*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| G800 - Spastic quadriplegic cerebral palsy - as a primary diagnosis code | G800 - Spastic quadriplegic cerebral palsy - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.55 | |
| Readmission Rate (%) | 26.11 | |
| Unplanned Readmission Rate (%) | 6.36 | |
| 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 052: SPINAL DISORDERS AND INJURIES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 053: SPINAL DISORDERS AND INJURIES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 042: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 041: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) OR PERIPHERAL NEUROSTIMULATOR | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 10,542 | |||
| Total Hospitalizations with ICD G800 - Spastic quadriplegic cerebral palsy | 83 | |||
| DRG Share of Total Hospitalizations | 0.03 | |||
| % of Total ICD G800 - Spastic quadriplegic cerebral palsy in DRG | 46.37 | |||
| Avg LOS at DRG | 15.44 | |||
| Avg LOS with ICD G800 - Spastic quadriplegic cerebral palsy | 13.24 | |||
| Readmission Rate at DRG | 22.26 | |||
| Readmission Rate with ICD G800 - Spastic quadriplegic cerebral palsy | NA | |||
| Unplanned Readmission Rate at DRG | 11.51 | |||
| Unplanned Readmission Rate with ICD G800 - Spastic quadriplegic cerebral palsy | NA | |||
| Total Medicare payments at DRG | $248,579,193 | |||
| Total Medicare payments with ICD G800 - Spastic quadriplegic cerebral palsy | $1,573,547 | |||
| Total Medicare payment per Day at DRG | $1,528 | |||
| Total Medicare payment per Day with ICD G800 - Spastic quadriplegic cerebral palsy | $1,432 | |||
| Total Medicare payment per Hospitalization at DRG | $23,580 | |||
| Total Medicare payment per Hospitalization with ICD G800 - Spastic quadriplegic cerebral palsy | $18,958 | |||
| Total Medicare Charges at DRG | $728,953,355 | |||
| Total Medicare Charges with ICD G800 - Spastic quadriplegic cerebral palsy | $4,199,564 | |||
| Avg Charges at DRG | $69,148 | |||
| Avg Charges with ICD G800 - Spastic quadriplegic cerebral palsy | $50,597 | |||
| Mortality Rate at DRG | 2.72 | |||
| Mortality Rate with ICD G800 - Spastic quadriplegic cerebral palsy | NA | |||
| SNF Discharge Rate at DRG | 23.06 | |||
| SNF Discharge Rate with ICD G800 - Spastic quadriplegic cerebral palsy | 19.28 | |||
| Home Discharge Rate at DRG | 20.74 | |||
| Home Discharge Rate with ICD G800 - Spastic quadriplegic cerebral palsy | 31.33 |
*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 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 100: SEIZURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 388: G.I. OBSTRUCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD G800 - Spastic quadriplegic cerebral palsy | 3,454 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD G800 - Spastic quadriplegic cerebral palsy in DRG | 23.9 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD G800 - Spastic quadriplegic cerebral palsy | 7.02 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD G800 - Spastic quadriplegic cerebral palsy | 25.38 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD G800 - Spastic quadriplegic cerebral palsy | 21.64 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD G800 - Spastic quadriplegic cerebral palsy | $42,885,263 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD G800 - Spastic quadriplegic cerebral palsy | $1,768 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD G800 - Spastic quadriplegic cerebral palsy | $12,416 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD G800 - Spastic quadriplegic cerebral palsy | $195,811,650 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD G800 - Spastic quadriplegic cerebral palsy | $56,691 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD G800 - Spastic quadriplegic cerebral palsy | 3.91 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD G800 - Spastic quadriplegic cerebral palsy | 16.3 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD G800 - Spastic quadriplegic cerebral palsy | 42.99 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD G800 - Spastic quadriplegic cerebral palsy | 506 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD G800 - Spastic quadriplegic cerebral palsy in DRG | 3.5 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD G800 - Spastic quadriplegic cerebral palsy | 5.47 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD G800 - Spastic quadriplegic cerebral palsy | 17.49 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD G800 - Spastic quadriplegic cerebral palsy | 14.2 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD G800 - Spastic quadriplegic cerebral palsy | $4,823,060 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD G800 - Spastic quadriplegic cerebral palsy | $1,743 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD G800 - Spastic quadriplegic cerebral palsy | $9,532 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD G800 - Spastic quadriplegic cerebral palsy | $17,798,312 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD G800 - Spastic quadriplegic cerebral palsy | $35,175 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD G800 - Spastic quadriplegic cerebral palsy | NA | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD G800 - Spastic quadriplegic cerebral palsy | 12.25 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD G800 - Spastic quadriplegic cerebral palsy | 50.59 |
