*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| F259 - Schizoaffective disorder, unspecified - as a primary diagnosis code | F259 - Schizoaffective disorder, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 9.17 | |
| Readmission Rate (%) | 31.1 | |
| Unplanned Readmission Rate (%) | 16.73 | |
| 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 F259 - Schizoaffective disorder, unspecified | 76,571 | |
| DRG Share of Total Hospitalizations | 3.35 | |
| % of Total ICD F259 - Schizoaffective disorder, unspecified in DRG | 99.86 | |
| Avg LOS at DRG | 11.86 | |
| Avg LOS with ICD F259 - Schizoaffective disorder, unspecified | 13.0 | |
| Readmission Rate at DRG | 27.58 | |
| Readmission Rate with ICD F259 - Schizoaffective disorder, unspecified | 32.39 | |
| Unplanned Readmission Rate at DRG | 13.34 | |
| Unplanned Readmission Rate with ICD F259 - Schizoaffective disorder, unspecified | 16.73 | |
| Total Medicare payments at DRG | $9,312,828,663 | |
| Total Medicare payments with ICD F259 - Schizoaffective disorder, unspecified | $659,133,434 | |
| Total Medicare payment per Day at DRG | $713 | |
| Total Medicare payment per Day with ICD F259 - Schizoaffective disorder, unspecified | $662 | |
| Total Medicare payment per Hospitalization at DRG | $8,460 | |
| Total Medicare payment per Hospitalization with ICD F259 - Schizoaffective disorder, unspecified | $8,608 | |
| Total Medicare Charges at DRG | $32,341,464,302 | |
| Total Medicare Charges with ICD F259 - Schizoaffective disorder, unspecified | $2,428,945,276 | |
| Avg Charges at DRG | $29,378 | |
| Avg Charges with ICD F259 - Schizoaffective disorder, unspecified | $31,721 | |
| Mortality Rate at DRG | 0.04 | |
| Mortality Rate with ICD F259 - Schizoaffective disorder, unspecified | 0.03 | |
| SNF Discharge Rate at DRG | 5.83 | |
| SNF Discharge Rate with ICD F259 - Schizoaffective disorder, unspecified | 5.96 | |
| Home Discharge Rate at DRG | 79.47 | |
| Home Discharge Rate with ICD F259 - Schizoaffective disorder, unspecified | 79.18 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| AMITA HEALTH SAINTS MARY AND ELIZABETH MEDICAL CENTER | 1127 N OAKLEY BLVD | CHICAGO | IL | 60622 | 921 |
| PARADISE VALLEY HOSPITAL | 2400 E 4TH ST | NATIONAL CITY | CA | 91950 | 788 |
| METHODIST HOSPITAL OF CHICAGO | 5025 N PAULINA ST | CHICAGO | IL | 60640 | 572 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. WILLIAM M. GILLESPIE | 510 S GRAND AVE STE 200 | GLENDORA | CA | 91741 | 219 |
| Dr. WEIMING DAVID CHU | 1200 N TUSTIN AVE | SANTA ANA | CA | 92705 | 160 |
| Dr. RANDALL JEFFREY MOSKOVITZ | 1325 EASTMORELAND AVE | MEMPHIS | TN | 38104 | 131 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SHEPHALI PATEL | 4755 N KENMORE AVE | CHICAGO | IL | 60640 | 650 |
| Dr. SAMUEL KUGEL | 502 EUCLID AVE STE 306 | NATIONAL CITY | CA | 91950 | 378 |
| Dr. ELEANOR M MEDINA | 60 BALFOUR DR | BLOOMFIELD HILLS | MI | 48304 | 368 |
*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 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD F259 - Schizoaffective disorder, unspecified | 87,440 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD F259 - Schizoaffective disorder, unspecified in DRG | 43.71 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD F259 - Schizoaffective disorder, unspecified | 12.81 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD F259 - Schizoaffective disorder, unspecified | 32.37 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD F259 - Schizoaffective disorder, unspecified | 16.71 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD F259 - Schizoaffective disorder, unspecified | $753,269,817 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD F259 - Schizoaffective disorder, unspecified | $673 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD F259 - Schizoaffective disorder, unspecified | $8,615 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD F259 - Schizoaffective disorder, unspecified | $2,788,581,785 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD F259 - Schizoaffective disorder, unspecified | $31,891 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD F259 - Schizoaffective disorder, unspecified | 0.03 | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD F259 - Schizoaffective disorder, unspecified | 6.11 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD F259 - Schizoaffective disorder, unspecified | 78.73 |
*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 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 917: POISONING AND TOXIC EFFECTS OF DRUGS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 310,318 | ||||
| Total Hospitalizations with ICD F259 - Schizoaffective disorder, unspecified | 2,189 | ||||
| DRG Share of Total Hospitalizations | 0.94 | ||||
| % of Total ICD F259 - Schizoaffective disorder, unspecified in DRG | 1.09 | ||||
| Avg LOS at DRG | 3.19 | ||||
| Avg LOS with ICD F259 - Schizoaffective disorder, unspecified | 3.71 | ||||
| Readmission Rate at DRG | 20.19 | ||||
| Readmission Rate with ICD F259 - Schizoaffective disorder, unspecified | 33.1 | ||||
| Unplanned Readmission Rate at DRG | 13.62 | ||||
