*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| F439 - Reaction to severe stress, unspecified - as a primary diagnosis code | F439 - Reaction to severe stress, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.82 | |
| Readmission Rate (%) | 21.26 | |
| Unplanned Readmission Rate (%) | 7.2 | |
| 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 F439 - Reaction to severe stress, unspecified | 258 |
| DRG Share of Total Hospitalizations | 0.07 |
| % of Total ICD F439 - Reaction to severe stress, unspecified in DRG | 99.23 |
| Avg LOS at DRG | 7.27 |
| Avg LOS with ICD F439 - Reaction to severe stress, unspecified | 2.62 |
| Readmission Rate at DRG | 20.53 |
| Readmission Rate with ICD F439 - Reaction to severe stress, unspecified | 14.11 |
| Unplanned Readmission Rate at DRG | 10.81 |
| Unplanned Readmission Rate with ICD F439 - Reaction to severe stress, unspecified | 7.26 |
| Total Medicare payments at DRG | $122,713,938 |
| Total Medicare payments with ICD F439 - Reaction to severe stress, unspecified | $1,024,006 |
| Total Medicare payment per Day at DRG | $751 |
| Total Medicare payment per Day with ICD F439 - Reaction to severe stress, unspecified | $1,517 |
| Total Medicare payment per Hospitalization at DRG | $5,466 |
| Total Medicare payment per Hospitalization with ICD F439 - Reaction to severe stress, unspecified | $3,969 |
| Total Medicare Charges at DRG | $442,340,377 |
| Total Medicare Charges with ICD F439 - Reaction to severe stress, unspecified | $6,530,056 |
| Avg Charges at DRG | $19,702 |
| Avg Charges with ICD F439 - Reaction to severe stress, unspecified | $25,310 |
| Mortality Rate at DRG | NA |
| Mortality Rate with ICD F439 - Reaction to severe stress, unspecified | NA |
| SNF Discharge Rate at DRG | 3.92 |
| SNF Discharge Rate with ICD F439 - Reaction to severe stress, unspecified | 4.26 |
| Home Discharge Rate at DRG | 84.46 |
| Home Discharge Rate with ICD F439 - Reaction to severe stress, unspecified | 80.62 |
*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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 882: NEUROSES EXCEPT DEPRESSIVE | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD F439 - Reaction to severe stress, unspecified | 754 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD F439 - Reaction to severe stress, unspecified in DRG | 6.66 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD F439 - Reaction to severe stress, unspecified | 9.39 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD F439 - Reaction to severe stress, unspecified | 24.76 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD F439 - Reaction to severe stress, unspecified | 13.0 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD F439 - Reaction to severe stress, unspecified | $5,580,086 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD F439 - Reaction to severe stress, unspecified | $788 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD F439 - Reaction to severe stress, unspecified | $7,401 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD F439 - Reaction to severe stress, unspecified | $22,243,441 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD F439 - Reaction to severe stress, unspecified | $29,501 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD F439 - Reaction to severe stress, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD F439 - Reaction to severe stress, unspecified | 3.18 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD F439 - Reaction to severe stress, unspecified | 85.94 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 313: CHEST PAIN | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 880: ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | DRG 219: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION 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 | 180,138 | ||||
| Total Hospitalizations with ICD F439 - Reaction to severe stress, unspecified | 177 | ||||
| DRG Share of Total Hospitalizations | 0.55 | ||||
| % of Total ICD F439 - Reaction to severe stress, unspecified in DRG | 1.56 | ||||
| Avg LOS at DRG | 1.91 | ||||
| Avg LOS with ICD F439 - Reaction to severe stress, unspecified | 1.43 | ||||
| Readmission Rate at DRG | 16.98 | ||||
| Readmission Rate with ICD F439 - Reaction to severe stress, unspecified | 12.8 | ||||
| Unplanned Readmission Rate at DRG | 12.86 | ||||
| Unplanned Readmission Rate with ICD F439 - Reaction to severe stress, unspecified | 7.93 | ||||
| Total Medicare payments at DRG | $645,443,207 | ||||
| Total Medicare payments with ICD F439 - Reaction to severe stress, unspecified | $575,099 | ||||
| Total Medicare payment per Day at DRG | $1,876 | ||||
| Total Medicare payment per Day with ICD F439 - Reaction to severe stress, unspecified | $2,273 | ||||
| Total Medicare payment per Hospitalization at DRG | $3,583 | ||||
| Total Medicare payment per Hospitalization with ICD F439 - Reaction to severe stress, unspecified | $3,249 | ||||
