| 8505 - Concussion with loss of consciousness of unspecified duration - as a primary diagnosis code | 8505 - Concussion with loss of consciousness of unspecified duration - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.24 | |
| Readmission Rate (%) | 22.32 | |
| Unplanned Readmission Rate (%) | 9.39 | |
| 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 964: OTHER MULTIPLE SIGNIFICANT TRAUMA 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 8505 - Concussion with loss of consciousness of unspecified duration | 1,548 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD 8505 - Concussion with loss of consciousness of unspecified duration in DRG | 45.58 | ||||
| Avg LOS at DRG | 3.44 | ||||
| Avg LOS with ICD 8505 - Concussion with loss of consciousness of unspecified duration | 3.44 | ||||
| Readmission Rate at DRG | 19.83 | ||||
| Readmission Rate with ICD 8505 - Concussion with loss of consciousness of unspecified duration | 20.72 | ||||
| Unplanned Readmission Rate at DRG | 10.0 | ||||
| Unplanned Readmission Rate with ICD 8505 - Concussion with loss of consciousness of unspecified duration | 10.19 | ||||
| Total Medicare payments at DRG | $30,918,663 | ||||
| Total Medicare payments with ICD 8505 - Concussion with loss of consciousness of unspecified duration | $9,705,430 | ||||
| Total Medicare payment per Day at DRG | $1,737 | ||||
| Total Medicare payment per Day with ICD 8505 - Concussion with loss of consciousness of unspecified duration | $1,824 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,984 | ||||
| Total Medicare payment per Hospitalization with ICD 8505 - Concussion with loss of consciousness of unspecified duration | $6,270 | ||||
| Total Medicare Charges at DRG | $165,711,176 | ||||
| Total Medicare Charges with ICD 8505 - Concussion with loss of consciousness of unspecified duration | $54,619,840 | ||||
| Avg Charges at DRG | $32,071 | ||||
| Avg Charges with ICD 8505 - Concussion with loss of consciousness of unspecified duration | $35,284 | ||||
| Mortality Rate at DRG | 0.48 | ||||
| Mortality Rate with ICD 8505 - Concussion with loss of consciousness of unspecified duration | NA | ||||
| SNF Discharge Rate at DRG | 29.38 | ||||
| SNF Discharge Rate with ICD 8505 - Concussion with loss of consciousness of unspecified duration | 23.77 | ||||
| Home Discharge Rate at DRG | 40.22 | ||||
| Home Discharge Rate with ICD 8505 - Concussion with loss of consciousness of unspecified duration | 46.64 |
| DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 31,742 | |
| Total Hospitalizations with ICD 8505 - Concussion with loss of consciousness of unspecified duration | 13 | |
| DRG Share of Total Hospitalizations | 0.14 | |
| % of Total ICD 8505 - Concussion with loss of consciousness of unspecified duration in DRG | 0.38 | |
| Avg LOS at DRG | 7.58 | |
| Avg LOS with ICD 8505 - Concussion with loss of consciousness of unspecified duration | 6.31 | |
| Readmission Rate at DRG | 25.44 | |
| Readmission Rate with ICD 8505 - Concussion with loss of consciousness of unspecified duration | NA | |
| Unplanned Readmission Rate at DRG | 14.47 | |
| Unplanned Readmission Rate with ICD 8505 - Concussion with loss of consciousness of unspecified duration | NA | |
| Total Medicare payments at DRG | $583,003,764 | |
| Total Medicare payments with ICD 8505 - Concussion with loss of consciousness of unspecified duration | $217,039 | |
| Total Medicare payment per Day at DRG | $2,422 | |
| Total Medicare payment per Day with ICD 8505 - Concussion with loss of consciousness of unspecified duration | $2,647 | |
| Total Medicare payment per Hospitalization at DRG | $18,367 | |
| Total Medicare payment per Hospitalization with ICD 8505 - Concussion with loss of consciousness of unspecified duration | $16,695 | |
