*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| F3132 - Bipolar disorder, current episode depressed, moderate - as a primary diagnosis code | F3132 - Bipolar disorder, current episode depressed, moderate - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.17 | |
| Readmission Rate (%) | 30.05 | |
| Unplanned Readmission Rate (%) | 12.4 | |
| 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 F3132 - Bipolar disorder, current episode depressed, moderate | 4,963 |
| DRG Share of Total Hospitalizations | 3.35 |
| % of Total ICD F3132 - Bipolar disorder, current episode depressed, moderate in DRG | 99.88 |
| Avg LOS at DRG | 11.86 |
| Avg LOS with ICD F3132 - Bipolar disorder, current episode depressed, moderate | 8.33 |
| Readmission Rate at DRG | 27.58 |
| Readmission Rate with ICD F3132 - Bipolar disorder, current episode depressed, moderate | 28.76 |
| Unplanned Readmission Rate at DRG | 13.34 |
| Unplanned Readmission Rate with ICD F3132 - Bipolar disorder, current episode depressed, moderate | 12.38 |
| Total Medicare payments at DRG | $9,312,828,663 |
| Total Medicare payments with ICD F3132 - Bipolar disorder, current episode depressed, moderate | $31,884,125 |
| Total Medicare payment per Day at DRG | $713 |
| Total Medicare payment per Day with ICD F3132 - Bipolar disorder, current episode depressed, moderate | $771 |
| Total Medicare payment per Hospitalization at DRG | $8,460 |
| Total Medicare payment per Hospitalization with ICD F3132 - Bipolar disorder, current episode depressed, moderate | $6,424 |
| Total Medicare Charges at DRG | $32,341,464,302 |
| Total Medicare Charges with ICD F3132 - Bipolar disorder, current episode depressed, moderate | $101,963,194 |
| Avg Charges at DRG | $29,378 |
| Avg Charges with ICD F3132 - Bipolar disorder, current episode depressed, moderate | $20,545 |
| Mortality Rate at DRG | 0.04 |
| Mortality Rate with ICD F3132 - Bipolar disorder, current episode depressed, moderate | NA |
| SNF Discharge Rate at DRG | 5.83 |
| SNF Discharge Rate with ICD F3132 - Bipolar disorder, current episode depressed, moderate | 2.46 |
| Home Discharge Rate at DRG | 79.47 |
| Home Discharge Rate with ICD F3132 - Bipolar disorder, current episode depressed, moderate | 87.57 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| JEWISH HOSPITAL & ST. MARY'S HEALTHCARE | 200 ABRAHAM FLEXNER WAY | LOUISVILLE | KY | 40202 | 138 |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD | 6245 DE LONGPRE AVE | HOLLYWOOD | CA | 90028 | 124 |
| CAMBRIDGE BEHAVIORAL HOSPITAL | 66737 OLD 21 RD | CAMBRIDGE | OH | 43725 | 94 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. IRFAN A AFAQ | 2700 VISSING PARK RD | JEFFERSONVILLE | IN | 47130 | 91 |
| Dr. FAWZY SAMY BASTA | 17075 DEVONSHIRE ST | NORTHRIDGE | CA | 91325 | 74 |
| Dr. ALAN MARKIE | 466 FOOTHILL BLVD | LA CANADA | CA | 91011 | 44 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. IRFAN A AFAQ | 2700 VISSING PARK RD | JEFFERSONVILLE | IN | 47130 | 286 |
| Dr. ALI MOHAMMED MELHEM | 380 SUMMIT AVE | STEUBENVILLE | OH | 43952 | 88 |
| Dr. FAWZY SAMY BASTA | 17075 DEVONSHIRE ST | NORTHRIDGE | CA | 91325 | 76 |
*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 895: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 918: POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD F3132 - Bipolar disorder, current episode depressed, moderate | 5,142 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD F3132 - Bipolar disorder, current episode depressed, moderate in DRG | 60.87 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD F3132 - Bipolar disorder, current episode depressed, moderate | 8.38 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD F3132 - Bipolar disorder, current episode depressed, moderate | 28.92 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD F3132 - Bipolar disorder, current episode depressed, moderate | 12.44 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD F3132 - Bipolar disorder, current episode depressed, moderate | $33,279,486 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD F3132 - Bipolar