| 86121 - Contusion of lung without mention of open wound into thorax - as a primary diagnosis code | 86121 - Contusion of lung without mention of open wound into thorax - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 9.13 | |
| Readmission Rate (%) | 30.42 | |
| Unplanned Readmission Rate (%) | 8.73 | |
| 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 206: OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 205: OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 964: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) | DRG 963: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 31,585 | ||||
| Total Hospitalizations with ICD 86121 - Contusion of lung without mention of open wound into thorax | 486 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD 86121 - Contusion of lung without mention of open wound into thorax in DRG | 44.02 | ||||
| Avg LOS at DRG | 3.21 | ||||
| Avg LOS with ICD 86121 - Contusion of lung without mention of open wound into thorax | 3.32 | ||||
| Readmission Rate at DRG | 18.63 | ||||
| Readmission Rate with ICD 86121 - Contusion of lung without mention of open wound into thorax | 14.56 | ||||
| Unplanned Readmission Rate at DRG | 12.03 | ||||
| Unplanned Readmission Rate with ICD 86121 - Contusion of lung without mention of open wound into thorax | 7.81 | ||||
| Total Medicare payments at DRG | $160,356,196 | ||||
| Total Medicare payments with ICD 86121 - Contusion of lung without mention of open wound into thorax | $2,171,456 | ||||
| Total Medicare payment per Day at DRG | $1,582 | ||||
| Total Medicare payment per Day with ICD 86121 - Contusion of lung without mention of open wound into thorax | $1,347 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,077 | ||||
| Total Medicare payment per Hospitalization with ICD 86121 - Contusion of lung without mention of open wound into thorax | $4,468 | ||||
| Total Medicare Charges at DRG | $792,351,574 | ||||
| Total Medicare Charges with ICD 86121 - Contusion of lung without mention of open wound into thorax | $14,425,343 | ||||
| Avg Charges at DRG | $25,086 | ||||
| Avg Charges with ICD 86121 - Contusion of lung without mention of open wound into thorax | $29,682 | ||||
| Mortality Rate at DRG | 0.83 | ||||
| Mortality Rate with ICD 86121 - Contusion of lung without mention of open wound into thorax | NA | ||||
| SNF Discharge Rate at DRG | 20.26 | ||||
| SNF Discharge Rate with ICD 86121 - Contusion of lung without mention of open wound into thorax | 23.05 | ||||
| Home Discharge Rate at DRG | 52.71 | ||||
| Home Discharge Rate with ICD 86121 - Contusion of lung without mention of open wound into thorax | 52.67 |
| DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 957: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 89,944 | ||||
| Total Hospitalizations with ICD 86121 - Contusion of lung without mention of open wound into thorax | 25 | ||||
| DRG Share of Total Hospitalizations | 0.39 | ||||
| % of Total ICD 86121 - Contusion of lung without mention of open wound into thorax in DRG | 2.26 | ||||
| Avg LOS at DRG | 21.37 | ||||
| Avg LOS with ICD 86121 - Contusion of lung without mention of open wound into thorax | 14.72 | ||||
| Readmission Rate at DRG | 40.58 | ||||
| Readmission Rate with ICD 86121 - Contusion of lung without mention of open wound into thorax | NA | ||||
| Unplanned Readmission Rate at DRG | 20.26 | ||||
| Unplanned Readmission Rate with ICD 86121 - Contusion of lung without mention of open wound into thorax | NA | ||||
| Total Medicare payments at DRG | $4,108,813,026 | ||||
| Total Medicare payments with ICD 86121 - Contusion of lung without mention of open wound into thorax | $844,421 | ||||
