*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| T43015A - Adverse effect of tricyclic antidepressants, initial encounter - as a primary diagnosis code | T43015A - Adverse effect of tricyclic antidepressants, initial encounter - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.2 | |
| Readmission Rate (%) | 21.34 | |
| Unplanned Readmission Rate (%) | NA | |
| 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 917: POISONING AND TOXIC EFFECTS OF DRUGS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 101,548 |
| Total Hospitalizations with ICD T43015A - Adverse effect of tricyclic antidepressants, initial encounter | 12 |
| DRG Share of Total Hospitalizations | 0.31 |
| % of Total ICD T43015A - Adverse effect of tricyclic antidepressants, initial encounter in DRG | 57.14 |
| Avg LOS at DRG | 4.68 |
| Avg LOS with ICD T43015A - Adverse effect of tricyclic antidepressants, initial encounter | 4.5 |
| Readmission Rate at DRG | 32.74 |
| Readmission Rate with ICD T43015A - Adverse effect of tricyclic antidepressants, initial encounter | NA |
| Unplanned Readmission Rate at DRG | 13.79 |
| Unplanned Readmission Rate with ICD T43015A - Adverse effect of tricyclic antidepressants, initial encounter | NA |
| Total Medicare payments at DRG | $922,969,291 |
| Total Medicare payments with ICD T43015A - Adverse effect of tricyclic antidepressants, initial encounter | $89,849 |
| Total Medicare payment per Day at DRG | $1,941 |
| Total Medicare payment per Day with ICD T43015A - Adverse effect of tricyclic antidepressants, initial encounter | $1,664 |
| Total Medicare payment per Hospitalization at DRG | $9,089 |
| Total Medicare payment per Hospitalization with ICD T43015A - Adverse effect of tricyclic antidepressants, initial encounter | $7,487 |
| Total Medicare Charges at DRG | $4,727,523,206 |
| Total Medicare Charges with ICD T43015A - Adverse effect of tricyclic antidepressants, initial encounter | $265,894 |
| Avg Charges at DRG | $46,555 |
| Avg Charges with ICD T43015A - Adverse effect of tricyclic antidepressants, initial encounter | $22,158 |
| Mortality Rate at DRG | 2.95 |
| Mortality Rate with ICD T43015A - Adverse effect of tricyclic antidepressants, initial encounter | NA |
| SNF Discharge Rate at DRG | 13.87 |
| SNF Discharge Rate with ICD T43015A - Adverse effect of tricyclic antidepressants, initial encounter | NA |
| Home Discharge Rate at DRG | 43.04 |
| Home Discharge Rate with ICD T43015A - Adverse effect of tricyclic antidepressants, initial encounter | 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 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 312: SYNCOPE AND COLLAPSE | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 122,730 | ||||
| Total Hospitalizations with ICD T43015A - Adverse effect of tricyclic antidepressants, initial encounter | 286 | ||||
| DRG Share of Total Hospitalizations | 0.37 | ||||
| % of Total ICD T43015A - Adverse effect of tricyclic antidepressants, initial encounter in DRG | 8.9 | ||||
| Avg LOS at DRG | 7.61 | ||||
| Avg LOS with ICD T43015A - Adverse effect of tricyclic antidepressants, initial encounter | 3.97 | ||||
| Readmission Rate at DRG | 21.31 | ||||
| Readmission Rate with ICD T43015A - Adverse effect of tricyclic antidepressants, initial encounter | 21.48 | ||||
| Unplanned Readmission Rate at DRG | 14.13 | ||||
| Unplanned Readmission Rate with ICD T43015A - Adverse effect of tricyclic antidepressants, initial encounter | 12.59 | ||||
| Total Medicare payments at DRG | $1,397,885,220 | ||||
| Total Medicare payments with ICD T43015A - Adverse effect of tricyclic antidepressants, initial encounter | $1,601,831 | ||||
| Total Medicare payment per Day at DRG | $1,497 | ||||
| Total Medicare payment per Day with ICD T43015A - Adverse effect of tricyclic antidepressants, initial encounter | $1,410 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,390 | ||||
| Total Medicare payment per Hospitalization with ICD T43015A - Adverse effect of tricyclic antidepressants, initial encounter | $5,601 | ||||
| Total Medicare Charges at DRG | $4,175,290,309 | ||||
| Total Medicare Charges with ICD T43015A - Adverse effect of tricyclic antidepressants, initial encounter | $8,998,679 | ||||
| Avg Charges at DRG | $34,020 | ||||
| Avg Charges with ICD T43015A - Adverse effect of tricyclic antidepressants, initial encounter | $31,464 | ||||
| Mortality Rate at DRG | 0.28 | ||||
| Mortality Rate with ICD T43015A - Adverse effect of tricyclic antidepressants, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 21.64 | ||||
| SNF Discharge Rate with ICD T43015A - Adverse effect of tricyclic antidepressants, initial encounter | 26.57 | ||||
| Home Discharge Rate at DRG | 28.06 | ||||
| Home Discharge Rate with ICD T43015A - Adverse effect of tricyclic antidepressants, initial encounter | 39.16 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 093: OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 43,799 | ||||
| Total Hospitalizations with ICD T43015A - Adverse effect of tricyclic antidepressants, initial encounter | 100 | ||||
| DRG Share of Total Hospitalizations | 0.13 | ||||
| % of Total ICD T43015A - Adverse effect of tricyclic antidepressants, initial encounter in DRG | 3.11 | ||||
| Avg LOS at DRG | 5.74 | ||||
| Avg LOS with ICD T43015A - Adverse effect of tricyclic antidepressants, initial encounter | 3.03 | ||||
| Readmission Rate at DRG | 14.93 | ||||
| Readmission Rate with ICD T43015A - Adverse effect of tricyclic antidepressants, initial encounter | 17.89 | ||||
| Unplanned Readmission Rate at DRG | 8.84 | ||||
| Unplanned Readmission Rate with ICD T43015A - Adverse effect of tricyclic antidepressants, initial encounter | NA | ||||
| Total Medicare payments at DRG | $370,803,163 | ||||
