*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| I69959 - Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting unspecified side - as a primary diagnosis code | I69959 - Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting unspecified side - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.4 | |
| Readmission Rate (%) | 26.64 | |
| Unplanned Readmission Rate (%) | 10.48 | |
| 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 I69959 - Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting unspecified side | 90 | |
| DRG Share of Total Hospitalizations | 1.1 | |
| % of Total ICD I69959 - Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting unspecified side in DRG | 78.26 | |
| Avg LOS at DRG | 12.3 | |
| Avg LOS with ICD I69959 - Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting unspecified side | 10.12 | |
| Readmission Rate at DRG | 16.01 | |
| Readmission Rate with ICD I69959 - Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting unspecified side | 16.05 | |
| Unplanned Readmission Rate at DRG | 9.86 | |
| Unplanned Readmission Rate with ICD I69959 - Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting unspecified side | NA | |
| Total Medicare payments at DRG | $5,883,826,653 | |
| Total Medicare payments with ICD I69959 - Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting unspecified side | $1,390,957 | |
| Total Medicare payment per Day at DRG | $1,329 | |
| Total Medicare payment per Day with ICD I69959 - Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting unspecified side | $1,527 | |
| Total Medicare payment per Hospitalization at DRG | $16,347 | |
| Total Medicare payment per Hospitalization with ICD I69959 - Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting unspecified side | $15,455 | |
| Total Medicare Charges at DRG | $15,374,824,749 | |
| Total Medicare Charges with ICD I69959 - Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting unspecified side | $3,964,478 | |
| Avg Charges at DRG | $42,716 | |
| Avg Charges with ICD I69959 - Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting unspecified side | $44,050 | |
| Mortality Rate at DRG | 0.3 | |
| Mortality Rate with ICD I69959 - Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting unspecified side | NA | |
| SNF Discharge Rate at DRG | 27.95 | |
| SNF Discharge Rate with ICD I69959 - Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting unspecified side | 25.56 | |
| Home Discharge Rate at DRG | 26.85 | |
| Home Discharge Rate with ICD I69959 - Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting unspecified side | 21.11 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 885: PSYCHOSES | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD I69959 - Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting unspecified side | 812 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD I69959 - Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting unspecified side in DRG | 10.73 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD I69959 - Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting unspecified side | 7.39 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD I69959 - Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting unspecified side | 32.46 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD I69959 - Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting unspecified side | 24.27 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD I69959 - Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting unspecified side | $10,033,448 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD I69959 - Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting unspecified side | $1,672 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD I69959 - Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting unspecified side | $12,356 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD I69959 - Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting unspecified side | $55,600,343 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD I69959 - Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting unspecified side | $68,473 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD I69959 - Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting unspecified side | 13.05 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD I69959 - Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting unspecified side | 42.98 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD I69959 - Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting unspecified side | 11.33 |
*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 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD I69959 - Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting unspecified side | 165 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD I69959 - Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting unspecified side in DRG | 2.18 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD I69959 - Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting unspecified side | 4.8 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD I69959 - Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting unspecified side | 21.05 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD I69959 - Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting unspecified side | 17.11 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD I69959 - Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting unspecified side | $1,154,749 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD I69959 - Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting unspecified side | $1,458 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD I69959 - Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting unspecified side | $6,998 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD I69959 - Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting unspecified side | $6,340,955 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD I69959 - Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting unspecified side | $38,430 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD I69959 - Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting unspecified side | NA | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD I69959 - Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting unspecified side | 44.24 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD I69959 - Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting unspecified side | 22.42 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 884: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 422,757 | ||||
| Total Hospitalizations with ICD I69959 - Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting unspecified side | 138 | ||||
| DRG Share of Total Hospitalizations | 1.29 | ||||
| % of Total ICD I69959 - Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting unspecified side in DRG | 1.82 | ||||
| Avg LOS at DRG | 4.14 | ||||
| Avg LOS with ICD I69959 - Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting unspecified side | 4.36 | ||||
| Readmission Rate at DRG | 24.43 | ||||
| Readmission Rate with ICD I69959 - Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting unspecified side | 25.95 | ||||
| Unplanned Readmission Rate at DRG | 18.48 | ||||
| Unplanned Readmission Rate with ICD I69959 - Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting unspecified side | 16.79 | ||||
| Total Medicare payments at DRG | $2,636,135,714 | ||||
| Total Medicare payments with ICD I69959 - Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting unspecified side | $963,285 | ||||
| Total Medicare payment per Day at DRG | $1,507 | ||||
| Total Medicare payment per Day with ICD I69959 - Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting unspecified side | $1,600 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,236 | ||||
| Total Medicare payment per Hospitalization with ICD I69959 - Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting unspecified side | $6,980 | ||||
| Total Medicare Charges at DRG | $11,980,955,733 | ||||
| Total Medicare Charges with ICD I69959 - Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting unspecified side | $4,043,267 | ||||
| Avg Charges at DRG | $28,340 | ||||
| Avg Charges with ICD I69959 - Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting unspecified side | $29,299 | ||||
| Mortality Rate at DRG | 1.01 | ||||
| Mortality Rate with ICD I69959 - Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting unspecified side | NA | ||||
| SNF Discharge Rate at DRG | 16.05 | ||||
| SNF Discharge Rate with ICD I69959 - Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting unspecified side | 28.26 | ||||
| Home Discharge Rate at DRG | 47.18 | ||||
| Home Discharge Rate with ICD I69959 - Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting unspecified side | 34.06 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD I69959 - Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting unspecified side | 111 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD I69959 - Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting unspecified side in DRG | 1.47 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD I69959 - Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting unspecified side | 12.16 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD I69959 - Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting unspecified side | 31.68 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD I69959 - Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting unspecified side | 23.76 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD I69959 - Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting unspecified side | $1,728,944 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD I69959 - Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting unspecified side | $1,281 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD I69959 - Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting unspecified side | $15,576 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD I69959 - Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting unspecified side | $8,761,939 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD I69959 - Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting unspecified side | $78,936 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD I69959 - Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting unspecified side | NA | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD I69959 - Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting unspecified side | 44.14 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD I69959 - Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting unspecified side | 17.12 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ST. JOSEPH'S UNIVERSITY MEDICAL CENTER | 703 MAIN ST | PATERSON | NJ | 07503 | 110 |
| NEWPORT BAY HOSPITAL | 1501 E 16TH ST | NEWPORT BEACH | CA | 92663 | 80 |
| PEMISCOT MEMORIAL HEALTH SYSTEMS | 946 E REED ST | HAYTI | MO | 63851 | 49 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JASON P KELLOGG | 17782 COWAN | IRVINE | CA | 92614 | 80 |
| Dr. ABDULLAH ARSHAD | 907 E REED ST | HAYTI | MO | 63851 | 42 |
| Dr. ALFREDO E TORRES | 300 WASHINGTON ST | MONROE | LA | 71201 | 18 |