| 94800 - Burn [any degree] involving less than 10 percent of body surface with third degree burn, less than 10 percent or unspecified - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 11.04 | |
| 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 935: NON-EXTENSIVE BURNS | DRG 928: FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 934: FULL THICKNESS BURN WITHOUT SKIN GRFT OR INHALATION INJURY | DRG 929: FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 4,336 | ||||
| Total Hospitalizations with ICD 94800 - Burn [any degree] involving less than 10 percent of body surface with third degree burn, less than 10 percent or unspecified | 2,447 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD 94800 - Burn [any degree] involving less than 10 percent of body surface with third degree burn, less than 10 percent or unspecified in DRG | 30.16 | ||||
| Avg LOS at DRG | 5.49 | ||||
| Avg LOS with ICD 94800 - Burn [any degree] involving less than 10 percent of body surface with third degree burn, less than 10 percent or unspecified | 4.87 | ||||
| Readmission Rate at DRG | 20.2 | ||||
| Readmission Rate with ICD 94800 - Burn [any degree] involving less than 10 percent of body surface with third degree burn, less than 10 percent or unspecified | 18.9 | ||||
| Unplanned Readmission Rate at DRG | 10.52 | ||||
| Unplanned Readmission Rate with ICD 94800 - Burn [any degree] involving less than 10 percent of body surface with third degree burn, less than 10 percent or unspecified | 10.66 | ||||
| Total Medicare payments at DRG | $50,380,201 | ||||
| Total Medicare payments with ICD 94800 - Burn [any degree] involving less than 10 percent of body surface with third degree burn, less than 10 percent or unspecified | $29,184,352 | ||||
| Total Medicare payment per Day at DRG | $2,115 | ||||
| Total Medicare payment per Day with ICD 94800 - Burn [any degree] involving less than 10 percent of body surface with third degree burn, less than 10 percent or unspecified | $2,450 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,619 | ||||
| Total Medicare payment per Hospitalization with ICD 94800 - Burn [any degree] involving less than 10 percent of body surface with third degree burn, less than 10 percent or unspecified | $11,927 | ||||
| Total Medicare Charges at DRG | $191,772,843 | ||||
| Total Medicare Charges with ICD 94800 - Burn [any degree] involving less than 10 percent of body surface with third degree burn, less than 10 percent or unspecified | $108,126,822 | ||||
| Avg Charges at DRG | $44,228 | ||||
| Avg Charges with ICD 94800 - Burn [any degree] involving less than 10 percent of body surface with third degree burn, less than 10 percent or unspecified | $44,188 | ||||
| Mortality Rate at DRG | 1.34 | ||||
| Mortality Rate with ICD 94800 - Burn [any degree] involving less than 10 percent of body surface with third degree burn, less than 10 percent or unspecified | 0.94 | ||||
| SNF Discharge Rate at DRG | 14.16 | ||||
| SNF Discharge Rate with ICD 94800 - Burn [any degree] involving less than 10 percent of body surface with third degree burn, less than 10 percent or unspecified | 12.46 | ||||
| Home Discharge Rate at DRG | 51.29 | ||||
| Home Discharge Rate with ICD 94800 - Burn [any degree] involving less than 10 percent of body surface with third degree burn, less than 10 percent or unspecified | 57.13 |
| DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 285,340 | ||||
| Total Hospitalizations with ICD 94800 - Burn [any degree] involving less than 10 percent of body surface with third degree burn, less than 10 percent or unspecified | 158 | ||||
| DRG Share of Total Hospitalizations | 1.25 | ||||
| % of Total ICD 94800 - Burn [any degree] involving less than 10 percent of body surface with third degree burn, less than 10 percent or unspecified in DRG | 1.95 | ||||
| Avg LOS at DRG | 4.24 | ||||
| Avg LOS with ICD 94800 - Burn [any degree] involving less than 10 percent of body surface with third degree burn, less than 10 percent or unspecified | 3.89 | ||||
| Readmission Rate at DRG | 16.32 | ||||
| Readmission Rate with ICD 94800 - Burn [any degree] involving less than 10 percent of body surface with third degree burn, less than 10 percent or unspecified | 17.22 | ||||
| Unplanned Readmission Rate at DRG | 10.58 | ||||
| Unplanned Readmission Rate with ICD 94800 - Burn [any degree] involving less than 10 percent of body surface with third degree burn, less than 10 percent or unspecified | 7.28 | ||||
