*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Q059 - Spina bifida, unspecified - as a primary diagnosis code | Q059 - Spina bifida, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.04 | |
| Readmission Rate (%) | 27.16 | |
| 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) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 122,730 | |
| Total Hospitalizations with ICD Q059 - Spina bifida, unspecified | 34 | |
| DRG Share of Total Hospitalizations | 0.37 | |
| % of Total ICD Q059 - Spina bifida, unspecified in DRG | 41.46 | |
| Avg LOS at DRG | 7.61 | |
| Avg LOS with ICD Q059 - Spina bifida, unspecified | 12.44 | |
| Readmission Rate at DRG | 21.31 | |
| Readmission Rate with ICD Q059 - Spina bifida, unspecified | NA | |
| Unplanned Readmission Rate at DRG | 14.13 | |
| Unplanned Readmission Rate with ICD Q059 - Spina bifida, unspecified | NA | |
| Total Medicare payments at DRG | $1,397,885,220 | |
| Total Medicare payments with ICD Q059 - Spina bifida, unspecified | $524,229 | |
| Total Medicare payment per Day at DRG | $1,497 | |
| Total Medicare payment per Day with ICD Q059 - Spina bifida, unspecified | $1,239 | |
| Total Medicare payment per Hospitalization at DRG | $11,390 | |
| Total Medicare payment per Hospitalization with ICD Q059 - Spina bifida, unspecified | $15,419 | |
| Total Medicare Charges at DRG | $4,175,290,309 | |
| Total Medicare Charges with ICD Q059 - Spina bifida, unspecified | $1,223,742 | |
| Avg Charges at DRG | $34,020 | |
| Avg Charges with ICD Q059 - Spina bifida, unspecified | $35,992 | |
| Mortality Rate at DRG | 0.28 | |
| Mortality Rate with ICD Q059 - Spina bifida, unspecified | NA | |
| SNF Discharge Rate at DRG | 21.64 | |
| SNF Discharge Rate with ICD Q059 - Spina bifida, unspecified | NA | |
| Home Discharge Rate at DRG | 28.06 | |
| Home Discharge Rate with ICD Q059 - Spina bifida, unspecified | 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT 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 | 1,808,415 | ||||
| Total Hospitalizations with ICD Q059 - Spina bifida, unspecified | 1,614 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Q059 - Spina bifida, unspecified in DRG | 7.86 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Q059 - Spina bifida, unspecified | 6.68 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Q059 - Spina bifida, unspecified | 29.81 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Q059 - Spina bifida, unspecified | 19.6 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Q059 - Spina bifida, unspecified | $18,718,632 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Q059 - Spina bifida, unspecified | $1,737 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Q059 - Spina bifida, unspecified | $11,598 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Q059 - Spina bifida, unspecified | $91,137,458 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Q059 - Spina bifida, unspecified | $56,467 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Q059 - Spina bifida, unspecified | 6.57 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Q059 - Spina bifida, unspecified | 24.1 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Q059 - Spina bifida, unspecified | 28.19 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 699: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 885: PSYCHOSES | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 592: SKIN ULCERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 105,234 | ||||
| Total Hospitalizations with ICD Q059 - Spina bifida, unspecified | 584 | ||||
| DRG Share of Total Hospitalizations | 0.32 | ||||
| % of Total ICD Q059 - Spina bifida, unspecified in DRG | 2.85 | ||||
| Avg LOS at DRG | 4.18 | ||||
| Avg LOS with ICD Q059 - Spina bifida, unspecified | 4.17 | ||||
| Readmission Rate at DRG | 24.62 | ||||
| Readmission Rate with ICD Q059 - Spina bifida, unspecified | 27.29 | ||||
| Unplanned Readmission Rate at DRG | 17.79 | ||||
| Unplanned Readmission Rate with ICD Q059 - Spina bifida, unspecified | 22.89 | ||||
| Total Medicare payments at DRG | $723,145,698 | ||||
| Total Medicare payments with ICD Q059 - Spina bifida, unspecified | $3,788,764 | ||||
| Total Medicare payment per Day at DRG | $1,644 | ||||
| Total Medicare payment per Day with ICD Q059 - Spina bifida, unspecified | $1,555 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,872 | ||||