| Total Medicare Charges at DRG | $2,600,081,468 | |
| Total Medicare Charges with ICD 8505 - Concussion with loss of consciousness of unspecified duration | $1,250,020 | |
| Avg Charges at DRG | $81,913 | |
| Avg Charges with ICD 8505 - Concussion with loss of consciousness of unspecified duration | $96,155 | |
| Mortality Rate at DRG | 0.96 | |
| Mortality Rate with ICD 8505 - Concussion with loss of consciousness of unspecified duration | NA | |
| SNF Discharge Rate at DRG | 25.55 | |
| SNF Discharge Rate with ICD 8505 - Concussion with loss of consciousness of unspecified duration | NA | |
| Home Discharge Rate at DRG | 40.29 | |
| Home Discharge Rate with ICD 8505 - Concussion with loss of consciousness of unspecified duration | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| HAHNEMANN UNIVERSITY HOSPITAL | BROAD & VINE STREETS | PHILADELPHIA | PA | 19102 | 56 |
| UC SAN DIEGO HEALTH - HILLCREST MEDICAL CENTER | 200 WEST ARBOR DRIVE | SAN DIEGO | CA | 92103 | 53 |
| GRAND STRAND REGIONAL MEDICAL CENTER | 809 82ND PARKWAY | MYRTLE BEACH | SC | 29572 | 45 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. JAMES S. EAKINS | BROAD AND VINE STREETS | PHILADELPHIA | PA | 19102 | 17 |
| Dr. AKELLA CHENDRASEKHAR | 145 ST.NICHOLAS AVE | BROOKLYN | NY | 11237 | 15 |
| Dr. ALBERTO NUNEZ | BROAD AND VINE STREET | PHILADELPHIA | PA | 19102 | 15 |
| 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 312: SYNCOPE AND COLLAPSE | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 5,167 | ||||
| Total Hospitalizations with ICD 8505 - Concussion with loss of consciousness of unspecified duration | 1,550 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD 8505 - Concussion with loss of consciousness of unspecified duration in DRG | 16.75 | ||||
| Avg LOS at DRG | 3.44 | ||||
| Avg LOS with ICD 8505 - Concussion with loss of consciousness of unspecified duration | 3.44 | ||||
| Readmission Rate at DRG | 19.83 | ||||
| Readmission Rate with ICD 8505 - Concussion with loss of consciousness of unspecified duration | 20.76 | ||||
| Unplanned Readmission Rate at DRG | 10.0 | ||||
| Unplanned Readmission Rate with ICD 8505 - Concussion with loss of consciousness of unspecified duration | 10.18 | ||||
| Total Medicare payments at DRG | $30,918,663 | ||||
| Total Medicare payments with ICD 8505 - Concussion with loss of consciousness of unspecified duration | $9,719,296 | ||||
| Total Medicare payment per Day at DRG | $1,737 | ||||
| Total Medicare payment per Day with ICD 8505 - Concussion with loss of consciousness of unspecified duration | $1,825 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,984 | ||||
| Total Medicare payment per Hospitalization with ICD 8505 - Concussion with loss of consciousness of unspecified duration | $6,271 | ||||
| Total Medicare Charges at DRG | $165,711,176 | ||||
| Total Medicare Charges with ICD 8505 - Concussion with loss of consciousness of unspecified duration | $54,691,200 | ||||
| Avg Charges at DRG | $32,071 | ||||
| Avg Charges with ICD 8505 - Concussion with loss of consciousness of unspecified duration | $35,285 | ||||
| Mortality Rate at DRG | 0.48 | ||||
| Mortality Rate with ICD 8505 - Concussion with loss of consciousness of unspecified duration | NA | ||||
| SNF Discharge Rate at DRG | 29.38 | ||||
| SNF Discharge Rate with ICD 8505 - Concussion with loss of consciousness of unspecified duration | 23.74 | ||||
| Home Discharge Rate at DRG | 40.22 | ||||
| Home Discharge Rate with ICD 8505 - Concussion with loss of consciousness of unspecified duration | 46.65 |
| DRG 184: MAJOR CHEST TRAUMA 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 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 14,840 | ||||
