*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| F068 - Other specified mental disorders due to known physiological condition - as a primary diagnosis code | F068 - Other specified mental disorders due to known physiological condition - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 10.12 | |
| Readmission Rate (%) | 20.16 | |
| Unplanned Readmission Rate (%) | 11.26 | |
| 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 F068 - Other specified mental disorders due to known physiological condition | 779 |
| DRG Share of Total Hospitalizations | 0.44 |
| % of Total ICD F068 - Other specified mental disorders due to known physiological condition in DRG | 99.74 |
| Avg LOS at DRG | 11.23 |
| Avg LOS with ICD F068 - Other specified mental disorders due to known physiological condition | 15.34 |
| Readmission Rate at DRG | 20.52 |
| Readmission Rate with ICD F068 - Other specified mental disorders due to known physiological condition | 19.7 |
| Unplanned Readmission Rate at DRG | 12.21 |
| Unplanned Readmission Rate with ICD F068 - Other specified mental disorders due to known physiological condition | 11.29 |
| Total Medicare payments at DRG | $1,495,371,248 |
| Total Medicare payments with ICD F068 - Other specified mental disorders due to known physiological condition | $7,681,106 |
| Total Medicare payment per Day at DRG | $922 |
| Total Medicare payment per Day with ICD F068 - Other specified mental disorders due to known physiological condition | $643 |
| Total Medicare payment per Hospitalization at DRG | $10,348 |
| Total Medicare payment per Hospitalization with ICD F068 - Other specified mental disorders due to known physiological condition | $9,860 |
| Total Medicare Charges at DRG | $5,107,483,805 |
| Total Medicare Charges with ICD F068 - Other specified mental disorders due to known physiological condition | $26,535,897 |
| Avg Charges at DRG | $35,344 |
| Avg Charges with ICD F068 - Other specified mental disorders due to known physiological condition | $34,064 |
| Mortality Rate at DRG | 0.73 |
| Mortality Rate with ICD F068 - Other specified mental disorders due to known physiological condition | NA |
| SNF Discharge Rate at DRG | 38.43 |
| SNF Discharge Rate with ICD F068 - Other specified mental disorders due to known physiological condition | 14.63 |
| Home Discharge Rate at DRG | 27.81 |
| Home Discharge Rate with ICD F068 - Other specified mental disorders due to known physiological condition | 61.36 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| OCEANS BEHAVIORAL HOSPITAL GREATER NEW ORLEANS | 716 VILLAGE RD | KENNER | LA | 70065 | 26 |
| STORMONT VAIL HOSPITAL | 1500 SW 10TH AVE | TOPEKA | KS | 66604 | 21 |
| WESTERN STATE HOSPITAL | 9601 STEILACOOM BLVD SW | TACOMA | WA | 98498 | 17 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MONIKA D SINGHAL | 1800 JUDSON ROAD | LONGVIEW | TX | 75605 | 15 |
| Dr. ABDUL HAFEEZ KHAN | 719 ELYSIAN FIELDS AVE | NEW ORLEANS | LA | 70117 | 12 |
| Dr. RADU H TEODORESCU | 3707 SW 6TH AVE | TOPEKA | KS | 66606 | 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 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 359,935 | ||||
| Total Hospitalizations with ICD F068 - Other specified mental disorders due to known physiological condition | 1,611 | ||||
| DRG Share of Total Hospitalizations | 1.1 | ||||
| % of Total ICD F068 - Other specified mental disorders due to known physiological condition in DRG | 9.59 | ||||
| Avg LOS at DRG | 12.3 | ||||
| Avg LOS with ICD F068 - Other specified mental disorders due to known physiological condition | 14.79 | ||||
| Readmission Rate at DRG | 16.01 | ||||
| Readmission Rate with ICD F068 - Other specified mental disorders due to known physiological condition | 16.38 | ||||
| Unplanned Readmission Rate at DRG | 9.86 | ||||
| Unplanned Readmission Rate with ICD F068 - Other specified mental disorders due to known physiological condition | 10.74 | ||||
| Total Medicare payments at DRG | $5,883,826,653 | ||||
| Total Medicare payments with ICD F068 - Other specified mental disorders due to known physiological condition | $28,963,692 | ||||
| Total Medicare payment per Day at DRG | $1,329 | ||||
| Total Medicare payment per Day with ICD F068 - Other specified mental disorders due to known physiological condition | $1,216 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
