*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| T43596A - Underdosing of other antipsychotics and neuroleptics, initial encounter - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 11.3 | |
| 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 895: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 881: DEPRESSIVE NEUROSES | DRG 884: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD T43596A - Underdosing of other antipsychotics and neuroleptics, initial encounter | 5,667 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD T43596A - Underdosing of other antipsychotics and neuroleptics, initial encounter in DRG | 81.31 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD T43596A - Underdosing of other antipsychotics and neuroleptics, initial encounter | 12.77 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD T43596A - Underdosing of other antipsychotics and neuroleptics, initial encounter | 29.68 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD T43596A - Underdosing of other antipsychotics and neuroleptics, initial encounter | 10.96 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD T43596A - Underdosing of other antipsychotics and neuroleptics, initial encounter | $53,239,854 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD T43596A - Underdosing of other antipsychotics and neuroleptics, initial encounter | $736 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD T43596A - Underdosing of other antipsychotics and neuroleptics, initial encounter | $9,395 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD T43596A - Underdosing of other antipsychotics and neuroleptics, initial encounter | $163,684,385 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD T43596A - Underdosing of other antipsychotics and neuroleptics, initial encounter | $28,884 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD T43596A - Underdosing of other antipsychotics and neuroleptics, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD T43596A - Underdosing of other antipsychotics and neuroleptics, initial encounter | 1.22 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD T43596A - Underdosing of other antipsychotics and neuroleptics, initial encounter | 85.74 |
*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 882: NEUROSES EXCEPT DEPRESSIVE | DRG 880: ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | DRG 883: DISORDERS OF PERSONALITY AND IMPULSE CONTROL | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 359,935 | ||||
| Total Hospitalizations with ICD T43596A - Underdosing of other antipsychotics and neuroleptics, initial encounter | 47 | ||||
| DRG Share of Total Hospitalizations | 1.1 | ||||
| % of Total ICD T43596A - Underdosing of other antipsychotics and neuroleptics, initial encounter in DRG | 0.67 | ||||
| Avg LOS at DRG | 12.3 | ||||
| Avg LOS with ICD T43596A - Underdosing of other antipsychotics and neuroleptics, initial encounter | 11.28 | ||||
| Readmission Rate at DRG | 16.01 | ||||
| Readmission Rate with ICD T43596A - Underdosing of other antipsychotics and neuroleptics, initial encounter | 28.26 | ||||
| Unplanned Readmission Rate at DRG | 9.86 | ||||
| Unplanned Readmission Rate with ICD T43596A - Underdosing of other antipsychotics and neuroleptics, initial encounter | NA | ||||
| Total Medicare payments at DRG | $5,883,826,653 | ||||
| Total Medicare payments with ICD T43596A - Underdosing of other antipsychotics and neuroleptics, initial encounter | $499,791 | ||||
| Total Medicare payment per Day at DRG | $1,329 | ||||
| Total Medicare payment per Day with ICD T43596A - Underdosing of other antipsychotics and neuroleptics, initial encounter | $943 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
| Total Medicare payment per Hospitalization with ICD T43596A - Underdosing of other antipsychotics and neuroleptics, initial encounter | $10,634 | ||||
| Total Medicare Charges at DRG | $15,374,824,749 | ||||
| Total Medicare Charges with ICD T43596A - Underdosing of other antipsychotics and neuroleptics, initial encounter | $1,332,871 | ||||
| Avg Charges at DRG | $42,716 | ||||
| Avg Charges with ICD T43596A - Underdosing of other antipsychotics and neuroleptics, initial encounter | $28,359 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD T43596A - Underdosing of other antipsychotics and neuroleptics, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 27.95 | ||||
| SNF Discharge Rate with ICD T43596A - Underdosing of other antipsychotics and neuroleptics, initial encounter | 31.91 | ||||
| Home Discharge Rate at DRG | 26.85 | ||||
| Home Discharge Rate with ICD T43596A - Underdosing of other antipsychotics and neuroleptics, initial encounter | 31.91 |
*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 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 160,950 | ||||
| Total Hospitalizations with ICD T43596A - Underdosing of other antipsychotics and neuroleptics, initial encounter | 23 | ||||
| DRG Share of Total Hospitalizations | 0.49 | ||||
