*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| F940 - Selective mutism - as a primary diagnosis code | F940 - Selective mutism - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 18.58 | |
| Readmission Rate (%) | 30.51 | |
| 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 886: BEHAVIORAL AND DEVELOPMENTAL DISORDERS | |
|---|---|
| Total Hospitalizations at DRG | 4,051 |
| Total Hospitalizations with ICD F940 - Selective mutism | 12 |
| DRG Share of Total Hospitalizations | 0.01 |
| % of Total ICD F940 - Selective mutism in DRG | 100.0 |
| Avg LOS at DRG | 10.94 |
| Avg LOS with ICD F940 - Selective mutism | 3.17 |
| Readmission Rate at DRG | 22.25 |
| Readmission Rate with ICD F940 - Selective mutism | NA |
| Unplanned Readmission Rate at DRG | 10.53 |
| Unplanned Readmission Rate with ICD F940 - Selective mutism | NA |
| Total Medicare payments at DRG | $31,664,636 |
| Total Medicare payments with ICD F940 - Selective mutism | $78,663 |
| Total Medicare payment per Day at DRG | $714 |
| Total Medicare payment per Day with ICD F940 - Selective mutism | $2,070 |
| Total Medicare payment per Hospitalization at DRG | $7,816 |
| Total Medicare payment per Hospitalization with ICD F940 - Selective mutism | $6,555 |
| Total Medicare Charges at DRG | $109,133,643 |
| Total Medicare Charges with ICD F940 - Selective mutism | $441,412 |
| Avg Charges at DRG | $26,940 |
| Avg Charges with ICD F940 - Selective mutism | $36,784 |
| Mortality Rate at DRG | NA |
| Mortality Rate with ICD F940 - Selective mutism | NA |
| SNF Discharge Rate at DRG | 12.76 |
| SNF Discharge Rate with ICD F940 - Selective mutism | NA |
| Home Discharge Rate at DRG | 60.6 |
| Home Discharge Rate with ICD F940 - Selective mutism | NA |
*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 884: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD F940 - Selective mutism | 1,312 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD F940 - Selective mutism in DRG | 63.72 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD F940 - Selective mutism | 22.17 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD F940 - Selective mutism | 28.15 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD F940 - Selective mutism | 13.26 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD F940 - Selective mutism | $22,048,952 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD F940 - Selective mutism | $758 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD F940 - Selective mutism | $16,806 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD F940 - Selective mutism | $88,185,748 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD F940 - Selective mutism | $67,215 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD F940 - Selective mutism | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD F940 - Selective mutism | 11.51 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD F940 - Selective mutism | 66.08 |
*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 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 881: DEPRESSIVE NEUROSES | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 071: NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 310,318 | ||||
| Total Hospitalizations with ICD F940 - Selective mutism | 20 | ||||
| DRG Share of Total Hospitalizations | 0.94 | ||||
| % of Total ICD F940 - Selective mutism in DRG | 0.97 | ||||
| Avg LOS at DRG | 3.19 | ||||
| Avg LOS with ICD F940 - Selective mutism | 8.4 | ||||
| Readmission Rate at DRG | 20.19 | ||||
| Readmission Rate with ICD F940 - Selective mutism | NA | ||||
| Unplanned Readmission Rate at DRG | 13.62 | ||||
| Unplanned Readmission Rate with ICD F940 - Selective mutism | NA | ||||
| Total Medicare payments at DRG | $1,415,392,709 | ||||
| Total Medicare payments with ICD F940 - Selective mutism | $136,300 | ||||
| Total Medicare payment per Day at DRG | $1,431 | ||||
| Total Medicare payment per Day with ICD F940 - Selective mutism | $811 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,561 | ||||
| Total Medicare payment per Hospitalization with ICD F940 - Selective mutism | $6,815 | ||||
| Total Medicare Charges at DRG | $7,113,640,596 | ||||
| Total Medicare Charges with ICD F940 - Selective mutism | $817,482 | ||||
| Avg Charges at DRG | $22,924 | ||||
| Avg Charges with ICD F940 - Selective mutism | $40,874 | ||||
| Mortality Rate at DRG | 0.63 | ||||
| Mortality Rate with ICD F940 - Selective mutism | NA | ||||
