*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| F819 - Developmental disorder of scholastic skills, unspecified - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 12.75 | |
| 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 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 881: DEPRESSIVE NEUROSES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD F819 - Developmental disorder of scholastic skills, unspecified | 2,718 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD F819 - Developmental disorder of scholastic skills, unspecified in DRG | 23.42 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD F819 - Developmental disorder of scholastic skills, unspecified | 10.22 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD F819 - Developmental disorder of scholastic skills, unspecified | 25.44 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD F819 - Developmental disorder of scholastic skills, unspecified | 12.22 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD F819 - Developmental disorder of scholastic skills, unspecified | $20,694,813 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD F819 - Developmental disorder of scholastic skills, unspecified | $745 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD F819 - Developmental disorder of scholastic skills, unspecified | $7,614 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD F819 - Developmental disorder of scholastic skills, unspecified | $74,063,967 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD F819 - Developmental disorder of scholastic skills, unspecified | $27,249 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD F819 - Developmental disorder of scholastic skills, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD F819 - Developmental disorder of scholastic skills, unspecified | 2.21 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD F819 - Developmental disorder of scholastic skills, unspecified | 85.87 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 100: SEIZURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 167,575 | ||||
| Total Hospitalizations with ICD F819 - Developmental disorder of scholastic skills, unspecified | 179 | ||||
| DRG Share of Total Hospitalizations | 0.51 | ||||
| % of Total ICD F819 - Developmental disorder of scholastic skills, unspecified in DRG | 1.54 | ||||
| Avg LOS at DRG | 5.54 | ||||
| Avg LOS with ICD F819 - Developmental disorder of scholastic skills, unspecified | 5.89 | ||||
| Readmission Rate at DRG | 28.6 | ||||
| Readmission Rate with ICD F819 - Developmental disorder of scholastic skills, unspecified | 27.33 | ||||
| Unplanned Readmission Rate at DRG | 14.22 | ||||
| Unplanned Readmission Rate with ICD F819 - Developmental disorder of scholastic skills, unspecified | 13.37 | ||||
| Total Medicare payments at DRG | $830,329,176 | ||||
| Total Medicare payments with ICD F819 - Developmental disorder of scholastic skills, unspecified | $821,180 | ||||
| Total Medicare payment per Day at DRG | $895 | ||||
| Total Medicare payment per Day with ICD F819 - Developmental disorder of scholastic skills, unspecified | $779 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,955 | ||||
| Total Medicare payment per Hospitalization with ICD F819 - Developmental disorder of scholastic skills, unspecified | $4,588 | ||||
| Total Medicare Charges at DRG | $3,314,158,261 | ||||
| Total Medicare Charges with ICD F819 - Developmental disorder of scholastic skills, unspecified | $2,939,792 | ||||
| Avg Charges at DRG | $19,777 | ||||
| Avg Charges with ICD F819 - Developmental disorder of scholastic skills, unspecified | $16,423 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD F819 - Developmental disorder of scholastic skills, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 5.67 | ||||
| SNF Discharge Rate with ICD F819 - Developmental disorder of scholastic skills, unspecified | NA | ||||
| Home Discharge Rate at DRG | 80.01 | ||||
| Home Discharge Rate with ICD F819 - Developmental disorder of scholastic skills, unspecified | 86.03 |
*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 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 895: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 80,879 | ||||
| Total Hospitalizations with ICD F819 - Developmental disorder of scholastic skills, unspecified | 133 | ||||
| DRG Share of Total Hospitalizations | 0.25 | ||||
| % of Total ICD F819 - Developmental disorder of scholastic skills, unspecified in DRG | 1.15 | ||||
| Avg LOS at DRG | 5.67 | ||||
| Avg LOS with ICD F819 - Developmental disorder of scholastic skills, unspecified | 5.49 | ||||
| Readmission Rate at DRG | 24.72 | ||||
| Readmission Rate with ICD F819 - Developmental disorder of scholastic skills, unspecified | 14.29 | ||||
| Unplanned Readmission Rate at DRG | 15.43 | ||||
| Unplanned Readmission Rate with ICD F819 - Developmental disorder of scholastic skills, unspecified | 10.08 | ||||
| Total Medicare payments at DRG | $887,347,366 | ||||
| Total Medicare payments with ICD F819 - Developmental disorder of scholastic skills, unspecified | $1,435,416 | ||||
| Total Medicare payment per Day at DRG | $1,935 | ||||
| Total Medicare payment per Day with ICD F819 - Developmental disorder of scholastic skills, unspecified | $1,966 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,971 | ||||
| Total Medicare payment per Hospitalization with ICD F819 - Developmental disorder of scholastic skills, unspecified | $10,793 | ||||
| Total Medicare Charges at DRG | $4,622,921,880 | ||||
| Total Medicare Charges with ICD F819 - Developmental disorder of scholastic skills, unspecified | $6,422,029 | ||||
| Avg Charges at DRG | $57,158 | ||||
| Avg Charges with ICD F819 - Developmental disorder of scholastic skills, unspecified | $48,286 | ||||
| Mortality Rate at DRG | 2.92 | ||||
| Mortality Rate with ICD F819 - Developmental disorder of scholastic skills, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 27.07 | ||||
| SNF Discharge Rate with ICD F819 - Developmental disorder of scholastic skills, unspecified | 24.81 | ||||
| Home Discharge Rate at DRG | 34.76 | ||||
| Home Discharge Rate with ICD F819 - Developmental disorder of scholastic skills, unspecified | 46.62 |
*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 291: HEART FAILURE AND SHOCK 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 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD F819 - Developmental disorder of scholastic skills, unspecified | 116 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD F819 - Developmental disorder of scholastic skills, unspecified in DRG | 1.0 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD F819 - Developmental disorder of scholastic skills, unspecified | 3.9 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD F819 - Developmental disorder of scholastic skills, unspecified | 12.61 | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD F819 - Developmental disorder of scholastic skills, unspecified | 9.91 | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD F819 - Developmental disorder of scholastic skills, unspecified | $762,398 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD F819 - Developmental disorder of scholastic skills, unspecified | $1,687 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD F819 - Developmental disorder of scholastic skills, unspecified | $6,572 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD F819 - Developmental disorder of scholastic skills, unspecified | $3,218,588 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD F819 - Developmental disorder of scholastic skills, unspecified | $27,746 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD F819 - Developmental disorder of scholastic skills, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD F819 - Developmental disorder of scholastic skills, unspecified | 12.07 | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD F819 - Developmental disorder of scholastic skills, unspecified | 60.34 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ST. PETER'S HOSPITAL | 2475 E BROADWAY ST | HELENA | MT | 59601 | 62 |
| UNITED HEALTH SERVICES HOSPITALS | 20 MITCHELL AVE | BINGHAMTON | NY | 13903 | 60 |
| SARAH BUSH LINCOLN HEALTH CENTER | 1000 HEALTH CENTER DR | MATTOON | IL | 61938 | 54 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JAWED M MOVANIA | 700 W LINCOLN TRAIL BLVD | RADCLIFF | KY | 40160 | 15 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. INNA K FACTOUROVICH | 1 HAWLEY ST | BINGHAMTON | NY | 13901 | 34 |
| Dr. GREGORY THEODORE CIACCIO | 8000 AL HIGHWAY 69 | GUNTERSVILLE | AL | 35976 | 32 |
| Dr. JOHN LAUER | 1005 HEALTH CENTER DRIVE | MATTOON | IL | 61938 | 28 |