| Total Medicare payment per Day at DRG | $2,137 | ||||
| Total Medicare payment per Day with ICD 86121 - Contusion of lung without mention of open wound into thorax | $2,295 | ||||
| Total Medicare payment per Hospitalization at DRG | $45,682 | ||||
| Total Medicare payment per Hospitalization with ICD 86121 - Contusion of lung without mention of open wound into thorax | $33,777 | ||||
| Total Medicare Charges at DRG | $16,393,740,063 | ||||
| Total Medicare Charges with ICD 86121 - Contusion of lung without mention of open wound into thorax | $4,005,340 | ||||
| Avg Charges at DRG | $182,266 | ||||
| Avg Charges with ICD 86121 - Contusion of lung without mention of open wound into thorax | $160,214 | ||||
| Mortality Rate at DRG | 28.83 | ||||
| Mortality Rate with ICD 86121 - Contusion of lung without mention of open wound into thorax | NA | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD 86121 - Contusion of lung without mention of open wound into thorax | NA | ||||
| Home Discharge Rate at DRG | 6.42 | ||||
| Home Discharge Rate with ICD 86121 - Contusion of lung without mention of open wound into thorax | NA |
| DRG 184: MAJOR CHEST TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) | DRG 964: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) | DRG 183: MAJOR CHEST TRAUMA WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 963: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 957: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 14,840 | ||||
| Total Hospitalizations with ICD 86121 - Contusion of lung without mention of open wound into thorax | 1,707 | ||||
| DRG Share of Total Hospitalizations | 0.06 | ||||
| % of Total ICD 86121 - Contusion of lung without mention of open wound into thorax in DRG | 10.91 | ||||
| Avg LOS at DRG | 4.0 | ||||
| Avg LOS with ICD 86121 - Contusion of lung without mention of open wound into thorax | 4.16 | ||||
| Readmission Rate at DRG | 17.86 | ||||
| Readmission Rate with ICD 86121 - Contusion of lung without mention of open wound into thorax | 16.54 | ||||
| Unplanned Readmission Rate at DRG | 9.11 | ||||
| Unplanned Readmission Rate with ICD 86121 - Contusion of lung without mention of open wound into thorax | 7.07 | ||||
| Total Medicare payments at DRG | $88,857,962 | ||||
| Total Medicare payments with ICD 86121 - Contusion of lung without mention of open wound into thorax | $10,069,116 | ||||
| Total Medicare payment per Day at DRG | $1,497 | ||||
| Total Medicare payment per Day with ICD 86121 - Contusion of lung without mention of open wound into thorax | $1,417 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,988 | ||||
| Total Medicare payment per Hospitalization with ICD 86121 - Contusion of lung without mention of open wound into thorax | $5,899 | ||||
| Total Medicare Charges at DRG | $467,134,277 | ||||
| Total Medicare Charges with ICD 86121 - Contusion of lung without mention of open wound into thorax | $59,597,275 | ||||
| Avg Charges at DRG | $31,478 | ||||
| Avg Charges with ICD 86121 - Contusion of lung without mention of open wound into thorax | $34,913 | ||||
| Mortality Rate at DRG | 0.52 | ||||
| Mortality Rate with ICD 86121 - Contusion of lung without mention of open wound into thorax | NA | ||||
| SNF Discharge Rate at DRG | 37.33 | ||||
| SNF Discharge Rate with ICD 86121 - Contusion of lung without mention of open wound into thorax | 26.54 | ||||
| Home Discharge Rate at DRG | 34.44 | ||||
| Home Discharge Rate with ICD 86121 - Contusion of lung without mention of open wound into thorax | 46.51 |
| DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 206: OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 200: PNEUMOTHORAX WITH COMPLICATION OR COMORBIDITY (CC) | DRG 958: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 34,870 | ||||
