*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| S060X1A - Concussion with loss of consciousness of 30 minutes or less, initial encounter - as a primary diagnosis code | S060X1A - Concussion with loss of consciousness of 30 minutes or less, initial encounter - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 4.56 | |
| Readmission Rate (%) | 21.22 | |
| Unplanned Readmission Rate (%) | 8.03 | |
| 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 089: CONCUSSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 090: CONCUSSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 088: CONCUSSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 041: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) OR PERIPHERAL NEUROSTIMULATOR | DRG 042: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 5,865 | ||||
| Total Hospitalizations with ICD S060X1A - Concussion with loss of consciousness of 30 minutes or less, initial encounter | 1,006 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD S060X1A - Concussion with loss of consciousness of 30 minutes or less, initial encounter in DRG | 49.41 | ||||
| Avg LOS at DRG | 3.3 | ||||
| Avg LOS with ICD S060X1A - Concussion with loss of consciousness of 30 minutes or less, initial encounter | 3.27 | ||||
| Readmission Rate at DRG | 19.09 | ||||
| Readmission Rate with ICD S060X1A - Concussion with loss of consciousness of 30 minutes or less, initial encounter | 18.05 | ||||
| Unplanned Readmission Rate at DRG | 8.89 | ||||
| Unplanned Readmission Rate with ICD S060X1A - Concussion with loss of consciousness of 30 minutes or less, initial encounter | 9.13 | ||||
| Total Medicare payments at DRG | $35,765,926 | ||||
| Total Medicare payments with ICD S060X1A - Concussion with loss of consciousness of 30 minutes or less, initial encounter | $6,111,343 | ||||
| Total Medicare payment per Day at DRG | $1,850 | ||||
| Total Medicare payment per Day with ICD S060X1A - Concussion with loss of consciousness of 30 minutes or less, initial encounter | $1,859 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,098 | ||||
| Total Medicare payment per Hospitalization with ICD S060X1A - Concussion with loss of consciousness of 30 minutes or less, initial encounter | $6,075 | ||||
| Total Medicare Charges at DRG | $218,045,265 | ||||
| Total Medicare Charges with ICD S060X1A - Concussion with loss of consciousness of 30 minutes or less, initial encounter | $41,452,319 | ||||
| Avg Charges at DRG | $37,177 | ||||
| Avg Charges with ICD S060X1A - Concussion with loss of consciousness of 30 minutes or less, initial encounter | $41,205 | ||||
| Mortality Rate at DRG | 0.29 | ||||
| Mortality Rate with ICD S060X1A - Concussion with loss of consciousness of 30 minutes or less, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 30.33 | ||||
| SNF Discharge Rate with ICD S060X1A - Concussion with loss of consciousness of 30 minutes or less, initial encounter | 23.56 | ||||
| Home Discharge Rate at DRG | 38.02 | ||||
| Home Discharge Rate with ICD S060X1A - Concussion with loss of consciousness of 30 minutes or less, initial encounter | 46.92 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| EDWARD W SPARROW HOSPITAL | 1215 E MICHIGAN AVE | LANSING | MI | 48912 | 79 |
| NASSAU UNIVERSITY MEDICAL CENTER | 2201 HEMPSTEAD TPKE | EAST MEADOW | NY | 11554 | 77 |
| SCRIPPS MEMORIAL HOSPITAL LA JOLLA | 9888 GENESEE AVE | LA JOLLA | CA | 92037 | 34 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAHUA ZHOU | 2201 HEMPSTEAD TURNPIKE | EAST MEADOW | NY | 11554 | 14 |
| Dr. RICHARD JOSEPH BATISTA | 2201 HEMPSTEAD TPKE | EAST MEADOW | NY | 11554 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. LAMBROS D. GEORGE ANGUS | 2201 HEMPSTEAD TPKE | EAST MEADOW | NY | 11554 | 20 |
| Dr. BOGDANA TROP | 1234 SE MAGNOLIA EXT UNIT 1 | OCALA | FL | 34471 | 19 |
