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G8252 - ICD 10 Diagnosis Code - Quadriplegia, C1-C4 incomplete - Market Size, Prevalence, Incidence, Quality Outcomes, Top Hospitals & Physicians

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Key Statistics Related to G8252 - Quadriplegia, C1-C4 incomplete

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*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

G8252 - Quadriplegia, C1-C4 incomplete - as a primary diagnosis code G8252 - Quadriplegia, C1-C4 incomplete - as a primary or secondary diagnosis code
OUTCOMES
Avg. LOS 15.31
Readmission Rate (%) 28.99
Unplanned Readmission Rate (%) 9.42
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

Table of Contents

No Quality Metrics
Top DRGs Associated With G8252 - Quadriplegia, C1-C4 incomplete - as a primary diagnosis code
Top Hospitals Associated With G8252 - Quadriplegia, C1-C4 incomplete - as a primary diagnosis code
Top Operating Physicians Associated With G8252 - Quadriplegia, C1-C4 incomplete - as a primary diagnosis code
Top Attending Physicians Associated With G8252 - Quadriplegia, C1-C4 incomplete - as a primary diagnosis code
Top DRGs Associated With G8252 - Quadriplegia, C1-C4 incomplete - as a primary or secondary diagnosis code
Top Hospitals Associated With G8252 - Quadriplegia, C1-C4 incomplete - as a primary or secondary diagnosis code
Top Operating Physicians Associated With G8252 - Quadriplegia, C1-C4 incomplete - as a primary or secondary diagnosis code
Top Attending Physicians Associated With G8252 - Quadriplegia, C1-C4 incomplete - as a primary or secondary diagnosis code
Machine Learning Identified Top 50 Most Common Comorbid Conditions Associated With G8252 - Quadriplegia, C1-C4 incomplete

Top DRGs Associated With G8252 - Quadriplegia, C1-C4 incomplete - as a primary diagnosis code

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Top 1 to 5 DRGs - Oct 2015 to Sep 2018

*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)
Total Hospitalizations at DRG 10,542
Total Hospitalizations with ICD G8252 - Quadriplegia, C1-C4 incomplete 789
DRG Share of Total Hospitalizations 0.03
% of Total ICD G8252 - Quadriplegia, C1-C4 incomplete in DRG 87.28
Avg LOS at DRG 15.44
Avg LOS with ICD G8252 - Quadriplegia, C1-C4 incomplete 22.55
Readmission Rate at DRG 22.26
Readmission Rate with ICD G8252 - Quadriplegia, C1-C4 incomplete 14.93
Unplanned Readmission Rate at DRG 11.51
Unplanned Readmission Rate with ICD G8252 - Quadriplegia, C1-C4 incomplete 9.85
Total Medicare payments at DRG $248,579,193
Total Medicare payments with ICD G8252 - Quadriplegia, C1-C4 incomplete $27,187,865
Total Medicare payment per Day at DRG $1,528
Total Medicare payment per Day with ICD G8252 - Quadriplegia, C1-C4 incomplete $1,528
Total Medicare payment per Hospitalization at DRG $23,580
Total Medicare payment per Hospitalization with ICD G8252 - Quadriplegia, C1-C4 incomplete $34,459
Total Medicare Charges at DRG $728,953,355
Total Medicare Charges with ICD G8252 - Quadriplegia, C1-C4 incomplete $80,931,679
Avg Charges at DRG $69,148
Avg Charges with ICD G8252 - Quadriplegia, C1-C4 incomplete $102,575
Mortality Rate at DRG 2.72
Mortality Rate with ICD G8252 - Quadriplegia, C1-C4 incomplete NA
SNF Discharge Rate at DRG 23.06
SNF Discharge Rate with ICD G8252 - Quadriplegia, C1-C4 incomplete 24.46
Home Discharge Rate at DRG 20.74
Home Discharge Rate with ICD G8252 - Quadriplegia, C1-C4 incomplete 26.11

Top Hospitals Associated With G8252 - Quadriplegia, C1-C4 incomplete - as a primary diagnosis code

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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 62
REHABILITATION INSTITUTE OF MICHIGAN 261 MACK AVE DETROIT MI 48201 35
SPAULDING REHABILITATION HOSPITAL 125 NASHUA ST BOSTON MA 02114 27

Top Operating Physicians Associated With G8252 - Quadriplegia, C1-C4 incomplete - as a primary diagnosis code

