*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R262 - Difficulty in walking, not elsewhere classified - as a primary diagnosis code | R262 - Difficulty in walking, not elsewhere classified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.94 | |
| Readmission Rate (%) | 20.36 | |
| Unplanned Readmission Rate (%) | 11.41 | |
| 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 556: SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 555: SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 463: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 43,543 | ||
| Total Hospitalizations with ICD R262 - Difficulty in walking, not elsewhere classified | 4,634 | ||
| DRG Share of Total Hospitalizations | 0.13 | ||
| % of Total ICD R262 - Difficulty in walking, not elsewhere classified in DRG | 77.44 | ||
| Avg LOS at DRG | 4.54 | ||
| Avg LOS with ICD R262 - Difficulty in walking, not elsewhere classified | 8.22 | ||
| Readmission Rate at DRG | 18.05 | ||
| Readmission Rate with ICD R262 - Difficulty in walking, not elsewhere classified | 16.16 | ||
| Unplanned Readmission Rate at DRG | 10.73 | ||
| Unplanned Readmission Rate with ICD R262 - Difficulty in walking, not elsewhere classified | 10.14 | ||
| Total Medicare payments at DRG | $293,427,765 | ||
| Total Medicare payments with ICD R262 - Difficulty in walking, not elsewhere classified | $56,184,972 | ||
| Total Medicare payment per Day at DRG | $1,485 | ||
| Total Medicare payment per Day with ICD R262 - Difficulty in walking, not elsewhere classified | $1,476 | ||
| Total Medicare payment per Hospitalization at DRG | $6,739 | ||
| Total Medicare payment per Hospitalization with ICD R262 - Difficulty in walking, not elsewhere classified | $12,125 | ||
| Total Medicare Charges at DRG | $1,161,067,318 | ||
| Total Medicare Charges with ICD R262 - Difficulty in walking, not elsewhere classified | $150,611,133 | ||
| Avg Charges at DRG | $26,665 | ||
| Avg Charges with ICD R262 - Difficulty in walking, not elsewhere classified | $32,501 | ||
| Mortality Rate at DRG | 0.19 | ||
| Mortality Rate with ICD R262 - Difficulty in walking, not elsewhere classified | NA | ||
| SNF Discharge Rate at DRG | 27.91 | ||
| SNF Discharge Rate with ICD R262 - Difficulty in walking, not elsewhere classified | 30.13 | ||
| Home Discharge Rate at DRG | 35.39 | ||
| Home Discharge Rate with ICD R262 - Difficulty in walking, not elsewhere classified | 20.13 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ENCOMPASS HEALTH REHABILITATION HOSPITAL OF YORK | 1850 NORMANDIE DR | YORK | PA | 17404 | 232 |
| UPMC PINNACLE HARRISBURG | 111 S FRONT ST | HARRISBURG | PA | 17101 | 179 |
| GENESIS MEDICAL CENTER - DAVENPORT | 1227 E RUSHOLME ST | DAVENPORT | IA | 52803 | 160 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOSEPH EARL BROOKS | 315 BUSINESS LOOP 70 W | COLUMBIA | MO | 65203 | 83 |
| Dr. JORGE FRANCISCO CORZO | 55 N GILBERT ST | TINTON FALLS | NJ | 07701 | 70 |
| Dr. DOUGLAS JAMES BRUNNER | 175 E CHESTER PIKE | RIDLEY PARK | PA | 19078 | 59 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CLAY W. SINGLETON | 245 CHESAPEAKE AVE | NEWPORT NEWS | VA | 23607 | 168 |
| Dr. CARRIE RENEE MOSS | 245 CHESAPEAKE AVE | NEWPORT NEWS | VA | 23607 | 167 |
| Dr. BRUCE SICILIA | 1881 LOUCKS ROAD | YORK | PA | 17404 | 130 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 556: SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 188,863 | ||||
| Total Hospitalizations with ICD R262 - Difficulty in walking, not elsewhere classified | 9,812 | ||||
| DRG Share of Total Hospitalizations | 0.57 | ||||
| % of Total ICD R262 - Difficulty in walking, not elsewhere classified in DRG | 5.3 | ||||
| Avg LOS at DRG | 11.75 | ||||
| Avg LOS with ICD R262 - Difficulty in walking, not elsewhere classified | 12.12 | ||||
| Readmission Rate at DRG | 12.14 | ||||
| Readmission Rate with ICD R262 - Difficulty in walking, not elsewhere classified | 10.25 | ||||
