal history of other (healed) physical injury and trauma | 7.69 | ||||
| Total Medicare payments at DRG | $5,883,826,653 | ||||
| Total Medicare payments with ICD Z87828 - Personal history of other (healed) physical injury and trauma | $4,255,736 | ||||
| Total Medicare payment per Day at DRG | $1,329 | ||||
| Total Medicare payment per Day with ICD Z87828 - Personal history of other (healed) physical injury and trauma | $1,202 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
| Total Medicare payment per Hospitalization with ICD Z87828 - Personal history of other (healed) physical injury and trauma | $15,475 | ||||
| Total Medicare Charges at DRG | $15,374,824,749 | ||||
| Total Medicare Charges with ICD Z87828 - Personal history of other (healed) physical injury and trauma | $12,909,938 | ||||
| Avg Charges at DRG | $42,716 | ||||
| Avg Charges with ICD Z87828 - Personal history of other (healed) physical injury and trauma | $46,945 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD Z87828 - Personal history of other (healed) physical injury and trauma | NA | ||||
| SNF Discharge Rate at DRG | 27.95 | ||||
| SNF Discharge Rate with ICD Z87828 - Personal history of other (healed) physical injury and trauma | 23.64 | ||||
| Home Discharge Rate at DRG | 26.85 | ||||
| Home Discharge Rate with ICD Z87828 - Personal history of other (healed) physical injury and trauma | 29.09 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 884: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 352,097 | ||||
| Total Hospitalizations with ICD Z87828 - Personal history of other (healed) physical injury and trauma | 218 | ||||
| DRG Share of Total Hospitalizations | 1.07 | ||||
| % of Total ICD Z87828 - Personal history of other (healed) physical injury and trauma in DRG | 0.98 | ||||
| Avg LOS at DRG | 3.96 | ||||
| Avg LOS with ICD Z87828 - Personal history of other (healed) physical injury and trauma | 4.23 | ||||
| Readmission Rate at DRG | 35.38 | ||||
| Readmission Rate with ICD Z87828 - Personal history of other (healed) physical injury and trauma | 33.0 | ||||
| Unplanned Readmission Rate at DRG | 7.63 | ||||
| Unplanned Readmission Rate with ICD Z87828 - Personal history of other (healed) physical injury and trauma | NA | ||||
| Total Medicare payments at DRG | $2,360,891,966 | ||||
| Total Medicare payments with ICD Z87828 - Personal history of other (healed) physical injury and trauma | $1,580,466 | ||||
| Total Medicare payment per Day at DRG | $1,693 | ||||
| Total Medicare payment per Day with ICD Z87828 - Personal history of other (healed) physical injury and trauma | $1,712 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,705 | ||||
| Total Medicare payment per Hospitalization with ICD Z87828 - Personal history of other (healed) physical injury and trauma | $7,250 | ||||
| Total Medicare Charges at DRG | $13,014,640,264 | ||||
| Total Medicare Charges with ICD Z87828 - Personal history of other (healed) physical injury and trauma | $7,769,094 | ||||
| Avg Charges at DRG | $36,963 | ||||
| Avg Charges with ICD Z87828 - Personal history of other (healed) physical injury and trauma | $35,638 | ||||
| Mortality Rate at DRG | 1.54 | ||||
| Mortality Rate with ICD Z87828 - Personal history of other (healed) physical injury and trauma | NA | ||||
| SNF Discharge Rate at DRG | 24.0 | ||||
| SNF Discharge Rate with ICD Z87828 - Personal history of other (healed) physical injury and trauma | 19.72 | ||||
| Home Discharge Rate at DRG | 26.62 | ||||
| Home Discharge Rate with ICD Z87828 - Personal history of other (healed) physical injury and trauma | 34.86 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MISSISSIPPI BAPTIST MEDICAL CENTER | 1225 N STATE ST | JACKSON | MS | 39202 | 130 |
| MEDSTAR FRANKLIN SQUARE MEDICAL CENTER | 9000 FRANKLIN SQUARE DR | BALTIMORE | MD | 21237 | 98 |
| ADVENTIST HEALTH ST. HELENA | 10 WOODLAND RD | SAINT HELENA | CA | 94574 | 93 |
| 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 | 65 |
| Dr. DOUGLAS JAMES BRUNNER | 175 E CHESTER PIKE | RIDLEY PARK | PA | 19078 | 47 |
| Dr. JOHN NICHOLAS DIANA | 3273 CLAREMONT WAY | NAPA | CA | 94558 | 21 |
| 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 | 66 |
| Dr. DOUGLAS JAMES BRUNNER | 175 E CHESTER PIKE | RIDLEY PARK | PA | 19078 | 47 |
| Dr. FRED JOHN VONSTIEFF | 2481 PACHECO ST | CONCORD | CA | 94520 | 38 |