*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| F28 - Other psychotic disorder not due to a substance or known physiological condition - as a primary diagnosis code | F28 - Other psychotic disorder not due to a substance or known physiological condition - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 10.19 | |
| Readmission Rate (%) | 30.68 | |
| Unplanned Readmission Rate (%) | 17.87 | |
| 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 | |
|---|---|
| Total Hospitalizations at DRG | 1,100,860 |
| Total Hospitalizations with ICD F28 - Other psychotic disorder not due to a substance or known physiological condition | 2,122 |
| DRG Share of Total Hospitalizations | 3.35 |
| % of Total ICD F28 - Other psychotic disorder not due to a substance or known physiological condition in DRG | 99.07 |
| Avg LOS at DRG | 11.86 |
| Avg LOS with ICD F28 - Other psychotic disorder not due to a substance or known physiological condition | 10.63 |
| Readmission Rate at DRG | 27.58 |
| Readmission Rate with ICD F28 - Other psychotic disorder not due to a substance or known physiological condition | 28.86 |
| Unplanned Readmission Rate at DRG | 13.34 |
| Unplanned Readmission Rate with ICD F28 - Other psychotic disorder not due to a substance or known physiological condition | 17.77 |
| Total Medicare payments at DRG | $9,312,828,663 |
| Total Medicare payments with ICD F28 - Other psychotic disorder not due to a substance or known physiological condition | $18,327,672 |
| Total Medicare payment per Day at DRG | $713 |
| Total Medicare payment per Day with ICD F28 - Other psychotic disorder not due to a substance or known physiological condition | $812 |
| Total Medicare payment per Hospitalization at DRG | $8,460 |
| Total Medicare payment per Hospitalization with ICD F28 - Other psychotic disorder not due to a substance or known physiological condition | $8,637 |
| Total Medicare Charges at DRG | $32,341,464,302 |
| Total Medicare Charges with ICD F28 - Other psychotic disorder not due to a substance or known physiological condition | $57,304,145 |
| Avg Charges at DRG | $29,378 |
| Avg Charges with ICD F28 - Other psychotic disorder not due to a substance or known physiological condition | $27,005 |
| Mortality Rate at DRG | 0.04 |
| Mortality Rate with ICD F28 - Other psychotic disorder not due to a substance or known physiological condition | NA |
| SNF Discharge Rate at DRG | 5.83 |
| SNF Discharge Rate with ICD F28 - Other psychotic disorder not due to a substance or known physiological condition | 9.14 |
| Home Discharge Rate at DRG | 79.47 |
| Home Discharge Rate with ICD F28 - Other psychotic disorder not due to a substance or known physiological condition | 65.36 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| LARKIN COMMUNITY HOSPITAL | 7031 SW 62ND AVENUE | MIAMI | FL | 33143 | 280 |
| WESTCHESTER GENERAL HOSPITAL | 2500 SW 75TH AVE | MIAMI | FL | 33155 | 252 |
| UF HEALTH SHANDS PSYCHIATRIC HOSPITAL | 4101 NW 89TH BLVD | GAINESVILLE | FL | 32606 | 111 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RHAISA AMELIA DUMENIGO | 78 SW 13 AVE | MIAMI | FL | 33135 | 28 |
| Dr. JORGE BENITO | 351 N LEJEUNE RD STE 406 | MIAMI | FL | 33126 | 17 |
| Dr. RICHARD C. HOLBERT | 1600 SW ARCHER RD | GAINESVILLE | FL | 32610 | 17 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ENRIQUE G. CASUSO | 3271 NW 7TH ST | MIAMI | FL | 33125 | 116 |
| Dr. MIGUEL ANGEL PEREZ | 777 E 25TH STREET | HIALEAH | FL | 33013 | 114 |
| Dr. RHAISA AMELIA DUMENIGO | 78 SW 13 AVE | MIAMI | FL | 33135 | 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD F28 - Other psychotic disorder not due to a substance or known physiological condition | 3,041 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD F28 - Other psychotic disorder not due to a substance or known physiological condition in DRG | 36.82 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD F28 - Other psychotic disorder not due to a substance or known physiological condition | 11.71 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD F28 - Other psychotic disorder not due to a substance or known physiological condition | 29.28 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD F28 - Other psychotic disorder not due to a substance or known physiological condition | 16.81 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD F28 - Other psychotic disorder not due to a