*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| G8220 - Paraplegia, unspecified - as a primary diagnosis code | G8220 - Paraplegia, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 9.1 | |
| Readmission Rate (%) | 31.89 | |
| Unplanned Readmission Rate (%) | 11.71 | |
| 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 041: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) OR PERIPHERAL NEUROSTIMULATOR | DRG 040: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 028: SPINAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 10,542 | ||||
| Total Hospitalizations with ICD G8220 - Paraplegia, unspecified | 1,985 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD G8220 - Paraplegia, unspecified in DRG | 80.59 | ||||
| Avg LOS at DRG | 15.44 | ||||
| Avg LOS with ICD G8220 - Paraplegia, unspecified | 14.24 | ||||
| Readmission Rate at DRG | 22.26 | ||||
| Readmission Rate with ICD G8220 - Paraplegia, unspecified | 21.84 | ||||
| Unplanned Readmission Rate at DRG | 11.51 | ||||
| Unplanned Readmission Rate with ICD G8220 - Paraplegia, unspecified | 13.35 | ||||
| Total Medicare payments at DRG | $248,579,193 | ||||
| Total Medicare payments with ICD G8220 - Paraplegia, unspecified | $42,530,823 | ||||
| Total Medicare payment per Day at DRG | $1,528 | ||||
| Total Medicare payment per Day with ICD G8220 - Paraplegia, unspecified | $1,504 | ||||
| Total Medicare payment per Hospitalization at DRG | $23,580 | ||||
| Total Medicare payment per Hospitalization with ICD G8220 - Paraplegia, unspecified | $21,426 | ||||
| Total Medicare Charges at DRG | $728,953,355 | ||||
| Total Medicare Charges with ICD G8220 - Paraplegia, unspecified | $118,099,998 | ||||
| Avg Charges at DRG | $69,148 | ||||
| Avg Charges with ICD G8220 - Paraplegia, unspecified | $59,496 | ||||
| Mortality Rate at DRG | 2.72 | ||||
| Mortality Rate with ICD G8220 - Paraplegia, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 23.06 | ||||
| SNF Discharge Rate with ICD G8220 - Paraplegia, unspecified | 23.12 | ||||
| Home Discharge Rate at DRG | 20.74 | ||||
| Home Discharge Rate with ICD G8220 - Paraplegia, unspecified | 18.89 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 042: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|
| Total Hospitalizations at DRG | 6,947 | |
| Total Hospitalizations with ICD G8220 - Paraplegia, unspecified | 13 | |
| DRG Share of Total Hospitalizations | 0.02 | |
| % of Total ICD G8220 - Paraplegia, unspecified in DRG | 0.53 | |
| Avg LOS at DRG | 3.14 | |
| Avg LOS with ICD G8220 - Paraplegia, unspecified | 3.62 | |
| Readmission Rate at DRG | 16.58 | |
| Readmission Rate with ICD G8220 - Paraplegia, unspecified | NA | |
| Unplanned Readmission Rate at DRG | 6.13 | |
| Unplanned Readmission Rate with ICD G8220 - Paraplegia, unspecified | NA | |
| Total Medicare payments at DRG | $80,818,955 | |
| Total Medicare payments with ICD G8220 - Paraplegia, unspecified | $127,494 | |
| Total Medicare payment per Day at DRG | $3,708 | |
| Total Medicare payment per Day with ICD G8220 - Paraplegia, unspecified | $2,713 | |
| Total Medicare payment per Hospitalization at DRG | $11,634 | |
| Total Medicare payment per Hospitalization with ICD G8220 - Paraplegia, unspecified | $9,807 | |
| Total Medicare Charges at DRG | $457,535,177 | |
| Total Medicare Charges with ICD G8220 - Paraplegia, unspecified | $752,067 | |
| Avg Charges at DRG | $65,861 | |
| Avg Charges with ICD G8220 - Paraplegia, unspecified | $57,851 | |
| Mortality Rate at DRG | NA | |
| Mortality Rate with ICD G8220 - Paraplegia, unspecified | NA | |
| SNF Discharge Rate at DRG | 10.15 | |
| SNF Discharge Rate with ICD G8220 - Paraplegia, unspecified | NA | |
| Home Discharge Rate at DRG | 64.43 | |
| Home Discharge Rate with ICD G8220 - Paraplegia, unspecified | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 68 |
| ABBOTT NORTHWESTERN HOSPITAL | 800 E 28TH ST | MINNEAPOLIS | MN | 55407 | 49 |