| Total Medicare Charges at DRG | $4,502,159,305 | ||||
| Total Medicare Charges with ICD F439 - Reaction to severe stress, unspecified | $4,029,706 | ||||
| Avg Charges at DRG | $24,993 | ||||
| Avg Charges with ICD F439 - Reaction to severe stress, unspecified | $22,767 | ||||
| Mortality Rate at DRG | 0.13 | ||||
| Mortality Rate with ICD F439 - Reaction to severe stress, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 7.73 | ||||
| SNF Discharge Rate with ICD F439 - Reaction to severe stress, unspecified | NA | ||||
| Home Discharge Rate at DRG | 72.82 | ||||
| Home Discharge Rate with ICD F439 - Reaction to severe stress, unspecified | 83.62 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 220: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 101: SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD F439 - Reaction to severe stress, unspecified | 141 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD F439 - Reaction to severe stress, unspecified in DRG | 1.25 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD F439 - Reaction to severe stress, unspecified | 6.63 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD F439 - Reaction to severe stress, unspecified | 19.84 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD F439 - Reaction to severe stress, unspecified | 15.87 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD F439 - Reaction to severe stress, unspecified | $1,469,693 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD F439 - Reaction to severe stress, unspecified | $1,572 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD F439 - Reaction to severe stress, unspecified | $10,423 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD F439 - Reaction to severe stress, unspecified | $8,617,095 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD F439 - Reaction to severe stress, unspecified | $61,114 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD F439 - Reaction to severe stress, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD F439 - Reaction to severe stress, unspecified | 16.31 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD F439 - Reaction to severe stress, unspecified | 41.84 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 312: SYNCOPE AND COLLAPSE | DRG 305: HYPERTENSION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 359,935 | ||||
| Total Hospitalizations with ICD F439 - Reaction to severe stress, unspecified | 126 | ||||
| DRG Share of Total Hospitalizations | 1.1 | ||||
| % of Total ICD F439 - Reaction to severe stress, unspecified in DRG | 1.11 | ||||
| Avg LOS at DRG | 12.3 | ||||
| Avg LOS with ICD F439 - Reaction to severe stress, unspecified | 13.11 | ||||
| Readmission Rate at DRG | 16.01 | ||||
| Readmission Rate with ICD F439 - Reaction to severe stress, unspecified | 15.13 | ||||
| Unplanned Readmission Rate at DRG | 9.86 | ||||
| Unplanned Readmission Rate with ICD F439 - Reaction to severe stress, unspecified | 10.08 | ||||
| Total Medicare payments at DRG | $5,883,826,653 | ||||
| Total Medicare payments with ICD F439 - Reaction to severe stress, unspecified | $2,095,488 | ||||
| Total Medicare payment per Day at DRG | $1,329 | ||||
| Total Medicare payment per Day with ICD F439 - Reaction to severe stress, unspecified | $1,268 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
| Total Medicare payment per Hospitalization with ICD F439 - Reaction to severe stress, unspecified | $16,631 | ||||
| Total Medicare Charges at DRG | $15,374,824,749 | ||||
| Total Medicare Charges with ICD F439 - Reaction to severe stress, unspecified | $5,593,667 | ||||
| Avg Charges at DRG | $42,716 | ||||
| Avg Charges with ICD F439 - Reaction to severe stress, unspecified | $44,394 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD F439 - Reaction to severe stress, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 27.95 | ||||
| SNF Discharge Rate with ICD F439 - Reaction to severe stress, unspecified | 29.37 | ||||
| Home Discharge Rate at DRG | 26.85 | ||||
| Home Discharge Rate with ICD F439 - Reaction to severe stress, unspecified | 26.19 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UNIVERSITY OF TEXAS MD ANDERSON CANCER CENTER | 1515 HOLCOMBE BLVD | HOUSTON | TX | 77030 | 526 |
| ST.VINCENT HEART CENTER OF INDIANA | 10580 N MERIDIAN ST | INDIANAPOLIS | IN | 46290 | 124 |
| MISSION HOSPITAL | 509 BILTMORE AVE | ASHEVILLE | NC | 28801 | 104 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID A HEIMANSOHN | 10590 N MERIDIAN ST STE 105 | INDIANAPOLIS | IN | 46290 | 44 |
| Dr. STEVEN J WEISS | 3624 MARKET ST | PHILADELPHIA | PA | 19104 | 41 |
| Dr. PETER A WALTS | 8433 HARCOURT RD STE 100 | INDIANAPOLIS | IN | 46260 | 31 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. E DUANE CARMALT | 5620 WILBUR AVE | TARZANA | CA | 91356 | 53 |
| Dr. DAVID A HEIMANSOHN | 10590 N MERIDIAN ST STE 105 | INDIANAPOLIS | IN | 46290 | 45 |
| Dr. STEVEN J WEISS | 3624 MARKET ST | PHILADELPHIA | PA | 19104 | 44 |