*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| G8254 - Quadriplegia, C5-C7 incomplete - as a primary diagnosis code | G8254 - Quadriplegia, C5-C7 incomplete - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 12.78 | |
| Readmission Rate (%) | 28.63 | |
| Unplanned Readmission Rate (%) | 10.64 | |
| 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 | |
|---|---|---|---|
| Total Hospitalizations at DRG | 10,542 | ||
| Total Hospitalizations with ICD G8254 - Quadriplegia, C5-C7 incomplete | 618 | ||
| DRG Share of Total Hospitalizations | 0.03 | ||
| % of Total ICD G8254 - Quadriplegia, C5-C7 incomplete in DRG | 83.06 | ||
| Avg LOS at DRG | 15.44 | ||
| Avg LOS with ICD G8254 - Quadriplegia, C5-C7 incomplete | 21.0 | ||
| Readmission Rate at DRG | 22.26 | ||
| Readmission Rate with ICD G8254 - Quadriplegia, C5-C7 incomplete | 16.27 | ||
| Unplanned Readmission Rate at DRG | 11.51 | ||
| Unplanned Readmission Rate with ICD G8254 - Quadriplegia, C5-C7 incomplete | 11.83 | ||
| Total Medicare payments at DRG | $248,579,193 | ||
| Total Medicare payments with ICD G8254 - Quadriplegia, C5-C7 incomplete | $20,432,105 | ||
| Total Medicare payment per Day at DRG | $1,528 | ||
| Total Medicare payment per Day with ICD G8254 - Quadriplegia, C5-C7 incomplete | $1,574 | ||
| Total Medicare payment per Hospitalization at DRG | $23,580 | ||
| Total Medicare payment per Hospitalization with ICD G8254 - Quadriplegia, C5-C7 incomplete | $33,062 | ||
| Total Medicare Charges at DRG | $728,953,355 | ||
| Total Medicare Charges with ICD G8254 - Quadriplegia, C5-C7 incomplete | $56,165,371 | ||
| Avg Charges at DRG | $69,148 | ||
| Avg Charges with ICD G8254 - Quadriplegia, C5-C7 incomplete | $90,882 | ||
| Mortality Rate at DRG | 2.72 | ||
| Mortality Rate with ICD G8254 - Quadriplegia, C5-C7 incomplete | NA | ||
| SNF Discharge Rate at DRG | 23.06 | ||
| SNF Discharge Rate with ICD G8254 - Quadriplegia, C5-C7 incomplete | 22.17 | ||
| Home Discharge Rate at DRG | 20.74 | ||
| Home Discharge Rate with ICD G8254 - Quadriplegia, C5-C7 incomplete | 29.61 |
| 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 | 59 |
| SANTA CLARA VALLEY MEDICAL CENTER | 751 S BASCOM AVE | SAN JOSE | CA | 95128 | 19 |
| FROEDTERT MEMORIAL LUTHERAN HOSPITAL | 9200 W WISCONSIN AVE | MILWAUKEE | WI | 53226 | 17 |
| 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 | 14 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID CHEN | 345 E SUPERIOR ST | CHICAGO | IL | 60611 | 16 |
| Dr. ALAN ANSCHEL | 345 E SUPERIOR ST | CHICAGO | IL | 60611 | 15 |
| Dr. KI H KIM | 345 E SUPERIOR ST | CHICAGO | IL | 60611 | 14 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 052: SPINAL DISORDERS AND INJURIES 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 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 559: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 172,705 | ||||
| Total Hospitalizations with ICD G8254 - Quadriplegia, C5-C7 incomplete | 910 | ||||
| DRG Share of Total Hospitalizations | 0.53 | ||||
| % of Total ICD G8254 - Quadriplegia, C5-C7 incomplete in DRG | 10.17 | ||||
| Avg LOS at DRG | 6.21 | ||||
| Avg LOS with ICD G8254 - Quadriplegia, C5-C7 incomplete | 5.54 | ||||
| Readmission Rate at DRG | 27.27 | ||||
| Readmission Rate with ICD G8254 - Quadriplegia, C5-C7 incomplete | 28.72 | ||||
| Unplanned Readmission Rate at DRG | 20.51 | ||||
| Unplanned Readmission Rate with ICD G8254 - Quadriplegia, C5-C7 incomplete | 22.74 | ||||
| Total Medicare payments at DRG | $1,773,015,083 | ||||
| Total Medicare payments with ICD G8254 - Quadriplegia, C5-C7 incomplete | $8,985,620 | ||||
| Total Medicare payment per Day at DRG | $1,652 | ||||
