*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| F99 - Mental disorder, not otherwise specified - as a primary diagnosis code | F99 - Mental disorder, not otherwise specified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.91 | |
| Readmission Rate (%) | 26.01 | |
| Unplanned Readmission Rate (%) | 10.61 | |
| 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 880: ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | |
|---|---|
| Total Hospitalizations at DRG | 34,840 |
| Total Hospitalizations with ICD F99 - Mental disorder, not otherwise specified | 553 |
| DRG Share of Total Hospitalizations | 0.11 |
| % of Total ICD F99 - Mental disorder, not otherwise specified in DRG | 99.82 |
| Avg LOS at DRG | 5.38 |
| Avg LOS with ICD F99 - Mental disorder, not otherwise specified | 14.47 |
| Readmission Rate at DRG | 22.47 |
| Readmission Rate with ICD F99 - Mental disorder, not otherwise specified | 27.4 |
| Unplanned Readmission Rate at DRG | 12.18 |
| Unplanned Readmission Rate with ICD F99 - Mental disorder, not otherwise specified | 10.63 |
| Total Medicare payments at DRG | $193,767,073 |
| Total Medicare payments with ICD F99 - Mental disorder, not otherwise specified | $3,687,596 |
| Total Medicare payment per Day at DRG | $1,033 |
| Total Medicare payment per Day with ICD F99 - Mental disorder, not otherwise specified | $461 |
| Total Medicare payment per Hospitalization at DRG | $5,562 |
| Total Medicare payment per Hospitalization with ICD F99 - Mental disorder, not otherwise specified | $6,668 |
| Total Medicare Charges at DRG | $895,692,673 |
| Total Medicare Charges with ICD F99 - Mental disorder, not otherwise specified | $12,569,697 |
| Avg Charges at DRG | $25,709 |
| Avg Charges with ICD F99 - Mental disorder, not otherwise specified | $22,730 |
| Mortality Rate at DRG | 0.21 |
| Mortality Rate with ICD F99 - Mental disorder, not otherwise specified | NA |
| SNF Discharge Rate at DRG | 12.88 |
| SNF Discharge Rate with ICD F99 - Mental disorder, not otherwise specified | 6.69 |
| Home Discharge Rate at DRG | 62.18 |
| Home Discharge Rate with ICD F99 - Mental disorder, not otherwise specified | 65.1 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ASPIRE HEALTH PARTNERS | 1800 MERCY DR | ORLANDO | FL | 32808 | 73 |
| SOUTHERN VIRGINIA MENTAL HEALTH INSTITUTE | 382 TAYLOR DR | DANVILLE | VA | 24541 | 42 |
| WESTERN STATE HOSPITAL | 9601 STEILACOOM BLVD SW | TACOMA | WA | 98498 | 25 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. HETAL K. BRAHMBHATT | 403 N STATE OF FRANKLIN RD | JOHNSON CITY | TN | 37604 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RODWAN MAHFOUZ | 721 W COLONIAL DR | ORLANDO | FL | 32804 | 67 |
| Dr. PRAVINCHANDRA C PATEL | 24 CLAY ST | MARTINSVILLE | VA | 24112 | 22 |
| Dr. HETAL K. BRAHMBHATT | 403 N STATE OF FRANKLIN RD | JOHNSON CITY | TN | 37604 | 11 |
*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 880: ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS 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 F99 - Mental disorder, not otherwise specified | 1,117 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD F99 - Mental disorder, not otherwise specified in DRG | 8.55 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD F99 - Mental disorder, not otherwise specified | 13.39 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD F99 - Mental disorder, not otherwise specified | 28.26 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD F99 - Mental disorder, not otherwise specified | 15.4 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD F99 - Mental disorder, not otherwise specified | $11,509,888 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD F99 - Mental disorder, not otherwise specified | $770 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD F99 - Mental disorder, not otherwise specified | $10,304 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD F99 - Mental disorder, not otherwise specified | $38,679,279 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD F99 - Mental disorder, not otherwise specified | $34,628 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD F99 - Mental disorder, not otherwise specified | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD F99 - Mental disorder, not otherwise specified | 8.24 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD F99 - Mental disorder, not otherwise specified | 73.77 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD F99 - Mental disorder, not otherwise specified | 237 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD F99 - Mental disorder, not otherwise specified in DRG | 1.81 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD F99 - Mental disorder, not otherwise specified | 8.57 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD F99 - Mental disorder, not otherwise specified | 28.77 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD F99 - Mental disorder, not otherwise specified | 20.28 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD F99 - Mental disorder, not