*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| F78 - Other intellectual disabilities - as a primary diagnosis code | F78 - Other intellectual disabilities - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.07 | |
| Readmission Rate (%) | 22.64 | |
| 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 F78 - Other intellectual disabilities | 19 |
| DRG Share of Total Hospitalizations | 0.44 |
| % of Total ICD F78 - Other intellectual disabilities in DRG | 100.0 |
| Avg LOS at DRG | 11.23 |
| Avg LOS with ICD F78 - Other intellectual disabilities | 8.0 |
| Readmission Rate at DRG | 20.52 |
| Readmission Rate with ICD F78 - Other intellectual disabilities | NA |
| Unplanned Readmission Rate at DRG | 12.21 |
| Unplanned Readmission Rate with ICD F78 - Other intellectual disabilities | NA |
| Total Medicare payments at DRG | $1,495,371,248 |
| Total Medicare payments with ICD F78 - Other intellectual disabilities | $123,232 |
| Total Medicare payment per Day at DRG | $922 |
| Total Medicare payment per Day with ICD F78 - Other intellectual disabilities | $811 |
| Total Medicare payment per Hospitalization at DRG | $10,348 |
| Total Medicare payment per Hospitalization with ICD F78 - Other intellectual disabilities | $6,486 |
| Total Medicare Charges at DRG | $5,107,483,805 |
| Total Medicare Charges with ICD F78 - Other intellectual disabilities | $450,462 |
| Avg Charges at DRG | $35,344 |
| Avg Charges with ICD F78 - Other intellectual disabilities | $23,709 |
| Mortality Rate at DRG | 0.73 |
| Mortality Rate with ICD F78 - Other intellectual disabilities | NA |
| SNF Discharge Rate at DRG | 38.43 |
| SNF Discharge Rate with ICD F78 - Other intellectual disabilities | NA |
| Home Discharge Rate at DRG | 27.81 |
| Home Discharge Rate with ICD F78 - Other intellectual disabilities | 73.68 |
*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 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 884: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD F78 - Other intellectual disabilities | 435 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD F78 - Other intellectual disabilities in DRG | 16.68 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD F78 - Other intellectual disabilities | 12.92 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD F78 - Other intellectual disabilities | 29.02 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD F78 - Other intellectual disabilities | 15.37 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD F78 - Other intellectual disabilities | $3,853,795 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD F78 - Other intellectual disabilities | $686 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD F78 - Other intellectual disabilities | $8,859 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD F78 - Other intellectual disabilities | $13,578,416 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD F78 - Other intellectual disabilities | $31,215 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD F78 - Other intellectual disabilities | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD F78 - Other intellectual disabilities | 10.11 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD F78 - Other intellectual disabilities | 72.41 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 895: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 231,410 | ||||
| Total Hospitalizations with ICD F78 - Other intellectual disabilities | 51 | ||||
| DRG Share of Total Hospitalizations | 0.7 | ||||
| % of Total ICD F78 - Other intellectual disabilities in DRG | 1.96 | ||||
| Avg LOS at DRG | 7.29 | ||||
| Avg LOS with ICD F78 - Other intellectual disabilities | 7.47 | ||||
| Readmission Rate at DRG | 25.54 | ||||
| Readmission Rate with ICD F78 - Other intellectual disabilities | 29.55 | ||||
| Unplanned Readmission Rate at DRG | 18.36 | ||||
| Unplanned Readmission Rate with ICD F78 - Other intellectual disabilities | NA | ||||
| Total Medicare payments at DRG | $2,801,759,007 | ||||
| Total Medicare payments with ICD F78 - Other intellectual disabilities | $639,650 | ||||
| Total Medicare payment per Day at DRG | $1,661 | ||||
| Total Medicare payment per Day with ICD F78 - Other intellectual disabilities | $1,679 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,107 | ||||
| Total Medicare payment per Hospitalization with ICD F78 - Other intellectual disabilities | $12,542 | ||||
