*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| F849 - Pervasive developmental disorder, unspecified - as a primary diagnosis code | F849 - Pervasive developmental disorder, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 9.61 | |
| Readmission Rate (%) | 22.45 | |
| 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 885: PSYCHOSES | |
|---|---|
| Total Hospitalizations at DRG | 1,100,860 |
| Total Hospitalizations with ICD F849 - Pervasive developmental disorder, unspecified | 88 |
| DRG Share of Total Hospitalizations | 3.35 |
| % of Total ICD F849 - Pervasive developmental disorder, unspecified in DRG | 98.88 |
| Avg LOS at DRG | 11.86 |
| Avg LOS with ICD F849 - Pervasive developmental disorder, unspecified | 13.8 |
| Readmission Rate at DRG | 27.58 |
| Readmission Rate with ICD F849 - Pervasive developmental disorder, unspecified | 18.6 |
| Unplanned Readmission Rate at DRG | 13.34 |
| Unplanned Readmission Rate with ICD F849 - Pervasive developmental disorder, unspecified | NA |
| Total Medicare payments at DRG | $9,312,828,663 |
| Total Medicare payments with ICD F849 - Pervasive developmental disorder, unspecified | $727,847 |
| Total Medicare payment per Day at DRG | $713 |
| Total Medicare payment per Day with ICD F849 - Pervasive developmental disorder, unspecified | $600 |
| Total Medicare payment per Hospitalization at DRG | $8,460 |
| Total Medicare payment per Hospitalization with ICD F849 - Pervasive developmental disorder, unspecified | $8,271 |
| Total Medicare Charges at DRG | $32,341,464,302 |
| Total Medicare Charges with ICD F849 - Pervasive developmental disorder, unspecified | $2,581,046 |
| Avg Charges at DRG | $29,378 |
| Avg Charges with ICD F849 - Pervasive developmental disorder, unspecified | $29,330 |
| Mortality Rate at DRG | 0.04 |
| Mortality Rate with ICD F849 - Pervasive developmental disorder, unspecified | NA |
| SNF Discharge Rate at DRG | 5.83 |
| SNF Discharge Rate with ICD F849 - Pervasive developmental disorder, unspecified | NA |
| Home Discharge Rate at DRG | 79.47 |
| Home Discharge Rate with ICD F849 - Pervasive developmental disorder, unspecified | 82.95 |
*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 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH 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 F849 - Pervasive developmental disorder, unspecified | 748 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD F849 - Pervasive developmental disorder, unspecified in DRG | 27.45 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD F849 - Pervasive developmental disorder, unspecified | 14.13 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD F849 - Pervasive developmental disorder, unspecified | 22.15 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD F849 - Pervasive developmental disorder, unspecified | 11.0 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD F849 - Pervasive developmental disorder, unspecified | $7,240,985 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD F849 - Pervasive developmental disorder, unspecified | $685 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD F849 - Pervasive developmental disorder, unspecified | $9,680 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD F849 - Pervasive developmental disorder, unspecified | $29,838,203 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD F849 - Pervasive developmental disorder, unspecified | $39,891 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD F849 - Pervasive developmental disorder, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD F849 - Pervasive developmental disorder, unspecified | 3.07 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD F849 - Pervasive developmental disorder, unspecified | 81.82 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 883: DISORDERS OF PERSONALITY AND IMPULSE CONTROL | DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 160,071 | ||||
| Total Hospitalizations with ICD F849 - Pervasive developmental disorder, unspecified | 48 | ||||
| DRG Share of Total Hospitalizations | 0.49 | ||||
| % of Total ICD F849 - Pervasive developmental disorder, unspecified in DRG | 1.76 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD F849 - Pervasive developmental disorder, unspecified | 4.02 | ||||
| Readmission Rate at DRG | 18.99 | ||||
| Readmission Rate with ICD F849 - Pervasive developmental disorder, unspecified | 23.4 | ||||
| Unplanned Readmission Rate at DRG | 14.42 | ||||
| Unplanned Readmission Rate with ICD F849 - Pervasive developmental disorder, unspecified | NA | ||||
| Total Medicare payments at DRG | $842,180,909 | ||||
| Total Medicare payments with ICD F849 - Pervasive developmental disorder, unspecified | $309,006 | ||||
| Total Medicare payment per Day at DRG | $1,326 | ||||
| Total Medicare payment per Day with ICD F849 - Pervasive developmental disorder, unspecified | $1,601 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,261 | ||||
| Total Medicare payment per Hospitalization with ICD F849 - Pervasive developmental disorder, unspecified | $6,438 | ||||
| Total Medicare Charges at DRG | $4,464,635,942 | ||||
| Total Medicare Charges with ICD F849 - Pervasive developmental disorder, unspecified | $1,267,641 | ||||
