*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
F3130 - Bipolar disorder, current episode depressed, mild or moderate severity, unspecified - as a primary diagnosis code | F3130 - Bipolar disorder, current episode depressed, mild or moderate severity, unspecified - as a primary or secondary diagnosis code | |
---|---|---|
OUTCOMES | ||
Avg. LOS | 8.32 | |
Readmission Rate (%) | 29.3 | |
Unplanned Readmission Rate (%) | 13.54 | |
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 F3130 - Bipolar disorder, current episode depressed, mild or moderate severity, unspecified | 17,663 | |
DRG Share of Total Hospitalizations | 3.35 | |
% of Total ICD F3130 - Bipolar disorder, current episode depressed, mild or moderate severity, unspecified in DRG | 99.83 | |
Avg LOS at DRG | 11.86 | |
Avg LOS with ICD F3130 - Bipolar disorder, current episode depressed, mild or moderate severity, unspecified | 9.07 | |
Readmission Rate at DRG | 27.58 | |
Readmission Rate with ICD F3130 - Bipolar disorder, current episode depressed, mild or moderate severity, unspecified | 27.45 | |
Unplanned Readmission Rate at DRG | 13.34 | |
Unplanned Readmission Rate with ICD F3130 - Bipolar disorder, current episode depressed, mild or moderate severity, unspecified | 13.53 | |
Total Medicare payments at DRG | $9,312,828,663 | |
Total Medicare payments with ICD F3130 - Bipolar disorder, current episode depressed, mild or moderate severity, unspecified | $121,739,188 | |
Total Medicare payment per Day at DRG | $713 | |
Total Medicare payment per Day with ICD F3130 - Bipolar disorder, current episode depressed, mild or moderate severity, unspecified | $760 | |
Total Medicare payment per Hospitalization at DRG | $8,460 | |
Total Medicare payment per Hospitalization with ICD F3130 - Bipolar disorder, current episode depressed, mild or moderate severity, unspecified | $6,892 | |
Total Medicare Charges at DRG | $32,341,464,302 | |
Total Medicare Charges with ICD F3130 - Bipolar disorder, current episode depressed, mild or moderate severity, unspecified | $420,468,853 | |
Avg Charges at DRG | $29,378 | |
Avg Charges with ICD F3130 - Bipolar disorder, current episode depressed, mild or moderate severity, unspecified | $23,805 | |
Mortality Rate at DRG | 0.04 | |
Mortality Rate with ICD F3130 - Bipolar disorder, current episode depressed, mild or moderate severity, unspecified | NA | |
SNF Discharge Rate at DRG | 5.83 | |
SNF Discharge Rate with ICD F3130 - Bipolar disorder, current episode depressed, mild or moderate severity, unspecified | 2.32 | |
Home Discharge Rate at DRG | 79.47 | |
Home Discharge Rate with ICD F3130 - Bipolar disorder, current episode depressed, mild or moderate severity, unspecified | 87.16 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
WILLOUGH AT NAPLES | 9001 TAMIAMI TRL E | NAPLES | FL | 34113 | 294 |
MCLEAN HOSPITAL | 115 MILL ST | BELMONT | MA | 02478 | 182 |
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD | 6245 DE LONGPRE AVE | HOLLYWOOD | CA | 90028 | 164 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. FAWZY SAMY BASTA | 17075 DEVONSHIRE ST | NORTHRIDGE | CA | 91325 | 115 |
Dr. FARHAD KHOSSOUSSI | 504N BEDFORD DR | BEVERLY HILLS | CA | 90210 | 40 |
Dr. CLIFFORD IFEANYI IRIELE | 1711 W TEMPLE ST | LOS ANGELES | CA | 90026 | 38 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. LEONARD A LADO | 9776 Bonita Beach Rd. SE Ste 202B | BONITA SPRINGS | FL | 34135 | 188 |
Dr. FAWZY SAMY BASTA | 17075 DEVONSHIRE ST | NORTHRIDGE | CA | 91325 | 116 |
Dr. SANDEEP MENDIRATTA | 1400 E OAKLAND PARK BLVD | OAKLAND PARK | FL | 33334 | 97 |
