| 8500 - Concussion with no loss of consciousness - as a primary diagnosis code | 8500 - Concussion with no loss of consciousness - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 4.51 | |
| Readmission Rate (%) | 22.29 | |
| Unplanned Readmission Rate (%) | 10.34 | |
| 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 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 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 041: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) OR PERIPHERAL NEUROSTIMULATOR | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 5,167 | ||||
| Total Hospitalizations with ICD 8500 - Concussion with no loss of consciousness | 1,721 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD 8500 - Concussion with no loss of consciousness in DRG | 46.28 | ||||
| Avg LOS at DRG | 3.44 | ||||
| Avg LOS with ICD 8500 - Concussion with no loss of consciousness | 3.46 | ||||
| Readmission Rate at DRG | 19.83 | ||||
| Readmission Rate with ICD 8500 - Concussion with no loss of consciousness | 19.68 | ||||
| Unplanned Readmission Rate at DRG | 10.0 | ||||
| Unplanned Readmission Rate with ICD 8500 - Concussion with no loss of consciousness | 10.58 | ||||
| Total Medicare payments at DRG | $30,918,663 | ||||
| Total Medicare payments with ICD 8500 - Concussion with no loss of consciousness | $9,973,910 | ||||
| Total Medicare payment per Day at DRG | $1,737 | ||||
| Total Medicare payment per Day with ICD 8500 - Concussion with no loss of consciousness | $1,675 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,984 | ||||
| Total Medicare payment per Hospitalization with ICD 8500 - Concussion with no loss of consciousness | $5,795 | ||||
| Total Medicare Charges at DRG | $165,711,176 | ||||
| Total Medicare Charges with ICD 8500 - Concussion with no loss of consciousness | $51,221,490 | ||||
| Avg Charges at DRG | $32,071 | ||||
| Avg Charges with ICD 8500 - Concussion with no loss of consciousness | $29,763 | ||||
| Mortality Rate at DRG | 0.48 | ||||
| Mortality Rate with ICD 8500 - Concussion with no loss of consciousness | NA | ||||
| SNF Discharge Rate at DRG | 29.38 | ||||
| SNF Discharge Rate with ICD 8500 - Concussion with no loss of consciousness | 35.21 | ||||
| Home Discharge Rate at DRG | 40.22 | ||||
| Home Discharge Rate with ICD 8500 - Concussion with no loss of consciousness | 34.4 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| NASSAU UNIVERSITY MEDICAL CENTER | 2201 HEMPSTEAD TPKE | EAST MEADOW | NY | 11554 | 56 |
| HAHNEMANN UNIVERSITY HOSPITAL | BROAD & VINE STREETS | PHILADELPHIA | PA | 19102 | 42 |
| SCRIPPS MEMORIAL HOSPITAL LA JOLLA | 9888 GENESEE AVE | LA JOLLA | CA | 92037 | 25 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. DAHUA ZHOU | 2201 HEMPSTEAD TURNPIKE | EAST MEADOW | NY | 11554 | 20 |
| Dr. LAMBROS D. GEORGE ANGUS | 2201 HEMPSTEAD TPKE | EAST MEADOW | NY | 11554 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. LAMBROS D. GEORGE ANGUS | 2201 HEMPSTEAD TPKE | EAST MEADOW | NY | 11554 | 17 |
| Dr. PAUL SCOTT | 2201 HEMPSTEAD TPKE | EAST MEADOW | NY | 11554 | 15 |
| Dr. ALBERTO NUNEZ | BROAD AND VINE STREET | PHILADELPHIA | PA | 19102 | 12 |
| 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 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 312: SYNCOPE AND COLLAPSE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 5,167 | ||||
| Total Hospitalizations with ICD 8500 - Concussion with no loss of consciousness | 1,725 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD 8500 - Concussion with no loss of consciousness in DRG | 19.45 | ||||
| Avg LOS at DRG | 3.44 | ||||
| Avg LOS with ICD 8500 - Concussion with no loss of consciousness | 3.46 | ||||
| Readmission Rate at DRG | 19.83 | ||||
| Readmission Rate with ICD 8500 - Concussion with no loss of consciousness | 19.65 | ||||
| Unplanned Readmission Rate at DRG | 10.0 | ||||
| Unplanned Readmission Rate with ICD 8500 - Concussion with no loss of consciousness | 10.56 | ||||
