*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R279 - Unspecified lack of coordination - as a primary diagnosis code | R279 - Unspecified lack of coordination - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 11.79 | |
| Readmission Rate (%) | 16.46 | |
| 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 093: OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 122,730 | |
| Total Hospitalizations with ICD R279 - Unspecified lack of coordination | 27 | |
| DRG Share of Total Hospitalizations | 0.37 | |
| % of Total ICD R279 - Unspecified lack of coordination in DRG | 45.0 | |
| Avg LOS at DRG | 7.61 | |
| Avg LOS with ICD R279 - Unspecified lack of coordination | 8.63 | |
| Readmission Rate at DRG | 21.31 | |
| Readmission Rate with ICD R279 - Unspecified lack of coordination | NA | |
| Unplanned Readmission Rate at DRG | 14.13 | |
| Unplanned Readmission Rate with ICD R279 - Unspecified lack of coordination | NA | |
| Total Medicare payments at DRG | $1,397,885,220 | |
| Total Medicare payments with ICD R279 - Unspecified lack of coordination | $388,175 | |
| Total Medicare payment per Day at DRG | $1,497 | |
| Total Medicare payment per Day with ICD R279 - Unspecified lack of coordination | $1,666 | |
| Total Medicare payment per Hospitalization at DRG | $11,390 | |
| Total Medicare payment per Hospitalization with ICD R279 - Unspecified lack of coordination | $14,377 | |
| Total Medicare Charges at DRG | $4,175,290,309 | |
| Total Medicare Charges with ICD R279 - Unspecified lack of coordination | $836,650 | |
| Avg Charges at DRG | $34,020 | |
| Avg Charges with ICD R279 - Unspecified lack of coordination | $30,987 | |
| Mortality Rate at DRG | 0.28 | |
| Mortality Rate with ICD R279 - Unspecified lack of coordination | NA | |
| SNF Discharge Rate at DRG | 21.64 | |
| SNF Discharge Rate with ICD R279 - Unspecified lack of coordination | NA | |
| Home Discharge Rate at DRG | 28.06 | |
| Home Discharge Rate with ICD R279 - Unspecified lack of coordination | NA |
| 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 | 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 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 R279 - Unspecified lack of coordination | 2,319 | ||||
| DRG Share of Total Hospitalizations | 1.1 | ||||
| % of Total ICD R279 - Unspecified lack of coordination in DRG | 19.12 | ||||
| Avg LOS at DRG | 12.3 | ||||
| Avg LOS with ICD R279 - Unspecified lack of coordination | 14.07 | ||||
| Readmission Rate at DRG | 16.01 | ||||
| Readmission Rate with ICD R279 - Unspecified lack of coordination | 10.46 | ||||
| Unplanned Readmission Rate at DRG | 9.86 | ||||
| Unplanned Readmission Rate with ICD R279 - Unspecified lack of coordination | 7.67 | ||||
| Total Medicare payments at DRG | $5,883,826,653 | ||||
| Total Medicare payments with ICD R279 - Unspecified lack of coordination | $49,024,616 | ||||
| Total Medicare payment per Day at DRG | $1,329 | ||||
| Total Medicare payment per Day with ICD R279 - Unspecified lack of coordination | $1,502 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
| Total Medicare payment per Hospitalization with ICD R279 - Unspecified lack of coordination | $21,140 | ||||
| Total Medicare Charges at DRG | $15,374,824,749 | ||||
| Total Medicare Charges with ICD R279 - Unspecified lack of coordination | $108,848,842 | ||||
| Avg Charges at DRG | $42,716 | ||||
| Avg Charges with ICD R279 - Unspecified lack of coordination | $46,938 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD R279 - Unspecified lack of coordination | NA | ||||
| SNF Discharge Rate at DRG | 27.95 | ||||
| SNF Discharge Rate with ICD R279 - Unspecified lack of coordination | 19.02 | ||||
| Home Discharge Rate at DRG | 26.85 | ||||
| Home Discharge Rate with ICD R279 - Unspecified lack of coordination | 33.89 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| 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 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 947: SIGNS AND SYMPTOMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 160,950 | ||||
| Total Hospitalizations with ICD R279 - Unspecified lack of coordination | 401 | ||||
| DRG Share of Total Hospitalizations | 0.49 | ||||
| % of Total ICD R279 - Unspecified lack of coordination in DRG | 3.31 | ||||
| Avg LOS at DRG | 4.98 | ||||
| Avg LOS with ICD R279 - Unspecified lack of coordination | 11.67 | ||||
| Readmission Rate at DRG | 20.85 | ||||
| Readmission Rate with ICD R279 - Unspecified lack of coordination | 15.93 | ||||
| Unplanned Readmission Rate at DRG | 13.4 | ||||
| Unplanned Readmission Rate with ICD R279 - Unspecified lack of coordination | 12.36 | ||||
| Total Medicare payments at DRG | $1,184,949,733 | ||||
| Total Medicare payments with ICD R279 - Unspecified lack of coordination | $7,024,132 | ||||
| Total Medicare payment per Day at DRG | $1,477 | ||||
| Total Medicare payment per Day with ICD R279 - Unspecified lack of coordination | $1,502 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,362 | ||||
