*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| G94 - Other disorders of brain in diseases classified elsewhere - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 15.45 | |
| 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD G94 - Other disorders of brain in diseases classified elsewhere | 1,353 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD G94 - Other disorders of brain in diseases classified elsewhere in DRG | 9.5 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD G94 - Other disorders of brain in diseases classified elsewhere | 7.01 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD G94 - Other disorders of brain in diseases classified elsewhere | 25.98 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD G94 - Other disorders of brain in diseases classified elsewhere | 16.83 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD G94 - Other disorders of brain in diseases classified elsewhere | $15,695,620 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD G94 - Other disorders of brain in diseases classified elsewhere | $1,656 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD G94 - Other disorders of brain in diseases classified elsewhere | $11,601 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD G94 - Other disorders of brain in diseases classified elsewhere | $79,888,938 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD G94 - Other disorders of brain in diseases classified elsewhere | $59,046 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD G94 - Other disorders of brain in diseases classified elsewhere | 12.71 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD G94 - Other disorders of brain in diseases classified elsewhere | 35.4 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD G94 - Other disorders of brain in diseases classified elsewhere | 14.04 |
*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 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 884: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 101: SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD G94 - Other disorders of brain in diseases classified elsewhere | 477 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD G94 - Other disorders of brain in diseases classified elsewhere in DRG | 3.35 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD G94 - Other disorders of brain in diseases classified elsewhere | 4.77 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD G94 - Other disorders of brain in diseases classified elsewhere | 20.04 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD G94 - Other disorders of brain in diseases classified elsewhere | 13.29 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD G94 - Other disorders of brain in diseases classified elsewhere | $3,095,136 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD G94 - Other disorders of brain in diseases classified elsewhere | $1,360 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD G94 - Other disorders of brain in diseases classified elsewhere | $6,489 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD G94 - Other disorders of brain in diseases classified elsewhere | $15,884,990 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD G94 - Other disorders of brain in diseases classified elsewhere | $33,302 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD G94 - Other disorders of brain in diseases classified elsewhere | NA | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD G94 - Other disorders of brain in diseases classified elsewhere | 38.57 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD G94 - Other disorders of brain in diseases classified elsewhere | 26.0 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 100: SEIZURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD G94 - Other disorders of brain in diseases classified elsewhere | 291 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD G94 - Other disorders of brain in diseases classified elsewhere in DRG | 2.04 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD G94 - Other disorders of brain in diseases classified elsewhere | 6.91 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD G94 - Other disorders of brain in diseases classified elsewhere | 30.94 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD G94 - Other disorders of brain in diseases classified elsewhere | 22.26 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD G94 - Other disorders of brain in diseases classified elsewhere | $2,789,007 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD G94 - Other disorders of brain in diseases classified elsewhere | $1,386 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD G94 - Other disorders of brain in diseases classified elsewhere | $9,584 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD G94 - Other disorders of brain in diseases classified elsewhere | $14,765,413 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD G94 - Other disorders of brain in diseases classified elsewhere | $50,740 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD G94 - Other disorders of brain in diseases classified elsewhere | 6.87 | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD G94 - Other disorders of brain in diseases classified elsewhere | 36.77 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD G94 - Other disorders of brain in diseases classified elsewhere | 15.81 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 100,281 | ||||
| Total Hospitalizations with ICD G94 - Other disorders of brain in diseases classified elsewhere | 193 | ||||
| DRG Share of Total Hospitalizations | 0.31 | ||||
| % of Total ICD G94 - Other disorders of brain in diseases classified elsewhere in DRG | 1.36 | ||||
| Avg LOS at DRG | 12.68 | ||||
| Avg LOS with ICD G94 - Other disorders of brain in diseases classified elsewhere | 11.01 | ||||
| Readmission Rate at DRG | 21.82 | ||||
| Readmission Rate with ICD G94 - Other disorders of brain in diseases classified elsewhere | 23.7 | ||||
| Unplanned Readmission Rate at DRG | 14.27 | ||||
| Unplanned Readmission Rate with ICD G94 - Other disorders of brain in diseases classified elsewhere | 14.45 | ||||
| Total Medicare payments at DRG | $1,907,954,923 | ||||
| Total Medicare payments with ICD G94 - Other disorders of brain in diseases classified elsewhere | $2,885,965 | ||||
| Total Medicare payment per Day at DRG | $1,501 | ||||
| Total Medicare payment per Day with ICD G94 - Other disorders of brain in diseases classified elsewhere | $1,358 | ||||
| Total Medicare payment per Hospitalization at DRG | $19,026 | ||||
| Total Medicare payment per Hospitalization with ICD G94 - Other disorders of brain in diseases classified elsewhere | $14,953 | ||||
| Total Medicare Charges at DRG | $5,940,453,690 | ||||
| Total Medicare Charges with ICD G94 - Other disorders of brain in diseases classified elsewhere | $11,994,404 | ||||
| Avg Charges at DRG | $59,238 | ||||
| Avg Charges with ICD G94 - Other disorders of brain in diseases classified elsewhere | $62,147 | ||||
| Mortality Rate at DRG | 2.33 | ||||
| Mortality Rate with ICD G94 - Other disorders of brain in diseases classified elsewhere | NA | ||||
| SNF Discharge Rate at DRG | 30.7 | ||||
| SNF Discharge Rate with ICD G94 - Other disorders of brain in diseases classified elsewhere | 45.08 | ||||
| Home Discharge Rate at DRG | 16.5 | ||||
| Home Discharge Rate with ICD G94 - Other disorders of brain in diseases classified elsewhere | 12.95 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| SANFORD HEALTH | 801 BROADWAY N | FARGO | ND | 58122 | 329 |
| MEMORIAL HERMANN HOSPITAL SYSTEM | 1635 NORTH LOOP W | HOUSTON | TX | 77008 | 313 |
| MEMORIAL HERMANN TEXAS MEDICAL CENTER | 6411 FANNIN ST | HOUSTON | TX | 77030 | 155 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ALEXANDER DROFA | 700 1ST AVE S | FARGO | ND | 58103 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MIN S KIM | 2520 5TH ST N | COLUMBUS | MS | 39705 | 30 |
| Dr. TABREZ SHERIFF AMEERJAN NAYAZ | 1300 ANNE ST NW | BEMIDJI | MN | 56601 | 30 |
| Dr. HRISHIKESH GHANEKAR | 1025 MAINE ST | QUINCY | IL | 62301 | 25 |