substance or known physiological condition | $28,000,546 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD F28 - Other psychotic disorder not due to a substance or known physiological condition | $786 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD F28 - Other psychotic disorder not due to a substance or known physiological condition | $9,208 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD F28 - Other psychotic disorder not due to a substance or known physiological condition | $93,620,423 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD F28 - Other psychotic disorder not due to a substance or known physiological condition | $30,786 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD F28 - Other psychotic disorder not due to a substance or known physiological condition | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD F28 - Other psychotic disorder not due to a substance or known physiological condition | 9.24 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD F28 - Other psychotic disorder not due to a substance or known physiological condition | 66.13 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 270,209 | ||||
| Total Hospitalizations with ICD F28 - Other psychotic disorder not due to a substance or known physiological condition | 105 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD F28 - Other psychotic disorder not due to a substance or known physiological condition in DRG | 1.27 | ||||
| Avg LOS at DRG | 4.84 | ||||
| Avg LOS with ICD F28 - Other psychotic disorder not due to a substance or known physiological condition | 6.8 | ||||
| Readmission Rate at DRG | 22.35 | ||||
| Readmission Rate with ICD F28 - Other psychotic disorder not due to a substance or known physiological condition | 44.44 | ||||
| Unplanned Readmission Rate at DRG | 16.33 | ||||
| Unplanned Readmission Rate with ICD F28 - Other psychotic disorder not due to a substance or known physiological condition | 22.22 | ||||
| Total Medicare payments at DRG | $1,824,333,389 | ||||
| Total Medicare payments with ICD F28 - Other psychotic disorder not due to a substance or known physiological condition | $726,174 | ||||
| Total Medicare payment per Day at DRG | $1,395 | ||||
| Total Medicare payment per Day with ICD F28 - Other psychotic disorder not due to a substance or known physiological condition | $1,017 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,752 | ||||
| Total Medicare payment per Hospitalization with ICD F28 - Other psychotic disorder not due to a substance or known physiological condition | $6,916 | ||||
| Total Medicare Charges at DRG | $9,128,673,695 | ||||
| Total Medicare Charges with ICD F28 - Other psychotic disorder not due to a substance or known physiological condition | $4,189,797 | ||||
| Avg Charges at DRG | $33,784 | ||||
| Avg Charges with ICD F28 - Other psychotic disorder not due to a substance or known physiological condition | $39,903 | ||||
| Mortality Rate at DRG | 1.32 | ||||
| Mortality Rate with ICD F28 - Other psychotic disorder not due to a substance or known physiological condition | NA | ||||
| SNF Discharge Rate at DRG | 39.0 | ||||
| SNF Discharge Rate with ICD F28 - Other psychotic disorder not due to a substance or known physiological condition | 39.05 | ||||
| Home Discharge Rate at DRG | 24.73 | ||||
| Home Discharge Rate with ICD F28 - Other psychotic disorder not due to a substance or known physiological condition | 14.29 |
*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 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD F28 - Other psychotic disorder not due to a substance or known physiological condition | 76 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD F28 - Other psychotic disorder not due to a substance or known physiological condition in DRG | 0.92 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD F28 - Other psychotic disorder not due to a substance or known physiological condition | 5.14 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD F28 - Other psychotic disorder not due to a substance or known physiological condition | 35.62 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD F28 - Other psychotic disorder not due to a substance or known physiological condition | 19.18 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD F28 - Other psychotic disorder not due to a substance or known physiological condition | $492,699 