| Unplanned Readmission Rate at DRG | 7.97 | ||||
| Unplanned Readmission Rate with ICD R262 - Difficulty in walking, not elsewhere classified | 7.57 | ||||
| Total Medicare payments at DRG | $3,216,901,374 | ||||
| Total Medicare payments with ICD R262 - Difficulty in walking, not elsewhere classified | $171,367,777 | ||||
| Total Medicare payment per Day at DRG | $1,450 | ||||
| Total Medicare payment per Day with ICD R262 - Difficulty in walking, not elsewhere classified | $1,442 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,033 | ||||
| Total Medicare payment per Hospitalization with ICD R262 - Difficulty in walking, not elsewhere classified | $17,465 | ||||
| Total Medicare Charges at DRG | $7,709,712,645 | ||||
| Total Medicare Charges with ICD R262 - Difficulty in walking, not elsewhere classified | $383,752,115 | ||||
| Avg Charges at DRG | $40,822 | ||||
| Avg Charges with ICD R262 - Difficulty in walking, not elsewhere classified | $39,110 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD R262 - Difficulty in walking, not elsewhere classified | NA | ||||
| SNF Discharge Rate at DRG | 19.54 | ||||
| SNF Discharge Rate with ICD R262 - Difficulty in walking, not elsewhere classified | 17.81 | ||||
| Home Discharge Rate at DRG | 19.47 | ||||
| Home Discharge Rate with ICD R262 - Difficulty in walking, not elsewhere classified | 20.15 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 95,335 | ||||
| Total Hospitalizations with ICD R262 - Difficulty in walking, not elsewhere classified | 5,189 | ||||
| DRG Share of Total Hospitalizations | 0.29 | ||||
| % of Total ICD R262 - Difficulty in walking, not elsewhere classified in DRG | 2.8 | ||||
| Avg LOS at DRG | 10.22 | ||||
| Avg LOS with ICD R262 - Difficulty in walking, not elsewhere classified | 10.88 | ||||
| Readmission Rate at DRG | 9.28 | ||||
| Readmission Rate with ICD R262 - Difficulty in walking, not elsewhere classified | 7.13 | ||||
| Unplanned Readmission Rate at DRG | 5.52 | ||||
| Unplanned Readmission Rate with ICD R262 - Difficulty in walking, not elsewhere classified | 4.84 | ||||
| Total Medicare payments at DRG | $1,423,955,801 | ||||
| Total Medicare payments with ICD R262 - Difficulty in walking, not elsewhere classified | $81,977,322 | ||||
| Total Medicare payment per Day at DRG | $1,462 | ||||
| Total Medicare payment per Day with ICD R262 - Difficulty in walking, not elsewhere classified | $1,452 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,936 | ||||
| Total Medicare payment per Hospitalization with ICD R262 - Difficulty in walking, not elsewhere classified | $15,798 | ||||
| Total Medicare Charges at DRG | $2,977,958,847 | ||||
| Total Medicare Charges with ICD R262 - Difficulty in walking, not elsewhere classified | $166,934,933 | ||||
| Avg Charges at DRG | $31,237 | ||||
| Avg Charges with ICD R262 - Difficulty in walking, not elsewhere classified | $32,171 | ||||
| Mortality Rate at DRG | 0.08 | ||||
| Mortality Rate with ICD R262 - Difficulty in walking, not elsewhere classified | NA | ||||
| SNF Discharge Rate at DRG | 15.14 | ||||
| SNF Discharge Rate with ICD R262 - Difficulty in walking, not elsewhere classified | 14.72 | ||||
| Home Discharge Rate at DRG | 25.42 | ||||
| Home Discharge Rate with ICD R262 - Difficulty in walking, not elsewhere classified | 24.74 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 554: BONE DISEASES AND ARTHROPATHIES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 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 | 51,757 | ||||
| Total Hospitalizations with ICD R262 - Difficulty in walking, not elsewhere classified | 3,821 | ||||
| DRG Share of Total Hospitalizations | 0.16 | ||||
| % of Total ICD R262 - Difficulty in walking, not elsewhere classified in DRG | 2.07 | ||||
| Avg LOS at DRG | 4.41 | ||||
| Avg LOS with ICD R262 - Difficulty in walking, not elsewhere classified | 6.95 | ||||
| Readmission Rate at DRG | 17.16 | ||||
