| 8509 - Concussion, unspecified - as a primary diagnosis code | 8509 - Concussion, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.24 | |
| Readmission Rate (%) | 21.7 | |
| Unplanned Readmission Rate (%) | 9.75 | |
| 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) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 5,167 | ||
| Total Hospitalizations with ICD 8509 - Concussion, unspecified | 938 | ||
| DRG Share of Total Hospitalizations | 0.02 | ||
| % of Total ICD 8509 - Concussion, unspecified in DRG | 48.3 | ||
| Avg LOS at DRG | 3.44 | ||
| Avg LOS with ICD 8509 - Concussion, unspecified | 3.79 | ||
| Readmission Rate at DRG | 19.83 | ||
| Readmission Rate with ICD 8509 - Concussion, unspecified | 19.32 | ||
| Unplanned Readmission Rate at DRG | 10.0 | ||
| Unplanned Readmission Rate with ICD 8509 - Concussion, unspecified | 9.99 | ||
| Total Medicare payments at DRG | $30,918,663 | ||
| Total Medicare payments with ICD 8509 - Concussion, unspecified | $5,431,022 | ||
| Total Medicare payment per Day at DRG | $1,737 | ||
| Total Medicare payment per Day with ICD 8509 - Concussion, unspecified | $1,529 | ||
| Total Medicare payment per Hospitalization at DRG | $5,984 | ||
| Total Medicare payment per Hospitalization with ICD 8509 - Concussion, unspecified | $5,790 | ||
| Total Medicare Charges at DRG | $165,711,176 | ||
| Total Medicare Charges with ICD 8509 - Concussion, unspecified | $28,219,205 | ||
| Avg Charges at DRG | $32,071 | ||
| Avg Charges with ICD 8509 - Concussion, unspecified | $30,084 | ||
| Mortality Rate at DRG | 0.48 | ||
| Mortality Rate with ICD 8509 - Concussion, unspecified | NA | ||
| SNF Discharge Rate at DRG | 29.38 | ||
| SNF Discharge Rate with ICD 8509 - Concussion, unspecified | 35.71 | ||
| Home Discharge Rate at DRG | 40.22 | ||
| Home Discharge Rate with ICD 8509 - Concussion, unspecified | 32.3 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| EDWARD W SPARROW HOSPITAL | 1215 E MICHIGAN AVE | LANSING | MI | 48912 | 20 |
| HAHNEMANN UNIVERSITY HOSPITAL | BROAD & VINE STREETS | PHILADELPHIA | PA | 19102 | 17 |
| BRYAN MEDICAL CENTER | 1600 S 48TH ST | LINCOLN | NE | 68506 | 17 |
| 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 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 5,167 | ||||
| Total Hospitalizations with ICD 8509 - Concussion, unspecified | 944 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD 8509 - Concussion, unspecified in DRG | 16.17 | ||||
| Avg LOS at DRG | 3.44 | ||||
| Avg LOS with ICD 8509 - Concussion, unspecified | 3.78 | ||||
| Readmission Rate at DRG | 19.83 | ||||
| Readmission Rate with ICD 8509 - Concussion, unspecified | 19.3 | ||||
| Unplanned Readmission Rate at DRG | 10.0 | ||||
| Unplanned Readmission Rate with ICD 8509 - Concussion, unspecified | 10.03 | ||||
| Total Medicare payments at DRG | $30,918,663 | ||||
| Total Medicare payments with ICD 8509 - Concussion, unspecified | $5,456,134 | ||||
| Total Medicare payment per Day at DRG | $1,737 | ||||
| Total Medicare payment per Day with ICD 8509 - Concussion, unspecified | $1,530 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,984 | ||||
| Total Medicare payment per Hospitalization with ICD 8509 - Concussion, unspecified | $5,780 | ||||
| Total Medicare Charges at DRG | $165,711,176 | ||||
| Total Medicare Charges with ICD 8509 - Concussion, unspecified | $28,344,379 | ||||
| Avg Charges at DRG | $32,071 | ||||
| Avg Charges with ICD 8509 - Concussion, unspecified | $30,026 | ||||
| Mortality Rate at DRG | 0.48 | ||||
| Mortality Rate with ICD 8509 - Concussion, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 29.38 | ||||
| SNF Discharge Rate with ICD 8509 - Concussion, unspecified | 35.59 | ||||
| Home Discharge Rate at DRG | 40.22 | ||||
| Home Discharge Rate with ICD 8509 - Concussion, unspecified | 32.31 |
| DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 605: TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH 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 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 123,582 | ||||
| Total Hospitalizations with ICD 8509 - Concussion, unspecified | 174 | ||||
| DRG Share of Total Hospitalizations | 0.54 | ||||
| % of Total ICD 8509 - Concussion, unspecified in DRG | 2.98 | ||||
| Avg LOS at DRG | 3.98 | ||||
| Avg LOS with ICD 8509 - Concussion, unspecified | 4.2 | ||||
| Readmission Rate at DRG | 21.86 | ||||
| Readmission Rate with ICD 8509 - Concussion, unspecified | 21.76 | ||||
| Unplanned Readmission Rate at DRG | 10.18 | ||||
| Unplanned Readmission Rate with ICD 8509 - Concussion, unspecified | 8.24 | ||||
| Total Medicare payments at DRG | $678,335,493 | ||||
