*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| F79 - Unspecified intellectual disabilities - as a primary diagnosis code | F79 - Unspecified intellectual disabilities - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.21 | |
| Readmission Rate (%) | 23.05 | |
| Unplanned Readmission Rate (%) | 9.03 | |
| 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 F79 - Unspecified intellectual disabilities | 330 |
| DRG Share of Total Hospitalizations | 0.44 |
| % of Total ICD F79 - Unspecified intellectual disabilities in DRG | 99.7 |
| Avg LOS at DRG | 11.23 |
| Avg LOS with ICD F79 - Unspecified intellectual disabilities | 13.39 |
| Readmission Rate at DRG | 20.52 |
| Readmission Rate with ICD F79 - Unspecified intellectual disabilities | 19.42 |
| Unplanned Readmission Rate at DRG | 12.21 |
| Unplanned Readmission Rate with ICD F79 - Unspecified intellectual disabilities | 9.06 |
| Total Medicare payments at DRG | $1,495,371,248 |
| Total Medicare payments with ICD F79 - Unspecified intellectual disabilities | $2,867,474 |
| Total Medicare payment per Day at DRG | $922 |
| Total Medicare payment per Day with ICD F79 - Unspecified intellectual disabilities | $649 |
| Total Medicare payment per Hospitalization at DRG | $10,348 |
| Total Medicare payment per Hospitalization with ICD F79 - Unspecified intellectual disabilities | $8,689 |
| Total Medicare Charges at DRG | $5,107,483,805 |
| Total Medicare Charges with ICD F79 - Unspecified intellectual disabilities | $10,653,238 |
| Avg Charges at DRG | $35,344 |
| Avg Charges with ICD F79 - Unspecified intellectual disabilities | $32,283 |
| Mortality Rate at DRG | 0.73 |
| Mortality Rate with ICD F79 - Unspecified intellectual disabilities | NA |
| SNF Discharge Rate at DRG | 38.43 |
| SNF Discharge Rate with ICD F79 - Unspecified intellectual disabilities | 10.3 |
| Home Discharge Rate at DRG | 27.81 |
| Home Discharge Rate with ICD F79 - Unspecified intellectual disabilities | 68.79 |
*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 885: PSYCHOSES | 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 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD F79 - Unspecified intellectual disabilities | 17,639 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD F79 - Unspecified intellectual disabilities in DRG | 11.8 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD F79 - Unspecified intellectual disabilities | 6.9 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD F79 - Unspecified intellectual disabilities | 24.57 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD F79 - Unspecified intellectual disabilities | 18.64 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD F79 - Unspecified intellectual disabilities | $209,324,850 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD F79 - Unspecified intellectual disabilities | $1,721 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD F79 - Unspecified intellectual disabilities | $11,867 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD F79 - Unspecified intellectual disabilities | $998,886,344 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD F79 - Unspecified intellectual disabilities | $56,629 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD F79 - Unspecified intellectual disabilities | 7.46 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD F79 - Unspecified intellectual disabilities | 24.59 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD F79 - Unspecified intellectual disabilities | 34.59 |
*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 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 100: SEIZURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS 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 F79 - Unspecified intellectual disabilities | 2,958 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD F79 - Unspecified intellectual disabilities in DRG | 1.98 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD F79 - Unspecified intellectual disabilities | 4.21 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD F79 - Unspecified intellectual disabilities | 18.01 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD F79 - Unspecified intellectual disabilities | 14.26 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD F79 - Unspecified intellectual disabilities | $14,873,634 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD F79 - Unspecified intellectual disabilities | $1,194 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD F79 - Unspecified intellectual disabilities | $5,028 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD F79 - Unspecified intellectual disabilities | $73,322,784 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD F79 - Unspecified intellectual disabilities | $24,788 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD F79 - Unspecified intellectual disabilities | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD F79 - Unspecified intellectual disabilities | 22.75 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD F79 - Unspecified intellectual disabilities | 50.07 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT 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 | 522,791 | ||||