| Total Medicare payments at DRG | $1,475,002,556 | ||||
| Total Medicare payments with ICD 94800 - Burn [any degree] involving less than 10 percent of body surface with third degree burn, less than 10 percent or unspecified | $819,508 | ||||
| Total Medicare payment per Day at DRG | $1,218 | ||||
| Total Medicare payment per Day with ICD 94800 - Burn [any degree] involving less than 10 percent of body surface with third degree burn, less than 10 percent or unspecified | $1,335 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,169 | ||||
| Total Medicare payment per Hospitalization with ICD 94800 - Burn [any degree] involving less than 10 percent of body surface with third degree burn, less than 10 percent or unspecified | $5,187 | ||||
| Total Medicare Charges at DRG | $6,348,002,652 | ||||
| Total Medicare Charges with ICD 94800 - Burn [any degree] involving less than 10 percent of body surface with third degree burn, less than 10 percent or unspecified | $3,330,118 | ||||
| Avg Charges at DRG | $22,247 | ||||
| Avg Charges with ICD 94800 - Burn [any degree] involving less than 10 percent of body surface with third degree burn, less than 10 percent or unspecified | $21,077 | ||||
| Mortality Rate at DRG | 0.12 | ||||
| Mortality Rate with ICD 94800 - Burn [any degree] involving less than 10 percent of body surface with third degree burn, less than 10 percent or unspecified | NA | ||||
| SNF Discharge Rate at DRG | 15.9 | ||||
| SNF Discharge Rate with ICD 94800 - Burn [any degree] involving less than 10 percent of body surface with third degree burn, less than 10 percent or unspecified | 10.76 | ||||
| Home Discharge Rate at DRG | 54.0 | ||||
| Home Discharge Rate with ICD 94800 - Burn [any degree] involving less than 10 percent of body surface with third degree burn, less than 10 percent or unspecified | 44.3 |
| 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 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 89,944 | ||||
| Total Hospitalizations with ICD 94800 - Burn [any degree] involving less than 10 percent of body surface with third degree burn, less than 10 percent or unspecified | 55 | ||||
| DRG Share of Total Hospitalizations | 0.39 | ||||
| % of Total ICD 94800 - Burn [any degree] involving less than 10 percent of body surface with third degree burn, less than 10 percent or unspecified in DRG | 0.68 | ||||
| Avg LOS at DRG | 21.37 | ||||
| Avg LOS with ICD 94800 - Burn [any degree] involving less than 10 percent of body surface with third degree burn, less than 10 percent or unspecified | 16.85 | ||||
| Readmission Rate at DRG | 40.58 | ||||
| Readmission Rate with ICD 94800 - Burn [any degree] involving less than 10 percent of body surface with third degree burn, less than 10 percent or unspecified | 39.53 | ||||
| Unplanned Readmission Rate at DRG | 20.26 | ||||
| Unplanned Readmission Rate with ICD 94800 - Burn [any degree] involving less than 10 percent of body surface with third degree burn, less than 10 percent or unspecified | NA | ||||
| Total Medicare payments at DRG | $4,108,813,026 | ||||
| Total Medicare payments with ICD 94800 - Burn [any degree] involving less than 10 percent of body surface with third degree burn, less than 10 percent or unspecified | $2,556,419 | ||||
| Total Medicare payment per Day at DRG | $2,137 | ||||
| Total Medicare payment per Day with ICD 94800 - Burn [any degree] involving less than 10 percent of body surface with third degree burn, less than 10 percent or unspecified | $2,758 | ||||
| Total Medicare payment per Hospitalization at DRG | $45,682 | ||||
| Total Medicare payment per Hospitalization with ICD 94800 - Burn [any degree] involving less than 10 percent of body surface with third degree burn, less than 10 percent or unspecified | $46,480 | ||||
| Total Medicare Charges at DRG | $16,393,740,063 | ||||
| Total Medicare Charges with ICD 94800 - Burn [any degree] involving less than 10 percent of body surface with third degree burn, less than 10 percent or unspecified | $11,485,033 | ||||
| Avg Charges at DRG | $182,266 | ||||
| Avg Charges with ICD 94800 - Burn [any degree] involving less than 10 percent of body surface with third degree burn, less than 10 percent or unspecified | $208,819 | ||||
| Mortality Rate at DRG | 28.83 | ||||
