*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| G894 - Chronic pain syndrome - as a primary diagnosis code | G894 - Chronic pain syndrome - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.04 | |
| Readmission Rate (%) | 27.51 | |
| Unplanned Readmission Rate (%) | 15.92 | |
| 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 029: SPINAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) OR SPINAL NEUROSTIMULATORS | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 030: SPINAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 122,730 | ||||
| Total Hospitalizations with ICD G894 - Chronic pain syndrome | 1,229 | ||||
| DRG Share of Total Hospitalizations | 0.37 | ||||
| % of Total ICD G894 - Chronic pain syndrome in DRG | 44.1 | ||||
| Avg LOS at DRG | 7.61 | ||||
| Avg LOS with ICD G894 - Chronic pain syndrome | 4.82 | ||||
| Readmission Rate at DRG | 21.31 | ||||
| Readmission Rate with ICD G894 - Chronic pain syndrome | 23.16 | ||||
| Unplanned Readmission Rate at DRG | 14.13 | ||||
| Unplanned Readmission Rate with ICD G894 - Chronic pain syndrome | 17.78 | ||||
| Total Medicare payments at DRG | $1,397,885,220 | ||||
| Total Medicare payments with ICD G894 - Chronic pain syndrome | $7,788,551 | ||||
| Total Medicare payment per Day at DRG | $1,497 | ||||
| Total Medicare payment per Day with ICD G894 - Chronic pain syndrome | $1,314 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,390 | ||||
| Total Medicare payment per Hospitalization with ICD G894 - Chronic pain syndrome | $6,337 | ||||
| Total Medicare Charges at DRG | $4,175,290,309 | ||||
| Total Medicare Charges with ICD G894 - Chronic pain syndrome | $37,628,553 | ||||
| Avg Charges at DRG | $34,020 | ||||
| Avg Charges with ICD G894 - Chronic pain syndrome | $30,617 | ||||
| Mortality Rate at DRG | 0.28 | ||||
| Mortality Rate with ICD G894 - Chronic pain syndrome | NA | ||||
| SNF Discharge Rate at DRG | 21.64 | ||||
| SNF Discharge Rate with ICD G894 - Chronic pain syndrome | 17.17 | ||||
| Home Discharge Rate at DRG | 28.06 | ||||
| Home Discharge Rate with ICD G894 - Chronic pain syndrome | 56.55 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 042: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM 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 028: SPINAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 040: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 6,947 | |||
| Total Hospitalizations with ICD G894 - Chronic pain syndrome | 92 | |||
| DRG Share of Total Hospitalizations | 0.02 | |||
| % of Total ICD G894 - Chronic pain syndrome in DRG | 3.3 | |||
| Avg LOS at DRG | 3.14 | |||
| Avg LOS with ICD G894 - Chronic pain syndrome | 1.9 | |||
| Readmission Rate at DRG | 16.58 | |||
| Readmission Rate with ICD G894 - Chronic pain syndrome | 16.09 | |||
| Unplanned Readmission Rate at DRG | 6.13 | |||
| Unplanned Readmission Rate with ICD G894 - Chronic pain syndrome | 13.79 | |||
| Total Medicare payments at DRG | $80,818,955 | |||
| Total Medicare payments with ICD G894 - Chronic pain syndrome | $777,429 | |||
| Total Medicare payment per Day at DRG | $3,708 | |||
| Total Medicare payment per Day with ICD G894 - Chronic pain syndrome | $4,442 | |||
| Total Medicare payment per Hospitalization at DRG | $11,634 | |||
| Total Medicare payment per Hospitalization with ICD G894 - Chronic pain syndrome | $8,450 | |||
| Total Medicare Charges at DRG | $457,535,177 | |||
| Total Medicare Charges with ICD G894 - Chronic pain syndrome | $9,129,508 | |||
| Avg Charges at DRG | $65,861 | |||
| Avg Charges with ICD G894 - Chronic pain syndrome | $99,234 | |||
| Mortality Rate at DRG | NA | |||
| Mortality Rate with ICD G894 - Chronic pain syndrome | NA | |||
| SNF Discharge Rate at DRG | 10.15 | |||
| SNF Discharge Rate with ICD G894 - Chronic pain syndrome | NA | |||
| Home Discharge Rate at DRG | 64.43 | |||
| Home Discharge Rate with ICD G894 - Chronic pain syndrome | 83.7 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ST. JOSEPH MERCY HOSPITAL | 5301 HURON RIVER DRIVE | YPSILANTI | MI | 48197 | 173 |
| METHODIST STONE OAK HOSPITAL | 1139 E. SONTERRA BLVD. | SAN ANTONIO | TX | 78258 | 57 |
| PROMISE HOSPITAL OF LOUISIANA | 1800 IRVING PL | SHREVEPORT | LA | 71101 | 45 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DONALD PAUL ATKINS | 4410 MEDICAL DR | SAN ANTONIO | TX | 78229 | 48 |
| Dr. JUDSON HOWARD COOK | 1950 BLUEGRASS CIR | CHEYENNE | WY | 82009 | 31 |
| Dr. FEREIDOON PARSIOON | 5673 S REX RD | MEMPHIS | TN | 38119 | 23 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DONALD PAUL ATKINS | 4410 MEDICAL DR | SAN ANTONIO | TX | 78229 | 49 |
| Dr. JUDSON HOWARD COOK | 1950 BLUEGRASS CIR | CHEYENNE | WY | 82009 | 26 |
| Dr. FEREIDOON PARSIOON | 5673 S REX RD | MEMPHIS | TN | 38119 | 23 |
