*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R443 - Hallucinations, unspecified - as a primary diagnosis code | R443 - Hallucinations, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.64 | |
| Readmission Rate (%) | 27.17 | |
| Unplanned Readmission Rate (%) | 13.46 | |
| 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 R443 - Hallucinations, unspecified | 515 |
| DRG Share of Total Hospitalizations | 0.11 |
| % of Total ICD R443 - Hallucinations, unspecified in DRG | 98.47 |
| Avg LOS at DRG | 5.38 |
| Avg LOS with ICD R443 - Hallucinations, unspecified | 3.88 |
| Readmission Rate at DRG | 22.47 |
| Readmission Rate with ICD R443 - Hallucinations, unspecified | 28.0 |
| Unplanned Readmission Rate at DRG | 12.18 |
| Unplanned Readmission Rate with ICD R443 - Hallucinations, unspecified | 13.47 |
| Total Medicare payments at DRG | $193,767,073 |
| Total Medicare payments with ICD R443 - Hallucinations, unspecified | $2,509,149 |
| Total Medicare payment per Day at DRG | $1,033 |
| Total Medicare payment per Day with ICD R443 - Hallucinations, unspecified | $1,257 |
| Total Medicare payment per Hospitalization at DRG | $5,562 |
| Total Medicare payment per Hospitalization with ICD R443 - Hallucinations, unspecified | $4,872 |
| Total Medicare Charges at DRG | $895,692,673 |
| Total Medicare Charges with ICD R443 - Hallucinations, unspecified | $11,116,573 |
| Avg Charges at DRG | $25,709 |
| Avg Charges with ICD R443 - Hallucinations, unspecified | $21,586 |
| Mortality Rate at DRG | 0.21 |
| Mortality Rate with ICD R443 - Hallucinations, unspecified | NA |
| SNF Discharge Rate at DRG | 12.88 |
| SNF Discharge Rate with ICD R443 - Hallucinations, unspecified | 23.5 |
| Home Discharge Rate at DRG | 62.18 |
| Home Discharge Rate with ICD R443 - Hallucinations, unspecified | 38.25 |
*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 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 884: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD R443 - Hallucinations, unspecified | 3,226 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD R443 - Hallucinations, unspecified in DRG | 5.59 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD R443 - Hallucinations, unspecified | 8.72 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD R443 - Hallucinations, unspecified | 26.88 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD R443 - Hallucinations, unspecified | 16.58 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD R443 - Hallucinations, unspecified | $40,293,571 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD R443 - Hallucinations, unspecified | $1,432 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD R443 - Hallucinations, unspecified | $12,490 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD R443 - Hallucinations, unspecified | $239,962,606 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD R443 - Hallucinations, unspecified | $74,384 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD R443 - Hallucinations, unspecified | 10.57 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD R443 - Hallucinations, unspecified | 32.15 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD R443 - Hallucinations, unspecified | 16.99 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 270,209 | ||||
| Total Hospitalizations with ICD R443 - Hallucinations, unspecified | 1,449 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD R443 - Hallucinations, unspecified in DRG | 2.51 | ||||
| Avg LOS at DRG | 4.84 | ||||
| Avg LOS with ICD R443 - Hallucinations, unspecified | 5.75 | ||||
| Readmission Rate at DRG | 22.35 | ||||
| Readmission Rate with ICD R443 - Hallucinations, unspecified | 23.14 | ||||
| Unplanned Readmission Rate at DRG | 16.33 | ||||
| Unplanned Readmission Rate with ICD R443 - Hallucinations, unspecified | 14.63 | ||||
| Total Medicare payments at DRG | $1,824,333,389 | ||||
| Total Medicare payments with ICD R443 - Hallucinations, unspecified | $9,760,065 | ||||
| Total Medicare payment per Day at DRG | $1,395 | ||||
| Total Medicare payment per Day with ICD R443 - Hallucinations, unspecified | $1,171 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,752 | ||||
| Total Medicare payment per Hospitalization with ICD R443 - Hallucinations, unspecified | $6,736 | ||||
| Total Medicare Charges at DRG | $9,128,673,695 | ||||
| Total Medicare Charges with ICD R443 - Hallucinations, unspecified | $54,002,958 | ||||
