*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| S069X0A - Unspecified intracranial injury without loss of consciousness, initial encounter - as a primary diagnosis code | S069X0A - Unspecified intracranial injury without loss of consciousness, initial encounter - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.35 | |
| Readmission Rate (%) | 26.91 | |
| Unplanned Readmission Rate (%) | 9.77 | |
| 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 086: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITH COMPLICATION OR COMORBIDITY (CC) | DRG 085: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR 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) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 50,567 | |||
| Total Hospitalizations with ICD S069X0A - Unspecified intracranial injury without loss of consciousness, initial encounter | 371 | |||
| DRG Share of Total Hospitalizations | 0.15 | |||
| % of Total ICD S069X0A - Unspecified intracranial injury without loss of consciousness, initial encounter in DRG | 43.09 | |||
| Avg LOS at DRG | 4.05 | |||
| Avg LOS with ICD S069X0A - Unspecified intracranial injury without loss of consciousness, initial encounter | 4.67 | |||
| Readmission Rate at DRG | 26.88 | |||
| Readmission Rate with ICD S069X0A - Unspecified intracranial injury without loss of consciousness, initial encounter | 21.65 | |||
| Unplanned Readmission Rate at DRG | 12.36 | |||
| Unplanned Readmission Rate with ICD S069X0A - Unspecified intracranial injury without loss of consciousness, initial encounter | 9.69 | |||
| Total Medicare payments at DRG | $378,594,631 | |||
| Total Medicare payments with ICD S069X0A - Unspecified intracranial injury without loss of consciousness, initial encounter | $3,166,641 | |||
| Total Medicare payment per Day at DRG | $1,847 | |||
| Total Medicare payment per Day with ICD S069X0A - Unspecified intracranial injury without loss of consciousness, initial encounter | $1,828 | |||
| Total Medicare payment per Hospitalization at DRG | $7,487 | |||
| Total Medicare payment per Hospitalization with ICD S069X0A - Unspecified intracranial injury without loss of consciousness, initial encounter | $8,535 | |||
| Total Medicare Charges at DRG | $2,140,437,521 | |||
| Total Medicare Charges with ICD S069X0A - Unspecified intracranial injury without loss of consciousness, initial encounter | $14,020,683 | |||
| Avg Charges at DRG | $42,329 | |||
| Avg Charges with ICD S069X0A - Unspecified intracranial injury without loss of consciousness, initial encounter | $37,792 | |||
| Mortality Rate at DRG | 1.75 | |||
| Mortality Rate with ICD S069X0A - Unspecified intracranial injury without loss of consciousness, initial encounter | NA | |||
| SNF Discharge Rate at DRG | 32.85 | |||
| SNF Discharge Rate with ICD S069X0A - Unspecified intracranial injury without loss of consciousness, initial encounter | 38.01 | |||
| Home Discharge Rate at DRG | 27.18 | |||
| Home Discharge Rate with ICD S069X0A - Unspecified intracranial injury without loss of consciousness, initial encounter | 24.53 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ORANGE COUNTY GLOBAL MEDICAL CENTER | 1001 N TUSTIN AVE | SANTA ANA | CA | 92705 | 30 |
| REGIONS HOSPITAL | 640 JACKSON ST | SAINT PAUL | MN | 55101 | 21 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. FRANK CARL NASTANSKI | 999 N TUSTIN AVE | SANTA ANA | CA | 92705 | 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 086: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITH COMPLICATION OR COMORBIDITY (CC) | DRG 085: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR 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 885: PSYCHOSES | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 50,567 | ||||
| Total Hospitalizations with ICD S069X0A - Unspecified intracranial injury without loss of consciousness, initial encounter | 472 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD S069X0A - Unspecified intracranial injury without loss of consciousness, initial encounter in DRG | 12.8 | ||||
| Avg LOS at DRG | 4.05 | ||||
| Avg LOS with ICD S069X0A - Unspecified intracranial injury without loss of consciousness, initial encounter | 4.87 | ||||
| Readmission Rate at DRG | 26.88 | ||||
| Readmission Rate with ICD S069X0A - Unspecified intracranial injury without loss of consciousness, initial encounter | 22.97 | ||||
| Unplanned Readmission Rate at DRG | 12.36 | ||||
| Unplanned Readmission Rate with ICD S069X0A - Unspecified intracranial injury without loss of consciousness, initial encounter | 9.23 | ||||
| Total Medicare payments at DRG | $378,594,631 | ||||
| Total Medicare payments with ICD S069X0A - Unspecified intracranial injury without loss of consciousness, initial encounter | $3,944,236 | ||||
| Total Medicare payment per Day at DRG | $1,847 | ||||
