*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| F3160 - Bipolar disorder, current episode mixed, unspecified - as a primary diagnosis code | F3160 - Bipolar disorder, current episode mixed, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 9.13 | |
| Readmission Rate (%) | 29.53 | |
| Unplanned Readmission Rate (%) | 13.53 | |
| 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 F3160 - Bipolar disorder, current episode mixed, unspecified | 14,979 | |
| DRG Share of Total Hospitalizations | 3.35 | |
| % of Total ICD F3160 - Bipolar disorder, current episode mixed, unspecified in DRG | 99.89 | |
| Avg LOS at DRG | 11.86 | |
| Avg LOS with ICD F3160 - Bipolar disorder, current episode mixed, unspecified | 9.59 | |
| Readmission Rate at DRG | 27.58 | |
| Readmission Rate with ICD F3160 - Bipolar disorder, current episode mixed, unspecified | 27.45 | |
| Unplanned Readmission Rate at DRG | 13.34 | |
| Unplanned Readmission Rate with ICD F3160 - Bipolar disorder, current episode mixed, unspecified | 13.52 | |
| Total Medicare payments at DRG | $9,312,828,663 | |
| Total Medicare payments with ICD F3160 - Bipolar disorder, current episode mixed, unspecified | $109,217,687 | |
| Total Medicare payment per Day at DRG | $713 | |
| Total Medicare payment per Day with ICD F3160 - Bipolar disorder, current episode mixed, unspecified | $760 | |
| Total Medicare payment per Hospitalization at DRG | $8,460 | |
| Total Medicare payment per Hospitalization with ICD F3160 - Bipolar disorder, current episode mixed, unspecified | $7,291 | |
| Total Medicare Charges at DRG | $32,341,464,302 | |
| Total Medicare Charges with ICD F3160 - Bipolar disorder, current episode mixed, unspecified | $371,061,386 | |
| Avg Charges at DRG | $29,378 | |
| Avg Charges with ICD F3160 - Bipolar disorder, current episode mixed, unspecified | $24,772 | |
| Mortality Rate at DRG | 0.04 | |
| Mortality Rate with ICD F3160 - Bipolar disorder, current episode mixed, unspecified | NA | |
| SNF Discharge Rate at DRG | 5.83 | |
| SNF Discharge Rate with ICD F3160 - Bipolar disorder, current episode mixed, unspecified | 4.11 | |
| Home Discharge Rate at DRG | 79.47 | |
| Home Discharge Rate with ICD F3160 - Bipolar disorder, current episode mixed, unspecified | 84.28 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CHICAGO BEHAVIORAL HOSPITAL | 555 WILSON LN | DES PLAINES | IL | 60016 | 259 |
| PHYSICIANS BEHAVIORAL HOSPITAL | 2025 DESOTO ST | SHREVEPORT | LA | 71103 | 204 |
| PALMETTO GENERAL HOSPITAL | 2001 W 68TH ST | HIALEAH | FL | 33016 | 148 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RAJA SINGH GILL | 1500 S CALIFORNIA AVE | CHICAGO | IL | 60608 | 18 |
| Dr. GEORGE LAYNE | 765 E ROUTE 70 | MARLTON | NJ | 08053 | 18 |
| Dr. SCOTT DENNIS DUNZIK | 561 FAIRTHORNE AVE | PHILADELPHIA | PA | 19128 | 18 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID GEORGE BAWDEN | 4711 GOLF RD | SKOKIE | IL | 60076 | 223 |
| Dr. THODUR M RANGANATHAN | 7531 S STONY ISLAND AVE | CHICAGO | IL | 60649 | 179 |
| Dr. SHLOMO PASCAL | 1711 NW 123 AVENUE | PEMBROKE PINES | FL | 33026 | 170 |
*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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 917: POISONING AND TOXIC EFFECTS OF DRUGS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 884: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD F3160 - Bipolar disorder, current episode mixed, unspecified | 16,020 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD F3160 - Bipolar disorder, current episode mixed, unspecified in DRG | 69.3 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD F3160 - Bipolar disorder, current episode mixed, unspecified | 9.73 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD F3160 - Bipolar disorder, current episode mixed, unspecified | 27.46 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD F3160 - Bipolar disorder, current episode mixed, unspecified | 13.63 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD F3160 - Bipolar disorder, current episode mixed, unspecified | $118,561,455 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD F3160 - Bipolar disorder, current episode mixed, unspecified | $760 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD F3160 - Bipolar disorder, current episode mixed, unspecified | $7,401 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD F3160 - Bipolar disorder, current episode mixed, unspecified | $407,765,413 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD F3160 - Bipolar disorder, current episode mixed, unspecified | $25,454 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD F3160 - Bipolar disorder, current episode mixed, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD F3160 - Bipolar disorder, current episode mixed, unspecified | 4.28 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD F3160 - Bipolar disorder, current episode mixed, unspecified | 83.95 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 918: POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 895: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 71,748 | ||||
| Total Hospitalizations with ICD F3160 - Bipolar disorder, current episode mixed, unspecified | 239 | ||||
| DRG Share of Total Hospitalizations | 0.22 | ||||
| % of Total ICD F3160 - Bipolar disorder, current episode mixed, unspecified in DRG | 1.03 | ||||
| Avg LOS at DRG | 2.93 | ||||
| Avg LOS with ICD F3160 - Bipolar disorder, current episode mixed, unspecified | 4.19 | ||||
| Readmission Rate at DRG | 33.86 | ||||
| Readmission Rate with ICD F3160 - Bipolar disorder, current episode mixed, unspecified | 53.7 | ||||
