*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| G8250 - Quadriplegia, unspecified - as a primary diagnosis code | G8250 - Quadriplegia, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 10.1 | |
| Readmission Rate (%) | 32.01 | |
| Unplanned Readmission Rate (%) | 12.14 | |
| 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) | 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 G8250 - Quadriplegia, unspecified | 896 | |||
| DRG Share of Total Hospitalizations | 0.03 | |||
| % of Total ICD G8250 - Quadriplegia, unspecified in DRG | 79.79 | |||
| Avg LOS at DRG | 15.44 | |||
| Avg LOS with ICD G8250 - Quadriplegia, unspecified | 17.39 | |||
| Readmission Rate at DRG | 22.26 | |||
| Readmission Rate with ICD G8250 - Quadriplegia, unspecified | 17.8 | |||
| Unplanned Readmission Rate at DRG | 11.51 | |||
| Unplanned Readmission Rate with ICD G8250 - Quadriplegia, unspecified | 13.22 | |||
| Total Medicare payments at DRG | $248,579,193 | |||
| Total Medicare payments with ICD G8250 - Quadriplegia, unspecified | $23,329,800 | |||
| Total Medicare payment per Day at DRG | $1,528 | |||
| Total Medicare payment per Day with ICD G8250 - Quadriplegia, unspecified | $1,498 | |||
| Total Medicare payment per Hospitalization at DRG | $23,580 | |||
| Total Medicare payment per Hospitalization with ICD G8250 - Quadriplegia, unspecified | $26,038 | |||
| Total Medicare Charges at DRG | $728,953,355 | |||
| Total Medicare Charges with ICD G8250 - Quadriplegia, unspecified | $64,808,387 | |||
| Avg Charges at DRG | $69,148 | |||
| Avg Charges with ICD G8250 - Quadriplegia, unspecified | $72,331 | |||
| Mortality Rate at DRG | 2.72 | |||
| Mortality Rate with ICD G8250 - Quadriplegia, unspecified | NA | |||
| SNF Discharge Rate at DRG | 23.06 | |||
| SNF Discharge Rate with ICD G8250 - Quadriplegia, unspecified | 26.12 | |||
| Home Discharge Rate at DRG | 20.74 | |||
| Home Discharge Rate with ICD G8250 - Quadriplegia, unspecified | 20.98 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ABBOTT NORTHWESTERN HOSPITAL | 800 E 28TH ST | MINNEAPOLIS | MN | 55407 | 36 |
| SUNNYVIEW REHABILITATION HOSPITAL | 1270 BELMONT AVENUE | SCHENECTADY | NY | 12308 | 33 |
| CARDINAL HILL REHABILITATION HOSPITAL | 2050 VERSAILLES RD | LEXINGTON | KY | 40504 | 30 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JAMES BARRETT SPENDLEY | 2925 CHICAGO AVE | MINNEAPOLIS | MN | 55407 | 18 |
| Dr. JOYCE DEANETTE WADE-HAMME | 1040 RIVER OAKS DR | FLOWOOD | MS | 39232 | 14 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JAMES BARRETT SPENDLEY | 2925 CHICAGO AVE | MINNEAPOLIS | MN | 55407 | 21 |
| Dr. SARA SHAHID SALLES | 740 SOUTH LIMESTONE | LEXINGTON | KY | 40536 | 18 |
| Dr. JENNIFER MAY MADRID VILLACORTA | 261 MACK AVE | DETROIT | MI | 48201 | 15 |
*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 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD G8250 - Quadriplegia, unspecified | 15,750 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD G8250 - Quadriplegia, unspecified in DRG | 16.96 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD G8250 - Quadriplegia, unspecified | 7.16 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD G8250 - Quadriplegia, unspecified | 29.6 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD G8250 - Quadriplegia, unspecified | 20.86 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD G8250 - Quadriplegia, unspecified | $188,567,167 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD G8250 - Quadriplegia, unspecified | $1,672 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD G8250 - Quadriplegia, unspecified | $11,973 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD G8250 - Quadriplegia, unspecified | $1,025,911,509 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD G8250 - Quadriplegia, unspecified | $65,137 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD G8250 - Quadriplegia, unspecified | 7.43 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD G8250 - Quadriplegia, unspecified | 31.77 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD G8250 - Quadriplegia, unspecified | 19.56 |
*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 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 471: CERVICAL SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 99,217 | ||||
| Total Hospitalizations with ICD G8250 - Quadriplegia, unspecified | 2,775 | ||||
| DRG Share of Total Hospitalizations | 0.3 | ||||
| % of Total ICD G8250 - Quadriplegia, unspecified in DRG | 2.99 | ||||
| Avg LOS at DRG | 14.88 | ||||
| Avg LOS with ICD G8250 - Quadriplegia, unspecified | 14.24 | ||||
| Readmission Rate at DRG | 41.65 | ||||
| Readmission Rate with ICD G8250 - Quadriplegia, unspecified | 44.35 | ||||
| Unplanned Readmission Rate at DRG | 18.54 | ||||
| Unplanned Readmission Rate with ICD G8250 - Quadriplegia, unspecified | 25.94 | ||||
| Total Medicare payments at DRG | $4,073,197,631 | ||||
| Total Medicare payments with ICD G8250 - Quadriplegia, unspecified | $101,214,131 | ||||
| Total Medicare payment per Day at DRG | $2,758 | ||||
| Total Medicare payment per Day with ICD G8250 - Quadriplegia, unspecified | $2,562 | ||||
| Total Medicare payment per Hospitalization at DRG | $41,053 | ||||
| Total Medicare payment per Hospitalization with ICD G8250 - Quadriplegia, unspecified | $36,474 | ||||
| Total Medicare Charges at DRG | $20,258,140,795 | ||||
| Total Medicare Charges with ICD G8250 - Quadriplegia, unspecified | $519,109,361 | ||||
| Avg Charges at DRG | $204,180 | ||||
| Avg Charges with ICD G8250 - Quadriplegia, unspecified | $187,066 | ||||
| Mortality Rate at DRG | 35.07 | ||||
| Mortality Rate with ICD G8250 - Quadriplegia, unspecified | 17.59 | ||||
| SNF Discharge Rate at DRG | 25.76 | ||||
| SNF Discharge Rate with ICD G8250 - Quadriplegia, unspecified | 34.45 | ||||
| Home Discharge Rate at DRG | 4.34 | ||||
| Home Discharge Rate with ICD G8250 - Quadriplegia, unspecified | 7.75 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 388: G.I. OBSTRUCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 052: SPINAL DISORDERS AND INJURIES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 100: SEIZURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 109,018 | ||||
| Total Hospitalizations with ICD G8250 - Quadriplegia, unspecified | 1,361 | ||||
| DRG Share of Total Hospitalizations | 0.33 | ||||
| % of Total ICD G8250 - Quadriplegia, unspecified in DRG | 1.47 | ||||
| Avg LOS at DRG | 12.66 | ||||
| Avg LOS with ICD G8250 - Quadriplegia, unspecified | 16.93 | ||||
| Readmission Rate at DRG | 35.31 | ||||
| Readmission Rate with ICD G8250 - Quadriplegia, unspecified | 39.9 | ||||
| Unplanned Readmission Rate at DRG | 20.73 | ||||
| Unplanned Readmission Rate with ICD G8250 - Quadriplegia, unspecified | 19.62 | ||||
| Total Medicare payments at DRG | $3,554,922,428 | ||||
| Total Medicare payments with ICD G8250 - Quadriplegia, unspecified | $47,247,518 | ||||
