*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| G1221 - Amyotrophic lateral sclerosis - as a primary diagnosis code | G1221 - Amyotrophic lateral sclerosis - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.84 | |
| Readmission Rate (%) | 25.36 | |
| Unplanned Readmission Rate (%) | 11.25 | |
| 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 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 359,935 | ||||
| Total Hospitalizations with ICD G1221 - Amyotrophic lateral sclerosis | 1,603 | ||||
| DRG Share of Total Hospitalizations | 1.1 | ||||
| % of Total ICD G1221 - Amyotrophic lateral sclerosis in DRG | 47.57 | ||||
| Avg LOS at DRG | 12.3 | ||||
| Avg LOS with ICD G1221 - Amyotrophic lateral sclerosis | 5.75 | ||||
| Readmission Rate at DRG | 16.01 | ||||
| Readmission Rate with ICD G1221 - Amyotrophic lateral sclerosis | 18.84 | ||||
| Unplanned Readmission Rate at DRG | 9.86 | ||||
| Unplanned Readmission Rate with ICD G1221 - Amyotrophic lateral sclerosis | 10.47 | ||||
| Total Medicare payments at DRG | $5,883,826,653 | ||||
| Total Medicare payments with ICD G1221 - Amyotrophic lateral sclerosis | $14,134,165 | ||||
| Total Medicare payment per Day at DRG | $1,329 | ||||
| Total Medicare payment per Day with ICD G1221 - Amyotrophic lateral sclerosis | $1,532 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
| Total Medicare payment per Hospitalization with ICD G1221 - Amyotrophic lateral sclerosis | $8,817 | ||||
| Total Medicare Charges at DRG | $15,374,824,749 | ||||
| Total Medicare Charges with ICD G1221 - Amyotrophic lateral sclerosis | $55,946,912 | ||||
| Avg Charges at DRG | $42,716 | ||||
| Avg Charges with ICD G1221 - Amyotrophic lateral sclerosis | $34,901 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD G1221 - Amyotrophic lateral sclerosis | 2.31 | ||||
| SNF Discharge Rate at DRG | 27.95 | ||||
| SNF Discharge Rate with ICD G1221 - Amyotrophic lateral sclerosis | 20.21 | ||||
| Home Discharge Rate at DRG | 26.85 | ||||
| Home Discharge Rate with ICD G1221 - Amyotrophic lateral sclerosis | 23.21 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 040: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|
| Total Hospitalizations at DRG | 15,067 | |
| Total Hospitalizations with ICD G1221 - Amyotrophic lateral sclerosis | 15 | |
| DRG Share of Total Hospitalizations | 0.05 | |
| % of Total ICD G1221 - Amyotrophic lateral sclerosis in DRG | 0.45 | |
| Avg LOS at DRG | 11.35 | |
| Avg LOS with ICD G1221 - Amyotrophic lateral sclerosis | 17.73 | |
| Readmission Rate at DRG | 40.12 | |
| Readmission Rate with ICD G1221 - Amyotrophic lateral sclerosis | NA | |
| Unplanned Readmission Rate at DRG | 16.2 | |
| Unplanned Readmission Rate with ICD G1221 - Amyotrophic lateral sclerosis | NA | |
| Total Medicare payments at DRG | $406,046,615 | |
| Total Medicare payments with ICD G1221 - Amyotrophic lateral sclerosis | $380,438 | |
| Total Medicare payment per Day at DRG | $2,374 | |
| Total Medicare payment per Day with ICD G1221 - Amyotrophic lateral sclerosis | $1,430 | |
| Total Medicare payment per Hospitalization at DRG | $26,949 | |
| Total Medicare payment per Hospitalization with ICD G1221 - Amyotrophic lateral sclerosis | $25,363 | |
| Total Medicare Charges at DRG | $1,945,203,850 | |
| Total Medicare Charges with ICD G1221 - Amyotrophic lateral sclerosis | $2,329,672 | |
| Avg Charges at DRG | $129,104 | |
| Avg Charges with ICD G1221 - Amyotrophic lateral sclerosis | $155,311 | |
| Mortality Rate at DRG | 5.02 | |
| Mortality Rate with ICD G1221 - Amyotrophic lateral sclerosis | NA | |
| SNF Discharge Rate at DRG | 31.29 | |
| SNF Discharge Rate with ICD G1221 - Amyotrophic lateral sclerosis | NA | |
| Home Discharge Rate at DRG | 18.56 | |