otherwise specified | $2,730,294 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD F99 - Mental disorder, not otherwise specified | $1,345 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD F99 - Mental disorder, not otherwise specified | $11,520 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD F99 - Mental disorder, not otherwise specified | $12,869,749 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD F99 - Mental disorder, not otherwise specified | $54,303 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD F99 - Mental disorder, not otherwise specified | NA | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD F99 - Mental disorder, not otherwise specified | 26.16 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD F99 - Mental disorder, not otherwise specified | 30.8 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD F99 - Mental disorder, not otherwise specified | 182 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD F99 - Mental disorder, not otherwise specified in DRG | 1.39 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD F99 - Mental disorder, not otherwise specified | 5.52 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD F99 - Mental disorder, not otherwise specified | 25.29 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD F99 - Mental disorder, not otherwise specified | 15.88 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD F99 - Mental disorder, not otherwise specified | $1,626,505 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD F99 - Mental disorder, not otherwise specified | $1,620 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD F99 - Mental disorder, not otherwise specified | $8,937 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD F99 - Mental disorder, not otherwise specified | $7,772,036 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD F99 - Mental disorder, not otherwise specified | $42,703 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD F99 - Mental disorder, not otherwise specified | NA | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD F99 - Mental disorder, not otherwise specified | 25.82 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD F99 - Mental disorder, not otherwise specified | 39.01 |
*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 | DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 101: SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 144,507 | ||||
| Total Hospitalizations with ICD F99 - Mental disorder, not otherwise specified | 169 | ||||
| DRG Share of Total Hospitalizations | 0.44 | ||||
| % of Total ICD F99 - Mental disorder, not otherwise specified in DRG | 1.29 | ||||
| Avg LOS at DRG | 11.23 | ||||
| Avg LOS with ICD F99 - Mental disorder, not otherwise specified | 15.63 | ||||
| Readmission Rate at DRG | 20.52 | ||||
| Readmission Rate with ICD F99 - Mental disorder, not otherwise specified | 26.75 | ||||
| Unplanned Readmission Rate at DRG | 12.21 | ||||
| Unplanned Readmission Rate with ICD F99 - Mental disorder, not otherwise specified | 17.83 | ||||
| Total Medicare payments at DRG | $1,495,371,248 | ||||
| Total Medicare payments with ICD F99 - Mental disorder, not otherwise specified | $2,168,709 | ||||
| Total Medicare payment per Day at DRG | $922 | ||||
| Total Medicare payment per Day with ICD F99 - Mental disorder, not otherwise specified | $821 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,348 | ||||
| Total Medicare payment per Hospitalization with ICD F99 - Mental disorder, not otherwise specified | $12,833 | ||||
| Total Medicare Charges at DRG | $5,107,483,805 | ||||
| Total Medicare Charges with ICD F99 - Mental disorder, not otherwise specified | $9,109,073 | ||||
| Avg Charges at DRG | $35,344 | ||||
| Avg Charges with ICD F99 - Mental disorder, not otherwise specified | $53,900 | ||||
| Mortality Rate at DRG | 0.73 | ||||
| Mortality Rate with ICD F99 - Mental disorder, not otherwise specified | NA | ||||
| SNF Discharge Rate at DRG | 38.43 | ||||
| SNF Discharge Rate with ICD F99 - Mental disorder, not otherwise specified | 37.87 | ||||
| Home Discharge Rate at DRG | 27.81 | ||||
| Home Discharge Rate with ICD F99 - Mental disorder, not otherwise specified | 36.09 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD | 6245 DE LONGPRE AVE | HOLLYWOOD | CA | 90028 | 250 |
| WEST COVINA MEDICAL CENTER | 725 S ORANGE AVE | WEST COVINA | CA | 91790 | 115 |
| GLENBEIGH HEALTH SOURCES | 2863 STATE ROUTE 45 N | ROCK CREEK | OH | 44084 | 88 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CHRISTOPHER L ADELMAN | 2351 E 22ND ST | CLEVELAND | OH | 44115 | 67 |
| Dr. JOSEPH LYDON | 2737 YOUNGSTOWN RD SE | WARREN | OH | 44484 | 22 |
| Dr. LIAN JEN | 3089 TAMIAMI TRAIL | PORT CHARLOTTE | FL | 33952 | 16 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. LAKSHMAN D MAKANDURA | 910 S SUNSET AVE | WEST COVINA | CA | 91790 | 124 |
| Dr. DALE J BRENT | 4955 VAN NUYS BOULEVARD | SHERMAN OAKS | CA | 91403 | 97 |
| Dr. TAHIRA N SIAL | 2201 HEMPSTEAD TPKE | EAST MEADOW | NY | 11554 | 73 |