*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| F321 - Major depressive disorder, single episode, moderate - as a primary diagnosis code | F321 - Major depressive disorder, single episode, moderate - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.98 | |
| Readmission Rate (%) | 24.74 | |
| Unplanned Readmission Rate (%) | 9.25 | |
| 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 F321 - Major depressive disorder, single episode, moderate | 2,914 |
| DRG Share of Total Hospitalizations | 3.35 |
| % of Total ICD F321 - Major depressive disorder, single episode, moderate in DRG | 99.93 |
| Avg LOS at DRG | 11.86 |
| Avg LOS with ICD F321 - Major depressive disorder, single episode, moderate | 7.54 |
| Readmission Rate at DRG | 27.58 |
| Readmission Rate with ICD F321 - Major depressive disorder, single episode, moderate | 19.17 |
| Unplanned Readmission Rate at DRG | 13.34 |
| Unplanned Readmission Rate with ICD F321 - Major depressive disorder, single episode, moderate | 9.25 |
| Total Medicare payments at DRG | $9,312,828,663 |
| Total Medicare payments with ICD F321 - Major depressive disorder, single episode, moderate | $18,206,351 |
| Total Medicare payment per Day at DRG | $713 |
| Total Medicare payment per Day with ICD F321 - Major depressive disorder, single episode, moderate | $829 |
| Total Medicare payment per Hospitalization at DRG | $8,460 |
| Total Medicare payment per Hospitalization with ICD F321 - Major depressive disorder, single episode, moderate | $6,248 |
| Total Medicare Charges at DRG | $32,341,464,302 |
| Total Medicare Charges with ICD F321 - Major depressive disorder, single episode, moderate | $57,758,983 |
| Avg Charges at DRG | $29,378 |
| Avg Charges with ICD F321 - Major depressive disorder, single episode, moderate | $19,821 |
| Mortality Rate at DRG | 0.04 |
| Mortality Rate with ICD F321 - Major depressive disorder, single episode, moderate | NA |
| SNF Discharge Rate at DRG | 5.83 |
| SNF Discharge Rate with ICD F321 - Major depressive disorder, single episode, moderate | 7.04 |
| Home Discharge Rate at DRG | 79.47 |
| Home Discharge Rate with ICD F321 - Major depressive disorder, single episode, moderate | 78.48 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| SPRING MOUNTAIN TREATMENT CENTER | 7000 SPRING MOUNTAIN RD | LAS VEGAS | NV | 89117 | 49 |
| DEL AMO BEHAVIORAL HEALTH SYSTEM | 23700 CAMINO DEL SOL | TORRANCE | CA | 90505 | 43 |
| NORTHRIDGE MEDICAL CENTER | 70 MEDICAL CENTER DRIVE | COMMERCE | GA | 30529 | 39 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ALAN MARKIE | 466 FOOTHILL BLVD | LA CANADA | CA | 91011 | 21 |
| Dr. JEROME NWANNA NWOKIKE | 5105 CAMINO AL NORTE | NORTH LAS VEGAS | NV | 89031 | 12 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JEROME NWANNA NWOKIKE | 5105 CAMINO AL NORTE | NORTH LAS VEGAS | NV | 89031 | 49 |
| Dr. HANY BOTROS MIKHAIL | 5707 N 22ND ST | TAMPA | FL | 33610 | 40 |
| Dr. MICHAEL H TOLWIN | 3831 HUGHES AVE | CULVER CITY | CA | 90232 | 39 |
*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 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD F321 - Major depressive disorder, single episode, moderate | 3,139 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD F321 - Major depressive disorder, single episode, moderate in DRG | 18.51 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD F321 - Major depressive disorder, single episode, moderate | 7.93 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD F321 - Major depressive disorder, single episode, moderate | 19.36 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD F321 - Major depressive disorder, single episode, moderate | 9.29 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD F321 - Major depressive disorder, single episode, moderate | $20,457,208 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD F321 - Major depressive disorder, single episode, moderate | $822 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD F321 - Major depressive disorder, single episode, moderate | $6,517 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD F321 - Major depressive disorder, single episode, moderate | $65,950,085 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD F321 - Major depressive disorder, single episode, moderate | $21,010 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD F321 - Major depressive disorder, single episode, moderate | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD F321 - Major depressive disorder, single episode, moderate | 7.77 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD F321 - Major depressive disorder, single episode, moderate | 77.86 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE 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) | DRG 884: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 188,863 | ||||
| Total Hospitalizations with ICD F321 - Major depressive disorder, single episode, moderate | 293 | ||||
| DRG Share of Total Hospitalizations | 0.57 | ||||
| % of Total ICD F321 - Major depressive disorder, single episode, moderate in DRG | 1.73 | ||||
| Avg LOS at DRG | 11.75 | ||||
| Avg LOS with ICD F321 - Major depressive disorder, single episode, moderate | 13.62 | ||||
| Readmission Rate at DRG | 12.14 | ||||
| Readmission Rate with ICD F321 - Major depressive disorder, single episode, moderate | 14.5 | ||||
| Unplanned Readmission Rate at DRG | 7.97 | ||||
| Unplanned Readmission Rate with ICD F321 - Major depressive disorder, single episode, moderate | 9.67 | ||||
| Total Medicare payments at DRG | $3,216,901,374 | ||||