| Total Hospitalizations with ICD F79 - Unspecified intellectual disabilities | 2,357 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD F79 - Unspecified intellectual disabilities in DRG | 1.58 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD F79 - Unspecified intellectual disabilities | 3.71 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD F79 - Unspecified intellectual disabilities | 17.38 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD F79 - Unspecified intellectual disabilities | 14.56 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD F79 - Unspecified intellectual disabilities | $10,956,641 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD F79 - Unspecified intellectual disabilities | $1,253 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD F79 - Unspecified intellectual disabilities | $4,649 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD F79 - Unspecified intellectual disabilities | $61,732,783 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD F79 - Unspecified intellectual disabilities | $26,191 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD F79 - Unspecified intellectual disabilities | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD F79 - Unspecified intellectual disabilities | 11.88 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD F79 - Unspecified intellectual disabilities | 65.13 |
*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 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 270,209 | ||||
| Total Hospitalizations with ICD F79 - Unspecified intellectual disabilities | 1,824 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD F79 - Unspecified intellectual disabilities in DRG | 1.22 | ||||
| Avg LOS at DRG | 4.84 | ||||
| Avg LOS with ICD F79 - Unspecified intellectual disabilities | 5.49 | ||||
| Readmission Rate at DRG | 22.35 | ||||
| Readmission Rate with ICD F79 - Unspecified intellectual disabilities | 22.15 | ||||
| Unplanned Readmission Rate at DRG | 16.33 | ||||
| Unplanned Readmission Rate with ICD F79 - Unspecified intellectual disabilities | 17.87 | ||||
| Total Medicare payments at DRG | $1,824,333,389 | ||||
| Total Medicare payments with ICD F79 - Unspecified intellectual disabilities | $12,721,968 | ||||
| Total Medicare payment per Day at DRG | $1,395 | ||||
| Total Medicare payment per Day with ICD F79 - Unspecified intellectual disabilities | $1,270 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,752 | ||||
| Total Medicare payment per Hospitalization with ICD F79 - Unspecified intellectual disabilities | $6,975 | ||||
| Total Medicare Charges at DRG | $9,128,673,695 | ||||
| Total Medicare Charges with ICD F79 - Unspecified intellectual disabilities | $61,548,804 | ||||
| Avg Charges at DRG | $33,784 | ||||
| Avg Charges with ICD F79 - Unspecified intellectual disabilities | $33,744 | ||||
| Mortality Rate at DRG | 1.32 | ||||
| Mortality Rate with ICD F79 - Unspecified intellectual disabilities | 1.21 | ||||
| SNF Discharge Rate at DRG | 39.0 | ||||
| SNF Discharge Rate with ICD F79 - Unspecified intellectual disabilities | 27.03 | ||||
| Home Discharge Rate at DRG | 24.73 | ||||
| Home Discharge Rate with ICD F79 - Unspecified intellectual disabilities | 41.83 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| INSPIRA MEDICAL CENTER VINELAND | 1505 W SHERMAN AVE | VINELAND | NJ | 08360 | 578 |
| UF HEALTH SHANDS HOSPITAL | 1600 SW ARCHER RD | GAINESVILLE | FL | 32610 | 556 |
| STATEN ISLAND UNIVERSITY HOSPITAL | 475 SEAVIEW AVE | STATEN ISLAND | NY | 10305 | 427 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SEBASTIAN PAUL AVOLESE | 7309 MYRTLE AVE | GLENDALE | NY | 11385 | 42 |
| Dr. VIJAYA M DASARI | 3304 COLORADO BLVD STE 205 | DENTON | TX | 76210 | 41 |
| Dr. VAHID GHIASIAN | 501 SEAVIEW AVE | STATEN ISLAND | NY | 10305 | 32 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RAD GHARAVI | 7115 W NORTH AVE | OAK PARK | IL | 60302 | 314 |
| Dr. KRISSIE CONNOR | 630 PLANTATION ST | WORCESTER | MA | 01605 | 122 |
| Dr. VINAY GOPAL NAKHATE | 1100 E CHESTNUT AVE | VINELAND | NJ | 08360 | 118 |