| 3441 - Paraplegia - as a primary diagnosis code | 3441 - Paraplegia - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 10.02 | |
| Readmission Rate (%) | 32.16 | |
| Unplanned Readmission Rate (%) | 8.81 | |
| 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 | ||
| DRG 052: SPINAL DISORDERS AND INJURIES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 053: SPINAL DISORDERS AND INJURIES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 041: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) OR PERIPHERAL NEUROSTIMULATOR | DRG 029: SPINAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) OR SPINAL NEUROSTIMULATORS | DRG 040: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 2,986 | ||||
| Total Hospitalizations with ICD 3441 - Paraplegia | 439 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD 3441 - Paraplegia in DRG | 62.98 | ||||
| Avg LOS at DRG | 9.49 | ||||
| Avg LOS with ICD 3441 - Paraplegia | 8.31 | ||||
| Readmission Rate at DRG | 33.6 | ||||
| Readmission Rate with ICD 3441 - Paraplegia | 29.46 | ||||
| Unplanned Readmission Rate at DRG | 10.18 | ||||
| Unplanned Readmission Rate with ICD 3441 - Paraplegia | 10.59 | ||||
| Total Medicare payments at DRG | $41,245,460 | ||||
| Total Medicare payments with ICD 3441 - Paraplegia | $5,599,416 | ||||
| Total Medicare payment per Day at DRG | $1,455 | ||||
| Total Medicare payment per Day with ICD 3441 - Paraplegia | $1,535 | ||||
| Total Medicare payment per Hospitalization at DRG | $13,813 | ||||
| Total Medicare payment per Hospitalization with ICD 3441 - Paraplegia | $12,755 | ||||
| Total Medicare Charges at DRG | $155,271,352 | ||||
| Total Medicare Charges with ICD 3441 - Paraplegia | $20,055,138 | ||||
| Avg Charges at DRG | $52,000 | ||||
| Avg Charges with ICD 3441 - Paraplegia | $45,684 | ||||
| Mortality Rate at DRG | 10.05 | ||||
| Mortality Rate with ICD 3441 - Paraplegia | NA | ||||
| SNF Discharge Rate at DRG | 30.64 | ||||
| SNF Discharge Rate with ICD 3441 - Paraplegia | 31.44 | ||||
| Home Discharge Rate at DRG | 15.74 | ||||
| Home Discharge Rate with ICD 3441 - Paraplegia | 23.01 |
| DRG 042: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 4,531 |
| Total Hospitalizations with ICD 3441 - Paraplegia | 12 |
| DRG Share of Total Hospitalizations | 0.02 |
| % of Total ICD 3441 - Paraplegia in DRG | 1.72 |
| Avg LOS at DRG | 3.45 |
| Avg LOS with ICD 3441 - Paraplegia | 2.92 |
| Readmission Rate at DRG | 19.79 |
| Readmission Rate with ICD 3441 - Paraplegia | NA |
| Unplanned Readmission Rate at DRG | 6.63 |
| Unplanned Readmission Rate with ICD 3441 - Paraplegia | NA |
| Total Medicare payments at DRG | $53,170,275 |
| Total Medicare payments with ICD 3441 - Paraplegia | $162,527 |
| Total Medicare payment per Day at DRG | $3,398 |
| Total Medicare payment per Day with ICD 3441 - Paraplegia | $4,644 |
| Total Medicare payment per Hospitalization at DRG | $11,735 |
| Total Medicare payment per Hospitalization with ICD 3441 - Paraplegia | $13,544 |
| Total Medicare Charges at DRG | $261,912,488 |
| Total Medicare Charges with ICD 3441 - Paraplegia | $673,023 |
| Avg Charges at DRG | $57,805 |
| Avg Charges with ICD 3441 - Paraplegia | $56,085 |
| Mortality Rate at DRG | NA |
| Mortality Rate with ICD 3441 - Paraplegia | NA |
| SNF Discharge Rate at DRG | 11.37 |
| SNF Discharge Rate with ICD 3441 - Paraplegia | NA |
| Home Discharge Rate at DRG | 63.03 |
| Home Discharge Rate with ICD 3441 - Paraplegia | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| BRYN MAWR REHAB HOSPITAL | 414 PAOLI PIKE | MALVERN | PA | 19355 | 11 |
