*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| F0630 - Mood disorder due to known physiological condition, unspecified - as a primary diagnosis code | F0630 - Mood disorder due to known physiological condition, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 10.93 | |
| Readmission Rate (%) | 27.92 | |
| Unplanned Readmission Rate (%) | 15.61 | |
| 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 F0630 - Mood disorder due to known physiological condition, unspecified | 1,584 |
| DRG Share of Total Hospitalizations | 0.44 |
| % of Total ICD F0630 - Mood disorder due to known physiological condition, unspecified in DRG | 99.75 |
| Avg LOS at DRG | 11.23 |
| Avg LOS with ICD F0630 - Mood disorder due to known physiological condition, unspecified | 12.06 |
| Readmission Rate at DRG | 20.52 |
| Readmission Rate with ICD F0630 - Mood disorder due to known physiological condition, unspecified | 23.88 |
| Unplanned Readmission Rate at DRG | 12.21 |
| Unplanned Readmission Rate with ICD F0630 - Mood disorder due to known physiological condition, unspecified | 15.58 |
| Total Medicare payments at DRG | $1,495,371,248 |
| Total Medicare payments with ICD F0630 - Mood disorder due to known physiological condition, unspecified | $13,431,001 |
| Total Medicare payment per Day at DRG | $922 |
| Total Medicare payment per Day with ICD F0630 - Mood disorder due to known physiological condition, unspecified | $703 |
| Total Medicare payment per Hospitalization at DRG | $10,348 |
| Total Medicare payment per Hospitalization with ICD F0630 - Mood disorder due to known physiological condition, unspecified | $8,479 |
| Total Medicare Charges at DRG | $5,107,483,805 |
| Total Medicare Charges with ICD F0630 - Mood disorder due to known physiological condition, unspecified | $46,876,051 |
| Avg Charges at DRG | $35,344 |
| Avg Charges with ICD F0630 - Mood disorder due to known physiological condition, unspecified | $29,593 |
| Mortality Rate at DRG | 0.73 |
| Mortality Rate with ICD F0630 - Mood disorder due to known physiological condition, unspecified | NA |
| SNF Discharge Rate at DRG | 38.43 |
| SNF Discharge Rate with ICD F0630 - Mood disorder due to known physiological condition, unspecified | 18.69 |
| Home Discharge Rate at DRG | 27.81 |
| Home Discharge Rate with ICD F0630 - Mood disorder due to known physiological condition, unspecified | 56.25 |
| 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 | 273 |
| GOOD SAMARITAN HOSPITAL | 375 DIXMYTH AVE | CINCINNATI | OH | 45220 | 49 |
| WIREGRASS MEDICAL CENTER | 1200 W MAPLE AVE | GENEVA | AL | 36340 | 35 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. THEODORE J RUZA | 21440 ARCHWOOD CIRCLE | FARMINGTON HILLS | MI | 48336 | 156 |
| Dr. SABIHA JABEEN OMAR | 28592 ORCHARD LAKE RD | FARMINGTON HILLS | MI | 48334 | 65 |
| Dr. IGOR PARIS | 6555 W MAPLE RD | WEST BLOOMFIELD | MI | 48322 | 50 |
*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 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 144,507 | ||||
| Total Hospitalizations with ICD F0630 - Mood disorder due to known physiological condition, unspecified | 2,315 | ||||
| DRG Share of Total Hospitalizations | 0.44 | ||||
| % of Total ICD F0630 - Mood disorder due to known physiological condition, unspecified in DRG | 17.93 | ||||
| Avg LOS at DRG | 11.23 | ||||
| Avg LOS with ICD F0630 - Mood disorder due to known physiological condition, unspecified | 13.07 | ||||
| Readmission Rate at DRG | 20.52 | ||||
| Readmission Rate with ICD F0630 - Mood disorder due to known physiological condition, unspecified | 23.6 | ||||
| Unplanned Readmission Rate at DRG | 12.21 | ||||
| Unplanned Readmission Rate with ICD F0630 - Mood disorder due to known physiological condition, unspecified | 15.36 | ||||
| Total Medicare payments at DRG | $1,495,371,248 | ||||
| Total Medicare payments with ICD F0630 - Mood disorder due to known physiological condition, unspecified | $21,866,487 | ||||
| Total Medicare payment per Day at DRG | $922 | ||||
| Total Medicare payment per Day with ICD F0630 - Mood disorder due to known physiological condition, unspecified | $723 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,348 | ||||
| Total Medicare payment per Hospitalization with ICD F0630 - Mood disorder due to known physiological condition, unspecified | $9,446 | ||||
| Total Medicare Charges at DRG | $5,107,483,805 | ||||
| Total Medicare Charges with ICD F0630 - Mood disorder due to known physiological condition, unspecified | $77,836,513 | ||||
| Avg Charges at DRG | $35,344 | ||||
| Avg Charges with ICD F0630 - Mood disorder due to known physiological condition, unspecified | $33,623 | ||||
| Mortality Rate at DRG | 0.73 | ||||
| Mortality Rate with ICD F0630 - Mood disorder due to known physiological condition, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 38.43 | ||||
| SNF Discharge Rate with ICD F0630 - Mood disorder due to known physiological condition, unspecified | 24.71 | ||||
| Home Discharge Rate at DRG | 27.81 | ||||
| Home Discharge Rate with ICD F0630 - Mood disorder due to known physiological condition, unspecified | 46.91 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD F0630 - Mood disorder due to known physiological condition, unspecified | 200 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD F0630 - Mood disorder due to known physiological condition, unspecified in DRG | 1.55 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD F0630 - Mood disorder due to known physiological condition, unspecified | 7.59 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD F0630 - Mood disorder due to known physiological condition, unspecified | 40.44 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD F0630 - Mood disorder due to known physiological condition, unspecified | 27.87 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD F0630 - Mood disorder due to known physiological condition, unspecified | $2,036,577 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD F0630 - Mood disorder due to known physiological condition, unspecified | $1,341 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD F0630 - Mood disorder due to known physiological condition, unspecified | $10,183 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD F0630 - Mood disorder due to known physiological condition, unspecified | $12,070,201 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD F0630 - Mood disorder due to known physiological condition, unspecified | $60,351 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD F0630 - Mood disorder due to known physiological condition, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD F0630 - Mood disorder due to known physiological condition, unspecified | 35.0 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD F0630 - Mood disorder due to known physiological condition, unspecified | 20.5 |
*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 881: DEPRESSIVE NEUROSES | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD F0630 - Mood disorder due to known physiological condition, unspecified | 150 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD F0630 - Mood disorder due to known physiological condition, unspecified in DRG | 1.16 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD F0630 - Mood disorder due to known physiological condition, unspecified | 8.99 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD F0630 - Mood disorder due to known physiological condition, unspecified | 30.77 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD F0630 - Mood disorder due to known physiological condition, unspecified | 18.46 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD F0630 - Mood disorder due to known physiological condition, unspecified | $1,573,690 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD F0630 - Mood disorder due to known physiological condition, unspecified | $1,167 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD F0630 - Mood disorder due to known physiological condition, unspecified | $10,491 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD F0630 - Mood disorder due to known physiological condition, unspecified | $9,440,151 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD F0630 - Mood disorder due to known physiological condition, unspecified | $62,934 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD F0630 - Mood disorder due to known physiological condition, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD F0630 - Mood disorder due to known physiological condition, unspecified | 35.33 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD F0630 - Mood disorder due to known physiological condition, unspecified | 20.67 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 917: POISONING AND TOXIC EFFECTS OF DRUGS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 101: SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 101,548 | ||||
| Total Hospitalizations with ICD F0630 - Mood disorder due to known physiological condition, unspecified | 113 | ||||
| DRG Share of Total Hospitalizations | 0.31 | ||||
| % of Total ICD F0630 - Mood disorder due to known physiological condition, unspecified in DRG | 0.88 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD F0630 - Mood disorder due to known physiological condition, unspecified | 6.05 | ||||
| Readmission Rate at DRG | 32.74 | ||||
| Readmission Rate with ICD F0630 - Mood disorder due to known physiological condition, unspecified | 35.58 | ||||
| Unplanned Readmission Rate at DRG | 13.79 | ||||
| Unplanned Readmission Rate with ICD F0630 - Mood disorder due to known physiological condition, unspecified | 13.46 | ||||
| Total Medicare payments at DRG | $922,969,291 | ||||
| Total Medicare payments with ICD F0630 - Mood disorder due to known physiological condition, unspecified | $1,003,328 | ||||
| Total Medicare payment per Day at DRG | $1,941 | ||||
| Total Medicare payment per Day with ICD F0630 - Mood disorder due to known physiological condition, unspecified | $1,467 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,089 | ||||
| Total Medicare payment per Hospitalization with ICD F0630 - Mood disorder due to known physiological condition, unspecified | $8,879 | ||||
| Total Medicare Charges at DRG | $4,727,523,206 | ||||
| Total Medicare Charges with ICD F0630 - Mood disorder due to known physiological condition, unspecified | $4,818,107 | ||||
| Avg Charges at DRG | $46,555 | ||||
| Avg Charges with ICD F0630 - Mood disorder due to known physiological condition, unspecified | $42,638 | ||||
| Mortality Rate at DRG | 2.95 | ||||
| Mortality Rate with ICD F0630 - Mood disorder due to known physiological condition, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 13.87 | ||||
| SNF Discharge Rate with ICD F0630 - Mood disorder due to known physiological condition, unspecified | 13.27 | ||||
| Home Discharge Rate at DRG | 43.04 | ||||
| Home Discharge Rate with ICD F0630 - Mood disorder due to known physiological condition, unspecified | 46.02 |
| 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 | 642 |
| ASCENSION MACOMB - OAKLAND HOSPITAL | 11800 E 12 MILE RD | WARREN | MI | 48093 | 460 |
| GOOD SAMARITAN HOSPITAL | 375 DIXMYTH AVE | CINCINNATI | OH | 45220 | 210 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RAKESHKUMAR BHAGWANDAS PATEL | 403 N STATE OF FRANKLIN RD | JOHNSON CITY | TN | 37604 | 105 |
| Dr. HETAL K. BRAHMBHATT | 403 N STATE OF FRANKLIN RD | JOHNSON CITY | TN | 37604 | 49 |
| Dr. CHAKRAPANI RANGANATHAN | 27427 SCHOENHERR RD | WARREN | MI | 48088 | 34 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. THEODORE J RUZA | 21440 ARCHWOOD CIRCLE | FARMINGTON HILLS | MI | 48336 | 272 |
| Dr. JOHN CHRISTOPHER STRUNK | 201 REGENCY CT | DOTHAN | AL | 36305 | 221 |
| Dr. SABIHA JABEEN OMAR | 28592 ORCHARD LAKE RD | FARMINGTON HILLS | MI | 48334 | 116 |