*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| F325 - Major depressive disorder, single episode, in full remission - as a primary diagnosis code | F325 - Major depressive disorder, single episode, in full remission - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 4.99 | |
| Readmission Rate (%) | 18.66 | |
| Unplanned Readmission Rate (%) | NA | |
| 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 F325 - Major depressive disorder, single episode, in full remission | 89 |
| DRG Share of Total Hospitalizations | 3.35 |
| % of Total ICD F325 - Major depressive disorder, single episode, in full remission in DRG | 100.0 |
| Avg LOS at DRG | 11.86 |
| Avg LOS with ICD F325 - Major depressive disorder, single episode, in full remission | 11.38 |
| Readmission Rate at DRG | 27.58 |
| Readmission Rate with ICD F325 - Major depressive disorder, single episode, in full remission | 21.18 |
| Unplanned Readmission Rate at DRG | 13.34 |
| Unplanned Readmission Rate with ICD F325 - Major depressive disorder, single episode, in full remission | NA |
| Total Medicare payments at DRG | $9,312,828,663 |
| Total Medicare payments with ICD F325 - Major depressive disorder, single episode, in full remission | $906,491 |
| Total Medicare payment per Day at DRG | $713 |
| Total Medicare payment per Day with ICD F325 - Major depressive disorder, single episode, in full remission | $895 |
| Total Medicare payment per Hospitalization at DRG | $8,460 |
| Total Medicare payment per Hospitalization with ICD F325 - Major depressive disorder, single episode, in full remission | $10,185 |
| Total Medicare Charges at DRG | $32,341,464,302 |
| Total Medicare Charges with ICD F325 - Major depressive disorder, single episode, in full remission | $2,963,781 |
| Avg Charges at DRG | $29,378 |
| Avg Charges with ICD F325 - Major depressive disorder, single episode, in full remission | $33,301 |
| Mortality Rate at DRG | 0.04 |
| Mortality Rate with ICD F325 - Major depressive disorder, single episode, in full remission | NA |
| SNF Discharge Rate at DRG | 5.83 |
| SNF Discharge Rate with ICD F325 - Major depressive disorder, single episode, in full remission | NA |
| Home Discharge Rate at DRG | 79.47 |
| Home Discharge Rate with ICD F325 - Major depressive disorder, single episode, in full remission | 85.39 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MCLEAN HOSPITAL | 115 MILL ST | BELMONT | MA | 02478 | 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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD F325 - Major depressive disorder, single episode, in full remission | 552 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD F325 - Major depressive disorder, single episode, in full remission in DRG | 9.36 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD F325 - Major depressive disorder, single episode, in full remission | 2.33 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD F325 - Major depressive disorder, single episode, in full remission | 6.28 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD F325 - Major depressive disorder, single episode, in full remission | 2.59 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD F325 - Major depressive disorder, single episode, in full remission | $6,317,093 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD F325 - Major depressive disorder, single episode, in full remission | $4,912 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD F325 - Major depressive disorder, single episode, in full remission | $11,444 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD F325 - Major depressive disorder, single episode, in full remission | $31,625,602 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD F325 - Major depressive disorder, single episode, in full remission | $57,293 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD F325 - Major depressive disorder, single episode, in full remission | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD F325 - Major depressive disorder, single episode, in full remission | 20.65 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD F325 - Major depressive disorder, single episode, in full remission | 27.72 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS 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) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 483: MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD F325 - Major depressive disorder, single episode, in full remission | 106 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD F325 - Major depressive disorder, single episode, in full remission in DRG | 1.8 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD F325 - Major depressive disorder, single episode, in full remission | 3.75 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD F325 - Major depressive disorder, single episode, in full remission | 15.53 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD F325 - Major depressive disorder, single episode, in full remission | 14.56 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD F325 - Major depressive disorder, single episode, in full remission | $697,804 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD F325 - Major depressive disorder, single episode, in full remission | $1,758 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD F325 - Major depressive disorder, single episode, in full remission | $6,583 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD F325 - Major depressive disorder, single episode, in full remission | $3,044,654 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD F325 - Major depressive disorder, single episode, in full remission | $28,723 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD F325 - Major depressive disorder, single episode, in full remission | NA | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD F325 - Major depressive disorder, single episode, in full remission | 21.7 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD F325 - Major depressive disorder, single episode, in full remission | 51.89 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 408,103 | ||||
