*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Q057 - Lumbar spina bifida without hydrocephalus - as a primary diagnosis code | Q057 - Lumbar spina bifida without hydrocephalus - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.98 | |
| Readmission Rate (%) | 27.05 | |
| Unplanned Readmission Rate (%) | NA | |
| 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) | |
|---|---|
| Total Hospitalizations at DRG | 122,730 |
| Total Hospitalizations with ICD Q057 - Lumbar spina bifida without hydrocephalus | 17 |
| DRG Share of Total Hospitalizations | 0.37 |
| % of Total ICD Q057 - Lumbar spina bifida without hydrocephalus in DRG | 37.78 |
| Avg LOS at DRG | 7.61 |
| Avg LOS with ICD Q057 - Lumbar spina bifida without hydrocephalus | 12.59 |
| Readmission Rate at DRG | 21.31 |
| Readmission Rate with ICD Q057 - Lumbar spina bifida without hydrocephalus | NA |
| Unplanned Readmission Rate at DRG | 14.13 |
| Unplanned Readmission Rate with ICD Q057 - Lumbar spina bifida without hydrocephalus | NA |
| Total Medicare payments at DRG | $1,397,885,220 |
| Total Medicare payments with ICD Q057 - Lumbar spina bifida without hydrocephalus | $335,209 |
| Total Medicare payment per Day at DRG | $1,497 |
| Total Medicare payment per Day with ICD Q057 - Lumbar spina bifida without hydrocephalus | $1,566 |
| Total Medicare payment per Hospitalization at DRG | $11,390 |
| Total Medicare payment per Hospitalization with ICD Q057 - Lumbar spina bifida without hydrocephalus | $19,718 |
| Total Medicare Charges at DRG | $4,175,290,309 |
| Total Medicare Charges with ICD Q057 - Lumbar spina bifida without hydrocephalus | $661,210 |
| Avg Charges at DRG | $34,020 |
| Avg Charges with ICD Q057 - Lumbar spina bifida without hydrocephalus | $38,895 |
| Mortality Rate at DRG | 0.28 |
| Mortality Rate with ICD Q057 - Lumbar spina bifida without hydrocephalus | NA |
| SNF Discharge Rate at DRG | 21.64 |
| SNF Discharge Rate with ICD Q057 - Lumbar spina bifida without hydrocephalus | NA |
| Home Discharge Rate at DRG | 28.06 |
| Home Discharge Rate with ICD Q057 - Lumbar spina bifida without hydrocephalus | 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 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 699: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD Q057 - Lumbar spina bifida without hydrocephalus | 73 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD Q057 - Lumbar spina bifida without hydrocephalus in DRG | 6.08 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD Q057 - Lumbar spina bifida without hydrocephalus | 4.38 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD Q057 - Lumbar spina bifida without hydrocephalus | 18.84 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD Q057 - Lumbar spina bifida without hydrocephalus | NA | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD Q057 - Lumbar spina bifida without hydrocephalus | $407,790 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD Q057 - Lumbar spina bifida without hydrocephalus | $1,274 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD Q057 - Lumbar spina bifida without hydrocephalus | $5,586 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD Q057 - Lumbar spina bifida without hydrocephalus | $1,887,487 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD Q057 - Lumbar spina bifida without hydrocephalus | $25,856 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD Q057 - Lumbar spina bifida without hydrocephalus | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD Q057 - Lumbar spina bifida without hydrocephalus | NA | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD Q057 - Lumbar spina bifida without hydrocephalus | 73.97 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| 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) | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 029: SPINAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) OR SPINAL NEUROSTIMULATORS | DRG 539: OSTEOMYELITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 172,705 | ||||
| Total Hospitalizations with ICD Q057 - Lumbar spina bifida without hydrocephalus | 36 | ||||
| DRG Share of Total Hospitalizations | 0.53 | ||||
| % of Total ICD Q057 - Lumbar spina bifida without hydrocephalus in DRG | 3.0 | ||||
| Avg LOS at DRG | 6.21 | ||||
| Avg LOS with ICD Q057 - Lumbar spina bifida without hydrocephalus | 5.92 | ||||
| Readmission Rate at DRG | 27.27 | ||||
| Readmission Rate with ICD Q057 - Lumbar spina bifida without hydrocephalus | NA | ||||
| Unplanned Readmission Rate at DRG | 20.51 | ||||
| Unplanned Readmission Rate with ICD Q057 - Lumbar spina bifida without hydrocephalus | NA | ||||
| Total Medicare payments at DRG | $1,773,015,083 | ||||
| Total Medicare payments with ICD Q057 - Lumbar spina bifida without hydrocephalus | $344,369 | ||||
| Total Medicare payment per Day at DRG | $1,652 | ||||
| Total Medicare payment per Day with ICD Q057 - Lumbar spina bifida without hydrocephalus | $1,617 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,266 | ||||
