*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| F0281 - Dementia in other diseases classified elsewhere with behavioral disturbance - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 12.25 | |
| 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 | ||
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 359,935 | ||||
| Total Hospitalizations with ICD F0281 - Dementia in other diseases classified elsewhere with behavioral disturbance | 79,568 | ||||
| DRG Share of Total Hospitalizations | 1.1 | ||||
| % of Total ICD F0281 - Dementia in other diseases classified elsewhere with behavioral disturbance in DRG | 34.85 | ||||
| Avg LOS at DRG | 12.3 | ||||
| Avg LOS with ICD F0281 - Dementia in other diseases classified elsewhere with behavioral disturbance | 14.18 | ||||
| Readmission Rate at DRG | 16.01 | ||||
| Readmission Rate with ICD F0281 - Dementia in other diseases classified elsewhere with behavioral disturbance | 19.25 | ||||
| Unplanned Readmission Rate at DRG | 9.86 | ||||
| Unplanned Readmission Rate with ICD F0281 - Dementia in other diseases classified elsewhere with behavioral disturbance | 10.77 | ||||
| Total Medicare payments at DRG | $5,883,826,653 | ||||
| Total Medicare payments with ICD F0281 - Dementia in other diseases classified elsewhere with behavioral disturbance | $965,974,147 | ||||
| Total Medicare payment per Day at DRG | $1,329 | ||||
| Total Medicare payment per Day with ICD F0281 - Dementia in other diseases classified elsewhere with behavioral disturbance | $856 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
| Total Medicare payment per Hospitalization with ICD F0281 - Dementia in other diseases classified elsewhere with behavioral disturbance | $12,140 | ||||
| Total Medicare Charges at DRG | $15,374,824,749 | ||||
| Total Medicare Charges with ICD F0281 - Dementia in other diseases classified elsewhere with behavioral disturbance | $2,762,137,306 | ||||
| Avg Charges at DRG | $42,716 | ||||
| Avg Charges with ICD F0281 - Dementia in other diseases classified elsewhere with behavioral disturbance | $34,714 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD F0281 - Dementia in other diseases classified elsewhere with behavioral disturbance | 0.5 | ||||
| SNF Discharge Rate at DRG | 27.95 | ||||
| SNF Discharge Rate with ICD F0281 - Dementia in other diseases classified elsewhere with behavioral disturbance | 40.28 | ||||
| Home Discharge Rate at DRG | 26.85 | ||||
| Home Discharge Rate with ICD F0281 - Dementia in other diseases classified elsewhere with behavioral disturbance | 24.27 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 884: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 144,507 | ||||
| Total Hospitalizations with ICD F0281 - Dementia in other diseases classified elsewhere with behavioral disturbance | 5,725 | ||||
| DRG Share of Total Hospitalizations | 0.44 | ||||
| % of Total ICD F0281 - Dementia in other diseases classified elsewhere with behavioral disturbance in DRG | 2.51 | ||||
| Avg LOS at DRG | 11.23 | ||||
| Avg LOS with ICD F0281 - Dementia in other diseases classified elsewhere with behavioral disturbance | 15.46 | ||||
| Readmission Rate at DRG | 20.52 | ||||
| Readmission Rate with ICD F0281 - Dementia in other diseases classified elsewhere with behavioral disturbance | 19.26 | ||||
| Unplanned Readmission Rate at DRG | 12.21 | ||||
| Unplanned Readmission Rate with ICD F0281 - Dementia in other diseases classified elsewhere with behavioral disturbance | 11.57 | ||||
| Total Medicare payments at DRG | $1,495,371,248 | ||||
| Total Medicare payments with ICD F0281 - Dementia in other diseases classified elsewhere with behavioral disturbance | $71,821,854 | ||||
| Total Medicare payment per Day at DRG | $922 | ||||
| Total Medicare payment per Day with ICD F0281 - Dementia in other diseases classified elsewhere with behavioral disturbance | $811 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,348 | ||||
| Total Medicare payment per Hospitalization with ICD F0281 - Dementia in other diseases classified elsewhere with behavioral disturbance | $12,545 | ||||
| Total Medicare Charges at DRG | $5,107,483,805 | ||||
| Total Medicare Charges with ICD F0281 - Dementia in other diseases classified elsewhere with behavioral disturbance | $244,392,670 | ||||
| Avg Charges at DRG | $35,344 | ||||
| Avg Charges with ICD F0281 - Dementia in other diseases classified elsewhere with behavioral disturbance | $42,689 | ||||
| Mortality Rate at DRG | 0.73 | ||||
| Mortality Rate with ICD F0281 - Dementia in other diseases classified elsewhere with behavioral disturbance | 0.66 | ||||
| SNF Discharge Rate at DRG | 38.43 | ||||
| SNF Discharge Rate with ICD F0281 - Dementia in other diseases classified elsewhere with behavioral disturbance | 41.99 | ||||
| Home Discharge Rate at DRG | 27.81 | ||||
| Home Discharge Rate with ICD F0281 - Dementia in other diseases classified elsewhere with behavioral disturbance | 22.9 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 231,410 | ||||
| Total Hospitalizations with ICD F0281 - Dementia in other diseases classified elsewhere with behavioral disturbance | 2,712 | ||||
| DRG Share of Total Hospitalizations | 0.7 | ||||
| % of Total ICD F0281 - Dementia in other diseases classified elsewhere with behavioral disturbance in DRG | 1.19 | ||||