| Avg Charges at DRG | $33,784 | ||||
| Avg Charges with ICD R443 - Hallucinations, unspecified | $37,269 | ||||
| Mortality Rate at DRG | 1.32 | ||||
| Mortality Rate with ICD R443 - Hallucinations, unspecified | 1.66 | ||||
| SNF Discharge Rate at DRG | 39.0 | ||||
| SNF Discharge Rate with ICD R443 - Hallucinations, unspecified | 43.0 | ||||
| Home Discharge Rate at DRG | 24.73 | ||||
| Home Discharge Rate with ICD R443 - Hallucinations, unspecified | 18.7 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 071: NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 160,950 | ||||
| Total Hospitalizations with ICD R443 - Hallucinations, unspecified | 909 | ||||
| DRG Share of Total Hospitalizations | 0.49 | ||||
| % of Total ICD R443 - Hallucinations, unspecified in DRG | 1.57 | ||||
| Avg LOS at DRG | 4.98 | ||||
| Avg LOS with ICD R443 - Hallucinations, unspecified | 4.32 | ||||
| Readmission Rate at DRG | 20.85 | ||||
| Readmission Rate with ICD R443 - Hallucinations, unspecified | 21.84 | ||||
| Unplanned Readmission Rate at DRG | 13.4 | ||||
| Unplanned Readmission Rate with ICD R443 - Hallucinations, unspecified | 9.09 | ||||
| Total Medicare payments at DRG | $1,184,949,733 | ||||
| Total Medicare payments with ICD R443 - Hallucinations, unspecified | $5,152,310 | ||||
| Total Medicare payment per Day at DRG | $1,477 | ||||
| Total Medicare payment per Day with ICD R443 - Hallucinations, unspecified | $1,312 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,362 | ||||
| Total Medicare payment per Hospitalization with ICD R443 - Hallucinations, unspecified | $5,668 | ||||
| Total Medicare Charges at DRG | $4,222,078,897 | ||||
| Total Medicare Charges with ICD R443 - Hallucinations, unspecified | $22,062,666 | ||||
| Avg Charges at DRG | $26,232 | ||||
| Avg Charges with ICD R443 - Hallucinations, unspecified | $24,271 | ||||
| Mortality Rate at DRG | 0.67 | ||||
| Mortality Rate with ICD R443 - Hallucinations, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 22.29 | ||||
| SNF Discharge Rate with ICD R443 - Hallucinations, unspecified | 29.04 | ||||
| Home Discharge Rate at DRG | 35.46 | ||||
| Home Discharge Rate with ICD R443 - Hallucinations, unspecified | 31.02 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 880: ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD R443 - Hallucinations, unspecified | 808 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD R443 - Hallucinations, unspecified in DRG | 1.4 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD R443 - Hallucinations, unspecified | 4.95 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD R443 - Hallucinations, unspecified | 20.58 | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD R443 - Hallucinations, unspecified | 11.74 | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD R443 - Hallucinations, unspecified | $5,165,136 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD R443 - Hallucinations, unspecified | $1,290 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD R443 - Hallucinations, unspecified | $6,392 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD R443 - Hallucinations, unspecified | $25,101,964 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD R443 - Hallucinations, unspecified | $31,067 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD R443 - Hallucinations, unspecified | 1.73 | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD R443 - Hallucinations, unspecified | 27.35 | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD R443 - Hallucinations, unspecified | 33.66 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 161 |
| ASCENSION VIA CHRISTI ST. FRANCIS | 929 N SAINT FRANCIS ST | WICHITA | KS | 67214 | 141 |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER | 1199 PRINCE AVENUE | ATHENS | GA | 30606 | 141 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MARK HENRY STEINHAUER | 10301 GATEWAY BLVD W | EL PASO | TX | 79925 | 21 |
| Dr. SRIDHAR THIRUMALAI | 2321 STOUT RD | MENOMONIE | WI | 54751 | 13 |
| Dr. STEPHEN NATHAN ROSENBERG | 13800 METCALF AVE | OVERLAND PARK | KS | 66223 | 12 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. INDIRA DEVI CHALLA | 3400 LEBANON PIKE | MURFREESBORO | TN | 37129 | 67 |
| Dr. JERRY GLYNN NEWMAN | 2150 N OCOEE ST | CLEVELAND | TN | 37311 | 66 |
| Dr. CESAR A MATOS-MARTINEZ | 2110 W TRENTON RD STE A | EDINBURG | TX | 78539 | 34 |