*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R4689 - Other symptoms and signs involving appearance and behavior - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 16.11 | |
| 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 884: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | 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 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD R4689 - Other symptoms and signs involving appearance and behavior | 296 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD R4689 - Other symptoms and signs involving appearance and behavior in DRG | 15.63 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD R4689 - Other symptoms and signs involving appearance and behavior | 13.14 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD R4689 - Other symptoms and signs involving appearance and behavior | 27.64 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD R4689 - Other symptoms and signs involving appearance and behavior | 13.09 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD R4689 - Other symptoms and signs involving appearance and behavior | $2,768,769 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD R4689 - Other symptoms and signs involving appearance and behavior | $712 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD R4689 - Other symptoms and signs involving appearance and behavior | $9,354 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD R4689 - Other symptoms and signs involving appearance and behavior | $10,346,284 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD R4689 - Other symptoms and signs involving appearance and behavior | $34,954 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD R4689 - Other symptoms and signs involving appearance and behavior | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD R4689 - Other symptoms and signs involving appearance and behavior | 12.16 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD R4689 - Other symptoms and signs involving appearance and behavior | 68.24 |
*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 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 135,138 | ||||
| Total Hospitalizations with ICD R4689 - Other symptoms and signs involving appearance and behavior | 45 | ||||
| DRG Share of Total Hospitalizations | 0.41 | ||||
| % of Total ICD R4689 - Other symptoms and signs involving appearance and behavior in DRG | 2.38 | ||||
| Avg LOS at DRG | 3.28 | ||||
| Avg LOS with ICD R4689 - Other symptoms and signs involving appearance and behavior | 3.98 | ||||
| Readmission Rate at DRG | 16.48 | ||||
| Readmission Rate with ICD R4689 - Other symptoms and signs involving appearance and behavior | NA | ||||
| Unplanned Readmission Rate at DRG | 10.54 | ||||
| Unplanned Readmission Rate with ICD R4689 - Other symptoms and signs involving appearance and behavior | NA | ||||
| Total Medicare payments at DRG | $705,646,122 | ||||
| Total Medicare payments with ICD R4689 - Other symptoms and signs involving appearance and behavior | $238,272 | ||||
| Total Medicare payment per Day at DRG | $1,592 | ||||
| Total Medicare payment per Day with ICD R4689 - Other symptoms and signs involving appearance and behavior | $1,331 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,222 | ||||
| Total Medicare payment per Hospitalization with ICD R4689 - Other symptoms and signs involving appearance and behavior | $5,295 | ||||
| Total Medicare Charges at DRG | $4,131,642,258 | ||||
| Total Medicare Charges with ICD R4689 - Other symptoms and signs involving appearance and behavior | $1,175,068 | ||||
| Avg Charges at DRG | $30,574 | ||||
| Avg Charges with ICD R4689 - Other symptoms and signs involving appearance and behavior | $26,113 | ||||
| Mortality Rate at DRG | 0.2 | ||||
| Mortality Rate with ICD R4689 - Other symptoms and signs involving appearance and behavior | NA | ||||
| SNF Discharge Rate at DRG | 16.47 | ||||
| SNF Discharge Rate with ICD R4689 - Other symptoms and signs involving appearance and behavior | NA | ||||
| Home Discharge Rate at DRG | 56.97 | ||||
| Home Discharge Rate with ICD R4689 - Other symptoms and signs involving appearance and behavior | 66.67 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 100,281 | ||||
| Total Hospitalizations with ICD R4689 - Other symptoms and signs involving appearance and behavior | 28 | ||||
| DRG Share of Total Hospitalizations | 0.31 | ||||
| % of Total ICD R4689 - Other symptoms and signs involving appearance and behavior in DRG | 1.48 | ||||
| Avg LOS at DRG | 12.68 | ||||
| Avg LOS with ICD R4689 - Other symptoms and signs involving appearance and behavior | 17.21 | ||||
| Readmission Rate at DRG | 21.82 | ||||
| Readmission Rate with ICD R4689 - Other symptoms and signs involving appearance and behavior | NA | ||||
| Unplanned Readmission Rate at DRG | 14.27 | ||||
| Unplanned Readmission Rate with ICD R4689 - Other symptoms and signs involving appearance and behavior | NA | ||||
| Total Medicare payments at DRG | $1,907,954,923 | ||||
| Total Medicare payments with ICD R4689 - Other symptoms and signs involving appearance and behavior | $519,583 | ||||
| Total Medicare payment per Day at DRG | $1,501 | ||||
| Total Medicare payment per Day with ICD R4689 - Other symptoms and signs involving appearance and behavior | $1,078 | ||||
| Total Medicare payment per Hospitalization at DRG | $19,026 | ||||
| Total Medicare payment per Hospitalization with ICD R4689 - Other symptoms and signs involving appearance and behavior | $18,557 | ||||
| Total Medicare Charges at DRG | $5,940,453,690 | ||||
| Total Medicare Charges with ICD R4689 - Other symptoms and signs involving appearance and behavior | $1,959,607 | ||||
| Avg Charges at DRG | $59,238 | ||||
| Avg Charges with ICD R4689 - Other symptoms and signs involving appearance and behavior | $69,986 | ||||
| Mortality Rate at DRG | 2.33 | ||||
| Mortality Rate with ICD R4689 - Other symptoms and signs involving appearance and behavior | NA | ||||
| SNF Discharge Rate at DRG | 30.7 | ||||
| SNF Discharge Rate with ICD R4689 - Other symptoms and signs involving appearance and behavior | NA | ||||
| Home Discharge Rate at DRG | 16.5 | ||||
| Home Discharge Rate with ICD R4689 - Other symptoms and signs involving appearance and behavior | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 364,421 | ||||
| Total Hospitalizations with ICD R4689 - Other symptoms and signs involving appearance and behavior | 22 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD R4689 - Other symptoms and signs involving appearance and behavior in DRG | 1.16 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD R4689 - Other symptoms and signs involving appearance and behavior | 4.18 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD R4689 - Other symptoms and signs involving appearance and behavior | NA | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD R4689 - Other symptoms and signs involving appearance and behavior | NA | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD R4689 - Other symptoms and signs involving appearance and behavior | $112,488 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD R4689 - Other symptoms and signs involving appearance and behavior | $1,223 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD R4689 - Other symptoms and signs involving appearance and behavior | $5,113 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD R4689 - Other symptoms and signs involving appearance and behavior | $467,367 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD R4689 - Other symptoms and signs involving appearance and behavior | $21,244 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD R4689 - Other symptoms and signs involving appearance and behavior | NA | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD R4689 - Other symptoms and signs involving appearance and behavior | NA | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD R4689 - Other symptoms and signs involving appearance and behavior | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| WELLBRIDGE HEALTHCARE FORT WORTH | 6200 OVERTON RIDGE BLVD | FORT WORTH | TX | 76132 | 19 |
| APPLING HEALTHCARE SYSTEM | 163 E TOLLISON ST | BAXLEY | GA | 31513 | 15 |
| BAPTIST HEALTH MEDICAL CENTER - LITTLE ROCK | 9601 BAPTIST HEALTH DRIVE | LITTLE ROCK | AR | 72205 | 14 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JEFFREY MELVIN SCHLUETER | 3109 6TH AVE | FT WORTH | TX | 76110 | 18 |
| Dr. DAVID J FAULK | 2712 PARKWOOD DR | BRUNSWICK | GA | 31520 | 15 |