| Total Medicare payment per Day with ICD S069X0A - Unspecified intracranial injury without loss of consciousness, initial encounter | $1,716 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,487 | ||||
| Total Medicare payment per Hospitalization with ICD S069X0A - Unspecified intracranial injury without loss of consciousness, initial encounter | $8,356 | ||||
| Total Medicare Charges at DRG | $2,140,437,521 | ||||
| Total Medicare Charges with ICD S069X0A - Unspecified intracranial injury without loss of consciousness, initial encounter | $20,676,028 | ||||
| Avg Charges at DRG | $42,329 | ||||
| Avg Charges with ICD S069X0A - Unspecified intracranial injury without loss of consciousness, initial encounter | $43,805 | ||||
| Mortality Rate at DRG | 1.75 | ||||
| Mortality Rate with ICD S069X0A - Unspecified intracranial injury without loss of consciousness, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 32.85 | ||||
| SNF Discharge Rate with ICD S069X0A - Unspecified intracranial injury without loss of consciousness, initial encounter | 37.08 | ||||
| Home Discharge Rate at DRG | 27.18 | ||||
| Home Discharge Rate with ICD S069X0A - Unspecified intracranial injury without loss of consciousness, initial encounter | 24.15 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 964: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) | DRG 956: LIMB REATTACHMENT, HIP AND FEMUR PROC FOR MULTIPLE SIGNIFICANT TRAUMA | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 963: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 957: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 12,816 | ||||
| Total Hospitalizations with ICD S069X0A - Unspecified intracranial injury without loss of consciousness, initial encounter | 123 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD S069X0A - Unspecified intracranial injury without loss of consciousness, initial encounter in DRG | 3.34 | ||||
| Avg LOS at DRG | 4.93 | ||||
| Avg LOS with ICD S069X0A - Unspecified intracranial injury without loss of consciousness, initial encounter | 5.75 | ||||
| Readmission Rate at DRG | 25.56 | ||||
| Readmission Rate with ICD S069X0A - Unspecified intracranial injury without loss of consciousness, initial encounter | 18.58 | ||||
| Unplanned Readmission Rate at DRG | 7.63 | ||||
| Unplanned Readmission Rate with ICD S069X0A - Unspecified intracranial injury without loss of consciousness, initial encounter | NA | ||||
| Total Medicare payments at DRG | $122,023,158 | ||||
| Total Medicare payments with ICD S069X0A - Unspecified intracranial injury without loss of consciousness, initial encounter | $1,311,567 | ||||
| Total Medicare payment per Day at DRG | $1,933 | ||||
| Total Medicare payment per Day with ICD S069X0A - Unspecified intracranial injury without loss of consciousness, initial encounter | $1,855 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,521 | ||||
| Total Medicare payment per Hospitalization with ICD S069X0A - Unspecified intracranial injury without loss of consciousness, initial encounter | $10,663 | ||||
| Total Medicare Charges at DRG | $664,585,733 | ||||
| Total Medicare Charges with ICD S069X0A - Unspecified intracranial injury without loss of consciousness, initial encounter | $6,485,704 | ||||
| Avg Charges at DRG | $51,856 | ||||
| Avg Charges with ICD S069X0A - Unspecified intracranial injury without loss of consciousness, initial encounter | $52,729 | ||||
| Mortality Rate at DRG | 3.46 | ||||
| Mortality Rate with ICD S069X0A - Unspecified intracranial injury without loss of consciousness, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 38.76 | ||||
| SNF Discharge Rate with ICD S069X0A - Unspecified intracranial injury without loss of consciousness, initial encounter | 38.21 | ||||
| Home Discharge Rate at DRG | 21.33 | ||||
| Home Discharge Rate with ICD S069X0A - Unspecified intracranial injury without loss of consciousness, initial encounter | 18.7 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 958: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) | DRG 312: SYNCOPE AND COLLAPSE | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 99,136 | ||||
| Total Hospitalizations with ICD S069X0A - Unspecified intracranial injury without loss of consciousness, initial encounter | 50 | ||||
| DRG Share of Total Hospitalizations | 0.3 | ||||
| % of Total ICD S069X0A - Unspecified intracranial injury without loss of consciousness, initial encounter in DRG | 1.36 | ||||
| Avg LOS at DRG | 22.0 | ||||
| Avg LOS with ICD S069X0A - Unspecified intracranial injury without loss of consciousness, initial encounter | 25.46 | ||||
| Readmission Rate at DRG | 40.67 | ||||
| Readmission Rate with ICD S069X0A - Unspecified intracranial injury without loss of consciousness, initial encounter | 48.57 | ||||
| Unplanned Readmission Rate at DRG | 20.54 | ||||
| Unplanned Readmission Rate with ICD S069X0A - Unspecified intracranial injury without loss of consciousness, initial encounter | NA | ||||