| % of Total ICD T43596A - Underdosing of other antipsychotics and neuroleptics, initial encounter in DRG | 0.33 | ||||
| Avg LOS at DRG | 4.98 | ||||
| Avg LOS with ICD T43596A - Underdosing of other antipsychotics and neuroleptics, initial encounter | 5.09 | ||||
| Readmission Rate at DRG | 20.85 | ||||
| Readmission Rate with ICD T43596A - Underdosing of other antipsychotics and neuroleptics, initial encounter | NA | ||||
| Unplanned Readmission Rate at DRG | 13.4 | ||||
| Unplanned Readmission Rate with ICD T43596A - Underdosing of other antipsychotics and neuroleptics, initial encounter | NA | ||||
| Total Medicare payments at DRG | $1,184,949,733 | ||||
| Total Medicare payments with ICD T43596A - Underdosing of other antipsychotics and neuroleptics, initial encounter | $106,288 | ||||
| Total Medicare payment per Day at DRG | $1,477 | ||||
| Total Medicare payment per Day with ICD T43596A - Underdosing of other antipsychotics and neuroleptics, initial encounter | $908 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,362 | ||||
| Total Medicare payment per Hospitalization with ICD T43596A - Underdosing of other antipsychotics and neuroleptics, initial encounter | $4,621 | ||||
| Total Medicare Charges at DRG | $4,222,078,897 | ||||
| Total Medicare Charges with ICD T43596A - Underdosing of other antipsychotics and neuroleptics, initial encounter | $613,412 | ||||
| Avg Charges at DRG | $26,232 | ||||
| Avg Charges with ICD T43596A - Underdosing of other antipsychotics and neuroleptics, initial encounter | $26,670 | ||||
| Mortality Rate at DRG | 0.67 | ||||
| Mortality Rate with ICD T43596A - Underdosing of other antipsychotics and neuroleptics, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 22.29 | ||||
| SNF Discharge Rate with ICD T43596A - Underdosing of other antipsychotics and neuroleptics, initial encounter | NA | ||||
| Home Discharge Rate at DRG | 35.46 | ||||
| Home Discharge Rate with ICD T43596A - Underdosing of other antipsychotics and neuroleptics, 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 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) | DRG 894: ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 71,748 | ||||
| Total Hospitalizations with ICD T43596A - Underdosing of other antipsychotics and neuroleptics, initial encounter | 20 | ||||
| DRG Share of Total Hospitalizations | 0.22 | ||||
| % of Total ICD T43596A - Underdosing of other antipsychotics and neuroleptics, initial encounter in DRG | 0.29 | ||||
| Avg LOS at DRG | 2.93 | ||||
| Avg LOS with ICD T43596A - Underdosing of other antipsychotics and neuroleptics, initial encounter | 5.25 | ||||
| Readmission Rate at DRG | 33.86 | ||||
| Readmission Rate with ICD T43596A - Underdosing of other antipsychotics and neuroleptics, initial encounter | 55.0 | ||||
| Unplanned Readmission Rate at DRG | 10.34 | ||||
| Unplanned Readmission Rate with ICD T43596A - Underdosing of other antipsychotics and neuroleptics, initial encounter | NA | ||||
| Total Medicare payments at DRG | $313,351,773 | ||||
| Total Medicare payments with ICD T43596A - Underdosing of other antipsychotics and neuroleptics, initial encounter | $100,091 | ||||
| Total Medicare payment per Day at DRG | $1,489 | ||||
| Total Medicare payment per Day with ICD T43596A - Underdosing of other antipsychotics and neuroleptics, initial encounter | $953 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,367 | ||||
| Total Medicare payment per Hospitalization with ICD T43596A - Underdosing of other antipsychotics and neuroleptics, initial encounter | $5,005 | ||||
| Total Medicare Charges at DRG | $1,750,048,705 | ||||
| Total Medicare Charges with ICD T43596A - Underdosing of other antipsychotics and neuroleptics, initial encounter | $590,168 | ||||
| Avg Charges at DRG | $24,392 | ||||
| Avg Charges with ICD T43596A - Underdosing of other antipsychotics and neuroleptics, initial encounter | $29,508 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD T43596A - Underdosing of other antipsychotics and neuroleptics, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 7.61 | ||||
| SNF Discharge Rate with ICD T43596A - Underdosing of other antipsychotics and neuroleptics, initial encounter | NA | ||||
| Home Discharge Rate at DRG | 51.88 | ||||
| Home Discharge Rate with ICD T43596A - Underdosing of other antipsychotics and neuroleptics, initial encounter | 55.0 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BHC HERITAGE OAKS HOSPITAL | 4250 AUBURN BLVD. | SACRAMENTO | CA | 95841 | 322 |
| PRAIRIE ST JOHNS | 510 4TH ST S | FARGO | ND | 58103 | 235 |
| WINDSOR LAURELWOOD CENTER FOR BEHAVIORAL MEDICINE | 35900 EUCLID AVENUE | WILLOUGHBY | OH | 44094 | 228 |
| 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 | 118 |
| Dr. GREGORY STEPHEN SUGALSKI | 30 BERGEN ST | NEWARK | NJ | 07107 | 57 |
| Dr. THEODORE V PARRAN | 2351 E 22ND ST | CLEVELAND | OH | 44115 | 48 |
| 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 | 129 |
| Dr. RICHARD STUART GOLDBERG | 8311 ROOSEVELT RD | FOREST PARK | IL | 60130 | 93 |
| Dr. FETIH AKGUL | 510 4TH ST SOUTH | FARGO | ND | 58107 | 88 |