| Total Medicare payments at DRG | $30,918,663 | ||||
| Total Medicare payments with ICD 8500 - Concussion with no loss of consciousness | $9,992,710 | ||||
| Total Medicare payment per Day at DRG | $1,737 | ||||
| Total Medicare payment per Day with ICD 8500 - Concussion with no loss of consciousness | $1,676 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,984 | ||||
| Total Medicare payment per Hospitalization with ICD 8500 - Concussion with no loss of consciousness | $5,793 | ||||
| Total Medicare Charges at DRG | $165,711,176 | ||||
| Total Medicare Charges with ICD 8500 - Concussion with no loss of consciousness | $51,352,853 | ||||
| Avg Charges at DRG | $32,071 | ||||
| Avg Charges with ICD 8500 - Concussion with no loss of consciousness | $29,770 | ||||
| Mortality Rate at DRG | 0.48 | ||||
| Mortality Rate with ICD 8500 - Concussion with no loss of consciousness | NA | ||||
| SNF Discharge Rate at DRG | 29.38 | ||||
| SNF Discharge Rate with ICD 8500 - Concussion with no loss of consciousness | 35.19 | ||||
| Home Discharge Rate at DRG | 40.22 | ||||
| Home Discharge Rate with ICD 8500 - Concussion with no loss of consciousness | 34.38 |
| DRG 605: TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 563: FRACTURE SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 29,719 | ||||
| Total Hospitalizations with ICD 8500 - Concussion with no loss of consciousness | 180 | ||||
| DRG Share of Total Hospitalizations | 0.13 | ||||
| % of Total ICD 8500 - Concussion with no loss of consciousness in DRG | 2.03 | ||||
| Avg LOS at DRG | 3.24 | ||||
| Avg LOS with ICD 8500 - Concussion with no loss of consciousness | 2.77 | ||||
| Readmission Rate at DRG | 18.71 | ||||
| Readmission Rate with ICD 8500 - Concussion with no loss of consciousness | 13.48 | ||||
| Unplanned Readmission Rate at DRG | 10.63 | ||||
| Unplanned Readmission Rate with ICD 8500 - Concussion with no loss of consciousness | 7.87 | ||||
| Total Medicare payments at DRG | $141,756,537 | ||||
| Total Medicare payments with ICD 8500 - Concussion with no loss of consciousness | $772,587 | ||||
| Total Medicare payment per Day at DRG | $1,471 | ||||
| Total Medicare payment per Day with ICD 8500 - Concussion with no loss of consciousness | $1,551 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,770 | ||||
| Total Medicare payment per Hospitalization with ICD 8500 - Concussion with no loss of consciousness | $4,292 | ||||
| Total Medicare Charges at DRG | $714,780,638 | ||||
| Total Medicare Charges with ICD 8500 - Concussion with no loss of consciousness | $5,209,854 | ||||
| Avg Charges at DRG | $24,051 | ||||
| Avg Charges with ICD 8500 - Concussion with no loss of consciousness | $28,944 | ||||
| Mortality Rate at DRG | 0.27 | ||||
| Mortality Rate with ICD 8500 - Concussion with no loss of consciousness | NA | ||||
| SNF Discharge Rate at DRG | 33.64 | ||||
| SNF Discharge Rate with ICD 8500 - Concussion with no loss of consciousness | 28.33 | ||||
| Home Discharge Rate at DRG | 34.58 | ||||
| Home Discharge Rate with ICD 8500 - Concussion with no loss of consciousness | 50.56 |
| DRG 184: MAJOR CHEST TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) | DRG 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 536: FRACTURES OF HIP AND PELVIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 14,840 | ||||
| Total Hospitalizations with ICD 8500 - Concussion with no loss of consciousness | 99 | ||||
| DRG Share of Total Hospitalizations | 0.06 | ||||
| % of Total ICD 8500 - Concussion with no loss of consciousness in DRG | 1.12 | ||||
| Avg LOS at DRG | 4.0 | ||||
| Avg LOS with ICD 8500 - Concussion with no loss of consciousness | 4.26 | ||||
| Readmission Rate at DRG | 17.86 | ||||
| Readmission Rate with ICD 8500 - Concussion with no loss of consciousness | 17.17 | ||||
| Unplanned Readmission Rate at DRG | 9.11 | ||||
| Unplanned Readmission Rate with ICD 8500 - Concussion with no loss of consciousness | NA | ||||
