*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R252 - Cramp and spasm - as a primary diagnosis code | R252 - Cramp and spasm - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 9.72 | |
| Readmission Rate (%) | 19.74 | |
| Unplanned Readmission Rate (%) | 13.49 | |
| 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) | DRG 093: OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 042: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 041: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) OR PERIPHERAL NEUROSTIMULATOR | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 122,730 | ||||
| Total Hospitalizations with ICD R252 - Cramp and spasm | 192 | ||||
| DRG Share of Total Hospitalizations | 0.37 | ||||
| % of Total ICD R252 - Cramp and spasm in DRG | 45.82 | ||||
| Avg LOS at DRG | 7.61 | ||||
| Avg LOS with ICD R252 - Cramp and spasm | 3.56 | ||||
| Readmission Rate at DRG | 21.31 | ||||
| Readmission Rate with ICD R252 - Cramp and spasm | 25.0 | ||||
| Unplanned Readmission Rate at DRG | 14.13 | ||||
| Unplanned Readmission Rate with ICD R252 - Cramp and spasm | 11.41 | ||||
| Total Medicare payments at DRG | $1,397,885,220 | ||||
| Total Medicare payments with ICD R252 - Cramp and spasm | $1,209,866 | ||||
| Total Medicare payment per Day at DRG | $1,497 | ||||
| Total Medicare payment per Day with ICD R252 - Cramp and spasm | $1,769 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,390 | ||||
| Total Medicare payment per Hospitalization with ICD R252 - Cramp and spasm | $6,301 | ||||
| Total Medicare Charges at DRG | $4,175,290,309 | ||||
| Total Medicare Charges with ICD R252 - Cramp and spasm | $5,241,109 | ||||
| Avg Charges at DRG | $34,020 | ||||
| Avg Charges with ICD R252 - Cramp and spasm | $27,297 | ||||
| Mortality Rate at DRG | 0.28 | ||||
| Mortality Rate with ICD R252 - Cramp and spasm | NA | ||||
| SNF Discharge Rate at DRG | 21.64 | ||||
| SNF Discharge Rate with ICD R252 - Cramp and spasm | 13.54 | ||||
| Home Discharge Rate at DRG | 28.06 | ||||
| Home Discharge Rate with ICD R252 - Cramp and spasm | 53.13 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 040: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 15,067 |
| Total Hospitalizations with ICD R252 - Cramp and spasm | 13 |
| DRG Share of Total Hospitalizations | 0.05 |
| % of Total ICD R252 - Cramp and spasm in DRG | 3.1 |
| Avg LOS at DRG | 11.35 |
| Avg LOS with ICD R252 - Cramp and spasm | 3.77 |
| Readmission Rate at DRG | 40.12 |
| Readmission Rate with ICD R252 - Cramp and spasm | NA |
| Unplanned Readmission Rate at DRG | 16.2 |
| Unplanned Readmission Rate with ICD R252 - Cramp and spasm | NA |
| Total Medicare payments at DRG | $406,046,615 |
| Total Medicare payments with ICD R252 - Cramp and spasm | $301,028 |
| Total Medicare payment per Day at DRG | $2,374 |
| Total Medicare payment per Day with ICD R252 - Cramp and spasm | $6,143 |
| Total Medicare payment per Hospitalization at DRG | $26,949 |
| Total Medicare payment per Hospitalization with ICD R252 - Cramp and spasm | $23,156 |
| Total Medicare Charges at DRG | $1,945,203,850 |
| Total Medicare Charges with ICD R252 - Cramp and spasm | $1,240,292 |
| Avg Charges at DRG | $129,104 |
| Avg Charges with ICD R252 - Cramp and spasm | $95,407 |
| Mortality Rate at DRG | 5.02 |
| Mortality Rate with ICD R252 - Cramp and spasm | NA |
| SNF Discharge Rate at DRG | 31.29 |
| SNF Discharge Rate with ICD R252 - Cramp and spasm | NA |
| Home Discharge Rate at DRG | 18.56 |
| Home Discharge Rate with ICD R252 - Cramp and spasm | 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 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 359,935 | ||||
| Total Hospitalizations with ICD R252 - Cramp and spasm | 4,036 | ||||
| DRG Share of Total Hospitalizations | 1.1 | ||||
| % of Total ICD R252 - Cramp and spasm in DRG | 8.83 | ||||
| Avg LOS at DRG | 12.3 | ||||
| Avg LOS with ICD R252 - Cramp and spasm | 17.59 | ||||
| Readmission Rate at DRG | 16.01 | ||||
| Readmission Rate with ICD R252 - Cramp and spasm | 11.0 | ||||
| Unplanned Readmission Rate at DRG | 9.86 | ||||
| Unplanned Readmission Rate with ICD R252 - Cramp and spasm | 8.13 | ||||
| Total Medicare payments at DRG | $5,883,826,653 | ||||
| Total Medicare payments with ICD R252 - Cramp and spasm | $102,553,848 | ||||
| Total Medicare payment per Day at DRG | $1,329 | ||||
| Total Medicare payment per Day with ICD R252 - Cramp and spasm | $1,445 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
| Total Medicare payment per Hospitalization with ICD R252 - Cramp and spasm | $25,410 | ||||
| Total Medicare Charges at DRG | $15,374,824,749 | ||||
| Total Medicare Charges with ICD R252 - Cramp and spasm | $247,542,504 | ||||
| Avg Charges at DRG | $42,716 | ||||
| Avg Charges with ICD R252 - Cramp and spasm | $61,334 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD R252 - Cramp and spasm | NA | ||||
| SNF Discharge Rate at DRG | 27.95 | ||||
| SNF Discharge Rate with ICD R252 - Cramp and spasm | 28.52 | ||||