| Total Hospitalizations with ICD F325 - Major depressive disorder, single episode, in full remission | 76 | ||||
| DRG Share of Total Hospitalizations | 1.24 | ||||
| % of Total ICD F325 - Major depressive disorder, single episode, in full remission in DRG | 1.29 | ||||
| Avg LOS at DRG | 3.52 | ||||
| Avg LOS with ICD F325 - Major depressive disorder, single episode, in full remission | 2.76 | ||||
| Readmission Rate at DRG | 17.83 | ||||
| Readmission Rate with ICD F325 - Major depressive disorder, single episode, in full remission | 21.92 | ||||
| Unplanned Readmission Rate at DRG | 13.81 | ||||
| Unplanned Readmission Rate with ICD F325 - Major depressive disorder, single episode, in full remission | 17.81 | ||||
| Total Medicare payments at DRG | $2,416,862,532 | ||||
| Total Medicare payments with ICD F325 - Major depressive disorder, single episode, in full remission | $441,452 | ||||
| Total Medicare payment per Day at DRG | $1,682 | ||||
| Total Medicare payment per Day with ICD F325 - Major depressive disorder, single episode, in full remission | $2,102 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
| Total Medicare payment per Hospitalization with ICD F325 - Major depressive disorder, single episode, in full remission | $5,809 | ||||
| Total Medicare Charges at DRG | $13,267,744,847 | ||||
| Total Medicare Charges with ICD F325 - Major depressive disorder, single episode, in full remission | $2,140,923 | ||||
| Avg Charges at DRG | $32,511 | ||||
| Avg Charges with ICD F325 - Major depressive disorder, single episode, in full remission | $28,170 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD F325 - Major depressive disorder, single episode, in full remission | NA | ||||
| SNF Discharge Rate at DRG | 14.1 | ||||
| SNF Discharge Rate with ICD F325 - Major depressive disorder, single episode, in full remission | NA | ||||
| Home Discharge Rate at DRG | 62.97 | ||||
| Home Discharge Rate with ICD F325 - Major depressive disorder, single episode, in full remission | 65.79 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 215,355 | ||||
| Total Hospitalizations with ICD F325 - Major depressive disorder, single episode, in full remission | 65 | ||||
| DRG Share of Total Hospitalizations | 0.66 | ||||
| % of Total ICD F325 - Major depressive disorder, single episode, in full remission in DRG | 1.1 | ||||
| Avg LOS at DRG | 3.28 | ||||
| Avg LOS with ICD F325 - Major depressive disorder, single episode, in full remission | 3.05 | ||||
| Readmission Rate at DRG | 16.7 | ||||
| Readmission Rate with ICD F325 - Major depressive disorder, single episode, in full remission | NA | ||||
| Unplanned Readmission Rate at DRG | 4.47 | ||||
| Unplanned Readmission Rate with ICD F325 - Major depressive disorder, single episode, in full remission | NA | ||||
| Total Medicare payments at DRG | $5,278,830,730 | ||||
| Total Medicare payments with ICD F325 - Major depressive disorder, single episode, in full remission | $1,615,001 | ||||
| Total Medicare payment per Day at DRG | $7,462 | ||||
| Total Medicare payment per Day with ICD F325 - Major depressive disorder, single episode, in full remission | $8,157 | ||||
| Total Medicare payment per Hospitalization at DRG | $24,512 | ||||
| Total Medicare payment per Hospitalization with ICD F325 - Major depressive disorder, single episode, in full remission | $24,846 | ||||
| Total Medicare Charges at DRG | $25,567,888,167 | ||||
| Total Medicare Charges with ICD F325 - Major depressive disorder, single episode, in full remission | $7,521,528 | ||||
| Avg Charges at DRG | $118,724 | ||||
| Avg Charges with ICD F325 - Major depressive disorder, single episode, in full remission | $115,716 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD F325 - Major depressive disorder, single episode, in full remission | NA | ||||
| SNF Discharge Rate at DRG | 15.71 | ||||
| SNF Discharge Rate with ICD F325 - Major depressive disorder, single episode, in full remission | 20.0 | ||||
| Home Discharge Rate at DRG | 51.89 | ||||
| Home Discharge Rate with ICD F325 - Major depressive disorder, single episode, in full remission | 46.15 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| HOAG MEMORIAL HOSPITAL PRESBYTERIAN | ONE HOAG DRIVE | NEWPORT BEACH | CA | 92663 | 359 |
| HOAG ORTHOPEDIC INSTITUTE | 16250 SAND CANYON AVENUE | IRVINE | CA | 92618 | 246 |
| BILLINGS CLINIC HOSPITAL | 2800 10TH AVE N | BILLINGS | MT | 59101 | 114 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. STEVEN L BARNETT | 280 S MAIN ST | ORANGE | CA | 92868 | 36 |
| Dr. JAY PATEL | 535 E 70TH ST | NEW YORK | NY | 10021 | 32 |
| Dr. EWA KONTNY | 16200 SAND CANYON AVE | IRVINE | CA | 92618 | 26 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. STEVEN L BARNETT | 280 S MAIN ST | ORANGE | CA | 92868 | 36 |
| Dr. JAY PATEL | 535 E 70TH ST | NEW YORK | NY | 10021 | 32 |
| Dr. EWA KONTNY | 16200 SAND CANYON AVE | IRVINE | CA | 92618 | 32 |