| Total Medicare payments with ICD F321 - Major depressive disorder, single episode, moderate | $5,493,684 | ||||
| Total Medicare payment per Day at DRG | $1,450 | ||||
| Total Medicare payment per Day with ICD F321 - Major depressive disorder, single episode, moderate | $1,377 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,033 | ||||
| Total Medicare payment per Hospitalization with ICD F321 - Major depressive disorder, single episode, moderate | $18,750 | ||||
| Total Medicare Charges at DRG | $7,709,712,645 | ||||
| Total Medicare Charges with ICD F321 - Major depressive disorder, single episode, moderate | $12,321,928 | ||||
| Avg Charges at DRG | $40,822 | ||||
| Avg Charges with ICD F321 - Major depressive disorder, single episode, moderate | $42,054 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD F321 - Major depressive disorder, single episode, moderate | NA | ||||
| SNF Discharge Rate at DRG | 19.54 | ||||
| SNF Discharge Rate with ICD F321 - Major depressive disorder, single episode, moderate | 25.94 | ||||
| Home Discharge Rate at DRG | 19.47 | ||||
| Home Discharge Rate with ICD F321 - Major depressive disorder, single episode, moderate | 12.97 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 122,730 | ||||
| Total Hospitalizations with ICD F321 - Major depressive disorder, single episode, moderate | 217 | ||||
| DRG Share of Total Hospitalizations | 0.37 | ||||
| % of Total ICD F321 - Major depressive disorder, single episode, moderate in DRG | 1.28 | ||||
| Avg LOS at DRG | 7.61 | ||||
| Avg LOS with ICD F321 - Major depressive disorder, single episode, moderate | 9.97 | ||||
| Readmission Rate at DRG | 21.31 | ||||
| Readmission Rate with ICD F321 - Major depressive disorder, single episode, moderate | 20.41 | ||||
| Unplanned Readmission Rate at DRG | 14.13 | ||||
| Unplanned Readmission Rate with ICD F321 - Major depressive disorder, single episode, moderate | 16.84 | ||||
| Total Medicare payments at DRG | $1,397,885,220 | ||||
| Total Medicare payments with ICD F321 - Major depressive disorder, single episode, moderate | $3,064,437 | ||||
| Total Medicare payment per Day at DRG | $1,497 | ||||
| Total Medicare payment per Day with ICD F321 - Major depressive disorder, single episode, moderate | $1,417 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,390 | ||||
| Total Medicare payment per Hospitalization with ICD F321 - Major depressive disorder, single episode, moderate | $14,122 | ||||
| Total Medicare Charges at DRG | $4,175,290,309 | ||||
| Total Medicare Charges with ICD F321 - Major depressive disorder, single episode, moderate | $7,806,277 | ||||
| Avg Charges at DRG | $34,020 | ||||
| Avg Charges with ICD F321 - Major depressive disorder, single episode, moderate | $35,974 | ||||
| Mortality Rate at DRG | 0.28 | ||||
| Mortality Rate with ICD F321 - Major depressive disorder, single episode, moderate | NA | ||||
| SNF Discharge Rate at DRG | 21.64 | ||||
| SNF Discharge Rate with ICD F321 - Major depressive disorder, single episode, moderate | 21.2 | ||||
| Home Discharge Rate at DRG | 28.06 | ||||
| Home Discharge Rate with ICD F321 - Major depressive disorder, single episode, moderate | 26.73 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD F321 - Major depressive disorder, single episode, moderate | 172 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD F321 - Major depressive disorder, single episode, moderate in DRG | 1.01 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD F321 - Major depressive disorder, single episode, moderate | 4.53 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD F321 - Major depressive disorder, single episode, moderate | 20.73 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD F321 - Major depressive disorder, single episode, moderate | 12.2 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD F321 - Major depressive disorder, single episode, moderate | $923,709 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD F321 - Major depressive disorder, single episode, moderate | $1,186 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD F321 - Major depressive disorder, single episode, moderate | $5,370 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD F321 - Major depressive disorder, single episode, moderate | $4,648,103 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD F321 - Major depressive disorder, single episode, moderate | $27,024 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD F321 - Major depressive disorder, single episode, moderate | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD F321 - Major depressive disorder, single episode, moderate | 31.4 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD F321 - Major depressive disorder, single episode, moderate | 33.72 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| OKLAHOMA HEART HOSPITAL | 4050 W MEMORIAL RD | OKLAHOMA CITY | OK | 73120 | 219 |
| KINDRED HOSPITAL PHILADELPHIA - HAVERTOWN | 2000 OLD WEST CHESTER PIKE | HAVERTOWN | PA | 19083 | 211 |
| MAYO CLINIC HEALTH SYSTEM - MANKATO | 1025 MARSH ST | MANKATO | MN | 56001 | 152 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ADRIANNE L CANTOR | 2000 OLD WEST CHESTER PIKE | HAVERTOWN | PA | 19083 | 27 |
| Dr. ALAN MARKIE | 466 FOOTHILL BLVD | LA CANADA | CA | 91011 | 25 |
| Dr. TERRI L HOLLIS | 2000 OLD WEST CHESTER PIKE | HAVERTOWN | PA | 19083 | 24 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MIRELLE' JEANNE FOSTER | 551 HILL COUNTRY DR | KERRVILLE | TX | 78028 | 92 |
| Dr. OMAR ALBERTO COLON GUTIERREZ | 2800 W 15TH ST | PLANO | TX | 75075 | 78 |
| Dr. ARTI PATEL | 3901 ARMORY ROAD | WICHITA FALLS | TX | 76302 | 70 |