*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| F0390 - Unspecified dementia without behavioral disturbance - as a primary diagnosis code | F0390 - Unspecified dementia without behavioral disturbance - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.88 | |
| Readmission Rate (%) | 21.37 | |
| Unplanned Readmission Rate (%) | 12.08 | |
| 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 884: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | DRG 876: O.R. PROCEDURE WITH PRINCIPAL DIAGNOSES OF MENTAL ILLNESS | |
|---|---|---|
| Total Hospitalizations at DRG | 144,507 | |
| Total Hospitalizations with ICD F0390 - Unspecified dementia without behavioral disturbance | 30,821 | |
| DRG Share of Total Hospitalizations | 0.44 | |
| % of Total ICD F0390 - Unspecified dementia without behavioral disturbance in DRG | 99.12 | |
| Avg LOS at DRG | 11.23 | |
| Avg LOS with ICD F0390 - Unspecified dementia without behavioral disturbance | 6.3 | |
| Readmission Rate at DRG | 20.52 | |
| Readmission Rate with ICD F0390 - Unspecified dementia without behavioral disturbance | 18.23 | |
| Unplanned Readmission Rate at DRG | 12.21 | |
| Unplanned Readmission Rate with ICD F0390 - Unspecified dementia without behavioral disturbance | 12.05 | |
| Total Medicare payments at DRG | $1,495,371,248 | |
| Total Medicare payments with ICD F0390 - Unspecified dementia without behavioral disturbance | $241,709,754 | |
| Total Medicare payment per Day at DRG | $922 | |
| Total Medicare payment per Day with ICD F0390 - Unspecified dementia without behavioral disturbance | $1,245 | |
| Total Medicare payment per Hospitalization at DRG | $10,348 | |
| Total Medicare payment per Hospitalization with ICD F0390 - Unspecified dementia without behavioral disturbance | $7,842 | |
| Total Medicare Charges at DRG | $5,107,483,805 | |
| Total Medicare Charges with ICD F0390 - Unspecified dementia without behavioral disturbance | $1,016,671,060 | |
| Avg Charges at DRG | $35,344 | |
| Avg Charges with ICD F0390 - Unspecified dementia without behavioral disturbance | $32,986 | |
| Mortality Rate at DRG | 0.73 | |
| Mortality Rate with ICD F0390 - Unspecified dementia without behavioral disturbance | 1.01 | |
| SNF Discharge Rate at DRG | 38.43 | |
| SNF Discharge Rate with ICD F0390 - Unspecified dementia without behavioral disturbance | 44.05 | |
| Home Discharge Rate at DRG | 27.81 | |
| Home Discharge Rate with ICD F0390 - Unspecified dementia without behavioral disturbance | 23.28 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| NEWPORT BAY HOSPITAL | 1501 E 16TH ST | NEWPORT BEACH | CA | 92663 | 175 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 166 |
| NEW YORK COMMUNITY HOSPITAL OF BROOKLYN | 2525 KINGS HWY | BROOKLYN | NY | 11229 | 127 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CHESTER W JENKINS | 300 S WASHINGTON AVE | GREENVILLE | MS | 38701 | 14 |
| Dr. ELIE FTEHA | 359 AVENUE U | BROOKLYN | NY | 11223 | 14 |
| Dr. FAITH A AIMUA | 109 W WATAUGA AVE | JOHNSON CITY | TN | 37604 | 14 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JASON P KELLOGG | 17782 COWAN | IRVINE | CA | 92614 | 177 |
| Dr. KURT KLAUBURG | 164 WACCAMAW MEDICAL PARK DR | CONWAY | SC | 29526 | 70 |
| Dr. FRANK E WEINHOLT | 414 PINE ST | MONROE | LA | 71201 | 57 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD F0390 - Unspecified dementia without behavioral disturbance | 261,386 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD F0390 - Unspecified dementia without behavioral disturbance in DRG | 10.44 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD F0390 - Unspecified dementia without behavioral disturbance | 6.41 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD F0390 - Unspecified dementia without behavioral disturbance | 21.65 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD F0390 - Unspecified dementia without behavioral disturbance | 15.98 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD F0390 - Unspecified dementia without behavioral disturbance | $3,079,864,389 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD F0390 - Unspecified dementia without behavioral disturbance | $1,838 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD F0390 - Unspecified dementia without behavioral disturbance | $11,783 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD F0390 - Unspecified dementia without behavioral disturbance | $14,957,620,690 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD F0390 - Unspecified dementia without behavioral disturbance | $57,224 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD F0390 - Unspecified dementia without behavioral disturbance | 14.1 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD F0390 - Unspecified dementia without behavioral disturbance | 41.27 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD F0390 - Unspecified dementia without behavioral disturbance | 9.75 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD F0390 - Unspecified dementia without behavioral disturbance | 50,217 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD F0390 - Unspecified dementia without behavioral disturbance in DRG | 2.01 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD F0390 - Unspecified dementia without behavioral disturbance | 5.65 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD F0390 - Unspecified dementia without behavioral disturbance | 19.93 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD F0390 - Unspecified dementia without behavioral disturbance | 15.0 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD F0390 - Unspecified dementia without behavioral disturbance | $433,779,453 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD F0390 - Unspecified dementia without behavioral disturbance | $1,529 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD F0390 - Unspecified dementia without behavioral disturbance | $8,638 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD F0390 - Unspecified dementia without behavioral disturbance | $2,118,942,304 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD F0390 - Unspecified dementia without behavioral disturbance | $42,196 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD F0390 - Unspecified dementia without behavioral disturbance | 5.6 | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD F0390 - Unspecified dementia without behavioral disturbance | 41.94 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD F0390 - Unspecified dementia without behavioral disturbance | 16.22 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 240,618 | ||||
| Total Hospitalizations with ICD F0390 - Unspecified dementia without behavioral disturbance | 40,175 | ||||
| DRG Share of Total Hospitalizations | 0.73 | ||||
| % of Total ICD F0390 - Unspecified dementia without behavioral disturbance in DRG | 1.6 | ||||
| Avg LOS at DRG | 4.81 | ||||
| Avg LOS with ICD F0390 - Unspecified dementia without behavioral disturbance | 4.92 | ||||
| Readmission Rate at DRG | 26.3 | ||||
| Readmission Rate with ICD F0390 - Unspecified dementia without behavioral disturbance | 19.46 | ||||
| Unplanned Readmission Rate at DRG | 7.83 | ||||
| Unplanned Readmission Rate with ICD F0390 - Unspecified dementia without behavioral disturbance | 9.52 | ||||
| Total Medicare payments at DRG | $2,989,116,299 | ||||
| Total Medicare payments with ICD F0390 - Unspecified dementia without behavioral disturbance | $499,810,439 | ||||
| Total Medicare payment per Day at DRG | $2,581 | ||||
| Total Medicare payment per Day with ICD F0390 - Unspecified dementia without behavioral disturbance | $2,526 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,423 | ||||
| Total Medicare payment per Hospitalization with ICD F0390 - Unspecified dementia without behavioral disturbance | $12,441 | ||||
| Total Medicare Charges at DRG | $15,603,027,471 | ||||
| Total Medicare Charges with ICD F0390 - Unspecified dementia without behavioral disturbance | $2,593,465,280 | ||||
| Avg Charges at DRG | $64,846 | ||||
| Avg Charges with ICD F0390 - Unspecified dementia without behavioral disturbance | $64,554 | ||||
| Mortality Rate at DRG | 0.4 | ||||
| Mortality Rate with ICD F0390 - Unspecified dementia without behavioral disturbance | 0.64 | ||||
| SNF Discharge Rate at DRG | 66.28 | ||||
| SNF Discharge Rate with ICD F0390 - Unspecified dementia without behavioral disturbance | 78.09 | ||||
| Home Discharge Rate at DRG | 3.84 | ||||
| Home Discharge Rate with ICD F0390 - Unspecified dementia without behavioral disturbance | 1.89 |
*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 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 144,507 | ||||
| Total Hospitalizations with ICD F0390 - Unspecified dementia without behavioral disturbance | 33,420 | ||||
| DRG Share of Total Hospitalizations | 0.44 | ||||
| % of Total ICD F0390 - Unspecified dementia without behavioral disturbance in DRG | 1.34 | ||||
| Avg LOS at DRG | 11.23 | ||||
| Avg LOS with ICD F0390 - Unspecified dementia without behavioral disturbance | 6.53 | ||||
| Readmission Rate at DRG | 20.52 | ||||
| Readmission Rate with ICD F0390 - Unspecified dementia without behavioral disturbance | 18.32 | ||||
| Unplanned Readmission Rate at DRG | 12.21 | ||||
| Unplanned Readmission Rate with ICD F0390 - Unspecified dementia without behavioral disturbance | 12.04 | ||||
| Total Medicare payments at DRG | $1,495,371,248 | ||||
| Total Medicare payments with ICD F0390 - Unspecified dementia without behavioral disturbance | $266,994,914 | ||||
| Total Medicare payment per Day at DRG | $922 | ||||
| Total Medicare payment per Day with ICD F0390 - Unspecified dementia without behavioral disturbance | $1,223 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,348 | ||||
| Total Medicare payment per Hospitalization with ICD F0390 - Unspecified dementia without behavioral disturbance | $7,989 | ||||
| Total Medicare Charges at DRG | $5,107,483,805 | ||||
| Total Medicare Charges with ICD F0390 - Unspecified dementia without behavioral disturbance | $1,114,654,644 | ||||
| Avg Charges at DRG | $35,344 | ||||
| Avg Charges with ICD F0390 - Unspecified dementia without behavioral disturbance | $33,353 | ||||
| Mortality Rate at DRG | 0.73 | ||||
| Mortality Rate with ICD F0390 - Unspecified dementia without behavioral disturbance | 0.98 | ||||
| SNF Discharge Rate at DRG | 38.43 | ||||
| SNF Discharge Rate with ICD F0390 - Unspecified dementia without behavioral disturbance | 43.85 | ||||
| Home Discharge Rate at DRG | 27.81 | ||||
| Home Discharge Rate with ICD F0390 - Unspecified dementia without behavioral disturbance | 23.37 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 8,192 |
| METHODIST UNIVERSITY HOSPITAL | 1265 UNION AVE | MEMPHIS | TN | 38104 | 6,162 |
| MONTEFIORE MEDICAL CENTER | 111 E 210TH ST | BRONX | NY | 10467 | 5,348 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. BORIS KHORETS | 2912 AVENUE X | BROOKLYN | NY | 11235 | 434 |
| Dr. NIDAL RAHAL | 6027 WALNUT GROVE RD | MEMPHIS | TN | 38120 | 412 |
| Dr. DAVID M ROGERS | 5645 MAIN ST | FLUSHING | NY | 11355 | 411 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RAJESH AGARWAL | 6770 MAYFIELD RD | MAYFIELD HEIGHTS | OH | 44124 | 1,118 |
| Dr. PHILIP ATIGRE | 5112 N HABANA AVE | TAMPA | FL | 33614 | 1,067 |
| Dr. LOUIS SANG-SOO PARK | 500 S VIRGIL AVE # 502 | LOS ANGELES | CA | 90020 | 1,018 |