DRG 946: REHABILITATION 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 946: REHABILITATION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) GROUP BASED ON MEDICARE
2DEMOGRAPHIC DETAILS OF DRG 946: REHABILITATION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
3TOP ICD DIAGNOSIS CODES FOR DRG 946: REHABILITATION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
4TOP ICD PROCEDURE CODES FOR DRG 946: REHABILITATION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
5TOP HOSPITALS ASSOCIATED WITH DRG 946: REHABILITATION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
6TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 946: REHABILITATION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
7TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 946: REHABILITATION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
8DRG 946: REHABILITATION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) SUMMARY TABLE

CHARGE CAPTURE ANALYSIS FOR DRG 946: REHABILITATION 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 (%)
946 REHABILITATION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) General Medicine Rehabilitation Rehabilitation Non Surgical 18.38 NA 2,089 192,772 181,742
945 REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) General Medicine Rehabilitation Rehabilitation Non Surgical 81.62 NA 12,943 855,878 760,773

DEMOGRAPHIC DETAILS OF DRG 946: REHABILITATION 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 167,033 86.65
Black 17,025 8.83
Hispanic 2,796 1.45
Age Group ( Years ) Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
Greater than 84 45,670 23.69
80 to 84 34,585 17.94
75 to 79 34,396 17.84

TOP ICD DIAGNOSIS CODES FOR DRG 946: REHABILITATION 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
V5789 Care involving other specified rehabilitation procedure 185,570 96.26
4019 Unspecified essential hypertension 125,957 65.34
2724 Other and unspecified hyperlipidemia 78,784 40.87

TOP ICD PROCEDURE CODES FOR DRG 946: REHABILITATION 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
9383 Occupational Therapy 34,147 17.71
9339 Other Physical Therapy 30,827 15.99
9375 Other Speech Training And Therapy 6,228 3.23

TOP HOSPITALS ASSOCIATED WITH DRG 946: REHABILITATION 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
Burke Rehabilitation Hospital 785 MAMARONECK AVE White Plains NY 10605 1,929 1.0
Encompass Health Rehabilitation Hospital of Toms River 14 HOSPITAL DR Toms River NJ 08755 1,728 0.9
PAM Rehabilitation Hospital of San Antonio 5101 MEDICAL DR San Antonio TX 78229 1,426 0.74

TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 946: REHABILITATION 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. ROBERT DAVID HOLLAND HELEN HAYES HOSPITAL WEST HAVERSTRAW NY 10993 944 0.49
DR. AMIT G SHAH 1040 EDGEWATER CORP PKWY STE 101 INDIAN LAND SC 29707 930 0.48
DR. YU JEN LAI 200 BELLE TERRE RD PORT JEFFERSON NY 11777 923 0.48

TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 946: REHABILITATION 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. YU JEN LAI 200 BELLE TERRE RD PORT JEFFERSON NY 11777 919 0.48

DRG 946: REHABILITATION 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 (%)
General Medicine Rehabilitation Rehabilitation V5789 Care involving other specified rehabilitation procedure NA 185,570
General Medicine Rehabilitation Rehabilitation 4019 Unspecified essential hypertension NA 125,957
General Medicine Rehabilitation Rehabilitation 2724 Other and unspecified hyperlipidemia NA 78,784
General Medicine Rehabilitation Rehabilitation 2859 Anemia, unspecified NA 49,762
General Medicine Rehabilitation Rehabilitation 53081 Esophageal reflux NA 46,498
General Medicine Rehabilitation Rehabilitation 7812 Abnormality of gait NA 43,687
General Medicine Rehabilitation Rehabilitation 25000 Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled NA 39,054
General Medicine Rehabilitation Rehabilitation 2449 Unspecified acquired hypothyroidism NA 38,375
General Medicine Rehabilitation Rehabilitation 56400 Constipation, unspecified NA 36,498
General Medicine Rehabilitation Rehabilitation 42731 Atrial fibrillation NA 34,261