| 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury - as a primary diagnosis code | 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.1 | |
| Readmission Rate (%) | 26.87 | |
| Unplanned Readmission Rate (%) | 10.86 | |
| 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 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 517: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 478: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 123,582 | ||||
| Total Hospitalizations with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | 19,987 | ||||
| DRG Share of Total Hospitalizations | 0.54 | ||||
| % of Total ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury in DRG | 53.03 | ||||
| Avg LOS at DRG | 3.98 | ||||
| Avg LOS with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | 4.0 | ||||
| Readmission Rate at DRG | 21.86 | ||||
| Readmission Rate with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | 22.31 | ||||
| Unplanned Readmission Rate at DRG | 10.18 | ||||
| Unplanned Readmission Rate with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | 10.19 | ||||
| Total Medicare payments at DRG | $678,335,493 | ||||
| Total Medicare payments with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | $105,773,079 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | $1,322 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,489 | ||||
| Total Medicare payment per Hospitalization with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | $5,292 | ||||
| Total Medicare Charges at DRG | $3,226,573,785 | ||||
| Total Medicare Charges with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | $521,775,200 | ||||
| Avg Charges at DRG | $26,109 | ||||
| Avg Charges with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | $26,106 | ||||
| Mortality Rate at DRG | 0.36 | ||||
| Mortality Rate with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | 0.39 | ||||
| SNF Discharge Rate at DRG | 34.84 | ||||
| SNF Discharge Rate with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | 46.66 | ||||
| Home Discharge Rate at DRG | 32.92 | ||||
| Home Discharge Rate with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | 19.09 |
| DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 515: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 479: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 477: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 459: SPINAL FUSION EXCEPT CERVICAL WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 152,568 | ||||
| Total Hospitalizations with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | 1,598 | ||||
| DRG Share of Total Hospitalizations | 0.67 | ||||
| % of Total ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury in DRG | 4.24 | ||||
| Avg LOS at DRG | 3.42 | ||||
| Avg LOS with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | 6.38 | ||||
| Readmission Rate at DRG | 17.7 | ||||
| Readmission Rate with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | 37.8 | ||||
| Unplanned Readmission Rate at DRG | 4.43 | ||||
| Unplanned Readmission Rate with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | 7.77 | ||||
| Total Medicare payments at DRG | $3,694,867,855 | ||||
| Total Medicare payments with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | $42,402,710 | ||||
| Total Medicare payment per Day at DRG | $7,071 | ||||
| Total Medicare payment per Day with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | $4,161 | ||||
| Total Medicare payment per Hospitalization at DRG | $24,218 | ||||
| Total Medicare payment per Hospitalization with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | $26,535 | ||||
| Total Medicare Charges at DRG | $15,855,495,798 | ||||
| Total Medicare Charges with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | $213,310,557 | ||||
| Avg Charges at DRG | $103,924 | ||||
| Avg Charges with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | $133,486 | ||||
| Mortality Rate at DRG | 0.02 | ||||
| Mortality Rate with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | NA | ||||
| SNF Discharge Rate at DRG | 16.02 | ||||
| SNF Discharge Rate with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | 33.73 | ||||
| Home Discharge Rate at DRG | 51.64 | ||||
| Home Discharge Rate with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | 21.78 |
| DRG 490: BACK & NECK PROCEDURE EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) OR DISC DEVICES/NEUROSTIMULATORS | DRG 491: BACK & NECK PROCEDURE EXCEPT SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 454: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 964: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 31,875 | ||||
| Total Hospitalizations with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | 230 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury in DRG | 0.61 | ||||
| Avg LOS at DRG | 4.4 | ||||
| Avg LOS with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | 7.53 | ||||
| Readmission Rate at DRG | 25.42 | ||||
| Readmission Rate with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | 35.71 | ||||
| Unplanned Readmission Rate at DRG | 6.3 | ||||
| Unplanned Readmission Rate with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | 8.04 | ||||
| Total Medicare payments at DRG | $377,259,129 | ||||
| Total Medicare payments with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | $2,968,263 | ||||
| Total Medicare payment per Day at DRG | $2,692 | ||||
| Total Medicare payment per Day with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | $1,715 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,836 | ||||
| Total Medicare payment per Hospitalization with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | $12,905 | ||||
| Total Medicare Charges at DRG | $1,906,598,118 | ||||