| Dr. LARRY S ANSARI | 912 S WASHINGTON AVE | SAGINAW | MI | 48601 | 16 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 089: CONCUSSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 090: CONCUSSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 088: CONCUSSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 312: SYNCOPE AND COLLAPSE | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 5,865 | ||||
| Total Hospitalizations with ICD S060X1A - Concussion with loss of consciousness of 30 minutes or less, initial encounter | 1,010 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD S060X1A - Concussion with loss of consciousness of 30 minutes or less, initial encounter in DRG | 18.16 | ||||
| Avg LOS at DRG | 3.3 | ||||
| Avg LOS with ICD S060X1A - Concussion with loss of consciousness of 30 minutes or less, initial encounter | 3.27 | ||||
| Readmission Rate at DRG | 19.09 | ||||
| Readmission Rate with ICD S060X1A - Concussion with loss of consciousness of 30 minutes or less, initial encounter | 18.08 | ||||
| Unplanned Readmission Rate at DRG | 8.89 | ||||
| Unplanned Readmission Rate with ICD S060X1A - Concussion with loss of consciousness of 30 minutes or less, initial encounter | 9.19 | ||||
| Total Medicare payments at DRG | $35,765,926 | ||||
| Total Medicare payments with ICD S060X1A - Concussion with loss of consciousness of 30 minutes or less, initial encounter | $6,148,345 | ||||
| Total Medicare payment per Day at DRG | $1,850 | ||||
| Total Medicare payment per Day with ICD S060X1A - Concussion with loss of consciousness of 30 minutes or less, initial encounter | $1,860 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,098 | ||||
| Total Medicare payment per Hospitalization with ICD S060X1A - Concussion with loss of consciousness of 30 minutes or less, initial encounter | $6,087 | ||||
| Total Medicare Charges at DRG | $218,045,265 | ||||
| Total Medicare Charges with ICD S060X1A - Concussion with loss of consciousness of 30 minutes or less, initial encounter | $41,599,591 | ||||
| Avg Charges at DRG | $37,177 | ||||
| Avg Charges with ICD S060X1A - Concussion with loss of consciousness of 30 minutes or less, initial encounter | $41,188 | ||||
| Mortality Rate at DRG | 0.29 | ||||
| Mortality Rate with ICD S060X1A - Concussion with loss of consciousness of 30 minutes or less, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 30.33 | ||||
| SNF Discharge Rate with ICD S060X1A - Concussion with loss of consciousness of 30 minutes or less, initial encounter | 23.76 | ||||
| Home Discharge Rate at DRG | 38.02 | ||||
| Home Discharge Rate with ICD S060X1A - Concussion with loss of consciousness of 30 minutes or less, initial encounter | 46.73 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 184: MAJOR CHEST TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) | DRG 086: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITH COMPLICATION OR COMORBIDITY (CC) | DRG 493: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH COMPLICATION OR COMORBIDITY (CC) | DRG 563: FRACTURE SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 200: PNEUMOTHORAX WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 31,240 | ||||
| Total Hospitalizations with ICD S060X1A - Concussion with loss of consciousness of 30 minutes or less, initial encounter | 204 | ||||
| DRG Share of Total Hospitalizations | 0.1 | ||||
| % of Total ICD S060X1A - Concussion with loss of consciousness of 30 minutes or less, initial encounter in DRG | 3.67 | ||||
| Avg LOS at DRG | 3.72 | ||||
| Avg LOS with ICD S060X1A - Concussion with loss of consciousness of 30 minutes or less, initial encounter | 3.6 | ||||
| Readmission Rate at DRG | 17.85 | ||||
| Readmission Rate with ICD S060X1A - Concussion with loss of consciousness of 30 minutes or less, initial encounter | 20.81 | ||||
| Unplanned Readmission Rate at DRG | 9.34 | ||||
| Unplanned Readmission Rate with ICD S060X1A - Concussion with loss of consciousness of 30 minutes or less, initial encounter | 8.12 | ||||