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD F28 - Other psychotic disorder not due to a substance or known physiological condition | $1,260 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD F28 - Other psychotic disorder not due to a substance or known physiological condition | $6,483 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD F28 - Other psychotic disorder not due to a substance or known physiological condition | $2,684,399 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD F28 - Other psychotic disorder not due to a substance or known physiological condition | $35,321 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD F28 - Other psychotic disorder not due to a substance or known physiological condition | NA | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD F28 - Other psychotic disorder not due to a substance or known physiological condition | 34.21 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD F28 - Other psychotic disorder not due to a substance or known physiological condition | 26.32 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 101: SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 181,637 | ||||
| Total Hospitalizations with ICD F28 - Other psychotic disorder not due to a substance or known physiological condition | 58 | ||||
| DRG Share of Total Hospitalizations | 0.55 | ||||
| % of Total ICD F28 - Other psychotic disorder not due to a substance or known physiological condition in DRG | 0.7 | ||||
| Avg LOS at DRG | 7.0 | ||||
| Avg LOS with ICD F28 - Other psychotic disorder not due to a substance or known physiological condition | 10.34 | ||||
| Readmission Rate at DRG | 32.53 | ||||
| Readmission Rate with ICD F28 - Other psychotic disorder not due to a substance or known physiological condition | 46.67 | ||||
| Unplanned Readmission Rate at DRG | 19.84 | ||||
| Unplanned Readmission Rate with ICD F28 - Other psychotic disorder not due to a substance or known physiological condition | 26.67 | ||||
| Total Medicare payments at DRG | $2,845,609,163 | ||||
| Total Medicare payments with ICD F28 - Other psychotic disorder not due to a substance or known physiological condition | $941,586 | ||||
| Total Medicare payment per Day at DRG | $2,237 | ||||
| Total Medicare payment per Day with ICD F28 - Other psychotic disorder not due to a substance or known physiological condition | $1,569 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,666 | ||||
| Total Medicare payment per Hospitalization with ICD F28 - Other psychotic disorder not due to a substance or known physiological condition | $16,234 | ||||
| Total Medicare Charges at DRG | $14,794,146,746 | ||||
| Total Medicare Charges with ICD F28 - Other psychotic disorder not due to a substance or known physiological condition | $6,415,783 | ||||
| Avg Charges at DRG | $81,449 | ||||
| Avg Charges with ICD F28 - Other psychotic disorder not due to a substance or known physiological condition | $110,617 | ||||
| Mortality Rate at DRG | 25.14 | ||||
| Mortality Rate with ICD F28 - Other psychotic disorder not due to a substance or known physiological condition | NA | ||||
| SNF Discharge Rate at DRG | 19.06 | ||||
| SNF Discharge Rate with ICD F28 - Other psychotic disorder not due to a substance or known physiological condition | NA | ||||
| Home Discharge Rate at DRG | 20.69 | ||||
| Home Discharge Rate with ICD F28 - Other psychotic disorder not due to a substance or known physiological condition | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| LARKIN COMMUNITY HOSPITAL | 7031 SW 62ND AVENUE | MIAMI | FL | 33143 | 417 |
| WESTCHESTER GENERAL HOSPITAL | 2500 SW 75TH AVE | MIAMI | FL | 33155 | 388 |
| UF HEALTH SHANDS PSYCHIATRIC HOSPITAL | 4101 NW 89TH BLVD | GAINESVILLE | FL | 32606 | 140 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RHAISA AMELIA DUMENIGO | 78 SW 13 AVE | MIAMI | FL | 33135 | 29 |
| Dr. RICHARD C. HOLBERT | 1600 SW ARCHER RD | GAINESVILLE | FL | 32610 | 22 |
| Dr. JORGE BENITO | 351 N LEJEUNE RD STE 406 | MIAMI | FL | 33126 | 17 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ENRIQUE G. CASUSO | 3271 NW 7TH ST | MIAMI | FL | 33125 | 120 |
| Dr. MIGUEL ANGEL PEREZ | 777 E 25TH STREET | HIALEAH | FL | 33013 | 114 |
| Dr. RHAISA AMELIA DUMENIGO | 78 SW 13 AVE | MIAMI | FL | 33135 | 97 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | I10 | Essential (primary) hypertension |