*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
G8929 - Other chronic pain - as a primary diagnosis code | G8929 - Other chronic pain - as a primary or secondary diagnosis code | |
---|---|---|
OUTCOMES | ||
Avg. LOS | 5.52 | |
Readmission Rate (%) | 23.9 | |
Unplanned Readmission Rate (%) | 16.14 | |
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 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) | DRG 029: SPINAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) OR SPINAL NEUROSTIMULATORS | DRG 042: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 122,730 | ||||
Total Hospitalizations with ICD G8929 - Other chronic pain | 2,115 | ||||
DRG Share of Total Hospitalizations | 0.37 | ||||
% of Total ICD G8929 - Other chronic pain in DRG | 52.22 | ||||
Avg LOS at DRG | 7.61 | ||||
Avg LOS with ICD G8929 - Other chronic pain | 5.01 | ||||
Readmission Rate at DRG | 21.31 | ||||
Readmission Rate with ICD G8929 - Other chronic pain | 26.24 | ||||
Unplanned Readmission Rate at DRG | 14.13 | ||||
Unplanned Readmission Rate with ICD G8929 - Other chronic pain | 17.56 | ||||
Total Medicare payments at DRG | $1,397,885,220 | ||||
Total Medicare payments with ICD G8929 - Other chronic pain | $14,563,571 | ||||
Total Medicare payment per Day at DRG | $1,497 | ||||
Total Medicare payment per Day with ICD G8929 - Other chronic pain | $1,373 | ||||
Total Medicare payment per Hospitalization at DRG | $11,390 | ||||
Total Medicare payment per Hospitalization with ICD G8929 - Other chronic pain | $6,886 | ||||
Total Medicare Charges at DRG | $4,175,290,309 | ||||
Total Medicare Charges with ICD G8929 - Other chronic pain | $62,050,955 | ||||
Avg Charges at DRG | $34,020 | ||||
Avg Charges with ICD G8929 - Other chronic pain | $29,339 | ||||
Mortality Rate at DRG | 0.28 | ||||
Mortality Rate with ICD G8929 - Other chronic pain | NA | ||||
SNF Discharge Rate at DRG | 21.64 | ||||
SNF Discharge Rate with ICD G8929 - Other chronic pain | 21.7 | ||||
Home Discharge Rate at DRG | 28.06 | ||||
Home Discharge Rate with ICD G8929 - Other chronic pain | 49.13 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 030: SPINAL PROCEDURES 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 | DRG 983: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 028: SPINAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 5,769 | ||||
Total Hospitalizations with ICD G8929 - Other chronic pain | 42 | ||||
DRG Share of Total Hospitalizations | 0.02 | ||||
% of Total ICD G8929 - Other chronic pain in DRG | 1.04 | ||||
Avg LOS at DRG | 2.9 | ||||
Avg LOS with ICD G8929 - Other chronic pain | 1.86 | ||||
Readmission Rate at DRG | 17.65 | ||||
Readmission Rate with ICD G8929 - Other chronic pain | NA | ||||
Unplanned Readmission Rate at DRG | 4.94 | ||||
Unplanned Readmission Rate with ICD G8929 - Other chronic pain | NA | ||||
Total Medicare payments at DRG | $68,813,638 | ||||
Total Medicare payments with ICD G8929 - Other chronic pain | $349,892 | ||||
Total Medicare payment per Day at DRG | $4,109 | ||||
Total Medicare payment per Day with ICD G8929 - Other chronic pain | $4,486 | ||||
Total Medicare payment per Hospitalization at DRG | $11,928 | ||||
Total Medicare payment per Hospitalization with ICD G8929 - Other chronic pain | $8,331 | ||||
Total Medicare Charges at DRG | $412,922,486 | ||||
Total Medicare Charges with ICD G8929 - Other chronic pain | $5,001,443 | ||||
Avg Charges at DRG | $71,576 | ||||
Avg Charges with ICD G8929 - Other chronic pain | $119,082 | ||||
Mortality Rate at DRG | NA | ||||
Mortality Rate with ICD G8929 - Other chronic pain | NA | ||||
SNF Discharge Rate at DRG | 7.61 | ||||
SNF Discharge Rate with ICD G8929 - Other chronic pain | NA | ||||
Home Discharge Rate at DRG | 67.24 | ||||
Home Discharge Rate with ICD G8929 - Other chronic pain | 83.33 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
