| V1551 - Personal history of traumatic fracture - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 12.35 | |
| 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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 939,378 | ||||
| Total Hospitalizations with ICD V1551 - Personal history of traumatic fracture | 3,714 | ||||
| DRG Share of Total Hospitalizations | 4.11 | ||||
| % of Total ICD V1551 - Personal history of traumatic fracture in DRG | 5.41 | ||||
| Avg LOS at DRG | 3.12 | ||||
| Avg LOS with ICD V1551 - Personal history of traumatic fracture | 3.37 | ||||
| Readmission Rate at DRG | 12.54 | ||||
| Readmission Rate with ICD V1551 - Personal history of traumatic fracture | 15.34 | ||||
| Unplanned Readmission Rate at DRG | 3.52 | ||||
| Unplanned Readmission Rate with ICD V1551 - Personal history of traumatic fracture | 4.28 | ||||
| Total Medicare payments at DRG | $11,301,359,598 | ||||
| Total Medicare payments with ICD V1551 - Personal history of traumatic fracture | $47,876,324 | ||||
| Total Medicare payment per Day at DRG | $3,853 | ||||
| Total Medicare payment per Day with ICD V1551 - Personal history of traumatic fracture | $3,823 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,031 | ||||
| Total Medicare payment per Hospitalization with ICD V1551 - Personal history of traumatic fracture | $12,891 | ||||
| Total Medicare Charges at DRG | $51,993,364,479 | ||||
| Total Medicare Charges with ICD V1551 - Personal history of traumatic fracture | $235,566,967 | ||||
| Avg Charges at DRG | $55,349 | ||||
| Avg Charges with ICD V1551 - Personal history of traumatic fracture | $63,427 | ||||
| Mortality Rate at DRG | 0.07 | ||||
| Mortality Rate with ICD V1551 - Personal history of traumatic fracture | NA | ||||
| SNF Discharge Rate at DRG | 32.49 | ||||
| SNF Discharge Rate with ICD V1551 - Personal history of traumatic fracture | 40.47 | ||||
| Home Discharge Rate at DRG | 21.06 | ||||
| Home Discharge Rate with ICD V1551 - Personal history of traumatic fracture | 18.58 |
| DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 368,382 | ||||
| Total Hospitalizations with ICD V1551 - Personal history of traumatic fracture | 1,407 | ||||
| DRG Share of Total Hospitalizations | 1.61 | ||||
| % of Total ICD V1551 - Personal history of traumatic fracture in DRG | 2.05 | ||||
| Avg LOS at DRG | 3.76 | ||||
| Avg LOS with ICD V1551 - Personal history of traumatic fracture | 3.95 | ||||
| Readmission Rate at DRG | 18.51 | ||||
| Readmission Rate with ICD V1551 - Personal history of traumatic fracture | 18.79 | ||||
| Unplanned Readmission Rate at DRG | 12.91 | ||||
| Unplanned Readmission Rate with ICD V1551 - Personal history of traumatic fracture | 13.97 | ||||
| Total Medicare payments at DRG | $1,761,365,865 | ||||
| Total Medicare payments with ICD V1551 - Personal history of traumatic fracture | $7,199,754 | ||||
| Total Medicare payment per Day at DRG | $1,270 | ||||
| Total Medicare payment per Day with ICD V1551 - Personal history of traumatic fracture | $1,297 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,781 | ||||
| Total Medicare payment per Hospitalization with ICD V1551 - Personal history of traumatic fracture | $5,117 | ||||
| Total Medicare Charges at DRG | $7,996,276,956 | ||||
| Total Medicare Charges with ICD V1551 - Personal history of traumatic fracture | $31,395,253 | ||||
| Avg Charges at DRG | $21,706 | ||||
| Avg Charges with ICD V1551 - Personal history of traumatic fracture | $22,314 | ||||
| Mortality Rate at DRG | 0.32 | ||||
| Mortality Rate with ICD V1551 - Personal history of traumatic fracture | NA | ||||
| SNF Discharge Rate at DRG | 27.88 | ||||
| SNF Discharge Rate with ICD V1551 - Personal history of traumatic fracture | 40.8 | ||||
| Home Discharge Rate at DRG | 42.37 | ||||
| Home Discharge Rate with ICD V1551 - Personal history of traumatic fracture | 26.3 |
| DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 946: REHABILITATION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 414,616 | ||||
| Total Hospitalizations with ICD V1551 - Personal history of traumatic fracture | 917 | ||||
| DRG Share of Total Hospitalizations | 1.81 | ||||
| % of Total ICD V1551 - Personal history of traumatic fracture in DRG | 1.34 | ||||
