*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| F54 - Psychological and behavioral factors associated with disorders or diseases classified elsewhere - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 14.66 | |
| 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 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 101: SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 103: HEADACHES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 310,318 | ||||
| Total Hospitalizations with ICD F54 - Psychological and behavioral factors associated with disorders or diseases classified elsewhere | 177 | ||||
| DRG Share of Total Hospitalizations | 0.94 | ||||
| % of Total ICD F54 - Psychological and behavioral factors associated with disorders or diseases classified elsewhere in DRG | 8.93 | ||||
| Avg LOS at DRG | 3.19 | ||||
| Avg LOS with ICD F54 - Psychological and behavioral factors associated with disorders or diseases classified elsewhere | 3.98 | ||||
| Readmission Rate at DRG | 20.19 | ||||
| Readmission Rate with ICD F54 - Psychological and behavioral factors associated with disorders or diseases classified elsewhere | 30.06 | ||||
| Unplanned Readmission Rate at DRG | 13.62 | ||||
| Unplanned Readmission Rate with ICD F54 - Psychological and behavioral factors associated with disorders or diseases classified elsewhere | 18.4 | ||||
| Total Medicare payments at DRG | $1,415,392,709 | ||||
| Total Medicare payments with ICD F54 - Psychological and behavioral factors associated with disorders or diseases classified elsewhere | $901,166 | ||||
| Total Medicare payment per Day at DRG | $1,431 | ||||
| Total Medicare payment per Day with ICD F54 - Psychological and behavioral factors associated with disorders or diseases classified elsewhere | $1,280 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,561 | ||||
| Total Medicare payment per Hospitalization with ICD F54 - Psychological and behavioral factors associated with disorders or diseases classified elsewhere | $5,091 | ||||
| Total Medicare Charges at DRG | $7,113,640,596 | ||||
| Total Medicare Charges with ICD F54 - Psychological and behavioral factors associated with disorders or diseases classified elsewhere | $4,546,736 | ||||
| Avg Charges at DRG | $22,924 | ||||
| Avg Charges with ICD F54 - Psychological and behavioral factors associated with disorders or diseases classified elsewhere | $25,688 | ||||
| Mortality Rate at DRG | 0.63 | ||||
| Mortality Rate with ICD F54 - Psychological and behavioral factors associated with disorders or diseases classified elsewhere | NA | ||||
| SNF Discharge Rate at DRG | 19.76 | ||||
| SNF Discharge Rate with ICD F54 - Psychological and behavioral factors associated with disorders or diseases classified elsewhere | 10.17 | ||||
| Home Discharge Rate at DRG | 50.47 | ||||
| Home Discharge Rate with ICD F54 - Psychological and behavioral factors associated with disorders or diseases classified elsewhere | 58.76 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 882: NEUROSES EXCEPT DEPRESSIVE | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 231,812 | ||||
| Total Hospitalizations with ICD F54 - Psychological and behavioral factors associated with disorders or diseases classified elsewhere | 72 | ||||
| DRG Share of Total Hospitalizations | 0.71 | ||||
| % of Total ICD F54 - Psychological and behavioral factors associated with disorders or diseases classified elsewhere in DRG | 3.63 | ||||
| Avg LOS at DRG | 4.41 | ||||
| Avg LOS with ICD F54 - Psychological and behavioral factors associated with disorders or diseases classified elsewhere | 7.13 | ||||
| Readmission Rate at DRG | 29.12 | ||||
| Readmission Rate with ICD F54 - Psychological and behavioral factors associated with disorders or diseases classified elsewhere | 27.94 | ||||
| Unplanned Readmission Rate at DRG | 22.82 | ||||
| Unplanned Readmission Rate with ICD F54 - Psychological and behavioral factors associated with disorders or diseases classified elsewhere | NA | ||||
| Total Medicare payments at DRG | $1,743,376,418 | ||||
| Total Medicare payments with ICD F54 - Psychological and behavioral factors associated with disorders or diseases classified elsewhere | $618,289 | ||||
| Total Medicare payment per Day at DRG | $1,704 | ||||
| Total Medicare payment per Day with ICD F54 - Psychological and behavioral factors associated with disorders or diseases classified elsewhere | $1,205 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,521 | ||||
| Total Medicare payment per Hospitalization with ICD F54 - Psychological and behavioral factors associated with disorders or diseases classified elsewhere | $8,587 | ||||
| Total Medicare Charges at DRG | $8,543,867,896 | ||||
| Total Medicare Charges with ICD F54 - Psychological and behavioral factors associated with disorders or diseases classified elsewhere | $3,313,504 | ||||
| Avg Charges at DRG | $36,857 | ||||
| Avg Charges with ICD F54 - Psychological and behavioral factors associated with disorders or diseases classified elsewhere | $46,021 | ||||
| Mortality Rate at DRG | 2.89 | ||||
| Mortality Rate with ICD F54 - Psychological and behavioral factors associated with disorders or diseases classified elsewhere | NA | ||||
| SNF Discharge Rate at DRG | 22.92 | ||||
| SNF Discharge Rate with ICD F54 - Psychological and behavioral factors associated with disorders or diseases classified elsewhere | 16.67 | ||||
| Home Discharge Rate at DRG | 43.02 | ||||