| Total Medicare payments at DRG | $190,421,957 | ||||
| Total Medicare payments with ICD S060X1A - Concussion with loss of consciousness of 30 minutes or less, initial encounter | $1,093,475 | ||||
| Total Medicare payment per Day at DRG | $1,637 | ||||
| Total Medicare payment per Day with ICD S060X1A - Concussion with loss of consciousness of 30 minutes or less, initial encounter | $1,490 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,095 | ||||
| Total Medicare payment per Hospitalization with ICD S060X1A - Concussion with loss of consciousness of 30 minutes or less, initial encounter | $5,360 | ||||
| Total Medicare Charges at DRG | $1,124,715,074 | ||||
| Total Medicare Charges with ICD S060X1A - Concussion with loss of consciousness of 30 minutes or less, initial encounter | $9,108,067 | ||||
| Avg Charges at DRG | $36,002 | ||||
| Avg Charges with ICD S060X1A - Concussion with loss of consciousness of 30 minutes or less, initial encounter | $44,647 | ||||
| Mortality Rate at DRG | 0.4 | ||||
| Mortality Rate with ICD S060X1A - Concussion with loss of consciousness of 30 minutes or less, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 38.96 | ||||
| SNF Discharge Rate with ICD S060X1A - Concussion with loss of consciousness of 30 minutes or less, initial encounter | 19.61 | ||||
| Home Discharge Rate at DRG | 30.83 | ||||
| Home Discharge Rate with ICD S060X1A - Concussion with loss of consciousness of 30 minutes or less, initial encounter | 55.88 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 087: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 964: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) | DRG 183: MAJOR CHEST TRAUMA WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 45,626 | ||||
| Total Hospitalizations with ICD S060X1A - Concussion with loss of consciousness of 30 minutes or less, initial encounter | 72 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD S060X1A - Concussion with loss of consciousness of 30 minutes or less, initial encounter in DRG | 1.29 | ||||
| Avg LOS at DRG | 6.58 | ||||
| Avg LOS with ICD S060X1A - Concussion with loss of consciousness of 30 minutes or less, initial encounter | 6.82 | ||||
| Readmission Rate at DRG | 28.01 | ||||
| Readmission Rate with ICD S060X1A - Concussion with loss of consciousness of 30 minutes or less, initial encounter | 36.92 | ||||
| Unplanned Readmission Rate at DRG | 15.44 | ||||
| Unplanned Readmission Rate with ICD S060X1A - Concussion with loss of consciousness of 30 minutes or less, initial encounter | NA | ||||
| Total Medicare payments at DRG | $509,048,598 | ||||
| Total Medicare payments with ICD S060X1A - Concussion with loss of consciousness of 30 minutes or less, initial encounter | $745,943 | ||||
| Total Medicare payment per Day at DRG | $1,696 | ||||
| Total Medicare payment per Day with ICD S060X1A - Concussion with loss of consciousness of 30 minutes or less, initial encounter | $1,519 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,157 | ||||
| Total Medicare payment per Hospitalization with ICD S060X1A - Concussion with loss of consciousness of 30 minutes or less, initial encounter | $10,360 | ||||
| Total Medicare Charges at DRG | $2,333,825,338 | ||||
| Total Medicare Charges with ICD S060X1A - Concussion with loss of consciousness of 30 minutes or less, initial encounter | $5,642,514 | ||||
| Avg Charges at DRG | $51,151 | ||||
| Avg Charges with ICD S060X1A - Concussion with loss of consciousness of 30 minutes or less, initial encounter | $78,368 | ||||
| Mortality Rate at DRG | 4.28 | ||||
| Mortality Rate with ICD S060X1A - Concussion with loss of consciousness of 30 minutes or less, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 39.84 | ||||
| SNF Discharge Rate with ICD S060X1A - Concussion with loss of consciousness of 30 minutes or less, initial encounter | 31.94 | ||||
