| 85011 - Concussion, with loss of consciousness of 30 minutes or less - as a primary diagnosis code | 85011 - Concussion, with loss of consciousness of 30 minutes or less - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 4.34 | |
| Readmission Rate (%) | 20.13 | |
| Unplanned Readmission Rate (%) | 7.77 | |
| 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 | ||
| 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 | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 5,167 | |||
| Total Hospitalizations with ICD 85011 - Concussion, with loss of consciousness of 30 minutes or less | 895 | |||
| DRG Share of Total Hospitalizations | 0.02 | |||
| % of Total ICD 85011 - Concussion, with loss of consciousness of 30 minutes or less in DRG | 46.37 | |||
| Avg LOS at DRG | 3.44 | |||
| Avg LOS with ICD 85011 - Concussion, with loss of consciousness of 30 minutes or less | 3.09 | |||
| Readmission Rate at DRG | 19.83 | |||
| Readmission Rate with ICD 85011 - Concussion, with loss of consciousness of 30 minutes or less | 19.13 | |||
| Unplanned Readmission Rate at DRG | 10.0 | |||
| Unplanned Readmission Rate with ICD 85011 - Concussion, with loss of consciousness of 30 minutes or less | 8.82 | |||
| Total Medicare payments at DRG | $30,918,663 | |||
| Total Medicare payments with ICD 85011 - Concussion, with loss of consciousness of 30 minutes or less | $5,391,261 | |||
| Total Medicare payment per Day at DRG | $1,737 | |||
| Total Medicare payment per Day with ICD 85011 - Concussion, with loss of consciousness of 30 minutes or less | $1,950 | |||
| Total Medicare payment per Hospitalization at DRG | $5,984 | |||
| Total Medicare payment per Hospitalization with ICD 85011 - Concussion, with loss of consciousness of 30 minutes or less | $6,024 | |||
| Total Medicare Charges at DRG | $165,711,176 | |||
| Total Medicare Charges with ICD 85011 - Concussion, with loss of consciousness of 30 minutes or less | $29,269,842 | |||
| Avg Charges at DRG | $32,071 | |||
| Avg Charges with ICD 85011 - Concussion, with loss of consciousness of 30 minutes or less | $32,704 | |||
| Mortality Rate at DRG | 0.48 | |||
| Mortality Rate with ICD 85011 - Concussion, with loss of consciousness of 30 minutes or less | NA | |||
| SNF Discharge Rate at DRG | 29.38 | |||
| SNF Discharge Rate with ICD 85011 - Concussion, with loss of consciousness of 30 minutes or less | 21.79 | |||
| Home Discharge Rate at DRG | 40.22 | |||
| Home Discharge Rate with ICD 85011 - Concussion, with loss of consciousness of 30 minutes or less | 48.72 |
| 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 | 71 |
| UC SAN DIEGO HEALTH - HILLCREST MEDICAL CENTER | 200 WEST ARBOR DRIVE | SAN DIEGO | CA | 92103 | 34 |
| GRAND STRAND REGIONAL MEDICAL CENTER | 809 82ND PARKWAY | MYRTLE BEACH | SC | 29572 | 27 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. DAHUA ZHOU | 2201 HEMPSTEAD TURNPIKE | EAST MEADOW | NY | 11554 | 30 |
| Dr. LAMBROS D. GEORGE ANGUS | 2201 HEMPSTEAD TPKE | EAST MEADOW | NY | 11554 | 12 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. PAUL SCOTT | 2201 HEMPSTEAD TPKE | EAST MEADOW | NY | 11554 | 24 |
| Dr. LAMBROS D. GEORGE ANGUS | 2201 HEMPSTEAD TPKE | EAST MEADOW | NY | 11554 | 24 |
| Dr. ANTONIO P PEPE | 849 82ND PKWY | MYRTLE BEACH | SC | 29572 | 14 |
| DRG 089: CONCUSSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 090: CONCUSSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 312: SYNCOPE AND COLLAPSE | DRG 088: CONCUSSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 5,167 | ||||
| Total Hospitalizations with ICD 85011 - Concussion, with loss of consciousness of 30 minutes or less | 898 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD 85011 - Concussion, with loss of consciousness of 30 minutes or less in DRG | 17.97 | ||||
| Avg LOS at DRG | 3.44 | ||||
| Avg LOS with ICD 85011 - Concussion, with loss of consciousness of 30 minutes or less | 3.09 | ||||
| Readmission Rate at DRG | 19.83 | ||||
| Readmission Rate with ICD 85011 - Concussion, with loss of consciousness of 30 minutes or less | 19.06 | ||||
| Unplanned Readmission Rate at DRG | 10.0 | ||||
| Unplanned Readmission Rate with ICD 85011 - Concussion, with loss of consciousness of 30 minutes or less | 8.79 | ||||
| Total Medicare payments at DRG | $30,918,663 | ||||
| Total Medicare payments with ICD 85011 - Concussion, with loss of consciousness of 30 minutes or less | $5,405,948 | ||||