| Avg LOS at DRG | 7.29 | ||||
| Avg LOS with ICD F0281 - Dementia in other diseases classified elsewhere with behavioral disturbance | 7.6 | ||||
| Readmission Rate at DRG | 25.54 | ||||
| Readmission Rate with ICD F0281 - Dementia in other diseases classified elsewhere with behavioral disturbance | 17.83 | ||||
| Unplanned Readmission Rate at DRG | 18.36 | ||||
| Unplanned Readmission Rate with ICD F0281 - Dementia in other diseases classified elsewhere with behavioral disturbance | 12.56 | ||||
| Total Medicare payments at DRG | $2,801,759,007 | ||||
| Total Medicare payments with ICD F0281 - Dementia in other diseases classified elsewhere with behavioral disturbance | $32,469,362 | ||||
| Total Medicare payment per Day at DRG | $1,661 | ||||
| Total Medicare payment per Day with ICD F0281 - Dementia in other diseases classified elsewhere with behavioral disturbance | $1,575 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,107 | ||||
| Total Medicare payment per Hospitalization with ICD F0281 - Dementia in other diseases classified elsewhere with behavioral disturbance | $11,972 | ||||
| Total Medicare Charges at DRG | $13,366,030,360 | ||||
| Total Medicare Charges with ICD F0281 - Dementia in other diseases classified elsewhere with behavioral disturbance | $140,616,227 | ||||
| Avg Charges at DRG | $57,759 | ||||
| Avg Charges with ICD F0281 - Dementia in other diseases classified elsewhere with behavioral disturbance | $51,850 | ||||
| Mortality Rate at DRG | 7.21 | ||||
| Mortality Rate with ICD F0281 - Dementia in other diseases classified elsewhere with behavioral disturbance | 8.92 | ||||
| SNF Discharge Rate at DRG | 32.47 | ||||
| SNF Discharge Rate with ICD F0281 - Dementia in other diseases classified elsewhere with behavioral disturbance | 40.74 | ||||
| Home Discharge Rate at DRG | 20.84 | ||||
| Home Discharge Rate with ICD F0281 - Dementia in other diseases classified elsewhere with behavioral disturbance | 7.85 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 071: NONSPECIFIC CEREBROVASCULAR DISORDERS 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 | 310,318 | ||||
| Total Hospitalizations with ICD F0281 - Dementia in other diseases classified elsewhere with behavioral disturbance | 1,802 | ||||
| DRG Share of Total Hospitalizations | 0.94 | ||||
| % of Total ICD F0281 - Dementia in other diseases classified elsewhere with behavioral disturbance in DRG | 0.79 | ||||
| Avg LOS at DRG | 3.19 | ||||
| Avg LOS with ICD F0281 - Dementia in other diseases classified elsewhere with behavioral disturbance | 4.6 | ||||
| Readmission Rate at DRG | 20.19 | ||||
| Readmission Rate with ICD F0281 - Dementia in other diseases classified elsewhere with behavioral disturbance | 20.07 | ||||
| Unplanned Readmission Rate at DRG | 13.62 | ||||
| Unplanned Readmission Rate with ICD F0281 - Dementia in other diseases classified elsewhere with behavioral disturbance | 11.37 | ||||
| Total Medicare payments at DRG | $1,415,392,709 | ||||
| Total Medicare payments with ICD F0281 - Dementia in other diseases classified elsewhere with behavioral disturbance | $8,923,597 | ||||
| Total Medicare payment per Day at DRG | $1,431 | ||||
| Total Medicare payment per Day with ICD F0281 - Dementia in other diseases classified elsewhere with behavioral disturbance | $1,077 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,561 | ||||
| Total Medicare payment per Hospitalization with ICD F0281 - Dementia in other diseases classified elsewhere with behavioral disturbance | $4,952 | ||||
| Total Medicare Charges at DRG | $7,113,640,596 | ||||
| Total Medicare Charges with ICD F0281 - Dementia in other diseases classified elsewhere with behavioral disturbance | $48,071,639 | ||||
| Avg Charges at DRG | $22,924 | ||||
| Avg Charges with ICD F0281 - Dementia in other diseases classified elsewhere with behavioral disturbance | $26,677 | ||||
| Mortality Rate at DRG | 0.63 | ||||
| Mortality Rate with ICD F0281 - Dementia in other diseases classified elsewhere with behavioral disturbance | 1.17 | ||||
| SNF Discharge Rate at DRG | 19.76 | ||||
| SNF Discharge Rate with ICD F0281 - Dementia in other diseases classified elsewhere with behavioral disturbance | 42.18 | ||||
| Home Discharge Rate at DRG | 50.47 | ||||
| Home Discharge Rate with ICD F0281 - Dementia in other diseases classified elsewhere with behavioral disturbance | 16.54 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BEAUMONT HOSPITAL - FARMINGTON HILLS | 28050 GRAND RIVER AVE | FARMINGTON HILLS | MI | 48336 | 1,156 |
| SAINT JOHN HOSPITAL | 3500 S 4TH ST | LEAVENWORTH | KS | 66048 | 751 |
| MISSOURI DELTA MEDICAL CENTER | 1008 N MAIN ST | SIKESTON | MO | 63801 | 727 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RAVI PRAKASH SINGH | 1830 HERITAGE PARK PLZ | MURFREESBORO | TN | 37129 | 355 |
| Dr. D.V. PILLAI | 5016 CHESEBRO RD | AGOURA HILLS | CA | 91301 | 271 |
| Dr. KHUTB MOHAMMED UDDIN | 239 N DIXIE WAY | SOUTH BEND | IN | 46637 | 254 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ROBERT OLIVER MORTON | 1000 ROLLING HILLS LN | ADA | OK | 74820 | 914 |
| Dr. SANJAY MALHOTRA | 1111 WAYNE RD NW | HUNTSVILLE | AL | 35806 | 793 |
| Dr. TRACY SHAWN LOPER | 2990 N SIOUX AVE | CLAREMORE | OK | 74017 | 741 |