*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R269 - Unspecified abnormalities of gait and mobility - as a primary diagnosis code | R269 - Unspecified abnormalities of gait and mobility - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.85 | |
| Readmission Rate (%) | 21.4 | |
| Unplanned Readmission Rate (%) | 12.76 | |
| 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 040: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH 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 R269 - Unspecified abnormalities of gait and mobility | 5,339 | ||||
| DRG Share of Total Hospitalizations | 0.37 | ||||
| % of Total ICD R269 - Unspecified abnormalities of gait and mobility in DRG | 51.53 | ||||
| Avg LOS at DRG | 7.61 | ||||
| Avg LOS with ICD R269 - Unspecified abnormalities of gait and mobility | 8.75 | ||||
| Readmission Rate at DRG | 21.31 | ||||
| Readmission Rate with ICD R269 - Unspecified abnormalities of gait and mobility | 17.72 | ||||
| Unplanned Readmission Rate at DRG | 14.13 | ||||
| Unplanned Readmission Rate with ICD R269 - Unspecified abnormalities of gait and mobility | 12.44 | ||||
| Total Medicare payments at DRG | $1,397,885,220 | ||||
| Total Medicare payments with ICD R269 - Unspecified abnormalities of gait and mobility | $71,601,159 | ||||
| Total Medicare payment per Day at DRG | $1,497 | ||||
| Total Medicare payment per Day with ICD R269 - Unspecified abnormalities of gait and mobility | $1,533 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,390 | ||||
| Total Medicare payment per Hospitalization with ICD R269 - Unspecified abnormalities of gait and mobility | $13,411 | ||||
| Total Medicare Charges at DRG | $4,175,290,309 | ||||
| Total Medicare Charges with ICD R269 - Unspecified abnormalities of gait and mobility | $212,667,280 | ||||
| Avg Charges at DRG | $34,020 | ||||
| Avg Charges with ICD R269 - Unspecified abnormalities of gait and mobility | $39,833 | ||||
| Mortality Rate at DRG | 0.28 | ||||
| Mortality Rate with ICD R269 - Unspecified abnormalities of gait and mobility | NA | ||||
| SNF Discharge Rate at DRG | 21.64 | ||||
| SNF Discharge Rate with ICD R269 - Unspecified abnormalities of gait and mobility | 27.53 | ||||
| Home Discharge Rate at DRG | 28.06 | ||||
| Home Discharge Rate with ICD R269 - Unspecified abnormalities of gait and mobility | 19.82 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 988: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 28,142 | |
| Total Hospitalizations with ICD R269 - Unspecified abnormalities of gait and mobility | 12 | |
| DRG Share of Total Hospitalizations | 0.09 | |
| % of Total ICD R269 - Unspecified abnormalities of gait and mobility in DRG | 0.12 | |
| Avg LOS at DRG | 5.88 | |
| Avg LOS with ICD R269 - Unspecified abnormalities of gait and mobility | 10.58 | |
| Readmission Rate at DRG | 23.6 | |
| Readmission Rate with ICD R269 - Unspecified abnormalities of gait and mobility | NA | |
| Unplanned Readmission Rate at DRG | 15.33 | |
| Unplanned Readmission Rate with ICD R269 - Unspecified abnormalities of gait and mobility | NA | |
| Total Medicare payments at DRG | $317,761,689 | |
| Total Medicare payments with ICD R269 - Unspecified abnormalities of gait and mobility | $240,400 | |
| Total Medicare payment per Day at DRG | $1,919 | |
| Total Medicare payment per Day with ICD R269 - Unspecified abnormalities of gait and mobility | $1,893 | |
| Total Medicare payment per Hospitalization at DRG | $11,291 | |
| Total Medicare payment per Hospitalization with ICD R269 - Unspecified abnormalities of gait and mobility | $20,033 | |
| Total Medicare Charges at DRG | $1,612,718,515 | |
| Total Medicare Charges with ICD R269 - Unspecified abnormalities of gait and mobility | $732,688 | |
| Avg Charges at DRG | $57,306 | |
| Avg Charges with ICD R269 - Unspecified abnormalities of gait and mobility | $61,057 | |
| Mortality Rate at DRG | 0.56 | |
| Mortality Rate with ICD R269 - Unspecified abnormalities of gait and mobility | NA | |
| SNF Discharge Rate at DRG | 18.42 | |
| SNF Discharge Rate with ICD R269 - Unspecified abnormalities of gait and mobility | NA | |
| Home Discharge Rate at DRG | 50.45 | |
| Home Discharge Rate with ICD R269 - Unspecified abnormalities of gait and mobility | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MEMORIAL REGIONAL HOSPITAL | 3501 JOHNSON ST | HOLLYWOOD | FL | 33021 | 613 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | 1901 N. MACARTHUR BLVD | IRVING | TX | 75061 | 224 |
