*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| F29 - Unspecified psychosis not due to a substance or known physiological condition - as a primary diagnosis code | F29 - Unspecified psychosis not due to a substance or known physiological condition - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 10.36 | |
| Readmission Rate (%) | 28.26 | |
| Unplanned Readmission Rate (%) | 13.06 | |
| 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 975: HIV WITH MAJOR RELATED CONDITION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 876: O.R. PROCEDURE WITH PRINCIPAL DIAGNOSES OF MENTAL ILLNESS | DRG 976: HIV WITH MAJOR RELATED CONDITION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | |||
| Total Hospitalizations with ICD F29 - Unspecified psychosis not due to a substance or known physiological condition | 38,954 | |||
| DRG Share of Total Hospitalizations | 3.35 | |||
| % of Total ICD F29 - Unspecified psychosis not due to a substance or known physiological condition in DRG | 99.48 | |||
| Avg LOS at DRG | 11.86 | |||
| Avg LOS with ICD F29 - Unspecified psychosis not due to a substance or known physiological condition | 11.42 | |||
| Readmission Rate at DRG | 27.58 | |||
| Readmission Rate with ICD F29 - Unspecified psychosis not due to a substance or known physiological condition | 25.93 | |||
| Unplanned Readmission Rate at DRG | 13.34 | |||
| Unplanned Readmission Rate with ICD F29 - Unspecified psychosis not due to a substance or known physiological condition | 13.05 | |||
| Total Medicare payments at DRG | $9,312,828,663 | |||
| Total Medicare payments with ICD F29 - Unspecified psychosis not due to a substance or known physiological condition | $342,213,759 | |||
| Total Medicare payment per Day at DRG | $713 | |||
| Total Medicare payment per Day with ICD F29 - Unspecified psychosis not due to a substance or known physiological condition | $769 | |||
| Total Medicare payment per Hospitalization at DRG | $8,460 | |||
| Total Medicare payment per Hospitalization with ICD F29 - Unspecified psychosis not due to a substance or known physiological condition | $8,785 | |||
| Total Medicare Charges at DRG | $32,341,464,302 | |||
| Total Medicare Charges with ICD F29 - Unspecified psychosis not due to a substance or known physiological condition | $1,126,203,456 | |||
| Avg Charges at DRG | $29,378 | |||
| Avg Charges with ICD F29 - Unspecified psychosis not due to a substance or known physiological condition | $28,911 | |||
| Mortality Rate at DRG | 0.04 | |||
| Mortality Rate with ICD F29 - Unspecified psychosis not due to a substance or known physiological condition | 0.08 | |||
| SNF Discharge Rate at DRG | 5.83 | |||
| SNF Discharge Rate with ICD F29 - Unspecified psychosis not due to a substance or known physiological condition | 10.79 | |||
| Home Discharge Rate at DRG | 79.47 | |||
| Home Discharge Rate with ICD F29 - Unspecified psychosis not due to a substance or known physiological condition | 67.3 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| WESTERN STATE HOSPITAL | 2400 RUSSELLVILLE RD | HOPKINSVILLE | KY | 42240 | 494 |
| EAST VALLEY GLENDORA HOSPITAL | 150 W ROUTE 66 | GLENDORA | CA | 91740 | 474 |
| WESTCHESTER GENERAL HOSPITAL | 2500 SW 75TH AVE | MIAMI | FL | 33155 | 473 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CHESTER W JENKINS | 300 S WASHINGTON AVE | GREENVILLE | MS | 38701 | 66 |
| Dr. EUGENE KARPUS | 20251 VENTURA BLVD | WOODLAND HILLS | CA | 91364 | 65 |
| Dr. RHAISA AMELIA DUMENIGO | 78 SW 13 AVE | MIAMI | FL | 33135 | 65 |
| 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 | 470 |
| Dr. ARIF HABIB | 2120 MADISON AVE | GRANITE CITY | IL | 62040 | 354 |
| Dr. MATTHEW NEIL BRAMS | 550 WESTCOTT ST | HOUSTON | TX | 77007 | 292 |
*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 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD F29 - Unspecified psychosis not due to a substance or known physiological condition | 59,020 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD F29 - Unspecified psychosis not due to a substance or known physiological condition in DRG | 47.59 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD F29 - Unspecified psychosis not due to a substance or known physiological condition | 11.88 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD F29 - Unspecified psychosis not due to a substance or known physiological condition | 26.53 