| Total Medicare payment per Hospitalization with ICD Q059 - Spina bifida, unspecified | $6,488 | ||||
| Total Medicare Charges at DRG | $3,557,869,598 | ||||
| Total Medicare Charges with ICD Q059 - Spina bifida, unspecified | $17,280,313 | ||||
| Avg Charges at DRG | $33,809 | ||||
| Avg Charges with ICD Q059 - Spina bifida, unspecified | $29,590 | ||||
| Mortality Rate at DRG | 0.27 | ||||
| Mortality Rate with ICD Q059 - Spina bifida, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 20.33 | ||||
| SNF Discharge Rate with ICD Q059 - Spina bifida, unspecified | 13.18 | ||||
| Home Discharge Rate at DRG | 48.52 | ||||
| Home Discharge Rate with ICD Q059 - Spina bifida, unspecified | 53.94 |
*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 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 539: OSTEOMYELITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD Q059 - Spina bifida, unspecified | 297 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD Q059 - Spina bifida, unspecified in DRG | 1.45 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD Q059 - Spina bifida, unspecified | 3.89 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD Q059 - Spina bifida, unspecified | 24.3 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD Q059 - Spina bifida, unspecified | 21.48 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD Q059 - Spina bifida, unspecified | $1,488,214 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD Q059 - Spina bifida, unspecified | $1,288 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD Q059 - Spina bifida, unspecified | $5,011 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD Q059 - Spina bifida, unspecified | $9,005,266 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD Q059 - Spina bifida, unspecified | $30,321 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD Q059 - Spina bifida, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD Q059 - Spina bifida, unspecified | 10.1 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD Q059 - Spina bifida, unspecified | 63.97 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 570: SKIN DEBRIDEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 602: CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD Q059 - Spina bifida, unspecified | 216 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD Q059 - Spina bifida, unspecified in DRG | 1.05 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD Q059 - Spina bifida, unspecified | 4.45 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD Q059 - Spina bifida, unspecified | 24.51 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD Q059 - Spina bifida, unspecified | 17.65 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD Q059 - Spina bifida, unspecified | $1,217,361 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD Q059 - Spina bifida, unspecified | $1,265 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD Q059 - Spina bifida, unspecified | $5,636 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD Q059 - Spina bifida, unspecified | $6,504,803 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD Q059 - Spina bifida, unspecified | $30,115 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD Q059 - Spina bifida, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD Q059 - Spina bifida, unspecified | 15.74 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD Q059 - Spina bifida, unspecified | 59.26 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UF HEALTH SHANDS HOSPITAL | 1600 SW ARCHER RD | GAINESVILLE | FL | 32610 | 94 |
| INDIANA UNIVERSITY HEALTH | 1701 N SENATE | INDIANAPOLIS | IN | 46202 | 87 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 84 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SOM KOHANZADEH | 2024 SAN YSIDRO DR | BEVERLY HILLS | CA | 90210 | 12 |
| Dr. SAMEER SUBHASH JEJURIKAR | 9101 NORTH CENTRAL EXPRESSWAY | DALLAS | TX | 75231 | 11 |
| Dr. ALBERTO RENE MALDONADO | 3 AUDUBON PLAZA DR | LOUISVILLE | KY | 40217 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SALMAN S. ALY | 1201 CREEKWAY DRIVE | SUGAR LAND | TX | 77478 | 21 |
| Dr. HYATT D SUTTON | 2400 PATTERSON ST | NASHVILLE | TN | 37203 | 16 |
| Dr. ANDRE SCOFIELD MARQUES | 237 S WESTMONTE DR | ALTAMONTE SPRINGS | FL | 32714 | 16 |