| SNF Discharge Rate at DRG | 19.76 | ||||
| SNF Discharge Rate with ICD F940 - Selective mutism | NA | ||||
| Home Discharge Rate at DRG | 50.47 | ||||
| Home Discharge Rate with ICD F940 - Selective mutism | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 101: SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 948: SIGNS AND SYMPTOMS 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 | 231,812 | ||||
| Total Hospitalizations with ICD F940 - Selective mutism | 16 | ||||
| DRG Share of Total Hospitalizations | 0.71 | ||||
| % of Total ICD F940 - Selective mutism in DRG | 0.78 | ||||
| Avg LOS at DRG | 4.41 | ||||
| Avg LOS with ICD F940 - Selective mutism | 12.94 | ||||
| Readmission Rate at DRG | 29.12 | ||||
| Readmission Rate with ICD F940 - Selective mutism | NA | ||||
| Unplanned Readmission Rate at DRG | 22.82 | ||||
| Unplanned Readmission Rate with ICD F940 - Selective mutism | NA | ||||
| Total Medicare payments at DRG | $1,743,376,418 | ||||
| Total Medicare payments with ICD F940 - Selective mutism | $137,599 | ||||
| Total Medicare payment per Day at DRG | $1,704 | ||||
| Total Medicare payment per Day with ICD F940 - Selective mutism | $665 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,521 | ||||
| Total Medicare payment per Hospitalization with ICD F940 - Selective mutism | $8,600 | ||||
| Total Medicare Charges at DRG | $8,543,867,896 | ||||
| Total Medicare Charges with ICD F940 - Selective mutism | $795,096 | ||||
| Avg Charges at DRG | $36,857 | ||||
| Avg Charges with ICD F940 - Selective mutism | $49,694 | ||||
| Mortality Rate at DRG | 2.89 | ||||
| Mortality Rate with ICD F940 - Selective mutism | NA | ||||
| SNF Discharge Rate at DRG | 22.92 | ||||
| SNF Discharge Rate with ICD F940 - Selective mutism | NA | ||||
| Home Discharge Rate at DRG | 43.02 | ||||
| Home Discharge Rate with ICD F940 - Selective mutism | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 886: BEHAVIORAL AND DEVELOPMENTAL DISORDERS | DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 917: POISONING AND TOXIC EFFECTS OF DRUGS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 4,051 | |||
| Total Hospitalizations with ICD F940 - Selective mutism | 14 | |||
| DRG Share of Total Hospitalizations | 0.01 | |||
| % of Total ICD F940 - Selective mutism in DRG | 0.68 | |||
| Avg LOS at DRG | 10.94 | |||
| Avg LOS with ICD F940 - Selective mutism | 6.07 | |||
| Readmission Rate at DRG | 22.25 | |||
| Readmission Rate with ICD F940 - Selective mutism | NA | |||
| Unplanned Readmission Rate at DRG | 10.53 | |||
| Unplanned Readmission Rate with ICD F940 - Selective mutism | NA | |||
| Total Medicare payments at DRG | $31,664,636 | |||
| Total Medicare payments with ICD F940 - Selective mutism | $117,221 | |||
| Total Medicare payment per Day at DRG | $714 | |||
| Total Medicare payment per Day with ICD F940 - Selective mutism | $1,379 | |||
| Total Medicare payment per Hospitalization at DRG | $7,816 | |||
| Total Medicare payment per Hospitalization with ICD F940 - Selective mutism | $8,373 | |||
| Total Medicare Charges at DRG | $109,133,643 | |||
| Total Medicare Charges with ICD F940 - Selective mutism | $507,590 | |||
| Avg Charges at DRG | $26,940 | |||
| Avg Charges with ICD F940 - Selective mutism | $36,256 | |||
| Mortality Rate at DRG | NA | |||
| Mortality Rate with ICD F940 - Selective mutism | NA | |||
| SNF Discharge Rate at DRG | 12.76 | |||
| SNF Discharge Rate with ICD F940 - Selective mutism | NA | |||
| Home Discharge Rate at DRG | 60.6 | |||
| Home Discharge Rate with ICD F940 - Selective mutism | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| SILVER LAKE MEDICAL CENTER | 1711 W TEMPLE ST | LOS ANGELES | CA | 90026 | 79 |
| DOCTORS BEHAVIORAL HEALTH CENTER | 1501 CLAUS RD | MODESTO | CA | 95355 | 57 |
| PRINCE GEORGE'S HOSPITAL CENTER | 3001 HOSPITAL DR | CHEVERLY | MD | 20785 | 41 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. GADSON JOHN JOHNSON | 701 SANTA MONICA BLVD | SANTA MONICA | CA | 90401 | 17 |
| Dr. CLIFFORD IFEANYI IRIELE | 1711 W TEMPLE ST | LOS ANGELES | CA | 90026 | 15 |
| Dr. WILLIAM M. GILLESPIE | 510 S GRAND AVE STE 200 | GLENDORA | CA | 91741 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. NAVEEN MADDINENI | 12073 TECH RD | SILVER SPRING | MD | 20904 | 18 |
| Dr. ALFREDO E TORRES | 300 WASHINGTON ST | MONROE | LA | 71201 | 16 |
| Dr. EVELYN R. EDELMUTH | 1501 CLAUS RD | MODESTO | CA | 95355 | 16 |