*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| F459 - Somatoform disorder, unspecified - as a primary diagnosis code | F459 - Somatoform disorder, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.15 | |
| Readmission Rate (%) | 26.03 | |
| Unplanned Readmission Rate (%) | 14.56 | |
| 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 F459 - Somatoform disorder, unspecified | 434 |
| DRG Share of Total Hospitalizations | 0.07 |
| % of Total ICD F459 - Somatoform disorder, unspecified in DRG | 99.31 |
| Avg LOS at DRG | 7.27 |
| Avg LOS with ICD F459 - Somatoform disorder, unspecified | 4.57 |
| Readmission Rate at DRG | 20.53 |
| Readmission Rate with ICD F459 - Somatoform disorder, unspecified | 24.76 |
| Unplanned Readmission Rate at DRG | 10.81 |
| Unplanned Readmission Rate with ICD F459 - Somatoform disorder, unspecified | 14.42 |
| Total Medicare payments at DRG | $122,713,938 |
| Total Medicare payments with ICD F459 - Somatoform disorder, unspecified | $2,140,706 |
| Total Medicare payment per Day at DRG | $751 |
| Total Medicare payment per Day with ICD F459 - Somatoform disorder, unspecified | $1,080 |
| Total Medicare payment per Hospitalization at DRG | $5,466 |
| Total Medicare payment per Hospitalization with ICD F459 - Somatoform disorder, unspecified | $4,933 |
| Total Medicare Charges at DRG | $442,340,377 |
| Total Medicare Charges with ICD F459 - Somatoform disorder, unspecified | $13,744,593 |
| Avg Charges at DRG | $19,702 |
| Avg Charges with ICD F459 - Somatoform disorder, unspecified | $31,670 |
| Mortality Rate at DRG | NA |
| Mortality Rate with ICD F459 - Somatoform disorder, unspecified | NA |
| SNF Discharge Rate at DRG | 3.92 |
| SNF Discharge Rate with ICD F459 - Somatoform disorder, unspecified | 11.52 |
| Home Discharge Rate at DRG | 84.46 |
| Home Discharge Rate with ICD F459 - Somatoform disorder, unspecified | 63.36 |
*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 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 880: ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | DRG 881: DEPRESSIVE NEUROSES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD F459 - Somatoform disorder, unspecified | 1,291 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD F459 - Somatoform disorder, unspecified in DRG | 23.47 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD F459 - Somatoform disorder, unspecified | 13.43 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD F459 - Somatoform disorder, unspecified | 24.09 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD F459 - Somatoform disorder, unspecified | 14.02 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD F459 - Somatoform disorder, unspecified | $13,731,980 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD F459 - Somatoform disorder, unspecified | $792 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD F459 - Somatoform disorder, unspecified | $10,637 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD F459 - Somatoform disorder, unspecified | $50,950,613 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD F459 - Somatoform disorder, unspecified | $39,466 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD F459 - Somatoform disorder, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD F459 - Somatoform disorder, unspecified | 5.81 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD F459 - Somatoform disorder, unspecified | 79.4 |
*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 103: HEADACHES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 101: SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 359,935 | ||||
| Total Hospitalizations with ICD F459 - Somatoform disorder, unspecified | 116 | ||||
| DRG Share of Total Hospitalizations | 1.1 | ||||
| % of Total ICD F459 - Somatoform disorder, unspecified in DRG | 2.11 | ||||
| Avg LOS at DRG | 12.3 | ||||
| Avg LOS with ICD F459 - Somatoform disorder, unspecified | 8.97 | ||||
| Readmission Rate at DRG | 16.01 | ||||
| Readmission Rate with ICD F459 - Somatoform disorder, unspecified | 18.02 | ||||
| Unplanned Readmission Rate at DRG | 9.86 | ||||
| Unplanned Readmission Rate with ICD F459 - Somatoform disorder, unspecified | 13.51 | ||||
| Total Medicare payments at DRG | $5,883,826,653 | ||||
| Total Medicare payments with ICD F459 - Somatoform disorder, unspecified | $1,436,690 | ||||
| Total Medicare payment per Day at DRG | $1,329 | ||||
| Total Medicare payment per Day with ICD F459 - Somatoform disorder, unspecified | $1,381 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
| Total Medicare payment per Hospitalization with ICD F459 - Somatoform disorder, unspecified | $12,385 | ||||
| Total Medicare Charges at DRG | $15,374,824,749 | ||||
| Total Medicare Charges with ICD F459 - Somatoform disorder, unspecified | $4,927,212 | ||||
