*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z87820 - Personal history of traumatic brain injury - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 13.46 | |
| 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 885: PSYCHOSES | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 101: SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 100: SEIZURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD Z87820 - Personal history of traumatic brain injury | 19,899 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD Z87820 - Personal history of traumatic brain injury in DRG | 12.91 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD Z87820 - Personal history of traumatic brain injury | 12.04 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD Z87820 - Personal history of traumatic brain injury | 27.16 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD Z87820 - Personal history of traumatic brain injury | 13.32 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD Z87820 - Personal history of traumatic brain injury | $168,680,180 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD Z87820 - Personal history of traumatic brain injury | $704 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD Z87820 - Personal history of traumatic brain injury | $8,477 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD Z87820 - Personal history of traumatic brain injury | $633,393,599 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD Z87820 - Personal history of traumatic brain injury | $31,830 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD Z87820 - Personal history of traumatic brain injury | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD Z87820 - Personal history of traumatic brain injury | 5.16 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD Z87820 - Personal history of traumatic brain injury | 79.36 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 884: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 144,507 | ||||
| Total Hospitalizations with ICD Z87820 - Personal history of traumatic brain injury | 2,507 | ||||
| DRG Share of Total Hospitalizations | 0.44 | ||||
| % of Total ICD Z87820 - Personal history of traumatic brain injury in DRG | 1.63 | ||||
| Avg LOS at DRG | 11.23 | ||||
| Avg LOS with ICD Z87820 - Personal history of traumatic brain injury | 13.72 | ||||
| Readmission Rate at DRG | 20.52 | ||||
| Readmission Rate with ICD Z87820 - Personal history of traumatic brain injury | 21.1 | ||||
| Unplanned Readmission Rate at DRG | 12.21 | ||||
| Unplanned Readmission Rate with ICD Z87820 - Personal history of traumatic brain injury | 11.11 | ||||
| Total Medicare payments at DRG | $1,495,371,248 | ||||
| Total Medicare payments with ICD Z87820 - Personal history of traumatic brain injury | $27,044,970 | ||||
| Total Medicare payment per Day at DRG | $922 | ||||
| Total Medicare payment per Day with ICD Z87820 - Personal history of traumatic brain injury | $787 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,348 | ||||
| Total Medicare payment per Hospitalization with ICD Z87820 - Personal history of traumatic brain injury | $10,788 | ||||
| Total Medicare Charges at DRG | $5,107,483,805 | ||||
| Total Medicare Charges with ICD Z87820 - Personal history of traumatic brain injury | $96,744,671 | ||||
| Avg Charges at DRG | $35,344 | ||||
| Avg Charges with ICD Z87820 - Personal history of traumatic brain injury | $38,590 | ||||
| Mortality Rate at DRG | 0.73 | ||||
| Mortality Rate with ICD Z87820 - Personal history of traumatic brain injury | NA | ||||
| SNF Discharge Rate at DRG | 38.43 | ||||
| SNF Discharge Rate with ICD Z87820 - Personal history of traumatic brain injury | 31.79 | ||||
| Home Discharge Rate at DRG | 27.81 | ||||
| Home Discharge Rate with ICD Z87820 - Personal history of traumatic brain injury | 38.29 |
*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 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD Z87820 - Personal history of traumatic brain injury | 1,755 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD Z87820 - Personal history of traumatic brain injury in DRG | 1.14 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD Z87820 - Personal history of traumatic brain injury | 4.03 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD Z87820 - Personal history of traumatic brain injury | 18.34 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD Z87820 - Personal history of traumatic brain injury | 12.93 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD Z87820 - Personal history of traumatic brain injury | $9,214,877 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD Z87820 - Personal history of traumatic brain injury | $1,302 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD Z87820 - Personal history of traumatic brain injury | $5,251 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD Z87820 - Personal history of traumatic brain injury | $44,940,765 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD Z87820 - Personal history of traumatic brain injury | $25,607 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD Z87820 - Personal history of traumatic brain injury | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD Z87820 - Personal history of traumatic brain injury | 31.0 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD Z87820 - Personal history of traumatic brain injury | 35.04 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 881: DEPRESSIVE NEUROSES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD Z87820 - Personal history of traumatic brain injury | 1,536 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD Z87820 - Personal history of traumatic brain injury in DRG | 1.0 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD Z87820 - Personal history of traumatic brain injury | 3.41 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD Z87820 - Personal history of traumatic brain injury | 18.5 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD Z87820 - Personal history of traumatic brain injury | 13.98 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD Z87820 - Personal history of traumatic brain injury | $7,200,885 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD Z87820 - Personal history of traumatic brain injury | $1,376 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD Z87820 - Personal history of traumatic brain injury | $4,688 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD Z87820 - Personal history of traumatic brain injury | $42,235,314 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD Z87820 - Personal history of traumatic brain injury | $27,497 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD Z87820 - Personal history of traumatic brain injury | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD Z87820 - Personal history of traumatic brain injury | 12.17 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD Z87820 - Personal history of traumatic brain injury | 64.91 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| HENNEPIN COUNTY MEDICAL CENTER | 701 PARK AVE, P1-FINANCE | MINNEAPOLIS | MN | 55415 | 663 |
| REGIONS HOSPITAL | 640 JACKSON ST | SAINT PAUL | MN | 55101 | 572 |
| ALBANY MEDICAL CENTER | 43 NEW SCOTLAND AVE | ALBANY | NY | 12208 | 479 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. WOJCIECH POLUHA | 107 LINCOLN ST | WORCESTER | MA | 01605 | 83 |
| Dr. RONALD F. PIKE | 107 LINCOLN ST | WORCESTER | MA | 01605 | 68 |
| Dr. LJILJANA MARKOVIC | 25 MARSHALL STREET | NORTH ADAMS | MA | 01247 | 52 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. WOJCIECH POLUHA | 107 LINCOLN ST | WORCESTER | MA | 01605 | 88 |
| Dr. ROBERT OLIVER MORTON | 1000 ROLLING HILLS LN | ADA | OK | 74820 | 83 |
| Dr. RONALD F. PIKE | 107 LINCOLN ST | WORCESTER | MA | 01605 | 81 |