disorder, current episode depressed, moderate | $772 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD F3132 - Bipolar disorder, current episode depressed, moderate | $6,472 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD F3132 - Bipolar disorder, current episode depressed, moderate | $106,828,527 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD F3132 - Bipolar disorder, current episode depressed, moderate | $20,776 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD F3132 - Bipolar disorder, current episode depressed, moderate | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD F3132 - Bipolar disorder, current episode depressed, moderate | 2.53 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD F3132 - Bipolar disorder, current episode depressed, moderate | 87.24 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 917: POISONING AND TOXIC EFFECTS OF DRUGS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 894: ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 101,548 | ||||
| Total Hospitalizations with ICD F3132 - Bipolar disorder, current episode depressed, moderate | 85 | ||||
| DRG Share of Total Hospitalizations | 0.31 | ||||
| % of Total ICD F3132 - Bipolar disorder, current episode depressed, moderate in DRG | 1.01 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD F3132 - Bipolar disorder, current episode depressed, moderate | 5.71 | ||||
| Readmission Rate at DRG | 32.74 | ||||
| Readmission Rate with ICD F3132 - Bipolar disorder, current episode depressed, moderate | 50.65 | ||||
| Unplanned Readmission Rate at DRG | 13.79 | ||||
| Unplanned Readmission Rate with ICD F3132 - Bipolar disorder, current episode depressed, moderate | 20.78 | ||||
| Total Medicare payments at DRG | $922,969,291 | ||||
| Total Medicare payments with ICD F3132 - Bipolar disorder, current episode depressed, moderate | $802,566 | ||||
| Total Medicare payment per Day at DRG | $1,941 | ||||
| Total Medicare payment per Day with ICD F3132 - Bipolar disorder, current episode depressed, moderate | $1,655 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,089 | ||||
| Total Medicare payment per Hospitalization with ICD F3132 - Bipolar disorder, current episode depressed, moderate | $9,442 | ||||
| Total Medicare Charges at DRG | $4,727,523,206 | ||||
| Total Medicare Charges with ICD F3132 - Bipolar disorder, current episode depressed, moderate | $4,378,169 | ||||
| Avg Charges at DRG | $46,555 | ||||
| Avg Charges with ICD F3132 - Bipolar disorder, current episode depressed, moderate | $51,508 | ||||
| Mortality Rate at DRG | 2.95 | ||||
| Mortality Rate with ICD F3132 - Bipolar disorder, current episode depressed, moderate | NA | ||||
| SNF Discharge Rate at DRG | 13.87 | ||||
| SNF Discharge Rate with ICD F3132 - Bipolar disorder, current episode depressed, moderate | NA | ||||
| Home Discharge Rate at DRG | 43.04 | ||||
| Home Discharge Rate with ICD F3132 - Bipolar disorder, current episode depressed, moderate | 44.71 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 882: NEUROSES EXCEPT DEPRESSIVE | 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 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 896: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 22,451 | ||||
| Total Hospitalizations with ICD F3132 - Bipolar disorder, current episode depressed, moderate | 51 | ||||
| DRG Share of Total Hospitalizations | 0.07 | ||||
| % of Total ICD F3132 - Bipolar disorder, current episode depressed, moderate in DRG | 0.6 | ||||
| Avg LOS at DRG | 7.27 | ||||
| Avg LOS with ICD F3132 - Bipolar disorder, current episode depressed, moderate | 10.47 | ||||
| Readmission Rate at DRG | 20.53 | ||||
| Readmission Rate with ICD F3132 - Bipolar disorder, current episode depressed, moderate | NA | ||||
| Unplanned Readmission Rate at DRG | 10.81 | ||||
| Unplanned Readmission Rate with ICD F3132 - Bipolar disorder, current episode depressed, moderate | NA | ||||
| Total Medicare payments at DRG | $122,713,938 | ||||
| Total Medicare payments with ICD F3132 - Bipolar disorder, current episode depressed, moderate | $323,657 | ||||
