| 8026 - Closed fracture of orbital floor (blow-out) - as a primary diagnosis code | 8026 - Closed fracture of orbital floor (blow-out) - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.84 | |
| Readmission Rate (%) | 23.51 | |
| Unplanned Readmission Rate (%) | 8.05 | |
| 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 | ||
| DRG 125: OTHER DISORDERS OF THE EYE WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 113: ORBITAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 124: OTHER DISORDERS OF THE EYE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 114: ORBITAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 115: EXTRAOCULAR PROCEDURES EXCEPT ORBIT | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 7,596 | ||||
| Total Hospitalizations with ICD 8026 - Closed fracture of orbital floor (blow-out) | 919 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD 8026 - Closed fracture of orbital floor (blow-out) in DRG | 49.52 | ||||
| Avg LOS at DRG | 3.2 | ||||
| Avg LOS with ICD 8026 - Closed fracture of orbital floor (blow-out) | 2.86 | ||||
| Readmission Rate at DRG | 14.35 | ||||
| Readmission Rate with ICD 8026 - Closed fracture of orbital floor (blow-out) | 14.93 | ||||
| Unplanned Readmission Rate at DRG | 9.36 | ||||
| Unplanned Readmission Rate with ICD 8026 - Closed fracture of orbital floor (blow-out) | 7.81 | ||||
| Total Medicare payments at DRG | $33,419,821 | ||||
| Total Medicare payments with ICD 8026 - Closed fracture of orbital floor (blow-out) | $4,134,001 | ||||
| Total Medicare payment per Day at DRG | $1,377 | ||||
| Total Medicare payment per Day with ICD 8026 - Closed fracture of orbital floor (blow-out) | $1,571 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,400 | ||||
| Total Medicare payment per Hospitalization with ICD 8026 - Closed fracture of orbital floor (blow-out) | $4,498 | ||||
| Total Medicare Charges at DRG | $169,842,769 | ||||
| Total Medicare Charges with ICD 8026 - Closed fracture of orbital floor (blow-out) | $23,858,683 | ||||
| Avg Charges at DRG | $22,360 | ||||
| Avg Charges with ICD 8026 - Closed fracture of orbital floor (blow-out) | $25,962 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD 8026 - Closed fracture of orbital floor (blow-out) | NA | ||||
| SNF Discharge Rate at DRG | 15.8 | ||||
| SNF Discharge Rate with ICD 8026 - Closed fracture of orbital floor (blow-out) | 25.46 | ||||
| Home Discharge Rate at DRG | 61.98 | ||||
| Home Discharge Rate with ICD 8026 - Closed fracture of orbital floor (blow-out) | 46.9 |
| DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 31,742 | |
| Total Hospitalizations with ICD 8026 - Closed fracture of orbital floor (blow-out) | 17 | |
| DRG Share of Total Hospitalizations | 0.14 | |
| % of Total ICD 8026 - Closed fracture of orbital floor (blow-out) in DRG | 0.92 | |
| Avg LOS at DRG | 7.58 | |
| Avg LOS with ICD 8026 - Closed fracture of orbital floor (blow-out) | 4.82 | |
| Readmission Rate at DRG | 25.44 | |
| Readmission Rate with ICD 8026 - Closed fracture of orbital floor (blow-out) | NA | |
| Unplanned Readmission Rate at DRG | 14.47 | |
| Unplanned Readmission Rate with ICD 8026 - Closed fracture of orbital floor (blow-out) | NA | |
| Total Medicare payments at DRG | $583,003,764 | |
| Total Medicare payments with ICD 8026 - Closed fracture of orbital floor (blow-out) | $338,817 | |
| Total Medicare payment per Day at DRG | $2,422 | |
| Total Medicare payment per Day with ICD 8026 - Closed fracture of orbital floor (blow-out) | $4,132 | |
| Total Medicare payment per Hospitalization at DRG | $18,367 | |