| Total Medicare Charges with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | $21,854,447 | ||||
| Avg Charges at DRG | $59,815 | ||||
| Avg Charges with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | $95,019 | ||||
| Mortality Rate at DRG | 0.46 | ||||
| Mortality Rate with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | NA | ||||
| SNF Discharge Rate at DRG | 19.82 | ||||
| SNF Discharge Rate with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | 41.3 | ||||
| Home Discharge Rate at DRG | 45.92 | ||||
| Home Discharge Rate with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | 17.39 |
| DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 958: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) | DRG 957: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 519: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 48,577 | ||||
| Total Hospitalizations with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | 48 | ||||
| DRG Share of Total Hospitalizations | 0.21 | ||||
| % of Total ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury in DRG | 0.13 | ||||
| Avg LOS at DRG | 14.65 | ||||
| Avg LOS with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | 12.9 | ||||
| Readmission Rate at DRG | 37.54 | ||||
| Readmission Rate with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | 38.1 | ||||
| Unplanned Readmission Rate at DRG | 20.58 | ||||
| Unplanned Readmission Rate with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | NA | ||||
| Total Medicare payments at DRG | $1,729,486,111 | ||||
| Total Medicare payments with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | $1,611,798 | ||||
| Total Medicare payment per Day at DRG | $2,430 | ||||
| Total Medicare payment per Day with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | $2,604 | ||||
| Total Medicare payment per Hospitalization at DRG | $35,603 | ||||
| Total Medicare payment per Hospitalization with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | $33,579 | ||||
| Total Medicare Charges at DRG | $7,235,174,566 | ||||
| Total Medicare Charges with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | $7,137,786 | ||||
| Avg Charges at DRG | $148,942 | ||||
| Avg Charges with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | $148,704 | ||||
| Mortality Rate at DRG | 9.66 | ||||
| Mortality Rate with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | NA | ||||
| SNF Discharge Rate at DRG | 30.41 | ||||
| SNF Discharge Rate with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | 37.5 | ||||
| Home Discharge Rate at DRG | 22.89 | ||||
| Home Discharge Rate with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 208 |
| NCH BAKER HOSPITAL DOWNTOWN | 350 7TH ST N | NAPLES | FL | 34102 | 144 |
| METHODIST HOSPITAL | 7700 FLOYD CURL DRIVE | SAN ANTONIO | TX | 78229 | 117 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. LARRY FISHMAN | 427 S PARSONS AVE | BRANDON | FL | 33511 | 54 |
| Dr. FRANK R HELLINGER | 1605 W FAIRBANKS AVE. | WINTER PARK | FL | 32789 | 46 |
| Dr. GARY PAUL COLON | 730 GOODLETTE RD N | NAPLES | FL | 34102 | 38 |
| 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 | 15 |
| Dr. BRADLEY J. VOSSBERG | 829 N. DIXON RD. | KOKOMO | IN | 46901 | 14 |
| Dr. LEONORA RIVERA | 300 MARKET ST | SADDLE BROOK | NJ | 07663 | 14 |
| DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 478: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 123,582 | ||||
| Total Hospitalizations with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | 23,267 | ||||
| DRG Share of Total Hospitalizations | 0.54 | ||||
| % of Total ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury in DRG | 28.52 | ||||
| Avg LOS at DRG | 3.98 | ||||
| Avg LOS with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | 4.03 | ||||
| Readmission Rate at DRG | 21.86 | ||||
| Readmission Rate with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | 22.31 | ||||
| Unplanned Readmission Rate at DRG | 10.18 | ||||
| Unplanned Readmission Rate with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | 9.98 | ||||
| Total Medicare payments at DRG | $678,335,493 | ||||
| Total Medicare payments with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | $123,273,381 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | $1,315 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,489 | ||||
| Total Medicare payment per Hospitalization with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | $5,298 | ||||
| Total Medicare Charges at DRG | $3,226,573,785 | ||||
| Total Medicare Charges with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | $617,888,872 | ||||
| Avg Charges at DRG | $26,109 | ||||
| Avg Charges with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | $26,556 | ||||
| Mortality Rate at DRG | 0.36 | ||||
| Mortality Rate with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | 0.4 | ||||
| SNF Discharge Rate at DRG | 34.84 | ||||
| SNF Discharge Rate with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | 46.63 | ||||
| Home Discharge Rate at DRG | 32.92 | ||||
| Home Discharge Rate with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | 18.99 |
| DRG 517: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 515: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 184: MAJOR CHEST TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 12,621 | ||||
| Total Hospitalizations with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | 1,898 | ||||
| DRG Share of Total Hospitalizations | 0.06 | ||||
| % of Total ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury in DRG | 2.33 | ||||
| Avg LOS at DRG | 3.23 | ||||
| Avg LOS with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | 4.05 | ||||
| Readmission Rate at DRG | 16.46 | ||||
| Readmission Rate with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | 21.42 | ||||
| Unplanned Readmission Rate at DRG | 6.85 | ||||
