*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R440 - Auditory hallucinations - as a primary diagnosis code | R440 - Auditory hallucinations - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.97 | |
| Readmission Rate (%) | 29.9 | |
| Unplanned Readmission Rate (%) | 14.04 | |
| 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 R440 - Auditory hallucinations | 439 |
| DRG Share of Total Hospitalizations | 0.11 |
| % of Total ICD R440 - Auditory hallucinations in DRG | 99.77 |
| Avg LOS at DRG | 5.38 |
| Avg LOS with ICD R440 - Auditory hallucinations | 4.19 |
| Readmission Rate at DRG | 22.47 |
| Readmission Rate with ICD R440 - Auditory hallucinations | 29.63 |
| Unplanned Readmission Rate at DRG | 12.18 |
| Unplanned Readmission Rate with ICD R440 - Auditory hallucinations | 14.07 |
| Total Medicare payments at DRG | $193,767,073 |
| Total Medicare payments with ICD R440 - Auditory hallucinations | $2,173,824 |
| Total Medicare payment per Day at DRG | $1,033 |
| Total Medicare payment per Day with ICD R440 - Auditory hallucinations | $1,183 |
| Total Medicare payment per Hospitalization at DRG | $5,562 |
| Total Medicare payment per Hospitalization with ICD R440 - Auditory hallucinations | $4,952 |
| Total Medicare Charges at DRG | $895,692,673 |
| Total Medicare Charges with ICD R440 - Auditory hallucinations | $10,449,302 |
| Avg Charges at DRG | $25,709 |
| Avg Charges with ICD R440 - Auditory hallucinations | $23,803 |
| Mortality Rate at DRG | 0.21 |
| Mortality Rate with ICD R440 - Auditory hallucinations | NA |
| SNF Discharge Rate at DRG | 12.88 |
| SNF Discharge Rate with ICD R440 - Auditory hallucinations | 17.54 |
| Home Discharge Rate at DRG | 62.18 |
| Home Discharge Rate with ICD R440 - Auditory hallucinations | 53.99 |
*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 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 880: ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD R440 - Auditory hallucinations | 7,758 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD R440 - Auditory hallucinations in DRG | 35.35 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD R440 - Auditory hallucinations | 10.85 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD R440 - Auditory hallucinations | 30.33 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD R440 - Auditory hallucinations | 13.82 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD R440 - Auditory hallucinations | $62,058,832 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD R440 - Auditory hallucinations | $737 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD R440 - Auditory hallucinations | $7,999 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD R440 - Auditory hallucinations | $227,358,986 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD R440 - Auditory hallucinations | $29,306 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD R440 - Auditory hallucinations | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD R440 - Auditory hallucinations | 3.87 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD R440 - Auditory hallucinations | 81.19 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 881: DEPRESSIVE NEUROSES | DRG 071: NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD R440 - Auditory hallucinations | 436 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD R440 - Auditory hallucinations in DRG | 1.99 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD R440 - Auditory hallucinations | 9.64 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD R440 - Auditory hallucinations | 31.01 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD R440 - Auditory hallucinations | 19.64 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD R440 - Auditory hallucinations | $5,626,283 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD R440 - Auditory hallucinations | $1,339 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD R440 - Auditory hallucinations | $12,904 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD R440 - Auditory hallucinations | $31,108,526 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD R440 - Auditory hallucinations | $71,350 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD R440 - Auditory hallucinations | 6.88 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD R440 - Auditory hallucinations | 32.11 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD R440 - Auditory hallucinations | 24.31 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 918: POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 122,730 | ||||
| Total Hospitalizations with ICD R440 - Auditory hallucinations | 292 | ||||
| DRG Share of Total Hospitalizations | 0.37 | ||||
| % of Total ICD R440 - Auditory hallucinations in DRG | 1.33 | ||||
| Avg LOS at DRG | 7.61 | ||||
| Avg LOS with ICD R440 - Auditory hallucinations | 5.96 | ||||
| Readmission Rate at DRG | 21.31 | ||||
| Readmission Rate with ICD R440 - Auditory hallucinations | 21.35 | ||||
| Unplanned Readmission Rate at DRG | 14.13 | ||||
| Unplanned Readmission Rate with ICD R440 - Auditory hallucinations | 11.99 | ||||
| Total Medicare payments at DRG | $1,397,885,220 | ||||
| Total Medicare payments with ICD R440 - Auditory hallucinations | $2,300,496 | ||||
| Total Medicare payment per Day at DRG | $1,497 | ||||
| Total Medicare payment per Day with ICD R440 - Auditory hallucinations | $1,323 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,390 | ||||
| Total Medicare payment per Hospitalization with ICD R440 - Auditory hallucinations | $7,878 | ||||
| Total Medicare Charges at DRG | $4,175,290,309 | ||||
| Total Medicare Charges with ICD R440 - Auditory hallucinations | $10,706,330 | ||||
| Avg Charges at DRG | $34,020 | ||||
| Avg Charges with ICD R440 - Auditory hallucinations | $36,666 | ||||
| Mortality Rate at DRG | 0.28 | ||||
| Mortality Rate with ICD R440 - Auditory hallucinations | NA | ||||
| SNF Discharge Rate at DRG | 21.64 | ||||
| SNF Discharge Rate with ICD R440 - Auditory hallucinations | 27.05 | ||||
| Home Discharge Rate at DRG | 28.06 | ||||
| Home Discharge Rate with ICD R440 - Auditory hallucinations | 32.19 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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) | DRG 917: POISONING AND TOXIC EFFECTS OF DRUGS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 101: SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD R440 - Auditory hallucinations | 254 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD R440 - Auditory hallucinations in DRG | 1.16 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD R440 - Auditory hallucinations | 6.78 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD R440 - Auditory hallucinations | 37.18 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD R440 - Auditory hallucinations | 21.79 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD R440 - Auditory hallucinations | $2,519,470 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD R440 - Auditory hallucinations | $1,464 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD R440 - Auditory hallucinations | $9,919 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD R440 - Auditory hallucinations | $11,602,217 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD R440 - Auditory hallucinations | $45,678 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD R440 - Auditory hallucinations | NA | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD R440 - Auditory hallucinations | 29.53 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD R440 - Auditory hallucinations | 31.5 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| HOPEBRIDGE, LLC | 5556 GASMER DR | HOUSTON | TX | 77035 | 176 |
| SOUTHCOAST BEHAVIORAL HEALTH HOSPITAL | 581 FAUNCE CORNER RD | DARTMOUTH | MA | 02747 | 148 |
| LIGHTHOUSE BEHAVIORAL HEALTH HOSPITAL | 152 WACCAMAW MEDICAL PARK DR | CONWAY | SC | 29526 | 138 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CHARLES E GAINES | 403 N STATE OF FRANKLIN RD | JOHNSON CITY | TN | 37604 | 38 |
| Dr. RANDALL JEFFREY MOSKOVITZ | 1325 EASTMORELAND AVE | MEMPHIS | TN | 38104 | 24 |
| Dr. GREGORY D RUDOLF | 1101 MADISON ST | SEATTLE | WA | 98104 | 22 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOHN CHRISTOPHER STRUNK | 201 REGENCY CT | DOTHAN | AL | 36305 | 101 |
| Dr. IZZELDEEN BABIKER ELHAGE | 9100 SOUTHWEST FWY | HOUSTON | TX | 77074 | 75 |
| Dr. DMITRY V LISTENGARTEN | 8550 HUEBNER ROAD | SAN ANTONIO | TX | 78229 | 69 |