*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| G8222 - Paraplegia, incomplete - as a primary diagnosis code | G8222 - Paraplegia, incomplete - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 12.64 | |
| Readmission Rate (%) | 28.34 | |
| Unplanned Readmission Rate (%) | 10.81 | |
| 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 040: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 10,542 | ||
| Total Hospitalizations with ICD G8222 - Paraplegia, incomplete | 1,698 | ||
| DRG Share of Total Hospitalizations | 0.03 | ||
| % of Total ICD G8222 - Paraplegia, incomplete in DRG | 88.21 | ||
| Avg LOS at DRG | 15.44 | ||
| Avg LOS with ICD G8222 - Paraplegia, incomplete | 17.65 | ||
| Readmission Rate at DRG | 22.26 | ||
| Readmission Rate with ICD G8222 - Paraplegia, incomplete | 16.18 | ||
| Unplanned Readmission Rate at DRG | 11.51 | ||
| Unplanned Readmission Rate with ICD G8222 - Paraplegia, incomplete | 11.06 | ||
| Total Medicare payments at DRG | $248,579,193 | ||
| Total Medicare payments with ICD G8222 - Paraplegia, incomplete | $45,227,089 | ||
| Total Medicare payment per Day at DRG | $1,528 | ||
| Total Medicare payment per Day with ICD G8222 - Paraplegia, incomplete | $1,509 | ||
| Total Medicare payment per Hospitalization at DRG | $23,580 | ||
| Total Medicare payment per Hospitalization with ICD G8222 - Paraplegia, incomplete | $26,636 | ||
| Total Medicare Charges at DRG | $728,953,355 | ||
| Total Medicare Charges with ICD G8222 - Paraplegia, incomplete | $133,475,803 | ||
| Avg Charges at DRG | $69,148 | ||
| Avg Charges with ICD G8222 - Paraplegia, incomplete | $78,608 | ||
| Mortality Rate at DRG | 2.72 | ||
| Mortality Rate with ICD G8222 - Paraplegia, incomplete | NA | ||
| SNF Discharge Rate at DRG | 23.06 | ||
| SNF Discharge Rate with ICD G8222 - Paraplegia, incomplete | 20.61 | ||
| Home Discharge Rate at DRG | 20.74 | ||
| Home Discharge Rate with ICD G8222 - Paraplegia, incomplete | 24.79 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| REHABILITATION INSTITUTE OF CHICAGO | 345 E SUPERIOR ST | CHICAGO | IL | 60611 | 94 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 50 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 44 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JUAN M. LATORRE | 1015 E 32ND ST | AUSTIN | TX | 78705 | 29 |
| Dr. JEFFREY J DERR | 1406 6TH AVE N | SAINT CLOUD | MN | 56303 | 22 |
| Dr. THOMAS N BRYCE | BOX 1240B | NEW YORK | NY | 10029 | 17 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DALE P CUNNINGHAM | 3265 W SARAZENS CIR | MEMPHIS | TN | 38125 | 34 |
| Dr. JUAN M. LATORRE | 1015 E 32ND ST | AUSTIN | TX | 78705 | 29 |
| Dr. LOURDES ANGELES ALFONSO | 261 MACK AVE | DETROIT | MI | 48201 | 27 |
*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 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 10,542 | ||||
| Total Hospitalizations with ICD G8222 - Paraplegia, incomplete | 1,842 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD G8222 - Paraplegia, incomplete in DRG | 15.42 | ||||
| Avg LOS at DRG | 15.44 | ||||
| Avg LOS with ICD G8222 - Paraplegia, incomplete | 17.59 | ||||
| Readmission Rate at DRG | 22.26 | ||||
| Readmission Rate with ICD G8222 - Paraplegia, incomplete | 16.69 | ||||
| Unplanned Readmission Rate at DRG | 11.51 | ||||
| Unplanned Readmission Rate with ICD G8222 - Paraplegia, incomplete | 11.32 | ||||
| Total Medicare payments at DRG | $248,579,193 | ||||
| Total Medicare payments with ICD G8222 - Paraplegia, incomplete | $48,562,248 | ||||
| Total Medicare payment per Day at DRG | $1,528 | ||||
| Total Medicare payment per Day with ICD G8222 - Paraplegia, incomplete | $1,499 | ||||
| Total Medicare payment per Hospitalization at DRG | $23,580 | ||||
| Total Medicare payment per Hospitalization with ICD G8222 - Paraplegia, incomplete | $26,364 | ||||
| Total Medicare Charges at DRG | $728,953,355 | ||||
| Total Medicare Charges with ICD G8222 - Paraplegia, incomplete | $139,806,079 | ||||
| Avg Charges at DRG | $69,148 | ||||
| Avg Charges with ICD G8222 - Paraplegia, incomplete | $75,899 | ||||
| Mortality Rate at DRG | 2.72 | ||||
| Mortality Rate with ICD G8222 - Paraplegia, incomplete | NA | ||||
| SNF Discharge Rate at DRG | 23.06 | ||||
| SNF Discharge Rate with ICD G8222 - Paraplegia, incomplete | 20.3 | ||||
| Home Discharge Rate at DRG | 20.74 | ||||
| Home Discharge Rate with ICD G8222 - Paraplegia, incomplete | 24.59 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 195,476 | ||||
| Total Hospitalizations with ICD G8222 - Paraplegia, incomplete | 242 | ||||
| DRG Share of Total Hospitalizations | 0.59 | ||||
| % of Total ICD G8222 - Paraplegia, incomplete in DRG | 2.03 | ||||
| Avg LOS at DRG | 4.48 | ||||
| Avg LOS with ICD G8222 - Paraplegia, incomplete | 12.78 | ||||
| Readmission Rate at DRG | 20.57 | ||||
| Readmission Rate with ICD G8222 - Paraplegia, incomplete | 16.75 | ||||
| Unplanned Readmission Rate at DRG | 9.88 | ||||
| Unplanned Readmission Rate with ICD G8222 - Paraplegia, incomplete | 7.18 | ||||
| Total Medicare payments at DRG | $1,320,662,237 | ||||