| Total Hospitalizations with ICD 8505 - Concussion with loss of consciousness of unspecified duration | 277 | ||||
| DRG Share of Total Hospitalizations | 0.06 | ||||
| % of Total ICD 8505 - Concussion with loss of consciousness of unspecified duration in DRG | 2.99 | ||||
| Avg LOS at DRG | 4.0 | ||||
| Avg LOS with ICD 8505 - Concussion with loss of consciousness of unspecified duration | 3.73 | ||||
| Readmission Rate at DRG | 17.86 | ||||
| Readmission Rate with ICD 8505 - Concussion with loss of consciousness of unspecified duration | 15.5 | ||||
| Unplanned Readmission Rate at DRG | 9.11 | ||||
| Unplanned Readmission Rate with ICD 8505 - Concussion with loss of consciousness of unspecified duration | 4.06 | ||||
| Total Medicare payments at DRG | $88,857,962 | ||||
| Total Medicare payments with ICD 8505 - Concussion with loss of consciousness of unspecified duration | $1,608,539 | ||||
| Total Medicare payment per Day at DRG | $1,497 | ||||
| Total Medicare payment per Day with ICD 8505 - Concussion with loss of consciousness of unspecified duration | $1,559 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,988 | ||||
| Total Medicare payment per Hospitalization with ICD 8505 - Concussion with loss of consciousness of unspecified duration | $5,807 | ||||
| Total Medicare Charges at DRG | $467,134,277 | ||||
| Total Medicare Charges with ICD 8505 - Concussion with loss of consciousness of unspecified duration | $11,083,586 | ||||
| Avg Charges at DRG | $31,478 | ||||
| Avg Charges with ICD 8505 - Concussion with loss of consciousness of unspecified duration | $40,013 | ||||
| Mortality Rate at DRG | 0.52 | ||||
| Mortality Rate with ICD 8505 - Concussion with loss of consciousness of unspecified duration | NA | ||||
| SNF Discharge Rate at DRG | 37.33 | ||||
| SNF Discharge Rate with ICD 8505 - Concussion with loss of consciousness of unspecified duration | 19.13 | ||||
| Home Discharge Rate at DRG | 34.44 | ||||
| Home Discharge Rate with ICD 8505 - Concussion with loss of consciousness of unspecified duration | 54.51 |
| DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 605: TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 957: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 166,828 | ||||
| Total Hospitalizations with ICD 8505 - Concussion with loss of consciousness of unspecified duration | 114 | ||||
| DRG Share of Total Hospitalizations | 0.73 | ||||
| % of Total ICD 8505 - Concussion with loss of consciousness of unspecified duration in DRG | 1.23 | ||||
| Avg LOS at DRG | 5.03 | ||||
| Avg LOS with ICD 8505 - Concussion with loss of consciousness of unspecified duration | 5.75 | ||||
| Readmission Rate at DRG | 28.51 | ||||
| Readmission Rate with ICD 8505 - Concussion with loss of consciousness of unspecified duration | 41.23 | ||||
| Unplanned Readmission Rate at DRG | 8.02 | ||||
| Unplanned Readmission Rate with ICD 8505 - Concussion with loss of consciousness of unspecified duration | NA | ||||
| Total Medicare payments at DRG | $1,988,955,682 | ||||
| Total Medicare payments with ICD 8505 - Concussion with loss of consciousness of unspecified duration | $1,557,376 | ||||
| Total Medicare payment per Day at DRG | $2,371 | ||||
| Total Medicare payment per Day with ICD 8505 - Concussion with loss of consciousness of unspecified duration | $2,378 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,922 | ||||
| Total Medicare payment per Hospitalization with ICD 8505 - Concussion with loss of consciousness of unspecified duration | $13,661 | ||||
| Total Medicare Charges at DRG | $9,203,615,158 | ||||
| Total Medicare Charges with ICD 8505 - Concussion with loss of consciousness of unspecified duration | $9,218,985 | ||||