| Total Medicare payments at DRG | $4,616,563,352 | ||||
| Total Medicare payments with ICD S069X0A - Unspecified intracranial injury without loss of consciousness, initial encounter | $2,538,739 | ||||
| Total Medicare payment per Day at DRG | $2,116 | ||||
| Total Medicare payment per Day with ICD S069X0A - Unspecified intracranial injury without loss of consciousness, initial encounter | $1,994 | ||||
| Total Medicare payment per Hospitalization at DRG | $46,568 | ||||
| Total Medicare payment per Hospitalization with ICD S069X0A - Unspecified intracranial injury without loss of consciousness, initial encounter | $50,775 | ||||
| Total Medicare Charges at DRG | $21,375,486,291 | ||||
| Total Medicare Charges with ICD S069X0A - Unspecified intracranial injury without loss of consciousness, initial encounter | $12,280,191 | ||||
| Avg Charges at DRG | $215,618 | ||||
| Avg Charges with ICD S069X0A - Unspecified intracranial injury without loss of consciousness, initial encounter | $245,604 | ||||
| Mortality Rate at DRG | 28.16 | ||||
| Mortality Rate with ICD S069X0A - Unspecified intracranial injury without loss of consciousness, initial encounter | 22.0 | ||||
| SNF Discharge Rate at DRG | 30.65 | ||||
| SNF Discharge Rate with ICD S069X0A - Unspecified intracranial injury without loss of consciousness, initial encounter | 34.0 | ||||
| Home Discharge Rate at DRG | 5.17 | ||||
| Home Discharge Rate with ICD S069X0A - Unspecified intracranial injury without loss of consciousness, initial encounter | 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 605: TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 884: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 100: SEIZURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 563: FRACTURE SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 45,787 | ||||
| Total Hospitalizations with ICD S069X0A - Unspecified intracranial injury without loss of consciousness, initial encounter | 38 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD S069X0A - Unspecified intracranial injury without loss of consciousness, initial encounter in DRG | 1.03 | ||||
| Avg LOS at DRG | 3.25 | ||||
| Avg LOS with ICD S069X0A - Unspecified intracranial injury without loss of consciousness, initial encounter | 2.32 | ||||
| Readmission Rate at DRG | 18.27 | ||||
| Readmission Rate with ICD S069X0A - Unspecified intracranial injury without loss of consciousness, initial encounter | NA | ||||
| Unplanned Readmission Rate at DRG | 10.63 | ||||
| Unplanned Readmission Rate with ICD S069X0A - Unspecified intracranial injury without loss of consciousness, initial encounter | NA | ||||
| Total Medicare payments at DRG | $234,309,332 | ||||
| Total Medicare payments with ICD S069X0A - Unspecified intracranial injury without loss of consciousness, initial encounter | $214,652 | ||||
| Total Medicare payment per Day at DRG | $1,573 | ||||
| Total Medicare payment per Day with ICD S069X0A - Unspecified intracranial injury without loss of consciousness, initial encounter | $2,439 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,117 | ||||
| Total Medicare payment per Hospitalization with ICD S069X0A - Unspecified intracranial injury without loss of consciousness, initial encounter | $5,649 | ||||
| Total Medicare Charges at DRG | $1,321,005,538 | ||||
| Total Medicare Charges with ICD S069X0A - Unspecified intracranial injury without loss of consciousness, initial encounter | $1,366,362 | ||||
| Avg Charges at DRG | $28,851 | ||||
| Avg Charges with ICD S069X0A - Unspecified intracranial injury without loss of consciousness, initial encounter | $35,957 | ||||
| Mortality Rate at DRG | 0.2 | ||||
| Mortality Rate with ICD S069X0A - Unspecified intracranial injury without loss of consciousness, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 32.81 | ||||
| SNF Discharge Rate with ICD S069X0A - Unspecified intracranial injury without loss of consciousness, initial encounter | 34.21 | ||||
| Home Discharge Rate at DRG | 35.13 | ||||
| Home Discharge Rate with ICD S069X0A - Unspecified intracranial injury without loss of consciousness, initial encounter | 42.11 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| REGIONS HOSPITAL | 640 JACKSON ST | SAINT PAUL | MN | 55101 | 108 |
| ORANGE COUNTY GLOBAL MEDICAL CENTER | 1001 N TUSTIN AVE | SANTA ANA | CA | 92705 | 54 |
| HENNEPIN COUNTY MEDICAL CENTER | 701 PARK AVE, P1-FINANCE | MINNEAPOLIS | MN | 55415 | 46 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID MARK GORDON | 28455 HAGGERTY RD | NOVI | MI | 48377 | 12 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. FRANK CARL NASTANSKI | 999 N TUSTIN AVE | SANTA ANA | CA | 92705 | 25 |
| Dr. MICHAEL D MCGONIGAL | 640 JACKSON ST | SAINT PAUL | MN | 55101 | 25 |
| Dr. UROGHUPATEI PAUL IYEGHA | 420 DELAWARE ST SE | MINNEAPOLIS | MN | 55455 | 15 |