| Avg Charges at DRG | $42,716 | ||||
| Avg Charges with ICD F459 - Somatoform disorder, unspecified | $42,476 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD F459 - Somatoform disorder, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 27.95 | ||||
| SNF Discharge Rate with ICD F459 - Somatoform disorder, unspecified | 24.14 | ||||
| Home Discharge Rate at DRG | 26.85 | ||||
| Home Discharge Rate with ICD F459 - Somatoform disorder, unspecified | 31.03 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 313: CHEST PAIN | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 180,138 | ||||
| Total Hospitalizations with ICD F459 - Somatoform disorder, unspecified | 71 | ||||
| DRG Share of Total Hospitalizations | 0.55 | ||||
| % of Total ICD F459 - Somatoform disorder, unspecified in DRG | 1.29 | ||||
| Avg LOS at DRG | 1.91 | ||||
| Avg LOS with ICD F459 - Somatoform disorder, unspecified | 3.44 | ||||
| Readmission Rate at DRG | 16.98 | ||||
| Readmission Rate with ICD F459 - Somatoform disorder, unspecified | 28.57 | ||||
| Unplanned Readmission Rate at DRG | 12.86 | ||||
| Unplanned Readmission Rate with ICD F459 - Somatoform disorder, unspecified | 26.98 | ||||
| Total Medicare payments at DRG | $645,443,207 | ||||
| Total Medicare payments with ICD F459 - Somatoform disorder, unspecified | $347,892 | ||||
| Total Medicare payment per Day at DRG | $1,876 | ||||
| Total Medicare payment per Day with ICD F459 - Somatoform disorder, unspecified | $1,426 | ||||
| Total Medicare payment per Hospitalization at DRG | $3,583 | ||||
| Total Medicare payment per Hospitalization with ICD F459 - Somatoform disorder, unspecified | $4,900 | ||||
| Total Medicare Charges at DRG | $4,502,159,305 | ||||
| Total Medicare Charges with ICD F459 - Somatoform disorder, unspecified | $2,924,267 | ||||
| Avg Charges at DRG | $24,993 | ||||
| Avg Charges with ICD F459 - Somatoform disorder, unspecified | $41,187 | ||||
| Mortality Rate at DRG | 0.13 | ||||
| Mortality Rate with ICD F459 - Somatoform disorder, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 7.73 | ||||
| SNF Discharge Rate with ICD F459 - Somatoform disorder, unspecified | NA | ||||
| Home Discharge Rate at DRG | 72.82 | ||||
| Home Discharge Rate with ICD F459 - Somatoform disorder, unspecified | 61.97 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 883: DISORDERS OF PERSONALITY AND IMPULSE CONTROL | DRG 312: SYNCOPE AND COLLAPSE | DRG 884: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 188,863 | ||||
| Total Hospitalizations with ICD F459 - Somatoform disorder, unspecified | 62 | ||||
| DRG Share of Total Hospitalizations | 0.57 | ||||
| % of Total ICD F459 - Somatoform disorder, unspecified in DRG | 1.13 | ||||
| Avg LOS at DRG | 11.75 | ||||
| Avg LOS with ICD F459 - Somatoform disorder, unspecified | 11.45 | ||||
| Readmission Rate at DRG | 12.14 | ||||
| Readmission Rate with ICD F459 - Somatoform disorder, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 7.97 | ||||
| Unplanned Readmission Rate with ICD F459 - Somatoform disorder, unspecified | NA | ||||
| Total Medicare payments at DRG | $3,216,901,374 | ||||
| Total Medicare payments with ICD F459 - Somatoform disorder, unspecified | $1,056,089 | ||||
| Total Medicare payment per Day at DRG | $1,450 | ||||
| Total Medicare payment per Day with ICD F459 - Somatoform disorder, unspecified | $1,487 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,033 | ||||
| Total Medicare payment per Hospitalization with ICD F459 - Somatoform disorder, unspecified | $17,034 | ||||
| Total Medicare Charges at DRG | $7,709,712,645 | ||||
| Total Medicare Charges with ICD F459 - Somatoform disorder, unspecified | $2,708,091 | ||||
| Avg Charges at DRG | $40,822 | ||||
| Avg Charges with ICD F459 - Somatoform disorder, unspecified | $43,679 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD F459 - Somatoform disorder, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 19.54 | ||||
| SNF Discharge Rate with ICD F459 - Somatoform disorder, unspecified | 17.74 | ||||
| Home Discharge Rate at DRG | 19.47 | ||||
| Home Discharge Rate with ICD F459 - Somatoform disorder, unspecified | 24.19 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| HUNT REGIONAL MEDICAL CENTER | 4215 JOE RAMSEY BLVD | GREENVILLE | TX | 75401 | 96 |
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 55 |
| BAYSTATE MEDICAL CENTER | 759 CHESTNUT ST | SPRINGFIELD | MA | 01199 | 42 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. AMIRPASHA EHSAN | 5901 E 7TH ST | LONG BEACH | CA | 90822 | 18 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. WILLIAM WINN | 4215 JOE RAMSEY BLVD E | GREENVILLE | TX | 75401 | 95 |
| Dr. DIEUMY THAI | 16401 MAGNOLIA ST | WESTMINSTER | CA | 92683 | 33 |
| Dr. JANICE WILSON HOLLIER | 1002 HIGHLAND AVE | SHREVEPORT | LA | 71101 | 25 |