| Home Discharge Rate at DRG | 18.35 | ||||
| Home Discharge Rate with ICD S060X1A - Concussion with loss of consciousness of 30 minutes or less, initial encounter | 18.06 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 605: TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 957: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 101: SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 958: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 292,335 | ||||
| Total Hospitalizations with ICD S060X1A - Concussion with loss of consciousness of 30 minutes or less, initial encounter | 61 | ||||
| DRG Share of Total Hospitalizations | 0.89 | ||||
| % of Total ICD S060X1A - Concussion with loss of consciousness of 30 minutes or less, initial encounter in DRG | 1.1 | ||||
| Avg LOS at DRG | 2.96 | ||||
| Avg LOS with ICD S060X1A - Concussion with loss of consciousness of 30 minutes or less, initial encounter | 2.57 | ||||
| Readmission Rate at DRG | 19.18 | ||||
| Readmission Rate with ICD S060X1A - Concussion with loss of consciousness of 30 minutes or less, initial encounter | NA | ||||
| Unplanned Readmission Rate at DRG | 13.96 | ||||
| Unplanned Readmission Rate with ICD S060X1A - Concussion with loss of consciousness of 30 minutes or less, initial encounter | NA | ||||
| Total Medicare payments at DRG | $1,347,436,356 | ||||
| Total Medicare payments with ICD S060X1A - Concussion with loss of consciousness of 30 minutes or less, initial encounter | $267,962 | ||||
| Total Medicare payment per Day at DRG | $1,557 | ||||
| Total Medicare payment per Day with ICD S060X1A - Concussion with loss of consciousness of 30 minutes or less, initial encounter | $1,707 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,609 | ||||
| Total Medicare payment per Hospitalization with ICD S060X1A - Concussion with loss of consciousness of 30 minutes or less, initial encounter | $4,393 | ||||
| Total Medicare Charges at DRG | $7,385,462,160 | ||||
| Total Medicare Charges with ICD S060X1A - Concussion with loss of consciousness of 30 minutes or less, initial encounter | $1,947,295 | ||||
| Avg Charges at DRG | $25,264 | ||||
| Avg Charges with ICD S060X1A - Concussion with loss of consciousness of 30 minutes or less, initial encounter | $31,923 | ||||
| Mortality Rate at DRG | 0.57 | ||||
| Mortality Rate with ICD S060X1A - Concussion with loss of consciousness of 30 minutes or less, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 11.55 | ||||
| SNF Discharge Rate with ICD S060X1A - Concussion with loss of consciousness of 30 minutes or less, initial encounter | NA | ||||
| Home Discharge Rate at DRG | 63.79 | ||||
| Home Discharge Rate with ICD S060X1A - Concussion with loss of consciousness of 30 minutes or less, initial encounter | 57.38 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| EDWARD W SPARROW HOSPITAL | 1215 E MICHIGAN AVE | LANSING | MI | 48912 | 153 |
| NASSAU UNIVERSITY MEDICAL CENTER | 2201 HEMPSTEAD TPKE | EAST MEADOW | NY | 11554 | 118 |
| LAWNWOOD REGIONAL MEDICAL CENTER & HEART INSTITUTE | 1700 S 23RD ST | FORT PIERCE | FL | 34950 | 70 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAHUA ZHOU | 2201 HEMPSTEAD TURNPIKE | EAST MEADOW | NY | 11554 | 19 |
| Dr. RICHARD JOSEPH BATISTA | 2201 HEMPSTEAD TPKE | EAST MEADOW | NY | 11554 | 12 |
| Dr. LAMBROS D. GEORGE ANGUS | 2201 HEMPSTEAD TPKE | EAST MEADOW | NY | 11554 | 12 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. BOGDANA TROP | 1234 SE MAGNOLIA EXT UNIT 1 | OCALA | FL | 34471 | 48 |
| Dr. LAMBROS D. GEORGE ANGUS | 2201 HEMPSTEAD TPKE | EAST MEADOW | NY | 11554 | 29 |
| Dr. LARRY S ANSARI | 912 S WASHINGTON AVE | SAGINAW | MI | 48601 | 27 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | R55 | Syncope and collapse |
| 2 | S0101XA | Laceration without foreign body of scalp, initial encounter |
| 3 | E119 | Type 2 diabetes mellitus without complications |