*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| F0631 - Mood disorder due to known physiological condition with depressive features - as a primary diagnosis code | F0631 - Mood disorder due to known physiological condition with depressive features - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 11.82 | |
| Readmission Rate (%) | 25.35 | |
| Unplanned Readmission Rate (%) | 14.83 | |
| 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 F0631 - Mood disorder due to known physiological condition with depressive features | 425 |
| DRG Share of Total Hospitalizations | 0.44 |
| % of Total ICD F0631 - Mood disorder due to known physiological condition with depressive features in DRG | 100.0 |
| Avg LOS at DRG | 11.23 |
| Avg LOS with ICD F0631 - Mood disorder due to known physiological condition with depressive features | 10.19 |
| Readmission Rate at DRG | 20.52 |
| Readmission Rate with ICD F0631 - Mood disorder due to known physiological condition with depressive features | 22.51 |
| Unplanned Readmission Rate at DRG | 12.21 |
| Unplanned Readmission Rate with ICD F0631 - Mood disorder due to known physiological condition with depressive features | 14.83 |
| Total Medicare payments at DRG | $1,495,371,248 |
| Total Medicare payments with ICD F0631 - Mood disorder due to known physiological condition with depressive features | $3,401,155 |
| Total Medicare payment per Day at DRG | $922 |
| Total Medicare payment per Day with ICD F0631 - Mood disorder due to known physiological condition with depressive features | $785 |
| Total Medicare payment per Hospitalization at DRG | $10,348 |
| Total Medicare payment per Hospitalization with ICD F0631 - Mood disorder due to known physiological condition with depressive features | $8,003 |
| Total Medicare Charges at DRG | $5,107,483,805 |
| Total Medicare Charges with ICD F0631 - Mood disorder due to known physiological condition with depressive features | $12,598,504 |
| Avg Charges at DRG | $35,344 |
| Avg Charges with ICD F0631 - Mood disorder due to known physiological condition with depressive features | $29,644 |
| Mortality Rate at DRG | 0.73 |
| Mortality Rate with ICD F0631 - Mood disorder due to known physiological condition with depressive features | NA |
| SNF Discharge Rate at DRG | 38.43 |
| SNF Discharge Rate with ICD F0631 - Mood disorder due to known physiological condition with depressive features | 15.06 |
| Home Discharge Rate at DRG | 27.81 |
| Home Discharge Rate with ICD F0631 - Mood disorder due to known physiological condition with depressive features | 64.94 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| LIFECARE HOSPITALS OF PITTSBURGH | 225 PENN AVENUE | PITTSBURGH | PA | 15221 | 21 |
| BEAUMONT HOSPITAL - FARMINGTON HILLS | 28050 GRAND RIVER AVE | FARMINGTON HILLS | MI | 48336 | 16 |
| CAMBRIDGE BEHAVIORAL HOSPITAL | 66737 OLD 21 RD | CAMBRIDGE | OH | 43725 | 12 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOHN GUTERSON | 2345 MURRAY AVE | PITTSBURGH | PA | 15217 | 20 |
| Dr. THEODORE J RUZA | 21440 ARCHWOOD CIRCLE | FARMINGTON HILLS | MI | 48336 | 16 |
| Dr. ALI MOHAMMED MELHEM | 380 SUMMIT AVE | STEUBENVILLE | OH | 43952 | 12 |
*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 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 144,507 | ||||
| Total Hospitalizations with ICD F0631 - Mood disorder due to known physiological condition with depressive features | 589 | ||||
| DRG Share of Total Hospitalizations | 0.44 | ||||
| % of Total ICD F0631 - Mood disorder due to known physiological condition with depressive features in DRG | 13.79 | ||||
| Avg LOS at DRG | 11.23 | ||||
| Avg LOS with ICD F0631 - Mood disorder due to known physiological condition with depressive features | 11.86 | ||||
| Readmission Rate at DRG | 20.52 | ||||
| Readmission Rate with ICD F0631 - Mood disorder due to known physiological condition with depressive features | 20.93 | ||||
| Unplanned Readmission Rate at DRG | 12.21 | ||||
| Unplanned Readmission Rate with ICD F0631 - Mood disorder due to known physiological condition with depressive features | 13.46 | ||||
| Total Medicare payments at DRG | $1,495,371,248 | ||||
| Total Medicare payments with ICD F0631 - Mood disorder due to known physiological condition with depressive features | $5,490,012 | ||||
| Total Medicare payment per Day at DRG | $922 | ||||
| Total Medicare payment per Day with ICD F0631 - Mood disorder due to known physiological condition with depressive features | $786 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,348 | ||||
| Total Medicare payment per Hospitalization with ICD F0631 - Mood disorder due to known physiological condition with depressive features | $9,321 | ||||
| Total Medicare Charges at DRG | $5,107,483,805 | ||||
| Total Medicare Charges with ICD F0631 - Mood disorder due to known physiological condition with depressive features | $18,429,658 | ||||
| Avg Charges at DRG | $35,344 | ||||
| Avg Charges with ICD F0631 - Mood disorder due to known physiological condition with depressive features | $31,290 | ||||
| Mortality Rate at DRG | 0.73 | ||||
| Mortality Rate with ICD F0631 - Mood disorder due to known physiological condition with depressive features | NA | ||||
| SNF Discharge Rate at DRG | 38.43 | ||||
| SNF Discharge Rate with ICD F0631 - Mood disorder due to known physiological condition with depressive features | 23.09 | ||||
| Home Discharge Rate at DRG | 27.81 | ||||
| Home Discharge Rate with ICD F0631 - Mood disorder due to known physiological condition with depressive features | 52.97 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH 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 | 188,863 | ||||
| Total Hospitalizations with ICD F0631 - Mood disorder due to known physiological condition with depressive features | 75 | ||||
| DRG Share of Total Hospitalizations | 0.57 | ||||
| % of Total ICD F0631 - Mood disorder due to known physiological condition with depressive features in DRG | 1.76 | ||||
| Avg LOS at DRG | 11.75 | ||||
| Avg LOS with ICD F0631 - Mood disorder due to known physiological condition with depressive features | 14.97 | ||||
| Readmission Rate at DRG | 12.14 | ||||
| Readmission Rate with ICD F0631 - Mood disorder due to known physiological condition with depressive features | NA | ||||
| Unplanned Readmission Rate at DRG | 7.97 | ||||
| Unplanned Readmission Rate with ICD F0631 - Mood disorder due to known physiological condition with depressive features | NA | ||||