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 901,552 | ||||
| Total Hospitalizations with ICD 3441 - Paraplegia | 11,343 | ||||
| DRG Share of Total Hospitalizations | 3.95 | ||||
| % of Total ICD 3441 - Paraplegia in DRG | 8.96 | ||||
| Avg LOS at DRG | 6.79 | ||||
| Avg LOS with ICD 3441 - Paraplegia | 8.22 | ||||
| Readmission Rate at DRG | 25.38 | ||||
| Readmission Rate with ICD 3441 - Paraplegia | 33.93 | ||||
| Unplanned Readmission Rate at DRG | 17.1 | ||||
| Unplanned Readmission Rate with ICD 3441 - Paraplegia | 20.22 | ||||
| Total Medicare payments at DRG | $11,142,976,193 | ||||
| Total Medicare payments with ICD 3441 - Paraplegia | $147,422,802 | ||||
| Total Medicare payment per Day at DRG | $1,821 | ||||
| Total Medicare payment per Day with ICD 3441 - Paraplegia | $1,581 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,360 | ||||
| Total Medicare payment per Hospitalization with ICD 3441 - Paraplegia | $12,997 | ||||
| Total Medicare Charges at DRG | $48,288,426,708 | ||||
| Total Medicare Charges with ICD 3441 - Paraplegia | $681,179,217 | ||||
| Avg Charges at DRG | $53,561 | ||||
| Avg Charges with ICD 3441 - Paraplegia | $60,053 | ||||
| Mortality Rate at DRG | 15.16 | ||||
| Mortality Rate with ICD 3441 - Paraplegia | 8.53 | ||||
| SNF Discharge Rate at DRG | 28.41 | ||||
| SNF Discharge Rate with ICD 3441 - Paraplegia | 30.21 | ||||
| Home Discharge Rate at DRG | 23.21 | ||||
| Home Discharge Rate with ICD 3441 - Paraplegia | 15.59 |
| DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 592: SKIN ULCERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 699: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 573: SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 285,530 | ||||
| Total Hospitalizations with ICD 3441 - Paraplegia | 3,468 | ||||
| DRG Share of Total Hospitalizations | 1.25 | ||||
| % of Total ICD 3441 - Paraplegia in DRG | 2.74 | ||||
| Avg LOS at DRG | 4.72 | ||||
| Avg LOS with ICD 3441 - Paraplegia | 5.2 | ||||
| Readmission Rate at DRG | 18.55 | ||||
| Readmission Rate with ICD 3441 - Paraplegia | 23.35 | ||||
| Unplanned Readmission Rate at DRG | 12.87 | ||||
| Unplanned Readmission Rate with ICD 3441 - Paraplegia | 15.75 | ||||
| Total Medicare payments at DRG | $1,922,582,097 | ||||
| Total Medicare payments with ICD 3441 - Paraplegia | $24,446,949 | ||||
| Total Medicare payment per Day at DRG | $1,427 | ||||
| Total Medicare payment per Day with ICD 3441 - Paraplegia | $1,355 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,733 | ||||
| Total Medicare payment per Hospitalization with ICD 3441 - Paraplegia | $7,049 | ||||
| Total Medicare Charges at DRG | $8,696,353,387 | ||||
| Total Medicare Charges with ICD 3441 - Paraplegia | $115,716,122 | ||||
| Avg Charges at DRG | $30,457 | ||||
| Avg Charges with ICD 3441 - Paraplegia | $33,367 | ||||
| Mortality Rate at DRG | 2.4 | ||||
| Mortality Rate with ICD 3441 - Paraplegia | 0.81 | ||||
| SNF Discharge Rate at DRG | 23.54 | ||||
| SNF Discharge Rate with ICD 3441 - Paraplegia | 23.39 | ||||
| Home Discharge Rate at DRG | 44.6 | ||||
| Home Discharge Rate with ICD 3441 - Paraplegia | 37.63 |
| DRG 539: OSTEOMYELITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 579: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 570: SKIN DEBRIDEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 11,576 | ||||
| Total Hospitalizations with ICD 3441 - Paraplegia | 2,064 | ||||
| DRG Share of Total Hospitalizations | 0.05 | ||||
