*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| F73 - Profound intellectual disabilities - as a primary diagnosis code | F73 - Profound intellectual disabilities - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.11 | |
| Readmission Rate (%) | 25.02 | |
| Unplanned Readmission Rate (%) | NA | |
| 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 F73 - Profound intellectual disabilities | 29 |
| DRG Share of Total Hospitalizations | 0.44 |
| % of Total ICD F73 - Profound intellectual disabilities in DRG | 100.0 |
| Avg LOS at DRG | 11.23 |
| Avg LOS with ICD F73 - Profound intellectual disabilities | 13.59 |
| Readmission Rate at DRG | 20.52 |
| Readmission Rate with ICD F73 - Profound intellectual disabilities | NA |
| Unplanned Readmission Rate at DRG | 12.21 |
| Unplanned Readmission Rate with ICD F73 - Profound intellectual disabilities | NA |
| Total Medicare payments at DRG | $1,495,371,248 |
| Total Medicare payments with ICD F73 - Profound intellectual disabilities | $270,238 |
| Total Medicare payment per Day at DRG | $922 |
| Total Medicare payment per Day with ICD F73 - Profound intellectual disabilities | $686 |
| Total Medicare payment per Hospitalization at DRG | $10,348 |
| Total Medicare payment per Hospitalization with ICD F73 - Profound intellectual disabilities | $9,319 |
| Total Medicare Charges at DRG | $5,107,483,805 |
| Total Medicare Charges with ICD F73 - Profound intellectual disabilities | $1,531,809 |
| Avg Charges at DRG | $35,344 |
| Avg Charges with ICD F73 - Profound intellectual disabilities | $52,821 |
| Mortality Rate at DRG | 0.73 |
| Mortality Rate with ICD F73 - Profound intellectual disabilities | NA |
| SNF Discharge Rate at DRG | 38.43 |
| SNF Discharge Rate with ICD F73 - Profound intellectual disabilities | NA |
| Home Discharge Rate at DRG | 27.81 |
| Home Discharge Rate with ICD F73 - Profound intellectual disabilities | 55.17 |
*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 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD F73 - Profound intellectual disabilities | 4,512 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD F73 - Profound intellectual disabilities in DRG | 21.9 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD F73 - Profound intellectual disabilities | 7.39 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD F73 - Profound intellectual disabilities | 26.64 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD F73 - Profound intellectual disabilities | 22.35 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD F73 - Profound intellectual disabilities | $53,767,948 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD F73 - Profound intellectual disabilities | $1,613 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD F73 - Profound intellectual disabilities | $11,917 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD F73 - Profound intellectual disabilities | $249,669,831 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD F73 - Profound intellectual disabilities | $55,335 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD F73 - Profound intellectual disabilities | 5.34 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD F73 - Profound intellectual disabilities | 14.94 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD F73 - Profound intellectual disabilities | 39.14 |
*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 101: SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 80,879 | ||||
| Total Hospitalizations with ICD F73 - Profound intellectual disabilities | 495 | ||||
| DRG Share of Total Hospitalizations | 0.25 | ||||
| % of Total ICD F73 - Profound intellectual disabilities in DRG | 2.4 | ||||
| Avg LOS at DRG | 5.67 | ||||
| Avg LOS with ICD F73 - Profound intellectual disabilities | 5.96 | ||||
| Readmission Rate at DRG | 24.72 | ||||
| Readmission Rate with ICD F73 - Profound intellectual disabilities | 20.04 | ||||
| Unplanned Readmission Rate at DRG | 15.43 | ||||
| Unplanned Readmission Rate with ICD F73 - Profound intellectual disabilities | 17.06 | ||||
| Total Medicare payments at DRG | $887,347,366 | ||||
| Total Medicare payments with ICD F73 - Profound intellectual disabilities | $5,429,129 | ||||
| Total Medicare payment per Day at DRG | $1,935 | ||||
| Total Medicare payment per Day with ICD F73 - Profound intellectual disabilities | $1,840 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,971 | ||||
| Total Medicare payment per Hospitalization with ICD F73 - Profound intellectual disabilities | $10,968 | ||||
| Total Medicare Charges at DRG | $4,622,921,880 | ||||
| Total Medicare Charges with ICD F73 - Profound intellectual disabilities | $23,042,394 | ||||
| Avg Charges at DRG | $57,158 | ||||
| Avg Charges with ICD F73 - Profound intellectual disabilities | $46,550 | ||||
| Mortality Rate at DRG | 2.92 | ||||