| Avg LOS at DRG | 4.4 | ||||
| Avg LOS with ICD V1551 - Personal history of traumatic fracture | 4.48 | ||||
| Readmission Rate at DRG | 25.69 | ||||
| Readmission Rate with ICD V1551 - Personal history of traumatic fracture | 23.05 | ||||
| Unplanned Readmission Rate at DRG | 19.35 | ||||
| Unplanned Readmission Rate with ICD V1551 - Personal history of traumatic fracture | 17.06 | ||||
| Total Medicare payments at DRG | $2,579,957,747 | ||||
| Total Medicare payments with ICD V1551 - Personal history of traumatic fracture | $5,935,847 | ||||
| Total Medicare payment per Day at DRG | $1,415 | ||||
| Total Medicare payment per Day with ICD V1551 - Personal history of traumatic fracture | $1,445 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,223 | ||||
| Total Medicare payment per Hospitalization with ICD V1551 - Personal history of traumatic fracture | $6,473 | ||||
| Total Medicare Charges at DRG | $11,090,898,185 | ||||
| Total Medicare Charges with ICD V1551 - Personal history of traumatic fracture | $25,422,569 | ||||
| Avg Charges at DRG | $26,750 | ||||
| Avg Charges with ICD V1551 - Personal history of traumatic fracture | $27,724 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD V1551 - Personal history of traumatic fracture | 1.53 | ||||
| SNF Discharge Rate at DRG | 17.4 | ||||
| SNF Discharge Rate with ICD V1551 - Personal history of traumatic fracture | 30.43 | ||||
| Home Discharge Rate at DRG | 45.44 | ||||
| Home Discharge Rate with ICD V1551 - Personal history of traumatic fracture | 30.75 |
| DRG 536: FRACTURES OF HIP AND PELVIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 62,631 | ||||
| Total Hospitalizations with ICD V1551 - Personal history of traumatic fracture | 796 | ||||
| DRG Share of Total Hospitalizations | 0.27 | ||||
| % of Total ICD V1551 - Personal history of traumatic fracture in DRG | 1.16 | ||||
| Avg LOS at DRG | 4.07 | ||||
| Avg LOS with ICD V1551 - Personal history of traumatic fracture | 3.69 | ||||
| Readmission Rate at DRG | 20.91 | ||||
| Readmission Rate with ICD V1551 - Personal history of traumatic fracture | 17.83 | ||||
| Unplanned Readmission Rate at DRG | 7.14 | ||||
| Unplanned Readmission Rate with ICD V1551 - Personal history of traumatic fracture | 6.03 | ||||
| Total Medicare payments at DRG | $320,393,761 | ||||
| Total Medicare payments with ICD V1551 - Personal history of traumatic fracture | $3,905,438 | ||||
| Total Medicare payment per Day at DRG | $1,257 | ||||
| Total Medicare payment per Day with ICD V1551 - Personal history of traumatic fracture | $1,331 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,116 | ||||
| Total Medicare payment per Hospitalization with ICD V1551 - Personal history of traumatic fracture | $4,906 | ||||
| Total Medicare Charges at DRG | $1,256,804,191 | ||||
| Total Medicare Charges with ICD V1551 - Personal history of traumatic fracture | $15,748,507 | ||||
| Avg Charges at DRG | $20,067 | ||||
| Avg Charges with ICD V1551 - Personal history of traumatic fracture | $19,785 | ||||
| Mortality Rate at DRG | 1.29 | ||||
| Mortality Rate with ICD V1551 - Personal history of traumatic fracture | NA | ||||
| SNF Discharge Rate at DRG | 53.14 | ||||
| SNF Discharge Rate with ICD V1551 - Personal history of traumatic fracture | 58.42 | ||||
| Home Discharge Rate at DRG | 7.3 | ||||
| Home Discharge Rate with ICD V1551 - Personal history of traumatic fracture | 5.53 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| MORRISTOWN MEDICAL CENTER | 100 MADISON AVE | MORRISTOWN | NJ | 07960 | 551 |
| WASHINGTON HOSPITAL | 2000 MOWRY AVE | FREMONT | CA | 94538 | 377 |
| SENTARA MARTHA JEFFERSON HOSPITAL | 500 MARTHA JEFFERSON DR | CHARLOTTESVILLE | VA | 22911 | 376 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. THOMAS M COON | 2540 SISTER MARY COLUMBA DR | RED BLUFF | CA | 96080 | 49 |
| Dr. JOHN TERRY DEARBORN | 2000 MOWRY AVE | FREMONT | CA | 94538 | 44 |
| Dr. JOHN NICHOLAS DIANA | 3273 CLAREMONT WAY | NAPA | CA | 94558 | 42 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. AAMIR HASHMAT | 2024 15TH ST FL 2 | MERIDIAN | MS | 39301 | 110 |
| Dr. CHRISTOPHER JALBERT | 365 MONTAUK AVE | NEW LONDON | CT | 06320 | 73 |
| Dr. THOMAS M COON | 2540 SISTER MARY COLUMBA DR | RED BLUFF | CA | 96080 | 49 |