| Total Medicare payment per Day with ICD G8254 - Quadriplegia, C5-C7 incomplete | $1,781 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,266 | ||||
| Total Medicare payment per Hospitalization with ICD G8254 - Quadriplegia, C5-C7 incomplete | $9,874 | ||||
| Total Medicare Charges at DRG | $8,667,227,667 | ||||
| Total Medicare Charges with ICD G8254 - Quadriplegia, C5-C7 incomplete | $39,118,339 | ||||
| Avg Charges at DRG | $50,185 | ||||
| Avg Charges with ICD G8254 - Quadriplegia, C5-C7 incomplete | $42,987 | ||||
| Mortality Rate at DRG | 2.92 | ||||
| Mortality Rate with ICD G8254 - Quadriplegia, C5-C7 incomplete | 1.43 | ||||
| SNF Discharge Rate at DRG | 33.71 | ||||
| SNF Discharge Rate with ICD G8254 - Quadriplegia, C5-C7 incomplete | 18.79 | ||||
| Home Discharge Rate at DRG | 25.53 | ||||
| Home Discharge Rate with ICD G8254 - Quadriplegia, C5-C7 incomplete | 32.86 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| 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 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 028: SPINAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 270,209 | ||||
| Total Hospitalizations with ICD G8254 - Quadriplegia, C5-C7 incomplete | 266 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD G8254 - Quadriplegia, C5-C7 incomplete in DRG | 2.97 | ||||
| Avg LOS at DRG | 4.84 | ||||
| Avg LOS with ICD G8254 - Quadriplegia, C5-C7 incomplete | 4.48 | ||||
| Readmission Rate at DRG | 22.35 | ||||
| Readmission Rate with ICD G8254 - Quadriplegia, C5-C7 incomplete | 26.29 | ||||
| Unplanned Readmission Rate at DRG | 16.33 | ||||
| Unplanned Readmission Rate with ICD G8254 - Quadriplegia, C5-C7 incomplete | 19.12 | ||||
| Total Medicare payments at DRG | $1,824,333,389 | ||||
| Total Medicare payments with ICD G8254 - Quadriplegia, C5-C7 incomplete | $1,842,599 | ||||
| Total Medicare payment per Day at DRG | $1,395 | ||||
| Total Medicare payment per Day with ICD G8254 - Quadriplegia, C5-C7 incomplete | $1,546 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,752 | ||||
| Total Medicare payment per Hospitalization with ICD G8254 - Quadriplegia, C5-C7 incomplete | $6,927 | ||||
| Total Medicare Charges at DRG | $9,128,673,695 | ||||
| Total Medicare Charges with ICD G8254 - Quadriplegia, C5-C7 incomplete | $8,211,917 | ||||
| Avg Charges at DRG | $33,784 | ||||
| Avg Charges with ICD G8254 - Quadriplegia, C5-C7 incomplete | $30,872 | ||||
| Mortality Rate at DRG | 1.32 | ||||
| Mortality Rate with ICD G8254 - Quadriplegia, C5-C7 incomplete | NA | ||||
| SNF Discharge Rate at DRG | 39.0 | ||||
| SNF Discharge Rate with ICD G8254 - Quadriplegia, C5-C7 incomplete | 17.67 | ||||
| Home Discharge Rate at DRG | 24.73 | ||||
| Home Discharge Rate with ICD G8254 - Quadriplegia, C5-C7 incomplete | 41.35 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM 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 471: CERVICAL SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 38,773 | ||||
| Total Hospitalizations with ICD G8254 - Quadriplegia, C5-C7 incomplete | 157 | ||||
| DRG Share of Total Hospitalizations | 0.12 | ||||
| % of Total ICD G8254 - Quadriplegia, C5-C7 incomplete in DRG | 1.75 | ||||
| Avg LOS at DRG | 11.96 | ||||
| Avg LOS with ICD G8254 - Quadriplegia, C5-C7 incomplete | 17.79 | ||||
| Readmission Rate at DRG | 18.12 | ||||
| Readmission Rate with ICD G8254 - Quadriplegia, C5-C7 incomplete | 12.5 | ||||
| Unplanned Readmission Rate at DRG | 14.28 | ||||
| Unplanned Readmission Rate with ICD G8254 - Quadriplegia, C5-C7 incomplete | 8.82 | ||||
| Total Medicare payments at DRG | $739,082,714 | ||||
