*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| F22 - Delusional disorders - as a primary diagnosis code | F22 - Delusional disorders - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 11.03 | |
| Readmission Rate (%) | 26.85 | |
| Unplanned Readmission Rate (%) | 10.56 | |
| 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 885: PSYCHOSES | DRG 876: O.R. PROCEDURE WITH PRINCIPAL DIAGNOSES OF MENTAL ILLNESS | |
|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | |
| Total Hospitalizations with ICD F22 - Delusional disorders | 7,744 | |
| DRG Share of Total Hospitalizations | 3.35 | |
| % of Total ICD F22 - Delusional disorders in DRG | 99.76 | |
| Avg LOS at DRG | 11.86 | |
| Avg LOS with ICD F22 - Delusional disorders | 12.08 | |
| Readmission Rate at DRG | 27.58 | |
| Readmission Rate with ICD F22 - Delusional disorders | 23.85 | |
| Unplanned Readmission Rate at DRG | 13.34 | |
| Unplanned Readmission Rate with ICD F22 - Delusional disorders | 10.57 | |
| Total Medicare payments at DRG | $9,312,828,663 | |
| Total Medicare payments with ICD F22 - Delusional disorders | $72,532,751 | |
| Total Medicare payment per Day at DRG | $713 | |
| Total Medicare payment per Day with ICD F22 - Delusional disorders | $776 | |
| Total Medicare payment per Hospitalization at DRG | $8,460 | |
| Total Medicare payment per Hospitalization with ICD F22 - Delusional disorders | $9,366 | |
| Total Medicare Charges at DRG | $32,341,464,302 | |
| Total Medicare Charges with ICD F22 - Delusional disorders | $239,818,864 | |
| Avg Charges at DRG | $29,378 | |
| Avg Charges with ICD F22 - Delusional disorders | $30,968 | |
| Mortality Rate at DRG | 0.04 | |
| Mortality Rate with ICD F22 - Delusional disorders | 0.19 | |
| SNF Discharge Rate at DRG | 5.83 | |
| SNF Discharge Rate with ICD F22 - Delusional disorders | 14.33 | |
| Home Discharge Rate at DRG | 79.47 | |
| Home Discharge Rate with ICD F22 - Delusional disorders | 59.66 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| APPLING HEALTHCARE SYSTEM | 163 E TOLLISON ST | BAXLEY | GA | 31513 | 164 |
| RIVERCREST SPECIALTY HOSPITAL, LLC | 1625 E JEFFERSON BLVD | MISHAWAKA | IN | 46545 | 77 |
| PEAK VIEW BEHAVIORAL HEALTH | 7353 SISTERS GROVE | COLORADO SPRINGS | CO | 80923 | 71 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DENNIS PETER PADLA | 211 HILLTOP RD | SAINT JOSEPH | MI | 49085 | 59 |
| Dr. SHARAD GUPTA | 106 STEPHEN ST | LEMONT | IL | 60439 | 22 |
| Dr. KONSTANTIN NIKIFOROV | 2601 OCEAN PKWY | BROOKLYN | NY | 11235 | 15 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID J FAULK | 2712 PARKWOOD DR | BRUNSWICK | GA | 31520 | 143 |
| Dr. BAL K SHARMA | 1323 N A ST | WELLINGTON | KS | 67152 | 112 |
| Dr. DENNIS PETER PADLA | 211 HILLTOP RD | SAINT JOSEPH | MI | 49085 | 92 |
*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 884: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | 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 | 1,100,860 | ||||
| Total Hospitalizations with ICD F22 - Delusional disorders | 27,038 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD F22 - Delusional disorders in DRG | 34.89 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD F22 - Delusional disorders | 13.23 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD F22 - Delusional disorders | 26.38 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD F22 - Delusional disorders | 12.57 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD F22 - Delusional disorders | $270,406,628 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD F22 - Delusional disorders | $756 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD F22 - Delusional disorders | $10,001 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD F22 - Delusional disorders | $1,020,666,725 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD F22 - Delusional disorders | $37,749 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD F22 - Delusional disorders | 0.1 | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD F22 - Delusional disorders | 10.67 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD F22 - Delusional disorders | 67.22 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 881: DEPRESSIVE NEUROSES | DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD F22 - Delusional disorders | 1,039 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD F22 - Delusional disorders in DRG | 1.34 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD F22 - Delusional disorders | 5.13 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD F22 - Delusional disorders | 29.16 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD F22 - Delusional disorders | 12.31 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD F22 - Delusional disorders | $5,515,008 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD F22 - Delusional disorders | $1,034 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD F22 - Delusional disorders | $5,308 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD F22 - Delusional disorders | $30,265,205 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD F22 - Delusional disorders | $29,129 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD F22 - Delusional disorders | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD F22 - Delusional disorders | 35.13 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD F22 - Delusional disorders | 25.12 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 880: ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 310,318 | ||||