*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 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 895: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | DRG 918: POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 917: POISONING AND TOXIC EFFECTS OF DRUGS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 1,100,860 | ||||
Total Hospitalizations with ICD F3130 - Bipolar disorder, current episode depressed, mild or moderate severity, unspecified | 18,393 | ||||
DRG Share of Total Hospitalizations | 3.35 | ||||
% of Total ICD F3130 - Bipolar disorder, current episode depressed, mild or moderate severity, unspecified in DRG | 62.94 | ||||
Avg LOS at DRG | 11.86 | ||||
Avg LOS with ICD F3130 - Bipolar disorder, current episode depressed, mild or moderate severity, unspecified | 9.12 | ||||
Readmission Rate at DRG | 27.58 | ||||
Readmission Rate with ICD F3130 - Bipolar disorder, current episode depressed, mild or moderate severity, unspecified | 27.59 | ||||
Unplanned Readmission Rate at DRG | 13.34 | ||||
Unplanned Readmission Rate with ICD F3130 - Bipolar disorder, current episode depressed, mild or moderate severity, unspecified | 13.68 | ||||
Total Medicare payments at DRG | $9,312,828,663 | ||||
Total Medicare payments with ICD F3130 - Bipolar disorder, current episode depressed, mild or moderate severity, unspecified | $127,736,846 | ||||
Total Medicare payment per Day at DRG | $713 | ||||
Total Medicare payment per Day with ICD F3130 - Bipolar disorder, current episode depressed, mild or moderate severity, unspecified | $762 | ||||
Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
Total Medicare payment per Hospitalization with ICD F3130 - Bipolar disorder, current episode depressed, mild or moderate severity, unspecified | $6,945 | ||||
Total Medicare Charges at DRG | $32,341,464,302 | ||||
Total Medicare Charges with ICD F3130 - Bipolar disorder, current episode depressed, mild or moderate severity, unspecified | $442,820,485 | ||||
Avg Charges at DRG | $29,378 | ||||
Avg Charges with ICD F3130 - Bipolar disorder, current episode depressed, mild or moderate severity, unspecified | $24,075 | ||||
Mortality Rate at DRG | 0.04 | ||||
Mortality Rate with ICD F3130 - Bipolar disorder, current episode depressed, mild or moderate severity, unspecified | NA | ||||
SNF Discharge Rate at DRG | 5.83 | ||||
SNF Discharge Rate with ICD F3130 - Bipolar disorder, current episode depressed, mild or moderate severity, unspecified | 2.48 | ||||
Home Discharge Rate at DRG | 79.47 | ||||
Home Discharge Rate with ICD F3130 - Bipolar disorder, current episode depressed, mild or moderate severity, unspecified | 86.89 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 1,808,415 | ||||
Total Hospitalizations with ICD F3130 - Bipolar disorder, current episode depressed, mild or moderate severity, unspecified | 386 | ||||
DRG Share of Total Hospitalizations | 5.5 | ||||
% of Total ICD F3130 - Bipolar disorder, current episode depressed, mild or moderate severity, unspecified in DRG | 1.32 | ||||
Avg LOS at DRG | 6.34 | ||||
Avg LOS with ICD F3130 - Bipolar disorder, current episode depressed, mild or moderate severity, unspecified | 7.56 | ||||
Readmission Rate at DRG | 24.2 | ||||
Readmission Rate with ICD F3130 - Bipolar disorder, current episode depressed, mild or moderate severity, unspecified | 30.41 | ||||
Unplanned Readmission Rate at DRG | 16.78 | ||||
Unplanned Readmission Rate with ICD F3130 - Bipolar disorder, current episode depressed, mild or moderate severity, unspecified | 18.71 | ||||
