*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R442 - Other hallucinations - as a primary diagnosis code | R442 - Other hallucinations - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.51 | |
| Readmission Rate (%) | 26.63 | |
| Unplanned Readmission Rate (%) | 16.52 | |
| 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 R442 - Other hallucinations | 121 |
| DRG Share of Total Hospitalizations | 0.11 |
| % of Total ICD R442 - Other hallucinations in DRG | 99.18 |
| Avg LOS at DRG | 5.38 |
| Avg LOS with ICD R442 - Other hallucinations | 3.96 |
| Readmission Rate at DRG | 22.47 |
| Readmission Rate with ICD R442 - Other hallucinations | 25.44 |
| Unplanned Readmission Rate at DRG | 12.18 |
| Unplanned Readmission Rate with ICD R442 - Other hallucinations | 15.79 |
| Total Medicare payments at DRG | $193,767,073 |
| Total Medicare payments with ICD R442 - Other hallucinations | $599,993 |
| Total Medicare payment per Day at DRG | $1,033 |
| Total Medicare payment per Day with ICD R442 - Other hallucinations | $1,253 |
| Total Medicare payment per Hospitalization at DRG | $5,562 |
| Total Medicare payment per Hospitalization with ICD R442 - Other hallucinations | $4,959 |
| Total Medicare Charges at DRG | $895,692,673 |
| Total Medicare Charges with ICD R442 - Other hallucinations | $2,725,403 |
| Avg Charges at DRG | $25,709 |
| Avg Charges with ICD R442 - Other hallucinations | $22,524 |
| Mortality Rate at DRG | 0.21 |
| Mortality Rate with ICD R442 - Other hallucinations | NA |
| SNF Discharge Rate at DRG | 12.88 |
| SNF Discharge Rate with ICD R442 - Other hallucinations | 32.23 |
| Home Discharge Rate at DRG | 62.18 |
| Home Discharge Rate with ICD R442 - Other hallucinations | 39.67 |
*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 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 884: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD R442 - Other hallucinations | 348 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD R442 - Other hallucinations in DRG | 7.12 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD R442 - Other hallucinations | 11.33 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD R442 - Other hallucinations | 24.31 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD R442 - Other hallucinations | 8.62 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD R442 - Other hallucinations | $2,850,014 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD R442 - Other hallucinations | $723 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD R442 - Other hallucinations | $8,190 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD R442 - Other hallucinations | $8,916,807 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD R442 - Other hallucinations | $25,623 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD R442 - Other hallucinations | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD R442 - Other hallucinations | 17.82 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD R442 - Other hallucinations | 62.93 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD R442 - Other hallucinations | 98 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD R442 - Other hallucinations in DRG | 2.0 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD R442 - Other hallucinations | 3.84 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD R442 - Other hallucinations | 17.2 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD R442 - Other hallucinations | NA | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD R442 - Other hallucinations | $1,230,647 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD R442 - Other hallucinations | $3,273 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD R442 - Other hallucinations | $12,558 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD R442 - Other hallucinations | $6,725,106 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD R442 - Other hallucinations | $68,624 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD R442 - Other hallucinations | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD R442 - Other hallucinations | 45.92 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD R442 - Other hallucinations | 17.35 |
*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 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 071: NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD R442 - Other hallucinations | 73 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD R442 - Other hallucinations in DRG | 1.49 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD R442 - Other hallucinations | 6.59 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD R442 - Other hallucinations | 36.23 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD R442 - Other hallucinations | 24.64 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD R442 - Other hallucinations | $751,407 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD R442 - Other hallucinations | $1,562 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD R442 - Other hallucinations | $10,293 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD R442 - Other hallucinations | $3,092,549 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD R442 - Other hallucinations | $42,364 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD R442 - Other hallucinations | NA | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD R442 - Other hallucinations | 23.29 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD R442 - Other hallucinations | 35.62 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 270,209 | ||||
| Total Hospitalizations with ICD R442 - Other hallucinations | 67 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD R442 - Other hallucinations in DRG | 1.37 | ||||
| Avg LOS at DRG | 4.84 | ||||
| Avg LOS with ICD R442 - Other hallucinations | 5.6 | ||||
| Readmission Rate at DRG | 22.35 | ||||
| Readmission Rate with ICD R442 - Other hallucinations | 29.69 | ||||
| Unplanned Readmission Rate at DRG | 16.33 | ||||
| Unplanned Readmission Rate with ICD R442 - Other hallucinations | 20.31 | ||||
| Total Medicare payments at DRG | $1,824,333,389 | ||||
| Total Medicare payments with ICD R442 - Other hallucinations | $456,713 | ||||
| Total Medicare payment per Day at DRG | $1,395 | ||||
| Total Medicare payment per Day with ICD R442 - Other hallucinations | $1,218 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,752 | ||||
| Total Medicare payment per Hospitalization with ICD R442 - Other hallucinations | $6,817 | ||||
| Total Medicare Charges at DRG | $9,128,673,695 | ||||
| Total Medicare Charges with ICD R442 - Other hallucinations | $2,450,731 | ||||
| Avg Charges at DRG | $33,784 | ||||
| Avg Charges with ICD R442 - Other hallucinations | $36,578 | ||||
| Mortality Rate at DRG | 1.32 | ||||
| Mortality Rate with ICD R442 - Other hallucinations | NA | ||||
| SNF Discharge Rate at DRG | 39.0 | ||||
| SNF Discharge Rate with ICD R442 - Other hallucinations | 37.31 | ||||
| Home Discharge Rate at DRG | 24.73 | ||||
| Home Discharge Rate with ICD R442 - Other hallucinations | 22.39 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| APPLING HEALTHCARE SYSTEM | 163 E TOLLISON ST | BAXLEY | GA | 31513 | 56 |
| HOSPITAL METROPOLITANO DE LA MONTANA | CALLE ISAAC GONZALEZ | UTUADO | PR | 00641 | 32 |
| MIZELL MEMORIAL HOSPITAL | 702 N MAIN ST | OPP | AL | 36467 | 27 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID J FAULK | 2712 PARKWOOD DR | BRUNSWICK | GA | 31520 | 50 |
| Dr. JOHN CHRISTOPHER STRUNK | 201 REGENCY CT | DOTHAN | AL | 36305 | 27 |
| Dr. MELISSA V. ALMEIDA | LOCAL #1 EDIFICIO BRISAS DEL MAR | VEGA ALTA | PR | 00692 | 18 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | E785 | Hyperlipidemia, unspecified |