*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| G09 - Sequelae of inflammatory diseases of central nervous system - as a primary diagnosis code | G09 - Sequelae of inflammatory diseases of central nervous system - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.5 | |
| Readmission Rate (%) | 25.04 | |
| Unplanned Readmission Rate (%) | NA | |
| 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 | ||
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 122,730 | |
| Total Hospitalizations with ICD G09 - Sequelae of inflammatory diseases of central nervous system | 39 | |
| DRG Share of Total Hospitalizations | 0.37 | |
| % of Total ICD G09 - Sequelae of inflammatory diseases of central nervous system in DRG | 48.75 | |
| Avg LOS at DRG | 7.61 | |
| Avg LOS with ICD G09 - Sequelae of inflammatory diseases of central nervous system | 15.92 | |
| Readmission Rate at DRG | 21.31 | |
| Readmission Rate with ICD G09 - Sequelae of inflammatory diseases of central nervous system | NA | |
| Unplanned Readmission Rate at DRG | 14.13 | |
| Unplanned Readmission Rate with ICD G09 - Sequelae of inflammatory diseases of central nervous system | NA | |
| Total Medicare payments at DRG | $1,397,885,220 | |
| Total Medicare payments with ICD G09 - Sequelae of inflammatory diseases of central nervous system | $660,799 | |
| Total Medicare payment per Day at DRG | $1,497 | |
| Total Medicare payment per Day with ICD G09 - Sequelae of inflammatory diseases of central nervous system | $1,064 | |
| Total Medicare payment per Hospitalization at DRG | $11,390 | |
| Total Medicare payment per Hospitalization with ICD G09 - Sequelae of inflammatory diseases of central nervous system | $16,944 | |
| Total Medicare Charges at DRG | $4,175,290,309 | |
| Total Medicare Charges with ICD G09 - Sequelae of inflammatory diseases of central nervous system | $1,907,572 | |
| Avg Charges at DRG | $34,020 | |
| Avg Charges with ICD G09 - Sequelae of inflammatory diseases of central nervous system | $48,912 | |
| Mortality Rate at DRG | 0.28 | |
| Mortality Rate with ICD G09 - Sequelae of inflammatory diseases of central nervous system | NA | |
| SNF Discharge Rate at DRG | 21.64 | |
| SNF Discharge Rate with ICD G09 - Sequelae of inflammatory diseases of central nervous system | NA | |
| Home Discharge Rate at DRG | 28.06 | |
| Home Discharge Rate with ICD G09 - Sequelae of inflammatory diseases of central nervous system | 38.46 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 101: SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD G09 - Sequelae of inflammatory diseases of central nervous system | 150 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD G09 - Sequelae of inflammatory diseases of central nervous system in DRG | 7.06 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD G09 - Sequelae of inflammatory diseases of central nervous system | 7.11 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD G09 - Sequelae of inflammatory diseases of central nervous system | 29.63 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD G09 - Sequelae of inflammatory diseases of central nervous system | 20.74 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD G09 - Sequelae of inflammatory diseases of central nervous system | $1,849,726 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD G09 - Sequelae of inflammatory diseases of central nervous system | $1,735 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD G09 - Sequelae of inflammatory diseases of central nervous system | $12,332 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD G09 - Sequelae of inflammatory diseases of central nervous system | $8,760,457 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD G09 - Sequelae of inflammatory diseases of central nervous system | $58,403 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD G09 - Sequelae of inflammatory diseases of central nervous system | NA | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD G09 - Sequelae of inflammatory diseases of central nervous system | 26.67 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD G09 - Sequelae of inflammatory diseases of central nervous system | 28.67 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 052: SPINAL DISORDERS AND INJURIES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 100: SEIZURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 10,542 | ||||
| Total Hospitalizations with ICD G09 - Sequelae of inflammatory diseases of central nervous system | 57 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD G09 - Sequelae of inflammatory diseases of central nervous system in DRG | 2.68 | ||||
| Avg LOS at DRG | 15.44 | ||||
| Avg LOS with ICD G09 - Sequelae of inflammatory diseases of central nervous system | 17.32 | ||||
| Readmission Rate at DRG | 22.26 | ||||
| Readmission Rate with ICD G09 - Sequelae of inflammatory diseases of central nervous system | NA | ||||
| Unplanned Readmission Rate at DRG | 11.51 | ||||
| Unplanned Readmission Rate with ICD G09 - Sequelae of inflammatory diseases of central nervous system | NA | ||||
| Total Medicare payments at DRG | $248,579,193 | ||||
| Total Medicare payments with ICD G09 - Sequelae of inflammatory diseases of central nervous system | $1,437,290 | ||||