| REHABILITATION INSTITUTE OF MICHIGAN | 261 MACK AVE | DETROIT | MI | 48201 | 214 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RICHARD ALAN BUCKLER | 920 LAWN AVE | SELLERSVILLE | PA | 18960 | 58 |
| Dr. BOB D VAN | 345 ST. PAUL PLACE | BALTIMORE | MD | 21202 | 46 |
| Dr. MARK CHAI | 2802 PAPERMILL RD | WYOMISSING | PA | 19610 | 35 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ANGIE J LASTRA | 3600 WASHINGTON ST | HOLLYWOOD | FL | 33021 | 198 |
| Dr. DAVID C. LO | 2990 LEGACY DR | FRISCO | TX | 75034 | 196 |
| Dr. THOMAS MILTON GANNON | 427 N WILLOW AVE | COOKEVILLE | TN | 38501 | 182 |
*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 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 359,935 | ||||
| Total Hospitalizations with ICD R269 - Unspecified abnormalities of gait and mobility | 31,746 | ||||
| DRG Share of Total Hospitalizations | 1.1 | ||||
| % of Total ICD R269 - Unspecified abnormalities of gait and mobility in DRG | 7.61 | ||||
| Avg LOS at DRG | 12.3 | ||||
| Avg LOS with ICD R269 - Unspecified abnormalities of gait and mobility | 13.45 | ||||
| Readmission Rate at DRG | 16.01 | ||||
| Readmission Rate with ICD R269 - Unspecified abnormalities of gait and mobility | 13.54 | ||||
| Unplanned Readmission Rate at DRG | 9.86 | ||||
| Unplanned Readmission Rate with ICD R269 - Unspecified abnormalities of gait and mobility | 9.37 | ||||
| Total Medicare payments at DRG | $5,883,826,653 | ||||
| Total Medicare payments with ICD R269 - Unspecified abnormalities of gait and mobility | $619,944,291 | ||||
| Total Medicare payment per Day at DRG | $1,329 | ||||
| Total Medicare payment per Day with ICD R269 - Unspecified abnormalities of gait and mobility | $1,452 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
| Total Medicare payment per Hospitalization with ICD R269 - Unspecified abnormalities of gait and mobility | $19,528 | ||||
| Total Medicare Charges at DRG | $15,374,824,749 | ||||
| Total Medicare Charges with ICD R269 - Unspecified abnormalities of gait and mobility | $1,496,252,292 | ||||
| Avg Charges at DRG | $42,716 | ||||
| Avg Charges with ICD R269 - Unspecified abnormalities of gait and mobility | $47,132 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD R269 - Unspecified abnormalities of gait and mobility | 0.11 | ||||
| SNF Discharge Rate at DRG | 27.95 | ||||
| SNF Discharge Rate with ICD R269 - Unspecified abnormalities of gait and mobility | 22.76 | ||||
| Home Discharge Rate at DRG | 26.85 | ||||
| Home Discharge Rate with ICD R269 - Unspecified abnormalities of gait and mobility | 25.66 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 101,617 | ||||
| Total Hospitalizations with ICD R269 - Unspecified abnormalities of gait and mobility | 10,059 | ||||
| DRG Share of Total Hospitalizations | 0.31 | ||||
| % of Total ICD R269 - Unspecified abnormalities of gait and mobility in DRG | 2.41 | ||||
| Avg LOS at DRG | 9.5 | ||||
| Avg LOS with ICD R269 - Unspecified abnormalities of gait and mobility | 11.51 | ||||
| Readmission Rate at DRG | 26.88 | ||||
| Readmission Rate with ICD R269 - Unspecified abnormalities of gait and mobility | 24.48 | ||||
| Unplanned Readmission Rate at DRG | 19.26 | ||||
| Unplanned Readmission Rate with ICD R269 - Unspecified abnormalities of gait and mobility | 18.63 | ||||
| Total Medicare payments at DRG | $1,599,186,807 | ||||
| Total Medicare payments with ICD R269 - Unspecified abnormalities of gait and mobility | $189,517,539 | ||||
| Total Medicare payment per Day at DRG | $1,656 | ||||
| Total Medicare payment per Day with ICD R269 - Unspecified abnormalities of gait and mobility | $1,637 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,737 | ||||
| Total Medicare payment per Hospitalization with ICD R269 - Unspecified abnormalities of gait and mobility | $18,841 | ||||
| Total Medicare Charges at DRG | $4,836,538,333 | ||||
| Total Medicare Charges with ICD R269 - Unspecified abnormalities of gait and mobility | $468,964,300 | ||||
| Avg Charges at DRG | $47,596 | ||||
| Avg Charges with ICD R269 - Unspecified abnormalities of gait and mobility | $46,621 | ||||
| Mortality Rate at DRG | 2.8 | ||||
| Mortality Rate with ICD R269 - Unspecified abnormalities of gait and mobility | 0.44 | ||||
| SNF Discharge Rate at DRG | 20.21 | ||||
| SNF Discharge Rate with ICD R269 - Unspecified abnormalities of gait and mobility | 15.95 | ||||
| Home Discharge Rate at DRG | 20.17 | ||||