| Total Medicare payment per Hospitalization with ICD R279 - Unspecified lack of coordination | $17,517 | ||||
| Total Medicare Charges at DRG | $4,222,078,897 | ||||
| Total Medicare Charges with ICD R279 - Unspecified lack of coordination | $15,419,921 | ||||
| Avg Charges at DRG | $26,232 | ||||
| Avg Charges with ICD R279 - Unspecified lack of coordination | $38,454 | ||||
| Mortality Rate at DRG | 0.67 | ||||
| Mortality Rate with ICD R279 - Unspecified lack of coordination | NA | ||||
| SNF Discharge Rate at DRG | 22.29 | ||||
| SNF Discharge Rate with ICD R279 - Unspecified lack of coordination | 16.21 | ||||
| Home Discharge Rate at DRG | 35.46 | ||||
| Home Discharge Rate with ICD R279 - Unspecified lack of coordination | 30.17 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 950: AFTERCARE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 559: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 066: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 25,862 | ||||
| Total Hospitalizations with ICD R279 - Unspecified lack of coordination | 291 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD R279 - Unspecified lack of coordination in DRG | 2.4 | ||||
| Avg LOS at DRG | 10.07 | ||||
| Avg LOS with ICD R279 - Unspecified lack of coordination | 11.8 | ||||
| Readmission Rate at DRG | 10.72 | ||||
| Readmission Rate with ICD R279 - Unspecified lack of coordination | 8.49 | ||||
| Unplanned Readmission Rate at DRG | 7.34 | ||||
| Unplanned Readmission Rate with ICD R279 - Unspecified lack of coordination | 7.01 | ||||
| Total Medicare payments at DRG | $400,793,306 | ||||
| Total Medicare payments with ICD R279 - Unspecified lack of coordination | $5,388,787 | ||||
| Total Medicare payment per Day at DRG | $1,539 | ||||
| Total Medicare payment per Day with ICD R279 - Unspecified lack of coordination | $1,570 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,497 | ||||
| Total Medicare payment per Hospitalization with ICD R279 - Unspecified lack of coordination | $18,518 | ||||
| Total Medicare Charges at DRG | $809,609,640 | ||||
| Total Medicare Charges with ICD R279 - Unspecified lack of coordination | $9,448,197 | ||||
| Avg Charges at DRG | $31,305 | ||||
| Avg Charges with ICD R279 - Unspecified lack of coordination | $32,468 | ||||
| Mortality Rate at DRG | 0.16 | ||||
| Mortality Rate with ICD R279 - Unspecified lack of coordination | NA | ||||
| SNF Discharge Rate at DRG | 9.54 | ||||
| SNF Discharge Rate with ICD R279 - Unspecified lack of coordination | 11.0 | ||||
| Home Discharge Rate at DRG | 29.95 | ||||
| Home Discharge Rate with ICD R279 - Unspecified lack of coordination | 31.62 |
*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 946: REHABILITATION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 093: OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 074: CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD R279 - Unspecified lack of coordination | 147 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD R279 - Unspecified lack of coordination in DRG | 1.21 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD R279 - Unspecified lack of coordination | 8.33 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD R279 - Unspecified lack of coordination | 31.5 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD R279 - Unspecified lack of coordination | 19.69 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD R279 - Unspecified lack of coordination | $2,469,375 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD R279 - Unspecified lack of coordination | $2,017 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD R279 - Unspecified lack of coordination | $16,798 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD R279 - Unspecified lack of coordination | $11,482,504 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD R279 - Unspecified lack of coordination | $78,112 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD R279 - Unspecified lack of coordination | 10.88 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD R279 - Unspecified lack of coordination | 36.73 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD R279 - Unspecified lack of coordination | 19.73 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| SUNNYVIEW REHABILITATION HOSPITAL | 1270 BELMONT AVENUE | SCHENECTADY | NY | 12308 | 558 |
| RIVERSIDE MEDICAL CENTER | 350 N WALL ST | KANKAKEE | IL | 60901 | 494 |
| HEALTH REHABILITATION HOSPITAL OF ROUND ROCK | 1400 HESTERS CROSSING RD | ROUND ROCK | TX | 78681 | 491 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. KENNETH L SHAPIRO | 1270 BELMONT AVE | SCHENECTADY | NY | 12308 | 151 |
| Dr. VINCENT M SOMAIO | 1270 BELMONT AVE | SCHENECTADY | NY | 12308 | 123 |
| Dr. DEEPTHI S SAXENA | 1401 S CALIFORNIA AVE | CHICAGO | IL | 60608 | 115 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MARIA S VILLEGAS | 400 N WALL ST | KANKAKEE | IL | 60901 | 280 |
| Dr. JACK COLE NOBLE | 355 W HICKORY AVE | BASTROP | LA | 71220 | 203 |
| Dr. OCTAVIO VELA | 4502 MEDICAL DR | SAN ANTONIO | TX | 78229 | 191 |