*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| G801 - Spastic diplegic cerebral palsy - as a primary diagnosis code | G801 - Spastic diplegic cerebral palsy - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.23 | |
| Readmission Rate (%) | 22.71 | |
| Unplanned Readmission Rate (%) | 7.86 | |
| 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) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 10,542 | ||
| Total Hospitalizations with ICD G801 - Spastic diplegic cerebral palsy | 128 | ||
| DRG Share of Total Hospitalizations | 0.03 | ||
| % of Total ICD G801 - Spastic diplegic cerebral palsy in DRG | 54.24 | ||
| Avg LOS at DRG | 15.44 | ||
| Avg LOS with ICD G801 - Spastic diplegic cerebral palsy | 13.0 | ||
| Readmission Rate at DRG | 22.26 | ||
| Readmission Rate with ICD G801 - Spastic diplegic cerebral palsy | 17.07 | ||
| Unplanned Readmission Rate at DRG | 11.51 | ||
| Unplanned Readmission Rate with ICD G801 - Spastic diplegic cerebral palsy | 11.38 | ||
| Total Medicare payments at DRG | $248,579,193 | ||
| Total Medicare payments with ICD G801 - Spastic diplegic cerebral palsy | $2,326,455 | ||
| Total Medicare payment per Day at DRG | $1,528 | ||
| Total Medicare payment per Day with ICD G801 - Spastic diplegic cerebral palsy | $1,398 | ||
| Total Medicare payment per Hospitalization at DRG | $23,580 | ||
| Total Medicare payment per Hospitalization with ICD G801 - Spastic diplegic cerebral palsy | $18,175 | ||
| Total Medicare Charges at DRG | $728,953,355 | ||
| Total Medicare Charges with ICD G801 - Spastic diplegic cerebral palsy | $6,274,738 | ||
| Avg Charges at DRG | $69,148 | ||
| Avg Charges with ICD G801 - Spastic diplegic cerebral palsy | $49,021 | ||
| Mortality Rate at DRG | 2.72 | ||
| Mortality Rate with ICD G801 - Spastic diplegic cerebral palsy | NA | ||
| SNF Discharge Rate at DRG | 23.06 | ||
| SNF Discharge Rate with ICD G801 - Spastic diplegic cerebral palsy | 25.78 | ||
| Home Discharge Rate at DRG | 20.74 | ||
| Home Discharge Rate with ICD G801 - Spastic diplegic cerebral palsy | 21.88 |
*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 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD G801 - Spastic diplegic cerebral palsy | 716 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD G801 - Spastic diplegic cerebral palsy in DRG | 12.58 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD G801 - Spastic diplegic cerebral palsy | 7.21 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD G801 - Spastic diplegic cerebral palsy | 22.38 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD G801 - Spastic diplegic cerebral palsy | 16.51 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD G801 - Spastic diplegic cerebral palsy | $8,775,379 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD G801 - Spastic diplegic cerebral palsy | $1,699 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD G801 - Spastic diplegic cerebral palsy | $12,256 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD G801 - Spastic diplegic cerebral palsy | $39,717,795 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD G801 - Spastic diplegic cerebral palsy | $55,472 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD G801 - Spastic diplegic cerebral palsy | 6.01 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD G801 - Spastic diplegic cerebral palsy | 23.04 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD G801 - Spastic diplegic cerebral palsy | 36.45 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 101: SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 052: SPINAL DISORDERS AND INJURIES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 135,138 | ||||
| Total Hospitalizations with ICD G801 - Spastic diplegic cerebral palsy | 141 | ||||
| DRG Share of Total Hospitalizations | 0.41 | ||||
| % of Total ICD G801 - Spastic diplegic cerebral palsy in DRG | 2.48 | ||||
| Avg LOS at DRG | 3.28 | ||||
| Avg LOS with ICD G801 - Spastic diplegic cerebral palsy | 3.25 | ||||
| Readmission Rate at DRG | 16.48 | ||||
| Readmission Rate with ICD G801 - Spastic diplegic cerebral palsy | 19.08 | ||||
| Unplanned Readmission Rate at DRG | 10.54 | ||||
| Unplanned Readmission Rate with ICD G801 - Spastic diplegic cerebral palsy | 12.98 | ||||
| Total Medicare payments at DRG | $705,646,122 | ||||
| Total Medicare payments with ICD G801 - Spastic diplegic cerebral palsy | $739,471 | ||||
| Total Medicare payment per Day at DRG | $1,592 | ||||
