*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| F062 - Psychotic disorder with delusions due to known physiological condition - as a primary diagnosis code | F062 - Psychotic disorder with delusions due to known physiological condition - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 15.63 | |
| Readmission Rate (%) | 21.18 | |
| Unplanned Readmission Rate (%) | 10.88 | |
| 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 | |
|---|---|
| Total Hospitalizations at DRG | 144,507 |
| Total Hospitalizations with ICD F062 - Psychotic disorder with delusions due to known physiological condition | 412 |
| DRG Share of Total Hospitalizations | 0.44 |
| % of Total ICD F062 - Psychotic disorder with delusions due to known physiological condition in DRG | 99.04 |
| Avg LOS at DRG | 11.23 |
| Avg LOS with ICD F062 - Psychotic disorder with delusions due to known physiological condition | 13.34 |
| Readmission Rate at DRG | 20.52 |
| Readmission Rate with ICD F062 - Psychotic disorder with delusions due to known physiological condition | 19.11 |
| Unplanned Readmission Rate at DRG | 12.21 |
| Unplanned Readmission Rate with ICD F062 - Psychotic disorder with delusions due to known physiological condition | 10.73 |
| Total Medicare payments at DRG | $1,495,371,248 |
| Total Medicare payments with ICD F062 - Psychotic disorder with delusions due to known physiological condition | $4,180,830 |
| Total Medicare payment per Day at DRG | $922 |
| Total Medicare payment per Day with ICD F062 - Psychotic disorder with delusions due to known physiological condition | $760 |
| Total Medicare payment per Hospitalization at DRG | $10,348 |
| Total Medicare payment per Hospitalization with ICD F062 - Psychotic disorder with delusions due to known physiological condition | $10,148 |
| Total Medicare Charges at DRG | $5,107,483,805 |
| Total Medicare Charges with ICD F062 - Psychotic disorder with delusions due to known physiological condition | $12,117,475 |
| Avg Charges at DRG | $35,344 |
| Avg Charges with ICD F062 - Psychotic disorder with delusions due to known physiological condition | $29,411 |
| Mortality Rate at DRG | 0.73 |
| Mortality Rate with ICD F062 - Psychotic disorder with delusions due to known physiological condition | NA |
| SNF Discharge Rate at DRG | 38.43 |
| SNF Discharge Rate with ICD F062 - Psychotic disorder with delusions due to known physiological condition | 16.75 |
| Home Discharge Rate at DRG | 27.81 |
| Home Discharge Rate with ICD F062 - Psychotic disorder with delusions due to known physiological condition | 59.95 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ST VINCENT STRESS CENTER | 8401 HARCOURT RD | INDIANAPOLIS | IN | 46260 | 28 |
| MIZELL MEMORIAL HOSPITAL | 702 N MAIN ST | OPP | AL | 36467 | 21 |
| WITHAM HEALTH SERVICES | 2605 N LEBANON ST | LEBANON | IN | 46052 | 21 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CHARLES ANDREW CLASS | 6905 HOOVER RD | INDIANAPOLIS | IN | 46260 | 28 |
| Dr. JOHN CHRISTOPHER STRUNK | 201 REGENCY CT | DOTHAN | AL | 36305 | 25 |
| Dr. H. DAVID SPANGLER | 38 TWINSHORE CT | CARMEL | IN | 46033 | 11 |
*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 884: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 359,935 | ||||
| Total Hospitalizations with ICD F062 - Psychotic disorder with delusions due to known physiological condition | 857 | ||||
| DRG Share of Total Hospitalizations | 1.1 | ||||
| % of Total ICD F062 - Psychotic disorder with delusions due to known physiological condition in DRG | 32.7 | ||||
| Avg LOS at DRG | 12.3 | ||||
| Avg LOS with ICD F062 - Psychotic disorder with delusions due to known physiological condition | 17.14 | ||||
| Readmission Rate at DRG | 16.01 | ||||
| Readmission Rate with ICD F062 - Psychotic disorder with delusions due to known physiological condition | 14.61 | ||||
| Unplanned Readmission Rate at DRG | 9.86 | ||||
| Unplanned Readmission Rate with ICD F062 - Psychotic disorder with delusions due to known physiological condition | 9.24 | ||||
| Total Medicare payments at DRG | $5,883,826,653 | ||||
| Total Medicare payments with ICD F062 - Psychotic disorder with delusions due to known physiological condition | $11,829,544 | ||||