| Total Medicare payment per Day at DRG | $1,528 | ||||
| Total Medicare payment per Day with ICD G09 - Sequelae of inflammatory diseases of central nervous system | $1,456 | ||||
| Total Medicare payment per Hospitalization at DRG | $23,580 | ||||
| Total Medicare payment per Hospitalization with ICD G09 - Sequelae of inflammatory diseases of central nervous system | $25,216 | ||||
| Total Medicare Charges at DRG | $728,953,355 | ||||
| Total Medicare Charges with ICD G09 - Sequelae of inflammatory diseases of central nervous system | $4,156,166 | ||||
| Avg Charges at DRG | $69,148 | ||||
| Avg Charges with ICD G09 - Sequelae of inflammatory diseases of central nervous system | $72,915 | ||||
| Mortality Rate at DRG | 2.72 | ||||
| Mortality Rate with ICD G09 - Sequelae of inflammatory diseases of central nervous system | NA | ||||
| SNF Discharge Rate at DRG | 23.06 | ||||
| SNF Discharge Rate with ICD G09 - Sequelae of inflammatory diseases of central nervous system | 21.05 | ||||
| Home Discharge Rate at DRG | 20.74 | ||||
| Home Discharge Rate with ICD G09 - Sequelae of inflammatory diseases of central nervous system | 22.81 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 885: PSYCHOSES | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD G09 - Sequelae of inflammatory diseases of central nervous system | 33 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD G09 - Sequelae of inflammatory diseases of central nervous system in DRG | 1.55 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD G09 - Sequelae of inflammatory diseases of central nervous system | 12.06 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD G09 - Sequelae of inflammatory diseases of central nervous system | 45.16 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD G09 - Sequelae of inflammatory diseases of central nervous system | NA | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD G09 - Sequelae of inflammatory diseases of central nervous system | $282,594 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD G09 - Sequelae of inflammatory diseases of central nervous system | $710 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD G09 - Sequelae of inflammatory diseases of central nervous system | $8,563 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD G09 - Sequelae of inflammatory diseases of central nervous system | $875,960 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD G09 - Sequelae of inflammatory diseases of central nervous system | $26,544 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD G09 - Sequelae of inflammatory diseases of central nervous system | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD G09 - Sequelae of inflammatory diseases of central nervous system | NA | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD G09 - Sequelae of inflammatory diseases of central nervous system | 63.64 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 699: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 188,863 | ||||
| Total Hospitalizations with ICD G09 - Sequelae of inflammatory diseases of central nervous system | 24 | ||||
| DRG Share of Total Hospitalizations | 0.57 | ||||
| % of Total ICD G09 - Sequelae of inflammatory diseases of central nervous system in DRG | 1.13 | ||||
| Avg LOS at DRG | 11.75 | ||||
| Avg LOS with ICD G09 - Sequelae of inflammatory diseases of central nervous system | 13.21 | ||||
| Readmission Rate at DRG | 12.14 | ||||
| Readmission Rate with ICD G09 - Sequelae of inflammatory diseases of central nervous system | NA | ||||
| Unplanned Readmission Rate at DRG | 7.97 | ||||
| Unplanned Readmission Rate with ICD G09 - Sequelae of inflammatory diseases of central nervous system | NA | ||||
| Total Medicare payments at DRG | $3,216,901,374 | ||||
| Total Medicare payments with ICD G09 - Sequelae of inflammatory diseases of central nervous system | $464,392 | ||||
| Total Medicare payment per Day at DRG | $1,450 | ||||
| Total Medicare payment per Day with ICD G09 - Sequelae of inflammatory diseases of central nervous system | $1,465 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,033 | ||||
| Total Medicare payment per Hospitalization with ICD G09 - Sequelae of inflammatory diseases of central nervous system | $19,350 | ||||
| Total Medicare Charges at DRG | $7,709,712,645 | ||||
| Total Medicare Charges with ICD G09 - Sequelae of inflammatory diseases of central nervous system | $1,048,226 | ||||
| Avg Charges at DRG | $40,822 | ||||
| Avg Charges with ICD G09 - Sequelae of inflammatory diseases of central nervous system | $43,676 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD G09 - Sequelae of inflammatory diseases of central nervous system | NA | ||||
| SNF Discharge Rate at DRG | 19.54 | ||||
| SNF Discharge Rate with ICD G09 - Sequelae of inflammatory diseases of central nervous system | NA | ||||
| Home Discharge Rate at DRG | 19.47 | ||||
| Home Discharge Rate with ICD G09 - Sequelae of inflammatory diseases of central nervous system | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UMASS MEMORIAL MEDICAL CENTER | 55 LAKE AVENUE | WORCESTER | MA | 01655 | 19 |
| MEDSTAR NATIONAL REHABILITATION HOSPITAL | 102 IRVING ST NW | WASHINGTON | DC | 20010 | 18 |
| UW HEALTH UNIVERSITY HOSPITAL | 600 HIGHLAND AVE | MADISON | WI | 53792 | 17 |