| Home Discharge Rate with ICD G1221 - Amyotrophic lateral sclerosis | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| HOUSTON METHODIST HOSPITAL | 6565 FANNIN ST | HOUSTON | TX | 77030 | 57 |
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 43 |
| NORTHWESTERN MEMORIAL HOSPITAL | 251 E HURON ST | CHICAGO | IL | 60611 | 39 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. FRANK V MERIANO | 6560 FANNIN ST | HOUSTON | TX | 77030 | 39 |
| Dr. JASON JOHN SCHRAGER | 234 GOODMAN ST | CINCINNATI | OH | 45219 | 16 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ERICKA SIMPSON | 6560 FANNIN ST | HOUSTON | TX | 77030 | 12 |
| Dr. ROBERT WALTON NEEL | 222 PIEDMONT AVE | CINCINNATI | OH | 45219 | 11 |
| Dr. ROBERT GLENN SMITH | 6560 FANNIN ST | HOUSTON | TX | 77030 | 11 |
*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 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD G1221 - Amyotrophic lateral sclerosis | 1,955 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD G1221 - Amyotrophic lateral sclerosis in DRG | 9.2 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD G1221 - Amyotrophic lateral sclerosis | 5.51 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD G1221 - Amyotrophic lateral sclerosis | 24.02 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD G1221 - Amyotrophic lateral sclerosis | 16.33 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD G1221 - Amyotrophic lateral sclerosis | $22,463,729 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD G1221 - Amyotrophic lateral sclerosis | $2,085 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD G1221 - Amyotrophic lateral sclerosis | $11,490 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD G1221 - Amyotrophic lateral sclerosis | $119,394,633 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD G1221 - Amyotrophic lateral sclerosis | $61,071 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD G1221 - Amyotrophic lateral sclerosis | 18.98 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD G1221 - Amyotrophic lateral sclerosis | 18.16 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD G1221 - Amyotrophic lateral sclerosis | 16.16 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 99,217 | ||||
| Total Hospitalizations with ICD G1221 - Amyotrophic lateral sclerosis | 1,023 | ||||
| DRG Share of Total Hospitalizations | 0.3 | ||||
| % of Total ICD G1221 - Amyotrophic lateral sclerosis in DRG | 4.81 | ||||
| Avg LOS at DRG | 14.88 | ||||
| Avg LOS with ICD G1221 - Amyotrophic lateral sclerosis | 11.73 | ||||
| Readmission Rate at DRG | 41.65 | ||||
| Readmission Rate with ICD G1221 - Amyotrophic lateral sclerosis | 37.39 | ||||
| Unplanned Readmission Rate at DRG | 18.54 | ||||
| Unplanned Readmission Rate with ICD G1221 - Amyotrophic lateral sclerosis | 25.34 | ||||
| Total Medicare payments at DRG | $4,073,197,631 | ||||
| Total Medicare payments with ICD G1221 - Amyotrophic lateral sclerosis | $35,313,885 | ||||
| Total Medicare payment per Day at DRG | $2,758 | ||||
| Total Medicare payment per Day with ICD G1221 - Amyotrophic lateral sclerosis | $2,942 | ||||
| Total Medicare payment per Hospitalization at DRG | $41,053 | ||||
| Total Medicare payment per Hospitalization with ICD G1221 - Amyotrophic lateral sclerosis | $34,520 | ||||
| Total Medicare Charges at DRG | $20,258,140,795 | ||||
| Total Medicare Charges with ICD G1221 - Amyotrophic lateral sclerosis | $160,748,891 | ||||
| Avg Charges at DRG | $204,180 | ||||
| Avg Charges with ICD G1221 - Amyotrophic lateral sclerosis | $157,135 | ||||
| Mortality Rate at DRG | 35.07 | ||||
| Mortality Rate with ICD G1221 - Amyotrophic lateral sclerosis | 11.44 | ||||
| SNF Discharge Rate at DRG | 25.76 | ||||
| SNF Discharge Rate with ICD G1221 - Amyotrophic lateral sclerosis | 29.81 | ||||
| Home Discharge Rate at DRG | 4.34 | ||||