| Total Medicare payment per Hospitalization with ICD 8026 - Closed fracture of orbital floor (blow-out) | $19,930 | |
| Total Medicare Charges at DRG | $2,600,081,468 | |
| Total Medicare Charges with ICD 8026 - Closed fracture of orbital floor (blow-out) | $1,314,474 | |
| Avg Charges at DRG | $81,913 | |
| Avg Charges with ICD 8026 - Closed fracture of orbital floor (blow-out) | $77,322 | |
| Mortality Rate at DRG | 0.96 | |
| Mortality Rate with ICD 8026 - Closed fracture of orbital floor (blow-out) | NA | |
| SNF Discharge Rate at DRG | 25.55 | |
| SNF Discharge Rate with ICD 8026 - Closed fracture of orbital floor (blow-out) | NA | |
| Home Discharge Rate at DRG | 40.29 | |
| Home Discharge Rate with ICD 8026 - Closed fracture of orbital floor (blow-out) | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| UNIVERSITY OF MARYLAND MEDICAL CENTER | 22 S GREENE STREET | BALTIMORE | MD | 21201 | 20 |
| VANDERBILT UNIVERSITY MEDICAL CENTER | 1211 MEDICAL CENTER DRIVE | NASHVILLE | TN | 37232 | 17 |
| PALMETTO HEALTH RICHLAND | 3301 HARDEN ST EXT | COLUMBIA | SC | 29203 | 14 |
| DRG 086: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITH COMPLICATION OR COMORBIDITY (CC) | DRG 125: OTHER DISORDERS OF THE EYE WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 087: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 131: CRANIAL AND FACIAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 085: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 35,496 | ||||
| Total Hospitalizations with ICD 8026 - Closed fracture of orbital floor (blow-out) | 1,095 | ||||
| DRG Share of Total Hospitalizations | 0.16 | ||||
| % of Total ICD 8026 - Closed fracture of orbital floor (blow-out) in DRG | 10.74 | ||||
| Avg LOS at DRG | 4.37 | ||||
| Avg LOS with ICD 8026 - Closed fracture of orbital floor (blow-out) | 4.25 | ||||
| Readmission Rate at DRG | 27.07 | ||||
| Readmission Rate with ICD 8026 - Closed fracture of orbital floor (blow-out) | 21.06 | ||||
| Unplanned Readmission Rate at DRG | 12.15 | ||||
| Unplanned Readmission Rate with ICD 8026 - Closed fracture of orbital floor (blow-out) | 8.78 | ||||
| Total Medicare payments at DRG | $269,110,633 | ||||
| Total Medicare payments with ICD 8026 - Closed fracture of orbital floor (blow-out) | $8,339,172 | ||||
| Total Medicare payment per Day at DRG | $1,736 | ||||
| Total Medicare payment per Day with ICD 8026 - Closed fracture of orbital floor (blow-out) | $1,792 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,581 | ||||
| Total Medicare payment per Hospitalization with ICD 8026 - Closed fracture of orbital floor (blow-out) | $7,616 | ||||
| Total Medicare Charges at DRG | $1,273,424,189 | ||||
| Total Medicare Charges with ICD 8026 - Closed fracture of orbital floor (blow-out) | $42,501,005 | ||||
| Avg Charges at DRG | $35,875 | ||||
| Avg Charges with ICD 8026 - Closed fracture of orbital floor (blow-out) | $38,814 | ||||
| Mortality Rate at DRG | 2.07 | ||||
| Mortality Rate with ICD 8026 - Closed fracture of orbital floor (blow-out) | 1.28 | ||||
| SNF Discharge Rate at DRG | 33.24 | ||||
| SNF Discharge Rate with ICD 8026 - Closed fracture of orbital floor (blow-out) | 34.79 | ||||
| Home Discharge Rate at DRG | 27.39 | ||||
| Home Discharge Rate with ICD 8026 - Closed fracture of orbital floor (blow-out) | 30.59 |
| DRG 113: ORBITAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 124: OTHER DISORDERS OF THE EYE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 312: SYNCOPE AND COLLAPSE | DRG 083: TRAUMATIC STUPOR AND COMA, COMA >1 HOUR WITH COMPLICATION OR COMORBIDITY (CC) | DRG 158: DENTAL AND ORAL DISEASES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,298 | ||||
