*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| G8921 - Chronic pain due to trauma - as a primary diagnosis code | G8921 - Chronic pain due to trauma - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.17 | |
| Readmission Rate (%) | 23.35 | |
| Unplanned Readmission Rate (%) | 14.36 | |
| 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 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 093: OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 122,730 | ||
| Total Hospitalizations with ICD G8921 - Chronic pain due to trauma | 87 | ||
| DRG Share of Total Hospitalizations | 0.37 | ||
| % of Total ICD G8921 - Chronic pain due to trauma in DRG | 46.03 | ||
| Avg LOS at DRG | 7.61 | ||
| Avg LOS with ICD G8921 - Chronic pain due to trauma | 4.69 | ||
| Readmission Rate at DRG | 21.31 | ||
| Readmission Rate with ICD G8921 - Chronic pain due to trauma | 26.19 | ||
| Unplanned Readmission Rate at DRG | 14.13 | ||
| Unplanned Readmission Rate with ICD G8921 - Chronic pain due to trauma | 15.48 | ||
| Total Medicare payments at DRG | $1,397,885,220 | ||
| Total Medicare payments with ICD G8921 - Chronic pain due to trauma | $516,720 | ||
| Total Medicare payment per Day at DRG | $1,497 | ||
| Total Medicare payment per Day with ICD G8921 - Chronic pain due to trauma | $1,266 | ||
| Total Medicare payment per Hospitalization at DRG | $11,390 | ||
| Total Medicare payment per Hospitalization with ICD G8921 - Chronic pain due to trauma | $5,939 | ||
| Total Medicare Charges at DRG | $4,175,290,309 | ||
| Total Medicare Charges with ICD G8921 - Chronic pain due to trauma | $2,628,527 | ||
| Avg Charges at DRG | $34,020 | ||
| Avg Charges with ICD G8921 - Chronic pain due to trauma | $30,213 | ||
| Mortality Rate at DRG | 0.28 | ||
| Mortality Rate with ICD G8921 - Chronic pain due to trauma | NA | ||
| SNF Discharge Rate at DRG | 21.64 | ||
| SNF Discharge Rate with ICD G8921 - Chronic pain due to trauma | 37.93 | ||
| Home Discharge Rate at DRG | 28.06 | ||
| Home Discharge Rate with ICD G8921 - Chronic pain due to trauma | 32.18 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 885: PSYCHOSES | DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 895: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD G8921 - Chronic pain due to trauma | 1,741 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD G8921 - Chronic pain due to trauma in DRG | 15.47 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD G8921 - Chronic pain due to trauma | 10.52 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD G8921 - Chronic pain due to trauma | 27.8 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD G8921 - Chronic pain due to trauma | 11.14 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD G8921 - Chronic pain due to trauma | $12,609,095 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD G8921 - Chronic pain due to trauma | $689 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD G8921 - Chronic pain due to trauma | $7,242 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD G8921 - Chronic pain due to trauma | $41,583,465 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD G8921 - Chronic pain due to trauma | $23,885 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD G8921 - Chronic pain due to trauma | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD G8921 - Chronic pain due to trauma | 1.72 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD G8921 - Chronic pain due to trauma | 88.11 |
*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 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 195,476 | ||||
| Total Hospitalizations with ICD G8921 - Chronic pain due to trauma | 166 | ||||
| DRG Share of Total Hospitalizations | 0.59 | ||||
| % of Total ICD G8921 - Chronic pain due to trauma in DRG | 1.48 | ||||
| Avg LOS at DRG | 4.48 | ||||
| Avg LOS with ICD G8921 - Chronic pain due to trauma | 4.8 | ||||
| Readmission Rate at DRG | 20.57 | ||||
| Readmission Rate with ICD G8921 - Chronic pain due to trauma | 19.11 | ||||
| Unplanned Readmission Rate at DRG | 9.88 | ||||
| Unplanned Readmission Rate with ICD G8921 - Chronic pain due to trauma | 12.74 | ||||
| Total Medicare payments at DRG | $1,320,662,237 | ||||
| Total Medicare payments with ICD G8921 - Chronic pain due to trauma | $1,104,719 | ||||
| Total Medicare payment per Day at DRG | $1,508 | ||||
| Total Medicare payment per Day with ICD G8921 - Chronic pain due to trauma | $1,388 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,756 | ||||
| Total Medicare payment per Hospitalization with ICD G8921 - Chronic pain due to trauma | $6,655 | ||||
