*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| F0391 - Unspecified dementia with behavioral disturbance - as a primary diagnosis code | F0391 - Unspecified dementia with behavioral disturbance - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 9.32 | |
| Readmission Rate (%) | 22.72 | |
| Unplanned Readmission Rate (%) | 12.36 | |
| 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 F0391 - Unspecified dementia with behavioral disturbance | 58,637 | |
| DRG Share of Total Hospitalizations | 0.44 | |
| % of Total ICD F0391 - Unspecified dementia with behavioral disturbance in DRG | 99.61 | |
| Avg LOS at DRG | 11.23 | |
| Avg LOS with ICD F0391 - Unspecified dementia with behavioral disturbance | 12.64 | |
| Readmission Rate at DRG | 20.52 | |
| Readmission Rate with ICD F0391 - Unspecified dementia with behavioral disturbance | 21.87 | |
| Unplanned Readmission Rate at DRG | 12.21 | |
| Unplanned Readmission Rate with ICD F0391 - Unspecified dementia with behavioral disturbance | 12.35 | |
| Total Medicare payments at DRG | $1,495,371,248 | |
| Total Medicare payments with ICD F0391 - Unspecified dementia with behavioral disturbance | $647,383,964 | |
| Total Medicare payment per Day at DRG | $922 | |
| Total Medicare payment per Day with ICD F0391 - Unspecified dementia with behavioral disturbance | $874 | |
| Total Medicare payment per Hospitalization at DRG | $10,348 | |
| Total Medicare payment per Hospitalization with ICD F0391 - Unspecified dementia with behavioral disturbance | $11,041 | |
| Total Medicare Charges at DRG | $5,107,483,805 | |
| Total Medicare Charges with ICD F0391 - Unspecified dementia with behavioral disturbance | $2,054,735,513 | |
| Avg Charges at DRG | $35,344 | |
| Avg Charges with ICD F0391 - Unspecified dementia with behavioral disturbance | $35,042 | |
| Mortality Rate at DRG | 0.73 | |
| Mortality Rate with ICD F0391 - Unspecified dementia with behavioral disturbance | 0.68 | |
| SNF Discharge Rate at DRG | 38.43 | |
| SNF Discharge Rate with ICD F0391 - Unspecified dementia with behavioral disturbance | 38.38 | |
| Home Discharge Rate at DRG | 27.81 | |
| Home Discharge Rate with ICD F0391 - Unspecified dementia with behavioral disturbance | 26.41 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ASSURANCE HEALTH | 2725 ENTERPRISE DR | ANDERSON | IN | 46013 | 654 |
| HAVEN BEHAVIORAL OF PHOENIX | 1201 S 7TH AVE | PHOENIX | AZ | 85007 | 554 |
| NEWPORT BAY HOSPITAL | 1501 E 16TH ST | NEWPORT BEACH | CA | 92663 | 485 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. THULASIRAM JANARDHANAN | KINGS COUNTY HOSPITAL CENTER | BROOKLYN | NY | 11203 | 247 |
| Dr. WILLIAM DIEBOLD | 303 TAKOMA AVE | GREENEVILLE | TN | 37743 | 131 |
| Dr. RAYMOND ROLAND REMMEL | 11219 FINANCIAL CENTRE PKWY | LITTLE ROCK | AR | 72211 | 99 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. STEVEN SCHNEIDER | 2725 ENTERPRISE DR | ANDERSON | IN | 46013 | 767 |
| Dr. WILLIAM BURTON ORR | 720 MAIN ST STE 204 | MENDOTA HTS | MN | 55118 | 509 |
| Dr. JASON P KELLOGG | 17782 COWAN | IRVINE | CA | 92614 | 489 |
*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 885: PSYCHOSES | 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) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 144,507 | ||||
| Total Hospitalizations with ICD F0391 - Unspecified dementia with behavioral disturbance | 59,601 | ||||
| DRG Share of Total Hospitalizations | 0.44 | ||||
| % of Total ICD F0391 - Unspecified dementia with behavioral disturbance in DRG | 28.06 | ||||
| Avg LOS at DRG | 11.23 | ||||
| Avg LOS with ICD F0391 - Unspecified dementia with behavioral disturbance | 12.66 | ||||
| Readmission Rate at DRG | 20.52 | ||||
| Readmission Rate with ICD F0391 - Unspecified dementia with behavioral disturbance | 21.89 | ||||
| Unplanned Readmission Rate at DRG | 12.21 | ||||
| Unplanned Readmission Rate with ICD F0391 - Unspecified dementia with behavioral disturbance | 12.37 | ||||
