*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| F323 - Major depressive disorder, single episode, severe with psychotic features - as a primary diagnosis code | F323 - Major depressive disorder, single episode, severe with psychotic features - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 10.68 | |
| Readmission Rate (%) | 28.74 | |
| Unplanned Readmission Rate (%) | 12.5 | |
| 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 F323 - Major depressive disorder, single episode, severe with psychotic features | 14,012 | |
| DRG Share of Total Hospitalizations | 3.35 | |
| % of Total ICD F323 - Major depressive disorder, single episode, severe with psychotic features in DRG | 99.73 | |
| Avg LOS at DRG | 11.86 | |
| Avg LOS with ICD F323 - Major depressive disorder, single episode, severe with psychotic features | 11.69 | |
| Readmission Rate at DRG | 27.58 | |
| Readmission Rate with ICD F323 - Major depressive disorder, single episode, severe with psychotic features | 24.87 | |
| Unplanned Readmission Rate at DRG | 13.34 | |
| Unplanned Readmission Rate with ICD F323 - Major depressive disorder, single episode, severe with psychotic features | 12.48 | |
| Total Medicare payments at DRG | $9,312,828,663 | |
| Total Medicare payments with ICD F323 - Major depressive disorder, single episode, severe with psychotic features | $133,290,111 | |
| Total Medicare payment per Day at DRG | $713 | |
| Total Medicare payment per Day with ICD F323 - Major depressive disorder, single episode, severe with psychotic features | $814 | |
| Total Medicare payment per Hospitalization at DRG | $8,460 | |
| Total Medicare payment per Hospitalization with ICD F323 - Major depressive disorder, single episode, severe with psychotic features | $9,513 | |
| Total Medicare Charges at DRG | $32,341,464,302 | |
| Total Medicare Charges with ICD F323 - Major depressive disorder, single episode, severe with psychotic features | $460,222,160 | |
| Avg Charges at DRG | $29,378 | |
| Avg Charges with ICD F323 - Major depressive disorder, single episode, severe with psychotic features | $32,845 | |
| Mortality Rate at DRG | 0.04 | |
| Mortality Rate with ICD F323 - Major depressive disorder, single episode, severe with psychotic features | NA | |
| SNF Discharge Rate at DRG | 5.83 | |
| SNF Discharge Rate with ICD F323 - Major depressive disorder, single episode, severe with psychotic features | 11.93 | |
| Home Discharge Rate at DRG | 79.47 | |
| Home Discharge Rate with ICD F323 - Major depressive disorder, single episode, severe with psychotic features | 67.19 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ROXBOROUGH MEMORIAL HOSPITAL | 5800 RIDGE AVE | PHILADELPHIA | PA | 19128 | 139 |
| APPLING HEALTHCARE SYSTEM | 163 E TOLLISON ST | BAXLEY | GA | 31513 | 119 |
| SAN GABRIEL VALLEY MEDICAL CENTER | 438 W LAS TUNAS DR | SAN GABRIEL | CA | 91776 | 113 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SHIVAM HINGORANI | 2001 HAMILTON ST | PHILADELPHIA | PA | 19130 | 29 |
| Dr. SUSAN C GILMAN | 1305 MEDFORD RD | WYNNEWOOD | PA | 19096 | 28 |
| Dr. KAMAL BIJANPOUR | 3000 S ROBERTSON BLVD STE 270 | LOS ANGELES | CA | 90034 | 26 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SUSAN C GILMAN | 1305 MEDFORD RD | WYNNEWOOD | PA | 19096 | 139 |
| Dr. JOHN CHRISTOPHER STRUNK | 201 REGENCY CT | DOTHAN | AL | 36305 | 108 |
| Dr. DAVID J FAULK | 2712 PARKWOOD DR | BRUNSWICK | GA | 31520 | 102 |
*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 884: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD F323 - Major depressive disorder, single episode, severe with psychotic features | 15,423 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD F323 - Major depressive disorder, single episode, severe with psychotic features in DRG | 55.64 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD F323 - Major depressive disorder, single episode, severe with psychotic features | 11.78 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD F323 - Major depressive disorder, single episode, severe with psychotic features | 24.92 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD F323 - Major depressive disorder, single episode, severe with psychotic features | 12.51 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD F323 - Major depressive disorder, single episode, severe with psychotic features | $147,328,029 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD F323 - Major depressive disorder, single episode, severe with psychotic features | $811 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD F323 - Major depressive disorder, single episode, severe with psychotic features | $9,552 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD F323 - Major depressive disorder, single episode, severe with psychotic features | $513,841,434 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD F323 - Major depressive disorder, single episode, severe with psychotic features | $33,317 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD F323 - Major depressive disorder, single episode, severe with psychotic features | 0.08 | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD F323 - Major depressive disorder, single episode, severe with psychotic features | 12.22 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD F323 - Major depressive disorder, single episode, severe with psychotic features | 67.05 |
*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 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 101,548 | ||||
| Total Hospitalizations with ICD F323 - Major depressive disorder, single episode, severe with psychotic features | 265 | ||||
| DRG Share of Total Hospitalizations | 0.31 | ||||
| % of Total ICD F323 - Major depressive disorder, single episode, severe with psychotic features in DRG | 0.96 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD F323 - Major depressive disorder, single episode, severe with psychotic features | 6.4 | ||||
| Readmission Rate at DRG | 32.74 | ||||
| Readmission Rate with ICD F323 - Major depressive disorder, single episode, severe with psychotic features | 58.63 | ||||
| Unplanned Readmission Rate at DRG | 13.79 | ||||