| Total Medicare Charges at DRG | $13,366,030,360 | ||||
| Total Medicare Charges with ICD F78 - Other intellectual disabilities | $2,759,083 | ||||
| Avg Charges at DRG | $57,759 | ||||
| Avg Charges with ICD F78 - Other intellectual disabilities | $54,100 | ||||
| Mortality Rate at DRG | 7.21 | ||||
| Mortality Rate with ICD F78 - Other intellectual disabilities | NA | ||||
| SNF Discharge Rate at DRG | 32.47 | ||||
| SNF Discharge Rate with ICD F78 - Other intellectual disabilities | 33.33 | ||||
| Home Discharge Rate at DRG | 20.84 | ||||
| Home Discharge Rate with ICD F78 - Other intellectual disabilities | 23.53 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 100: SEIZURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD F78 - Other intellectual disabilities | 39 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD F78 - Other intellectual disabilities in DRG | 1.5 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD F78 - Other intellectual disabilities | 4.85 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD F78 - Other intellectual disabilities | NA | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD F78 - Other intellectual disabilities | NA | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD F78 - Other intellectual disabilities | $289,981 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD F78 - Other intellectual disabilities | $1,534 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD F78 - Other intellectual disabilities | $7,435 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD F78 - Other intellectual disabilities | $1,098,648 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD F78 - Other intellectual disabilities | $28,170 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD F78 - Other intellectual disabilities | NA | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD F78 - Other intellectual disabilities | NA | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD F78 - Other intellectual disabilities | 64.1 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 195: SIMPLE PNEUMONIA AND PLEURISY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 109,057 | ||||
| Total Hospitalizations with ICD F78 - Other intellectual disabilities | 29 | ||||
| DRG Share of Total Hospitalizations | 0.33 | ||||
| % of Total ICD F78 - Other intellectual disabilities in DRG | 1.11 | ||||
| Avg LOS at DRG | 5.35 | ||||
| Avg LOS with ICD F78 - Other intellectual disabilities | 5.1 | ||||
| Readmission Rate at DRG | 21.3 | ||||
| Readmission Rate with ICD F78 - Other intellectual disabilities | NA | ||||
| Unplanned Readmission Rate at DRG | 15.67 | ||||
| Unplanned Readmission Rate with ICD F78 - Other intellectual disabilities | NA | ||||
| Total Medicare payments at DRG | $920,227,801 | ||||
| Total Medicare payments with ICD F78 - Other intellectual disabilities | $249,193 | ||||
| Total Medicare payment per Day at DRG | $1,576 | ||||
| Total Medicare payment per Day with ICD F78 - Other intellectual disabilities | $1,684 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,438 | ||||
| Total Medicare payment per Hospitalization with ICD F78 - Other intellectual disabilities | $8,593 | ||||
| Total Medicare Charges at DRG | $4,179,019,701 | ||||
| Total Medicare Charges with ICD F78 - Other intellectual disabilities | $737,302 | ||||
| Avg Charges at DRG | $38,320 | ||||
| Avg Charges with ICD F78 - Other intellectual disabilities | $25,424 | ||||
| Mortality Rate at DRG | 1.76 | ||||
| Mortality Rate with ICD F78 - Other intellectual disabilities | NA | ||||
| SNF Discharge Rate at DRG | 27.6 | ||||
| SNF Discharge Rate with ICD F78 - Other intellectual disabilities | NA | ||||
| Home Discharge Rate at DRG | 33.88 | ||||
| Home Discharge Rate with ICD F78 - Other intellectual disabilities | 41.38 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BULLOCK COUNTY HOSPITAL | 102 CONECUH AVE W | UNION SPRINGS | AL | 36089 | 71 |
| APPLING HEALTHCARE SYSTEM | 163 E TOLLISON ST | BAXLEY | GA | 31513 | 31 |
| MONTEFIORE MEDICAL CENTER | 111 E 210TH ST | BRONX | NY | 10467 | 21 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SAEED A SHAH | 5906 CARMICHAEL PLACE | MONTGOMERY | AL | 36117 | 76 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SAEED A SHAH | 5906 CARMICHAEL PLACE | MONTGOMERY | AL | 36117 | 77 |
| Dr. DAVID J FAULK | 2712 PARKWOOD DR | BRUNSWICK | GA | 31520 | 27 |