| Total Medicare payments at DRG | $1,495,371,248 | ||||
| Total Medicare payments with ICD F0391 - Unspecified dementia with behavioral disturbance | $659,192,916 | ||||
| Total Medicare payment per Day at DRG | $922 | ||||
| Total Medicare payment per Day with ICD F0391 - Unspecified dementia with behavioral disturbance | $873 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,348 | ||||
| Total Medicare payment per Hospitalization with ICD F0391 - Unspecified dementia with behavioral disturbance | $11,060 | ||||
| Total Medicare Charges at DRG | $5,107,483,805 | ||||
| Total Medicare Charges with ICD F0391 - Unspecified dementia with behavioral disturbance | $2,093,587,606 | ||||
| Avg Charges at DRG | $35,344 | ||||
| Avg Charges with ICD F0391 - Unspecified dementia with behavioral disturbance | $35,127 | ||||
| Mortality Rate at DRG | 0.73 | ||||
| Mortality Rate with ICD F0391 - Unspecified dementia with behavioral disturbance | 0.68 | ||||
| SNF Discharge Rate at DRG | 38.43 | ||||
| SNF Discharge Rate with ICD F0391 - Unspecified dementia with behavioral disturbance | 38.39 | ||||
| Home Discharge Rate at DRG | 27.81 | ||||
| Home Discharge Rate with ICD F0391 - Unspecified dementia with behavioral disturbance | 26.44 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD F0391 - Unspecified dementia with behavioral disturbance | 3,991 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD F0391 - Unspecified dementia with behavioral disturbance in DRG | 1.88 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD F0391 - Unspecified dementia with behavioral disturbance | 7.11 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD F0391 - Unspecified dementia with behavioral disturbance | 25.34 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD F0391 - Unspecified dementia with behavioral disturbance | 16.47 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD F0391 - Unspecified dementia with behavioral disturbance | $38,823,172 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD F0391 - Unspecified dementia with behavioral disturbance | $1,369 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD F0391 - Unspecified dementia with behavioral disturbance | $9,728 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD F0391 - Unspecified dementia with behavioral disturbance | $180,871,589 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD F0391 - Unspecified dementia with behavioral disturbance | $45,320 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD F0391 - Unspecified dementia with behavioral disturbance | 5.54 | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD F0391 - Unspecified dementia with behavioral disturbance | 49.26 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD F0391 - Unspecified dementia with behavioral disturbance | 8.79 |
*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 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 071: NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 231,410 | ||||
| Total Hospitalizations with ICD F0391 - Unspecified dementia with behavioral disturbance | 2,858 | ||||
| DRG Share of Total Hospitalizations | 0.7 | ||||
| % of Total ICD F0391 - Unspecified dementia with behavioral disturbance in DRG | 1.35 | ||||
| Avg LOS at DRG | 7.29 | ||||
| Avg LOS with ICD F0391 - Unspecified dementia with behavioral disturbance | 7.86 | ||||
| Readmission Rate at DRG | 25.54 | ||||
| Readmission Rate with ICD F0391 - Unspecified dementia with behavioral disturbance | 20.23 | ||||
| Unplanned Readmission Rate at DRG | 18.36 | ||||
| Unplanned Readmission Rate with ICD F0391 - Unspecified dementia with behavioral disturbance | 14.36 | ||||
| Total Medicare payments at DRG | $2,801,759,007 | ||||
| Total Medicare payments with ICD F0391 - Unspecified dementia with behavioral disturbance | $34,595,258 | ||||