| Total Hospitalizations with ICD 8026 - Closed fracture of orbital floor (blow-out) | 366 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD 8026 - Closed fracture of orbital floor (blow-out) in DRG | 3.59 | ||||
| Avg LOS at DRG | 5.63 | ||||
| Avg LOS with ICD 8026 - Closed fracture of orbital floor (blow-out) | 5.62 | ||||
| Readmission Rate at DRG | 17.19 | ||||
| Readmission Rate with ICD 8026 - Closed fracture of orbital floor (blow-out) | 16.43 | ||||
| Unplanned Readmission Rate at DRG | 9.7 | ||||
| Unplanned Readmission Rate with ICD 8026 - Closed fracture of orbital floor (blow-out) | 6.96 | ||||
| Total Medicare payments at DRG | $19,390,477 | ||||
| Total Medicare payments with ICD 8026 - Closed fracture of orbital floor (blow-out) | $5,004,870 | ||||
| Total Medicare payment per Day at DRG | $2,654 | ||||
| Total Medicare payment per Day with ICD 8026 - Closed fracture of orbital floor (blow-out) | $2,434 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,939 | ||||
| Total Medicare payment per Hospitalization with ICD 8026 - Closed fracture of orbital floor (blow-out) | $13,675 | ||||
| Total Medicare Charges at DRG | $88,937,939 | ||||
| Total Medicare Charges with ICD 8026 - Closed fracture of orbital floor (blow-out) | $28,118,180 | ||||
| Avg Charges at DRG | $68,519 | ||||
| Avg Charges with ICD 8026 - Closed fracture of orbital floor (blow-out) | $76,826 | ||||
| Mortality Rate at DRG | 0.92 | ||||
| Mortality Rate with ICD 8026 - Closed fracture of orbital floor (blow-out) | NA | ||||
| SNF Discharge Rate at DRG | 23.88 | ||||
| SNF Discharge Rate with ICD 8026 - Closed fracture of orbital floor (blow-out) | 22.4 | ||||
| Home Discharge Rate at DRG | 49.85 | ||||
| Home Discharge Rate with ICD 8026 - Closed fracture of orbital floor (blow-out) | 50.82 |
| DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 155: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 082: TRAUMATIC STUPOR AND COMA, COMA >1 HOUR WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 084: TRAUMATIC STUPOR AND COMA, COMA >1 HOUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 964: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 34,870 | ||||
| Total Hospitalizations with ICD 8026 - Closed fracture of orbital floor (blow-out) | 241 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD 8026 - Closed fracture of orbital floor (blow-out) in DRG | 2.36 | ||||
| Avg LOS at DRG | 32.29 | ||||
| Avg LOS with ICD 8026 - Closed fracture of orbital floor (blow-out) | 25.07 | ||||
| Readmission Rate at DRG | 77.59 | ||||
| Readmission Rate with ICD 8026 - Closed fracture of orbital floor (blow-out) | 77.83 | ||||
| Unplanned Readmission Rate at DRG | 6.64 | ||||
| Unplanned Readmission Rate with ICD 8026 - Closed fracture of orbital floor (blow-out) | 6.13 | ||||
| Total Medicare payments at DRG | $4,332,531,897 | ||||
| Total Medicare payments with ICD 8026 - Closed fracture of orbital floor (blow-out) | $25,624,230 | ||||
| Total Medicare payment per Day at DRG | $3,848 | ||||
| Total Medicare payment per Day with ICD 8026 - Closed fracture of orbital floor (blow-out) | $4,241 | ||||
| Total Medicare payment per Hospitalization at DRG | $124,248 | ||||
| Total Medicare payment per Hospitalization with ICD 8026 - Closed fracture of orbital floor (blow-out) | $106,325 | ||||
| Total Medicare Charges at DRG | $18,041,668,887 | ||||
