*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| F39 - Unspecified mood [affective] disorder - as a primary diagnosis code | F39 - Unspecified mood [affective] disorder - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.45 | |
| Readmission Rate (%) | 25.64 | |
| Unplanned Readmission Rate (%) | 14.06 | |
| 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 F39 - Unspecified mood [affective] disorder | 19,801 | |
| DRG Share of Total Hospitalizations | 3.35 | |
| % of Total ICD F39 - Unspecified mood [affective] disorder in DRG | 99.85 | |
| Avg LOS at DRG | 11.86 | |
| Avg LOS with ICD F39 - Unspecified mood [affective] disorder | 8.29 | |
| Readmission Rate at DRG | 27.58 | |
| Readmission Rate with ICD F39 - Unspecified mood [affective] disorder | 26.33 | |
| Unplanned Readmission Rate at DRG | 13.34 | |
| Unplanned Readmission Rate with ICD F39 - Unspecified mood [affective] disorder | 14.05 | |
| Total Medicare payments at DRG | $9,312,828,663 | |
| Total Medicare payments with ICD F39 - Unspecified mood [affective] disorder | $127,437,491 | |
| Total Medicare payment per Day at DRG | $713 | |
| Total Medicare payment per Day with ICD F39 - Unspecified mood [affective] disorder | $776 | |
| Total Medicare payment per Hospitalization at DRG | $8,460 | |
| Total Medicare payment per Hospitalization with ICD F39 - Unspecified mood [affective] disorder | $6,436 | |
| Total Medicare Charges at DRG | $32,341,464,302 | |
| Total Medicare Charges with ICD F39 - Unspecified mood [affective] disorder | $417,631,421 | |
| Avg Charges at DRG | $29,378 | |
| Avg Charges with ICD F39 - Unspecified mood [affective] disorder | $21,091 | |
| Mortality Rate at DRG | 0.04 | |
| Mortality Rate with ICD F39 - Unspecified mood [affective] disorder | NA | |
| SNF Discharge Rate at DRG | 5.83 | |
| SNF Discharge Rate with ICD F39 - Unspecified mood [affective] disorder | 6.26 | |
| Home Discharge Rate at DRG | 79.47 | |
| Home Discharge Rate with ICD F39 - Unspecified mood [affective] disorder | 79.42 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| WHITTIER PAVILLION | 76 SUMMER ST | HAVERHILL | MA | 01830 | 450 |
| BOURNEWOOD HOSPITAL | 300 SOUTH ST | BROOKLINE | MA | 02467 | 222 |
| DOCTORS BEHAVIORAL HEALTH CENTER | 1501 CLAUS RD | MODESTO | CA | 95355 | 220 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ADAM ROBERT ROSEN | 620 KIRKLAND WAY | KIRKLAND | WA | 98033 | 76 |
| Dr. LJILJANA MARKOVIC | 25 MARSHALL STREET | NORTH ADAMS | MA | 01247 | 68 |
| Dr. CHARLES BROOK BENSENHAVER, III | 3430 NEWBURG RD | LOUISVILLE | KY | 40218 | 22 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ALEXANDER LIPIN | 25 HIGHLAND AVE. | NEWBURYPORT | MA | 01950 | 156 |
| Dr. PAUL KENNETH GROSS | 401 N 17TH STREET | ALLENTOWN | PA | 18104 | 106 |
| Dr. ADAM ROBERT ROSEN | 620 KIRKLAND WAY | KIRKLAND | WA | 98033 | 105 |
*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 884: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | 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 F39 - Unspecified mood [affective] disorder | 28,827 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD F39 - Unspecified mood [affective] disorder in DRG | 21.65 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD F39 - Unspecified mood [affective] disorder | 9.24 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD F39 - Unspecified mood [affective] disorder | 26.85 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD F39 - Unspecified mood [affective] disorder | 14.34 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD F39 - Unspecified mood [affective] disorder | $206,948,332 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD F39 - Unspecified mood [affective] disorder | $777 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD F39 - Unspecified mood [affective] disorder | $7,179 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD F39 - Unspecified mood [affective] disorder | $708,087,696 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD F39 - Unspecified mood [affective] disorder | $24,563 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD F39 - Unspecified mood [affective] disorder | 0.05 | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD F39 - Unspecified mood [affective] disorder | 7.17 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD F39 - Unspecified mood [affective] disorder | 77.54 |
