*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| F71 - Moderate intellectual disabilities - as a primary diagnosis code | F71 - Moderate intellectual disabilities - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.85 | |
| Readmission Rate (%) | 22.12 | |
| Unplanned Readmission Rate (%) | 10.53 | |
| 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 F71 - Moderate intellectual disabilities | 199 |
| DRG Share of Total Hospitalizations | 0.44 |
| % of Total ICD F71 - Moderate intellectual disabilities in DRG | 100.0 |
| Avg LOS at DRG | 11.23 |
| Avg LOS with ICD F71 - Moderate intellectual disabilities | 22.74 |
| Readmission Rate at DRG | 20.52 |
| Readmission Rate with ICD F71 - Moderate intellectual disabilities | 20.53 |
| Unplanned Readmission Rate at DRG | 12.21 |
| Unplanned Readmission Rate with ICD F71 - Moderate intellectual disabilities | 10.53 |
| Total Medicare payments at DRG | $1,495,371,248 |
| Total Medicare payments with ICD F71 - Moderate intellectual disabilities | $1,895,190 |
| Total Medicare payment per Day at DRG | $922 |
| Total Medicare payment per Day with ICD F71 - Moderate intellectual disabilities | $419 |
| Total Medicare payment per Hospitalization at DRG | $10,348 |
| Total Medicare payment per Hospitalization with ICD F71 - Moderate intellectual disabilities | $9,524 |
| Total Medicare Charges at DRG | $5,107,483,805 |
| Total Medicare Charges with ICD F71 - Moderate intellectual disabilities | $5,918,923 |
| Avg Charges at DRG | $35,344 |
| Avg Charges with ICD F71 - Moderate intellectual disabilities | $29,743 |
| Mortality Rate at DRG | 0.73 |
| Mortality Rate with ICD F71 - Moderate intellectual disabilities | NA |
| SNF Discharge Rate at DRG | 38.43 |
| SNF Discharge Rate with ICD F71 - Moderate intellectual disabilities | 6.03 |
| Home Discharge Rate at DRG | 27.81 |
| Home Discharge Rate with ICD F71 - Moderate intellectual disabilities | 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 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 884: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD F71 - Moderate intellectual disabilities | 4,476 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD F71 - Moderate intellectual disabilities in DRG | 24.14 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD F71 - Moderate intellectual disabilities | 13.93 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD F71 - Moderate intellectual disabilities | 24.82 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD F71 - Moderate intellectual disabilities | 12.73 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD F71 - Moderate intellectual disabilities | $42,044,978 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD F71 - Moderate intellectual disabilities | $674 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD F71 - Moderate intellectual disabilities | $9,393 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD F71 - Moderate intellectual disabilities | $133,032,201 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD F71 - Moderate intellectual disabilities | $29,721 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD F71 - Moderate intellectual disabilities | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD F71 - Moderate intellectual disabilities | 8.71 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD F71 - Moderate intellectual disabilities | 74.06 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 883: DISORDERS OF PERSONALITY AND IMPULSE CONTROL | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 886: BEHAVIORAL AND DEVELOPMENTAL DISORDERS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD F71 - Moderate intellectual disabilities | 317 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD F71 - Moderate intellectual disabilities in DRG | 1.71 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD F71 - Moderate intellectual disabilities | 4.04 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD F71 - Moderate intellectual disabilities | 15.33 | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD F71 - Moderate intellectual disabilities | 12.0 | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD F71 - Moderate intellectual disabilities | $1,912,218 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD F71 - Moderate intellectual disabilities | $1,492 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD F71 - Moderate intellectual disabilities | $6,032 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD F71 - Moderate intellectual disabilities | $7,615,669 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD F71 - Moderate intellectual disabilities | $24,024 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD F71 - Moderate intellectual disabilities | NA | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD F71 - Moderate intellectual disabilities | 11.36 | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD F71 - Moderate intellectual disabilities | 53.94 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 100: SEIZURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 364,421 | ||||
| Total Hospitalizations with ICD F71 - Moderate intellectual disabilities | 246 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD F71 - Moderate intellectual disabilities in DRG | 1.33 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD F71 - Moderate intellectual disabilities | 4.44 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD F71 - Moderate intellectual disabilities | 8.02 | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD F71 - Moderate intellectual disabilities | 5.06 | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD F71 - Moderate intellectual disabilities | $1,305,183 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD F71 - Moderate intellectual disabilities | $1,195 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD F71 - Moderate intellectual disabilities | $5,306 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD F71 - Moderate intellectual disabilities | $5,642,803 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD F71 - Moderate intellectual disabilities | $22,938 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD F71 - Moderate intellectual disabilities | NA | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD F71 - Moderate intellectual disabilities | 15.04 | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD F71 - Moderate intellectual disabilities | 57.72 |
*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 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD F71 - Moderate intellectual disabilities | 209 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD F71 - Moderate intellectual disabilities in DRG | 1.13 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD F71 - Moderate intellectual disabilities | 3.67 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD F71 - Moderate intellectual disabilities | 18.46 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD F71 - Moderate intellectual disabilities | 14.36 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD F71 - Moderate intellectual disabilities | $936,914 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD F71 - Moderate intellectual disabilities | $1,220 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD F71 - Moderate intellectual disabilities | $4,483 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD F71 - Moderate intellectual disabilities | $5,308,334 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD F71 - Moderate intellectual disabilities | $25,399 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD F71 - Moderate intellectual disabilities | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD F71 - Moderate intellectual disabilities | 10.05 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD F71 - Moderate intellectual disabilities | 68.42 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| APPLING HEALTHCARE SYSTEM | 163 E TOLLISON ST | BAXLEY | GA | 31513 | 154 |
| ROLLING HILLS HOSPITAL | 1000 ROLLING HILLS LN. | ADA | OK | 74820 | 141 |
| ORANGE REGIONAL MEDICAL CENTER | 707 EAST MAIN STREET | MIDDLETOWN | NY | 10940 | 112 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SAEED A SHAH | 5906 CARMICHAEL PLACE | MONTGOMERY | AL | 36117 | 62 |
| Dr. SEBASTIAN PAUL AVOLESE | 7309 MYRTLE AVE | GLENDALE | NY | 11385 | 47 |
| Dr. KHUTB MOHAMMED UDDIN | 239 N DIXIE WAY | SOUTH BEND | IN | 46637 | 18 |
| 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 | 189 |
| Dr. DAVID J FAULK | 2712 PARKWOOD DR | BRUNSWICK | GA | 31520 | 141 |
| Dr. SUVASINI A PANDIT | 200 MAY ST | SOUTH ATTLEBORO | MA | 02703 | 87 |