| 8088 - Closed unspecified fracture of pelvis - as a primary diagnosis code | 8088 - Closed unspecified fracture of pelvis - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.07 | |
| Readmission Rate (%) | 24.44 | |
| Unplanned Readmission Rate (%) | 7.49 | |
| 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 536: FRACTURES OF HIP AND PELVIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 535: FRACTURES OF HIP AND PELVIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 964: OTHER 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 963: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 62,631 | ||||
| Total Hospitalizations with ICD 8088 - Closed unspecified fracture of pelvis | 2,063 | ||||
| DRG Share of Total Hospitalizations | 0.27 | ||||
| % of Total ICD 8088 - Closed unspecified fracture of pelvis in DRG | 79.71 | ||||
| Avg LOS at DRG | 4.07 | ||||
| Avg LOS with ICD 8088 - Closed unspecified fracture of pelvis | 4.04 | ||||
| Readmission Rate at DRG | 20.91 | ||||
| Readmission Rate with ICD 8088 - Closed unspecified fracture of pelvis | 20.06 | ||||
| Unplanned Readmission Rate at DRG | 7.14 | ||||
| Unplanned Readmission Rate with ICD 8088 - Closed unspecified fracture of pelvis | 6.64 | ||||
| Total Medicare payments at DRG | $320,393,761 | ||||
| Total Medicare payments with ICD 8088 - Closed unspecified fracture of pelvis | $10,218,246 | ||||
| Total Medicare payment per Day at DRG | $1,257 | ||||
| Total Medicare payment per Day with ICD 8088 - Closed unspecified fracture of pelvis | $1,226 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,116 | ||||
| Total Medicare payment per Hospitalization with ICD 8088 - Closed unspecified fracture of pelvis | $4,953 | ||||
| Total Medicare Charges at DRG | $1,256,804,191 | ||||
| Total Medicare Charges with ICD 8088 - Closed unspecified fracture of pelvis | $39,853,587 | ||||
| Avg Charges at DRG | $20,067 | ||||
| Avg Charges with ICD 8088 - Closed unspecified fracture of pelvis | $19,318 | ||||
| Mortality Rate at DRG | 1.29 | ||||
| Mortality Rate with ICD 8088 - Closed unspecified fracture of pelvis | 0.82 | ||||
| SNF Discharge Rate at DRG | 53.14 | ||||
| SNF Discharge Rate with ICD 8088 - Closed unspecified fracture of pelvis | 54.29 | ||||
| Home Discharge Rate at DRG | 7.3 | ||||
| Home Discharge Rate with ICD 8088 - Closed unspecified fracture of pelvis | 8.14 |
| DRG 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 965: OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 18,537 | |
| Total Hospitalizations with ICD 8088 - Closed unspecified fracture of pelvis | 14 | |
| DRG Share of Total Hospitalizations | 0.08 | |
| % of Total ICD 8088 - Closed unspecified fracture of pelvis in DRG | 0.54 | |
| Avg LOS at DRG | 5.34 | |
| Avg LOS with ICD 8088 - Closed unspecified fracture of pelvis | 6.36 | |
| Readmission Rate at DRG | 25.28 | |
| Readmission Rate with ICD 8088 - Closed unspecified fracture of pelvis | NA | |
| Unplanned Readmission Rate at DRG | 12.05 | |
| Unplanned Readmission Rate with ICD 8088 - Closed unspecified fracture of pelvis | NA | |
| Total Medicare payments at DRG | $230,537,445 | |
| Total Medicare payments with ICD 8088 - Closed unspecified fracture of pelvis | $185,436 | |
| Total Medicare payment per Day at DRG | $2,330 | |
| Total Medicare payment per Day with ICD 8088 - Closed unspecified fracture of pelvis | $2,084 | |
| Total Medicare payment per Hospitalization at DRG | $12,437 | |
| Total Medicare payment per Hospitalization with ICD 8088 - Closed unspecified fracture of pelvis | $13,245 | |
| Total Medicare Charges at DRG | $1,129,058,207 | |
| Total Medicare Charges with ICD 8088 - Closed unspecified fracture of pelvis | $1,039,355 | |
| Avg Charges at DRG | $60,908 | |
| Avg Charges with ICD 8088 - Closed unspecified fracture of pelvis | $74,240 | |
| Mortality Rate at DRG | 0.19 | |
| Mortality Rate with ICD 8088 - Closed unspecified fracture of pelvis | NA | |
| SNF Discharge Rate at DRG | 38.58 | |
| SNF Discharge Rate with ICD 8088 - Closed unspecified fracture of pelvis | NA | |
| Home Discharge Rate at DRG | 27.88 | |
| Home Discharge Rate with ICD 8088 - Closed unspecified fracture of pelvis | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| KESSLER INSTITUTE FOR REHABILITATION | 1199 PLEASANT VALLEY WAY | WEST ORANGE | NJ | 07052 | 39 |