| Total Medicare Charges with ICD 8026 - Closed fracture of orbital floor (blow-out) | $100,614,692 | ||||
| Avg Charges at DRG | $517,398 | ||||
| Avg Charges with ICD 8026 - Closed fracture of orbital floor (blow-out) | $417,488 | ||||
| Mortality Rate at DRG | 19.09 | ||||
| Mortality Rate with ICD 8026 - Closed fracture of orbital floor (blow-out) | 6.64 | ||||
| SNF Discharge Rate at DRG | 14.38 | ||||
| SNF Discharge Rate with ICD 8026 - Closed fracture of orbital floor (blow-out) | 15.77 | ||||
| Home Discharge Rate at DRG | 1.86 | ||||
| Home Discharge Rate with ICD 8026 - Closed fracture of orbital floor (blow-out) | NA |
| DRG 563: FRACTURE SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 565: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 157: DENTAL AND ORAL DISEASES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 957: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 963: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 54,401 | ||||
| Total Hospitalizations with ICD 8026 - Closed fracture of orbital floor (blow-out) | 136 | ||||
| DRG Share of Total Hospitalizations | 0.24 | ||||
| % of Total ICD 8026 - Closed fracture of orbital floor (blow-out) in DRG | 1.33 | ||||
| Avg LOS at DRG | 3.61 | ||||
| Avg LOS with ICD 8026 - Closed fracture of orbital floor (blow-out) | 3.68 | ||||
| Readmission Rate at DRG | 20.53 | ||||
| Readmission Rate with ICD 8026 - Closed fracture of orbital floor (blow-out) | 17.29 | ||||
| Unplanned Readmission Rate at DRG | 8.56 | ||||
| Unplanned Readmission Rate with ICD 8026 - Closed fracture of orbital floor (blow-out) | NA | ||||
| Total Medicare payments at DRG | $258,345,366 | ||||
| Total Medicare payments with ICD 8026 - Closed fracture of orbital floor (blow-out) | $643,363 | ||||
| Total Medicare payment per Day at DRG | $1,316 | ||||
| Total Medicare payment per Day with ICD 8026 - Closed fracture of orbital floor (blow-out) | $1,284 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,749 | ||||
| Total Medicare payment per Hospitalization with ICD 8026 - Closed fracture of orbital floor (blow-out) | $4,731 | ||||
| Total Medicare Charges at DRG | $1,208,977,591 | ||||
| Total Medicare Charges with ICD 8026 - Closed fracture of orbital floor (blow-out) | $3,798,883 | ||||
| Avg Charges at DRG | $22,223 | ||||
| Avg Charges with ICD 8026 - Closed fracture of orbital floor (blow-out) | $27,933 | ||||
| Mortality Rate at DRG | 0.27 | ||||
| Mortality Rate with ICD 8026 - Closed fracture of orbital floor (blow-out) | NA | ||||
| SNF Discharge Rate at DRG | 52.32 | ||||
| SNF Discharge Rate with ICD 8026 - Closed fracture of orbital floor (blow-out) | 42.65 | ||||
| Home Discharge Rate at DRG | 18.53 | ||||
| Home Discharge Rate with ICD 8026 - Closed fracture of orbital floor (blow-out) | 25.0 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| UNIVERSITY OF MARYLAND MEDICAL CENTER | 22 S GREENE STREET | BALTIMORE | MD | 21201 | 85 |
| VANDERBILT UNIVERSITY MEDICAL CENTER | 1211 MEDICAL CENTER DRIVE | NASHVILLE | TN | 37232 | 72 |
| UPMC PRESBYTERIAN SHADYSIDE | 200 LOTHROP ST | PITTSBURGH | PA | 15213 | 56 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. RANDAL JOHN VECCHIONE | 2542 2ND AVE | SAN DIEGO | CA | 92103 | 15 |
| Dr. SHERRY M MELTON | 619 19TH STREET SOUTH | BIRMINGHAM | AL | 35233 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. SHERRY M MELTON | 619 19TH STREET SOUTH | BIRMINGHAM | AL | 35233 | 40 |
| Dr. JASON P STRAUS | 111 S GRANT AVE | COLUMBUS | OH | 43215 | 14 |
| Dr. JOHN HONG | 1240 S CEDAR CREST BLVD | ALLENTOWN | PA | 18103 | 13 |