*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| F319 - Bipolar disorder, unspecified - as a primary diagnosis code | F319 - Bipolar disorder, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.04 | |
| Readmission Rate (%) | 27.5 | |
| Unplanned Readmission Rate (%) | 13.84 | |
| 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 F319 - Bipolar disorder, unspecified | 68,825 | |
| DRG Share of Total Hospitalizations | 3.35 | |
| % of Total ICD F319 - Bipolar disorder, unspecified in DRG | 99.85 | |
| Avg LOS at DRG | 11.86 | |
| Avg LOS with ICD F319 - Bipolar disorder, unspecified | 9.39 | |
| Readmission Rate at DRG | 27.58 | |
| Readmission Rate with ICD F319 - Bipolar disorder, unspecified | 28.22 | |
| Unplanned Readmission Rate at DRG | 13.34 | |
| Unplanned Readmission Rate with ICD F319 - Bipolar disorder, unspecified | 13.83 | |
| Total Medicare payments at DRG | $9,312,828,663 | |
| Total Medicare payments with ICD F319 - Bipolar disorder, unspecified | $495,013,796 | |
| Total Medicare payment per Day at DRG | $713 | |
| Total Medicare payment per Day with ICD F319 - Bipolar disorder, unspecified | $766 | |
| Total Medicare payment per Hospitalization at DRG | $8,460 | |
| Total Medicare payment per Hospitalization with ICD F319 - Bipolar disorder, unspecified | $7,192 | |
| Total Medicare Charges at DRG | $32,341,464,302 | |
| Total Medicare Charges with ICD F319 - Bipolar disorder, unspecified | $1,659,542,212 | |
| Avg Charges at DRG | $29,378 | |
| Avg Charges with ICD F319 - Bipolar disorder, unspecified | $24,112 | |
| Mortality Rate at DRG | 0.04 | |
| Mortality Rate with ICD F319 - Bipolar disorder, unspecified | 0.02 | |
| SNF Discharge Rate at DRG | 5.83 | |
| SNF Discharge Rate with ICD F319 - Bipolar disorder, unspecified | 3.77 | |
| Home Discharge Rate at DRG | 79.47 | |
| Home Discharge Rate with ICD F319 - Bipolar disorder, unspecified | 83.09 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| OHIO HOSPITAL FOR PSYCHIATRY | 880 GREENLAWN AVE | COLUMBUS | OH | 43223 | 471 |
| RIDGEVIEW BEHAVIORAL HOSPITAL | 17872 LINCOLN HWY | MIDDLE POINT | OH | 45863 | 382 |
| SHEPPARD PRATT - TOWSON CAMPUS | 6501 N CHARLES ST | BALTIMORE | MD | 21204 | 361 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. HARWANT S GILL | 4501 CONNECTICUT AVE NW | WASHINGTON | DC | 20008 | 84 |
| Dr. LJILJANA MARKOVIC | 25 MARSHALL STREET | NORTH ADAMS | MA | 01247 | 77 |
| Dr. LEONARD P. JONES | 5200 S. SAN GABRIEL PL | PICO RIVERA | CA | 90660 | 76 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ROBERT OLIVER MORTON | 1000 ROLLING HILLS LN | ADA | OK | 74820 | 450 |
| Dr. CESAR A MATOS-MARTINEZ | 2110 W TRENTON RD STE A | EDINBURG | TX | 78539 | 373 |
| Dr. BINIT JAGOLISH SHAH | 11100 EUCLID AVE | CLEVELAND | OH | 44106 | 339 |
*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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 | 1,100,860 | ||||
| Total Hospitalizations with ICD F319 - Bipolar disorder, unspecified | 96,078 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD F319 - Bipolar disorder, unspecified in DRG | 12.92 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD F319 - Bipolar disorder, unspecified | 9.74 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD F319 - Bipolar disorder, unspecified | 29.54 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD F319 - Bipolar disorder, unspecified | 14.66 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD F319 - Bipolar disorder, unspecified | $721,237,329 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD F319 - Bipolar disorder, unspecified | $771 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD F319 - Bipolar disorder, unspecified | $7,507 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD F319 - Bipolar disorder, unspecified | $2,559,321,125 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD F319 - Bipolar disorder, unspecified | $26,638 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD F319 - Bipolar disorder, unspecified | 0.02 | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD F319 - Bipolar disorder, unspecified | 4.7 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD F319 - Bipolar disorder, unspecified | 80.51 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 917: POISONING AND TOXIC EFFECTS OF DRUGS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT 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 | 535,322 | ||||