Total Medicare payments at DRG | $21,288,214,047 | ||||
Total Medicare payments with ICD F3130 - Bipolar disorder, current episode depressed, mild or moderate severity, unspecified | $4,606,069 | ||||
Total Medicare payment per Day at DRG | $1,857 | ||||
Total Medicare payment per Day with ICD F3130 - Bipolar disorder, current episode depressed, mild or moderate severity, unspecified | $1,577 | ||||
Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
Total Medicare payment per Hospitalization with ICD F3130 - Bipolar disorder, current episode depressed, mild or moderate severity, unspecified | $11,933 | ||||
Total Medicare Charges at DRG | $107,155,481,388 | ||||
Total Medicare Charges with ICD F3130 - Bipolar disorder, current episode depressed, mild or moderate severity, unspecified | $24,638,583 | ||||
Avg Charges at DRG | $59,254 | ||||
Avg Charges with ICD F3130 - Bipolar disorder, current episode depressed, mild or moderate severity, unspecified | $63,831 | ||||
Mortality Rate at DRG | 12.11 | ||||
Mortality Rate with ICD F3130 - Bipolar disorder, current episode depressed, mild or moderate severity, unspecified | 5.44 | ||||
SNF Discharge Rate at DRG | 27.18 | ||||
SNF Discharge Rate with ICD F3130 - Bipolar disorder, current episode depressed, mild or moderate severity, unspecified | 30.83 | ||||
Home Discharge Rate at DRG | 25.81 | ||||
Home Discharge Rate with ICD F3130 - Bipolar disorder, current episode depressed, mild or moderate severity, unspecified | 26.42 |
*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 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 434,264 | ||||
Total Hospitalizations with ICD F3130 - Bipolar disorder, current episode depressed, mild or moderate severity, unspecified | 165 | ||||
DRG Share of Total Hospitalizations | 1.32 | ||||
% of Total ICD F3130 - Bipolar disorder, current episode depressed, mild or moderate severity, unspecified in DRG | 0.56 | ||||
Avg LOS at DRG | 3.94 | ||||
Avg LOS with ICD F3130 - Bipolar disorder, current episode depressed, mild or moderate severity, unspecified | 4.35 | ||||
Readmission Rate at DRG | 22.76 | ||||
Readmission Rate with ICD F3130 - Bipolar disorder, current episode depressed, mild or moderate severity, unspecified | 37.01 | ||||
Unplanned Readmission Rate at DRG | 16.46 | ||||
Unplanned Readmission Rate with ICD F3130 - Bipolar disorder, current episode depressed, mild or moderate severity, unspecified | 16.23 | ||||
Total Medicare payments at DRG | $2,472,138,198 | ||||
Total Medicare payments with ICD F3130 - Bipolar disorder, current episode depressed, mild or moderate severity, unspecified | $969,036 | ||||
Total Medicare payment per Day at DRG | $1,444 | ||||
Total Medicare payment per Day with ICD F3130 - Bipolar disorder, current episode depressed, mild or moderate severity, unspecified | $1,350 | ||||
Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
Total Medicare payment per Hospitalization with ICD F3130 - Bipolar disorder, current episode depressed, mild or moderate severity, unspecified | $5,873 | ||||
Total Medicare Charges at DRG | $12,478,361,060 | ||||
Total Medicare Charges with ICD F3130 - Bipolar disorder, current episode depressed, mild or moderate severity, unspecified | $4,812,000 | ||||
Avg Charges at DRG | $28,735 | ||||
Avg Charges with ICD F3130 - Bipolar disorder, current episode depressed, mild or moderate severity, unspecified | $29,164 | ||||
Mortality Rate at DRG | 0.91 | ||||
Mortality Rate with ICD F3130 - Bipolar disorder, current episode depressed, mild or moderate severity, unspecified | NA | ||||
