*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R4183 - Borderline intellectual functioning - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 14.16 | |
| 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 881: DEPRESSIVE NEUROSES | DRG 882: NEUROSES EXCEPT DEPRESSIVE | DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 883: DISORDERS OF PERSONALITY AND IMPULSE CONTROL | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD R4183 - Borderline intellectual functioning | 6,745 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD R4183 - Borderline intellectual functioning in DRG | 71.32 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD R4183 - Borderline intellectual functioning | 11.64 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD R4183 - Borderline intellectual functioning | 27.35 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD R4183 - Borderline intellectual functioning | 13.84 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD R4183 - Borderline intellectual functioning | $50,925,718 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD R4183 - Borderline intellectual functioning | $649 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD R4183 - Borderline intellectual functioning | $7,550 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD R4183 - Borderline intellectual functioning | $179,191,939 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD R4183 - Borderline intellectual functioning | $26,567 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD R4183 - Borderline intellectual functioning | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD R4183 - Borderline intellectual functioning | 2.95 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD R4183 - Borderline intellectual functioning | 82.02 |
*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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 886: BEHAVIORAL AND DEVELOPMENTAL DISORDERS | DRG 880: ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | DRG 918: POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 144,507 | ||||
| Total Hospitalizations with ICD R4183 - Borderline intellectual functioning | 118 | ||||
| DRG Share of Total Hospitalizations | 0.44 | ||||
| % of Total ICD R4183 - Borderline intellectual functioning in DRG | 1.25 | ||||
| Avg LOS at DRG | 11.23 | ||||
| Avg LOS with ICD R4183 - Borderline intellectual functioning | 26.97 | ||||
| Readmission Rate at DRG | 20.52 | ||||
| Readmission Rate with ICD R4183 - Borderline intellectual functioning | 23.89 | ||||
| Unplanned Readmission Rate at DRG | 12.21 | ||||
| Unplanned Readmission Rate with ICD R4183 - Borderline intellectual functioning | 15.93 | ||||
| Total Medicare payments at DRG | $1,495,371,248 | ||||
| Total Medicare payments with ICD R4183 - Borderline intellectual functioning | $1,757,807 | ||||
| Total Medicare payment per Day at DRG | $922 | ||||
| Total Medicare payment per Day with ICD R4183 - Borderline intellectual functioning | $552 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,348 | ||||
| Total Medicare payment per Hospitalization with ICD R4183 - Borderline intellectual functioning | $14,897 | ||||
| Total Medicare Charges at DRG | $5,107,483,805 | ||||
| Total Medicare Charges with ICD R4183 - Borderline intellectual functioning | $7,608,269 | ||||
| Avg Charges at DRG | $35,344 | ||||
| Avg Charges with ICD R4183 - Borderline intellectual functioning | $64,477 | ||||
| Mortality Rate at DRG | 0.73 | ||||
| Mortality Rate with ICD R4183 - Borderline intellectual functioning | NA | ||||
| SNF Discharge Rate at DRG | 38.43 | ||||
| SNF Discharge Rate with ICD R4183 - Borderline intellectual functioning | 21.19 | ||||
| Home Discharge Rate at DRG | 27.81 | ||||
| Home Discharge Rate with ICD R4183 - Borderline intellectual functioning | 50.85 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 101: SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 917: POISONING AND TOXIC EFFECTS OF DRUGS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 135,138 | ||||
| Total Hospitalizations with ICD R4183 - Borderline intellectual functioning | 57 | ||||
| DRG Share of Total Hospitalizations | 0.41 | ||||
| % of Total ICD R4183 - Borderline intellectual functioning in DRG | 0.6 | ||||
| Avg LOS at DRG | 3.28 | ||||
| Avg LOS with ICD R4183 - Borderline intellectual functioning | 4.3 | ||||
| Readmission Rate at DRG | 16.48 | ||||
| Readmission Rate with ICD R4183 - Borderline intellectual functioning | 38.6 | ||||
| Unplanned Readmission Rate at DRG | 10.54 | ||||
| Unplanned Readmission Rate with ICD R4183 - Borderline intellectual functioning | 21.05 | ||||
| Total Medicare payments at DRG | $705,646,122 | ||||
| Total Medicare payments with ICD R4183 - Borderline intellectual functioning | $363,078 | ||||
| Total Medicare payment per Day at DRG | $1,592 | ||||
| Total Medicare payment per Day with ICD R4183 - Borderline intellectual functioning | $1,482 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,222 | ||||
| Total Medicare payment per Hospitalization with ICD R4183 - Borderline intellectual functioning | $6,370 | ||||
| Total Medicare Charges at DRG | $4,131,642,258 | ||||
| Total Medicare Charges with ICD R4183 - Borderline intellectual functioning | $1,736,932 | ||||
| Avg Charges at DRG | $30,574 | ||||
| Avg Charges with ICD R4183 - Borderline intellectual functioning | $30,472 | ||||
| Mortality Rate at DRG | 0.2 | ||||
| Mortality Rate with ICD R4183 - Borderline intellectual functioning | NA | ||||
| SNF Discharge Rate at DRG | 16.47 | ||||
| SNF Discharge Rate with ICD R4183 - Borderline intellectual functioning | NA | ||||
| Home Discharge Rate at DRG | 56.97 | ||||
| Home Discharge Rate with ICD R4183 - Borderline intellectual functioning | 70.18 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 781: OTHER ANTEPARTUM DIAGNOSES WITH MEDICAL COMPLICATIONS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD R4183 - Borderline intellectual functioning | 34 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD R4183 - Borderline intellectual functioning in DRG | 0.36 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD R4183 - Borderline intellectual functioning | 4.82 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD R4183 - Borderline intellectual functioning | 39.39 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD R4183 - Borderline intellectual functioning | NA | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD R4183 - Borderline intellectual functioning | $199,997 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD R4183 - Borderline intellectual functioning | $1,219 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD R4183 - Borderline intellectual functioning | $5,882 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD R4183 - Borderline intellectual functioning | $825,144 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD R4183 - Borderline intellectual functioning | $24,269 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD R4183 - Borderline intellectual functioning | NA | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD R4183 - Borderline intellectual functioning | NA | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD R4183 - Borderline intellectual functioning | 41.18 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| LARKIN COMMUNITY HOSPITAL | 7031 SW 62ND AVENUE | MIAMI | FL | 33143 | 157 |
| PRINCETON COMMUNITY HOSPITAL | 122 12TH STREET EXT | PRINCETON | WV | 24740 | 153 |
| HENNEPIN COUNTY MEDICAL CENTER | 701 PARK AVE, P1-FINANCE | MINNEAPOLIS | MN | 55415 | 125 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JEFFRY TRAVIS GEE | 1333 SOUTHVIEW DRIVE | BLUEFIELD | WV | 24701 | 41 |
| Dr. MONIR CHAUDHRY | 560 W 3RD ST | JAMESTOWN | NY | 14701 | 37 |
| Dr. CHARLES E GAINES | 403 N STATE OF FRANKLIN RD | JOHNSON CITY | TN | 37604 | 26 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JEFFRY TRAVIS GEE | 1333 SOUTHVIEW DRIVE | BLUEFIELD | WV | 24701 | 135 |
| Dr. PAUL JAY LOOP | 1211 MISSOURI AVE | WEST PLAINS | MO | 65775 | 101 |
| Dr. RHAISA AMELIA DUMENIGO | 78 SW 13 AVE | MIAMI | FL | 33135 | 60 |