| Total Medicare payments at DRG | $3,216,901,374 | ||||
| Total Medicare payments with ICD F0631 - Mood disorder due to known physiological condition with depressive features | $1,796,543 | ||||
| Total Medicare payment per Day at DRG | $1,450 | ||||
| Total Medicare payment per Day with ICD F0631 - Mood disorder due to known physiological condition with depressive features | $1,600 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,033 | ||||
| Total Medicare payment per Hospitalization with ICD F0631 - Mood disorder due to known physiological condition with depressive features | $23,954 | ||||
| Total Medicare Charges at DRG | $7,709,712,645 | ||||
| Total Medicare Charges with ICD F0631 - Mood disorder due to known physiological condition with depressive features | $4,025,117 | ||||
| Avg Charges at DRG | $40,822 | ||||
| Avg Charges with ICD F0631 - Mood disorder due to known physiological condition with depressive features | $53,668 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD F0631 - Mood disorder due to known physiological condition with depressive features | NA | ||||
| SNF Discharge Rate at DRG | 19.54 | ||||
| SNF Discharge Rate with ICD F0631 - Mood disorder due to known physiological condition with depressive features | 25.33 | ||||
| Home Discharge Rate at DRG | 19.47 | ||||
| Home Discharge Rate with ICD F0631 - Mood disorder due to known physiological condition with depressive features | 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 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 559: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD F0631 - Mood disorder due to known physiological condition with depressive features | 58 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD F0631 - Mood disorder due to known physiological condition with depressive features in DRG | 1.36 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD F0631 - Mood disorder due to known physiological condition with depressive features | 13.45 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD F0631 - Mood disorder due to known physiological condition with depressive features | 33.33 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD F0631 - Mood disorder due to known physiological condition with depressive features | NA | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD F0631 - Mood disorder due to known physiological condition with depressive features | $1,098,437 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD F0631 - Mood disorder due to known physiological condition with depressive features | $1,408 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD F0631 - Mood disorder due to known physiological condition with depressive features | $18,939 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD F0631 - Mood disorder due to known physiological condition with depressive features | $5,423,628 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD F0631 - Mood disorder due to known physiological condition with depressive features | $93,511 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD F0631 - Mood disorder due to known physiological condition with depressive features | NA | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD F0631 - Mood disorder due to known physiological condition with depressive features | 31.03 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD F0631 - Mood disorder due to known physiological condition with depressive features | 20.69 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 881: DEPRESSIVE NEUROSES | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 103: HEADACHES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD F0631 - Mood disorder due to known physiological condition with depressive features | 38 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD F0631 - Mood disorder due to known physiological condition with depressive features in DRG | 0.89 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD F0631 - Mood disorder due to known physiological condition with depressive features | 5.87 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD F0631 - Mood disorder due to known physiological condition with depressive features | 28.95 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD F0631 - Mood disorder due to known physiological condition with depressive features | NA | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD F0631 - Mood disorder due to known physiological condition with depressive features | $280,815 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD F0631 - Mood disorder due to known physiological condition with depressive features | $1,259 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD F0631 - Mood disorder due to known physiological condition with depressive features | $7,390 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD F0631 - Mood disorder due to known physiological condition with depressive features | $1,646,161 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD F0631 - Mood disorder due to known physiological condition with depressive features | $43,320 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD F0631 - Mood disorder due to known physiological condition with depressive features | NA | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD F0631 - Mood disorder due to known physiological condition with depressive features | 39.47 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD F0631 - Mood disorder due to known physiological condition with depressive features | 31.58 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| VALLEY PRESBYTERIAN HOSPITAL | 15107 VANOWEN ST | VAN NUYS | CA | 91405 | 177 |
| BEHAVIORAL HEALTHCARE CENTER AT CLARKSVILLE | 930 PROFESSIONAL PARK DRIVE | CLARKSVILLE | TN | 37040 | 152 |
| CENTINELA HOSPITAL MEDICAL CENTER | 555 E HARDY ST | INGLEWOOD | CA | 90301 | 133 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MICHAEL GERARD FUENTES | 5656 S STAPLES ST | CORPUS CHRISTI | TX | 78411 | 43 |
| Dr. KENNETH NAZARI | 501 EAST HARDY STREET | INGLEWOOD | CA | 90301 | 21 |
| Dr. RAMIN HAZANY | 323 N PRAIRIE AVE | INGLEWOOD | CA | 90301 | 13 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOHN WALLACE CAIN | 1404 WINTER DR | LEBANON | TN | 37087 | 140 |
| Dr. MICHAEL GERARD FUENTES | 5656 S STAPLES ST | CORPUS CHRISTI | TX | 78411 | 75 |
| Dr. H. DAVID SPANGLER | 38 TWINSHORE CT | CARMEL | IN | 46033 | 48 |