| Total Medicare payments at DRG | $88,857,962 | ||||
| Total Medicare payments with ICD 8500 - Concussion with no loss of consciousness | $532,719 | ||||
| Total Medicare payment per Day at DRG | $1,497 | ||||
| Total Medicare payment per Day with ICD 8500 - Concussion with no loss of consciousness | $1,262 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,988 | ||||
| Total Medicare payment per Hospitalization with ICD 8500 - Concussion with no loss of consciousness | $5,381 | ||||
| Total Medicare Charges at DRG | $467,134,277 | ||||
| Total Medicare Charges with ICD 8500 - Concussion with no loss of consciousness | $4,544,076 | ||||
| Avg Charges at DRG | $31,478 | ||||
| Avg Charges with ICD 8500 - Concussion with no loss of consciousness | $45,900 | ||||
| Mortality Rate at DRG | 0.52 | ||||
| Mortality Rate with ICD 8500 - Concussion with no loss of consciousness | NA | ||||
| SNF Discharge Rate at DRG | 37.33 | ||||
| SNF Discharge Rate with ICD 8500 - Concussion with no loss of consciousness | 30.3 | ||||
| Home Discharge Rate at DRG | 34.44 | ||||
| Home Discharge Rate with ICD 8500 - Concussion with no loss of consciousness | 43.43 |
| DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 493: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH COMPLICATION OR COMORBIDITY (CC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 257,265 | ||||
| Total Hospitalizations with ICD 8500 - Concussion with no loss of consciousness | 73 | ||||
| DRG Share of Total Hospitalizations | 1.13 | ||||
| % of Total ICD 8500 - Concussion with no loss of consciousness in DRG | 0.82 | ||||
| Avg LOS at DRG | 3.34 | ||||
| Avg LOS with ICD 8500 - Concussion with no loss of consciousness | 3.63 | ||||
| Readmission Rate at DRG | 20.42 | ||||
| Readmission Rate with ICD 8500 - Concussion with no loss of consciousness | 25.71 | ||||
| Unplanned Readmission Rate at DRG | 13.45 | ||||
| Unplanned Readmission Rate with ICD 8500 - Concussion with no loss of consciousness | NA | ||||
| Total Medicare payments at DRG | $1,129,638,166 | ||||
| Total Medicare payments with ICD 8500 - Concussion with no loss of consciousness | $328,344 | ||||
| Total Medicare payment per Day at DRG | $1,314 | ||||
| Total Medicare payment per Day with ICD 8500 - Concussion with no loss of consciousness | $1,239 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,391 | ||||
| Total Medicare payment per Hospitalization with ICD 8500 - Concussion with no loss of consciousness | $4,498 | ||||
| Total Medicare Charges at DRG | $5,148,191,149 | ||||
| Total Medicare Charges with ICD 8500 - Concussion with no loss of consciousness | $1,959,453 | ||||
| Avg Charges at DRG | $20,011 | ||||
| Avg Charges with ICD 8500 - Concussion with no loss of consciousness | $26,842 | ||||
| Mortality Rate at DRG | 0.85 | ||||
| Mortality Rate with ICD 8500 - Concussion with no loss of consciousness | NA | ||||
| SNF Discharge Rate at DRG | 20.19 | ||||
| SNF Discharge Rate with ICD 8500 - Concussion with no loss of consciousness | 30.14 | ||||
| Home Discharge Rate at DRG | 51.02 | ||||
| Home Discharge Rate with ICD 8500 - Concussion with no loss of consciousness | 36.99 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 93 |
| NASSAU UNIVERSITY MEDICAL CENTER | 2201 HEMPSTEAD TPKE | EAST MEADOW | NY | 11554 | 67 |
| SUMMA HEALTH SYSTEM | 525 E MARKET ST | AKRON | OH | 44304 | 65 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. DAHUA ZHOU | 2201 HEMPSTEAD TURNPIKE | EAST MEADOW | NY | 11554 | 23 |
| Dr. PAUL SCOTT | 2201 HEMPSTEAD TPKE | EAST MEADOW | NY | 11554 | 12 |
| Dr. LAMBROS D. GEORGE ANGUS | 2201 HEMPSTEAD TPKE | EAST MEADOW | NY | 11554 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. PAUL SCOTT | 2201 HEMPSTEAD TPKE | EAST MEADOW | NY | 11554 | 20 |
| Dr. JAMES M LALLY | 13193 CENTRAL AVE | CHINO | CA | 91710 | 18 |
| Dr. LAMBROS D. GEORGE ANGUS | 2201 HEMPSTEAD TPKE | EAST MEADOW | NY | 11554 | 18 |