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD F29 - Unspecified psychosis not due to a substance or known physiological condition | 13.51 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD F29 - Unspecified psychosis not due to a substance or known physiological condition | $535,718,135 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD F29 - Unspecified psychosis not due to a substance or known physiological condition | $764 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD F29 - Unspecified psychosis not due to a substance or known physiological condition | $9,077 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD F29 - Unspecified psychosis not due to a substance or known physiological condition | $1,875,462,335 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD F29 - Unspecified psychosis not due to a substance or known physiological condition | $31,777 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD F29 - Unspecified psychosis not due to a substance or known physiological condition | 0.07 | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD F29 - Unspecified psychosis not due to a substance or known physiological condition | 11.88 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD F29 - Unspecified psychosis not due to a substance or known physiological condition | 68.11 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 881: DEPRESSIVE NEUROSES | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 270,209 | ||||
| Total Hospitalizations with ICD F29 - Unspecified psychosis not due to a substance or known physiological condition | 1,357 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD F29 - Unspecified psychosis not due to a substance or known physiological condition in DRG | 1.09 | ||||
| Avg LOS at DRG | 4.84 | ||||
| Avg LOS with ICD F29 - Unspecified psychosis not due to a substance or known physiological condition | 6.18 | ||||
| Readmission Rate at DRG | 22.35 | ||||
| Readmission Rate with ICD F29 - Unspecified psychosis not due to a substance or known physiological condition | 32.46 | ||||
| Unplanned Readmission Rate at DRG | 16.33 | ||||
| Unplanned Readmission Rate with ICD F29 - Unspecified psychosis not due to a substance or known physiological condition | 18.08 | ||||
| Total Medicare payments at DRG | $1,824,333,389 | ||||
| Total Medicare payments with ICD F29 - Unspecified psychosis not due to a substance or known physiological condition | $9,854,892 | ||||
| Total Medicare payment per Day at DRG | $1,395 | ||||
| Total Medicare payment per Day with ICD F29 - Unspecified psychosis not due to a substance or known physiological condition | $1,175 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,752 | ||||
| Total Medicare payment per Hospitalization with ICD F29 - Unspecified psychosis not due to a substance or known physiological condition | $7,262 | ||||
| Total Medicare Charges at DRG | $9,128,673,695 | ||||
| Total Medicare Charges with ICD F29 - Unspecified psychosis not due to a substance or known physiological condition | $55,471,686 | ||||
| Avg Charges at DRG | $33,784 | ||||
| Avg Charges with ICD F29 - Unspecified psychosis not due to a substance or known physiological condition | $40,878 | ||||
| Mortality Rate at DRG | 1.32 | ||||
| Mortality Rate with ICD F29 - Unspecified psychosis not due to a substance or known physiological condition | NA | ||||
| SNF Discharge Rate at DRG | 39.0 | ||||
| SNF Discharge Rate with ICD F29 - Unspecified psychosis not due to a substance or known physiological condition | 48.78 | ||||
| Home Discharge Rate at DRG | 24.73 | ||||
| Home Discharge Rate with ICD F29 - Unspecified psychosis not due to a substance or known physiological condition | 16.14 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD F29 - Unspecified psychosis not due to a substance or known physiological condition | 949 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD F29 - Unspecified psychosis not due to a substance or known physiological condition in DRG | 0.77 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD F29 - Unspecified psychosis not due to a substance or known physiological condition | 6.31 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD F29 - Unspecified psychosis not due to a substance or known physiological condition | 33.11 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD F29 - Unspecified psychosis not due to a substance