| Total Hospitalizations with ICD F22 - Delusional disorders | 726 | ||||
| DRG Share of Total Hospitalizations | 0.94 | ||||
| % of Total ICD F22 - Delusional disorders in DRG | 0.94 | ||||
| Avg LOS at DRG | 3.19 | ||||
| Avg LOS with ICD F22 - Delusional disorders | 4.47 | ||||
| Readmission Rate at DRG | 20.19 | ||||
| Readmission Rate with ICD F22 - Delusional disorders | 34.41 | ||||
| Unplanned Readmission Rate at DRG | 13.62 | ||||
| Unplanned Readmission Rate with ICD F22 - Delusional disorders | 11.57 | ||||
| Total Medicare payments at DRG | $1,415,392,709 | ||||
| Total Medicare payments with ICD F22 - Delusional disorders | $3,739,079 | ||||
| Total Medicare payment per Day at DRG | $1,431 | ||||
| Total Medicare payment per Day with ICD F22 - Delusional disorders | $1,153 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,561 | ||||
| Total Medicare payment per Hospitalization with ICD F22 - Delusional disorders | $5,150 | ||||
| Total Medicare Charges at DRG | $7,113,640,596 | ||||
| Total Medicare Charges with ICD F22 - Delusional disorders | $18,912,519 | ||||
| Avg Charges at DRG | $22,924 | ||||
| Avg Charges with ICD F22 - Delusional disorders | $26,050 | ||||
| Mortality Rate at DRG | 0.63 | ||||
| Mortality Rate with ICD F22 - Delusional disorders | NA | ||||
| SNF Discharge Rate at DRG | 19.76 | ||||
| SNF Discharge Rate with ICD F22 - Delusional disorders | 27.69 | ||||
| Home Discharge Rate at DRG | 50.47 | ||||
| Home Discharge Rate with ICD F22 - Delusional disorders | 29.89 |
*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 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 917: POISONING AND TOXIC EFFECTS OF DRUGS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 68,556 | ||||
| Total Hospitalizations with ICD F22 - Delusional disorders | 543 | ||||
| DRG Share of Total Hospitalizations | 0.21 | ||||
| % of Total ICD F22 - Delusional disorders in DRG | 0.7 | ||||
| Avg LOS at DRG | 6.18 | ||||
| Avg LOS with ICD F22 - Delusional disorders | 8.05 | ||||
| Readmission Rate at DRG | 21.52 | ||||
| Readmission Rate with ICD F22 - Delusional disorders | 31.01 | ||||
| Unplanned Readmission Rate at DRG | 13.8 | ||||
| Unplanned Readmission Rate with ICD F22 - Delusional disorders | 11.05 | ||||
| Total Medicare payments at DRG | $620,356,059 | ||||
| Total Medicare payments with ICD F22 - Delusional disorders | $4,507,664 | ||||
| Total Medicare payment per Day at DRG | $1,465 | ||||
| Total Medicare payment per Day with ICD F22 - Delusional disorders | $1,032 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,049 | ||||
| Total Medicare payment per Hospitalization with ICD F22 - Delusional disorders | $8,301 | ||||
| Total Medicare Charges at DRG | $2,302,271,203 | ||||
| Total Medicare Charges with ICD F22 - Delusional disorders | $21,183,766 | ||||
| Avg Charges at DRG | $33,582 | ||||
| Avg Charges with ICD F22 - Delusional disorders | $39,012 | ||||
| Mortality Rate at DRG | 0.66 | ||||
| Mortality Rate with ICD F22 - Delusional disorders | NA | ||||
| SNF Discharge Rate at DRG | 30.1 | ||||
| SNF Discharge Rate with ICD F22 - Delusional disorders | 27.62 | ||||
| Home Discharge Rate at DRG | 26.94 | ||||
| Home Discharge Rate with ICD F22 - Delusional disorders | 28.73 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| RIVERCREST SPECIALTY HOSPITAL, LLC | 1625 E JEFFERSON BLVD | MISHAWAKA | IN | 46545 | 405 |
| ALEXIAN BROTHERS MEDICAL CENTER | 800 BIESTERFIELD RD | ELK GROVE VILLAGE | IL | 60007 | 314 |
| YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 312 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. KHUTB MOHAMMED UDDIN | 239 N DIXIE WAY | SOUTH BEND | IN | 46637 | 208 |
| Dr. SNEHALKUMAR BALDEVBHAI PATEL | 403 N STATE OF FRANKLIN RD | JOHNSON CITY | TN | 37604 | 126 |
| Dr. RAKESHKUMAR BHAGWANDAS PATEL | 403 N STATE OF FRANKLIN RD | JOHNSON CITY | TN | 37604 | 118 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. BAL K SHARMA | 1323 N A ST | WELLINGTON | KS | 67152 | 370 |
| Dr. BRYAN E FLUECKIGER | 1500 N OAKLAND AVE | BOLIVAR | MO | 65613 | 275 |
| Dr. UPMA DHINGRA | 99 NORTHLINE CIR | EUCLID | OH | 44119 | 250 |