*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| T43595A - Adverse effect of other antipsychotics and neuroleptics, initial encounter - as a primary diagnosis code | T43595A - Adverse effect of other antipsychotics and neuroleptics, initial encounter - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 9.16 | |
| Readmission Rate (%) | 25.59 | |
| Unplanned Readmission Rate (%) | 13.61 | |
| 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 918: POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 917: POISONING AND TOXIC EFFECTS OF DRUGS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 71,748 | |
| Total Hospitalizations with ICD T43595A - Adverse effect of other antipsychotics and neuroleptics, initial encounter | 153 | |
| DRG Share of Total Hospitalizations | 0.22 | |
| % of Total ICD T43595A - Adverse effect of other antipsychotics and neuroleptics, initial encounter in DRG | 50.33 | |
| Avg LOS at DRG | 2.93 | |
| Avg LOS with ICD T43595A - Adverse effect of other antipsychotics and neuroleptics, initial encounter | 3.98 | |
| Readmission Rate at DRG | 33.86 | |
| Readmission Rate with ICD T43595A - Adverse effect of other antipsychotics and neuroleptics, initial encounter | 23.13 | |
| Unplanned Readmission Rate at DRG | 10.34 | |
| Unplanned Readmission Rate with ICD T43595A - Adverse effect of other antipsychotics and neuroleptics, initial encounter | 11.56 | |
| Total Medicare payments at DRG | $313,351,773 | |
| Total Medicare payments with ICD T43595A - Adverse effect of other antipsychotics and neuroleptics, initial encounter | $631,735 | |
| Total Medicare payment per Day at DRG | $1,489 | |
| Total Medicare payment per Day with ICD T43595A - Adverse effect of other antipsychotics and neuroleptics, initial encounter | $1,037 | |
| Total Medicare payment per Hospitalization at DRG | $4,367 | |
| Total Medicare payment per Hospitalization with ICD T43595A - Adverse effect of other antipsychotics and neuroleptics, initial encounter | $4,129 | |
| Total Medicare Charges at DRG | $1,750,048,705 | |
| Total Medicare Charges with ICD T43595A - Adverse effect of other antipsychotics and neuroleptics, initial encounter | $3,863,926 | |
| Avg Charges at DRG | $24,392 | |
| Avg Charges with ICD T43595A - Adverse effect of other antipsychotics and neuroleptics, initial encounter | $25,254 | |
| Mortality Rate at DRG | 0.22 | |
| Mortality Rate with ICD T43595A - Adverse effect of other antipsychotics and neuroleptics, initial encounter | NA | |
| SNF Discharge Rate at DRG | 7.61 | |
| SNF Discharge Rate with ICD T43595A - Adverse effect of other antipsychotics and neuroleptics, initial encounter | 24.18 | |
| Home Discharge Rate at DRG | 51.88 | |
| Home Discharge Rate with ICD T43595A - Adverse effect of other antipsychotics and neuroleptics, initial encounter | 42.48 |
*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 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH 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 T43595A - Adverse effect of other antipsychotics and neuroleptics, initial encounter | 4,232 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD T43595A - Adverse effect of other antipsychotics and neuroleptics, initial encounter in DRG | 15.55 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD T43595A - Adverse effect of other antipsychotics and neuroleptics, initial encounter | 19.49 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD T43595A - Adverse effect of other antipsychotics and neuroleptics, initial encounter | 25.01 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD T43595A - Adverse effect of other antipsychotics and neuroleptics, initial encounter | 11.27 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD T43595A - Adverse effect of other antipsychotics and neuroleptics, initial encounter | $59,659,927 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD T43595A - Adverse effect of other antipsychotics and neuroleptics, initial encounter | $723 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD T43595A - Adverse effect of other antipsychotics and neuroleptics, initial encounter | $14,097 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD T43595A - Adverse effect of other antipsychotics and neuroleptics, initial encounter | $246,288,932 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD T43595A - Adverse effect of other antipsychotics and neuroleptics, initial encounter | $58,197 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD T43595A - Adverse effect of other antipsychotics and neuroleptics, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD T43595A - Adverse effect of other antipsychotics and neuroleptics, initial encounter | 5.69 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD T43595A - Adverse effect of other antipsychotics and neuroleptics, initial encounter | 73.94 |
*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 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 312: SYNCOPE AND COLLAPSE | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 884: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 359,935 | ||||
| Total Hospitalizations with ICD T43595A - Adverse effect of other antipsychotics and neuroleptics, initial encounter | 930 | ||||
| DRG Share of Total Hospitalizations | 1.1 | ||||
| % of Total ICD T43595A - Adverse effect of other antipsychotics and neuroleptics, initial encounter in DRG | 3.42 | ||||
| Avg LOS at DRG | 12.3 | ||||
| Avg LOS with ICD T43595A - Adverse effect of other antipsychotics and neuroleptics, initial encounter | 10.37 | ||||
| Readmission Rate at DRG | 16.01 | ||||
| Readmission Rate with ICD T43595A - Adverse effect of other antipsychotics and neuroleptics, initial encounter | 24.0 | ||||
| Unplanned Readmission Rate at DRG | 9.86 | ||||
| Unplanned Readmission Rate with ICD T43595A - Adverse effect of other antipsychotics and neuroleptics, initial encounter | 12.29 | ||||
| Total Medicare payments at DRG | $5,883,826,653 | ||||
| Total Medicare payments with ICD T43595A - Adverse effect of other antipsychotics and neuroleptics, initial encounter | $10,257,828 | ||||
| Total Medicare payment per Day at DRG | $1,329 | ||||
| Total Medicare payment per Day with ICD T43595A - Adverse effect of other antipsychotics and neuroleptics, initial encounter | $1,064 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
| Total Medicare payment per Hospitalization with ICD T43595A - Adverse effect of other antipsychotics and neuroleptics, initial encounter | $11,030 | ||||
| Total Medicare Charges at DRG | $15,374,824,749 | ||||
| Total Medicare Charges with ICD T43595A - Adverse effect of other antipsychotics and neuroleptics, initial encounter | $37,710,301 | ||||
| Avg Charges at DRG | $42,716 | ||||
| Avg Charges with ICD T43595A - Adverse effect of other antipsychotics and neuroleptics, initial encounter | $40,549 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD T43595A - Adverse effect of other antipsychotics and neuroleptics, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 27.95 | ||||
| SNF Discharge Rate with ICD T43595A - Adverse effect of other antipsychotics and neuroleptics, initial encounter | 38.71 | ||||
| Home Discharge Rate at DRG | 26.85 | ||||
| Home Discharge Rate with ICD T43595A - Adverse effect of other antipsychotics and neuroleptics, initial encounter | 21.94 |
*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 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 43,799 | ||||
| Total Hospitalizations with ICD T43595A - Adverse effect of other antipsychotics and neuroleptics, initial encounter | 533 | ||||
| DRG Share of Total Hospitalizations | 0.13 | ||||
| % of Total ICD T43595A - Adverse effect of other antipsychotics and neuroleptics, initial encounter in DRG | 1.96 | ||||
| Avg LOS at DRG | 5.74 | ||||
| Avg LOS with ICD T43595A - Adverse effect of other antipsychotics and neuroleptics, initial encounter | 3.22 | ||||
| Readmission Rate at DRG | 14.93 | ||||
| Readmission Rate with ICD T43595A - Adverse effect of other antipsychotics and neuroleptics, initial encounter | 20.66 | ||||
| Unplanned Readmission Rate at DRG | 8.84 | ||||
| Unplanned Readmission Rate with ICD T43595A - Adverse effect of other antipsychotics and neuroleptics, initial encounter | 11.7 | ||||
| Total Medicare payments at DRG | $370,803,163 | ||||