| SUNNYVIEW REHABILITATION HOSPITAL | 1270 BELMONT AVENUE | SCHENECTADY | NY | 12308 | 47 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JAMES BARRETT SPENDLEY | 2925 CHICAGO AVE | MINNEAPOLIS | MN | 55407 | 33 |
| Dr. JOYCE DEANETTE WADE-HAMME | 1040 RIVER OAKS DR | FLOWOOD | MS | 39232 | 17 |
| Dr. DEBORAH THOREN MOWERY | 6136 PETERS CREEK RD | ROANOKE | VA | 24019 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JAMES BARRETT SPENDLEY | 2925 CHICAGO AVE | MINNEAPOLIS | MN | 55407 | 41 |
| Dr. JENNIFER MAY MADRID VILLACORTA | 261 MACK AVE | DETROIT | MI | 48201 | 31 |
| Dr. LYNNE T NICOLSON | 1270 BELMONT AVE | SCHENECTADY | NY | 12308 | 28 |
*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 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD G8220 - Paraplegia, unspecified | 18,744 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD G8220 - Paraplegia, unspecified in DRG | 11.09 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD G8220 - Paraplegia, unspecified | 7.68 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD G8220 - Paraplegia, unspecified | 34.27 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD G8220 - Paraplegia, unspecified | 22.62 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD G8220 - Paraplegia, unspecified | $227,956,674 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD G8220 - Paraplegia, unspecified | $1,584 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD G8220 - Paraplegia, unspecified | $12,162 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD G8220 - Paraplegia, unspecified | $1,249,573,895 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD G8220 - Paraplegia, unspecified | $66,665 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD G8220 - Paraplegia, unspecified | 7.76 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD G8220 - Paraplegia, unspecified | 30.26 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD G8220 - Paraplegia, unspecified | 16.78 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 699: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 592: SKIN ULCERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 539: OSTEOMYELITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 105,234 | ||||
| Total Hospitalizations with ICD G8220 - Paraplegia, unspecified | 4,461 | ||||
| DRG Share of Total Hospitalizations | 0.32 | ||||
| % of Total ICD G8220 - Paraplegia, unspecified in DRG | 2.64 | ||||
| Avg LOS at DRG | 4.18 | ||||
| Avg LOS with ICD G8220 - Paraplegia, unspecified | 4.29 | ||||
| Readmission Rate at DRG | 24.62 | ||||
| Readmission Rate with ICD G8220 - Paraplegia, unspecified | 25.34 | ||||
| Unplanned Readmission Rate at DRG | 17.79 | ||||
| Unplanned Readmission Rate with ICD G8220 - Paraplegia, unspecified | 20.81 | ||||
| Total Medicare payments at DRG | $723,145,698 | ||||
| Total Medicare payments with ICD G8220 - Paraplegia, unspecified | $28,358,705 | ||||
| Total Medicare payment per Day at DRG | $1,644 | ||||
| Total Medicare payment per Day with ICD G8220 - Paraplegia, unspecified | $1,483 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,872 | ||||
| Total Medicare payment per Hospitalization with ICD G8220 - Paraplegia, unspecified | $6,357 | ||||
| Total Medicare Charges at DRG | $3,557,869,598 | ||||
| Total Medicare Charges with ICD G8220 - Paraplegia, unspecified | $132,959,321 | ||||
| Avg Charges at DRG | $33,809 | ||||
| Avg Charges with ICD G8220 - Paraplegia, unspecified | $29,805 | ||||
| Mortality Rate at DRG | 0.27 | ||||
| Mortality Rate with ICD G8220 - Paraplegia, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 20.33 | ||||
| SNF Discharge Rate with ICD G8220 - Paraplegia, unspecified | 19.37 | ||||
| Home Discharge Rate at DRG | 48.52 | ||||
| Home Discharge Rate with ICD G8220 - Paraplegia, unspecified | 35.78 |
*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 570: SKIN DEBRIDEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 579: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 10,542 | ||||