*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 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 99,217 | ||||
| Total Hospitalizations with ICD G800 - Spastic quadriplegic cerebral palsy | 283 | ||||
| DRG Share of Total Hospitalizations | 0.3 | ||||
| % of Total ICD G800 - Spastic quadriplegic cerebral palsy in DRG | 1.96 | ||||
| Avg LOS at DRG | 14.88 | ||||
| Avg LOS with ICD G800 - Spastic quadriplegic cerebral palsy | 15.78 | ||||
| Readmission Rate at DRG | 41.65 | ||||
| Readmission Rate with ICD G800 - Spastic quadriplegic cerebral palsy | 39.22 | ||||
| Unplanned Readmission Rate at DRG | 18.54 | ||||
| Unplanned Readmission Rate with ICD G800 - Spastic quadriplegic cerebral palsy | 25.86 | ||||
| Total Medicare payments at DRG | $4,073,197,631 | ||||
| Total Medicare payments with ICD G800 - Spastic quadriplegic cerebral palsy | $12,099,351 | ||||
| Total Medicare payment per Day at DRG | $2,758 | ||||
| Total Medicare payment per Day with ICD G800 - Spastic quadriplegic cerebral palsy | $2,709 | ||||
| Total Medicare payment per Hospitalization at DRG | $41,053 | ||||
| Total Medicare payment per Hospitalization with ICD G800 - Spastic quadriplegic cerebral palsy | $42,754 | ||||
| Total Medicare Charges at DRG | $20,258,140,795 | ||||
| Total Medicare Charges with ICD G800 - Spastic quadriplegic cerebral palsy | $52,768,188 | ||||
| Avg Charges at DRG | $204,180 | ||||
| Avg Charges with ICD G800 - Spastic quadriplegic cerebral palsy | $186,460 | ||||
| Mortality Rate at DRG | 35.07 | ||||
| Mortality Rate with ICD G800 - Spastic quadriplegic cerebral palsy | 15.55 | ||||
| SNF Discharge Rate at DRG | 25.76 | ||||
| SNF Discharge Rate with ICD G800 - Spastic quadriplegic cerebral palsy | 18.73 | ||||
| Home Discharge Rate at DRG | 4.34 | ||||
| Home Discharge Rate with ICD G800 - Spastic quadriplegic cerebral palsy | 25.44 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 602: CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 202: BRONCHITIS AND ASTHMA WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 89,541 | ||||
| Total Hospitalizations with ICD G800 - Spastic quadriplegic cerebral palsy | 172 | ||||
| DRG Share of Total Hospitalizations | 0.27 | ||||
| % of Total ICD G800 - Spastic quadriplegic cerebral palsy in DRG | 1.19 | ||||
| Avg LOS at DRG | 6.24 | ||||
| Avg LOS with ICD G800 - Spastic quadriplegic cerebral palsy | 6.39 | ||||
| Readmission Rate at DRG | 26.67 | ||||
| Readmission Rate with ICD G800 - Spastic quadriplegic cerebral palsy | 11.52 | ||||
| Unplanned Readmission Rate at DRG | 18.76 | ||||
| Unplanned Readmission Rate with ICD G800 - Spastic quadriplegic cerebral palsy | NA | ||||
| Total Medicare payments at DRG | $856,155,421 | ||||
| Total Medicare payments with ICD G800 - Spastic quadriplegic cerebral palsy | $1,700,598 | ||||
| Total Medicare payment per Day at DRG | $1,533 | ||||
| Total Medicare payment per Day with ICD G800 - Spastic quadriplegic cerebral palsy | $1,547 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,562 | ||||
| Total Medicare payment per Hospitalization with ICD G800 - Spastic quadriplegic cerebral palsy | $9,887 | ||||
| Total Medicare Charges at DRG | $3,903,111,040 | ||||
| Total Medicare Charges with ICD G800 - Spastic quadriplegic cerebral palsy | $5,617,168 | ||||
| Avg Charges at DRG | $43,590 | ||||
| Avg Charges with ICD G800 - Spastic quadriplegic cerebral palsy | $32,658 | ||||
| Mortality Rate at DRG | 1.89 | ||||
| Mortality Rate with ICD G800 - Spastic quadriplegic cerebral palsy | NA | ||||
| SNF Discharge Rate at DRG | 27.48 | ||||
| SNF Discharge Rate with ICD G800 - Spastic quadriplegic cerebral palsy | 16.86 | ||||
| Home Discharge Rate at DRG | 33.49 | ||||
| Home Discharge Rate with ICD G800 - Spastic quadriplegic cerebral palsy | 50.58 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| HUNTERDON MEDICAL CENTER | 2100 WESCOTT DR | FLEMINGTON | NJ | 08822 | 335 |
| WOODLAND HEIGHTS MEDICAL CENTER | 505 S JOHN REDDITT DR | LUFKIN | TX | 75904 | 174 |
| SSM HEALTH ST. MARY'S HOSPITAL - CENTRALIA | 400 N PLEASANT AVE | CENTRALIA | IL | 62801 | 155 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RYAN N ARMSTRONG | 21214 NORTHWEST FWY | CYPRESS | TX | 77429 | 34 |
| Dr. SEBASTIAN PAUL AVOLESE | 7309 MYRTLE AVE | GLENDALE | NY | 11385 | 28 |
| Dr. KEITH GOLDSTEIN | 6 SAND HILL RD | FLEMINGTON | NJ | 08822 | 28 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID C CHAO | 17510 WEST GRAND PARKWAY | SUGAR LAND | TX | 77479 | 131 |
| Dr. CHARLES WILBUR STOTLER | 334 BLOOMFIELD ST | JOHNSTOWN | PA | 15904 | 73 |
| Dr. SEBASTIAN PAUL AVOLESE | 7309 MYRTLE AVE | GLENDALE | NY | 11385 | 52 |