| Total Medicare payment per Day at DRG | $1,737 | ||||
| Total Medicare payment per Day with ICD 85011 - Concussion, with loss of consciousness of 30 minutes or less | $1,951 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,984 | ||||
| Total Medicare payment per Hospitalization with ICD 85011 - Concussion, with loss of consciousness of 30 minutes or less | $6,020 | ||||
| Total Medicare Charges at DRG | $165,711,176 | ||||
| Total Medicare Charges with ICD 85011 - Concussion, with loss of consciousness of 30 minutes or less | $29,418,269 | ||||
| Avg Charges at DRG | $32,071 | ||||
| Avg Charges with ICD 85011 - Concussion, with loss of consciousness of 30 minutes or less | $32,760 | ||||
| Mortality Rate at DRG | 0.48 | ||||
| Mortality Rate with ICD 85011 - Concussion, with loss of consciousness of 30 minutes or less | NA | ||||
| SNF Discharge Rate at DRG | 29.38 | ||||
| SNF Discharge Rate with ICD 85011 - Concussion, with loss of consciousness of 30 minutes or less | 21.71 | ||||
| Home Discharge Rate at DRG | 40.22 | ||||
| Home Discharge Rate with ICD 85011 - Concussion, with loss of consciousness of 30 minutes or less | 48.66 |
| DRG 184: MAJOR CHEST TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS 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 493: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH COMPLICATION OR COMORBIDITY (CC) | DRG 243: PERMANENT CARDIAC PACEMAKER IMPLANT WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 14,840 | ||||
| Total Hospitalizations with ICD 85011 - Concussion, with loss of consciousness of 30 minutes or less | 164 | ||||
| DRG Share of Total Hospitalizations | 0.06 | ||||
| % of Total ICD 85011 - Concussion, with loss of consciousness of 30 minutes or less in DRG | 3.28 | ||||
| Avg LOS at DRG | 4.0 | ||||
| Avg LOS with ICD 85011 - Concussion, with loss of consciousness of 30 minutes or less | 3.98 | ||||
| Readmission Rate at DRG | 17.86 | ||||
| Readmission Rate with ICD 85011 - Concussion, with loss of consciousness of 30 minutes or less | 13.66 | ||||
| Unplanned Readmission Rate at DRG | 9.11 | ||||
| Unplanned Readmission Rate with ICD 85011 - Concussion, with loss of consciousness of 30 minutes or less | 7.45 | ||||
| Total Medicare payments at DRG | $88,857,962 | ||||
| Total Medicare payments with ICD 85011 - Concussion, with loss of consciousness of 30 minutes or less | $966,268 | ||||
| Total Medicare payment per Day at DRG | $1,497 | ||||
| Total Medicare payment per Day with ICD 85011 - Concussion, with loss of consciousness of 30 minutes or less | $1,480 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,988 | ||||
| Total Medicare payment per Hospitalization with ICD 85011 - Concussion, with loss of consciousness of 30 minutes or less | $5,892 | ||||
| Total Medicare Charges at DRG | $467,134,277 | ||||
| Total Medicare Charges with ICD 85011 - Concussion, with loss of consciousness of 30 minutes or less | $6,812,529 | ||||
| Avg Charges at DRG | $31,478 | ||||
| Avg Charges with ICD 85011 - Concussion, with loss of consciousness of 30 minutes or less | $41,540 | ||||
| Mortality Rate at DRG | 0.52 | ||||
| Mortality Rate with ICD 85011 - Concussion, with loss of consciousness of 30 minutes or less | NA | ||||
| SNF Discharge Rate at DRG | 37.33 | ||||
| SNF Discharge Rate with ICD 85011 - Concussion, with loss of consciousness of 30 minutes or less | 21.95 | ||||
| Home Discharge Rate at DRG | 34.44 | ||||
| Home Discharge Rate with ICD 85011 - Concussion, with loss of consciousness of 30 minutes or less | 56.1 |
| DRG 605: TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 964: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 29,719 | ||||
| Total Hospitalizations with ICD 85011 - Concussion, with loss of consciousness of 30 minutes or less | 52 | ||||
| DRG Share of Total Hospitalizations | 0.13 | ||||
| % of Total ICD 85011 - Concussion, with loss of consciousness of 30 minutes or less in DRG | 1.04 | ||||
| Avg LOS at DRG | 3.24 | ||||
| Avg LOS with ICD 85011 - Concussion, with loss of consciousness of 30 minutes or less | 2.42 | ||||
| Readmission Rate at DRG | 18.71 | ||||
| Readmission Rate with ICD 85011 - Concussion, with loss of consciousness of 30 minutes or less | 21.15 | ||||
| Unplanned Readmission Rate at DRG | 10.63 | ||||