| Total Medicare payment per Day at DRG | $1,661 | ||||
| Total Medicare payment per Day with ICD F0391 - Unspecified dementia with behavioral disturbance | $1,540 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,107 | ||||
| Total Medicare payment per Hospitalization with ICD F0391 - Unspecified dementia with behavioral disturbance | $12,105 | ||||
| Total Medicare Charges at DRG | $13,366,030,360 | ||||
| Total Medicare Charges with ICD F0391 - Unspecified dementia with behavioral disturbance | $161,948,752 | ||||
| Avg Charges at DRG | $57,759 | ||||
| Avg Charges with ICD F0391 - Unspecified dementia with behavioral disturbance | $56,665 | ||||
| Mortality Rate at DRG | 7.21 | ||||
| Mortality Rate with ICD F0391 - Unspecified dementia with behavioral disturbance | 8.01 | ||||
| SNF Discharge Rate at DRG | 32.47 | ||||
| SNF Discharge Rate with ICD F0391 - Unspecified dementia with behavioral disturbance | 45.21 | ||||
| Home Discharge Rate at DRG | 20.84 | ||||
| Home Discharge Rate with ICD F0391 - Unspecified dementia with behavioral disturbance | 6.68 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 231,812 | ||||
| Total Hospitalizations with ICD F0391 - Unspecified dementia with behavioral disturbance | 2,011 | ||||
| DRG Share of Total Hospitalizations | 0.71 | ||||
| % of Total ICD F0391 - Unspecified dementia with behavioral disturbance in DRG | 0.95 | ||||
| Avg LOS at DRG | 4.41 | ||||
| Avg LOS with ICD F0391 - Unspecified dementia with behavioral disturbance | 6.29 | ||||
| Readmission Rate at DRG | 29.12 | ||||
| Readmission Rate with ICD F0391 - Unspecified dementia with behavioral disturbance | 23.97 | ||||
| Unplanned Readmission Rate at DRG | 22.82 | ||||
| Unplanned Readmission Rate with ICD F0391 - Unspecified dementia with behavioral disturbance | 16.61 | ||||
| Total Medicare payments at DRG | $1,743,376,418 | ||||
| Total Medicare payments with ICD F0391 - Unspecified dementia with behavioral disturbance | $15,931,860 | ||||
| Total Medicare payment per Day at DRG | $1,704 | ||||
| Total Medicare payment per Day with ICD F0391 - Unspecified dementia with behavioral disturbance | $1,259 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,521 | ||||
| Total Medicare payment per Hospitalization with ICD F0391 - Unspecified dementia with behavioral disturbance | $7,922 | ||||
| Total Medicare Charges at DRG | $8,543,867,896 | ||||
| Total Medicare Charges with ICD F0391 - Unspecified dementia with behavioral disturbance | $81,364,282 | ||||
| Avg Charges at DRG | $36,857 | ||||
| Avg Charges with ICD F0391 - Unspecified dementia with behavioral disturbance | $40,460 | ||||
| Mortality Rate at DRG | 2.89 | ||||
| Mortality Rate with ICD F0391 - Unspecified dementia with behavioral disturbance | 3.83 | ||||
| SNF Discharge Rate at DRG | 22.92 | ||||
| SNF Discharge Rate with ICD F0391 - Unspecified dementia with behavioral disturbance | 46.89 | ||||
| Home Discharge Rate at DRG | 43.02 | ||||
| Home Discharge Rate with ICD F0391 - Unspecified dementia with behavioral disturbance | 11.64 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MISSION COMMUNITY HOSPITAL | 14850 ROSCOE BLVD | PANORAMA CITY | CA | 91402 | 783 |
| ASSURANCE HEALTH | 2725 ENTERPRISE DR | ANDERSON | IN | 46013 | 688 |
| LAKELAND REGIONAL MEDICAL CENTER | 1324 LAKELAND HILLS BLVD | LAKELAND | FL | 33805 | 687 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. THULASIRAM JANARDHANAN | KINGS COUNTY HOSPITAL CENTER | BROOKLYN | NY | 11203 | 319 |
| Dr. WILLIAM DIEBOLD | 303 TAKOMA AVE | GREENEVILLE | TN | 37743 | 142 |
| Dr. RAYMOND ROLAND REMMEL | 11219 FINANCIAL CENTRE PKWY | LITTLE ROCK | AR | 72211 | 110 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. STEVEN SCHNEIDER | 2725 ENTERPRISE DR | ANDERSON | IN | 46013 | 832 |
| Dr. WILLIAM BURTON ORR | 720 MAIN ST STE 204 | MENDOTA HTS | MN | 55118 | 546 |
| Dr. JASON P KELLOGG | 17782 COWAN | IRVINE | CA | 92614 | 507 |