*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| F988 - Other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence - as a primary diagnosis code | F988 - Other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.16 | |
| Readmission Rate (%) | 20.83 | |
| 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 | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD F988 - Other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence | 1,506 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD F988 - Other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence in DRG | 10.71 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD F988 - Other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence | 9.44 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD F988 - Other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence | 27.57 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD F988 - Other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence | 14.0 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD F988 - Other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence | $10,257,858 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD F988 - Other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence | $722 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD F988 - Other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence | $6,811 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD F988 - Other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence | $39,144,406 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD F988 - Other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence | $25,992 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD F988 - Other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD F988 - Other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence | 1.59 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD F988 - Other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence | 88.31 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 483: MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 215,355 | ||||
| Total Hospitalizations with ICD F988 - Other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence | 223 | ||||
| DRG Share of Total Hospitalizations | 0.66 | ||||
| % of Total ICD F988 - Other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence in DRG | 1.59 | ||||
| Avg LOS at DRG | 3.28 | ||||
| Avg LOS with ICD F988 - Other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence | 3.38 | ||||
| Readmission Rate at DRG | 16.7 | ||||
| Readmission Rate with ICD F988 - Other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence | 17.13 | ||||
| Unplanned Readmission Rate at DRG | 4.47 | ||||
| Unplanned Readmission Rate with ICD F988 - Other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence | 7.87 | ||||
| Total Medicare payments at DRG | $5,278,830,730 | ||||
| Total Medicare payments with ICD F988 - Other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence | $5,319,289 | ||||
| Total Medicare payment per Day at DRG | $7,462 | ||||
| Total Medicare payment per Day with ICD F988 - Other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence | $7,055 | ||||
| Total Medicare payment per Hospitalization at DRG | $24,512 | ||||
| Total Medicare payment per Hospitalization with ICD F988 - Other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence | $23,853 | ||||
| Total Medicare Charges at DRG | $25,567,888,167 | ||||
| Total Medicare Charges with ICD F988 - Other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence | $25,903,971 | ||||
| Avg Charges at DRG | $118,724 | ||||
| Avg Charges with ICD F988 - Other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence | $116,161 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD F988 - Other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence | NA | ||||
| SNF Discharge Rate at DRG | 15.71 | ||||
| SNF Discharge Rate with ICD F988 - Other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence | 16.14 | ||||
| Home Discharge Rate at DRG | 51.89 | ||||
| Home Discharge Rate with ICD F988 - Other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence | 52.91 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 917: POISONING AND TOXIC EFFECTS OF DRUGS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 918: POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 101,548 | ||||
| Total Hospitalizations with ICD F988 - Other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence | 155 | ||||
| DRG Share of Total Hospitalizations | 0.31 | ||||
| % of Total ICD F988 - Other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence in DRG | 1.1 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD F988 - Other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence | 4.03 | ||||
| Readmission Rate at DRG | 32.74 | ||||
| Readmission Rate with ICD F988 - Other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence | 32.85 | ||||
| Unplanned Readmission Rate at DRG | 13.79 | ||||
| Unplanned Readmission Rate with ICD F988 - Other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence | 9.49 | ||||
| Total Medicare payments at DRG | $922,969,291 | ||||
| Total Medicare payments with ICD F988 - Other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence | $1,227,443 | ||||
| Total Medicare payment per Day at DRG | $1,941 | ||||
| Total Medicare payment per Day with ICD F988 - Other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence | $1,967 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,089 | ||||
| Total Medicare payment per Hospitalization with ICD F988 - Other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence | $7,919 | ||||
| Total Medicare Charges at DRG | $4,727,523,206 | ||||
| Total Medicare Charges with ICD F988 - Other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence | $6,265,755 | ||||
| Avg Charges at DRG | $46,555 | ||||
| Avg Charges with ICD F988 - Other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence | $40,424 | ||||
| Mortality Rate at DRG | 2.95 | ||||
| Mortality Rate with ICD F988 - Other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence | NA | ||||
| SNF Discharge Rate at DRG | 13.87 | ||||
| SNF Discharge Rate with ICD F988 - Other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence | NA | ||||
| Home Discharge Rate at DRG | 43.04 | ||||
| Home Discharge Rate with ICD F988 - Other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence | 52.9 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 101: SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 174,196 | ||||
| Total Hospitalizations with ICD F988 - Other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence | 121 | ||||
| DRG Share of Total Hospitalizations | 0.53 | ||||
| % of Total ICD F988 - Other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence in DRG | 0.86 | ||||
| Avg LOS at DRG | 3.86 | ||||
| Avg LOS with ICD F988 - Other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence | 3.36 | ||||
| Readmission Rate at DRG | 23.62 | ||||
| Readmission Rate with ICD F988 - Other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence | 37.84 | ||||
| Unplanned Readmission Rate at DRG | 17.61 | ||||
| Unplanned Readmission Rate with ICD F988 - Other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence | 30.63 | ||||
| Total Medicare payments at DRG | $959,872,570 | ||||
| Total Medicare payments with ICD F988 - Other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence | $628,163 | ||||
| Total Medicare payment per Day at DRG | $1,426 | ||||
| Total Medicare payment per Day with ICD F988 - Other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence | $1,547 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,510 | ||||
| Total Medicare payment per Hospitalization with ICD F988 - Other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence | $5,191 | ||||
| Total Medicare Charges at DRG | $4,945,131,055 | ||||
| Total Medicare Charges with ICD F988 - Other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence | $3,166,830 | ||||
| Avg Charges at DRG | $28,388 | ||||
| Avg Charges with ICD F988 - Other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence | $26,172 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD F988 - Other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence | NA | ||||
| SNF Discharge Rate at DRG | 14.83 | ||||
| SNF Discharge Rate with ICD F988 - Other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence | NA | ||||
| Home Discharge Rate at DRG | 53.93 | ||||
| Home Discharge Rate with ICD F988 - Other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence | 73.55 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MERCY HOSPITAL ST. LOUIS | 615 S NEW BALLAS RD | SAINT LOUIS | MO | 63141 | 82 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 73 |
| PARK NICOLLET METHODIST HOSPITAL | 6500 EXCELSIOR BLVD | ST LOUIS PARK | MN | 55426 | 70 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DALE LEONARD MESSER | 711 W SIDNOR ST | ALVIN | TX | 77511 | 23 |
| Dr. CESAR A MATOS-MARTINEZ | 2110 W TRENTON RD STE A | EDINBURG | TX | 78539 | 13 |
| Dr. JAHANDAR SAIFOLLAHI | 363 FREMONT ST | BATTLE CREEK | MI | 49017 | 12 |