*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| F09 - Unspecified mental disorder due to known physiological condition - as a primary diagnosis code | F09 - Unspecified mental disorder due to known physiological condition - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 9.29 | |
| Readmission Rate (%) | 23.62 | |
| Unplanned Readmission Rate (%) | 11.6 | |
| 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 F09 - Unspecified mental disorder due to known physiological condition | 1,525 |
| DRG Share of Total Hospitalizations | 0.44 |
| % of Total ICD F09 - Unspecified mental disorder due to known physiological condition in DRG | 99.22 |
| Avg LOS at DRG | 11.23 |
| Avg LOS with ICD F09 - Unspecified mental disorder due to known physiological condition | 14.16 |
| Readmission Rate at DRG | 20.52 |
| Readmission Rate with ICD F09 - Unspecified mental disorder due to known physiological condition | 20.31 |
| Unplanned Readmission Rate at DRG | 12.21 |
| Unplanned Readmission Rate with ICD F09 - Unspecified mental disorder due to known physiological condition | 11.55 |
| Total Medicare payments at DRG | $1,495,371,248 |
| Total Medicare payments with ICD F09 - Unspecified mental disorder due to known physiological condition | $15,315,776 |
| Total Medicare payment per Day at DRG | $922 |
| Total Medicare payment per Day with ICD F09 - Unspecified mental disorder due to known physiological condition | $709 |
| Total Medicare payment per Hospitalization at DRG | $10,348 |
| Total Medicare payment per Hospitalization with ICD F09 - Unspecified mental disorder due to known physiological condition | $10,043 |
| Total Medicare Charges at DRG | $5,107,483,805 |
| Total Medicare Charges with ICD F09 - Unspecified mental disorder due to known physiological condition | $53,699,459 |
| Avg Charges at DRG | $35,344 |
| Avg Charges with ICD F09 - Unspecified mental disorder due to known physiological condition | $35,213 |
| Mortality Rate at DRG | 0.73 |
| Mortality Rate with ICD F09 - Unspecified mental disorder due to known physiological condition | NA |
| SNF Discharge Rate at DRG | 38.43 |
| SNF Discharge Rate with ICD F09 - Unspecified mental disorder due to known physiological condition | 26.1 |
| Home Discharge Rate at DRG | 27.81 |
| Home Discharge Rate with ICD F09 - Unspecified mental disorder due to known physiological condition | 44.07 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BOLIVAR MEDICAL CENTER | 901 E SUNFLOWER RD | CLEVELAND | MS | 38732 | 62 |
| OUR LADY OF FATIMA HOSPITAL | 200 HIGH SERVICE AVE | NORTH PROVIDENCE | RI | 02904 | 36 |
| EDWARD HOSPITAL | 801 S WASHINGTON ST | NAPERVILLE | IL | 60540 | 31 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. KHALED NADIM ABU-HAMDAN | 3550 HIGHWAY 468 WEST | WHITFIELD | MS | 39193 | 62 |
| Dr. JOHN CHRISTOPHER STRUNK | 201 REGENCY CT | DOTHAN | AL | 36305 | 35 |
| Dr. ZINAIDA LEBEDEVA | 11100 EUCLID AVE | CLEVELAND | OH | 44106 | 22 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 885: PSYCHOSES | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 884: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD F09 - Unspecified mental disorder due to known physiological condition | 5,987 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD F09 - Unspecified mental disorder due to known physiological condition in DRG | 11.78 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD F09 - Unspecified mental disorder due to known physiological condition | 14.81 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD F09 - Unspecified mental disorder due to known physiological condition | 21.5 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD F09 - Unspecified mental disorder due to known physiological condition | 11.33 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD F09 - Unspecified mental disorder due to known physiological condition | $65,865,541 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD F09 - Unspecified mental disorder due to known physiological condition | $743 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD F09 - Unspecified mental disorder due to known physiological condition | $11,001 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD F09 - Unspecified mental disorder due to known physiological condition | $244,904,677 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD F09 - Unspecified mental disorder due to known physiological condition | $40,906 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD F09 - Unspecified mental disorder due to known physiological condition | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD F09 - Unspecified mental disorder due to known physiological condition | 14.16 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD F09 - Unspecified mental disorder due to known physiological condition | 63.24 |