| Total Hospitalizations with ICD 86121 - Contusion of lung without mention of open wound into thorax | 782 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD 86121 - Contusion of lung without mention of open wound into thorax in DRG | 5.0 | ||||
| Avg LOS at DRG | 32.29 | ||||
| Avg LOS with ICD 86121 - Contusion of lung without mention of open wound into thorax | 27.0 | ||||
| Readmission Rate at DRG | 77.59 | ||||
| Readmission Rate with ICD 86121 - Contusion of lung without mention of open wound into thorax | 81.56 | ||||
| Unplanned Readmission Rate at DRG | 6.64 | ||||
| Unplanned Readmission Rate with ICD 86121 - Contusion of lung without mention of open wound into thorax | 4.13 | ||||
| Total Medicare payments at DRG | $4,332,531,897 | ||||
| Total Medicare payments with ICD 86121 - Contusion of lung without mention of open wound into thorax | $85,475,294 | ||||
| Total Medicare payment per Day at DRG | $3,848 | ||||
| Total Medicare payment per Day with ICD 86121 - Contusion of lung without mention of open wound into thorax | $4,048 | ||||
| Total Medicare payment per Hospitalization at DRG | $124,248 | ||||
| Total Medicare payment per Hospitalization with ICD 86121 - Contusion of lung without mention of open wound into thorax | $109,303 | ||||
| Total Medicare Charges at DRG | $18,041,668,887 | ||||
| Total Medicare Charges with ICD 86121 - Contusion of lung without mention of open wound into thorax | $357,556,134 | ||||
| Avg Charges at DRG | $517,398 | ||||
| Avg Charges with ICD 86121 - Contusion of lung without mention of open wound into thorax | $457,233 | ||||
| Mortality Rate at DRG | 19.09 | ||||
| Mortality Rate with ICD 86121 - Contusion of lung without mention of open wound into thorax | 10.36 | ||||
| SNF Discharge Rate at DRG | 14.38 | ||||
| SNF Discharge Rate with ICD 86121 - Contusion of lung without mention of open wound into thorax | 13.68 | ||||
| Home Discharge Rate at DRG | 1.86 | ||||
| Home Discharge Rate with ICD 86121 - Contusion of lung without mention of open wound into thorax | 1.53 |
| DRG 956: LIMB REATTACHMENT, HIP AND FEMUR PROC FOR MULTIPLE SIGNIFICANT TRAUMA | DRG 205: OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 199: PNEUMOTHORAX WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 10,307 | ||||
| Total Hospitalizations with ICD 86121 - Contusion of lung without mention of open wound into thorax | 487 | ||||
| DRG Share of Total Hospitalizations | 0.05 | ||||
| % of Total ICD 86121 - Contusion of lung without mention of open wound into thorax in DRG | 3.11 | ||||
| Avg LOS at DRG | 7.95 | ||||
| Avg LOS with ICD 86121 - Contusion of lung without mention of open wound into thorax | 12.33 | ||||
| Readmission Rate at DRG | 34.05 | ||||
| Readmission Rate with ICD 86121 - Contusion of lung without mention of open wound into thorax | 43.41 | ||||
| Unplanned Readmission Rate at DRG | 10.86 | ||||
| Unplanned Readmission Rate with ICD 86121 - Contusion of lung without mention of open wound into thorax | 9.32 | ||||
| Total Medicare payments at DRG | $253,940,692 | ||||
| Total Medicare payments with ICD 86121 - Contusion of lung without mention of open wound into thorax | $17,521,460 | ||||
| Total Medicare payment per Day at DRG | $3,100 | ||||
| Total Medicare payment per Day with ICD 86121 - Contusion of lung without mention of open wound into thorax | $2,918 | ||||
| Total Medicare payment per Hospitalization at DRG | $24,638 | ||||
| Total Medicare payment per Hospitalization with ICD 86121 - Contusion of lung without mention of open wound into thorax | $35,978 | ||||
| Total Medicare Charges at DRG | $1,082,361,374 | ||||