| Home Discharge Rate with ICD R269 - Unspecified abnormalities of gait and mobility | 16.34 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 559: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE 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 | 38,773 | ||||
| Total Hospitalizations with ICD R269 - Unspecified abnormalities of gait and mobility | 7,733 | ||||
| DRG Share of Total Hospitalizations | 0.12 | ||||
| % of Total ICD R269 - Unspecified abnormalities of gait and mobility in DRG | 1.85 | ||||
| Avg LOS at DRG | 11.96 | ||||
| Avg LOS with ICD R269 - Unspecified abnormalities of gait and mobility | 12.01 | ||||
| Readmission Rate at DRG | 18.12 | ||||
| Readmission Rate with ICD R269 - Unspecified abnormalities of gait and mobility | 17.1 | ||||
| Unplanned Readmission Rate at DRG | 14.28 | ||||
| Unplanned Readmission Rate with ICD R269 - Unspecified abnormalities of gait and mobility | 13.53 | ||||
| Total Medicare payments at DRG | $739,082,714 | ||||
| Total Medicare payments with ICD R269 - Unspecified abnormalities of gait and mobility | $146,501,181 | ||||
| Total Medicare payment per Day at DRG | $1,594 | ||||
| Total Medicare payment per Day with ICD R269 - Unspecified abnormalities of gait and mobility | $1,577 | ||||
| Total Medicare payment per Hospitalization at DRG | $19,062 | ||||
| Total Medicare payment per Hospitalization with ICD R269 - Unspecified abnormalities of gait and mobility | $18,945 | ||||
| Total Medicare Charges at DRG | $2,416,011,805 | ||||
| Total Medicare Charges with ICD R269 - Unspecified abnormalities of gait and mobility | $494,033,018 | ||||
| Avg Charges at DRG | $62,312 | ||||
| Avg Charges with ICD R269 - Unspecified abnormalities of gait and mobility | $63,886 | ||||
| Mortality Rate at DRG | 0.2 | ||||
| Mortality Rate with ICD R269 - Unspecified abnormalities of gait and mobility | NA | ||||
| SNF Discharge Rate at DRG | 17.34 | ||||
| SNF Discharge Rate with ICD R269 - Unspecified abnormalities of gait and mobility | 16.02 | ||||
| Home Discharge Rate at DRG | 21.02 | ||||
| Home Discharge Rate with ICD R269 - Unspecified abnormalities of gait and mobility | 21.53 |
*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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 093: OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD R269 - Unspecified abnormalities of gait and mobility | 6,777 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD R269 - Unspecified abnormalities of gait and mobility in DRG | 1.63 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD R269 - Unspecified abnormalities of gait and mobility | 4.44 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD R269 - Unspecified abnormalities of gait and mobility | 18.68 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD R269 - Unspecified abnormalities of gait and mobility | 11.52 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD R269 - Unspecified abnormalities of gait and mobility | $37,884,690 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD R269 - Unspecified abnormalities of gait and mobility | $1,259 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD R269 - Unspecified abnormalities of gait and mobility | $5,590 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD R269 - Unspecified abnormalities of gait and mobility | $191,125,282 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD R269 - Unspecified abnormalities of gait and mobility | $28,202 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD R269 - Unspecified abnormalities of gait and mobility | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD R269 - Unspecified abnormalities of gait and mobility | 43.91 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD R269 - Unspecified abnormalities of gait and mobility | 20.89 |
| 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 | 3,838 |
| ST. LUKE'S UNIVERSITY HOSPITAL - BETHLEHEM CAMPUS | 801 OSTRUM ST | BETHLEHEM | PA | 18015 | 3,461 |
| ENCOMPASS HEALTH REHABILITATION HOSPITAL OF TOMS RIVER | 14 HOSPITAL DR | TOMS RIVER | NJ | 08755 | 3,115 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DOUGLAS JAMES BRUNNER | 175 E CHESTER PIKE | RIDLEY PARK | PA | 19078 | 1,010 |
| Dr. ZELALEM MAKONNEN | 2200 KERNAN DR | BALTIMORE | MD | 21207 | 726 |
| Dr. THA CHA | 125 E BARSTOW AVE STE 118 | FRESNO | CA | 93710 | 637 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. OMAR ALBERTO COLON GUTIERREZ | 2800 W 15TH ST | PLANO | TX | 75075 | 2,165 |
| Dr. PATRICK J O'BRIEN | 3000 NEW BERN AVE | RALEIGH | NC | 27610 | 1,333 |
| Dr. DOUGLAS JAMES BRUNNER | 175 E CHESTER PIKE | RIDLEY PARK | PA | 19078 | 1,048 |