| Readmission Rate with ICD R262 - Difficulty in walking, not elsewhere classified | 12.05 | ||||
| Unplanned Readmission Rate at DRG | 9.0 | ||||
| Unplanned Readmission Rate with ICD R262 - Difficulty in walking, not elsewhere classified | 7.0 | ||||
| Total Medicare payments at DRG | $332,400,259 | ||||
| Total Medicare payments with ICD R262 - Difficulty in walking, not elsewhere classified | $39,959,617 | ||||
| Total Medicare payment per Day at DRG | $1,455 | ||||
| Total Medicare payment per Day with ICD R262 - Difficulty in walking, not elsewhere classified | $1,504 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,422 | ||||
| Total Medicare payment per Hospitalization with ICD R262 - Difficulty in walking, not elsewhere classified | $10,458 | ||||
| Total Medicare Charges at DRG | $1,234,809,519 | ||||
| Total Medicare Charges with ICD R262 - Difficulty in walking, not elsewhere classified | $84,191,124 | ||||
| Avg Charges at DRG | $23,858 | ||||
| Avg Charges with ICD R262 - Difficulty in walking, not elsewhere classified | $22,034 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD R262 - Difficulty in walking, not elsewhere classified | NA | ||||
| SNF Discharge Rate at DRG | 25.37 | ||||
| SNF Discharge Rate with ICD R262 - Difficulty in walking, not elsewhere classified | 25.96 | ||||
| Home Discharge Rate at DRG | 42.31 | ||||
| Home Discharge Rate with ICD R262 - Difficulty in walking, not elsewhere classified | 28.34 |
*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 559: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 536: FRACTURES OF HIP AND PELVIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD R262 - Difficulty in walking, not elsewhere classified | 2,589 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD R262 - Difficulty in walking, not elsewhere classified in DRG | 1.4 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD R262 - Difficulty in walking, not elsewhere classified | 6.6 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD R262 - Difficulty in walking, not elsewhere classified | 29.22 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD R262 - Difficulty in walking, not elsewhere classified | 22.0 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD R262 - Difficulty in walking, not elsewhere classified | $27,416,288 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD R262 - Difficulty in walking, not elsewhere classified | $1,604 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD R262 - Difficulty in walking, not elsewhere classified | $10,590 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD R262 - Difficulty in walking, not elsewhere classified | $108,681,448 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD R262 - Difficulty in walking, not elsewhere classified | $41,978 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD R262 - Difficulty in walking, not elsewhere classified | 2.24 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD R262 - Difficulty in walking, not elsewhere classified | 34.22 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD R262 - Difficulty in walking, not elsewhere classified | 20.97 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| KESSLER INSTITUTE FOR REHABILITATION | 1199 PLEASANT VALLEY WAY | WEST ORANGE | NJ | 07052 | 3,789 |
| ALLIED REHAB HOSPITAL | 475 MORGAN HWY | SCRANTON | PA | 18508 | 2,972 |
| WAKEMED RALEIGH CAMPUS | 3000 NEW BERN AVE | RALEIGH | NC | 27610 | 1,754 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID MARK GORDON | 28455 HAGGERTY RD | NOVI | MI | 48377 | 1,365 |
| Dr. AAMIR HASHMAT | 2024 15TH ST FL 2 | MERIDIAN | MS | 39301 | 783 |
| Dr. YU JEN LAI | 200 BELLE TERRE RD | PORT JEFFERSON | NY | 11777 | 614 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOHN A. KLINE | 150 MUNDY ST | WILKES BARRE | PA | 18702 | 1,438 |
| Dr. PATRICK J O'BRIEN | 3000 NEW BERN AVE | RALEIGH | NC | 27610 | 1,435 |
| Dr. LUCIAN P. BEDNARZ | 5 MORGAN HWY | SCRANTON | PA | 18508 | 1,390 |