| Total Medicare payment per Day at DRG | $1,329 | ||||
| Total Medicare payment per Day with ICD F062 - Psychotic disorder with delusions due to known physiological condition | $805 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
| Total Medicare payment per Hospitalization with ICD F062 - Psychotic disorder with delusions due to known physiological condition | $13,803 | ||||
| Total Medicare Charges at DRG | $15,374,824,749 | ||||
| Total Medicare Charges with ICD F062 - Psychotic disorder with delusions due to known physiological condition | $25,469,633 | ||||
| Avg Charges at DRG | $42,716 | ||||
| Avg Charges with ICD F062 - Psychotic disorder with delusions due to known physiological condition | $29,720 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD F062 - Psychotic disorder with delusions due to known physiological condition | NA | ||||
| SNF Discharge Rate at DRG | 27.95 | ||||
| SNF Discharge Rate with ICD F062 - Psychotic disorder with delusions due to known physiological condition | 47.49 | ||||
| Home Discharge Rate at DRG | 26.85 | ||||
| Home Discharge Rate with ICD F062 - Psychotic disorder with delusions due to known physiological condition | 22.4 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 880: ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | DRG 101: SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 100: SEIZURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 122,730 | ||||
| Total Hospitalizations with ICD F062 - Psychotic disorder with delusions due to known physiological condition | 24 | ||||
| DRG Share of Total Hospitalizations | 0.37 | ||||
| % of Total ICD F062 - Psychotic disorder with delusions due to known physiological condition in DRG | 0.92 | ||||
| Avg LOS at DRG | 7.61 | ||||
| Avg LOS with ICD F062 - Psychotic disorder with delusions due to known physiological condition | 15.13 | ||||
| Readmission Rate at DRG | 21.31 | ||||
| Readmission Rate with ICD F062 - Psychotic disorder with delusions due to known physiological condition | NA | ||||
| Unplanned Readmission Rate at DRG | 14.13 | ||||
| Unplanned Readmission Rate with ICD F062 - Psychotic disorder with delusions due to known physiological condition | NA | ||||
| Total Medicare payments at DRG | $1,397,885,220 | ||||
| Total Medicare payments with ICD F062 - Psychotic disorder with delusions due to known physiological condition | $315,354 | ||||
| Total Medicare payment per Day at DRG | $1,497 | ||||
| Total Medicare payment per Day with ICD F062 - Psychotic disorder with delusions due to known physiological condition | $869 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,390 | ||||
| Total Medicare payment per Hospitalization with ICD F062 - Psychotic disorder with delusions due to known physiological condition | $13,140 | ||||
| Total Medicare Charges at DRG | $4,175,290,309 | ||||
| Total Medicare Charges with ICD F062 - Psychotic disorder with delusions due to known physiological condition | $949,623 | ||||
| Avg Charges at DRG | $34,020 | ||||
| Avg Charges with ICD F062 - Psychotic disorder with delusions due to known physiological condition | $39,568 | ||||
| Mortality Rate at DRG | 0.28 | ||||
| Mortality Rate with ICD F062 - Psychotic disorder with delusions due to known physiological condition | NA | ||||
| SNF Discharge Rate at DRG | 21.64 | ||||
| SNF Discharge Rate with ICD F062 - Psychotic disorder with delusions due to known physiological condition | NA | ||||
| Home Discharge Rate at DRG | 28.06 | ||||