PROMISE HOSPITAL OF LOUISIANA | 1800 IRVING PL | SHREVEPORT | LA | 71101 | 280 |
STANFORD HEALTHCARE | 300 PASTEUR DR | STANFORD | CA | 94305 | 59 |
ST. FRANCIS HOSPITAL ROSLYN | 100 PORT WASHINGTON BLVD | ROSLYN | NY | 11576 | 43 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. LEE STEVENS | 1002 HIGHLAND AVE | SHREVEPORT | LA | 71101 | 97 |
Dr. JANICE WILSON HOLLIER | 1002 HIGHLAND AVE | SHREVEPORT | LA | 71101 | 61 |
Dr. KIMBERLY DAWN LAW | 2920 KNIGHT ST | SHREVEPORT | LA | 71105 | 19 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. LEE STEVENS | 1002 HIGHLAND AVE | SHREVEPORT | LA | 71101 | 134 |
Dr. JANICE WILSON HOLLIER | 1002 HIGHLAND AVE | SHREVEPORT | LA | 71101 | 79 |
Dr. KIMBERLY DAWN LAW | 2920 KNIGHT ST | SHREVEPORT | LA | 71105 | 26 |
*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 885: PSYCHOSES | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 1,808,415 | ||||
Total Hospitalizations with ICD G8929 - Other chronic pain | 125,182 | ||||
DRG Share of Total Hospitalizations | 5.5 | ||||
% of Total ICD G8929 - Other chronic pain in DRG | 5.47 | ||||
Avg LOS at DRG | 6.34 | ||||
Avg LOS with ICD G8929 - Other chronic pain | 6.03 | ||||
Readmission Rate at DRG | 24.2 | ||||
Readmission Rate with ICD G8929 - Other chronic pain | 25.19 | ||||
Unplanned Readmission Rate at DRG | 16.78 | ||||
Unplanned Readmission Rate with ICD G8929 - Other chronic pain | 18.03 | ||||
Total Medicare payments at DRG | $21,288,214,047 | ||||
Total Medicare payments with ICD G8929 - Other chronic pain | $1,414,195,978 | ||||
Total Medicare payment per Day at DRG | $1,857 | ||||
Total Medicare payment per Day with ICD G8929 - Other chronic pain | $1,875 | ||||
Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
Total Medicare payment per Hospitalization with ICD G8929 - Other chronic pain | $11,297 | ||||
Total Medicare Charges at DRG | $107,155,481,388 | ||||
Total Medicare Charges with ICD G8929 - Other chronic pain | $6,898,937,447 | ||||
Avg Charges at DRG | $59,254 | ||||
Avg Charges with ICD G8929 - Other chronic pain | $55,111 | ||||
Mortality Rate at DRG | 12.11 | ||||
Mortality Rate with ICD G8929 - Other chronic pain | 6.81 | ||||
SNF Discharge Rate at DRG | 27.18 | ||||
SNF Discharge Rate with ICD G8929 - Other chronic pain | 25.82 | ||||
Home Discharge Rate at DRG | 25.81 | ||||
Home Discharge Rate with ICD G8929 - Other chronic pain | 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 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS 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 | 535,322 | ||||
Total Hospitalizations with ICD G8929 - Other chronic pain | 49,176 | ||||
DRG Share of Total Hospitalizations | 1.63 | ||||
% of Total ICD G8929 - Other chronic pain in DRG | 2.15 | ||||
Avg LOS at DRG | 4.68 | ||||
Avg LOS with ICD G8929 - Other chronic pain | 4.64 | ||||
Readmission Rate at DRG | 23.65 | ||||
Readmission Rate with ICD G8929 - Other chronic pain | 26.38 | ||||
Unplanned Readmission Rate at DRG | 18.66 | ||||
Unplanned Readmission Rate with ICD G8929 - Other chronic pain | 21.41 | ||||
Total Medicare payments at DRG | $3,844,806,408 | ||||
Total Medicare payments with ICD G8929 - Other chronic pain | $348,823,354 | ||||
Total Medicare payment per Day at DRG | $1,536 | ||||
Total Medicare payment per Day with ICD G8929 - Other chronic pain | $1,529 | ||||
Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
Total Medicare payment per Hospitalization with ICD G8929 - Other chronic pain | $7,093 | ||||
Total Medicare Charges at DRG | $19,258,468,078 | ||||
Total Medicare Charges with ICD G8929 - Other chronic pain | $1,764,144,858 | ||||
Avg Charges at DRG | $35,975 | ||||
Avg Charges with ICD G8929 - Other chronic pain | $35,874 | ||||
Mortality Rate at DRG | 1.27 | ||||
Mortality Rate with ICD G8929 - Other chronic pain | 0.79 | ||||
SNF Discharge Rate at DRG | 14.61 | ||||
SNF Discharge Rate with ICD G8929 - Other chronic pain | 13.7 | ||||