| Total Medicare payments with ICD T43015A - Adverse effect of tricyclic antidepressants, initial encounter | $416,981 | ||||
| Total Medicare payment per Day at DRG | $1,476 | ||||
| Total Medicare payment per Day with ICD T43015A - Adverse effect of tricyclic antidepressants, initial encounter | $1,376 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,466 | ||||
| Total Medicare payment per Hospitalization with ICD T43015A - Adverse effect of tricyclic antidepressants, initial encounter | $4,170 | ||||
| Total Medicare Charges at DRG | $1,198,628,374 | ||||
| Total Medicare Charges with ICD T43015A - Adverse effect of tricyclic antidepressants, initial encounter | $2,607,438 | ||||
| Avg Charges at DRG | $27,367 | ||||
| Avg Charges with ICD T43015A - Adverse effect of tricyclic antidepressants, initial encounter | $26,074 | ||||
| Mortality Rate at DRG | 0.2 | ||||
| Mortality Rate with ICD T43015A - Adverse effect of tricyclic antidepressants, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 16.4 | ||||
| SNF Discharge Rate with ICD T43015A - Adverse effect of tricyclic antidepressants, initial encounter | 15.0 | ||||
| Home Discharge Rate at DRG | 42.3 | ||||
| Home Discharge Rate with ICD T43015A - Adverse effect of tricyclic antidepressants, initial encounter | 51.0 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT 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 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD T43015A - Adverse effect of tricyclic antidepressants, initial encounter | 53 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD T43015A - Adverse effect of tricyclic antidepressants, initial encounter in DRG | 1.65 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD T43015A - Adverse effect of tricyclic antidepressants, initial encounter | 3.53 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD T43015A - Adverse effect of tricyclic antidepressants, initial encounter | NA | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD T43015A - Adverse effect of tricyclic antidepressants, initial encounter | NA | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD T43015A - Adverse effect of tricyclic antidepressants, initial encounter | $234,429 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD T43015A - Adverse effect of tricyclic antidepressants, initial encounter | $1,254 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD T43015A - Adverse effect of tricyclic antidepressants, initial encounter | $4,423 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD T43015A - Adverse effect of tricyclic antidepressants, initial encounter | $1,446,143 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD T43015A - Adverse effect of tricyclic antidepressants, initial encounter | $27,286 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD T43015A - Adverse effect of tricyclic antidepressants, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD T43015A - Adverse effect of tricyclic antidepressants, initial encounter | NA | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD T43015A - Adverse effect of tricyclic antidepressants, initial encounter | 71.7 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 644: ENDOCRINE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 071: NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 880: ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 359,935 | ||||
| Total Hospitalizations with ICD T43015A - Adverse effect of tricyclic antidepressants, initial encounter | 41 | ||||
| DRG Share of Total Hospitalizations | 1.1 | ||||
| % of Total ICD T43015A - Adverse effect of tricyclic antidepressants, initial encounter in DRG | 1.28 | ||||
| Avg LOS at DRG | 12.3 | ||||
| Avg LOS with ICD T43015A - Adverse effect of tricyclic antidepressants, initial encounter | 6.68 | ||||
| Readmission Rate at DRG | 16.01 | ||||
| Readmission Rate with ICD T43015A - Adverse effect of tricyclic antidepressants, initial encounter | NA | ||||
| Unplanned Readmission Rate at DRG | 9.86 | ||||
| Unplanned Readmission Rate with ICD T43015A - Adverse effect of tricyclic antidepressants, initial encounter | NA | ||||
| Total Medicare payments at DRG | $5,883,826,653 | ||||
| Total Medicare payments with ICD T43015A - Adverse effect of tricyclic antidepressants, initial encounter | $395,746 | ||||
| Total Medicare payment per Day at DRG | $1,329 | ||||
| Total Medicare payment per Day with ICD T43015A - Adverse effect of tricyclic antidepressants, initial encounter | $1,444 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
| Total Medicare payment per Hospitalization with ICD T43015A - Adverse effect of tricyclic antidepressants, initial encounter | $9,652 | ||||
| Total Medicare Charges at DRG | $15,374,824,749 | ||||
| Total Medicare Charges with ICD T43015A - Adverse effect of tricyclic antidepressants, initial encounter | $1,436,156 | ||||
| Avg Charges at DRG | $42,716 | ||||
| Avg Charges with ICD T43015A - Adverse effect of tricyclic antidepressants, initial encounter | $35,028 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD T43015A - Adverse effect of tricyclic antidepressants, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 27.95 | ||||
| SNF Discharge Rate with ICD T43015A - Adverse effect of tricyclic antidepressants, initial encounter | NA | ||||
| Home Discharge Rate at DRG | 26.85 | ||||
| Home Discharge Rate with ICD T43015A - Adverse effect of tricyclic antidepressants, initial encounter | 34.15 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BETH ISRAEL DEACONESS MEDICAL CENTER | 330 BROOKLINE AVE | BOSTON | MA | 02215 | 18 |
| OSF SAINT FRANCIS MEDICAL CENTER | 530 NE GLEN OAK AVE | PEORIA | IL | 61637 | 16 |
| SOUTH SHORE HOSPITAL | 55 FOGG ROAD | SOUTH WEYMOUTH | MA | 02190 | 14 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | I10 | Essential (primary) hypertension |