*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| F840 - Autistic disorder - as a primary diagnosis code | F840 - Autistic disorder - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.53 | |
| Readmission Rate (%) | 21.85 | |
| Unplanned Readmission Rate (%) | 9.45 | |
| 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 F840 - Autistic disorder | 1,286 |
| DRG Share of Total Hospitalizations | 0.44 |
| % of Total ICD F840 - Autistic disorder in DRG | 99.84 |
| Avg LOS at DRG | 11.23 |
| Avg LOS with ICD F840 - Autistic disorder | 15.47 |
| Readmission Rate at DRG | 20.52 |
| Readmission Rate with ICD F840 - Autistic disorder | 19.0 |
| Unplanned Readmission Rate at DRG | 12.21 |
| Unplanned Readmission Rate with ICD F840 - Autistic disorder | 9.46 |
| Total Medicare payments at DRG | $1,495,371,248 |
| Total Medicare payments with ICD F840 - Autistic disorder | $12,591,489 |
| Total Medicare payment per Day at DRG | $922 |
| Total Medicare payment per Day with ICD F840 - Autistic disorder | $633 |
| Total Medicare payment per Hospitalization at DRG | $10,348 |
| Total Medicare payment per Hospitalization with ICD F840 - Autistic disorder | $9,791 |
| Total Medicare Charges at DRG | $5,107,483,805 |
| Total Medicare Charges with ICD F840 - Autistic disorder | $50,843,453 |
| Avg Charges at DRG | $35,344 |
| Avg Charges with ICD F840 - Autistic disorder | $39,536 |
| Mortality Rate at DRG | 0.73 |
| Mortality Rate with ICD F840 - Autistic disorder | NA |
| SNF Discharge Rate at DRG | 38.43 |
| SNF Discharge Rate with ICD F840 - Autistic disorder | 2.88 |
| Home Discharge Rate at DRG | 27.81 |
| Home Discharge Rate with ICD F840 - Autistic disorder | 83.28 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| TRINITAS REGIONAL MEDICAL CENTER | 655 E JERSEY ST | ELIZABETH | NJ | 07206 | 46 |
| WINNEBAGO MENTAL HEALTH INSTITUTE | 1300 SOUTH DRIVE | WINNEBAGO | WI | 54985 | 28 |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA | 150 UCLA MEDICAL PLAZA | LOS ANGELES | CA | 90095 | 20 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. HITENDRA R PATEL | 655 E JERSEY ST | ELIZABETH | NJ | 07206 | 33 |
| Dr. RUBY MANGSATABAM | 655 E JERSEY ST | ELIZABETH | NJ | 07206 | 12 |
| Dr. LYNNEA CARDER | 112 W JEFFERSON BLVD | SOUTH BEND | IN | 46601 | 12 |
*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 884: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD F840 - Autistic disorder | 6,639 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD F840 - Autistic disorder in DRG | 20.21 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD F840 - Autistic disorder | 12.66 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD F840 - Autistic disorder | 24.69 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD F840 - Autistic disorder | 11.53 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD F840 - Autistic disorder | $56,353,586 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD F840 - Autistic disorder | $671 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD F840 - Autistic disorder | $8,488 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD F840 - Autistic disorder | $206,048,124 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD F840 - Autistic disorder | $31,036 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD F840 - Autistic disorder | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD F840 - Autistic disorder | 2.15 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD F840 - Autistic disorder | 84.49 |
*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 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD F840 - Autistic disorder | 660 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD F840 - Autistic disorder in DRG | 2.01 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD F840 - Autistic disorder | 3.69 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD F840 - Autistic disorder | 13.15 | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD F840 - Autistic disorder | 10.95 | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD F840 - Autistic disorder | $3,857,480 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD F840 - Autistic disorder | $1,585 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD F840 - Autistic disorder | $5,845 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD F840 - Autistic disorder | $16,400,952 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD F840 - Autistic disorder | $24,850 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD F840 - Autistic disorder | NA | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD F840 - Autistic disorder | 8.94 | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD F840 - Autistic disorder | 63.64 |
*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 883: DISORDERS OF PERSONALITY AND IMPULSE CONTROL | 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 | 364,421 | ||||
| Total Hospitalizations with ICD F840 - Autistic disorder | 490 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD F840 - Autistic disorder in DRG | 1.49 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD F840 - Autistic disorder | 3.98 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD F840 - Autistic disorder | 13.11 | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD F840 - Autistic disorder | 9.09 | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD F840 - Autistic disorder | $2,577,329 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD F840 - Autistic disorder | $1,320 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD F840 - Autistic disorder | $5,260 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD F840 - Autistic disorder | $12,190,014 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD F840 - Autistic disorder | $24,878 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD F840 - Autistic disorder | NA | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD F840 - Autistic disorder | 9.8 | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD F840 - Autistic disorder | 61.63 |
*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 881: DEPRESSIVE NEUROSES | DRG 882: NEUROSES EXCEPT DEPRESSIVE | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD F840 - Autistic disorder | 331 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD F840 - Autistic disorder in DRG | 1.01 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD F840 - Autistic disorder | 4.38 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD F840 - Autistic disorder | 17.46 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD F840 - Autistic disorder | 13.97 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD F840 - Autistic disorder | $1,720,536 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD F840 - Autistic disorder | $1,187 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD F840 - Autistic disorder | $5,198 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD F840 - Autistic disorder | $9,529,274 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD F840 - Autistic disorder | $28,789 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD F840 - Autistic disorder | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD F840 - Autistic disorder | 11.78 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD F840 - Autistic disorder | 63.44 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| RIVEREDGE HOSPITAL | 8311 ROOSEVELT RD | FOREST PARK | IL | 60130 | 158 |
| HUNTERDON MEDICAL CENTER | 2100 WESCOTT DR | FLEMINGTON | NJ | 08822 | 153 |
| TRINITAS REGIONAL MEDICAL CENTER | 655 E JERSEY ST | ELIZABETH | NJ | 07206 | 142 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SEBASTIAN PAUL AVOLESE | 7309 MYRTLE AVE | GLENDALE | NY | 11385 | 36 |
| Dr. DEANA MARIE GAZZOLA | 223 E 34TH ST | NEW YORK | NY | 10016 | 17 |
| Dr. KHUTB MOHAMMED UDDIN | 239 N DIXIE WAY | SOUTH BEND | IN | 46637 | 16 |
| 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 | 140 |
| Dr. HITENDRA R PATEL | 655 E JERSEY ST | ELIZABETH | NJ | 07206 | 79 |
| Dr. SUVASINI A PANDIT | 200 MAY ST | SOUTH ATTLEBORO | MA | 02703 | 63 |