| Total Hospitalizations with ICD G8220 - Paraplegia, unspecified | 2,230 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD G8220 - Paraplegia, unspecified in DRG | 1.32 | ||||
| Avg LOS at DRG | 15.44 | ||||
| Avg LOS with ICD G8220 - Paraplegia, unspecified | 14.1 | ||||
| Readmission Rate at DRG | 22.26 | ||||
| Readmission Rate with ICD G8220 - Paraplegia, unspecified | 22.8 | ||||
| Unplanned Readmission Rate at DRG | 11.51 | ||||
| Unplanned Readmission Rate with ICD G8220 - Paraplegia, unspecified | 13.52 | ||||
| Total Medicare payments at DRG | $248,579,193 | ||||
| Total Medicare payments with ICD G8220 - Paraplegia, unspecified | $46,924,145 | ||||
| Total Medicare payment per Day at DRG | $1,528 | ||||
| Total Medicare payment per Day with ICD G8220 - Paraplegia, unspecified | $1,492 | ||||
| Total Medicare payment per Hospitalization at DRG | $23,580 | ||||
| Total Medicare payment per Hospitalization with ICD G8220 - Paraplegia, unspecified | $21,042 | ||||
| Total Medicare Charges at DRG | $728,953,355 | ||||
| Total Medicare Charges with ICD G8220 - Paraplegia, unspecified | $131,623,613 | ||||
| Avg Charges at DRG | $69,148 | ||||
| Avg Charges with ICD G8220 - Paraplegia, unspecified | $59,024 | ||||
| Mortality Rate at DRG | 2.72 | ||||
| Mortality Rate with ICD G8220 - Paraplegia, unspecified | 0.94 | ||||
| SNF Discharge Rate at DRG | 23.06 | ||||
| SNF Discharge Rate with ICD G8220 - Paraplegia, unspecified | 22.74 | ||||
| Home Discharge Rate at DRG | 20.74 | ||||
| Home Discharge Rate with ICD G8220 - Paraplegia, unspecified | 18.39 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 120,351 | ||||
| Total Hospitalizations with ICD G8220 - Paraplegia, unspecified | 1,580 | ||||
| DRG Share of Total Hospitalizations | 0.37 | ||||
| % of Total ICD G8220 - Paraplegia, unspecified in DRG | 0.93 | ||||
| Avg LOS at DRG | 12.45 | ||||
| Avg LOS with ICD G8220 - Paraplegia, unspecified | 17.1 | ||||
| Readmission Rate at DRG | 17.61 | ||||
| Readmission Rate with ICD G8220 - Paraplegia, unspecified | 17.67 | ||||
| Unplanned Readmission Rate at DRG | 12.6 | ||||
| Unplanned Readmission Rate with ICD G8220 - Paraplegia, unspecified | 11.41 | ||||
| Total Medicare payments at DRG | $2,245,410,425 | ||||
| Total Medicare payments with ICD G8220 - Paraplegia, unspecified | $34,585,504 | ||||
| Total Medicare payment per Day at DRG | $1,499 | ||||
| Total Medicare payment per Day with ICD G8220 - Paraplegia, unspecified | $1,280 | ||||
| Total Medicare payment per Hospitalization at DRG | $18,657 | ||||
| Total Medicare payment per Hospitalization with ICD G8220 - Paraplegia, unspecified | $21,890 | ||||
| Total Medicare Charges at DRG | $5,810,478,166 | ||||
| Total Medicare Charges with ICD G8220 - Paraplegia, unspecified | $109,758,274 | ||||
| Avg Charges at DRG | $48,279 | ||||
| Avg Charges with ICD G8220 - Paraplegia, unspecified | $69,467 | ||||
| Mortality Rate at DRG | 0.55 | ||||
| Mortality Rate with ICD G8220 - Paraplegia, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 14.77 | ||||
| SNF Discharge Rate with ICD G8220 - Paraplegia, unspecified | 21.39 | ||||
| Home Discharge Rate at DRG | 22.27 | ||||
| Home Discharge Rate with ICD G8220 - Paraplegia, unspecified | 18.54 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 583 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 489 |
| YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 402 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. HENRY E ARYAN | 1630 E HERNDON AVE | FRESNO | CA | 93720 | 78 |
| Dr. SAMEER SUBHASH JEJURIKAR | 9101 NORTH CENTRAL EXPRESSWAY | DALLAS | TX | 75231 | 67 |
| Dr. GLENN ERIC HERRMANN | 130 OLD LARAMIE TRL E BLDG 4 | LAFAYETTE | CO | 80026 | 63 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SUSIE SAW-SIM KHOO KAY | 1240 S SAN GABRIEL BLVD | SAN GABRIEL | CA | 91776 | 174 |
| Dr. JAMES PETER LITTLE | 1011 SPRING CREEK RD | CHATTANOOGA | TN | 37412 | 89 |
| Dr. TAI HING WU | 415 W VALLEY BLVD | SAN GABRIEL | CA | 91776 | 79 |