| Total Medicare payment per Day at DRG | $751 | ||||
| Total Medicare payment per Day with ICD F3132 - Bipolar disorder, current episode depressed, moderate | $606 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,466 | ||||
| Total Medicare payment per Hospitalization with ICD F3132 - Bipolar disorder, current episode depressed, moderate | $6,346 | ||||
| Total Medicare Charges at DRG | $442,340,377 | ||||
| Total Medicare Charges with ICD F3132 - Bipolar disorder, current episode depressed, moderate | $1,011,026 | ||||
| Avg Charges at DRG | $19,702 | ||||
| Avg Charges with ICD F3132 - Bipolar disorder, current episode depressed, moderate | $19,824 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD F3132 - Bipolar disorder, current episode depressed, moderate | NA | ||||
| SNF Discharge Rate at DRG | 3.92 | ||||
| SNF Discharge Rate with ICD F3132 - Bipolar disorder, current episode depressed, moderate | NA | ||||
| Home Discharge Rate at DRG | 84.46 | ||||
| Home Discharge Rate with ICD F3132 - Bipolar disorder, current episode depressed, moderate | 92.16 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 896: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH 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 | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 31,432 | ||||
| Total Hospitalizations with ICD F3132 - Bipolar disorder, current episode depressed, moderate | 45 | ||||
| DRG Share of Total Hospitalizations | 0.1 | ||||
| % of Total ICD F3132 - Bipolar disorder, current episode depressed, moderate in DRG | 0.53 | ||||
| Avg LOS at DRG | 6.73 | ||||
| Avg LOS with ICD F3132 - Bipolar disorder, current episode depressed, moderate | 6.73 | ||||
| Readmission Rate at DRG | 28.98 | ||||
| Readmission Rate with ICD F3132 - Bipolar disorder, current episode depressed, moderate | 41.46 | ||||
| Unplanned Readmission Rate at DRG | 17.59 | ||||
| Unplanned Readmission Rate with ICD F3132 - Bipolar disorder, current episode depressed, moderate | NA | ||||
| Total Medicare payments at DRG | $328,944,719 | ||||
| Total Medicare payments with ICD F3132 - Bipolar disorder, current episode depressed, moderate | $421,476 | ||||
| Total Medicare payment per Day at DRG | $1,556 | ||||
| Total Medicare payment per Day with ICD F3132 - Bipolar disorder, current episode depressed, moderate | $1,391 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,465 | ||||
| Total Medicare payment per Hospitalization with ICD F3132 - Bipolar disorder, current episode depressed, moderate | $9,366 | ||||
| Total Medicare Charges at DRG | $1,547,716,423 | ||||
| Total Medicare Charges with ICD F3132 - Bipolar disorder, current episode depressed, moderate | $1,341,042 | ||||
| Avg Charges at DRG | $49,240 | ||||
| Avg Charges with ICD F3132 - Bipolar disorder, current episode depressed, moderate | $29,801 | ||||
| Mortality Rate at DRG | 1.22 | ||||
| Mortality Rate with ICD F3132 - Bipolar disorder, current episode depressed, moderate | NA | ||||
| SNF Discharge Rate at DRG | 21.13 | ||||
| SNF Discharge Rate with ICD F3132 - Bipolar disorder, current episode depressed, moderate | NA | ||||
| Home Discharge Rate at DRG | 53.38 | ||||
| Home Discharge Rate with ICD F3132 - Bipolar disorder, current episode depressed, moderate | 57.78 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| JEWISH HOSPITAL & ST. MARY'S HEALTHCARE | 200 ABRAHAM FLEXNER WAY | LOUISVILLE | KY | 40202 | 171 |
| TURNING POINT HOSPITAL | 3015 VETERANS PKWY S | MOULTRIE | GA | 31788 | 166 |
| LINCOLN TRAIL BEHAVIORIAL HEALTH | 3909 S WILSON RD | RADCLIFF | KY | 40160 | 137 |
| 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 | 139 |
| Dr. IRFAN A AFAQ | 2700 VISSING PARK RD | JEFFERSONVILLE | IN | 47130 | 117 |
| Dr. FAWZY SAMY BASTA | 17075 DEVONSHIRE ST | NORTHRIDGE | CA | 91325 | 74 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. IRFAN A AFAQ | 2700 VISSING PARK RD | JEFFERSONVILLE | IN | 47130 | 336 |
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 147 |
| Dr. ALI MOHAMMED MELHEM | 380 SUMMIT AVE | STEUBENVILLE | OH | 43952 | 88 |