| Avg Charges at DRG | $27,892 | ||||
| Avg Charges with ICD F849 - Pervasive developmental disorder, unspecified | $26,409 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD F849 - Pervasive developmental disorder, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 10.71 | ||||
| SNF Discharge Rate with ICD F849 - Pervasive developmental disorder, unspecified | NA | ||||
| Home Discharge Rate at DRG | 66.6 | ||||
| Home Discharge Rate with ICD F849 - Pervasive developmental disorder, unspecified | 81.25 |
*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 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 886: BEHAVIORAL AND DEVELOPMENTAL DISORDERS | DRG 882: NEUROSES EXCEPT DEPRESSIVE | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 80,879 | ||||
| Total Hospitalizations with ICD F849 - Pervasive developmental disorder, unspecified | 37 | ||||
| DRG Share of Total Hospitalizations | 0.25 | ||||
| % of Total ICD F849 - Pervasive developmental disorder, unspecified in DRG | 1.36 | ||||
| Avg LOS at DRG | 5.67 | ||||
| Avg LOS with ICD F849 - Pervasive developmental disorder, unspecified | 5.19 | ||||
| Readmission Rate at DRG | 24.72 | ||||
| Readmission Rate with ICD F849 - Pervasive developmental disorder, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 15.43 | ||||
| Unplanned Readmission Rate with ICD F849 - Pervasive developmental disorder, unspecified | NA | ||||
| Total Medicare payments at DRG | $887,347,366 | ||||
| Total Medicare payments with ICD F849 - Pervasive developmental disorder, unspecified | $390,380 | ||||
| Total Medicare payment per Day at DRG | $1,935 | ||||
| Total Medicare payment per Day with ICD F849 - Pervasive developmental disorder, unspecified | $2,033 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,971 | ||||
| Total Medicare payment per Hospitalization with ICD F849 - Pervasive developmental disorder, unspecified | $10,551 | ||||
| Total Medicare Charges at DRG | $4,622,921,880 | ||||
| Total Medicare Charges with ICD F849 - Pervasive developmental disorder, unspecified | $1,727,603 | ||||
| Avg Charges at DRG | $57,158 | ||||
| Avg Charges with ICD F849 - Pervasive developmental disorder, unspecified | $46,692 | ||||
| Mortality Rate at DRG | 2.92 | ||||
| Mortality Rate with ICD F849 - Pervasive developmental disorder, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 27.07 | ||||
| SNF Discharge Rate with ICD F849 - Pervasive developmental disorder, unspecified | NA | ||||
| Home Discharge Rate at DRG | 34.76 | ||||
| Home Discharge Rate with ICD F849 - Pervasive developmental disorder, unspecified | 64.86 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 884: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 310,318 | ||||
| Total Hospitalizations with ICD F849 - Pervasive developmental disorder, unspecified | 32 | ||||
| DRG Share of Total Hospitalizations | 0.94 | ||||
| % of Total ICD F849 - Pervasive developmental disorder, unspecified in DRG | 1.17 | ||||
| Avg LOS at DRG | 3.19 | ||||
| Avg LOS with ICD F849 - Pervasive developmental disorder, unspecified | 4.47 | ||||
| Readmission Rate at DRG | 20.19 | ||||
| Readmission Rate with ICD F849 - Pervasive developmental disorder, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 13.62 | ||||
| Unplanned Readmission Rate with ICD F849 - Pervasive developmental disorder, unspecified | NA | ||||
| Total Medicare payments at DRG | $1,415,392,709 | ||||
| Total Medicare payments with ICD F849 - Pervasive developmental disorder, unspecified | $160,912 | ||||
| Total Medicare payment per Day at DRG | $1,431 | ||||
| Total Medicare payment per Day with ICD F849 - Pervasive developmental disorder, unspecified | $1,125 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,561 | ||||
| Total Medicare payment per Hospitalization with ICD F849 - Pervasive developmental disorder, unspecified | $5,029 | ||||
| Total Medicare Charges at DRG | $7,113,640,596 | ||||
| Total Medicare Charges with ICD F849 - Pervasive developmental disorder, unspecified | $802,362 | ||||
| Avg Charges at DRG | $22,924 | ||||
| Avg Charges with ICD F849 - Pervasive developmental disorder, unspecified | $25,074 | ||||
| Mortality Rate at DRG | 0.63 | ||||
| Mortality Rate with ICD F849 - Pervasive developmental disorder, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 19.76 | ||||
| SNF Discharge Rate with ICD F849 - Pervasive developmental disorder, unspecified | NA | ||||
| Home Discharge Rate at DRG | 50.47 | ||||
| Home Discharge Rate with ICD F849 - Pervasive developmental disorder, unspecified | 56.25 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UF HEALTH SHANDS HOSPITAL | 1600 SW ARCHER RD | GAINESVILLE | FL | 32610 | 22 |
| UPMC PINNACLE HARRISBURG | 111 S FRONT ST | HARRISBURG | PA | 17101 | 22 |
| CONEMAUGH MEMORIAL MEDICAL CENTER | 1086 FRANKLIN ST | JOHNSTOWN | PA | 15905 | 20 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CHARLES WILBUR STOTLER | 334 BLOOMFIELD ST | JOHNSTOWN | PA | 15904 | 14 |
| Dr. IVAN L MAZZORANA | 12590 WHITEHALL DR | FT MYERS | FL | 33907 | 13 |
| Dr. TIMOTHY IVIN LAWVER | 525 OREGON ST | VALLEJO | CA | 94590 | 12 |