*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z653 - Problems related to other legal circumstances - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 11.85 | |
| 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 895: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | DRG 881: DEPRESSIVE NEUROSES | DRG 882: NEUROSES EXCEPT DEPRESSIVE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD Z653 - Problems related to other legal circumstances | 5,702 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD Z653 - Problems related to other legal circumstances in DRG | 66.82 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD Z653 - Problems related to other legal circumstances | 12.22 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD Z653 - Problems related to other legal circumstances | 26.57 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD Z653 - Problems related to other legal circumstances | 12.04 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD Z653 - Problems related to other legal circumstances | $48,077,842 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD Z653 - Problems related to other legal circumstances | $690 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD Z653 - Problems related to other legal circumstances | $8,432 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD Z653 - Problems related to other legal circumstances | $170,575,477 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD Z653 - Problems related to other legal circumstances | $29,915 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD Z653 - Problems related to other legal circumstances | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD Z653 - Problems related to other legal circumstances | 1.28 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD Z653 - Problems related to other legal circumstances | 82.92 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 894: ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | DRG 883: DISORDERS OF PERSONALITY AND IMPULSE CONTROL | DRG 918: POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 884: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | DRG 917: POISONING AND TOXIC EFFECTS OF DRUGS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 19,610 | ||||
| Total Hospitalizations with ICD Z653 - Problems related to other legal circumstances | 90 | ||||
| DRG Share of Total Hospitalizations | 0.06 | ||||
| % of Total ICD Z653 - Problems related to other legal circumstances in DRG | 1.05 | ||||
| Avg LOS at DRG | 3.16 | ||||
| Avg LOS with ICD Z653 - Problems related to other legal circumstances | 4.28 | ||||
| Readmission Rate at DRG | NA | ||||
| Readmission Rate with ICD Z653 - Problems related to other legal circumstances | NA | ||||
| Unplanned Readmission Rate at DRG | NA | ||||
| Unplanned Readmission Rate with ICD Z653 - Problems related to other legal circumstances | NA | ||||
| Total Medicare payments at DRG | $69,381,305 | ||||
| Total Medicare payments with ICD Z653 - Problems related to other legal circumstances | $317,120 | ||||
| Total Medicare payment per Day at DRG | $1,119 | ||||
| Total Medicare payment per Day with ICD Z653 - Problems related to other legal circumstances | $824 | ||||
| Total Medicare payment per Hospitalization at DRG | $3,538 | ||||
| Total Medicare payment per Hospitalization with ICD Z653 - Problems related to other legal circumstances | $3,524 | ||||
| Total Medicare Charges at DRG | $274,126,297 | ||||
| Total Medicare Charges with ICD Z653 - Problems related to other legal circumstances | $1,220,077 | ||||
| Avg Charges at DRG | $13,979 | ||||
| Avg Charges with ICD Z653 - Problems related to other legal circumstances | $13,556 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD Z653 - Problems related to other legal circumstances | NA | ||||
| SNF Discharge Rate at DRG | NA | ||||
| SNF Discharge Rate with ICD Z653 - Problems related to other legal circumstances | NA | ||||
| Home Discharge Rate at DRG | NA | ||||
| Home Discharge Rate with ICD Z653 - Problems related to other legal circumstances | 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 880: ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | DRG 896: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 34,840 | ||||
| Total Hospitalizations with ICD Z653 - Problems related to other legal circumstances | 47 | ||||
| DRG Share of Total Hospitalizations | 0.11 | ||||
| % of Total ICD Z653 - Problems related to other legal circumstances in DRG | 0.55 | ||||
| Avg LOS at DRG | 5.38 | ||||
| Avg LOS with ICD Z653 - Problems related to other legal circumstances | 10.09 | ||||
| Readmission Rate at DRG | 22.47 | ||||
| Readmission Rate with ICD Z653 - Problems related to other legal circumstances | NA | ||||
| Unplanned Readmission Rate at DRG | 12.18 | ||||
| Unplanned Readmission Rate with ICD Z653 - Problems related to other legal circumstances | NA | ||||
| Total Medicare payments at DRG | $193,767,073 | ||||
| Total Medicare payments with ICD Z653 - Problems related to other legal circumstances | $403,509 | ||||
| Total Medicare payment per Day at DRG | $1,033 | ||||
| Total Medicare payment per Day with ICD Z653 - Problems related to other legal circumstances | $851 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,562 | ||||
| Total Medicare payment per Hospitalization with ICD Z653 - Problems related to other legal circumstances | $8,585 | ||||
| Total Medicare Charges at DRG | $895,692,673 | ||||
| Total Medicare Charges with ICD Z653 - Problems related to other legal circumstances | $1,223,111 | ||||
| Avg Charges at DRG | $25,709 | ||||
| Avg Charges with ICD Z653 - Problems related to other legal circumstances | $26,024 | ||||
| Mortality Rate at DRG | 0.21 | ||||
| Mortality Rate with ICD Z653 - Problems related to other legal circumstances | NA | ||||
| SNF Discharge Rate at DRG | 12.88 | ||||
| SNF Discharge Rate with ICD Z653 - Problems related to other legal circumstances | NA | ||||
| Home Discharge Rate at DRG | 62.18 | ||||
| Home Discharge Rate with ICD Z653 - Problems related to other legal circumstances | 82.98 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 101: SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 886: BEHAVIORAL AND DEVELOPMENTAL DISORDERS | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 781: OTHER ANTEPARTUM DIAGNOSES WITH MEDICAL COMPLICATIONS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD Z653 - Problems related to other legal circumstances | 19 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD Z653 - Problems related to other legal circumstances in DRG | 0.22 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD Z653 - Problems related to other legal circumstances | 4.68 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD Z653 - Problems related to other legal circumstances | NA | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD Z653 - Problems related to other legal circumstances | NA | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD Z653 - Problems related to other legal circumstances | $127,216 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD Z653 - Problems related to other legal circumstances | $1,429 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD Z653 - Problems related to other legal circumstances | $6,696 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD Z653 - Problems related to other legal circumstances | $926,414 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD Z653 - Problems related to other legal circumstances | $48,759 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD Z653 - Problems related to other legal circumstances | NA | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD Z653 - Problems related to other legal circumstances | NA | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD Z653 - Problems related to other legal circumstances | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| FAIRVIEW RANGE MEDICAL CENTER - MESABI | 750 E 34TH ST | HIBBING | MN | 55746 | 236 |
| SOUTH OAKS HOSPITAL | 400 SUNRISE HWY | AMITYVILLE | NY | 11701 | 188 |
| JPS HEALTH NETWORK | 1500 S MAIN ST | FORT WORTH | TX | 76104 | 146 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. KHIN MAR LWIN | 400 COMMUNITY DR | MANHASSET | NY | 11030 | 81 |
| Dr. KEVIN COTTERELL | 400 SUNRISE HWY | AMITYVILLE | NY | 11701 | 38 |
| Dr. SAEED A SHAH | 5906 CARMICHAEL PLACE | MONTGOMERY | AL | 36117 | 34 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOHN ERNEST SIMON | 701 25TH AVE S | MINNEAPOLIS | MN | 55454 | 89 |
| Dr. KHIN MAR LWIN | 400 COMMUNITY DR | MANHASSET | NY | 11030 | 70 |
| Dr. LAURENCE ROSS SABEN | 615 E LEXINGTON AVE | EL CAJON | CA | 92020 | 68 |