| Total Medicare payment per Hospitalization with ICD F068 - Other specified mental disorders due to known physiological condition | $17,979 | ||||
| Total Medicare Charges at DRG | $15,374,824,749 | ||||
| Total Medicare Charges with ICD F068 - Other specified mental disorders due to known physiological condition | $85,292,759 | ||||
| Avg Charges at DRG | $42,716 | ||||
| Avg Charges with ICD F068 - Other specified mental disorders due to known physiological condition | $52,944 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD F068 - Other specified mental disorders due to known physiological condition | NA | ||||
| SNF Discharge Rate at DRG | 27.95 | ||||
| SNF Discharge Rate with ICD F068 - Other specified mental disorders due to known physiological condition | 26.94 | ||||
| Home Discharge Rate at DRG | 26.85 | ||||
| Home Discharge Rate with ICD F068 - Other specified mental disorders due to known physiological condition | 25.76 |
*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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 101: SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 188,863 | ||||
| Total Hospitalizations with ICD F068 - Other specified mental disorders due to known physiological condition | 426 | ||||
| DRG Share of Total Hospitalizations | 0.57 | ||||
| % of Total ICD F068 - Other specified mental disorders due to known physiological condition in DRG | 2.54 | ||||
| Avg LOS at DRG | 11.75 | ||||
| Avg LOS with ICD F068 - Other specified mental disorders due to known physiological condition | 13.35 | ||||
| Readmission Rate at DRG | 12.14 | ||||
| Readmission Rate with ICD F068 - Other specified mental disorders due to known physiological condition | 11.03 | ||||
| Unplanned Readmission Rate at DRG | 7.97 | ||||
| Unplanned Readmission Rate with ICD F068 - Other specified mental disorders due to known physiological condition | 8.52 | ||||
| Total Medicare payments at DRG | $3,216,901,374 | ||||
| Total Medicare payments with ICD F068 - Other specified mental disorders due to known physiological condition | $8,239,617 | ||||
| Total Medicare payment per Day at DRG | $1,450 | ||||
| Total Medicare payment per Day with ICD F068 - Other specified mental disorders due to known physiological condition | $1,449 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,033 | ||||
| Total Medicare payment per Hospitalization with ICD F068 - Other specified mental disorders due to known physiological condition | $19,342 | ||||
| Total Medicare Charges at DRG | $7,709,712,645 | ||||
| Total Medicare Charges with ICD F068 - Other specified mental disorders due to known physiological condition | $20,661,642 | ||||
| Avg Charges at DRG | $40,822 | ||||
| Avg Charges with ICD F068 - Other specified mental disorders due to known physiological condition | $48,502 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD F068 - Other specified mental disorders due to known physiological condition | NA | ||||
| SNF Discharge Rate at DRG | 19.54 | ||||
| SNF Discharge Rate with ICD F068 - Other specified mental disorders due to known physiological condition | 24.65 | ||||
| Home Discharge Rate at DRG | 19.47 | ||||
| Home Discharge Rate with ICD F068 - Other specified mental disorders due to known physiological condition | 9.86 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/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 | 101,617 | ||||
| Total Hospitalizations with ICD F068 - Other specified mental disorders due to known physiological condition | 237 | ||||
| DRG Share of Total Hospitalizations | 0.31 | ||||
| % of Total ICD F068 - Other specified mental disorders due to known physiological condition in DRG | 1.41 | ||||
| Avg LOS at DRG | 9.5 | ||||
| Avg LOS with ICD F068 - Other specified mental disorders due to known physiological condition | 13.43 | ||||
| Readmission Rate at DRG | 26.88 | ||||
| Readmission Rate with ICD F068 - Other specified mental disorders due to known physiological condition | 20.69 | ||||
| Unplanned Readmission Rate at DRG | 19.26 | ||||
| Unplanned Readmission Rate with ICD F068 - Other specified mental disorders due to known physiological condition | 19.21 | ||||
| Total Medicare payments at DRG | $1,599,186,807 | ||||
| Total Medicare payments with ICD F068 - Other specified mental disorders due to known physiological condition | $5,146,212 | ||||
| Total Medicare payment per Day at DRG | $1,656 | ||||