| Unplanned Readmission Rate with ICD F323 - Major depressive disorder, single episode, severe with psychotic features | 9.64 | ||||
| Total Medicare payments at DRG | $922,969,291 | ||||
| Total Medicare payments with ICD F323 - Major depressive disorder, single episode, severe with psychotic features | $2,681,708 | ||||
| Total Medicare payment per Day at DRG | $1,941 | ||||
| Total Medicare payment per Day with ICD F323 - Major depressive disorder, single episode, severe with psychotic features | $1,581 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,089 | ||||
| Total Medicare payment per Hospitalization with ICD F323 - Major depressive disorder, single episode, severe with psychotic features | $10,120 | ||||
| Total Medicare Charges at DRG | $4,727,523,206 | ||||
| Total Medicare Charges with ICD F323 - Major depressive disorder, single episode, severe with psychotic features | $14,095,958 | ||||
| Avg Charges at DRG | $46,555 | ||||
| Avg Charges with ICD F323 - Major depressive disorder, single episode, severe with psychotic features | $53,192 | ||||
| Mortality Rate at DRG | 2.95 | ||||
| Mortality Rate with ICD F323 - Major depressive disorder, single episode, severe with psychotic features | NA | ||||
| SNF Discharge Rate at DRG | 13.87 | ||||
| SNF Discharge Rate with ICD F323 - Major depressive disorder, single episode, severe with psychotic features | 10.19 | ||||
| Home Discharge Rate at DRG | 43.04 | ||||
| Home Discharge Rate with ICD F323 - Major depressive disorder, single episode, severe with psychotic features | 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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD F323 - Major depressive disorder, single episode, severe with psychotic features | 233 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD F323 - Major depressive disorder, single episode, severe with psychotic features in DRG | 0.84 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD F323 - Major depressive disorder, single episode, severe with psychotic features | 5.79 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD F323 - Major depressive disorder, single episode, severe with psychotic features | 37.56 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD F323 - Major depressive disorder, single episode, severe with psychotic features | 11.76 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD F323 - Major depressive disorder, single episode, severe with psychotic features | $1,603,256 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD F323 - Major depressive disorder, single episode, severe with psychotic features | $1,189 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD F323 - Major depressive disorder, single episode, severe with psychotic features | $6,881 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD F323 - Major depressive disorder, single episode, severe with psychotic features | $7,983,962 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD F323 - Major depressive disorder, single episode, severe with psychotic features | $34,266 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD F323 - Major depressive disorder, single episode, severe with psychotic features | NA | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD F323 - Major depressive disorder, single episode, severe with psychotic features | 32.19 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD F323 - Major depressive disorder, single episode, severe with psychotic features | 24.03 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD F323 - Major depressive disorder, single episode, severe with psychotic features | 153 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD F323 - Major depressive disorder, single episode, severe with psychotic features in DRG | 0.55 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD F323 - Major depressive disorder, single episode, severe with psychotic features | 4.14 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD F323 - Major depressive disorder, single episode, severe with psychotic features | 29.45 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD F323 - Major depressive disorder, single episode, severe with psychotic features | 17.81 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD F323 - Major depressive disorder, single episode, severe with psychotic features | $802,611 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD F323 - Major depressive disorder, single episode, severe with psychotic features | $1,266 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD F323 - Major depressive disorder, single episode, severe with psychotic features | $5,246 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD F323 - Major depressive disorder, single episode, severe with psychotic features | $4,671,461 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD F323 - Major depressive disorder, single episode, severe with psychotic features | $30,532 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD F323 - Major depressive disorder, single episode, severe with psychotic features | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD F323 - Major depressive disorder, single episode, severe with psychotic features | 18.3 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD F323 - Major depressive disorder, single episode, severe with psychotic features | 45.75 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ROXBOROUGH MEMORIAL HOSPITAL | 5800 RIDGE AVE | PHILADELPHIA | PA | 19128 | 265 |
| SAN GABRIEL VALLEY MEDICAL CENTER | 438 W LAS TUNAS DR | SAN GABRIEL | CA | 91776 | 187 |
| JACKSON PURCHASE MEDICAL CENTER | 1099 MEDICAL CENTER CIR | MAYFIELD | KY | 42066 | 147 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SHIVAM HINGORANI | 2001 HAMILTON ST | PHILADELPHIA | PA | 19130 | 45 |
| Dr. KAMAL BIJANPOUR | 3000 S ROBERTSON BLVD STE 270 | LOS ANGELES | CA | 90034 | 39 |
| Dr. SUSAN C GILMAN | 1305 MEDFORD RD | WYNNEWOOD | PA | 19096 | 32 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SUSAN C GILMAN | 1305 MEDFORD RD | WYNNEWOOD | PA | 19096 | 155 |
| Dr. JOHN CHRISTOPHER STRUNK | 201 REGENCY CT | DOTHAN | AL | 36305 | 139 |
| Dr. RAKESH CHANDRA | 3111 WILLIAMSON COUNTY PKWY | MARION | IL | 62959 | 134 |