| Total Medicare payments with ICD G8222 - Paraplegia, incomplete | $4,550,936 | ||||
| Total Medicare payment per Day at DRG | $1,508 | ||||
| Total Medicare payment per Day with ICD G8222 - Paraplegia, incomplete | $1,472 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,756 | ||||
| Total Medicare payment per Hospitalization with ICD G8222 - Paraplegia, incomplete | $18,806 | ||||
| Total Medicare Charges at DRG | $6,024,639,461 | ||||
| Total Medicare Charges with ICD G8222 - Paraplegia, incomplete | $12,050,631 | ||||
| Avg Charges at DRG | $30,820 | ||||
| Avg Charges with ICD G8222 - Paraplegia, incomplete | $49,796 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD G8222 - Paraplegia, incomplete | NA | ||||
| SNF Discharge Rate at DRG | 33.36 | ||||
| SNF Discharge Rate with ICD G8222 - Paraplegia, incomplete | 17.36 | ||||
| Home Discharge Rate at DRG | 30.98 | ||||
| Home Discharge Rate with ICD G8222 - Paraplegia, incomplete | 30.99 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 559: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 053: SPINAL DISORDERS AND INJURIES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 699: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 539: OSTEOMYELITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD G8222 - Paraplegia, incomplete | 184 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD G8222 - Paraplegia, incomplete in DRG | 1.54 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD G8222 - Paraplegia, incomplete | 4.15 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD G8222 - Paraplegia, incomplete | 24.71 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD G8222 - Paraplegia, incomplete | 19.54 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD G8222 - Paraplegia, incomplete | $966,429 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD G8222 - Paraplegia, incomplete | $1,267 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD G8222 - Paraplegia, incomplete | $5,252 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD G8222 - Paraplegia, incomplete | $5,152,714 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD G8222 - Paraplegia, incomplete | $28,004 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD G8222 - Paraplegia, incomplete | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD G8222 - Paraplegia, incomplete | 19.02 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD G8222 - Paraplegia, incomplete | 51.63 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 074: CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 029: SPINAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) OR SPINAL NEUROSTIMULATORS | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 101,617 | ||||
| Total Hospitalizations with ICD G8222 - Paraplegia, incomplete | 125 | ||||
| DRG Share of Total Hospitalizations | 0.31 | ||||
| % of Total ICD G8222 - Paraplegia, incomplete in DRG | 1.05 | ||||
| Avg LOS at DRG | 9.5 | ||||
| Avg LOS with ICD G8222 - Paraplegia, incomplete | 16.14 | ||||
| Readmission Rate at DRG | 26.88 | ||||
| Readmission Rate with ICD G8222 - Paraplegia, incomplete | 23.0 | ||||
| Unplanned Readmission Rate at DRG | 19.26 | ||||
| Unplanned Readmission Rate with ICD G8222 - Paraplegia, incomplete | 12.0 | ||||
| Total Medicare payments at DRG | $1,599,186,807 | ||||
| Total Medicare payments with ICD G8222 - Paraplegia, incomplete | $3,139,947 | ||||
| Total Medicare payment per Day at DRG | $1,656 | ||||
| Total Medicare payment per Day with ICD G8222 - Paraplegia, incomplete | $1,557 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,737 | ||||
| Total Medicare payment per Hospitalization with ICD G8222 - Paraplegia, incomplete | $25,120 | ||||
| Total Medicare Charges at DRG | $4,836,538,333 | ||||
| Total Medicare Charges with ICD G8222 - Paraplegia, incomplete | $8,943,427 | ||||
| Avg Charges at DRG | $47,596 | ||||
| Avg Charges with ICD G8222 - Paraplegia, incomplete | $71,547 | ||||
| Mortality Rate at DRG | 2.8 | ||||
| Mortality Rate with ICD G8222 - Paraplegia, incomplete | NA | ||||
| SNF Discharge Rate at DRG | 20.21 | ||||
| SNF Discharge Rate with ICD G8222 - Paraplegia, incomplete | 20.8 | ||||
| Home Discharge Rate at DRG | 20.17 | ||||
| Home Discharge Rate with ICD G8222 - Paraplegia, incomplete | 11.2 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 125 |
| ADVENTIST REHABILITATION HOSPITAL | 9909 MEDICAL CENTER DR | ROCKVILLE | MD | 20850 | 118 |
| REHABILITATION INSTITUTE OF CHICAGO | 345 E SUPERIOR ST | CHICAGO | IL | 60611 | 108 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JUAN M. LATORRE | 1015 E 32ND ST | AUSTIN | TX | 78705 | 67 |
| Dr. THOMAS KISER | 4301 W MARKHAM ST # 786 | LITTLE ROCK | AR | 72205 | 51 |
| Dr. WAN CHUNG CHI | 900 HYDE ST | SAN FRANCISCO | CA | 94109 | 33 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. TERRENCE PATRICK SHEEHAN | 9909 MEDICAL CENTER DR | ROCKVILLE | MD | 20850 | 96 |
| Dr. JUAN M. LATORRE | 1015 E 32ND ST | AUSTIN | TX | 78705 | 68 |
| Dr. THOMAS KISER | 4301 W MARKHAM ST # 786 | LITTLE ROCK | AR | 72205 | 52 |