DRG 090: CONCUSSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) - MARKET SIZE, PREVALENCE, INCIDENCE, QUALITY OUTCOMES, TOP HOSPITALS & PHYSICIANS

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Jan 2013 to Dec 2017   |   Jan 2017 to Dec 2017

Table of Contents

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No.Quality Metric
1CHARGE CAPTURE ANALYSIS FOR DRG 090: CONCUSSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) GROUP BASED ON MEDICARE
2DEMOGRAPHIC DETAILS OF DRG 090: CONCUSSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
3TOP ICD DIAGNOSIS CODES FOR DRG 090: CONCUSSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
4TOP ICD PROCEDURE CODES FOR DRG 090: CONCUSSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
5TOP HOSPITALS ASSOCIATED WITH DRG 090: CONCUSSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
6TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 090: CONCUSSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
7TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 090: CONCUSSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
8DRG 090: CONCUSSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) SUMMARY TABLE

CHARGE CAPTURE ANALYSIS FOR DRG 090: CONCUSSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) GROUP BASED ON MEDICARE

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DRG Code DRG Description Category Sub Category DRG Group Surgical Category Case Mix Level Total National Projected Hospitalizations - Annualized Total Medicare Hospitalizations - Jan 2017 to Dec 2017 Total Medicare Hospitalizations - Jan 2013 to Dec 2017 Total Medicare Hospitalizations After Exclusion Avg. LOS GMLOS All Cause Readmission Rate (%) Unplanned Readmission Rate (%) Total Medicare Payments Payment per Day Payment per Discharge Total Medicare Charges Avg. Charges Mortality Rate (%) SNF Discharge Rate (%) Home Discharge Rate (%)
090 CONCUSSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) Neurology Concussion Concussion Non Surgical 29.63 NA 1,053 6,679 6,502
089 CONCUSSION WITH COMPLICATION OR COMORBIDITY (CC) Neurology Concussion Concussion Non Surgical 50.70 NA 2,005 11,431 11,153
088 CONCUSSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) Neurology Concussion Concussion Non Surgical 19.67 NA 788 4,435 4,154

DEMOGRAPHIC DETAILS OF DRG 090: CONCUSSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Race Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
White 5,763 86.29
Black 502 7.52
Hispanic 145 2.17
Age Group ( Years ) Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
Greater than 84 1,794 26.86
Less than 65 1,111 16.63
80 to 84 1,028 15.39

TOP ICD DIAGNOSIS CODES FOR DRG 090: CONCUSSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)

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ICD Code ICD Description Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
4019 Unspecified essential hypertension 2,423 36.28
8500 Concussion with no loss of consciousness 1,461 21.87
8505 Concussion with loss of consciousness of unspecified duration 1,271 19.03

TOP ICD PROCEDURE CODES FOR DRG 090: CONCUSSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)

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ICD Code ICD Description Total Procedure ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
8659 Closure Of Skin And Subcutaneous Tissue Of Other Sites 756 11.32
8703 Computerized Axial Tomography Of Bead 278 4.16
0HQ0XZZ Repair Scalp Skin, External Approach 230 3.44

TOP HOSPITALS ASSOCIATED WITH DRG 090: CONCUSSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Hospital Name Address City State Zip Code Total Hospital & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
Nassau University Medical Center 2201 HEMPSTEAD TPKE East Meadow NY 11554 242 3.62
Hahnemann University Hospital BROAD & VINE STREETS Philadelphia PA 19102 163 2.44
UC San Diego Health - Hillcrest Medical Center 200 WEST ARBOR DRIVE San Diego CA 92103 65 0.97

TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 090: CONCUSSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Physician Name Address City State Zip Code Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
DR. LAMBROS D. GEORGE ANGUS 2201 HEMPSTEAD TPKE EAST MEADOW NY 11554 67 1.0
DR. ALBERTO NUNEZ BROAD AND VINE STREET PHILADELPHIA PA 19102 53 0.79
DR. RICHARD JOSEPH BATISTA 2201 HEMPSTEAD TPKE EAST MEADOW NY 11554 49 0.73

TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 090: CONCUSSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Physician Name Address City State Zip Code Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
DR. DAHUA ZHOU 2201 HEMPSTEAD TURNPIKE EAST MEADOW NY 11554 87 1.3
DR. LAMBROS D. GEORGE ANGUS 2201 HEMPSTEAD TPKE EAST MEADOW NY 11554 29 0.43
DR. RICHARD JOSEPH BATISTA 2201 HEMPSTEAD TPKE EAST MEADOW NY 11554 26 0.39

DRG 090: CONCUSSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) SUMMARY TABLE

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Category Sub Category DRG Group ICD Codes ICD Description National Projected Hospitalizations (Present on Admission - All) Jan 2016 to Dec 2016 Medicare Hospitalizations (Present on Admission - All) Jan 2013 to Dec 2017 National Projected Hospitalizations(Present on Admission - Yes) Jan 2016 to Dec 2016 Medicare Hospitalizations (Present on Admission - Yes) Jan 2013 to Dec 2017 National Projected Hospitalizations (Present on Admission - Not Y) Jan 2016 to Dec 2016 Medicare Hospitalizations (Present on Admission - Not Y) Jan 2013 to Dec 2017 Total Discharges After Exclusion Avg. LOS GMLOS All Cause Readmission Rate (%) Unplanned Readmission Rate (%) Total Medicare Payments Payment per Day Payment per Discharge Total Medicare Charges Avg. Charges Mortality Rate (%) SNF Discharge Rate (%) Home Discharge Rate (%)
Neurology Concussion Concussion 4019 Unspecified essential hypertension NA 2,423
Neurology Concussion Concussion 8500 Concussion with no loss of consciousness NA 1,461
Neurology Concussion Concussion I10 Essential (primary) hypertension 1,759 1,400
Neurology Concussion Concussion 8505 Concussion with loss of consciousness of unspecified duration NA 1,271
Neurology Concussion Concussion 2724 Other and unspecified hyperlipidemia NA 1,242
Neurology Concussion Concussion S060X0A Concussion without loss of consciousness, initial encounter 3,293 1,143
Neurology Concussion Concussion 25000 Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled NA 901
Neurology Concussion Concussion S060X9A Concussion with loss of consciousness of unspecified duration, initial encounter 3,272 797
Neurology Concussion Concussion 85011 Concussion, with loss of consciousness of 30 minutes or less NA 770
Neurology Concussion Concussion E785 Hyperlipidemia, unspecified 794 746