| Unplanned Readmission Rate with ICD 85011 - Concussion, with loss of consciousness of 30 minutes or less | NA | ||||
| Total Medicare payments at DRG | $141,756,537 | ||||
| Total Medicare payments with ICD 85011 - Concussion, with loss of consciousness of 30 minutes or less | $236,547 | ||||
| Total Medicare payment per Day at DRG | $1,471 | ||||
| Total Medicare payment per Day with ICD 85011 - Concussion, with loss of consciousness of 30 minutes or less | $1,877 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,770 | ||||
| Total Medicare payment per Hospitalization with ICD 85011 - Concussion, with loss of consciousness of 30 minutes or less | $4,549 | ||||
| Total Medicare Charges at DRG | $714,780,638 | ||||
| Total Medicare Charges with ICD 85011 - Concussion, with loss of consciousness of 30 minutes or less | $1,605,599 | ||||
| Avg Charges at DRG | $24,051 | ||||
| Avg Charges with ICD 85011 - Concussion, with loss of consciousness of 30 minutes or less | $30,877 | ||||
| Mortality Rate at DRG | 0.27 | ||||
| Mortality Rate with ICD 85011 - Concussion, with loss of consciousness of 30 minutes or less | NA | ||||
| SNF Discharge Rate at DRG | 33.64 | ||||
| SNF Discharge Rate with ICD 85011 - Concussion, with loss of consciousness of 30 minutes or less | NA | ||||
| Home Discharge Rate at DRG | 34.58 | ||||
| Home Discharge Rate with ICD 85011 - Concussion, with loss of consciousness of 30 minutes or less | 57.69 |
| DRG 200: PNEUMOTHORAX WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 511: SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 183: MAJOR CHEST TRAUMA WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 17,192 | ||||
| Total Hospitalizations with ICD 85011 - Concussion, with loss of consciousness of 30 minutes or less | 41 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD 85011 - Concussion, with loss of consciousness of 30 minutes or less in DRG | 0.82 | ||||
| Avg LOS at DRG | 4.4 | ||||
| Avg LOS with ICD 85011 - Concussion, with loss of consciousness of 30 minutes or less | 5.05 | ||||
| Readmission Rate at DRG | 19.66 | ||||
| Readmission Rate with ICD 85011 - Concussion, with loss of consciousness of 30 minutes or less | NA | ||||
| Unplanned Readmission Rate at DRG | 10.75 | ||||
| Unplanned Readmission Rate with ICD 85011 - Concussion, with loss of consciousness of 30 minutes or less | NA | ||||
| Total Medicare payments at DRG | $105,309,929 | ||||
| Total Medicare payments with ICD 85011 - Concussion, with loss of consciousness of 30 minutes or less | $251,533 | ||||
| Total Medicare payment per Day at DRG | $1,393 | ||||
| Total Medicare payment per Day with ICD 85011 - Concussion, with loss of consciousness of 30 minutes or less | $1,215 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,126 | ||||
| Total Medicare payment per Hospitalization with ICD 85011 - Concussion, with loss of consciousness of 30 minutes or less | $6,135 | ||||
| Total Medicare Charges at DRG | $514,564,942 | ||||
| Total Medicare Charges with ICD 85011 - Concussion, with loss of consciousness of 30 minutes or less | $1,933,357 | ||||
| Avg Charges at DRG | $29,930 | ||||
| Avg Charges with ICD 85011 - Concussion, with loss of consciousness of 30 minutes or less | $47,155 | ||||
| Mortality Rate at DRG | 0.67 | ||||
| Mortality Rate with ICD 85011 - Concussion, with loss of consciousness of 30 minutes or less | NA | ||||
| SNF Discharge Rate at DRG | 13.83 | ||||
| SNF Discharge Rate with ICD 85011 - Concussion, with loss of consciousness of 30 minutes or less | NA | ||||
| Home Discharge Rate at DRG | 61.13 | ||||
| Home Discharge Rate with ICD 85011 - Concussion, with loss of consciousness of 30 minutes or less | 46.34 |
| 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 | 96 |
| UC SAN DIEGO HEALTH - HILLCREST MEDICAL CENTER | 200 WEST ARBOR DRIVE | SAN DIEGO | CA | 92103 | 54 |
| HONORHEALTH SCOTTSDALE OSBORN MEDICAL CENTER | 7400 E OSBORN RD | SCOTTSDALE | AZ | 85251 | 54 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. DAHUA ZHOU | 2201 HEMPSTEAD TURNPIKE | EAST MEADOW | NY | 11554 | 35 |
| Dr. LAMBROS D. GEORGE ANGUS | 2201 HEMPSTEAD TPKE | EAST MEADOW | NY | 11554 | 16 |
| Dr. PAUL SCOTT | 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 | 30 |
| Dr. LAMBROS D. GEORGE ANGUS | 2201 HEMPSTEAD TPKE | EAST MEADOW | NY | 11554 | 28 |
| Dr. MARK A REYNOLDS | 800 E CHEVES ST | FLORENCE | SC | 29506 | 22 |