*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 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD F09 - Unspecified mental disorder due to known physiological condition | 936 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD F09 - Unspecified mental disorder due to known physiological condition in DRG | 1.84 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD F09 - Unspecified mental disorder due to known physiological condition | 6.74 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD F09 - Unspecified mental disorder due to known physiological condition | 28.45 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD F09 - Unspecified mental disorder due to known physiological condition | 22.43 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD F09 - Unspecified mental disorder due to known physiological condition | $9,448,877 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD F09 - Unspecified mental disorder due to known physiological condition | $1,497 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD F09 - Unspecified mental disorder due to known physiological condition | $10,095 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD F09 - Unspecified mental disorder due to known physiological condition | $53,512,254 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD F09 - Unspecified mental disorder due to known physiological condition | $57,171 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD F09 - Unspecified mental disorder due to known physiological condition | 4.49 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD F09 - Unspecified mental disorder due to known physiological condition | 36.0 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD F09 - Unspecified mental disorder due to known physiological condition | 18.7 |
*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 101: SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD F09 - Unspecified mental disorder due to known physiological condition | 611 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD F09 - Unspecified mental disorder due to known physiological condition in DRG | 1.2 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD F09 - Unspecified mental disorder due to known physiological condition | 7.25 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD F09 - Unspecified mental disorder due to known physiological condition | 28.65 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD F09 - Unspecified mental disorder due to known physiological condition | 19.28 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD F09 - Unspecified mental disorder due to known physiological condition | $6,160,101 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD F09 - Unspecified mental disorder due to known physiological condition | $1,391 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD F09 - Unspecified mental disorder due to known physiological condition | $10,082 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD F09 - Unspecified mental disorder due to known physiological condition | $32,175,713 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD F09 - Unspecified mental disorder due to known physiological condition | $52,661 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD F09 - Unspecified mental disorder due to known physiological condition | 3.76 | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD F09 - Unspecified mental disorder due to known physiological condition | 44.84 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD F09 - Unspecified mental disorder due to known physiological condition | 15.22 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD F09 - Unspecified mental disorder due to known physiological condition | 579 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD F09 - Unspecified mental disorder due to known physiological condition in DRG | 1.14 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD F09 - Unspecified mental disorder due to known physiological condition | 7.02 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD F09 - Unspecified mental disorder due to known physiological condition | 25.14 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD F09 - Unspecified mental disorder due to known physiological condition | 15.88 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD F09 - Unspecified mental disorder due to known physiological condition | $5,812,859 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD F09 - Unspecified mental disorder due to known physiological condition | $1,430 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD F09 - Unspecified mental disorder due to known physiological condition | $10,039 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD F09 - Unspecified mental disorder due to known physiological condition | $31,242,850 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD F09 - Unspecified mental disorder due to known physiological condition | $53,960 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD F09 - Unspecified mental disorder due to known physiological condition | 3.97 | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD F09 - Unspecified mental disorder due to known physiological condition | 41.45 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD F09 - Unspecified mental disorder due to known physiological condition | 17.79 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 426 |
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 372 |
| CORAL GABLES HOSPITAL | 3100 DOUGLAS RD | CORAL GABLES | FL | 33134 | 298 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MARK HENRY STEINHAUER | 10301 GATEWAY BLVD W | EL PASO | TX | 79925 | 103 |
| Dr. JOSHUA A MAKSI | 415 S 28TH AVE | HATTIESBURG | MS | 39401 | 96 |
| Dr. EDGARDO ABAD CRISOSTOMO | 1000 E 1ST ST | DULUTH | MN | 55805 | 89 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CHARLES M MANGANIELLO | 1099 S TOWNSHIP BLVD | PITTSTON | PA | 18640 | 175 |
| Dr. MAN M ANAND | 3515 S 4TH ST | LEAVENWORTH | KS | 66048 | 158 |
| Dr. MARK HENRY STEINHAUER | 10301 GATEWAY BLVD W | EL PASO | TX | 79925 | 140 |