| Home Discharge Rate with ICD F54 - Psychological and behavioral factors associated with disorders or diseases classified elsewhere | 50.0 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 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 880: ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD F54 - Psychological and behavioral factors associated with disorders or diseases classified elsewhere | 32 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD F54 - Psychological and behavioral factors associated with disorders or diseases classified elsewhere in DRG | 1.61 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD F54 - Psychological and behavioral factors associated with disorders or diseases classified elsewhere | 8.91 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD F54 - Psychological and behavioral factors associated with disorders or diseases classified elsewhere | NA | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD F54 - Psychological and behavioral factors associated with disorders or diseases classified elsewhere | NA | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD F54 - Psychological and behavioral factors associated with disorders or diseases classified elsewhere | $411,922 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD F54 - Psychological and behavioral factors associated with disorders or diseases classified elsewhere | $1,445 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD F54 - Psychological and behavioral factors associated with disorders or diseases classified elsewhere | $12,873 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD F54 - Psychological and behavioral factors associated with disorders or diseases classified elsewhere | $2,033,682 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD F54 - Psychological and behavioral factors associated with disorders or diseases classified elsewhere | $63,553 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD F54 - Psychological and behavioral factors associated with disorders or diseases classified elsewhere | NA | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD F54 - Psychological and behavioral factors associated with disorders or diseases classified elsewhere | 37.5 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD F54 - Psychological and behavioral factors associated with disorders or diseases classified elsewhere | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 100: SEIZURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 313: CHEST PAIN | DRG 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 559: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 80,879 | ||||
| Total Hospitalizations with ICD F54 - Psychological and behavioral factors associated with disorders or diseases classified elsewhere | 26 | ||||
| DRG Share of Total Hospitalizations | 0.25 | ||||
| % of Total ICD F54 - Psychological and behavioral factors associated with disorders or diseases classified elsewhere in DRG | 1.31 | ||||
| Avg LOS at DRG | 5.67 | ||||
| Avg LOS with ICD F54 - Psychological and behavioral factors associated with disorders or diseases classified elsewhere | 6.42 | ||||
| Readmission Rate at DRG | 24.72 | ||||
| Readmission Rate with ICD F54 - Psychological and behavioral factors associated with disorders or diseases classified elsewhere | NA | ||||
| Unplanned Readmission Rate at DRG | 15.43 | ||||
| Unplanned Readmission Rate with ICD F54 - Psychological and behavioral factors associated with disorders or diseases classified elsewhere | NA | ||||
| Total Medicare payments at DRG | $887,347,366 | ||||
| Total Medicare payments with ICD F54 - Psychological and behavioral factors associated with disorders or diseases classified elsewhere | $292,474 | ||||
| Total Medicare payment per Day at DRG | $1,935 | ||||
| Total Medicare payment per Day with ICD F54 - Psychological and behavioral factors associated with disorders or diseases classified elsewhere | $1,751 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,971 | ||||
| Total Medicare payment per Hospitalization with ICD F54 - Psychological and behavioral factors associated with disorders or diseases classified elsewhere | $11,249 | ||||
| Total Medicare Charges at DRG | $4,622,921,880 | ||||
| Total Medicare Charges with ICD F54 - Psychological and behavioral factors associated with disorders or diseases classified elsewhere | $1,275,469 | ||||
| Avg Charges at DRG | $57,158 | ||||
| Avg Charges with ICD F54 - Psychological and behavioral factors associated with disorders or diseases classified elsewhere | $49,057 | ||||
| Mortality Rate at DRG | 2.92 | ||||
| Mortality Rate with ICD F54 - Psychological and behavioral factors associated with disorders or diseases classified elsewhere | NA | ||||
| SNF Discharge Rate at DRG | 27.07 | ||||
| SNF Discharge Rate with ICD F54 - Psychological and behavioral factors associated with disorders or diseases classified elsewhere | NA | ||||
| Home Discharge Rate at DRG | 34.76 | ||||
| Home Discharge Rate with ICD F54 - Psychological and behavioral factors associated with disorders or diseases classified elsewhere | 53.85 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| AMITA HEALTH SAINTS MARY AND ELIZABETH MEDICAL CENTER | 1127 N OAKLEY BLVD | CHICAGO | IL | 60622 | 65 |
| MEMORIAL HERMANN HOSPITAL SYSTEM | 1635 NORTH LOOP W | HOUSTON | TX | 77008 | 60 |
| FAWCETT MEMORIAL HOSPITAL | 21298 OLEAN BLVD | PORT CHARLOTTE | FL | 33952 | 56 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. LIAN JEN | 3089 TAMIAMI TRAIL | PORT CHARLOTTE | FL | 33952 | 51 |
| Dr. ERIC AUSTAD | 3120 PROFESSIONAL DR | ANN ARBOR | MI | 48104 | 13 |
| Dr. JUN ZHANG | 200 BELLE TERRE RD # E140 | PORT JEFFERSON | NY | 11777 | 13 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. LIAN JEN | 3089 TAMIAMI TRAIL | PORT CHARLOTTE | FL | 33952 | 48 |
| Dr. IGNAZIO GUISEPPE LA CHINA | 13031 WORTHAM CENTER DR | HOUSTON | TX | 77065 | 33 |
| Dr. MERLE L DIAMOND | 1460 N HALSTED ST | CHICAGO | IL | 60642 | 26 |