| Home Discharge Rate at DRG | 26.85 | ||||
| Home Discharge Rate with ICD R252 - Cramp and spasm | 24.85 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 052: SPINAL DISORDERS AND INJURIES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD R252 - Cramp and spasm | 1,015 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD R252 - Cramp and spasm in DRG | 2.22 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD R252 - Cramp and spasm | 5.24 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD R252 - Cramp and spasm | 28.68 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD R252 - Cramp and spasm | 22.6 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD R252 - Cramp and spasm | $9,629,240 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD R252 - Cramp and spasm | $1,811 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD R252 - Cramp and spasm | $9,487 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD R252 - Cramp and spasm | $39,010,473 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD R252 - Cramp and spasm | $38,434 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD R252 - Cramp and spasm | 1.58 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD R252 - Cramp and spasm | 13.79 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD R252 - Cramp and spasm | 50.64 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 559: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD R252 - Cramp and spasm | 890 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD R252 - Cramp and spasm in DRG | 1.95 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD R252 - Cramp and spasm | 2.84 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD R252 - Cramp and spasm | 10.76 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD R252 - Cramp and spasm | 3.01 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD R252 - Cramp and spasm | $10,586,375 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD R252 - Cramp and spasm | $4,186 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD R252 - Cramp and spasm | $11,895 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD R252 - Cramp and spasm | $53,347,383 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD R252 - Cramp and spasm | $59,941 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD R252 - Cramp and spasm | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD R252 - Cramp and spasm | 27.42 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD R252 - Cramp and spasm | 29.33 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 059: MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH COMPLICATION OR COMORBIDITY (CC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 13,527 | ||||
| Total Hospitalizations with ICD R252 - Cramp and spasm | 595 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD R252 - Cramp and spasm in DRG | 1.3 | ||||
| Avg LOS at DRG | 7.36 | ||||
| Avg LOS with ICD R252 - Cramp and spasm | 13.48 | ||||
| Readmission Rate at DRG | 25.69 | ||||
| Readmission Rate with ICD R252 - Cramp and spasm | 15.93 | ||||
| Unplanned Readmission Rate at DRG | 10.79 | ||||
| Unplanned Readmission Rate with ICD R252 - Cramp and spasm | 10.27 | ||||
| Total Medicare payments at DRG | $145,199,716 | ||||
| Total Medicare payments with ICD R252 - Cramp and spasm | $11,098,806 | ||||
| Total Medicare payment per Day at DRG | $1,458 | ||||
| Total Medicare payment per Day with ICD R252 - Cramp and spasm | $1,384 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,734 | ||||
| Total Medicare payment per Hospitalization with ICD R252 - Cramp and spasm | $18,653 | ||||
| Total Medicare Charges at DRG | $537,557,435 | ||||
| Total Medicare Charges with ICD R252 - Cramp and spasm | $28,228,988 | ||||
| Avg Charges at DRG | $39,740 | ||||
| Avg Charges with ICD R252 - Cramp and spasm | $47,444 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD R252 - Cramp and spasm | NA | ||||
| SNF Discharge Rate at DRG | 17.65 | ||||
| SNF Discharge Rate with ICD R252 - Cramp and spasm | 17.14 | ||||
| Home Discharge Rate at DRG | 34.04 | ||||
| Home Discharge Rate with ICD R252 - Cramp and spasm | 23.7 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| REHABILITATION INSTITUTE OF CHICAGO | 345 E SUPERIOR ST | CHICAGO | IL | 60611 | 433 |
| TIRR MEMORIAL HERMANN | 1333 MOURSUND ST | HOUSTON | TX | 77030 | 397 |
| MERCY REHABILITATION HOSPITAL ST. LOUIS | 14561 NORTH OUTER FORTY ROAD | CHESTERFIELD | MO | 63017 | 358 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOHN LEWIS FEDULLO | 4988 STATE HIGHWAY 30 | AMSTERDAM | NY | 12010 | 156 |
| Dr. JOYCE DEANETTE WADE-HAMME | 1040 RIVER OAKS DR | FLOWOOD | MS | 39232 | 62 |
| Dr. MARK HENRY STEINHAUER | 10301 GATEWAY BLVD W | EL PASO | TX | 79925 | 47 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ARIUS G PATOLOT | 955 BEISNER RD | ELK GROVE VILLAGE | IL | 60007 | 177 |
| Dr. PATRICK J O'BRIEN | 3000 NEW BERN AVE | RALEIGH | NC | 27610 | 165 |
| Dr. JOHN LEWIS FEDULLO | 4988 STATE HIGHWAY 30 | AMSTERDAM | NY | 12010 | 155 |