*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Q039 - Congenital hydrocephalus, unspecified - as a primary diagnosis code | Q039 - Congenital hydrocephalus, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.1 | |
| Readmission Rate (%) | 24.06 | |
| Unplanned Readmission Rate (%) | 18.18 | |
| 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 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 032: VENTRICULAR SHUNT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 122,730 | |||
| Total Hospitalizations with ICD Q039 - Congenital hydrocephalus, unspecified | 39 | |||
| DRG Share of Total Hospitalizations | 0.37 | |||
| % of Total ICD Q039 - Congenital hydrocephalus, unspecified in DRG | 32.23 | |||
| Avg LOS at DRG | 7.61 | |||
| Avg LOS with ICD Q039 - Congenital hydrocephalus, unspecified | 8.44 | |||
| Readmission Rate at DRG | 21.31 | |||
| Readmission Rate with ICD Q039 - Congenital hydrocephalus, unspecified | 34.29 | |||
| Unplanned Readmission Rate at DRG | 14.13 | |||
| Unplanned Readmission Rate with ICD Q039 - Congenital hydrocephalus, unspecified | NA | |||
| Total Medicare payments at DRG | $1,397,885,220 | |||
| Total Medicare payments with ICD Q039 - Congenital hydrocephalus, unspecified | $410,731 | |||
| Total Medicare payment per Day at DRG | $1,497 | |||
| Total Medicare payment per Day with ICD Q039 - Congenital hydrocephalus, unspecified | $1,248 | |||
| Total Medicare payment per Hospitalization at DRG | $11,390 | |||
| Total Medicare payment per Hospitalization with ICD Q039 - Congenital hydrocephalus, unspecified | $10,532 | |||
| Total Medicare Charges at DRG | $4,175,290,309 | |||
| Total Medicare Charges with ICD Q039 - Congenital hydrocephalus, unspecified | $1,304,616 | |||
| Avg Charges at DRG | $34,020 | |||
| Avg Charges with ICD Q039 - Congenital hydrocephalus, unspecified | $33,452 | |||
| Mortality Rate at DRG | 0.28 | |||
| Mortality Rate with ICD Q039 - Congenital hydrocephalus, unspecified | NA | |||
| SNF Discharge Rate at DRG | 21.64 | |||
| SNF Discharge Rate with ICD Q039 - Congenital hydrocephalus, unspecified | NA | |||
| Home Discharge Rate at DRG | 28.06 | |||
| Home Discharge Rate with ICD Q039 - Congenital hydrocephalus, unspecified | 41.03 |
*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 101: SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 033: VENTRICULAR SHUNT PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 032: VENTRICULAR SHUNT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD Q039 - Congenital hydrocephalus, unspecified | 213 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Q039 - Congenital hydrocephalus, unspecified in DRG | 7.06 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Q039 - Congenital hydrocephalus, unspecified | 8.35 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Q039 - Congenital hydrocephalus, unspecified | 21.98 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Q039 - Congenital hydrocephalus, unspecified | 13.74 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Q039 - Congenital hydrocephalus, unspecified | $2,561,103 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Q039 - Congenital hydrocephalus, unspecified | $1,440 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Q039 - Congenital hydrocephalus, unspecified | $12,024 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Q039 - Congenital hydrocephalus, unspecified | $14,049,629 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Q039 - Congenital hydrocephalus, unspecified | $65,961 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Q039 - Congenital hydrocephalus, unspecified | 8.45 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Q039 - Congenital hydrocephalus, unspecified | 26.29 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Q039 - Congenital hydrocephalus, unspecified | 29.11 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 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 103: HEADACHES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 025: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 122,730 | ||||
| Total Hospitalizations with ICD Q039 - Congenital hydrocephalus, unspecified | 94 | ||||
| DRG Share of Total Hospitalizations | 0.37 | ||||
| % of Total ICD Q039 - Congenital hydrocephalus, unspecified in DRG | 3.11 | ||||
| Avg LOS at DRG | 7.61 | ||||
| Avg LOS with ICD Q039 - Congenital hydrocephalus, unspecified | 6.5 | ||||
| Readmission Rate at DRG | 21.31 | ||||
| Readmission Rate with ICD Q039 - Congenital hydrocephalus, unspecified | 29.07 | ||||
| Unplanned Readmission Rate at DRG | 14.13 | ||||
| Unplanned Readmission Rate with ICD Q039 - Congenital hydrocephalus, unspecified | 22.09 | ||||
| Total Medicare payments at DRG | $1,397,885,220 | ||||
| Total Medicare payments with ICD Q039 - Congenital hydrocephalus, unspecified | $869,458 | ||||
| Total Medicare payment per Day at DRG | $1,497 | ||||
