*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| F70 - Mild intellectual disabilities - as a primary diagnosis code | F70 - Mild intellectual disabilities - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.47 | |
| Readmission Rate (%) | 23.28 | |
| Unplanned Readmission Rate (%) | 8.38 | |
| 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 884: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | |
|---|---|
| Total Hospitalizations at DRG | 144,507 |
| Total Hospitalizations with ICD F70 - Mild intellectual disabilities | 187 |
| DRG Share of Total Hospitalizations | 0.44 |
| % of Total ICD F70 - Mild intellectual disabilities in DRG | 98.94 |
| Avg LOS at DRG | 11.23 |
| Avg LOS with ICD F70 - Mild intellectual disabilities | 20.91 |
| Readmission Rate at DRG | 20.52 |
| Readmission Rate with ICD F70 - Mild intellectual disabilities | 15.82 |
| Unplanned Readmission Rate at DRG | 12.21 |
| Unplanned Readmission Rate with ICD F70 - Mild intellectual disabilities | 8.47 |
| Total Medicare payments at DRG | $1,495,371,248 |
| Total Medicare payments with ICD F70 - Mild intellectual disabilities | $1,714,057 |
| Total Medicare payment per Day at DRG | $922 |
| Total Medicare payment per Day with ICD F70 - Mild intellectual disabilities | $438 |
| Total Medicare payment per Hospitalization at DRG | $10,348 |
| Total Medicare payment per Hospitalization with ICD F70 - Mild intellectual disabilities | $9,166 |
| Total Medicare Charges at DRG | $5,107,483,805 |
| Total Medicare Charges with ICD F70 - Mild intellectual disabilities | $5,012,178 |
| Avg Charges at DRG | $35,344 |
| Avg Charges with ICD F70 - Mild intellectual disabilities | $26,803 |
| Mortality Rate at DRG | 0.73 |
| Mortality Rate with ICD F70 - Mild intellectual disabilities | NA |
| SNF Discharge Rate at DRG | 38.43 |
| SNF Discharge Rate with ICD F70 - Mild intellectual disabilities | NA |
| Home Discharge Rate at DRG | 27.81 |
| Home Discharge Rate with ICD F70 - Mild intellectual disabilities | 78.07 |
*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 101: SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD F70 - Mild intellectual disabilities | 15,625 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD F70 - Mild intellectual disabilities in DRG | 31.63 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD F70 - Mild intellectual disabilities | 12.43 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD F70 - Mild intellectual disabilities | 25.14 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD F70 - Mild intellectual disabilities | 12.42 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD F70 - Mild intellectual disabilities | $131,581,583 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD F70 - Mild intellectual disabilities | $678 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD F70 - Mild intellectual disabilities | $8,421 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD F70 - Mild intellectual disabilities | $431,729,659 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD F70 - Mild intellectual disabilities | $27,631 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD F70 - Mild intellectual disabilities | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD F70 - Mild intellectual disabilities | 5.48 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD F70 - Mild intellectual disabilities | 79.66 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 881: DEPRESSIVE NEUROSES | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 884: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 883: DISORDERS OF PERSONALITY AND IMPULSE CONTROL | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 61,417 | ||||
| Total Hospitalizations with ICD F70 - Mild intellectual disabilities | 652 | ||||
| DRG Share of Total Hospitalizations | 0.19 | ||||
| % of Total ICD F70 - Mild intellectual disabilities in DRG | 1.32 | ||||
| Avg LOS at DRG | 7.49 | ||||
| Avg LOS with ICD F70 - Mild intellectual disabilities | 8.02 | ||||
| Readmission Rate at DRG | 25.08 | ||||
| Readmission Rate with ICD F70 - Mild intellectual disabilities | 20.89 | ||||
| Unplanned Readmission Rate at DRG | 13.22 | ||||
| Unplanned Readmission Rate with ICD F70 - Mild intellectual disabilities | 9.41 | ||||
| Total Medicare payments at DRG | $347,280,742 | ||||
| Total Medicare payments with ICD F70 - Mild intellectual disabilities | $3,619,623 | ||||
| Total Medicare payment per Day at DRG | $755 | ||||