| Total Medicare payments with ICD T43595A - Adverse effect of other antipsychotics and neuroleptics, initial encounter | $2,419,269 | ||||
| Total Medicare payment per Day at DRG | $1,476 | ||||
| Total Medicare payment per Day with ICD T43595A - Adverse effect of other antipsychotics and neuroleptics, initial encounter | $1,411 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,466 | ||||
| Total Medicare payment per Hospitalization with ICD T43595A - Adverse effect of other antipsychotics and neuroleptics, initial encounter | $4,539 | ||||
| Total Medicare Charges at DRG | $1,198,628,374 | ||||
| Total Medicare Charges with ICD T43595A - Adverse effect of other antipsychotics and neuroleptics, initial encounter | $12,913,084 | ||||
| Avg Charges at DRG | $27,367 | ||||
| Avg Charges with ICD T43595A - Adverse effect of other antipsychotics and neuroleptics, initial encounter | $24,227 | ||||
| Mortality Rate at DRG | 0.2 | ||||
| Mortality Rate with ICD T43595A - Adverse effect of other antipsychotics and neuroleptics, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 16.4 | ||||
| SNF Discharge Rate with ICD T43595A - Adverse effect of other antipsychotics and neuroleptics, initial encounter | 22.33 | ||||
| Home Discharge Rate at DRG | 42.3 | ||||
| Home Discharge Rate with ICD T43595A - Adverse effect of other antipsychotics and neuroleptics, initial encounter | 40.53 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 917: POISONING AND TOXIC EFFECTS OF DRUGS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 947: SIGNS AND SYMPTOMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD T43595A - Adverse effect of other antipsychotics and neuroleptics, initial encounter | 351 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD T43595A - Adverse effect of other antipsychotics and neuroleptics, initial encounter in DRG | 1.29 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD T43595A - Adverse effect of other antipsychotics and neuroleptics, initial encounter | 4.75 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD T43595A - Adverse effect of other antipsychotics and neuroleptics, initial encounter | 21.74 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD T43595A - Adverse effect of other antipsychotics and neuroleptics, initial encounter | 13.62 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD T43595A - Adverse effect of other antipsychotics and neuroleptics, initial encounter | $1,904,211 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD T43595A - Adverse effect of other antipsychotics and neuroleptics, initial encounter | $1,143 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD T43595A - Adverse effect of other antipsychotics and neuroleptics, initial encounter | $5,425 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD T43595A - Adverse effect of other antipsychotics and neuroleptics, initial encounter | $9,858,936 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD T43595A - Adverse effect of other antipsychotics and neuroleptics, initial encounter | $28,088 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD T43595A - Adverse effect of other antipsychotics and neuroleptics, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD T43595A - Adverse effect of other antipsychotics and neuroleptics, initial encounter | 43.3 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD T43595A - Adverse effect of other antipsychotics and neuroleptics, initial encounter | 23.65 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| TURNING POINT HOSPITAL | 3015 VETERANS PKWY S | MOULTRIE | GA | 31788 | 230 |
| PRAIRIE ST JOHNS | 510 4TH ST S | FARGO | ND | 58103 | 110 |
| BETH ISRAEL DEACONESS MEDICAL CENTER | 330 BROOKLINE AVE | BOSTON | MA | 02215 | 102 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 98 |
| Dr. JAMES DARIN DRURY | 401 OLD ALBANY RD | THOMASVILLE | GA | 31792 | 19 |
| Dr. THEODORE V PARRAN | 2351 E 22ND ST | CLEVELAND | OH | 44115 | 18 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 141 |
| Dr. JAMES DARIN DRURY | 401 OLD ALBANY RD | THOMASVILLE | GA | 31792 | 88 |
| Dr. MICHAEL RAY | 35900 EUCLID AVE | WILLOUGHBY | OH | 44094 | 39 |