*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| G808 - Other cerebral palsy - as a primary diagnosis code | G808 - Other cerebral palsy - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.28 | |
| Readmission Rate (%) | 23.67 | |
| Unplanned Readmission Rate (%) | 17.65 | |
| 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) | DRG 093: OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 122,730 | ||
| Total Hospitalizations with ICD G808 - Other cerebral palsy | 39 | ||
| DRG Share of Total Hospitalizations | 0.37 | ||
| % of Total ICD G808 - Other cerebral palsy in DRG | 43.33 | ||
| Avg LOS at DRG | 7.61 | ||
| Avg LOS with ICD G808 - Other cerebral palsy | 10.56 | ||
| Readmission Rate at DRG | 21.31 | ||
| Readmission Rate with ICD G808 - Other cerebral palsy | NA | ||
| Unplanned Readmission Rate at DRG | 14.13 | ||
| Unplanned Readmission Rate with ICD G808 - Other cerebral palsy | NA | ||
| Total Medicare payments at DRG | $1,397,885,220 | ||
| Total Medicare payments with ICD G808 - Other cerebral palsy | $588,137 | ||
| Total Medicare payment per Day at DRG | $1,497 | ||
| Total Medicare payment per Day with ICD G808 - Other cerebral palsy | $1,428 | ||
| Total Medicare payment per Hospitalization at DRG | $11,390 | ||
| Total Medicare payment per Hospitalization with ICD G808 - Other cerebral palsy | $15,080 | ||
| Total Medicare Charges at DRG | $4,175,290,309 | ||
| Total Medicare Charges with ICD G808 - Other cerebral palsy | $1,616,557 | ||
| Avg Charges at DRG | $34,020 | ||
| Avg Charges with ICD G808 - Other cerebral palsy | $41,450 | ||
| Mortality Rate at DRG | 0.28 | ||
| Mortality Rate with ICD G808 - Other cerebral palsy | NA | ||
| SNF Discharge Rate at DRG | 21.64 | ||
| SNF Discharge Rate with ICD G808 - Other cerebral palsy | 28.21 | ||
| Home Discharge Rate at DRG | 28.06 | ||
| Home Discharge Rate with ICD G808 - Other cerebral palsy | 28.21 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 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 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD G808 - Other cerebral palsy | 1,602 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD G808 - Other cerebral palsy in DRG | 16.63 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD G808 - Other cerebral palsy | 6.99 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD G808 - Other cerebral palsy | 24.27 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD G808 - Other cerebral palsy | 20.29 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD G808 - Other cerebral palsy | $19,706,467 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD G808 - Other cerebral palsy | $1,761 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD G808 - Other cerebral palsy | $12,301 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD G808 - Other cerebral palsy | $92,995,871 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD G808 - Other cerebral palsy | $58,050 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD G808 - Other cerebral palsy | 6.3 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD G808 - Other cerebral palsy | 22.97 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD G808 - Other cerebral palsy | 34.71 |
*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 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 885: PSYCHOSES | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT 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 | 474,314 | ||||
| Total Hospitalizations with ICD G808 - Other cerebral palsy | 219 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD G808 - Other cerebral palsy in DRG | 2.27 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD G808 - Other cerebral palsy | 4.1 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD G808 - Other cerebral palsy | 22.82 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD G808 - Other cerebral palsy | 17.48 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD G808 - Other cerebral palsy | $1,280,369 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD G808 - Other cerebral palsy | $1,426 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD G808 - Other cerebral palsy | $5,846 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD G808 - Other cerebral palsy | $5,839,155 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD G808 - Other cerebral palsy | $26,663 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD G808 - Other cerebral palsy | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD G808 - Other cerebral palsy | 19.18 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD G808 - Other cerebral palsy | 51.6 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 100: SEIZURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 80,879 | ||||
| Total Hospitalizations with ICD G808 - Other cerebral palsy | 167 | ||||
| DRG Share of Total Hospitalizations | 0.25 | ||||
| % of Total ICD G808 - Other cerebral palsy in DRG | 1.73 | ||||
| Avg LOS at DRG | 5.67 | ||||
| Avg LOS with ICD G808 - Other cerebral palsy | 6.06 | ||||
| Readmission Rate at DRG | 24.72 | ||||
| Readmission Rate with ICD G808 - Other cerebral palsy | 22.0 | ||||
| Unplanned Readmission Rate at DRG | 15.43 | ||||
| Unplanned Readmission Rate with ICD G808 - Other cerebral palsy | 16.0 | ||||
| Total Medicare payments at DRG | $887,347,366 | ||||
| Total Medicare payments with ICD G808 - Other cerebral palsy | $1,937,234 | ||||
| Total Medicare payment per Day at DRG | $1,935 | ||||
| Total Medicare payment per Day with ICD G808 - Other cerebral palsy | $1,914 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,971 | ||||
| Total Medicare payment per Hospitalization with ICD G808 - Other cerebral palsy | $11,600 | ||||
| Total Medicare Charges at DRG | $4,622,921,880 | ||||
| Total Medicare Charges with ICD G808 - Other cerebral palsy | $9,008,084 | ||||
| Avg Charges at DRG | $57,158 | ||||
| Avg Charges with ICD G808 - Other cerebral palsy | $53,941 | ||||
| Mortality Rate at DRG | 2.92 | ||||
| Mortality Rate with ICD G808 - Other cerebral palsy | NA | ||||
| SNF Discharge Rate at DRG | 27.07 | ||||
| SNF Discharge Rate with ICD G808 - Other cerebral palsy | 16.77 | ||||
| Home Discharge Rate at DRG | 34.76 | ||||
| Home Discharge Rate with ICD G808 - Other cerebral palsy | 44.31 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 388: G.I. OBSTRUCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 364,421 | ||||
| Total Hospitalizations with ICD G808 - Other cerebral palsy | 134 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD G808 - Other cerebral palsy in DRG | 1.39 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD G808 - Other cerebral palsy | 4.42 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD G808 - Other cerebral palsy | 10.77 | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD G808 - Other cerebral palsy | NA | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD G808 - Other cerebral palsy | $711,900 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD G808 - Other cerebral palsy | $1,203 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD G808 - Other cerebral palsy | $5,313 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD G808 - Other cerebral palsy | $3,297,422 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD G808 - Other cerebral palsy | $24,608 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD G808 - Other cerebral palsy | NA | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD G808 - Other cerebral palsy | 18.66 | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD G808 - Other cerebral palsy | 45.52 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ABBOTT NORTHWESTERN HOSPITAL | 800 E 28TH ST | MINNEAPOLIS | MN | 55407 | 48 |
| REGIONS HOSPITAL | 640 JACKSON ST | SAINT PAUL | MN | 55101 | 44 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 42 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID J FAULK | 2712 PARKWOOD DR | BRUNSWICK | GA | 31520 | 17 |
| Dr. MARK W. LI | 2440 S HACIENDA BLVD STE 105 | HACIENDA HTS | CA | 91745 | 16 |
| Dr. WILLIAM ST. JOHN LACORTE | 519 METAIRIE RD | METAIRIE | LA | 70005 | 14 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | G40909 | Epilepsy, unspecified, not intractable, without status epilepticus |
| 2 | K219 | Gastro-esophageal reflux disease without esophagitis |