*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 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE 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 G894 - Chronic pain syndrome | 44,452 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD G894 - Chronic pain syndrome in DRG | 6.69 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD G894 - Chronic pain syndrome | 6.54 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD G894 - Chronic pain syndrome | 28.38 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD G894 - Chronic pain syndrome | 20.62 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD G894 - Chronic pain syndrome | $499,288,247 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD G894 - Chronic pain syndrome | $1,716 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD G894 - Chronic pain syndrome | $11,232 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD G894 - Chronic pain syndrome | $2,740,517,738 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD G894 - Chronic pain syndrome | $61,651 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD G894 - Chronic pain syndrome | 6.2 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD G894 - Chronic pain syndrome | 25.6 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD G894 - Chronic pain syndrome | 31.67 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 917: POISONING AND TOXIC EFFECTS OF DRUGS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD G894 - Chronic pain syndrome | 15,596 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD G894 - Chronic pain syndrome in DRG | 2.35 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD G894 - Chronic pain syndrome | 5.45 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD G894 - Chronic pain syndrome | 35.11 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD G894 - Chronic pain syndrome | 28.23 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD G894 - Chronic pain syndrome | $139,431,500 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD G894 - Chronic pain syndrome | $1,641 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD G894 - Chronic pain syndrome | $8,940 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD G894 - Chronic pain syndrome | $716,438,855 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD G894 - Chronic pain syndrome | $45,937 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD G894 - Chronic pain syndrome | 2.13 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD G894 - Chronic pain syndrome | 21.22 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD G894 - Chronic pain syndrome | 37.96 |
*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 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD G894 - Chronic pain syndrome | 10,688 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD G894 - Chronic pain syndrome in DRG | 1.61 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD G894 - Chronic pain syndrome | 4.87 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD G894 - Chronic pain syndrome | 23.58 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD G894 - Chronic pain syndrome | 17.56 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD G894 - Chronic pain syndrome | $68,698,425 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD G894 - Chronic pain syndrome | $1,321 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD G894 - Chronic pain syndrome | $6,428 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD G894 - Chronic pain syndrome | $415,983,934 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD G894 - Chronic pain syndrome | $38,921 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD G894 - Chronic pain syndrome | 0.62 | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD G894 - Chronic pain syndrome | 19.77 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD G894 - Chronic pain syndrome | 47.63 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 812: RED BLOOD CELL DISORDERS WITHOUT 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) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD G894 - Chronic pain syndrome | 8,351 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD G894 - Chronic pain syndrome in DRG | 1.26 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD G894 - Chronic pain syndrome | 4.08 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD G894 - Chronic pain syndrome | 20.43 | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD G894 - Chronic pain syndrome | 15.07 | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD G894 - Chronic pain syndrome | $47,861,171 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD G894 - Chronic pain syndrome | $1,405 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD G894 - Chronic pain syndrome | $5,731 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD G894 - Chronic pain syndrome | $250,272,204 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD G894 - Chronic pain syndrome | $29,969 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD G894 - Chronic pain syndrome | 0.38 | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD G894 - Chronic pain syndrome | 15.05 | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD G894 - Chronic pain syndrome | 54.98 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 2,885 |
| TAMPA GENERAL HOSPITAL | 1 TAMPA GENERAL CIRCLE | TAMPA | FL | 33606 | 2,369 |
| NORTH FLORIDA REGIONAL MEDICAL CENTER | 6500 W NEWBERRY RD | GAINESVILLE | FL | 32605 | 2,284 |
| 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 | 386 |
| Dr. GADSON JOHN JOHNSON | 701 SANTA MONICA BLVD | SANTA MONICA | CA | 90401 | 234 |
| Dr. WILLIAM M. GILLESPIE | 510 S GRAND AVE STE 200 | GLENDORA | CA | 91741 | 163 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 545 |
| Dr. WOJCIECH L. DULOWSKI | 1401 W LOCUST ST | STILWELL | OK | 74960 | 468 |
| Dr. GHULAM MUSTAFA ANWAR | 10250 SE 167TH PLACE RD | SUMMERFIELD | FL | 34491 | 461 |