| Unplanned Readmission Rate at DRG | 10.34 | ||||
| Unplanned Readmission Rate with ICD F3160 - Bipolar disorder, current episode mixed, unspecified | 9.26 | ||||
| Total Medicare payments at DRG | $313,351,773 | ||||
| Total Medicare payments with ICD F3160 - Bipolar disorder, current episode mixed, unspecified | $1,050,853 | ||||
| Total Medicare payment per Day at DRG | $1,489 | ||||
| Total Medicare payment per Day with ICD F3160 - Bipolar disorder, current episode mixed, unspecified | $1,049 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,367 | ||||
| Total Medicare payment per Hospitalization with ICD F3160 - Bipolar disorder, current episode mixed, unspecified | $4,397 | ||||
| Total Medicare Charges at DRG | $1,750,048,705 | ||||
| Total Medicare Charges with ICD F3160 - Bipolar disorder, current episode mixed, unspecified | $6,113,383 | ||||
| Avg Charges at DRG | $24,392 | ||||
| Avg Charges with ICD F3160 - Bipolar disorder, current episode mixed, unspecified | $25,579 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD F3160 - Bipolar disorder, current episode mixed, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 7.61 | ||||
| SNF Discharge Rate with ICD F3160 - Bipolar disorder, current episode mixed, unspecified | NA | ||||
| Home Discharge Rate at DRG | 51.88 | ||||
| Home Discharge Rate with ICD F3160 - Bipolar disorder, current episode mixed, unspecified | 43.51 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 364,421 | ||||
| Total Hospitalizations with ICD F3160 - Bipolar disorder, current episode mixed, unspecified | 110 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD F3160 - Bipolar disorder, current episode mixed, unspecified in DRG | 0.48 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD F3160 - Bipolar disorder, current episode mixed, unspecified | 4.85 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD F3160 - Bipolar disorder, current episode mixed, unspecified | 28.42 | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD F3160 - Bipolar disorder, current episode mixed, unspecified | NA | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD F3160 - Bipolar disorder, current episode mixed, unspecified | $612,551 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD F3160 - Bipolar disorder, current episode mixed, unspecified | $1,147 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD F3160 - Bipolar disorder, current episode mixed, unspecified | $5,569 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD F3160 - Bipolar disorder, current episode mixed, unspecified | $3,251,649 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD F3160 - Bipolar disorder, current episode mixed, unspecified | $29,560 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD F3160 - Bipolar disorder, current episode mixed, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD F3160 - Bipolar disorder, current episode mixed, unspecified | 16.36 | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD F3160 - Bipolar disorder, current episode mixed, unspecified | 44.55 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 894: ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | DRG 882: NEUROSES EXCEPT DEPRESSIVE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD F3160 - Bipolar disorder, current episode mixed, unspecified | 98 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD F3160 - Bipolar disorder, current episode mixed, unspecified in DRG | 0.42 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD F3160 - Bipolar disorder, current episode mixed, unspecified | 6.05 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD F3160 - Bipolar disorder, current episode mixed, unspecified | 44.94 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD F3160 - Bipolar disorder, current episode mixed, unspecified | 31.46 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD F3160 - Bipolar disorder, current episode mixed, unspecified | $950,218 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD F3160 - Bipolar disorder, current episode mixed, unspecified | $1,602 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD F3160 - Bipolar disorder, current episode mixed, unspecified | $9,696 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD F3160 - Bipolar disorder, current episode mixed, unspecified | $5,399,659 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD F3160 - Bipolar disorder, current episode mixed, unspecified | $55,099 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD F3160 - Bipolar disorder, current episode mixed, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD F3160 - Bipolar disorder, current episode mixed, unspecified | 29.59 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD F3160 - Bipolar disorder, current episode mixed, unspecified | 28.57 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CHICAGO BEHAVIORAL HOSPITAL | 555 WILSON LN | DES PLAINES | IL | 60016 | 263 |
| PORT ST LUCIE HOSPITAL | 18302 HIGHWOODS PRESERVE PKWY | TAMPA | FL | 33647 | 228 |
| MISSION COMMUNITY HOSPITAL | 14850 ROSCOE BLVD | PANORAMA CITY | CA | 91402 | 212 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. TIMOTHY LYON ARNOLD | 5000 HIGHWAY 39 N | MERIDIAN | MS | 39301 | 63 |
| Dr. DAGMAR I LIEPA | 14860 ROSCOE BLVD | PANORAMA CITY | CA | 91402 | 59 |
| Dr. LIONEL GUILLAUME | 3018 OLD MINDEN RD | BOSSIER CITY | LA | 71112 | 34 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID GEORGE BAWDEN | 4711 GOLF RD | SKOKIE | IL | 60076 | 241 |
| Dr. LIONEL GUILLAUME | 3018 OLD MINDEN RD | BOSSIER CITY | LA | 71112 | 216 |
| Dr. SHLOMO PASCAL | 1711 NW 123 AVENUE | PEMBROKE PINES | FL | 33026 | 208 |