| Total Medicare payment per Hospitalization with ICD Q057 - Lumbar spina bifida without hydrocephalus | $9,566 | ||||
| Total Medicare Charges at DRG | $8,667,227,667 | ||||
| Total Medicare Charges with ICD Q057 - Lumbar spina bifida without hydrocephalus | $1,551,382 | ||||
| Avg Charges at DRG | $50,185 | ||||
| Avg Charges with ICD Q057 - Lumbar spina bifida without hydrocephalus | $43,094 | ||||
| Mortality Rate at DRG | 2.92 | ||||
| Mortality Rate with ICD Q057 - Lumbar spina bifida without hydrocephalus | NA | ||||
| SNF Discharge Rate at DRG | 33.71 | ||||
| SNF Discharge Rate with ICD Q057 - Lumbar spina bifida without hydrocephalus | NA | ||||
| Home Discharge Rate at DRG | 25.53 | ||||
| Home Discharge Rate with ICD Q057 - Lumbar spina bifida without hydrocephalus | 44.44 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 592: SKIN ULCERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 885: PSYCHOSES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 270,209 | ||||
| Total Hospitalizations with ICD Q057 - Lumbar spina bifida without hydrocephalus | 18 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD Q057 - Lumbar spina bifida without hydrocephalus in DRG | 1.5 | ||||
| Avg LOS at DRG | 4.84 | ||||
| Avg LOS with ICD Q057 - Lumbar spina bifida without hydrocephalus | 5.89 | ||||
| Readmission Rate at DRG | 22.35 | ||||
| Readmission Rate with ICD Q057 - Lumbar spina bifida without hydrocephalus | NA | ||||
| Unplanned Readmission Rate at DRG | 16.33 | ||||
| Unplanned Readmission Rate with ICD Q057 - Lumbar spina bifida without hydrocephalus | NA | ||||
| Total Medicare payments at DRG | $1,824,333,389 | ||||
| Total Medicare payments with ICD Q057 - Lumbar spina bifida without hydrocephalus | $125,368 | ||||
| Total Medicare payment per Day at DRG | $1,395 | ||||
| Total Medicare payment per Day with ICD Q057 - Lumbar spina bifida without hydrocephalus | $1,183 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,752 | ||||
| Total Medicare payment per Hospitalization with ICD Q057 - Lumbar spina bifida without hydrocephalus | $6,965 | ||||
| Total Medicare Charges at DRG | $9,128,673,695 | ||||
| Total Medicare Charges with ICD Q057 - Lumbar spina bifida without hydrocephalus | $685,020 | ||||
| Avg Charges at DRG | $33,784 | ||||
| Avg Charges with ICD Q057 - Lumbar spina bifida without hydrocephalus | $38,057 | ||||
| Mortality Rate at DRG | 1.32 | ||||
| Mortality Rate with ICD Q057 - Lumbar spina bifida without hydrocephalus | NA | ||||
| SNF Discharge Rate at DRG | 39.0 | ||||
| SNF Discharge Rate with ICD Q057 - Lumbar spina bifida without hydrocephalus | NA | ||||
| Home Discharge Rate at DRG | 24.73 | ||||
| Home Discharge Rate with ICD Q057 - Lumbar spina bifida without hydrocephalus | 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 030: SPINAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 5,769 | ||||
| Total Hospitalizations with ICD Q057 - Lumbar spina bifida without hydrocephalus | 12 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD Q057 - Lumbar spina bifida without hydrocephalus in DRG | 1.0 | ||||
| Avg LOS at DRG | 2.9 | ||||
| Avg LOS with ICD Q057 - Lumbar spina bifida without hydrocephalus | 4.0 | ||||
| Readmission Rate at DRG | 17.65 | ||||
| Readmission Rate with ICD Q057 - Lumbar spina bifida without hydrocephalus | NA | ||||
| Unplanned Readmission Rate at DRG | 4.94 | ||||
| Unplanned Readmission Rate with ICD Q057 - Lumbar spina bifida without hydrocephalus | NA | ||||
| Total Medicare payments at DRG | $68,813,638 | ||||
| Total Medicare payments with ICD Q057 - Lumbar spina bifida without hydrocephalus | $156,794 | ||||
| Total Medicare payment per Day at DRG | $4,109 | ||||
| Total Medicare payment per Day with ICD Q057 - Lumbar spina bifida without hydrocephalus | $3,267 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,928 | ||||
| Total Medicare payment per Hospitalization with ICD Q057 - Lumbar spina bifida without hydrocephalus | $13,066 | ||||
| Total Medicare Charges at DRG | $412,922,486 | ||||
| Total Medicare Charges with ICD Q057 - Lumbar spina bifida without hydrocephalus | $970,850 | ||||
| Avg Charges at DRG | $71,576 | ||||
| Avg Charges with ICD Q057 - Lumbar spina bifida without hydrocephalus | $80,904 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD Q057 - Lumbar spina bifida without hydrocephalus | NA | ||||
| SNF Discharge Rate at DRG | 7.61 | ||||
| SNF Discharge Rate with ICD Q057 - Lumbar spina bifida without hydrocephalus | NA | ||||
| Home Discharge Rate at DRG | 67.24 | ||||
| Home Discharge Rate with ICD Q057 - Lumbar spina bifida without hydrocephalus | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| TAMPA GENERAL HOSPITAL | 1 TAMPA GENERAL CIRCLE | TAMPA | FL | 33606 | 17 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE | 2401 S 31ST ST | TEMPLE | TX | 76508 | 12 |
| UNIVERSITY HOSPITAL SUNY HEALTH SCIENCE CENTER | 750 E ADAMS ST | SYRACUSE | NY | 13210 | 12 |