Home Discharge Rate at DRG | 52.12 | ||||
Home Discharge Rate with ICD G8929 - Other chronic pain | 52.8 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 443,386 | ||||
Total Hospitalizations with ICD G8929 - Other chronic pain | 31,045 | ||||
DRG Share of Total Hospitalizations | 1.35 | ||||
% of Total ICD G8929 - Other chronic pain in DRG | 1.36 | ||||
Avg LOS at DRG | 5.27 | ||||
Avg LOS with ICD G8929 - Other chronic pain | 5.09 | ||||
Readmission Rate at DRG | 21.6 | ||||
Readmission Rate with ICD G8929 - Other chronic pain | 22.63 | ||||
Unplanned Readmission Rate at DRG | 15.91 | ||||
Unplanned Readmission Rate with ICD G8929 - Other chronic pain | 17.26 | ||||
Total Medicare payments at DRG | $3,812,834,208 | ||||
Total Medicare payments with ICD G8929 - Other chronic pain | $261,203,163 | ||||
Total Medicare payment per Day at DRG | $1,632 | ||||
Total Medicare payment per Day with ICD G8929 - Other chronic pain | $1,654 | ||||
Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
Total Medicare payment per Hospitalization with ICD G8929 - Other chronic pain | $8,414 | ||||
Total Medicare Charges at DRG | $18,110,468,211 | ||||
Total Medicare Charges with ICD G8929 - Other chronic pain | $1,234,610,948 | ||||
Avg Charges at DRG | $40,846 | ||||
Avg Charges with ICD G8929 - Other chronic pain | $39,768 | ||||
Mortality Rate at DRG | 3.59 | ||||
Mortality Rate with ICD G8929 - Other chronic pain | 2.31 | ||||
SNF Discharge Rate at DRG | 22.57 | ||||
SNF Discharge Rate with ICD G8929 - Other chronic pain | 21.19 | ||||
Home Discharge Rate at DRG | 40.95 | ||||
Home Discharge Rate with ICD G8929 - Other chronic pain | 44.01 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 408,103 | ||||
Total Hospitalizations with ICD G8929 - Other chronic pain | 27,352 | ||||
DRG Share of Total Hospitalizations | 1.24 | ||||
% of Total ICD G8929 - Other chronic pain in DRG | 1.2 | ||||
Avg LOS at DRG | 3.52 | ||||
Avg LOS with ICD G8929 - Other chronic pain | 3.51 | ||||
Readmission Rate at DRG | 17.83 | ||||
Readmission Rate with ICD G8929 - Other chronic pain | 18.79 | ||||
Unplanned Readmission Rate at DRG | 13.81 | ||||
Unplanned Readmission Rate with ICD G8929 - Other chronic pain | 14.78 | ||||
Total Medicare payments at DRG | $2,416,862,532 | ||||
Total Medicare payments with ICD G8929 - Other chronic pain | $160,994,060 | ||||
Total Medicare payment per Day at DRG | $1,682 | ||||
Total Medicare payment per Day with ICD G8929 - Other chronic pain | $1,677 | ||||
Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
Total Medicare payment per Hospitalization with ICD G8929 - Other chronic pain | $5,886 | ||||
Total Medicare Charges at DRG | $13,267,744,847 | ||||
Total Medicare Charges with ICD G8929 - Other chronic pain | $902,361,757 | ||||
Avg Charges at DRG | $32,511 | ||||
Avg Charges with ICD G8929 - Other chronic pain | $32,991 | ||||
Mortality Rate at DRG | 0.72 | ||||
Mortality Rate with ICD G8929 - Other chronic pain | 0.46 | ||||
SNF Discharge Rate at DRG | 14.1 | ||||
SNF Discharge Rate with ICD G8929 - Other chronic pain | 13.11 | ||||
Home Discharge Rate at DRG | 62.97 | ||||
Home Discharge Rate with ICD G8929 - Other chronic pain | 64.0 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
SPECTRUM HEALTH BUTTERWORTH HOSPITAL | 100 MICHIGAN ST NE | GRAND RAPIDS | MI | 49503 | 6,411 |
CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 5,764 |
MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 5,609 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 3,196 |
Dr. THEODORE V PARRAN | 2351 E 22ND ST | CLEVELAND | OH | 44115 | 507 |
Dr. NHIA KASH VANG | 2767 OLIVE HWY | OROVILLE | CA | 95966 | 407 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 3,521 |
Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 1,669 |
Dr. YUANHUI ZHANG | 225 KENSINGTON CT | PRINCETON | WV | 24740 | 739 |