*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z609 - Problem related to social environment, unspecified - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 13.33 | |
| 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 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 884: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | DRG 881: DEPRESSIVE NEUROSES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD Z609 - Problem related to social environment, unspecified | 9,689 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD Z609 - Problem related to social environment, unspecified in DRG | 67.22 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD Z609 - Problem related to social environment, unspecified | 11.43 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD Z609 - Problem related to social environment, unspecified | 28.74 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD Z609 - Problem related to social environment, unspecified | 13.22 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD Z609 - Problem related to social environment, unspecified | $82,344,614 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD Z609 - Problem related to social environment, unspecified | $744 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD Z609 - Problem related to social environment, unspecified | $8,499 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD Z609 - Problem related to social environment, unspecified | $291,556,143 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD Z609 - Problem related to social environment, unspecified | $30,091 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD Z609 - Problem related to social environment, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD Z609 - Problem related to social environment, unspecified | 7.81 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD Z609 - Problem related to social environment, unspecified | 78.4 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 895: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | DRG 883: DISORDERS OF PERSONALITY AND IMPULSE CONTROL | DRG 882: NEUROSES EXCEPT DEPRESSIVE | DRG 880: ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | DRG 918: POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 44,726 | ||||
| Total Hospitalizations with ICD Z609 - Problem related to social environment, unspecified | 265 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD Z609 - Problem related to social environment, unspecified in DRG | 1.84 | ||||
| Avg LOS at DRG | 12.1 | ||||
| Avg LOS with ICD Z609 - Problem related to social environment, unspecified | 16.18 | ||||
| Readmission Rate at DRG | 22.75 | ||||
| Readmission Rate with ICD Z609 - Problem related to social environment, unspecified | 32.56 | ||||
| Unplanned Readmission Rate at DRG | 8.4 | ||||
| Unplanned Readmission Rate with ICD Z609 - Problem related to social environment, unspecified | 12.79 | ||||
| Total Medicare payments at DRG | $426,733,948 | ||||
| Total Medicare payments with ICD Z609 - Problem related to social environment, unspecified | $3,752,450 | ||||
| Total Medicare payment per Day at DRG | $789 | ||||
| Total Medicare payment per Day with ICD Z609 - Problem related to social environment, unspecified | $875 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,541 | ||||
| Total Medicare payment per Hospitalization with ICD Z609 - Problem related to social environment, unspecified | $14,160 | ||||
| Total Medicare Charges at DRG | $1,040,774,746 | ||||
| Total Medicare Charges with ICD Z609 - Problem related to social environment, unspecified | $8,774,551 | ||||
| Avg Charges at DRG | $23,270 | ||||
| Avg Charges with ICD Z609 - Problem related to social environment, unspecified | $33,112 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD Z609 - Problem related to social environment, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 0.24 | ||||
| SNF Discharge Rate with ICD Z609 - Problem related to social environment, unspecified | NA | ||||
| Home Discharge Rate at DRG | 92.46 | ||||
| Home Discharge Rate with ICD Z609 - Problem related to social environment, unspecified | 95.85 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 103: HEADACHES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 917: POISONING AND TOXIC EFFECTS OF DRUGS WITH 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 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 34,109 | ||||
| Total Hospitalizations with ICD Z609 - Problem related to social environment, unspecified | 63 | ||||
| DRG Share of Total Hospitalizations | 0.1 | ||||
| % of Total ICD Z609 - Problem related to social environment, unspecified in DRG | 0.44 | ||||
| Avg LOS at DRG | 3.01 | ||||
| Avg LOS with ICD Z609 - Problem related to social environment, unspecified | 8.71 | ||||
| Readmission Rate at DRG | 15.18 | ||||
| Readmission Rate with ICD Z609 - Problem related to social environment, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 10.4 | ||||
| Unplanned Readmission Rate with ICD Z609 - Problem related to social environment, unspecified | NA | ||||
| Total Medicare payments at DRG | $150,904,653 | ||||
| Total Medicare payments with ICD Z609 - Problem related to social environment, unspecified | $283,060 | ||||
| Total Medicare payment per Day at DRG | $1,468 | ||||
| Total Medicare payment per Day with ICD Z609 - Problem related to social environment, unspecified | $516 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,424 | ||||
| Total Medicare payment per Hospitalization with ICD Z609 - Problem related to social environment, unspecified | $4,493 | ||||
| Total Medicare Charges at DRG | $983,977,681 | ||||
| Total Medicare Charges with ICD Z609 - Problem related to social environment, unspecified | $2,832,278 | ||||
| Avg Charges at DRG | $28,848 | ||||
| Avg Charges with ICD Z609 - Problem related to social environment, unspecified | $44,957 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD Z609 - Problem related to social environment, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 5.34 | ||||
| SNF Discharge Rate with ICD Z609 - Problem related to social environment, unspecified | NA | ||||
| Home Discharge Rate at DRG | 77.9 | ||||
| Home Discharge Rate with ICD Z609 - Problem related to social environment, unspecified | 100.0 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 896: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 894: ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD Z609 - Problem related to social environment, unspecified | 49 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD Z609 - Problem related to social environment, unspecified in DRG | 0.34 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD Z609 - Problem related to social environment, unspecified | 8.45 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD Z609 - Problem related to social environment, unspecified | 45.45 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD Z609 - Problem related to social environment, unspecified | 36.36 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD Z609 - Problem related to social environment, unspecified | $481,075 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD Z609 - Problem related to social environment, unspecified | $1,162 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD Z609 - Problem related to social environment, unspecified | $9,818 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD Z609 - Problem related to social environment, unspecified | $1,983,136 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD Z609 - Problem related to social environment, unspecified | $40,472 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD Z609 - Problem related to social environment, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD Z609 - Problem related to social environment, unspecified | NA | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD Z609 - Problem related to social environment, unspecified | 36.73 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MONTEVISTA HOSPITAL | 5900 W ROCHELLE AVE | LAS VEGAS | NV | 89103 | 1,021 |
| JPS HEALTH NETWORK | 1500 S MAIN ST | FORT WORTH | TX | 76104 | 957 |
| DESERT PARKWAY BEHAVIORAL HEALTHCARE HOSPITAL | 3247 S MARYLAND PKWY | LAS VEGAS | NV | 89109 | 805 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. WILLIAM CORNELIUS BAUER | 6000 W ROCHELLE AVE | LAS VEGAS | NV | 89103 | 219 |
| Dr. DANIEL PARK | 1707 W CHARLESTON BLVD STE 200 | LAS VEGAS | NV | 89102 | 163 |
| Dr. FAISAL AHMED SUBA | 2040 W CHARLESTON BLVD STE 202A | LAS VEGAS | NV | 89102 | 141 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DONALD HUGH MAYES | 7351 W CHARLESTON BLVD | LAS VEGAS | NV | 89117 | 583 |
| Dr. VICTOR ASALDO GUTIERREZ | 715 HOUSTON ST | PLAINVIEW | TX | 79072 | 383 |
| Dr. DANIEL PARK | 1707 W CHARLESTON BLVD STE 200 | LAS VEGAS | NV | 89102 | 312 |