| Home Discharge Rate with ICD F062 - Psychotic disorder with delusions due to known physiological condition | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 881: DEPRESSIVE NEUROSES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD F062 - Psychotic disorder with delusions due to known physiological condition | 16 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD F062 - Psychotic disorder with delusions due to known physiological condition in DRG | 0.61 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD F062 - Psychotic disorder with delusions due to known physiological condition | 11.75 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD F062 - Psychotic disorder with delusions due to known physiological condition | NA | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD F062 - Psychotic disorder with delusions due to known physiological condition | NA | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD F062 - Psychotic disorder with delusions due to known physiological condition | $232,848 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD F062 - Psychotic disorder with delusions due to known physiological condition | $1,239 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD F062 - Psychotic disorder with delusions due to known physiological condition | $14,553 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD F062 - Psychotic disorder with delusions due to known physiological condition | $1,352,747 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD F062 - Psychotic disorder with delusions due to known physiological condition | $84,547 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD F062 - Psychotic disorder with delusions due to known physiological condition | NA | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD F062 - Psychotic disorder with delusions due to known physiological condition | NA | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD F062 - Psychotic disorder with delusions due to known physiological condition | NA |
*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) | |
|---|---|
| Total Hospitalizations at DRG | 310,318 |
| Total Hospitalizations with ICD F062 - Psychotic disorder with delusions due to known physiological condition | 12 |
| DRG Share of Total Hospitalizations | 0.94 |
| % of Total ICD F062 - Psychotic disorder with delusions due to known physiological condition in DRG | 0.46 |
| Avg LOS at DRG | 3.19 |
| Avg LOS with ICD F062 - Psychotic disorder with delusions due to known physiological condition | 4.42 |
| Readmission Rate at DRG | 20.19 |
| Readmission Rate with ICD F062 - Psychotic disorder with delusions due to known physiological condition | NA |
| Unplanned Readmission Rate at DRG | 13.62 |
| Unplanned Readmission Rate with ICD F062 - Psychotic disorder with delusions due to known physiological condition | NA |
| Total Medicare payments at DRG | $1,415,392,709 |
| Total Medicare payments with ICD F062 - Psychotic disorder with delusions due to known physiological condition | $61,965 |
| Total Medicare payment per Day at DRG | $1,431 |
| Total Medicare payment per Day with ICD F062 - Psychotic disorder with delusions due to known physiological condition | $1,169 |
| Total Medicare payment per Hospitalization at DRG | $4,561 |
| Total Medicare payment per Hospitalization with ICD F062 - Psychotic disorder with delusions due to known physiological condition | $5,164 |
| Total Medicare Charges at DRG | $7,113,640,596 |
| Total Medicare Charges with ICD F062 - Psychotic disorder with delusions due to known physiological condition | $368,094 |
| Avg Charges at DRG | $22,924 |
| Avg Charges with ICD F062 - Psychotic disorder with delusions due to known physiological condition | $30,675 |
| Mortality Rate at DRG | 0.63 |
| Mortality Rate with ICD F062 - Psychotic disorder with delusions due to known physiological condition | NA |
| SNF Discharge Rate at DRG | 19.76 |
| SNF Discharge Rate with ICD F062 - Psychotic disorder with delusions due to known physiological condition | NA |
| Home Discharge Rate at DRG | 50.47 |
| Home Discharge Rate with ICD F062 - Psychotic disorder with delusions due to known physiological condition | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BEHAVIORAL HEALTHCARE CENTER AT CLARKSVILLE | 930 PROFESSIONAL PARK DRIVE | CLARKSVILLE | TN | 37040 | 250 |
| MIZELL MEMORIAL HOSPITAL | 702 N MAIN ST | OPP | AL | 36467 | 165 |
| PARKWEST MEDICAL CENTER | 9352 PARKWEST BLVD | KNOXVILLE | TN | 37923 | 140 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOHN WALLACE CAIN | 1404 WINTER DR | LEBANON | TN | 37087 | 228 |
| Dr. JOHN CHRISTOPHER STRUNK | 201 REGENCY CT | DOTHAN | AL | 36305 | 220 |
| Dr. JOEL L MORGAN | 3541 N CROSSING CIR | VALDOSTA | GA | 31602 | 92 |