| Total Medicare payment per Day with ICD F068 - Other specified mental disorders due to known physiological condition | $1,616 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,737 | ||||
| Total Medicare payment per Hospitalization with ICD F068 - Other specified mental disorders due to known physiological condition | $21,714 | ||||
| Total Medicare Charges at DRG | $4,836,538,333 | ||||
| Total Medicare Charges with ICD F068 - Other specified mental disorders due to known physiological condition | $12,558,776 | ||||
| Avg Charges at DRG | $47,596 | ||||
| Avg Charges with ICD F068 - Other specified mental disorders due to known physiological condition | $52,991 | ||||
| Mortality Rate at DRG | 2.8 | ||||
| Mortality Rate with ICD F068 - Other specified mental disorders due to known physiological condition | NA | ||||
| SNF Discharge Rate at DRG | 20.21 | ||||
| SNF Discharge Rate with ICD F068 - Other specified mental disorders due to known physiological condition | 18.57 | ||||
| Home Discharge Rate at DRG | 20.17 | ||||
| Home Discharge Rate with ICD F068 - Other specified mental disorders due to known physiological condition | 18.14 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 071: NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 559: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 312: SYNCOPE AND COLLAPSE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 68,556 | ||||
| Total Hospitalizations with ICD F068 - Other specified mental disorders due to known physiological condition | 191 | ||||
| DRG Share of Total Hospitalizations | 0.21 | ||||
| % of Total ICD F068 - Other specified mental disorders due to known physiological condition in DRG | 1.14 | ||||
| Avg LOS at DRG | 6.18 | ||||
| Avg LOS with ICD F068 - Other specified mental disorders due to known physiological condition | 11.6 | ||||
| Readmission Rate at DRG | 21.52 | ||||
| Readmission Rate with ICD F068 - Other specified mental disorders due to known physiological condition | 19.77 | ||||
| Unplanned Readmission Rate at DRG | 13.8 | ||||
| Unplanned Readmission Rate with ICD F068 - Other specified mental disorders due to known physiological condition | 15.12 | ||||
| Total Medicare payments at DRG | $620,356,059 | ||||
| Total Medicare payments with ICD F068 - Other specified mental disorders due to known physiological condition | $3,149,553 | ||||
| Total Medicare payment per Day at DRG | $1,465 | ||||
| Total Medicare payment per Day with ICD F068 - Other specified mental disorders due to known physiological condition | $1,422 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,049 | ||||
| Total Medicare payment per Hospitalization with ICD F068 - Other specified mental disorders due to known physiological condition | $16,490 | ||||
| Total Medicare Charges at DRG | $2,302,271,203 | ||||
| Total Medicare Charges with ICD F068 - Other specified mental disorders due to known physiological condition | $7,273,929 | ||||
| Avg Charges at DRG | $33,582 | ||||
| Avg Charges with ICD F068 - Other specified mental disorders due to known physiological condition | $38,083 | ||||
| Mortality Rate at DRG | 0.66 | ||||
| Mortality Rate with ICD F068 - Other specified mental disorders due to known physiological condition | NA | ||||
| SNF Discharge Rate at DRG | 30.1 | ||||
| SNF Discharge Rate with ICD F068 - Other specified mental disorders due to known physiological condition | 23.56 | ||||
| Home Discharge Rate at DRG | 26.94 | ||||
| Home Discharge Rate with ICD F068 - Other specified mental disorders due to known physiological condition | 14.66 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MARY FREE BED REHABILITATION HOSPITAL | 235 WEALTHY SE | GRAND RAPIDS | MI | 49503 | 536 |
| FAWCETT MEMORIAL HOSPITAL | 21298 OLEAN BLVD | PORT CHARLOTTE | FL | 33952 | 378 |
| HEALTHSOUTH REHABILITATION HOSPITAL OF RICHARDSON | 3351 WATERVIEW PARKWAY | RICHARDSON | TX | 75080 | 275 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. LIAN JEN | 3089 TAMIAMI TRAIL | PORT CHARLOTTE | FL | 33952 | 309 |
| Dr. WILDA MURPHY | 4343 W NEWBERRY RD | GAINESVILLE | FL | 32607 | 141 |
| Dr. MARK HENRY STEINHAUER | 10301 GATEWAY BLVD W | EL PASO | TX | 79925 | 42 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. LIAN JEN | 3089 TAMIAMI TRAIL | PORT CHARLOTTE | FL | 33952 | 340 |
| Dr. RICHARD ROBERT JONES | 1600 COIT RD | PLANO | TX | 75075 | 204 |
| Dr. WILDA MURPHY | 4343 W NEWBERRY RD | GAINESVILLE | FL | 32607 | 143 |