| MARTIN MEDICAL CENTER | 200 SE HOSPITAL AVE | STUART | FL | 34994 | 16 |
| VENICE REGIONAL BAYFRONT HEALTH | 540 THE RIALTO | VENICE | FL | 34285 | 11 |
| DRG 536: FRACTURES OF HIP AND PELVIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 535: FRACTURES OF HIP AND PELVIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 956: LIMB REATTACHMENT, HIP AND FEMUR PROC FOR MULTIPLE SIGNIFICANT TRAUMA | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 62,631 | ||||
| Total Hospitalizations with ICD 8088 - Closed unspecified fracture of pelvis | 2,179 | ||||
| DRG Share of Total Hospitalizations | 0.27 | ||||
| % of Total ICD 8088 - Closed unspecified fracture of pelvis in DRG | 34.36 | ||||
| Avg LOS at DRG | 4.07 | ||||
| Avg LOS with ICD 8088 - Closed unspecified fracture of pelvis | 4.04 | ||||
| Readmission Rate at DRG | 20.91 | ||||
| Readmission Rate with ICD 8088 - Closed unspecified fracture of pelvis | 20.69 | ||||
| Unplanned Readmission Rate at DRG | 7.14 | ||||
| Unplanned Readmission Rate with ICD 8088 - Closed unspecified fracture of pelvis | 6.85 | ||||
| Total Medicare payments at DRG | $320,393,761 | ||||
| Total Medicare payments with ICD 8088 - Closed unspecified fracture of pelvis | $10,720,730 | ||||
| Total Medicare payment per Day at DRG | $1,257 | ||||
| Total Medicare payment per Day with ICD 8088 - Closed unspecified fracture of pelvis | $1,218 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,116 | ||||
| Total Medicare payment per Hospitalization with ICD 8088 - Closed unspecified fracture of pelvis | $4,920 | ||||
| Total Medicare Charges at DRG | $1,256,804,191 | ||||
| Total Medicare Charges with ICD 8088 - Closed unspecified fracture of pelvis | $42,587,733 | ||||
| Avg Charges at DRG | $20,067 | ||||
| Avg Charges with ICD 8088 - Closed unspecified fracture of pelvis | $19,545 | ||||
| Mortality Rate at DRG | 1.29 | ||||
| Mortality Rate with ICD 8088 - Closed unspecified fracture of pelvis | 0.78 | ||||
| SNF Discharge Rate at DRG | 53.14 | ||||
| SNF Discharge Rate with ICD 8088 - Closed unspecified fracture of pelvis | 54.25 | ||||
| Home Discharge Rate at DRG | 7.3 | ||||
| Home Discharge Rate with ICD 8088 - Closed unspecified fracture of pelvis | 8.08 |
| DRG 964: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 563: FRACTURE SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 963: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 6,924 | ||||
| Total Hospitalizations with ICD 8088 - Closed unspecified fracture of pelvis | 168 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD 8088 - Closed unspecified fracture of pelvis in DRG | 2.65 | ||||
| Avg LOS at DRG | 5.47 | ||||
| Avg LOS with ICD 8088 - Closed unspecified fracture of pelvis | 5.58 | ||||
| Readmission Rate at DRG | 27.31 | ||||
| Readmission Rate with ICD 8088 - Closed unspecified fracture of pelvis | 20.55 | ||||
| Unplanned Readmission Rate at DRG | 8.55 | ||||
| Unplanned Readmission Rate with ICD 8088 - Closed unspecified fracture of pelvis | 8.9 | ||||
| Total Medicare payments at DRG | $67,173,182 | ||||
| Total Medicare payments with ICD 8088 - Closed unspecified fracture of pelvis | $1,571,802 | ||||
| Total Medicare payment per Day at DRG | $1,774 | ||||
| Total Medicare payment per Day with ICD 8088 - Closed unspecified fracture of pelvis | $1,676 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,701 | ||||
| Total Medicare payment per Hospitalization with ICD 8088 - Closed unspecified fracture of pelvis | $9,356 | ||||
| Total Medicare Charges at DRG | $321,653,099 | ||||
| Total Medicare Charges with ICD 8088 - Closed unspecified fracture of pelvis | $6,862,455 | ||||
| Avg Charges at DRG | $46,455 | ||||
| Avg Charges with ICD 8088 - Closed unspecified fracture of pelvis | $40,848 | ||||
| Mortality Rate at DRG | 4.06 | ||||
| Mortality Rate with ICD 8088 - Closed unspecified fracture of pelvis | 8.93 | ||||
| SNF Discharge Rate at DRG | 36.18 | ||||
| SNF Discharge Rate with ICD 8088 - Closed unspecified fracture of pelvis | 47.62 | ||||
| Home Discharge Rate at DRG | 24.34 | ||||
| Home Discharge Rate with ICD 8088 - Closed unspecified fracture of pelvis | 8.33 |