| Unplanned Readmission Rate with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | 7.56 | ||||
| Total Medicare payments at DRG | $126,833,527 | ||||
| Total Medicare payments with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | $18,262,256 | ||||
| Total Medicare payment per Day at DRG | $3,107 | ||||
| Total Medicare payment per Day with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | $2,374 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,049 | ||||
| Total Medicare payment per Hospitalization with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | $9,622 | ||||
| Total Medicare Charges at DRG | $648,926,607 | ||||
| Total Medicare Charges with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | $90,507,943 | ||||
| Avg Charges at DRG | $51,416 | ||||
| Avg Charges with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | $47,686 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | NA | ||||
| SNF Discharge Rate at DRG | 22.8 | ||||
| SNF Discharge Rate with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | 37.2 | ||||
| Home Discharge Rate at DRG | 50.09 | ||||
| Home Discharge Rate with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | 29.19 |
| DRG 479: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 964: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 536: FRACTURES OF HIP AND PELVIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 4,608 | ||||
| Total Hospitalizations with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | 878 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury in DRG | 1.08 | ||||
| Avg LOS at DRG | 4.31 | ||||
| Avg LOS with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | 4.11 | ||||
| Readmission Rate at DRG | 20.44 | ||||
| Readmission Rate with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | 22.15 | ||||
| Unplanned Readmission Rate at DRG | 9.23 | ||||
| Unplanned Readmission Rate with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | 7.65 | ||||
| Total Medicare payments at DRG | $47,907,647 | ||||
| Total Medicare payments with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | $8,741,298 | ||||
| Total Medicare payment per Day at DRG | $2,414 | ||||
| Total Medicare payment per Day with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | $2,423 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,397 | ||||
| Total Medicare payment per Hospitalization with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | $9,956 | ||||
| Total Medicare Charges at DRG | $240,011,835 | ||||
| Total Medicare Charges with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | $49,648,674 | ||||
| Avg Charges at DRG | $52,086 | ||||
| Avg Charges with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | $56,547 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | NA | ||||
| SNF Discharge Rate at DRG | 29.62 | ||||
| SNF Discharge Rate with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | 34.28 | ||||
| Home Discharge Rate at DRG | 38.13 | ||||
| Home Discharge Rate with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | 31.66 |
| DRG 957: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 477: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 086: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITH COMPLICATION OR COMORBIDITY (CC) | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 3,880 | ||||
| Total Hospitalizations with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | 725 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury in DRG | 0.89 | ||||
| Avg LOS at DRG | 13.64 | ||||
| Avg LOS with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | 14.74 | ||||
| Readmission Rate at DRG | 45.56 | ||||
| Readmission Rate with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | 46.59 | ||||
| Unplanned Readmission Rate at DRG | 9.47 | ||||
| Unplanned Readmission Rate with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | 9.02 | ||||
| Total Medicare payments at DRG | $200,615,157 | ||||
| Total Medicare payments with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | $39,248,694 | ||||
| Total Medicare payment per Day at DRG | $3,791 | ||||
| Total Medicare payment per Day with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | $3,673 | ||||
| Total Medicare payment per Hospitalization at DRG | $51,705 | ||||
| Total Medicare payment per Hospitalization with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | $54,136 | ||||
| Total Medicare Charges at DRG | $861,486,437 | ||||
| Total Medicare Charges with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | $188,773,927 | ||||
| Avg Charges at DRG | $222,033 | ||||
| Avg Charges with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | $260,378 | ||||
| Mortality Rate at DRG | 23.07 | ||||
| Mortality Rate with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | 22.62 | ||||
| SNF Discharge Rate at DRG | 26.57 | ||||
| SNF Discharge Rate with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | 33.1 | ||||
| Home Discharge Rate at DRG | 11.47 | ||||
| Home Discharge Rate with ICD 8054 - Closed fracture of lumbar vertebra without mention of spinal cord injury | 7.31 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 308 |
| CARILION ROANOKE MEMORIAL HOSPITAL | 1906 BELLEVIEW AVE SE | ROANOKE | VA | 24014 | 244 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 231 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. LARRY FISHMAN | 427 S PARSONS AVE | BRANDON | FL | 33511 | 65 |
| Dr. FRANK R HELLINGER | 1605 W FAIRBANKS AVE. | WINTER PARK | FL | 32789 | 55 |
| Dr. GARY PAUL COLON | 730 GOODLETTE RD N | NAPLES | FL | 34102 | 47 |
| 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 | 85 |
| Dr. HARVEY Y LEE | 27 VALLEY FORGE DR | MILFORD | DE | 19963 | 33 |
| Dr. MARK A FREDRICKSON | 1800 HERITAGE BLVD | MIDLAND | TX | 79707 | 31 |