or known physiological condition | 21.32 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD F29 - Unspecified psychosis not due to a substance or known physiological condition | $8,029,922 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD F29 - Unspecified psychosis not due to a substance or known physiological condition | $1,341 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD F29 - Unspecified psychosis not due to a substance or known physiological condition | $8,461 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD F29 - Unspecified psychosis not due to a substance or known physiological condition | $46,146,222 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD F29 - Unspecified psychosis not due to a substance or known physiological condition | $48,626 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD F29 - Unspecified psychosis not due to a substance or known physiological condition | 1.37 | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD F29 - Unspecified psychosis not due to a substance or known physiological condition | 33.72 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD F29 - Unspecified psychosis not due to a substance or known physiological condition | 28.13 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 101: SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 100,281 | ||||
| Total Hospitalizations with ICD F29 - Unspecified psychosis not due to a substance or known physiological condition | 868 | ||||
| DRG Share of Total Hospitalizations | 0.31 | ||||
| % of Total ICD F29 - Unspecified psychosis not due to a substance or known physiological condition in DRG | 0.7 | ||||
| Avg LOS at DRG | 12.68 | ||||
| Avg LOS with ICD F29 - Unspecified psychosis not due to a substance or known physiological condition | 14.91 | ||||
| Readmission Rate at DRG | 21.82 | ||||
| Readmission Rate with ICD F29 - Unspecified psychosis not due to a substance or known physiological condition | 23.87 | ||||
| Unplanned Readmission Rate at DRG | 14.27 | ||||
| Unplanned Readmission Rate with ICD F29 - Unspecified psychosis not due to a substance or known physiological condition | 12.13 | ||||
| Total Medicare payments at DRG | $1,907,954,923 | ||||
| Total Medicare payments with ICD F29 - Unspecified psychosis not due to a substance or known physiological condition | $13,879,772 | ||||
| Total Medicare payment per Day at DRG | $1,501 | ||||
| Total Medicare payment per Day with ICD F29 - Unspecified psychosis not due to a substance or known physiological condition | $1,073 | ||||
| Total Medicare payment per Hospitalization at DRG | $19,026 | ||||
| Total Medicare payment per Hospitalization with ICD F29 - Unspecified psychosis not due to a substance or known physiological condition | $15,991 | ||||
| Total Medicare Charges at DRG | $5,940,453,690 | ||||
| Total Medicare Charges with ICD F29 - Unspecified psychosis not due to a substance or known physiological condition | $49,795,733 | ||||
| Avg Charges at DRG | $59,238 | ||||
| Avg Charges with ICD F29 - Unspecified psychosis not due to a substance or known physiological condition | $57,368 | ||||
| Mortality Rate at DRG | 2.33 | ||||
| Mortality Rate with ICD F29 - Unspecified psychosis not due to a substance or known physiological condition | 2.65 | ||||
| SNF Discharge Rate at DRG | 30.7 | ||||
| SNF Discharge Rate with ICD F29 - Unspecified psychosis not due to a substance or known physiological condition | 39.86 | ||||
| Home Discharge Rate at DRG | 16.5 | ||||
| Home Discharge Rate with ICD F29 - Unspecified psychosis not due to a substance or known physiological condition | 16.01 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| SHERMAN OAKS HOSPITAL | 4929 VAN NUYS BLVD. | SHERMAN OAKS | CA | 91403 | 1,556 |
| EAST VALLEY GLENDORA HOSPITAL | 150 W ROUTE 66 | GLENDORA | CA | 91740 | 1,471 |
| WESTCHESTER GENERAL HOSPITAL | 2500 SW 75TH AVE | MIAMI | FL | 33155 | 1,334 |
| 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 | 267 |
| Dr. GADSON JOHN JOHNSON | 701 SANTA MONICA BLVD | SANTA MONICA | CA | 90401 | 261 |
| Dr. ALAN MARKIE | 466 FOOTHILL BLVD | LA CANADA | CA | 91011 | 250 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JASON P KELLOGG | 17782 COWAN | IRVINE | CA | 92614 | 576 |
| Dr. ENRIQUE G. CASUSO | 3271 NW 7TH ST | MIAMI | FL | 33125 | 516 |
| Dr. SAID JACOB | 415 W ROUTE 66 STE 202 | GLENDORA | CA | 91740 | 435 |