| Mortality Rate with ICD 94800 - Burn [any degree] involving less than 10 percent of body surface with third degree burn, less than 10 percent or unspecified | 20.0 | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD 94800 - Burn [any degree] involving less than 10 percent of body surface with third degree burn, less than 10 percent or unspecified | 21.82 | ||||
| Home Discharge Rate at DRG | 6.42 | ||||
| Home Discharge Rate with ICD 94800 - Burn [any degree] involving less than 10 percent of body surface with third degree burn, less than 10 percent or unspecified | 27.27 |
| DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 602: CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 206: OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 120,583 | ||||
| Total Hospitalizations with ICD 94800 - Burn [any degree] involving less than 10 percent of body surface with third degree burn, less than 10 percent or unspecified | 36 | ||||
| DRG Share of Total Hospitalizations | 0.53 | ||||
| % of Total ICD 94800 - Burn [any degree] involving less than 10 percent of body surface with third degree burn, less than 10 percent or unspecified in DRG | 0.44 | ||||
| Avg LOS at DRG | 14.4 | ||||
| Avg LOS with ICD 94800 - Burn [any degree] involving less than 10 percent of body surface with third degree burn, less than 10 percent or unspecified | 14.75 | ||||
| Readmission Rate at DRG | 39.61 | ||||
| Readmission Rate with ICD 94800 - Burn [any degree] involving less than 10 percent of body surface with third degree burn, less than 10 percent or unspecified | 46.67 | ||||
| Unplanned Readmission Rate at DRG | 17.93 | ||||
| Unplanned Readmission Rate with ICD 94800 - Burn [any degree] involving less than 10 percent of body surface with third degree burn, less than 10 percent or unspecified | NA | ||||
| Total Medicare payments at DRG | $4,418,648,842 | ||||
| Total Medicare payments with ICD 94800 - Burn [any degree] involving less than 10 percent of body surface with third degree burn, less than 10 percent or unspecified | $1,357,296 | ||||
| Total Medicare payment per Day at DRG | $2,545 | ||||
| Total Medicare payment per Day with ICD 94800 - Burn [any degree] involving less than 10 percent of body surface with third degree burn, less than 10 percent or unspecified | $2,556 | ||||
| Total Medicare payment per Hospitalization at DRG | $36,644 | ||||
| Total Medicare payment per Hospitalization with ICD 94800 - Burn [any degree] involving less than 10 percent of body surface with third degree burn, less than 10 percent or unspecified | $37,703 | ||||
| Total Medicare Charges at DRG | $18,323,348,541 | ||||
| Total Medicare Charges with ICD 94800 - Burn [any degree] involving less than 10 percent of body surface with third degree burn, less than 10 percent or unspecified | $5,418,409 | ||||
| Avg Charges at DRG | $151,956 | ||||
| Avg Charges with ICD 94800 - Burn [any degree] involving less than 10 percent of body surface with third degree burn, less than 10 percent or unspecified | $150,511 | ||||
| Mortality Rate at DRG | 13.99 | ||||
| Mortality Rate with ICD 94800 - Burn [any degree] involving less than 10 percent of body surface with third degree burn, less than 10 percent or unspecified | NA | ||||
| SNF Discharge Rate at DRG | 33.74 | ||||
| SNF Discharge Rate with ICD 94800 - Burn [any degree] involving less than 10 percent of body surface with third degree burn, less than 10 percent or unspecified | NA | ||||
| Home Discharge Rate at DRG | 13.29 | ||||
| Home Discharge Rate with ICD 94800 - Burn [any degree] involving less than 10 percent of body surface with third degree burn, less than 10 percent or unspecified | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| DOCTORS HOSPITAL | 3651 WHEELER RD | AUGUSTA | GA | 30909 | 425 |
| UNIVERSITY OF NORTH CAROLINA HOSPITAL | 101 MANNING DR | CHAPEL HILL | NC | 27514 | 203 |
| MARICOPA MEDICAL CENTER | 2601 E ROOSEVELT ST | PHOENIX | AZ | 85008 | 121 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. ROBERT FRED MULLINS | 3675 J DEWEY GRAY CIR | AUGUSTA | GA | 30909 | 168 |
| Dr. S.M.A ZAHEED HASSAN | 3675 J DEWEY GRAY CIRCLE | AUGUSTA | GA | 30909 | 122 |
| Dr. JAMES HWANG | 304 COPPERLINE DR APT A | CHAPEL HILL | NC | 27516 | 66 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. ROBERT FRED MULLINS | 3675 J DEWEY GRAY CIR | AUGUSTA | GA | 30909 | 195 |
| Dr. S.M.A ZAHEED HASSAN | 3675 J DEWEY GRAY CIRCLE | AUGUSTA | GA | 30909 | 141 |
| Dr. SAMUEL WAYNE JONES | 101 MANNING DRIVE CAMPUS BOX 7600 | CHAPEL HILL | NC | 27599 | 94 |