*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| F4312 - Post-traumatic stress disorder, chronic - as a primary diagnosis code | F4312 - Post-traumatic stress disorder, chronic - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.42 | |
| Readmission Rate (%) | 25.66 | |
| Unplanned Readmission Rate (%) | 8.27 | |
| 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 882: NEUROSES EXCEPT DEPRESSIVE | |
|---|---|
| Total Hospitalizations at DRG | 22,451 |
| Total Hospitalizations with ICD F4312 - Post-traumatic stress disorder, chronic | 1,941 |
| DRG Share of Total Hospitalizations | 0.07 |
| % of Total ICD F4312 - Post-traumatic stress disorder, chronic in DRG | 99.9 |
| Avg LOS at DRG | 7.27 |
| Avg LOS with ICD F4312 - Post-traumatic stress disorder, chronic | 11.56 |
| Readmission Rate at DRG | 20.53 |
| Readmission Rate with ICD F4312 - Post-traumatic stress disorder, chronic | 18.35 |
| Unplanned Readmission Rate at DRG | 10.81 |
| Unplanned Readmission Rate with ICD F4312 - Post-traumatic stress disorder, chronic | 8.22 |
| Total Medicare payments at DRG | $122,713,938 |
| Total Medicare payments with ICD F4312 - Post-traumatic stress disorder, chronic | $15,753,635 |
| Total Medicare payment per Day at DRG | $751 |
| Total Medicare payment per Day with ICD F4312 - Post-traumatic stress disorder, chronic | $702 |
| Total Medicare payment per Hospitalization at DRG | $5,466 |
| Total Medicare payment per Hospitalization with ICD F4312 - Post-traumatic stress disorder, chronic | $8,116 |
| Total Medicare Charges at DRG | $442,340,377 |
| Total Medicare Charges with ICD F4312 - Post-traumatic stress disorder, chronic | $42,479,163 |
| Avg Charges at DRG | $19,702 |
| Avg Charges with ICD F4312 - Post-traumatic stress disorder, chronic | $21,885 |
| Mortality Rate at DRG | NA |
| Mortality Rate with ICD F4312 - Post-traumatic stress disorder, chronic | NA |
| SNF Discharge Rate at DRG | 3.92 |
| SNF Discharge Rate with ICD F4312 - Post-traumatic stress disorder, chronic | NA |
| Home Discharge Rate at DRG | 84.46 |
| Home Discharge Rate with ICD F4312 - Post-traumatic stress disorder, chronic | 92.32 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| TURNING POINT HOSPITAL | 3015 VETERANS PKWY S | MOULTRIE | GA | 31788 | 595 |
| WILLOUGH AT NAPLES | 9001 TAMIAMI TRL E | NAPLES | FL | 34113 | 79 |
| NEW HAMPSHIRE HOSPITAL | 36 CLINTON ST | CONCORD | NH | 03301 | 65 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 19 |
| Dr. ADAM ROBERT ROSEN | 620 KIRKLAND WAY | KIRKLAND | WA | 98033 | 15 |
| Dr. LJILJANA MARKOVIC | 25 MARSHALL STREET | NORTH ADAMS | MA | 01247 | 14 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 559 |
| Dr. NORMA HENRIQUEZ | 9941 SAINT MORITZ DR | MIROMAR LAKES | FL | 33913 | 39 |
| Dr. JAMES DARIN DRURY | 401 OLD ALBANY RD | THOMASVILLE | GA | 31792 | 36 |
*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 882: NEUROSES EXCEPT DEPRESSIVE | DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 895: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | DRG 881: DEPRESSIVE NEUROSES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD F4312 - Post-traumatic stress disorder, chronic | 13,757 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD F4312 - Post-traumatic stress disorder, chronic in DRG | 41.14 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD F4312 - Post-traumatic stress disorder, chronic | 10.11 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD F4312 - Post-traumatic stress disorder, chronic | 25.99 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD F4312 - Post-traumatic stress disorder, chronic | 11.03 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD F4312 - Post-traumatic stress disorder, chronic | $99,501,677 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD F4312 - Post-traumatic stress disorder, chronic | $716 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD F4312 - Post-traumatic stress disorder, chronic | $7,233 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD F4312 - Post-traumatic stress disorder, chronic | $333,686,038 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD F4312 - Post-traumatic stress disorder, chronic | $24,256 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD F4312 - Post-traumatic stress disorder, chronic | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD F4312 - Post-traumatic stress disorder, chronic | 1.53 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD F4312 - Post-traumatic stress disorder, chronic | 88.64 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 918: POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 883: DISORDERS OF PERSONALITY AND IMPULSE CONTROL | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD F4312 - Post-traumatic stress disorder, chronic | 523 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD F4312 - Post-traumatic stress disorder, chronic in DRG | 1.56 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD F4312 - Post-traumatic stress disorder, chronic | 6.41 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD F4312 - Post-traumatic stress disorder, chronic | 26.97 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD F4312 - Post-traumatic stress disorder, chronic | 21.35 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD F4312 - Post-traumatic stress disorder, chronic | $6,148,297 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD F4312 - Post-traumatic stress disorder, chronic | $1,835 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD F4312 - Post-traumatic stress disorder, chronic | $11,756 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD F4312 - Post-traumatic stress disorder, chronic | $30,355,769 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD F4312 - Post-traumatic stress disorder, chronic | $58,042 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD F4312 - Post-traumatic stress disorder, chronic | 5.35 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD F4312 - Post-traumatic stress disorder, chronic | 22.18 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD F4312 - Post-traumatic stress disorder, chronic | 41.11 |
*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 917: POISONING AND TOXIC EFFECTS OF DRUGS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 880: ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD F4312 - Post-traumatic stress disorder, chronic | 313 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD F4312 - Post-traumatic stress disorder, chronic in DRG | 0.94 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD F4312 - Post-traumatic stress disorder, chronic | 3.33 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD F4312 - Post-traumatic stress disorder, chronic | 25.09 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD F4312 - Post-traumatic stress disorder, chronic | 15.46 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD F4312 - Post-traumatic stress disorder, chronic | $1,421,028 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD F4312 - Post-traumatic stress disorder, chronic | $1,364 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD F4312 - Post-traumatic stress disorder, chronic | $4,540 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD F4312 - Post-traumatic stress disorder, chronic | $8,095,475 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD F4312 - Post-traumatic stress disorder, chronic | $25,864 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD F4312 - Post-traumatic stress disorder, chronic | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD F4312 - Post-traumatic stress disorder, chronic | 3.51 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD F4312 - Post-traumatic stress disorder, chronic | 77.0 |
*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 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 884: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | DRG 101: SEIZURES 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 | 1,013,774 | ||||
| Total Hospitalizations with ICD F4312 - Post-traumatic stress disorder, chronic | 210 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD F4312 - Post-traumatic stress disorder, chronic in DRG | 0.63 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD F4312 - Post-traumatic stress disorder, chronic | 5.61 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD F4312 - Post-traumatic stress disorder, chronic | 35.98 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD F4312 - Post-traumatic stress disorder, chronic | 28.57 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD F4312 - Post-traumatic stress disorder, chronic | $2,009,114 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD F4312 - Post-traumatic stress disorder, chronic | $1,706 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD F4312 - Post-traumatic stress disorder, chronic | $9,567 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD F4312 - Post-traumatic stress disorder, chronic | $9,742,426 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD F4312 - Post-traumatic stress disorder, chronic | $46,393 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD F4312 - Post-traumatic stress disorder, chronic | NA | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD F4312 - Post-traumatic stress disorder, chronic | 20.48 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD F4312 - Post-traumatic stress disorder, chronic | 40.95 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| TURNING POINT HOSPITAL | 3015 VETERANS PKWY S | MOULTRIE | GA | 31788 | 1,784 |
| CEDAR HILLS HOSPITAL | 10300 SW EASTRIDGE ST | BEAVERTON | OR | 97225 | 518 |
| WESTWOOD LODGE HOSPITAL | 45 CLAPBOARDTREE ST | WESTWOOD | MA | 02090 | 365 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 950 |
| Dr. GREGORY DALE SMITH | 2412 RING RD | ELIZABETHTOWN | KY | 42701 | 98 |
| Dr. MARK E BLAIR | 7625 HOSPITAL DR | DUBLIN | OH | 43016 | 72 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 1,537 |
| Dr. JAMES DARIN DRURY | 401 OLD ALBANY RD | THOMASVILLE | GA | 31792 | 243 |
| Dr. LEONARD A LADO | 9776 Bonita Beach Rd. SE Ste 202B | BONITA SPRINGS | FL | 34135 | 176 |