*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M623 - Immobility syndrome (paraplegic) - as a primary diagnosis code | M623 - Immobility syndrome (paraplegic) - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.84 | |
| Readmission Rate (%) | 26.61 | |
| Unplanned Readmission Rate (%) | 7.79 | |
| 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 558: TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 557: TENDONITIS, MYOSITIS AND BURSITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 39,224 | |
| Total Hospitalizations with ICD M623 - Immobility syndrome (paraplegic) | 106 | |
| DRG Share of Total Hospitalizations | 0.12 | |
| % of Total ICD M623 - Immobility syndrome (paraplegic) in DRG | 60.23 | |
| Avg LOS at DRG | 4.42 | |
| Avg LOS with ICD M623 - Immobility syndrome (paraplegic) | 9.39 | |
| Readmission Rate at DRG | 18.22 | |
| Readmission Rate with ICD M623 - Immobility syndrome (paraplegic) | NA | |
| Unplanned Readmission Rate at DRG | 9.29 | |
| Unplanned Readmission Rate with ICD M623 - Immobility syndrome (paraplegic) | NA | |
| Total Medicare payments at DRG | $239,468,231 | |
| Total Medicare payments with ICD M623 - Immobility syndrome (paraplegic) | $1,165,651 | |
| Total Medicare payment per Day at DRG | $1,381 | |
| Total Medicare payment per Day with ICD M623 - Immobility syndrome (paraplegic) | $1,172 | |
| Total Medicare payment per Hospitalization at DRG | $6,105 | |
| Total Medicare payment per Hospitalization with ICD M623 - Immobility syndrome (paraplegic) | $10,997 | |
| Total Medicare Charges at DRG | $1,104,766,925 | |
| Total Medicare Charges with ICD M623 - Immobility syndrome (paraplegic) | $3,740,923 | |
| Avg Charges at DRG | $28,166 | |
| Avg Charges with ICD M623 - Immobility syndrome (paraplegic) | $35,292 | |
| Mortality Rate at DRG | 0.2 | |
| Mortality Rate with ICD M623 - Immobility syndrome (paraplegic) | NA | |
| SNF Discharge Rate at DRG | 32.92 | |
| SNF Discharge Rate with ICD M623 - Immobility syndrome (paraplegic) | 28.3 | |
| Home Discharge Rate at DRG | 33.95 | |
| Home Discharge Rate with ICD M623 - Immobility syndrome (paraplegic) | 18.87 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BAPTIST HEALTH LOUISVILLE | 4000 KRESGE WAY | LOUISVILLE | KY | 40207 | 48 |
| JEWISH HOSPITAL & ST MARY'S HEALTHCARE | 220 ABRAHAM FLEXNER WAY | LOUISVILLE | KY | 40202 | 32 |
| NORTHWEST MEDICAL CENTER | 6200 N LA CHOLLA BLVD | TUCSON | AZ | 85741 | 15 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOHN MICHAEL GORMLEY | 3900 KRESGE WAY | LOUISVILLE | KY | 40207 | 32 |
| Dr. LEWIS HARGETT | 1900 BLUEGRASS AVE | LOUISVILLE | KY | 40215 | 24 |
| Dr. MARTIN W YEE | 10115 E BELL RD | SCOTTSDALE | AZ | 85260 | 22 |
*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 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 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD M623 - Immobility syndrome (paraplegic) | 440 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD M623 - Immobility syndrome (paraplegic) in DRG | 8.1 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD M623 - Immobility syndrome (paraplegic) | 7.79 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD M623 - Immobility syndrome (paraplegic) | 22.94 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD M623 - Immobility syndrome (paraplegic) | 15.72 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD M623 - Immobility syndrome (paraplegic) | $4,714,486 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD M623 - Immobility syndrome (paraplegic) | $1,376 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD M623 - Immobility syndrome (paraplegic) | $10,715 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD M623 - Immobility syndrome (paraplegic) | $22,862,088 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD M623 - Immobility syndrome (paraplegic) | $51,959 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD M623 - Immobility syndrome (paraplegic) | 8.64 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD M623 - Immobility syndrome (paraplegic) | 46.14 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD M623 - Immobility syndrome (paraplegic) | 7.95 |
