*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| I69359 - Hemiplegia and hemiparesis following cerebral infarction affecting unspecified side - as a primary diagnosis code | I69359 - Hemiplegia and hemiparesis following cerebral infarction affecting unspecified side - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.25 | |
| Readmission Rate (%) | 26.4 | |
| Unplanned Readmission Rate (%) | 13.52 | |
| 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 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 359,935 | |
| Total Hospitalizations with ICD I69359 - Hemiplegia and hemiparesis following cerebral infarction affecting unspecified side | 907 | |
| DRG Share of Total Hospitalizations | 1.1 | |
| % of Total ICD I69359 - Hemiplegia and hemiparesis following cerebral infarction affecting unspecified side in DRG | 75.33 | |
| Avg LOS at DRG | 12.3 | |
| Avg LOS with ICD I69359 - Hemiplegia and hemiparesis following cerebral infarction affecting unspecified side | 12.0 | |
| Readmission Rate at DRG | 16.01 | |
| Readmission Rate with ICD I69359 - Hemiplegia and hemiparesis following cerebral infarction affecting unspecified side | 18.01 | |
| Unplanned Readmission Rate at DRG | 9.86 | |
| Unplanned Readmission Rate with ICD I69359 - Hemiplegia and hemiparesis following cerebral infarction affecting unspecified side | 12.24 | |
| Total Medicare payments at DRG | $5,883,826,653 | |
| Total Medicare payments with ICD I69359 - Hemiplegia and hemiparesis following cerebral infarction affecting unspecified side | $16,875,971 | |
| Total Medicare payment per Day at DRG | $1,329 | |
| Total Medicare payment per Day with ICD I69359 - Hemiplegia and hemiparesis following cerebral infarction affecting unspecified side | $1,551 | |
| Total Medicare payment per Hospitalization at DRG | $16,347 | |
| Total Medicare payment per Hospitalization with ICD I69359 - Hemiplegia and hemiparesis following cerebral infarction affecting unspecified side | $18,606 | |
| Total Medicare Charges at DRG | $15,374,824,749 | |
| Total Medicare Charges with ICD I69359 - Hemiplegia and hemiparesis following cerebral infarction affecting unspecified side | $44,302,456 | |
| Avg Charges at DRG | $42,716 | |
| Avg Charges with ICD I69359 - Hemiplegia and hemiparesis following cerebral infarction affecting unspecified side | $48,845 | |
| Mortality Rate at DRG | 0.3 | |
| Mortality Rate with ICD I69359 - Hemiplegia and hemiparesis following cerebral infarction affecting unspecified side | NA | |
| SNF Discharge Rate at DRG | 27.95 | |
| SNF Discharge Rate with ICD I69359 - Hemiplegia and hemiparesis following cerebral infarction affecting unspecified side | 23.04 | |
| Home Discharge Rate at DRG | 26.85 | |
| Home Discharge Rate with ICD I69359 - Hemiplegia and hemiparesis following cerebral infarction affecting unspecified side | 27.23 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ST. ANTHONY'S REHABILITATION HOSPITAL | 3487 NW 30TH ST | LAUDERDALE LAKES | FL | 33311 | 28 |
| FLORIDA HOSPITAL TAMPA | 3100 E FLETCHER AVE | TAMPA | FL | 33613 | 24 |
| WAKEMED RALEIGH CAMPUS | 3000 NEW BERN AVE | RALEIGH | NC | 27610 | 23 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DANIEL CHARLES CARNEY | 3487 NW 30TH ST | LAUDERDALE LAKES | FL | 33311 | 28 |
| Dr. PATRICK J O'BRIEN | 3000 NEW BERN AVE | RALEIGH | NC | 27610 | 23 |
| Dr. DANIEL ADAM PICARD | 2815 S SEACREST BLVD | BOYNTON BEACH | FL | 33435 | 21 |
*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 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD I69359 - Hemiplegia and hemiparesis following cerebral infarction affecting unspecified side | 4,143 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD I69359 - Hemiplegia and hemiparesis following cerebral infarction affecting unspecified side in DRG | 11.26 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD I69359 - Hemiplegia and hemiparesis following cerebral infarction affecting unspecified side | 7.16 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD I69359 - Hemiplegia and hemiparesis following cerebral infarction affecting unspecified side | 26.04 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD I69359 - Hemiplegia and hemiparesis following cerebral infarction affecting unspecified side | 18.92 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD I69359 - Hemiplegia and hemiparesis following cerebral infarction affecting unspecified side | $51,678,305 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD I69359 - Hemiplegia and hemiparesis following cerebral infarction affecting unspecified side | $1,743 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD I69359 - Hemiplegia and hemiparesis following cerebral infarction affecting unspecified side | $12,474 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD I69359 - Hemiplegia and hemiparesis following cerebral infarction affecting unspecified side | $266,596,575 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD I69359 - Hemiplegia and hemiparesis following cerebral infarction affecting unspecified side | $64,349 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD I69359 - Hemiplegia and hemiparesis following cerebral infarction affecting unspecified side | 13.81 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD I69359 - Hemiplegia and hemiparesis following cerebral infarction affecting unspecified side | 42.6 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD I69359 - Hemiplegia and hemiparesis following cerebral infarction affecting unspecified side | 10.02 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 231,410 | ||||
| Total Hospitalizations with ICD I69359 - Hemiplegia and hemiparesis following cerebral infarction affecting unspecified side | 767 | ||||
| DRG Share of Total Hospitalizations | 0.7 | ||||
| % of Total ICD I69359 - Hemiplegia and hemiparesis following cerebral infarction affecting unspecified side in DRG | 2.08 | ||||
| Avg LOS at DRG | 7.29 | ||||
| Avg LOS with ICD I69359 - Hemiplegia and hemiparesis following cerebral infarction affecting unspecified side | 8.14 | ||||
| Readmission Rate at DRG | 25.54 | ||||
| Readmission Rate with ICD I69359 - Hemiplegia and hemiparesis following cerebral infarction affecting unspecified side | 29.2 | ||||
| Unplanned Readmission Rate at DRG | 18.36 | ||||
| Unplanned Readmission Rate with ICD I69359 - Hemiplegia and hemiparesis following cerebral infarction affecting unspecified side | 21.75 | ||||
| Total Medicare payments at DRG | $2,801,759,007 | ||||
| Total Medicare payments with ICD I69359 - Hemiplegia and hemiparesis following cerebral infarction affecting unspecified side | $10,524,671 | ||||
| Total Medicare payment per Day at DRG | $1,661 | ||||
| Total Medicare payment per Day with ICD I69359 - Hemiplegia and hemiparesis following cerebral infarction affecting unspecified side | $1,687 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,107 | ||||
| Total Medicare payment per Hospitalization with ICD I69359 - Hemiplegia and hemiparesis following cerebral infarction affecting unspecified side | $13,722 | ||||
| Total Medicare Charges at DRG | $13,366,030,360 | ||||
| Total Medicare Charges with ICD I69359 - Hemiplegia and hemiparesis following cerebral infarction affecting unspecified side | $49,561,123 | ||||
| Avg Charges at DRG | $57,759 | ||||
| Avg Charges with ICD I69359 - Hemiplegia and hemiparesis following cerebral infarction affecting unspecified side | $64,617 | ||||
| Mortality Rate at DRG | 7.21 | ||||
| Mortality Rate with ICD I69359 - Hemiplegia and hemiparesis following cerebral infarction affecting unspecified side | 8.47 | ||||
| SNF Discharge Rate at DRG | 32.47 | ||||
| SNF Discharge Rate with ICD I69359 - Hemiplegia and hemiparesis following cerebral infarction affecting unspecified side | 46.28 | ||||
| Home Discharge Rate at DRG | 20.84 | ||||
| Home Discharge Rate with ICD I69359 - Hemiplegia and hemiparesis following cerebral infarction affecting unspecified side | 8.21 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD I69359 - Hemiplegia and hemiparesis following cerebral infarction affecting unspecified side | 596 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD I69359 - Hemiplegia and hemiparesis following cerebral infarction affecting unspecified side in DRG | 1.62 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD I69359 - Hemiplegia and hemiparesis following cerebral infarction affecting unspecified side | 14.4 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD I69359 - Hemiplegia and hemiparesis following cerebral infarction affecting unspecified side | 38.78 | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD I69359 - Hemiplegia and hemiparesis following cerebral infarction affecting unspecified side | 21.26 | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD I69359 - Hemiplegia and hemiparesis following cerebral infarction affecting unspecified side | $21,339,471 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD I69359 - Hemiplegia