| Total Medicare payment per Day with ICD Q039 - Congenital hydrocephalus, unspecified | $1,423 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,390 | ||||
| Total Medicare payment per Hospitalization with ICD Q039 - Congenital hydrocephalus, unspecified | $9,250 | ||||
| Total Medicare Charges at DRG | $4,175,290,309 | ||||
| Total Medicare Charges with ICD Q039 - Congenital hydrocephalus, unspecified | $3,301,610 | ||||
| Avg Charges at DRG | $34,020 | ||||
| Avg Charges with ICD Q039 - Congenital hydrocephalus, unspecified | $35,124 | ||||
| Mortality Rate at DRG | 0.28 | ||||
| Mortality Rate with ICD Q039 - Congenital hydrocephalus, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 21.64 | ||||
| SNF Discharge Rate with ICD Q039 - Congenital hydrocephalus, unspecified | 15.96 | ||||
| Home Discharge Rate at DRG | 28.06 | ||||
| Home Discharge Rate with ICD Q039 - Congenital hydrocephalus, unspecified | 50.0 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 100: SEIZURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS 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 | 80,879 | ||||
| Total Hospitalizations with ICD Q039 - Congenital hydrocephalus, unspecified | 52 | ||||
| DRG Share of Total Hospitalizations | 0.25 | ||||
| % of Total ICD Q039 - Congenital hydrocephalus, unspecified in DRG | 1.72 | ||||
| Avg LOS at DRG | 5.67 | ||||
| Avg LOS with ICD Q039 - Congenital hydrocephalus, unspecified | 4.98 | ||||
| Readmission Rate at DRG | 24.72 | ||||
| Readmission Rate with ICD Q039 - Congenital hydrocephalus, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 15.43 | ||||
| Unplanned Readmission Rate with ICD Q039 - Congenital hydrocephalus, unspecified | NA | ||||
| Total Medicare payments at DRG | $887,347,366 | ||||
| Total Medicare payments with ICD Q039 - Congenital hydrocephalus, unspecified | $581,846 | ||||
| Total Medicare payment per Day at DRG | $1,935 | ||||
| Total Medicare payment per Day with ICD Q039 - Congenital hydrocephalus, unspecified | $2,247 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,971 | ||||
| Total Medicare payment per Hospitalization with ICD Q039 - Congenital hydrocephalus, unspecified | $11,189 | ||||
| Total Medicare Charges at DRG | $4,622,921,880 | ||||
| Total Medicare Charges with ICD Q039 - Congenital hydrocephalus, unspecified | $3,114,570 | ||||
| Avg Charges at DRG | $57,158 | ||||
| Avg Charges with ICD Q039 - Congenital hydrocephalus, unspecified | $59,896 | ||||
| Mortality Rate at DRG | 2.92 | ||||
| Mortality Rate with ICD Q039 - Congenital hydrocephalus, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 27.07 | ||||
| SNF Discharge Rate with ICD Q039 - Congenital hydrocephalus, unspecified | NA | ||||
| Home Discharge Rate at DRG | 34.76 | ||||
| Home Discharge Rate with ICD Q039 - Congenital hydrocephalus, unspecified | 59.62 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 027: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 031: VENTRICULAR SHUNT PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD Q039 - Congenital hydrocephalus, unspecified | 38 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD Q039 - Congenital hydrocephalus, unspecified in DRG | 1.26 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD Q039 - Congenital hydrocephalus, unspecified | 3.05 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD Q039 - Congenital hydrocephalus, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD Q039 - Congenital hydrocephalus, unspecified | NA | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD Q039 - Congenital hydrocephalus, unspecified | $213,587 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD Q039 - Congenital hydrocephalus, unspecified | $1,841 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD Q039 - Congenital hydrocephalus, unspecified | $5,621 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD Q039 - Congenital hydrocephalus, unspecified | $886,171 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD Q039 - Congenital hydrocephalus, unspecified | $23,320 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD Q039 - Congenital hydrocephalus, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD Q039 - Congenital hydrocephalus, unspecified | NA | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD Q039 - Congenital hydrocephalus, unspecified | 73.68 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| THE JOHNS HOPKINS HOSPITAL | 600 N WOLFE ST | BALTIMORE | MD | 21287 | 45 |
| UMASS MEMORIAL MEDICAL CENTER | 55 LAKE AVENUE | WORCESTER | MA | 01655 | 26 |
| BARNES JEWISH HOSPITAL | 1 BARNES-JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 24 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MARK LUCIANO | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 32 |
| Dr. STEVEN D. HAM | 3901 BEAUBIEN ST FL 2 | DETROIT | MI | 48201 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MARK LUCIANO | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 42 |
| Dr. STEVEN D. HAM | 3901 BEAUBIEN ST FL 2 | DETROIT | MI | 48201 | 12 |