*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 558: TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD M623 - Immobility syndrome (paraplegic) | 125 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD M623 - Immobility syndrome (paraplegic) in DRG | 2.3 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD M623 - Immobility syndrome (paraplegic) | 9.36 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD M623 - Immobility syndrome (paraplegic) | 35.19 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD M623 - Immobility syndrome (paraplegic) | 15.74 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD M623 - Immobility syndrome (paraplegic) | $1,525,010 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD M623 - Immobility syndrome (paraplegic) | $1,303 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD M623 - Immobility syndrome (paraplegic) | $12,200 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD M623 - Immobility syndrome (paraplegic) | $7,119,144 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD M623 - Immobility syndrome (paraplegic) | $56,953 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD M623 - Immobility syndrome (paraplegic) | NA | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD M623 - Immobility syndrome (paraplegic) | 38.4 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD M623 - Immobility syndrome (paraplegic) | 16.0 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/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 | 231,410 | ||||
| Total Hospitalizations with ICD M623 - Immobility syndrome (paraplegic) | 97 | ||||
| DRG Share of Total Hospitalizations | 0.7 | ||||
| % of Total ICD M623 - Immobility syndrome (paraplegic) in DRG | 1.79 | ||||
| Avg LOS at DRG | 7.29 | ||||
| Avg LOS with ICD M623 - Immobility syndrome (paraplegic) | 7.93 | ||||
| Readmission Rate at DRG | 25.54 | ||||
| Readmission Rate with ICD M623 - Immobility syndrome (paraplegic) | 21.18 | ||||
| Unplanned Readmission Rate at DRG | 18.36 | ||||
| Unplanned Readmission Rate with ICD M623 - Immobility syndrome (paraplegic) | 15.29 | ||||
| Total Medicare payments at DRG | $2,801,759,007 | ||||
| Total Medicare payments with ICD M623 - Immobility syndrome (paraplegic) | $1,069,458 | ||||
| Total Medicare payment per Day at DRG | $1,661 | ||||
| Total Medicare payment per Day with ICD M623 - Immobility syndrome (paraplegic) | $1,391 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,107 | ||||
| Total Medicare payment per Hospitalization with ICD M623 - Immobility syndrome (paraplegic) | $11,025 | ||||
| Total Medicare Charges at DRG | $13,366,030,360 | ||||
| Total Medicare Charges with ICD M623 - Immobility syndrome (paraplegic) | $4,506,020 | ||||
| Avg Charges at DRG | $57,759 | ||||
| Avg Charges with ICD M623 - Immobility syndrome (paraplegic) | $46,454 | ||||
| Mortality Rate at DRG | 7.21 | ||||
| Mortality Rate with ICD M623 - Immobility syndrome (paraplegic) | NA | ||||
| SNF Discharge Rate at DRG | 32.47 | ||||
| SNF Discharge Rate with ICD M623 - Immobility syndrome (paraplegic) | 47.42 | ||||
| Home Discharge Rate at DRG | 20.84 | ||||
| Home Discharge Rate with ICD M623 - Immobility syndrome (paraplegic) | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 557: TENDONITIS, MYOSITIS AND BURSITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 364,421 | ||||
| Total Hospitalizations with ICD M623 - Immobility syndrome (paraplegic) | 78 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD M623 - Immobility syndrome (paraplegic) in DRG | 1.44 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD M623 - Immobility syndrome (paraplegic) | 4.64 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD M623 - Immobility syndrome (paraplegic) | 15.49 | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD M623 - Immobility syndrome (paraplegic) | NA | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD M623 - Immobility syndrome (paraplegic) | $422,434 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD M623 - Immobility syndrome (paraplegic) | $1,167 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD M623 - Immobility syndrome (paraplegic) | $5,416 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD M623 - Immobility syndrome (paraplegic) | $1,718,866 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD M623 - Immobility syndrome (paraplegic) | $22,037 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD M623 - Immobility syndrome (paraplegic) | NA | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD M623 - Immobility syndrome (paraplegic) | 32.05 | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD M623 - Immobility syndrome (paraplegic) | 30.77 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| JEWISH HOSPITAL & ST. MARY'S HEALTHCARE | 200 ABRAHAM FLEXNER WAY | LOUISVILLE | KY | 40202 | 874 |
| BAPTIST HEALTH LOUISVILLE | 4000 KRESGE WAY | LOUISVILLE | KY | 40207 | 660 |
| NORTON AUDUBON HOSPITAL | 1 AUDUBON PLAZA DR | LOUISVILLE | KY | 40217 | 332 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SEAN MICHAEL GRIFFIN | 3 AUDUBON PLAZA DR STE 430 | LOUISVILLE | KY | 40217 | 55 |
| Dr. GARY F BLOEMER | 3 AUDUBON PLAZA DR | LOUISVILLE | KY | 40217 | 55 |
| Dr. JEFFREY NEAL SHARPE | 9880 ANGIES WAY | LOUISVILLE | KY | 40241 | 37 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. LEWIS HARGETT | 1900 BLUEGRASS AVE | LOUISVILLE | KY | 40215 | 154 |
| Dr. IMRAN S. NASIR | 1850 BLUEGRASS AVE | LOUISVILLE | KY | 40215 | 123 |
| Dr. AFTAB AHMED | 250 E LIBERTY ST | LOUISVILLE | KY | 40202 | 111 |