*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 291: HEART FAILURE AND SHOCK WITH 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 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD F39 - Unspecified mood [affective] disorder | 2,451 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD F39 - Unspecified mood [affective] disorder in DRG | 1.84 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD F39 - Unspecified mood [affective] disorder | 2.93 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD F39 - Unspecified mood [affective] disorder | 13.76 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD F39 - Unspecified mood [affective] disorder | 5.01 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD F39 - Unspecified mood [affective] disorder | $29,264,767 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD F39 - Unspecified mood [affective] disorder | $4,071 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD F39 - Unspecified mood [affective] disorder | $11,940 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD F39 - Unspecified mood [affective] disorder | $157,298,164 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD F39 - Unspecified mood [affective] disorder | $64,177 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD F39 - Unspecified mood [affective] disorder | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD F39 - Unspecified mood [affective] disorder | 30.97 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD F39 - Unspecified mood [affective] disorder | 22.32 |
*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 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 101: SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD F39 - Unspecified mood [affective] disorder | 1,586 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD F39 - Unspecified mood [affective] disorder in DRG | 1.19 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD F39 - Unspecified mood [affective] disorder | 3.45 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD F39 - Unspecified mood [affective] disorder | 20.47 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD F39 - Unspecified mood [affective] disorder | 16.04 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD F39 - Unspecified mood [affective] disorder | $7,120,276 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD F39 - Unspecified mood [affective] disorder | $1,303 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD F39 - Unspecified mood [affective] disorder | $4,489 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD F39 - Unspecified mood [affective] disorder | $46,511,474 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD F39 - Unspecified mood [affective] disorder | $29,326 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD F39 - Unspecified mood [affective] disorder | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD F39 - Unspecified mood [affective] disorder | 11.22 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD F39 - Unspecified mood [affective] disorder | 68.85 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 270,209 | ||||
| Total Hospitalizations with ICD F39 - Unspecified mood [affective] disorder | 1,228 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD F39 - Unspecified mood [affective] disorder in DRG | 0.92 | ||||
| Avg LOS at DRG | 4.84 | ||||
| Avg LOS with ICD F39 - Unspecified mood [affective] disorder | 6.13 | ||||
| Readmission Rate at DRG | 22.35 | ||||
| Readmission Rate with ICD F39 - Unspecified mood [affective] disorder | 25.28 | ||||
| Unplanned Readmission Rate at DRG | 16.33 | ||||
| Unplanned Readmission Rate with ICD F39 - Unspecified mood [affective] disorder | 18.25 | ||||
| Total Medicare payments at DRG | $1,824,333,389 | ||||
| Total Medicare payments with ICD F39 - Unspecified mood [affective] disorder | $8,170,404 | ||||
| Total Medicare payment per Day at DRG | $1,395 | ||||
| Total Medicare payment per Day with ICD F39 - Unspecified mood [affective] disorder | $1,085 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,752 | ||||
| Total Medicare payment per Hospitalization with ICD F39 - Unspecified mood [affective] disorder | $6,653 | ||||
| Total Medicare Charges at DRG | $9,128,673,695 | ||||
| Total Medicare Charges with ICD F39 - Unspecified mood [affective] disorder | $45,073,341 | ||||
| Avg Charges at DRG | $33,784 | ||||
| Avg Charges with ICD F39 - Unspecified mood [affective] disorder | $36,705 | ||||
| Mortality Rate at DRG | 1.32 | ||||
| Mortality Rate with ICD F39 - Unspecified mood [affective] disorder | 0.98 | ||||
| SNF Discharge Rate at DRG | 39.0 | ||||
| SNF Discharge Rate with ICD F39 - Unspecified mood [affective] disorder | 45.85 | ||||
| Home Discharge Rate at DRG | 24.73 | ||||
| Home Discharge Rate with ICD F39 - Unspecified mood [affective] disorder | 20.68 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MCLAREN BAY REGION | 1900 COLUMBUS AVE | BAY CITY | MI | 48708 | 1,082 |
| BAYLOR UNIVERSITY MEDICAL CENTER | 3500 GASTON AVE | DALLAS | TX | 75246 | 1,007 |
| NORTH FLORIDA REGIONAL MEDICAL CENTER | 6500 W NEWBERRY RD | GAINESVILLE | FL | 32605 | 627 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. LJILJANA MARKOVIC | 25 MARSHALL STREET | NORTH ADAMS | MA | 01247 | 111 |
| Dr. ADAM ROBERT ROSEN | 620 KIRKLAND WAY | KIRKLAND | WA | 98033 | 108 |
| Dr. EUGENE KARPUS | 20251 VENTURA BLVD | WOODLAND HILLS | CA | 91364 | 107 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. WILLIAM BURTON ORR | 720 MAIN ST STE 204 | MENDOTA HTS | MN | 55118 | 517 |
| Dr. RASHID IQBAL | 669 S VAN DYKE RD | BAD AXE | MI | 48413 | 429 |
| Dr. TERRY T JORDAN | 5000 HWY 39 NORTH | MERIDIAN | MS | 39301 | 254 |