| Total Medicare payment per Day at DRG | $2,575 | ||||
| Total Medicare payment per Day with ICD G8250 - Quadriplegia, unspecified | $2,051 | ||||
| Total Medicare payment per Hospitalization at DRG | $32,609 | ||||
| Total Medicare payment per Hospitalization with ICD G8250 - Quadriplegia, unspecified | $34,715 | ||||
| Total Medicare Charges at DRG | $15,445,232,132 | ||||
| Total Medicare Charges with ICD G8250 - Quadriplegia, unspecified | $208,473,045 | ||||
| Avg Charges at DRG | $141,676 | ||||
| Avg Charges with ICD G8250 - Quadriplegia, unspecified | $153,176 | ||||
| Mortality Rate at DRG | 8.99 | ||||
| Mortality Rate with ICD G8250 - Quadriplegia, unspecified | 6.69 | ||||
| SNF Discharge Rate at DRG | 27.26 | ||||
| SNF Discharge Rate with ICD G8250 - Quadriplegia, unspecified | 31.08 | ||||
| Home Discharge Rate at DRG | 27.78 | ||||
| Home Discharge Rate with ICD G8250 - Quadriplegia, unspecified | 10.21 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 592: SKIN ULCERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 45,478 | ||||
| Total Hospitalizations with ICD G8250 - Quadriplegia, unspecified | 1,209 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD G8250 - Quadriplegia, unspecified in DRG | 1.3 | ||||
| Avg LOS at DRG | 25.29 | ||||
| Avg LOS with ICD G8250 - Quadriplegia, unspecified | 25.74 | ||||
| Readmission Rate at DRG | 74.5 | ||||
| Readmission Rate with ICD G8250 - Quadriplegia, unspecified | 71.47 | ||||
| Unplanned Readmission Rate at DRG | 8.79 | ||||
| Unplanned Readmission Rate with ICD G8250 - Quadriplegia, unspecified | 8.3 | ||||
| Total Medicare payments at DRG | $3,386,848,549 | ||||
| Total Medicare payments with ICD G8250 - Quadriplegia, unspecified | $88,258,894 | ||||
| Total Medicare payment per Day at DRG | $2,945 | ||||
| Total Medicare payment per Day with ICD G8250 - Quadriplegia, unspecified | $2,836 | ||||
| Total Medicare payment per Hospitalization at DRG | $74,472 | ||||
| Total Medicare payment per Hospitalization with ICD G8250 - Quadriplegia, unspecified | $73,002 | ||||
| Total Medicare Charges at DRG | $15,882,518,852 | ||||
| Total Medicare Charges with ICD G8250 - Quadriplegia, unspecified | $437,459,818 | ||||
| Avg Charges at DRG | $349,235 | ||||
| Avg Charges with ICD G8250 - Quadriplegia, unspecified | $361,836 | ||||
| Mortality Rate at DRG | 13.7 | ||||
| Mortality Rate with ICD G8250 - Quadriplegia, unspecified | 9.1 | ||||
| SNF Discharge Rate at DRG | 17.77 | ||||
| SNF Discharge Rate with ICD G8250 - Quadriplegia, unspecified | 18.11 | ||||
| Home Discharge Rate at DRG | 1.95 | ||||
| Home Discharge Rate with ICD G8250 - Quadriplegia, unspecified | 1.32 |
| 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 | 307 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 305 |
| ABBOTT NORTHWESTERN HOSPITAL | 800 E 28TH ST | MINNEAPOLIS | MN | 55407 | 264 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SASAN YADEGAR | 501 EAST HARDY STREET | INGLEWOOD | CA | 90301 | 63 |
| Dr. MOUSTAFA E ALAMY | 16660 PARAMOUNT BLVD | PARAMOUNT | CA | 90723 | 31 |
| Dr. ANIL KUMAR GOGINENI | 1834 SW 1ST AVE | OCALA | FL | 34471 | 30 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RAJESH AGARWAL | 6770 MAYFIELD RD | MAYFIELD HEIGHTS | OH | 44124 | 89 |
| Dr. CARL DOUGLAS PORTER | 100 MEDICAL CENTER DR | SPRINGFIELD | OH | 45504 | 84 |
| Dr. RAJENDRA PADHYE | 414 PAOLI PIKE | MALVERN | PA | 19355 | 81 |