| Home Discharge Rate with ICD G1221 - Amyotrophic lateral sclerosis | 11.05 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 172,705 | ||||
| Total Hospitalizations with ICD G1221 - Amyotrophic lateral sclerosis | 378 | ||||
| DRG Share of Total Hospitalizations | 0.53 | ||||
| % of Total ICD G1221 - Amyotrophic lateral sclerosis in DRG | 1.78 | ||||
| Avg LOS at DRG | 6.21 | ||||
| Avg LOS with ICD G1221 - Amyotrophic lateral sclerosis | 6.29 | ||||
| Readmission Rate at DRG | 27.27 | ||||
| Readmission Rate with ICD G1221 - Amyotrophic lateral sclerosis | 28.09 | ||||
| Unplanned Readmission Rate at DRG | 20.51 | ||||
| Unplanned Readmission Rate with ICD G1221 - Amyotrophic lateral sclerosis | 23.03 | ||||
| Total Medicare payments at DRG | $1,773,015,083 | ||||
| Total Medicare payments with ICD G1221 - Amyotrophic lateral sclerosis | $3,877,213 | ||||
| Total Medicare payment per Day at DRG | $1,652 | ||||
| Total Medicare payment per Day with ICD G1221 - Amyotrophic lateral sclerosis | $1,630 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,266 | ||||
| Total Medicare payment per Hospitalization with ICD G1221 - Amyotrophic lateral sclerosis | $10,257 | ||||
| Total Medicare Charges at DRG | $8,667,227,667 | ||||
| Total Medicare Charges with ICD G1221 - Amyotrophic lateral sclerosis | $25,707,547 | ||||
| Avg Charges at DRG | $50,185 | ||||
| Avg Charges with ICD G1221 - Amyotrophic lateral sclerosis | $68,009 | ||||
| Mortality Rate at DRG | 2.92 | ||||
| Mortality Rate with ICD G1221 - Amyotrophic lateral sclerosis | NA | ||||
| SNF Discharge Rate at DRG | 33.71 | ||||
| SNF Discharge Rate with ICD G1221 - Amyotrophic lateral sclerosis | 20.63 | ||||
| Home Discharge Rate at DRG | 25.53 | ||||
| Home Discharge Rate with ICD G1221 - Amyotrophic lateral sclerosis | 17.46 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD G1221 - Amyotrophic lateral sclerosis | 243 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD G1221 - Amyotrophic lateral sclerosis in DRG | 1.14 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD G1221 - Amyotrophic lateral sclerosis | 3.79 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD G1221 - Amyotrophic lateral sclerosis | 18.99 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD G1221 - Amyotrophic lateral sclerosis | 15.61 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD G1221 - Amyotrophic lateral sclerosis | $1,103,766 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD G1221 - Amyotrophic lateral sclerosis | $1,197 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD G1221 - Amyotrophic lateral sclerosis | $4,542 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD G1221 - Amyotrophic lateral sclerosis | $7,346,095 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD G1221 - Amyotrophic lateral sclerosis | $30,231 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD G1221 - Amyotrophic lateral sclerosis | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD G1221 - Amyotrophic lateral sclerosis | 20.58 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD G1221 - Amyotrophic lateral sclerosis | 33.33 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 178 |
| HOUSTON METHODIST HOSPITAL | 6565 FANNIN ST | HOUSTON | TX | 77030 | 156 |
| UT SOUTHWESTERN MEDICAL CENTER | 6201 HARRY HINES BLVD | DALLAS | TX | 75390 | 147 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. FRANK V MERIANO | 6560 FANNIN ST | HOUSTON | TX | 77030 | 59 |
| Dr. JASON JOHN SCHRAGER | 234 GOODMAN ST | CINCINNATI | OH | 45219 | 18 |
| Dr. KYLE EDWARD WEDIN | 1950 RECORD CROSSING RD | DALLAS | TX | 75235 | 16 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. COREY D. KERSHAW | 5939 HARRY HINES BLVD | DALLAS | TX | 75390 | 22 |
| Dr. JONATHAN C WEISSLER | 5323 HARRY HINES BLVD | DALLAS | TX | 75390 | 21 |
| Dr. LAWRENCE SHEVLIN | 4915 10TH AVE | BROOKLYN | NY | 11219 | 21 |