SNF Discharge Rate at DRG | 22.02 | ||||
SNF Discharge Rate with ICD F3130 - Bipolar disorder, current episode depressed, mild or moderate severity, unspecified | 14.55 | ||||
Home Discharge Rate at DRG | 46.68 | ||||
Home Discharge Rate with ICD F3130 - Bipolar disorder, current episode depressed, mild or moderate severity, unspecified | 40.61 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 882: NEUROSES EXCEPT DEPRESSIVE | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 122,730 | ||||
Total Hospitalizations with ICD F3130 - Bipolar disorder, current episode depressed, mild or moderate severity, unspecified | 138 | ||||
DRG Share of Total Hospitalizations | 0.37 | ||||
% of Total ICD F3130 - Bipolar disorder, current episode depressed, mild or moderate severity, unspecified in DRG | 0.47 | ||||
Avg LOS at DRG | 7.61 | ||||
Avg LOS with ICD F3130 - Bipolar disorder, current episode depressed, mild or moderate severity, unspecified | 7.57 | ||||
Readmission Rate at DRG | 21.31 | ||||
Readmission Rate with ICD F3130 - Bipolar disorder, current episode depressed, mild or moderate severity, unspecified | 28.79 | ||||
Unplanned Readmission Rate at DRG | 14.13 | ||||
Unplanned Readmission Rate with ICD F3130 - Bipolar disorder, current episode depressed, mild or moderate severity, unspecified | 15.91 | ||||
Total Medicare payments at DRG | $1,397,885,220 | ||||
Total Medicare payments with ICD F3130 - Bipolar disorder, current episode depressed, mild or moderate severity, unspecified | $1,187,419 | ||||
Total Medicare payment per Day at DRG | $1,497 | ||||
Total Medicare payment per Day with ICD F3130 - Bipolar disorder, current episode depressed, mild or moderate severity, unspecified | $1,137 | ||||
Total Medicare payment per Hospitalization at DRG | $11,390 | ||||
Total Medicare payment per Hospitalization with ICD F3130 - Bipolar disorder, current episode depressed, mild or moderate severity, unspecified | $8,604 | ||||
Total Medicare Charges at DRG | $4,175,290,309 | ||||
Total Medicare Charges with ICD F3130 - Bipolar disorder, current episode depressed, mild or moderate severity, unspecified | $5,072,591 | ||||
Avg Charges at DRG | $34,020 | ||||
Avg Charges with ICD F3130 - Bipolar disorder, current episode depressed, mild or moderate severity, unspecified | $36,758 | ||||
Mortality Rate at DRG | 0.28 | ||||
Mortality Rate with ICD F3130 - Bipolar disorder, current episode depressed, mild or moderate severity, unspecified | NA | ||||
SNF Discharge Rate at DRG | 21.64 | ||||
SNF Discharge Rate with ICD F3130 - Bipolar disorder, current episode depressed, mild or moderate severity, unspecified | 22.46 | ||||
Home Discharge Rate at DRG | 28.06 | ||||
Home Discharge Rate with ICD F3130 - Bipolar disorder, current episode depressed, mild or moderate severity, unspecified | 40.58 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
WILLOUGH AT NAPLES | 9001 TAMIAMI TRL E | NAPLES | FL | 34113 | 294 |
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD | 6245 DE LONGPRE AVE | HOLLYWOOD | CA | 90028 | 231 |
MCLEAN HOSPITAL | 115 MILL ST | BELMONT | MA | 02478 | 213 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 167 |
Dr. FAWZY SAMY BASTA | 17075 DEVONSHIRE ST | NORTHRIDGE | CA | 91325 | 115 |
Dr. CHISOO CHOI | 201 S GARNETT RD | TULSA | OK | 74128 | 62 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 194 |
Dr. LEONARD A LADO | 9776 Bonita Beach Rd. SE Ste 202B | BONITA SPRINGS | FL | 34135 | 188 |
Dr. FAWZY SAMY BASTA | 17075 DEVONSHIRE ST | NORTHRIDGE | CA | 91325 | 116 |