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Physician Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
Dr. KI H KIM 345 E SUPERIOR ST CHICAGO IL 60611 13

Top Attending Physicians Associated With G8252 - Quadriplegia, C1-C4 incomplete - as a primary diagnosis code

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Physician Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
Dr. LOURDES ANGELES ALFONSO 261 MACK AVE DETROIT MI 48201 34
Dr. KI H KIM 345 E SUPERIOR ST CHICAGO IL 60611 23
Dr. DOUGLAS SOHN 125 NASHUA ST BOSTON MA 02114 18

Top DRGs Associated With G8252 - Quadriplegia, C1-C4 incomplete - as a primary or secondary diagnosis code

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Top 1 to 5 DRGs - Oct 2015 to Sep 2018

*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 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 559: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 10,542
Total Hospitalizations with ICD G8252 - Quadriplegia, C1-C4 incomplete 1,027
DRG Share of Total Hospitalizations 0.03
% of Total ICD G8252 - Quadriplegia, C1-C4 incomplete in DRG 16.24
Avg LOS at DRG 15.44
Avg LOS with ICD G8252 - Quadriplegia, C1-C4 incomplete 22.09
Readmission Rate at DRG 22.26
Readmission Rate with ICD G8252 - Quadriplegia, C1-C4 incomplete 16.0
Unplanned Readmission Rate at DRG 11.51
Unplanned Readmission Rate with ICD G8252 - Quadriplegia, C1-C4 incomplete 8.86
Total Medicare payments at DRG $248,579,193
Total Medicare payments with ICD G8252 - Quadriplegia, C1-C4 incomplete $34,317,850
Total Medicare payment per Day at DRG $1,528
Total Medicare payment per Day with ICD G8252 - Quadriplegia, C1-C4 incomplete $1,513
Total Medicare payment per Hospitalization at DRG $23,580
Total Medicare payment per Hospitalization with ICD G8252 - Quadriplegia, C1-C4 incomplete $33,416
Total Medicare Charges at DRG $728,953,355
Total Medicare Charges with ICD G8252 - Quadriplegia, C1-C4 incomplete $98,385,994
Avg Charges at DRG $69,148
Avg Charges with ICD G8252 - Quadriplegia, C1-C4 incomplete $95,799
Mortality Rate at DRG 2.72
Mortality Rate with ICD G8252 - Quadriplegia, C1-C4 incomplete 1.46
SNF Discharge Rate at DRG 23.06
SNF Discharge Rate with ICD G8252 - Quadriplegia, C1-C4 incomplete 24.54
Home Discharge Rate at DRG 20.74
Home Discharge Rate with ICD G8252 - Quadriplegia, C1-C4 incomplete 24.15

Top 5 to 10 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 028: SPINAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 471: CERVICAL SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 6,227
Total Hospitalizations with ICD G8252 - Quadriplegia, C1-C4 incomplete 251
DRG Share of Total Hospitalizations 0.02
% of Total ICD G8252 - Quadriplegia, C1-C4 incomplete in DRG 3.97
Avg LOS at DRG 11.45
Avg LOS with ICD G8252 - Quadriplegia, C1-C4 incomplete 11.97
Readmission Rate at DRG 51.82
Readmission Rate with ICD G8252 - Quadriplegia, C1-C4 incomplete 68.81
Unplanned Readmission Rate at DRG 10.35
Unplanned Readmission Rate with ICD G8252 - Quadriplegia, C1-C4 incomplete 6.88
Total Medicare payments at DRG $241,416,949
Total Medicare payments with ICD G8252 - Quadriplegia, C1-C4 incomplete $10,365,561
Total Medicare payment per Day at DRG $3,385
Total Medicare payment per Day with ICD G8252 - Quadriplegia, C1-C4 incomplete $3,451
Total Medicare payment per Hospitalization at DRG $38,769
Total Medicare payment per Hospitalization with ICD G8252 - Quadriplegia, C1-C4 incomplete $41,297
Total Medicare Charges at DRG $1,126,422,406
Total Medicare Charges with ICD G8252 - Quadriplegia, C1-C4 incomplete $50,050,266
Avg Charges at DRG $180,893
Avg Charges with ICD G8252 - Quadriplegia, C1-C4 incomplete $199,403
Mortality Rate at DRG 5.91
Mortality Rate with ICD G8252 - Quadriplegia, C1-C4 incomplete 7.97
SNF Discharge Rate at DRG 25.95
SNF Discharge Rate with ICD G8252 - Quadriplegia, C1-C4 incomplete 23.11
Home Discharge Rate at DRG 13.46
Home Discharge Rate with ICD G8252 - Quadriplegia, C1-C4 incomplete 4.38