| Total Medicare payment per Day with ICD F70 - Mild intellectual disabilities | $692 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,654 | ||||
| Total Medicare payment per Hospitalization with ICD F70 - Mild intellectual disabilities | $5,552 | ||||
| Total Medicare Charges at DRG | $1,287,801,202 | ||||
| Total Medicare Charges with ICD F70 - Mild intellectual disabilities | $11,792,541 | ||||
| Avg Charges at DRG | $20,968 | ||||
| Avg Charges with ICD F70 - Mild intellectual disabilities | $18,087 | ||||
| Mortality Rate at DRG | 0.07 | ||||
| Mortality Rate with ICD F70 - Mild intellectual disabilities | NA | ||||
| SNF Discharge Rate at DRG | 5.44 | ||||
| SNF Discharge Rate with ICD F70 - Mild intellectual disabilities | 4.14 | ||||
| Home Discharge Rate at DRG | 79.31 | ||||
| Home Discharge Rate with ICD F70 - Mild intellectual disabilities | 86.2 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD F70 - Mild intellectual disabilities | 546 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD F70 - Mild intellectual disabilities in DRG | 1.11 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD F70 - Mild intellectual disabilities | 3.86 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD F70 - Mild intellectual disabilities | 16.92 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD F70 - Mild intellectual disabilities | 12.17 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD F70 - Mild intellectual disabilities | $2,801,501 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD F70 - Mild intellectual disabilities | $1,328 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD F70 - Mild intellectual disabilities | $5,131 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD F70 - Mild intellectual disabilities | $12,375,121 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD F70 - Mild intellectual disabilities | $22,665 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD F70 - Mild intellectual disabilities | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD F70 - Mild intellectual disabilities | 20.7 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD F70 - Mild intellectual disabilities | 53.48 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 882: NEUROSES EXCEPT DEPRESSIVE | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 100: SEIZURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD F70 - Mild intellectual disabilities | 475 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD F70 - Mild intellectual disabilities in DRG | 0.96 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD F70 - Mild intellectual disabilities | 4.59 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD F70 - Mild intellectual disabilities | 23.95 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD F70 - Mild intellectual disabilities | 15.96 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD F70 - Mild intellectual disabilities | $2,741,317 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD F70 - Mild intellectual disabilities | $1,256 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD F70 - Mild intellectual disabilities | $5,771 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD F70 - Mild intellectual disabilities | $12,549,276 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD F70 - Mild intellectual disabilities | $26,420 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD F70 - Mild intellectual disabilities | NA | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD F70 - Mild intellectual disabilities | 21.26 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD F70 - Mild intellectual disabilities | 48.42 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ROLLING HILLS HOSPITAL | 1000 ROLLING HILLS LN. | ADA | OK | 74820 | 287 |
| BULLOCK COUNTY HOSPITAL | 102 CONECUH AVE W | UNION SPRINGS | AL | 36089 | 269 |
| FULLER HOSPITAL | 200 MAY ST | S ATTLEBORO | MA | 02703 | 235 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SAEED A SHAH | 5906 CARMICHAEL PLACE | MONTGOMERY | AL | 36117 | 298 |
| Dr. SEBASTIAN PAUL AVOLESE | 7309 MYRTLE AVE | GLENDALE | NY | 11385 | 65 |
| Dr. KHUTB MOHAMMED UDDIN | 239 N DIXIE WAY | SOUTH BEND | IN | 46637 | 34 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ROBERT OLIVER MORTON | 1000 ROLLING HILLS LN | ADA | OK | 74820 | 383 |
| Dr. SAEED A SHAH | 5906 CARMICHAEL PLACE | MONTGOMERY | AL | 36117 | 314 |
| Dr. SUVASINI A PANDIT | 200 MAY ST | SOUTH ATTLEBORO | MA | 02703 | 165 |