and hemiparesis following cerebral infarction affecting unspecified side | $2,487 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD I69359 - Hemiplegia and hemiparesis following cerebral infarction affecting unspecified side | $35,804 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD I69359 - Hemiplegia and hemiparesis following cerebral infarction affecting unspecified side | $94,322,133 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD I69359 - Hemiplegia and hemiparesis following cerebral infarction affecting unspecified side | $158,259 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD I69359 - Hemiplegia and hemiparesis following cerebral infarction affecting unspecified side | 11.91 | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD I69359 - Hemiplegia and hemiparesis following cerebral infarction affecting unspecified side | 43.62 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD I69359 - Hemiplegia and hemiparesis following cerebral infarction affecting unspecified side | 5.2 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 249,842 | ||||
| Total Hospitalizations with ICD I69359 - Hemiplegia and hemiparesis following cerebral infarction affecting unspecified side | 538 | ||||
| DRG Share of Total Hospitalizations | 0.76 | ||||
| % of Total ICD I69359 - Hemiplegia and hemiparesis following cerebral infarction affecting unspecified side in DRG | 1.46 | ||||
| Avg LOS at DRG | 6.05 | ||||
| Avg LOS with ICD I69359 - Hemiplegia and hemiparesis following cerebral infarction affecting unspecified side | 6.75 | ||||
| Readmission Rate at DRG | 35.06 | ||||
| Readmission Rate with ICD I69359 - Hemiplegia and hemiparesis following cerebral infarction affecting unspecified side | 33.88 | ||||
| Unplanned Readmission Rate at DRG | 11.16 | ||||
| Unplanned Readmission Rate with ICD I69359 - Hemiplegia and hemiparesis following cerebral infarction affecting unspecified side | 13.32 | ||||
| Total Medicare payments at DRG | $2,933,944,169 | ||||
| Total Medicare payments with ICD I69359 - Hemiplegia and hemiparesis following cerebral infarction affecting unspecified side | $6,677,185 | ||||
| Total Medicare payment per Day at DRG | $1,941 | ||||
| Total Medicare payment per Day with ICD I69359 - Hemiplegia and hemiparesis following cerebral infarction affecting unspecified side | $1,839 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,743 | ||||
| Total Medicare payment per Hospitalization with ICD I69359 - Hemiplegia and hemiparesis following cerebral infarction affecting unspecified side | $12,411 | ||||
| Total Medicare Charges at DRG | $15,164,864,310 | ||||
| Total Medicare Charges with ICD I69359 - Hemiplegia and hemiparesis following cerebral infarction affecting unspecified side | $31,453,327 | ||||
| Avg Charges at DRG | $60,698 | ||||
| Avg Charges with ICD I69359 - Hemiplegia and hemiparesis following cerebral infarction affecting unspecified side | $58,463 | ||||
| Mortality Rate at DRG | 15.95 | ||||
| Mortality Rate with ICD I69359 - Hemiplegia and hemiparesis following cerebral infarction affecting unspecified side | 14.68 | ||||
| SNF Discharge Rate at DRG | 27.24 | ||||
| SNF Discharge Rate with ICD I69359 - Hemiplegia and hemiparesis following cerebral infarction affecting unspecified side | 29.37 | ||||
| Home Discharge Rate at DRG | 12.21 | ||||
| Home Discharge Rate with ICD I69359 - Hemiplegia and hemiparesis following cerebral infarction affecting unspecified side | 9.29 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MONTEFIORE MEDICAL CENTER | 111 E 210TH ST | BRONX | NY | 10467 | 172 |
| NEW YORK-PRESBYTERIAN BROOKLYN METHODIST HOSPITAL | 506 6TH ST | BROOKLYN | NY | 11215 | 140 |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM | 1500 EAST MEDICAL CENTER DRIVE | ANN ARBOR | MI | 48109 | 118 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CLYDE HERBERT WEISSBART | 3 BARKER AVE | WHITE PLAINS | NY | 10601 | 15 |
| Dr. JOSHUA A MAKSI | 415 S 28TH AVE | HATTIESBURG | MS | 39401 | 12 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DANIEL CHARLES CARNEY | 3487 NW 30TH ST | LAUDERDALE LAKES | FL | 33311 | 44 |
| Dr. ALLISON PAIGE SCHEETZ | 3351 NORTHSIDE DR | MACON | GA | 31210 | 34 |
| Dr. ELIE FTEHA | 359 AVENUE U | BROOKLYN | NY | 11223 | 29 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | E119 | Type 2 diabetes mellitus without complications |
| 2 | K219 | Gastro-esophageal reflux disease without esophagitis |
| 3 | E039 | Hypothyroidism, unspecified |