| Mortality Rate with ICD F73 - Profound intellectual disabilities | NA | ||||
| SNF Discharge Rate at DRG | 27.07 | ||||
| SNF Discharge Rate with ICD F73 - Profound intellectual disabilities | 17.37 | ||||
| Home Discharge Rate at DRG | 34.76 | ||||
| Home Discharge Rate with ICD F73 - Profound intellectual disabilities | 47.47 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 270,209 | ||||
| Total Hospitalizations with ICD F73 - Profound intellectual disabilities | 404 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD F73 - Profound intellectual disabilities in DRG | 1.96 | ||||
| Avg LOS at DRG | 4.84 | ||||
| Avg LOS with ICD F73 - Profound intellectual disabilities | 5.46 | ||||
| Readmission Rate at DRG | 22.35 | ||||
| Readmission Rate with ICD F73 - Profound intellectual disabilities | 23.7 | ||||
| Unplanned Readmission Rate at DRG | 16.33 | ||||
| Unplanned Readmission Rate with ICD F73 - Profound intellectual disabilities | 22.14 | ||||
| Total Medicare payments at DRG | $1,824,333,389 | ||||
| Total Medicare payments with ICD F73 - Profound intellectual disabilities | $2,796,237 | ||||
| Total Medicare payment per Day at DRG | $1,395 | ||||
| Total Medicare payment per Day with ICD F73 - Profound intellectual disabilities | $1,268 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,752 | ||||
| Total Medicare payment per Hospitalization with ICD F73 - Profound intellectual disabilities | $6,921 | ||||
| Total Medicare Charges at DRG | $9,128,673,695 | ||||
| Total Medicare Charges with ICD F73 - Profound intellectual disabilities | $12,908,085 | ||||
| Avg Charges at DRG | $33,784 | ||||
| Avg Charges with ICD F73 - Profound intellectual disabilities | $31,951 | ||||
| Mortality Rate at DRG | 1.32 | ||||
| Mortality Rate with ICD F73 - Profound intellectual disabilities | NA | ||||
| SNF Discharge Rate at DRG | 39.0 | ||||
| SNF Discharge Rate with ICD F73 - Profound intellectual disabilities | 17.57 | ||||
| Home Discharge Rate at DRG | 24.73 | ||||
| Home Discharge Rate with ICD F73 - Profound intellectual disabilities | 42.82 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 388: G.I. OBSTRUCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES 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 | 59,073 | ||||
| Total Hospitalizations with ICD F73 - Profound intellectual disabilities | 299 | ||||
| DRG Share of Total Hospitalizations | 0.18 | ||||
| % of Total ICD F73 - Profound intellectual disabilities in DRG | 1.45 | ||||
| Avg LOS at DRG | 6.4 | ||||
| Avg LOS with ICD F73 - Profound intellectual disabilities | 6.29 | ||||
| Readmission Rate at DRG | 25.83 | ||||
| Readmission Rate with ICD F73 - Profound intellectual disabilities | 25.96 | ||||
| Unplanned Readmission Rate at DRG | 19.22 | ||||
| Unplanned Readmission Rate with ICD F73 - Profound intellectual disabilities | 21.05 | ||||
| Total Medicare payments at DRG | $600,865,928 | ||||
| Total Medicare payments with ICD F73 - Profound intellectual disabilities | $2,984,147 | ||||
| Total Medicare payment per Day at DRG | $1,589 | ||||
| Total Medicare payment per Day with ICD F73 - Profound intellectual disabilities | $1,586 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,172 | ||||
| Total Medicare payment per Hospitalization with ICD F73 - Profound intellectual disabilities | $9,980 | ||||
| Total Medicare Charges at DRG | $2,875,007,973 | ||||
| Total Medicare Charges with ICD F73 - Profound intellectual disabilities | $11,403,718 | ||||
| Avg Charges at DRG | $48,669 | ||||
| Avg Charges with ICD F73 - Profound intellectual disabilities | $38,140 | ||||
| Mortality Rate at DRG | 6.54 | ||||
| Mortality Rate with ICD F73 - Profound intellectual disabilities | NA | ||||
| SNF Discharge Rate at DRG | 20.67 | ||||
| SNF Discharge Rate with ICD F73 - Profound intellectual disabilities | 13.04 | ||||
| Home Discharge Rate at DRG | 39.03 | ||||
| Home Discharge Rate with ICD F73 - Profound intellectual disabilities | 43.81 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| HUNTERDON MEDICAL CENTER | 2100 WESCOTT DR | FLEMINGTON | NJ | 08822 | 713 |
| SSM HEALTH ST. MARY'S HOSPITAL - CENTRALIA | 400 N PLEASANT AVE | CENTRALIA | IL | 62801 | 425 |
| CONEMAUGH MEMORIAL MEDICAL CENTER | 1086 FRANKLIN ST | JOHNSTOWN | PA | 15905 | 357 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DORIT BENMOHA | 1097 OLD COUNTRY RD | PLAINVIEW | NY | 11803 | 73 |
| Dr. SEBASTIAN PAUL AVOLESE | 7309 MYRTLE AVE | GLENDALE | NY | 11385 | 61 |
| Dr. WESLEY B. SCHROCK | 1 MEDICAL CENTER DR | LEBANON | NH | 03756 | 41 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CHARLES WILBUR STOTLER | 334 BLOOMFIELD ST | JOHNSTOWN | PA | 15904 | 224 |
| Dr. DORIT BENMOHA | 1097 OLD COUNTRY RD | PLAINVIEW | NY | 11803 | 217 |
| Dr. AZIZ U RAHMAN | 1050 M L KING DR | CENTRALIA | IL | 62801 | 190 |