| Total Medicare Charges with ICD 86121 - Contusion of lung without mention of open wound into thorax | $96,167,988 | ||||
| Avg Charges at DRG | $105,012 | ||||
| Avg Charges with ICD 86121 - Contusion of lung without mention of open wound into thorax | $197,470 | ||||
| Mortality Rate at DRG | 4.96 | ||||
| Mortality Rate with ICD 86121 - Contusion of lung without mention of open wound into thorax | 8.01 | ||||
| SNF Discharge Rate at DRG | 60.56 | ||||
| SNF Discharge Rate with ICD 86121 - Contusion of lung without mention of open wound into thorax | 44.56 | ||||
| Home Discharge Rate at DRG | 2.45 | ||||
| Home Discharge Rate with ICD 86121 - Contusion of lung without mention of open wound into thorax | 6.16 |
| DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 955: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | DRG 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 40,825 | ||||
| Total Hospitalizations with ICD 86121 - Contusion of lung without mention of open wound into thorax | 320 | ||||
| DRG Share of Total Hospitalizations | 0.18 | ||||
| % of Total ICD 86121 - Contusion of lung without mention of open wound into thorax in DRG | 2.05 | ||||
| Avg LOS at DRG | 26.33 | ||||
| Avg LOS with ICD 86121 - Contusion of lung without mention of open wound into thorax | 23.73 | ||||
| Readmission Rate at DRG | 74.89 | ||||
| Readmission Rate with ICD 86121 - Contusion of lung without mention of open wound into thorax | 79.06 | ||||
| Unplanned Readmission Rate at DRG | 8.96 | ||||
| Unplanned Readmission Rate with ICD 86121 - Contusion of lung without mention of open wound into thorax | NA | ||||
| Total Medicare payments at DRG | $3,043,515,432 | ||||
| Total Medicare payments with ICD 86121 - Contusion of lung without mention of open wound into thorax | $22,534,895 | ||||
| Total Medicare payment per Day at DRG | $2,831 | ||||
| Total Medicare payment per Day with ICD 86121 - Contusion of lung without mention of open wound into thorax | $2,967 | ||||
| Total Medicare payment per Hospitalization at DRG | $74,550 | ||||
| Total Medicare payment per Hospitalization with ICD 86121 - Contusion of lung without mention of open wound into thorax | $70,422 | ||||
| Total Medicare Charges at DRG | $12,546,632,655 | ||||
| Total Medicare Charges with ICD 86121 - Contusion of lung without mention of open wound into thorax | $100,527,413 | ||||
| Avg Charges at DRG | $307,327 | ||||
| Avg Charges with ICD 86121 - Contusion of lung without mention of open wound into thorax | $314,148 | ||||
| Mortality Rate at DRG | 15.32 | ||||
| Mortality Rate with ICD 86121 - Contusion of lung without mention of open wound into thorax | 10.31 | ||||
| SNF Discharge Rate at DRG | 18.25 | ||||
| SNF Discharge Rate with ICD 86121 - Contusion of lung without mention of open wound into thorax | 12.5 | ||||
| Home Discharge Rate at DRG | 2.06 | ||||
| Home Discharge Rate with ICD 86121 - Contusion of lung without mention of open wound into thorax | 3.44 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| THE UNIVERSITY OF TENNESSEE MEDICAL CENTER | 1924 ALCOA HWY | KNOXVILLE | TN | 37920 | 149 |
| VANDERBILT UNIVERSITY MEDICAL CENTER | 1211 MEDICAL CENTER DRIVE | NASHVILLE | TN | 37232 | 118 |
| UNIVERSITY OF MISSOURI HEALTH CARE | ONE HOSPITAL DRIVE | COLUMBIA | MO | 65212 | 110 |
| 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 | 31 |
| Dr. BRIAN J. DALEY | 1932 ALCOA HWY | KNOXVILLE | TN | 37920 | 16 |
| Dr. REAGAN BOLLIG | 1932 ALCOA HWY | KNOXVILLE | TN | 37920 | 14 |
| 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 | 82 |
| Dr. BRIAN J. DALEY | 1932 ALCOA HWY | KNOXVILLE | TN | 37920 | 25 |
| Dr. CHRISTY MARIE LAWSON | 1932 ALCOA HWY | KNOXVILLE | TN | 37920 | 25 |