| 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 958: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) | DRG 965: OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 3,880 | ||||
| Total Hospitalizations with ICD 8088 - Closed unspecified fracture of pelvis | 85 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD 8088 - Closed unspecified fracture of pelvis in DRG | 1.34 | ||||
| Avg LOS at DRG | 13.64 | ||||
| Avg LOS with ICD 8088 - Closed unspecified fracture of pelvis | 11.41 | ||||
| Readmission Rate at DRG | 45.56 | ||||
| Readmission Rate with ICD 8088 - Closed unspecified fracture of pelvis | 46.94 | ||||
| Unplanned Readmission Rate at DRG | 9.47 | ||||
| Unplanned Readmission Rate with ICD 8088 - Closed unspecified fracture of pelvis | NA | ||||
| Total Medicare payments at DRG | $200,615,157 | ||||
| Total Medicare payments with ICD 8088 - Closed unspecified fracture of pelvis | $4,166,287 | ||||
| Total Medicare payment per Day at DRG | $3,791 | ||||
| Total Medicare payment per Day with ICD 8088 - Closed unspecified fracture of pelvis | $4,295 | ||||
| Total Medicare payment per Hospitalization at DRG | $51,705 | ||||
| Total Medicare payment per Hospitalization with ICD 8088 - Closed unspecified fracture of pelvis | $49,015 | ||||
| Total Medicare Charges at DRG | $861,486,437 | ||||
| Total Medicare Charges with ICD 8088 - Closed unspecified fracture of pelvis | $18,452,672 | ||||
| Avg Charges at DRG | $222,033 | ||||
| Avg Charges with ICD 8088 - Closed unspecified fracture of pelvis | $217,090 | ||||
| Mortality Rate at DRG | 23.07 | ||||
| Mortality Rate with ICD 8088 - Closed unspecified fracture of pelvis | 37.65 | ||||
| SNF Discharge Rate at DRG | 26.57 | ||||
| SNF Discharge Rate with ICD 8088 - Closed unspecified fracture of pelvis | 27.06 | ||||
| Home Discharge Rate at DRG | 11.47 | ||||
| Home Discharge Rate with ICD 8088 - Closed unspecified fracture of pelvis | NA |
| DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 34,870 | ||||
| Total Hospitalizations with ICD 8088 - Closed unspecified fracture of pelvis | 50 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD 8088 - Closed unspecified fracture of pelvis in DRG | 0.79 | ||||
| Avg LOS at DRG | 32.29 | ||||
| Avg LOS with ICD 8088 - Closed unspecified fracture of pelvis | 30.0 | ||||
| Readmission Rate at DRG | 77.59 | ||||
| Readmission Rate with ICD 8088 - Closed unspecified fracture of pelvis | 75.0 | ||||
| Unplanned Readmission Rate at DRG | 6.64 | ||||
| Unplanned Readmission Rate with ICD 8088 - Closed unspecified fracture of pelvis | NA | ||||
| Total Medicare payments at DRG | $4,332,531,897 | ||||
| Total Medicare payments with ICD 8088 - Closed unspecified fracture of pelvis | $6,079,455 | ||||
| Total Medicare payment per Day at DRG | $3,848 | ||||
| Total Medicare payment per Day with ICD 8088 - Closed unspecified fracture of pelvis | $4,053 | ||||
| Total Medicare payment per Hospitalization at DRG | $124,248 | ||||
| Total Medicare payment per Hospitalization with ICD 8088 - Closed unspecified fracture of pelvis | $121,589 | ||||
| Total Medicare Charges at DRG | $18,041,668,887 | ||||
| Total Medicare Charges with ICD 8088 - Closed unspecified fracture of pelvis | $27,056,843 | ||||
| Avg Charges at DRG | $517,398 | ||||
| Avg Charges with ICD 8088 - Closed unspecified fracture of pelvis | $541,137 | ||||
| Mortality Rate at DRG | 19.09 | ||||
| Mortality Rate with ICD 8088 - Closed unspecified fracture of pelvis | NA | ||||
| SNF Discharge Rate at DRG | 14.38 | ||||
| SNF Discharge Rate with ICD 8088 - Closed unspecified fracture of pelvis | NA | ||||
| Home Discharge Rate at DRG | 1.86 | ||||
| Home Discharge Rate with ICD 8088 - Closed unspecified fracture of pelvis | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| KESSLER INSTITUTE FOR REHABILITATION | 1199 PLEASANT VALLEY WAY | WEST ORANGE | NJ | 07052 | 42 |
| ADVANCED CARE HOSPITAL OF WHITE COUNTY | 1200 S MAIN ST | SEARCY | AR | 72143 | 27 |
| MARTIN MEDICAL CENTER | 200 SE HOSPITAL AVE | STUART | FL | 34994 | 21 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. AMIT G SHAH | 1040 EDGEWATER CORP PKWY STE 101 | INDIAN LAND | SC | 29707 | 15 |
| Dr. JOHN S HOLSTON | 2900 HAWKINS DR | SEARCY | AR | 72143 | 14 |
| Dr. MARK A FREDRICKSON | 1800 HERITAGE BLVD | MIDLAND | TX | 79707 | 14 |