*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z638 - Other specified problems related to primary support group - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 12.97 | |
| 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 881: DEPRESSIVE NEUROSES | DRG 884: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | DRG 882: NEUROSES EXCEPT DEPRESSIVE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD Z638 - Other specified problems related to primary support group | 7,757 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD Z638 - Other specified problems related to primary support group in DRG | 56.79 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD Z638 - Other specified problems related to primary support group | 11.06 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD Z638 - Other specified problems related to primary support group | 25.15 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD Z638 - Other specified problems related to primary support group | 12.07 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD Z638 - Other specified problems related to primary support group | $63,012,272 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD Z638 - Other specified problems related to primary support group | $735 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD Z638 - Other specified problems related to primary support group | $8,123 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD Z638 - Other specified problems related to primary support group | $208,682,381 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD Z638 - Other specified problems related to primary support group | $26,902 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD Z638 - Other specified problems related to primary support group | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD Z638 - Other specified problems related to primary support group | 2.17 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD Z638 - Other specified problems related to primary support group | 84.48 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 918: POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 917: POISONING AND TOXIC EFFECTS OF DRUGS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 880: ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 359,935 | ||||
| Total Hospitalizations with ICD Z638 - Other specified problems related to primary support group | 189 | ||||
| DRG Share of Total Hospitalizations | 1.1 | ||||
| % of Total ICD Z638 - Other specified problems related to primary support group in DRG | 1.38 | ||||
| Avg LOS at DRG | 12.3 | ||||
| Avg LOS with ICD Z638 - Other specified problems related to primary support group | 14.32 | ||||
| Readmission Rate at DRG | 16.01 | ||||
| Readmission Rate with ICD Z638 - Other specified problems related to primary support group | 17.42 | ||||
| Unplanned Readmission Rate at DRG | 9.86 | ||||
| Unplanned Readmission Rate with ICD Z638 - Other specified problems related to primary support group | 11.24 | ||||
| Total Medicare payments at DRG | $5,883,826,653 | ||||
| Total Medicare payments with ICD Z638 - Other specified problems related to primary support group | $2,552,383 | ||||
| Total Medicare payment per Day at DRG | $1,329 | ||||
| Total Medicare payment per Day with ICD Z638 - Other specified problems related to primary support group | $943 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
| Total Medicare payment per Hospitalization with ICD Z638 - Other specified problems related to primary support group | $13,505 | ||||
| Total Medicare Charges at DRG | $15,374,824,749 | ||||
| Total Medicare Charges with ICD Z638 - Other specified problems related to primary support group | $8,132,096 | ||||
| Avg Charges at DRG | $42,716 | ||||
| Avg Charges with ICD Z638 - Other specified problems related to primary support group | $43,027 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD Z638 - Other specified problems related to primary support group | NA | ||||
| SNF Discharge Rate at DRG | 27.95 | ||||
| SNF Discharge Rate with ICD Z638 - Other specified problems related to primary support group | 38.1 | ||||
| Home Discharge Rate at DRG | 26.85 | ||||
| Home Discharge Rate with ICD Z638 - Other specified problems related to primary support group | 28.57 |
*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 291: HEART FAILURE AND SHOCK 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) | DRG 883: DISORDERS OF PERSONALITY AND IMPULSE CONTROL | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 44,726 | ||||
| Total Hospitalizations with ICD Z638 - Other specified problems related to primary support group | 98 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD Z638 - Other specified problems related to primary support group in DRG | 0.72 | ||||
| Avg LOS at DRG | 12.1 | ||||
| Avg LOS with ICD Z638 - Other specified problems related to primary support group | 13.09 | ||||
| Readmission Rate at DRG | 22.75 | ||||
| Readmission Rate with ICD Z638 - Other specified problems related to primary support group | 18.09 | ||||
| Unplanned Readmission Rate at DRG | 8.4 | ||||
| Unplanned Readmission Rate with ICD Z638 - Other specified problems related to primary support group | NA | ||||
| Total Medicare payments at DRG | $426,733,948 | ||||
| Total Medicare payments with ICD Z638 - Other specified problems related to primary support group | $1,087,033 | ||||
| Total Medicare payment per Day at DRG | $789 | ||||
| Total Medicare payment per Day with ICD Z638 - Other specified problems related to primary support group | $847 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,541 | ||||
| Total Medicare payment per Hospitalization with ICD Z638 - Other specified problems related to primary support group | $11,092 | ||||
| Total Medicare Charges at DRG | $1,040,774,746 | ||||
| Total Medicare Charges with ICD Z638 - Other specified problems related to primary support group | $4,202,960 | ||||
| Avg Charges at DRG | $23,270 | ||||
| Avg Charges with ICD Z638 - Other specified problems related to primary support group | $42,887 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD Z638 - Other specified problems related to primary support group | NA | ||||
| SNF Discharge Rate at DRG | 0.24 | ||||
| SNF Discharge Rate with ICD Z638 - Other specified problems related to primary support group | NA | ||||
| Home Discharge Rate at DRG | 92.46 | ||||
| Home Discharge Rate with ICD Z638 - Other specified problems related to primary support group | 87.76 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 896: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD Z638 - Other specified problems related to primary support group | 63 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD Z638 - Other specified problems related to primary support group in DRG | 0.46 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD Z638 - Other specified problems related to primary support group | 6.71 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD Z638 - Other specified problems related to primary support group | 21.82 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD Z638 - Other specified problems related to primary support group | NA | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD Z638 - Other specified problems related to primary support group | $628,543 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD Z638 - Other specified problems related to primary support group | $1,486 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD Z638 - Other specified problems related to primary support group | $9,977 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD Z638 - Other specified problems related to primary support group | $2,617,431 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD Z638 - Other specified problems related to primary support group | $41,547 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD Z638 - Other specified problems related to primary support group | NA | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD Z638 - Other specified problems related to primary support group | 31.75 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD Z638 - Other specified problems related to primary support group | 31.75 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ELMWOOD HILLS HEALTHCARE CENTER | 425 WOODBURY TURNERSVILLE RD | BLACKWOOD | NJ | 08012 | 532 |
| ATRIUM HEALTH BEHAVIORAL HEALTH | 501 BILLINGSLEY RD | CHARLOTTE | NC | 28211 | 428 |
| BERKSHIRE MEDICAL CENTER | 725 NORTH ST | PITTSFIELD | MA | 01201 | 417 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. LJILJANA MARKOVIC | 25 MARSHALL STREET | NORTH ADAMS | MA | 01247 | 161 |
| Dr. ADAM ROBERT ROSEN | 620 KIRKLAND WAY | KIRKLAND | WA | 98033 | 116 |
| Dr. MUHAMMAD S. ZIA | 500 W. HOSPITAL RD. | FRENCH CAMP | CA | 95231 | 90 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. AMIT P KURANI | 37 BUCKINGHAM RD | WEST ORANGE | NJ | 07052 | 264 |
| Dr. LJILJANA MARKOVIC | 25 MARSHALL STREET | NORTH ADAMS | MA | 01247 | 178 |
| Dr. ADAM ROBERT ROSEN | 620 KIRKLAND WAY | KIRKLAND | WA | 98033 | 161 |