| Total Medicare payments with ICD 8509 - Concussion, unspecified | $865,960 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD 8509 - Concussion, unspecified | $1,186 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,489 | ||||
| Total Medicare payment per Hospitalization with ICD 8509 - Concussion, unspecified | $4,977 | ||||
| Total Medicare Charges at DRG | $3,226,573,785 | ||||
| Total Medicare Charges with ICD 8509 - Concussion, unspecified | $6,531,886 | ||||
| Avg Charges at DRG | $26,109 | ||||
| Avg Charges with ICD 8509 - Concussion, unspecified | $37,540 | ||||
| Mortality Rate at DRG | 0.36 | ||||
| Mortality Rate with ICD 8509 - Concussion, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 34.84 | ||||
| SNF Discharge Rate with ICD 8509 - Concussion, unspecified | 47.13 | ||||
| Home Discharge Rate at DRG | 32.92 | ||||
| Home Discharge Rate with ICD 8509 - Concussion, unspecified | 21.84 |
| DRG 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 946: REHABILITATION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 101: SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 25,966 | ||||
| Total Hospitalizations with ICD 8509 - Concussion, unspecified | 68 | ||||
| DRG Share of Total Hospitalizations | 0.11 | ||||
| % of Total ICD 8509 - Concussion, unspecified in DRG | 1.16 | ||||
| Avg LOS at DRG | 6.46 | ||||
| Avg LOS with ICD 8509 - Concussion, unspecified | 5.79 | ||||
| Readmission Rate at DRG | 30.35 | ||||
| Readmission Rate with ICD 8509 - Concussion, unspecified | 23.08 | ||||
| Unplanned Readmission Rate at DRG | 16.0 | ||||
| Unplanned Readmission Rate with ICD 8509 - Concussion, unspecified | NA | ||||
| Total Medicare payments at DRG | $278,961,236 | ||||
| Total Medicare payments with ICD 8509 - Concussion, unspecified | $678,640 | ||||
| Total Medicare payment per Day at DRG | $1,662 | ||||
| Total Medicare payment per Day with ICD 8509 - Concussion, unspecified | $1,722 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,743 | ||||
| Total Medicare payment per Hospitalization with ICD 8509 - Concussion, unspecified | $9,980 | ||||
| Total Medicare Charges at DRG | $1,203,240,084 | ||||
| Total Medicare Charges with ICD 8509 - Concussion, unspecified | $3,570,771 | ||||
| Avg Charges at DRG | $46,339 | ||||
| Avg Charges with ICD 8509 - Concussion, unspecified | $52,511 | ||||
| Mortality Rate at DRG | 5.58 | ||||
| Mortality Rate with ICD 8509 - Concussion, unspecified | 20.59 | ||||
| SNF Discharge Rate at DRG | 40.97 | ||||
| SNF Discharge Rate with ICD 8509 - Concussion, unspecified | 35.29 | ||||
| Home Discharge Rate at DRG | 19.27 | ||||
| Home Discharge Rate with ICD 8509 - Concussion, unspecified | 16.18 |
| DRG 885: PSYCHOSES | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 184: MAJOR CHEST TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 841,082 | ||||
| Total Hospitalizations with ICD 8509 - Concussion, unspecified | 55 | ||||
| DRG Share of Total Hospitalizations | 3.68 | ||||
| % of Total ICD 8509 - Concussion, unspecified in DRG | 0.94 | ||||
| Avg LOS at DRG | 11.58 | ||||
| Avg LOS with ICD 8509 - Concussion, unspecified | 15.02 | ||||
| Readmission Rate at DRG | 26.57 | ||||
| Readmission Rate with ICD 8509 - Concussion, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 13.06 | ||||
| Unplanned Readmission Rate with ICD 8509 - Concussion, unspecified | NA | ||||
| Total Medicare payments at DRG | $6,792,290,994 | ||||
| Total Medicare payments with ICD 8509 - Concussion, unspecified | $491,804 | ||||
| Total Medicare payment per Day at DRG | $697 | ||||
| Total Medicare payment per Day with ICD 8509 - Concussion, unspecified | $595 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,076 | ||||
| Total Medicare payment per Hospitalization with ICD 8509 - Concussion, unspecified | $8,942 | ||||
| Total Medicare Charges at DRG | $21,353,545,675 | ||||
| Total Medicare Charges with ICD 8509 - Concussion, unspecified | $1,755,573 | ||||
| Avg Charges at DRG | $25,388 | ||||
| Avg Charges with ICD 8509 - Concussion, unspecified | $31,920 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD 8509 - Concussion, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 6.24 | ||||
| SNF Discharge Rate with ICD 8509 - Concussion, unspecified | NA | ||||
| Home Discharge Rate at DRG | 78.4 | ||||
| Home Discharge Rate with ICD 8509 - Concussion, unspecified | 63.64 |
| 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 | 57 |
| BRYAN MEDICAL CENTER | 1600 S 48TH ST | LINCOLN | NE | 68506 | 53 |
| UPMC HAMOT | 201 STATE ST | ERIE | PA | 16550 | 36 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. STANLEY E OKOSUN | 2300 S 16TH ST | LINCOLN | NE | 68502 | 26 |
| Dr. JIMMY WAYNE LOCKHART | 1600 37TH STREET | VERO BEACH | FL | 32960 | 15 |
| Dr. REGINALD A BURTON | 2300 S 16TH ST | LINCOLN | NE | 68502 | 15 |