| Unplanned Readmission Rate with ICD F259 - Schizoaffective disorder, unspecified | 17.44 | ||||
| Total Medicare payments at DRG | $1,415,392,709 | ||||
| Total Medicare payments with ICD F259 - Schizoaffective disorder, unspecified | $10,881,491 | ||||
| Total Medicare payment per Day at DRG | $1,431 | ||||
| Total Medicare payment per Day with ICD F259 - Schizoaffective disorder, unspecified | $1,338 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,561 | ||||
| Total Medicare payment per Hospitalization with ICD F259 - Schizoaffective disorder, unspecified | $4,971 | ||||
| Total Medicare Charges at DRG | $7,113,640,596 | ||||
| Total Medicare Charges with ICD F259 - Schizoaffective disorder, unspecified | $53,727,027 | ||||
| Avg Charges at DRG | $22,924 | ||||
| Avg Charges with ICD F259 - Schizoaffective disorder, unspecified | $24,544 | ||||
| Mortality Rate at DRG | 0.63 | ||||
| Mortality Rate with ICD F259 - Schizoaffective disorder, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 19.76 | ||||
| SNF Discharge Rate with ICD F259 - Schizoaffective disorder, unspecified | 20.33 | ||||
| Home Discharge Rate at DRG | 50.47 | ||||
| Home Discharge Rate with ICD F259 - Schizoaffective disorder, unspecified | 42.94 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 918: POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 101: SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD F259 - Schizoaffective disorder, unspecified | 1,832 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD F259 - Schizoaffective disorder, unspecified in DRG | 0.92 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD F259 - Schizoaffective disorder, unspecified | 3.45 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD F259 - Schizoaffective disorder, unspecified | 26.16 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD F259 - Schizoaffective disorder, unspecified | 18.27 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD F259 - Schizoaffective disorder, unspecified | $8,876,656 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD F259 - Schizoaffective disorder, unspecified | $1,403 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD F259 - Schizoaffective disorder, unspecified | $4,845 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD F259 - Schizoaffective disorder, unspecified | $50,423,908 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD F259 - Schizoaffective disorder, unspecified | $27,524 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD F259 - Schizoaffective disorder, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD F259 - Schizoaffective disorder, unspecified | 15.45 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD F259 - Schizoaffective disorder, unspecified | 57.53 |
*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 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD F259 - Schizoaffective disorder, unspecified | 1,664 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD F259 - Schizoaffective disorder, unspecified in DRG | 0.83 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD F259 - Schizoaffective disorder, unspecified | 5.56 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD F259 - Schizoaffective disorder, unspecified | 25.28 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD F259 - Schizoaffective disorder, unspecified | 18.14 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD F259 - Schizoaffective disorder, unspecified | $14,872,733 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD F259 - Schizoaffective disorder, unspecified | $1,609 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD F259 - Schizoaffective disorder, unspecified | $8,938 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD F259 - Schizoaffective disorder, unspecified | $70,950,333 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD F259 - Schizoaffective disorder, unspecified | $42,638 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD F259 - Schizoaffective disorder, unspecified | 1.8 | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD F259 - Schizoaffective disorder, unspecified | 33.05 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD F259 - Schizoaffective disorder, unspecified | 32.09 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| AMITA HEALTH SAINTS MARY AND ELIZABETH MEDICAL CENTER | 1127 N OAKLEY BLVD | CHICAGO | IL | 60622 | 1,424 |
| PARADISE VALLEY HOSPITAL | 2400 E 4TH ST | NATIONAL CITY | CA | 91950 | 962 |
| SILVER LAKE MEDICAL CENTER | 1711 W TEMPLE ST | LOS ANGELES | CA | 90026 | 757 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. WILLIAM M. GILLESPIE | 510 S GRAND AVE STE 200 | GLENDORA | CA | 91741 | 254 |
| Dr. WEIMING DAVID CHU | 1200 N TUSTIN AVE | SANTA ANA | CA | 92705 | 160 |
| Dr. LJILJANA MARKOVIC | 25 MARSHALL STREET | NORTH ADAMS | MA | 01247 | 144 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SHEPHALI PATEL | 4755 N KENMORE AVE | CHICAGO | IL | 60640 | 683 |
| Dr. JOLLY C ANAND | 10551 S EWING AVE | CHICAGO | IL | 60617 | 407 |
| Dr. SAMUEL KUGEL | 502 EUCLID AVE STE 306 | NATIONAL CITY | CA | 91950 | 384 |