| Avg Charges at DRG | $55,168 | ||||
| Avg Charges with ICD 8505 - Concussion with loss of consciousness of unspecified duration | $80,868 | ||||
| Mortality Rate at DRG | 0.47 | ||||
| Mortality Rate with ICD 8505 - Concussion with loss of consciousness of unspecified duration | NA | ||||
| SNF Discharge Rate at DRG | 65.59 | ||||
| SNF Discharge Rate with ICD 8505 - Concussion with loss of consciousness of unspecified duration | 46.49 | ||||
| Home Discharge Rate at DRG | 3.55 | ||||
| Home Discharge Rate with ICD 8505 - Concussion with loss of consciousness of unspecified duration | NA |
| DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 964: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) | DRG 101: SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 958: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) | DRG 956: LIMB REATTACHMENT, HIP AND FEMUR PROC FOR MULTIPLE SIGNIFICANT TRAUMA | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 34,870 | ||||
| Total Hospitalizations with ICD 8505 - Concussion with loss of consciousness of unspecified duration | 97 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD 8505 - Concussion with loss of consciousness of unspecified duration in DRG | 1.05 | ||||
| Avg LOS at DRG | 32.29 | ||||
| Avg LOS with ICD 8505 - Concussion with loss of consciousness of unspecified duration | 28.44 | ||||
| Readmission Rate at DRG | 77.59 | ||||
| Readmission Rate with ICD 8505 - Concussion with loss of consciousness of unspecified duration | 70.59 | ||||
| Unplanned Readmission Rate at DRG | 6.64 | ||||
| Unplanned Readmission Rate with ICD 8505 - Concussion with loss of consciousness of unspecified duration | NA | ||||
| Total Medicare payments at DRG | $4,332,531,897 | ||||
| Total Medicare payments with ICD 8505 - Concussion with loss of consciousness of unspecified duration | $10,343,264 | ||||
| Total Medicare payment per Day at DRG | $3,848 | ||||
| Total Medicare payment per Day with ICD 8505 - Concussion with loss of consciousness of unspecified duration | $3,749 | ||||
| Total Medicare payment per Hospitalization at DRG | $124,248 | ||||
| Total Medicare payment per Hospitalization with ICD 8505 - Concussion with loss of consciousness of unspecified duration | $106,632 | ||||
| Total Medicare Charges at DRG | $18,041,668,887 | ||||
| Total Medicare Charges with ICD 8505 - Concussion with loss of consciousness of unspecified duration | $42,555,632 | ||||
| Avg Charges at DRG | $517,398 | ||||
| Avg Charges with ICD 8505 - Concussion with loss of consciousness of unspecified duration | $438,718 | ||||
| Mortality Rate at DRG | 19.09 | ||||
| Mortality Rate with ICD 8505 - Concussion with loss of consciousness of unspecified duration | 11.34 | ||||
| SNF Discharge Rate at DRG | 14.38 | ||||
| SNF Discharge Rate with ICD 8505 - Concussion with loss of consciousness of unspecified duration | 18.56 | ||||
| Home Discharge Rate at DRG | 1.86 | ||||
| Home Discharge Rate with ICD 8505 - Concussion with loss of consciousness of unspecified duration | NA |
| 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 | 104 |
| PRINCE GEORGE'S HOSPITAL CENTER | 3001 HOSPITAL DR | CHEVERLY | MD | 20785 | 99 |
| CHARLESTON AREA MEDICAL CENTER | 501 MORRIS ST | CHARLESTON | WV | 25301 | 88 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. DAHUA ZHOU | 2201 HEMPSTEAD TURNPIKE | EAST MEADOW | NY | 11554 | 14 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. LESLIE M KOBAYASHI | 200 W ARBOR DR DEPT 8896 | SAN DIEGO | CA | 92103 | 21 |
| Dr. JAMES S. EAKINS | BROAD AND VINE STREETS | PHILADELPHIA | PA | 19102 | 19 |
| Dr. RICHARD K UMSTOT | 1201 WASHINGTON ST E | CHARLESTON | WV | 25301 | 19 |