Top 10 to 15 DRGs - Oct 2015 to Sep 2018

*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 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 101,617
Total Hospitalizations with ICD G8252 - Quadriplegia, C1-C4 incomplete 116
DRG Share of Total Hospitalizations 0.31
% of Total ICD G8252 - Quadriplegia, C1-C4 incomplete in DRG 1.83
Avg LOS at DRG 9.5
Avg LOS with ICD G8252 - Quadriplegia, C1-C4 incomplete 14.62
Readmission Rate at DRG 26.88
Readmission Rate with ICD G8252 - Quadriplegia, C1-C4 incomplete 13.73
Unplanned Readmission Rate at DRG 19.26
Unplanned Readmission Rate with ICD G8252 - Quadriplegia, C1-C4 incomplete NA
Total Medicare payments at DRG $1,599,186,807
Total Medicare payments with ICD G8252 - Quadriplegia, C1-C4 incomplete $2,674,805
Total Medicare payment per Day at DRG $1,656
Total Medicare payment per Day with ICD G8252 - Quadriplegia, C1-C4 incomplete $1,577
Total Medicare payment per Hospitalization at DRG $15,737
Total Medicare payment per Hospitalization with ICD G8252 - Quadriplegia, C1-C4 incomplete $23,059
Total Medicare Charges at DRG $4,836,538,333
Total Medicare Charges with ICD G8252 - Quadriplegia, C1-C4 incomplete $8,148,966
Avg Charges at DRG $47,596
Avg Charges with ICD G8252 - Quadriplegia, C1-C4 incomplete $70,250
Mortality Rate at DRG 2.8
Mortality Rate with ICD G8252 - Quadriplegia, C1-C4 incomplete NA
SNF Discharge Rate at DRG 20.21
SNF Discharge Rate with ICD G8252 - Quadriplegia, C1-C4 incomplete 15.52
Home Discharge Rate at DRG 20.17
Home Discharge Rate with ICD G8252 - Quadriplegia, C1-C4 incomplete 29.31

Top 15 to 20 DRGs - Oct 2015 to Sep 2018

*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 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 1,682
Total Hospitalizations with ICD G8252 - Quadriplegia, C1-C4 incomplete 81
DRG Share of Total Hospitalizations 0.01
% of Total ICD G8252 - Quadriplegia, C1-C4 incomplete in DRG 1.28
Avg LOS at DRG 8.61
Avg LOS with ICD G8252 - Quadriplegia, C1-C4 incomplete 14.95
Readmission Rate at DRG 19.25
Readmission Rate with ICD G8252 - Quadriplegia, C1-C4 incomplete NA
Unplanned Readmission Rate at DRG 5.6
Unplanned Readmission Rate with ICD G8252 - Quadriplegia, C1-C4 incomplete NA
Total Medicare payments at DRG $22,524,359
Total Medicare payments with ICD G8252 - Quadriplegia, C1-C4 incomplete $2,062,153
Total Medicare payment per Day at DRG $1,555
Total Medicare payment per Day with ICD G8252 - Quadriplegia, C1-C4 incomplete $1,703
Total Medicare payment per Hospitalization at DRG $13,391
Total Medicare payment per Hospitalization with ICD G8252 - Quadriplegia, C1-C4 incomplete $25,459
Total Medicare Charges at DRG $65,158,597
Total Medicare Charges with ICD G8252 - Quadriplegia, C1-C4 incomplete $4,247,513
Avg Charges at DRG $38,739
Avg Charges with ICD G8252 - Quadriplegia, C1-C4 incomplete $52,438
Mortality Rate at DRG NA
Mortality Rate with ICD G8252 - Quadriplegia, C1-C4 incomplete NA
SNF Discharge Rate at DRG 17.18
SNF Discharge Rate with ICD G8252 - Quadriplegia, C1-C4 incomplete NA
Home Discharge Rate at DRG 33.65
Home Discharge Rate with ICD G8252 - Quadriplegia, C1-C4 incomplete 41.98

Top Hospitals Associated With G8252 - Quadriplegia, C1-C4 incomplete - as a primary or secondary diagnosis code