| Total Medicare payment per Day with ICD G801 - Spastic diplegic cerebral palsy | $1,615 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,222 | ||||
| Total Medicare payment per Hospitalization with ICD G801 - Spastic diplegic cerebral palsy | $5,244 | ||||
| Total Medicare Charges at DRG | $4,131,642,258 | ||||
| Total Medicare Charges with ICD G801 - Spastic diplegic cerebral palsy | $3,871,958 | ||||
| Avg Charges at DRG | $30,574 | ||||
| Avg Charges with ICD G801 - Spastic diplegic cerebral palsy | $27,461 | ||||
| Mortality Rate at DRG | 0.2 | ||||
| Mortality Rate with ICD G801 - Spastic diplegic cerebral palsy | NA | ||||
| SNF Discharge Rate at DRG | 16.47 | ||||
| SNF Discharge Rate with ICD G801 - Spastic diplegic cerebral palsy | 12.06 | ||||
| Home Discharge Rate at DRG | 56.97 | ||||
| Home Discharge Rate with ICD G801 - Spastic diplegic cerebral palsy | 53.9 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD G801 - Spastic diplegic cerebral palsy | 113 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD G801 - Spastic diplegic cerebral palsy in DRG | 1.99 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD G801 - Spastic diplegic cerebral palsy | 3.96 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD G801 - Spastic diplegic cerebral palsy | 24.3 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD G801 - Spastic diplegic cerebral palsy | 16.82 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD G801 - Spastic diplegic cerebral palsy | $580,538 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD G801 - Spastic diplegic cerebral palsy | $1,299 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD G801 - Spastic diplegic cerebral palsy | $5,138 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD G801 - Spastic diplegic cerebral palsy | $3,041,582 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD G801 - Spastic diplegic cerebral palsy | $26,917 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD G801 - Spastic diplegic cerebral palsy | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD G801 - Spastic diplegic cerebral palsy | 15.93 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD G801 - Spastic diplegic cerebral palsy | 46.9 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 053: SPINAL DISORDERS AND INJURIES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 100: SEIZURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 699: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,682 | ||||
| Total Hospitalizations with ICD G801 - Spastic diplegic cerebral palsy | 76 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD G801 - Spastic diplegic cerebral palsy in DRG | 1.34 | ||||
| Avg LOS at DRG | 8.61 | ||||
| Avg LOS with ICD G801 - Spastic diplegic cerebral palsy | 10.03 | ||||
| Readmission Rate at DRG | 19.25 | ||||
| Readmission Rate with ICD G801 - Spastic diplegic cerebral palsy | NA | ||||
| Unplanned Readmission Rate at DRG | 5.6 | ||||
| Unplanned Readmission Rate with ICD G801 - Spastic diplegic cerebral palsy | NA | ||||
| Total Medicare payments at DRG | $22,524,359 | ||||
| Total Medicare payments with ICD G801 - Spastic diplegic cerebral palsy | $1,164,222 | ||||
| Total Medicare payment per Day at DRG | $1,555 | ||||
| Total Medicare payment per Day with ICD G801 - Spastic diplegic cerebral palsy | $1,528 | ||||
| Total Medicare payment per Hospitalization at DRG | $13,391 | ||||
| Total Medicare payment per Hospitalization with ICD G801 - Spastic diplegic cerebral palsy | $15,319 | ||||
| Total Medicare Charges at DRG | $65,158,597 | ||||
| Total Medicare Charges with ICD G801 - Spastic diplegic cerebral palsy | $2,418,299 | ||||
| Avg Charges at DRG | $38,739 | ||||
| Avg Charges with ICD G801 - Spastic diplegic cerebral palsy | $31,820 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD G801 - Spastic diplegic cerebral palsy | NA | ||||
| SNF Discharge Rate at DRG | 17.18 | ||||
| SNF Discharge Rate with ICD G801 - Spastic diplegic cerebral palsy | 18.42 | ||||
| Home Discharge Rate at DRG | 33.65 | ||||
| Home Discharge Rate with ICD G801 - Spastic diplegic cerebral palsy | 40.79 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM | 1500 EAST MEDICAL CENTER DRIVE | ANN ARBOR | MI | 48109 | 46 |
| UNIVERSITY HOSPITAL SUNY HEALTH SCIENCE CENTER | 750 E ADAMS ST | SYRACUSE | NY | 13210 | 42 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 35 |
| 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 | 19 |
| Dr. GOPICHAND KAPU | 215 N AVE J | ANSON | TX | 79501 | 13 |