| % of Total ICD 3441 - Paraplegia in DRG | 1.63 | ||||
| Avg LOS at DRG | 19.69 | ||||
| Avg LOS with ICD 3441 - Paraplegia | 22.52 | ||||
| Readmission Rate at DRG | 32.14 | ||||
| Readmission Rate with ICD 3441 - Paraplegia | 31.84 | ||||
| Unplanned Readmission Rate at DRG | 17.71 | ||||
| Unplanned Readmission Rate with ICD 3441 - Paraplegia | 14.32 | ||||
| Total Medicare payments at DRG | $272,657,366 | ||||
| Total Medicare payments with ICD 3441 - Paraplegia | $52,454,785 | ||||
| Total Medicare payment per Day at DRG | $1,196 | ||||
| Total Medicare payment per Day with ICD 3441 - Paraplegia | $1,128 | ||||
| Total Medicare payment per Hospitalization at DRG | $23,554 | ||||
| Total Medicare payment per Hospitalization with ICD 3441 - Paraplegia | $25,414 | ||||
| Total Medicare Charges at DRG | $1,037,487,603 | ||||
| Total Medicare Charges with ICD 3441 - Paraplegia | $192,612,807 | ||||
| Avg Charges at DRG | $89,624 | ||||
| Avg Charges with ICD 3441 - Paraplegia | $93,320 | ||||
| Mortality Rate at DRG | 4.31 | ||||
| Mortality Rate with ICD 3441 - Paraplegia | 1.6 | ||||
| SNF Discharge Rate at DRG | 36.42 | ||||
| SNF Discharge Rate with ICD 3441 - Paraplegia | 30.81 | ||||
| Home Discharge Rate at DRG | 12.7 | ||||
| Home Discharge Rate with ICD 3441 - Paraplegia | 10.47 |
| DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 296,720 | ||||
| Total Hospitalizations with ICD 3441 - Paraplegia | 1,195 | ||||
| DRG Share of Total Hospitalizations | 1.3 | ||||
| % of Total ICD 3441 - Paraplegia in DRG | 0.94 | ||||
| Avg LOS at DRG | 5.98 | ||||
| Avg LOS with ICD 3441 - Paraplegia | 6.8 | ||||
| Readmission Rate at DRG | 24.04 | ||||
| Readmission Rate with ICD 3441 - Paraplegia | 28.56 | ||||
| Unplanned Readmission Rate at DRG | 17.42 | ||||
| Unplanned Readmission Rate with ICD 3441 - Paraplegia | 20.09 | ||||
| Total Medicare payments at DRG | $2,681,981,318 | ||||
| Total Medicare payments with ICD 3441 - Paraplegia | $11,493,754 | ||||
| Total Medicare payment per Day at DRG | $1,513 | ||||
| Total Medicare payment per Day with ICD 3441 - Paraplegia | $1,415 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,039 | ||||
| Total Medicare payment per Hospitalization with ICD 3441 - Paraplegia | $9,618 | ||||
| Total Medicare Charges at DRG | $11,896,768,371 | ||||
| Total Medicare Charges with ICD 3441 - Paraplegia | $56,996,924 | ||||
| Avg Charges at DRG | $40,094 | ||||
| Avg Charges with ICD 3441 - Paraplegia | $47,696 | ||||
| Mortality Rate at DRG | 5.39 | ||||
| Mortality Rate with ICD 3441 - Paraplegia | 4.52 | ||||
| SNF Discharge Rate at DRG | 23.54 | ||||
| SNF Discharge Rate with ICD 3441 - Paraplegia | 29.96 | ||||
| Home Discharge Rate at DRG | 38.6 | ||||
| Home Discharge Rate with ICD 3441 - Paraplegia | 24.18 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 425 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 384 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 328 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. MISLYNNE ANITA CHARLES | 1509 WILSON TER | GLENDALE | CA | 91206 | 63 |
| Dr. WILLIAM M JACOBSEN | 2400 E ARIZONA BILTMORE CIR | PHOENIX | AZ | 85016 | 60 |
| Dr. GEORGE DOUGLAS SCHUCHMANN | 2001 LAUREL AVE | KNOXVILLE | TN | 37916 | 50 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. KENNETH KARL WOGENSEN | 1015 N FIRST AVENUE | ARCADIA | CA | 91006 | 107 |
| Dr. SAMUEL GRISSOM | 1350 E WOODROW WILSON AVE | JACKSON | MS | 39216 | 87 |
| Dr. BRUCE RICHARD KELLY | 320 GUYS RUN ROAD | PITTSBURGH | PA | 15238 | 80 |