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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 75
TIRR MEMORIAL HERMANN 1333 MOURSUND ST HOUSTON TX 77030 69
REHABILITATION INSTITUTE OF CHICAGO 345 E SUPERIOR ST CHICAGO IL 60611 67

Top Operating Physicians Associated With G8252 - Quadriplegia, C1-C4 incomplete - as a primary or secondary diagnosis code

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Physician Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
Dr. THOMAS KISER 4301 W MARKHAM ST # 786 LITTLE ROCK AR 72205 39
Dr. MICHAEL P BARKER 9643 HUEBNER RD SAN ANTONIO TX 78240 26
Dr. PAMELA BALLARD 102 IRVING ST NW WASHINGTON DC 20010 17

Top Attending Physicians Associated With G8252 - Quadriplegia, C1-C4 incomplete - as a primary or secondary diagnosis code

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Physician Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
Dr. GEOFFREY R. SMITH LEE ST CHARLOTTESVILLE VA 22908 51
Dr. LOURDES ANGELES ALFONSO 261 MACK AVE DETROIT MI 48201 43
Dr. THOMAS KISER 4301 W MARKHAM ST # 786 LITTLE ROCK AR 72205 39

AI Identified Top 50 Most Common Comorbid Conditions Associated With G8252 - Quadriplegia, C1-C4 incomplete   |  Back to Top

No ICD Diagnosis Code Description
1 S14153D Other incomplete lesion at C3 level of cervical spinal cord, subsequent encounter
2 S14154D Other incomplete lesion at C4 level of cervical spinal cord, subsequent encounter
3 S14154S Other incomplete lesion at C4 level of cervical spinal cord, sequela
4 S14123D Central cord syndrome at C3 level of cervical spinal cord, subsequent encounter
5 S14124D Central cord syndrome at C4 level of cervical spinal cord, subsequent encounter
6 S12300D Unspecified displaced fracture of fourth cervical vertebra, subsequent encounter for fracture with routine healing
7 M5001 Cervical disc disorder with myelopathy, high cervical region
8 S12400D Unspecified displaced fracture of fifth cervical vertebra, subsequent encounter for fracture with routine healing
9 M4712 Other spondylosis with myelopathy, cervical region
10 R1313 Dysphagia, pharyngeal phase
11 Z430 Encounter for attention to tracheostomy
12 M4802 Spinal stenosis, cervical region
13 Z431 Encounter for attention to gastrostomy
14 M25512 Pain in left shoulder
15 M792 Neuralgia and neuritis, unspecified
16 M25511 Pain in right shoulder
17 Z981 Arthrodesis status
18 G904 Autonomic dysreflexia
19 M542 Cervicalgia
20 Z4789 Encounter for other orthopedic aftercare
21 Z4889 Encounter for other specified surgical aftercare
22 R252 Cramp and spasm
23 G9589 Other specified diseases of spinal cord
24 I951 Orthostatic hypotension
25 K592 Neurogenic bowel, not elsewhere classified
26 R208 Other disturbances of skin sensation
27 G959 Disease of spinal cord, unspecified
28 M62838 Other muscle spasm
29 G8918 Other acute postprocedural pain
30 Z931 Gastrostomy status
31 L89150 Pressure ulcer of sacral region, unstageable
32 R1312 Dysphagia, oropharyngeal phase
33 N319 Neuromuscular dysfunction of bladder, unspecified
34 F4320 Adjustment disorder, unspecified
35 L89153 Pressure ulcer of sacral region, stage 3
36 L89152 Pressure ulcer of sacral region, stage 2
37 R21 Rash and other nonspecific skin eruption
38 F1010 Alcohol abuse, uncomplicated
39 J9811 Atelectasis
40 F4321 Adjustment disorder with depressed mood
41 E11649 Type 2 diabetes mellitus with hypoglycemia without coma
42 F4323 Adjustment disorder with mixed anxiety and depressed mood
43 R05 Cough
44 Z741 Need for assistance with personal care
45 R609 Edema, unspecified
46 M6281 Muscle weakness (generalized)
47 B965 Pseudomonas (aeruginosa) (mallei) (pseudomallei) as the cause of diseases classified elsewhere
48 B351 Tinea unguium
49 B961 Klebsiella pneumoniae [K. pneumoniae] as the cause of diseases classified elsewhere
50 Z7409 Other reduced mobility