| Total Medicare Charges at DRG | $6,024,639,461 | ||||
| Total Medicare Charges with ICD G8921 - Chronic pain due to trauma | $5,096,566 | ||||
| Avg Charges at DRG | $30,820 | ||||
| Avg Charges with ICD G8921 - Chronic pain due to trauma | $30,702 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD G8921 - Chronic pain due to trauma | NA | ||||
| SNF Discharge Rate at DRG | 33.36 | ||||
| SNF Discharge Rate with ICD G8921 - Chronic pain due to trauma | 27.71 | ||||
| Home Discharge Rate at DRG | 30.98 | ||||
| Home Discharge Rate with ICD G8921 - Chronic pain due to trauma | 40.36 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 917: POISONING AND TOXIC EFFECTS OF DRUGS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 881: DEPRESSIVE NEUROSES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 101,548 | ||||
| Total Hospitalizations with ICD G8921 - Chronic pain due to trauma | 144 | ||||
| DRG Share of Total Hospitalizations | 0.31 | ||||
| % of Total ICD G8921 - Chronic pain due to trauma in DRG | 1.28 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD G8921 - Chronic pain due to trauma | 4.01 | ||||
| Readmission Rate at DRG | 32.74 | ||||
| Readmission Rate with ICD G8921 - Chronic pain due to trauma | 25.78 | ||||
| Unplanned Readmission Rate at DRG | 13.79 | ||||
| Unplanned Readmission Rate with ICD G8921 - Chronic pain due to trauma | 10.16 | ||||
| Total Medicare payments at DRG | $922,969,291 | ||||
| Total Medicare payments with ICD G8921 - Chronic pain due to trauma | $1,312,193 | ||||
| Total Medicare payment per Day at DRG | $1,941 | ||||
| Total Medicare payment per Day with ICD G8921 - Chronic pain due to trauma | $2,274 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,089 | ||||
| Total Medicare payment per Hospitalization with ICD G8921 - Chronic pain due to trauma | $9,112 | ||||
| Total Medicare Charges at DRG | $4,727,523,206 | ||||
| Total Medicare Charges with ICD G8921 - Chronic pain due to trauma | $5,651,941 | ||||
| Avg Charges at DRG | $46,555 | ||||
| Avg Charges with ICD G8921 - Chronic pain due to trauma | $39,250 | ||||
| Mortality Rate at DRG | 2.95 | ||||
| Mortality Rate with ICD G8921 - Chronic pain due to trauma | NA | ||||
| SNF Discharge Rate at DRG | 13.87 | ||||
| SNF Discharge Rate with ICD G8921 - Chronic pain due to trauma | 11.81 | ||||
| Home Discharge Rate at DRG | 43.04 | ||||
| Home Discharge Rate with ICD G8921 - Chronic pain due to trauma | 52.78 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD G8921 - Chronic pain due to trauma | 128 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD G8921 - Chronic pain due to trauma in DRG | 1.14 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD G8921 - Chronic pain due to trauma | 4.3 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD G8921 - Chronic pain due to trauma | 14.88 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD G8921 - Chronic pain due to trauma | 9.09 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD G8921 - Chronic pain due to trauma | $914,098 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD G8921 - Chronic pain due to trauma | $1,659 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD G8921 - Chronic pain due to trauma | $7,141 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD G8921 - Chronic pain due to trauma | $4,488,570 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD G8921 - Chronic pain due to trauma | $35,067 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD G8921 - Chronic pain due to trauma | NA | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD G8921 - Chronic pain due to trauma | 10.94 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD G8921 - Chronic pain due to trauma | 64.84 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| LINCOLN TRAIL BEHAVIORIAL HEALTH | 3909 S WILSON RD | RADCLIFF | KY | 40160 | 92 |
| HARBOR OAKS HOSPITAL | 35031 23 MILE RD | NEW BALTIMORE | MI | 48047 | 85 |
| INTERMOUNTAIN HOSPITAL | 303 ALLUMBAUGH ST | BOISE | ID | 83704 | 76 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RUDY JEROME VERVAEKE | 21420 HARPER AVE | SAINT CLAIR SHORES | MI | 48080 | 51 |
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 43 |
| Dr. THEODORE V PARRAN | 2351 E 22ND ST | CLEVELAND | OH | 44115 | 35 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RUDY JEROME VERVAEKE | 21420 HARPER AVE | SAINT CLAIR SHORES | MI | 48080 | 53 |
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 46 |
| Dr. GREGORY DALE SMITH | 2412 RING RD | ELIZABETHTOWN | KY | 42701 | 31 |