| Total Hospitalizations with ICD F319 - Bipolar disorder, unspecified | 14,413 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD F319 - Bipolar disorder, unspecified in DRG | 1.94 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD F319 - Bipolar disorder, unspecified | 4.47 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD F319 - Bipolar disorder, unspecified | 29.05 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD F319 - Bipolar disorder, unspecified | 23.62 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD F319 - Bipolar disorder, unspecified | $103,581,039 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD F319 - Bipolar disorder, unspecified | $1,607 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD F319 - Bipolar disorder, unspecified | $7,187 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD F319 - Bipolar disorder, unspecified | $508,249,731 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD F319 - Bipolar disorder, unspecified | $35,263 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD F319 - Bipolar disorder, unspecified | 0.55 | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD F319 - Bipolar disorder, unspecified | 16.45 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD F319 - Bipolar disorder, unspecified | 51.55 |
*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 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 918: POISONING AND TOXIC EFFECTS OF DRUGS 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD F319 - Bipolar disorder, unspecified | 10,736 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD F319 - Bipolar disorder, unspecified in DRG | 1.44 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD F319 - Bipolar disorder, unspecified | 5.37 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD F319 - Bipolar disorder, unspecified | 36.05 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD F319 - Bipolar disorder, unspecified | 29.27 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD F319 - Bipolar disorder, unspecified | $100,695,184 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD F319 - Bipolar disorder, unspecified | $1,745 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD F319 - Bipolar disorder, unspecified | $9,379 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD F319 - Bipolar disorder, unspecified | $486,657,711 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD F319 - Bipolar disorder, unspecified | $45,330 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD F319 - Bipolar disorder, unspecified | 2.01 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD F319 - Bipolar disorder, unspecified | 24.15 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD F319 - Bipolar disorder, unspecified | 37.35 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 286,456 | ||||
| Total Hospitalizations with ICD F319 - Bipolar disorder, unspecified | 8,667 | ||||
| DRG Share of Total Hospitalizations | 0.87 | ||||
| % of Total ICD F319 - Bipolar disorder, unspecified in DRG | 1.17 | ||||
| Avg LOS at DRG | 3.75 | ||||
| Avg LOS with ICD F319 - Bipolar disorder, unspecified | 3.55 | ||||
| Readmission Rate at DRG | 22.9 | ||||
| Readmission Rate with ICD F319 - Bipolar disorder, unspecified | 29.51 | ||||
| Unplanned Readmission Rate at DRG | 18.29 | ||||
| Unplanned Readmission Rate with ICD F319 - Bipolar disorder, unspecified | 23.49 | ||||
| Total Medicare payments at DRG | $1,641,467,496 | ||||
| Total Medicare payments with ICD F319 - Bipolar disorder, unspecified | $49,457,627 | ||||
| Total Medicare payment per Day at DRG | $1,526 | ||||
| Total Medicare payment per Day with ICD F319 - Bipolar disorder, unspecified | $1,607 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,730 | ||||
| Total Medicare payment per Hospitalization with ICD F319 - Bipolar disorder, unspecified | $5,706 | ||||
| Total Medicare Charges at DRG | $8,050,963,680 | ||||
| Total Medicare Charges with ICD F319 - Bipolar disorder, unspecified | $240,985,499 | ||||
| Avg Charges at DRG | $28,105 | ||||
| Avg Charges with ICD F319 - Bipolar disorder, unspecified | $27,805 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD F319 - Bipolar disorder, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 10.84 | ||||
| SNF Discharge Rate with ICD F319 - Bipolar disorder, unspecified | 10.63 | ||||
| Home Discharge Rate at DRG | 59.73 | ||||
| Home Discharge Rate with ICD F319 - Bipolar disorder, unspecified | 58.99 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADCARE HOSPITAL OF WORCESTER | 107 LINCOLN ST | WORCESTER | MA | 01605 | 2,736 |
| YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 2,084 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 2,052 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. WOJCIECH POLUHA | 107 LINCOLN ST | WORCESTER | MA | 01605 | 890 |
| Dr. RONALD F. PIKE | 107 LINCOLN ST | WORCESTER | MA | 01605 | 674 |
| Dr. KAREN S GUADAGNINI | 102 NORTH ST | BRISTOL | CT | 06010 | 547 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. WOJCIECH POLUHA | 107 LINCOLN ST | WORCESTER | MA | 01605 | 943 |
| Dr. RONALD F. PIKE | 107 LINCOLN ST | WORCESTER | MA | 01605 | 746 |
| Dr. KAREN S GUADAGNINI | 102 NORTH ST | BRISTOL | CT | 06010 | 593 |