| Total Medicare payments with ICD G8254 - Quadriplegia, C5-C7 incomplete | $4,758,658 | ||||
| Total Medicare payment per Day at DRG | $1,594 | ||||
| Total Medicare payment per Day with ICD G8254 - Quadriplegia, C5-C7 incomplete | $1,704 | ||||
| Total Medicare payment per Hospitalization at DRG | $19,062 | ||||
| Total Medicare payment per Hospitalization with ICD G8254 - Quadriplegia, C5-C7 incomplete | $30,310 | ||||
| Total Medicare Charges at DRG | $2,416,011,805 | ||||
| Total Medicare Charges with ICD G8254 - Quadriplegia, C5-C7 incomplete | $12,504,096 | ||||
| Avg Charges at DRG | $62,312 | ||||
| Avg Charges with ICD G8254 - Quadriplegia, C5-C7 incomplete | $79,644 | ||||
| Mortality Rate at DRG | 0.2 | ||||
| Mortality Rate with ICD G8254 - Quadriplegia, C5-C7 incomplete | NA | ||||
| SNF Discharge Rate at DRG | 17.34 | ||||
| SNF Discharge Rate with ICD G8254 - Quadriplegia, C5-C7 incomplete | 26.75 | ||||
| Home Discharge Rate at DRG | 21.02 | ||||
| Home Discharge Rate with ICD G8254 - Quadriplegia, C5-C7 incomplete | 29.3 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 592: SKIN ULCERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 539: OSTEOMYELITIS WITH 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 | 24,286 | ||||
| Total Hospitalizations with ICD G8254 - Quadriplegia, C5-C7 incomplete | 142 | ||||
| DRG Share of Total Hospitalizations | 0.07 | ||||
| % of Total ICD G8254 - Quadriplegia, C5-C7 incomplete in DRG | 1.59 | ||||
| Avg LOS at DRG | 12.57 | ||||
| Avg LOS with ICD G8254 - Quadriplegia, C5-C7 incomplete | 12.81 | ||||
| Readmission Rate at DRG | 30.43 | ||||
| Readmission Rate with ICD G8254 - Quadriplegia, C5-C7 incomplete | 30.08 | ||||
| Unplanned Readmission Rate at DRG | 19.44 | ||||
| Unplanned Readmission Rate with ICD G8254 - Quadriplegia, C5-C7 incomplete | 14.63 | ||||
| Total Medicare payments at DRG | $340,052,154 | ||||
| Total Medicare payments with ICD G8254 - Quadriplegia, C5-C7 incomplete | $1,857,635 | ||||
| Total Medicare payment per Day at DRG | $1,114 | ||||
| Total Medicare payment per Day with ICD G8254 - Quadriplegia, C5-C7 incomplete | $1,021 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,002 | ||||
| Total Medicare payment per Hospitalization with ICD G8254 - Quadriplegia, C5-C7 incomplete | $13,082 | ||||
| Total Medicare Charges at DRG | $1,599,050,306 | ||||
| Total Medicare Charges with ICD G8254 - Quadriplegia, C5-C7 incomplete | $8,108,676 | ||||
| Avg Charges at DRG | $65,842 | ||||
| Avg Charges with ICD G8254 - Quadriplegia, C5-C7 incomplete | $57,103 | ||||
| Mortality Rate at DRG | 4.97 | ||||
| Mortality Rate with ICD G8254 - Quadriplegia, C5-C7 incomplete | NA | ||||
| SNF Discharge Rate at DRG | 39.28 | ||||
| SNF Discharge Rate with ICD G8254 - Quadriplegia, C5-C7 incomplete | 29.58 | ||||
| Home Discharge Rate at DRG | 11.17 | ||||
| Home Discharge Rate with ICD G8254 - Quadriplegia, C5-C7 incomplete | 14.79 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| FROEDTERT MEMORIAL LUTHERAN HOSPITAL | 9200 W WISCONSIN AVE | MILWAUKEE | WI | 53226 | 78 |
| SWEDISH MEDICAL CENTER | 501 E HAMPDEN AVE | ENGLEWOOD | CO | 80113 | 73 |
| REHABILITATION INSTITUTE OF CHICAGO | 345 E SUPERIOR ST | CHICAGO | IL | 60611 | 65 |
| 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 | 35 |
| Dr. GLENN ERIC HERRMANN | 130 OLD LARAMIE TRL E BLDG 4 | LAFAYETTE | CO | 80026 | 25 |
| Dr. THOMAS N BRYCE | BOX 1240B | NEW YORK | NY | 10029 | 20 |
| 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 | 35 |
| Dr. GEOFFREY R. SMITH | LEE ST | CHARLOTTESVILLE | VA | 22908 | 23 |
| Dr. RAYMUNDO V MILLAN | 2100 STANTONSBURG RD | GREENVILLE | NC | 27834 | 21 |