*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z659 - Problem related to unspecified psychosocial circumstances - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 11.33 | |
| 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 884: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 881: DEPRESSIVE NEUROSES | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD Z659 - Problem related to unspecified psychosocial circumstances | 3,072 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD Z659 - Problem related to unspecified psychosocial circumstances in DRG | 70.43 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD Z659 - Problem related to unspecified psychosocial circumstances | 10.02 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD Z659 - Problem related to unspecified psychosocial circumstances | 26.54 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD Z659 - Problem related to unspecified psychosocial circumstances | 10.69 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD Z659 - Problem related to unspecified psychosocial circumstances | $23,864,264 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD Z659 - Problem related to unspecified psychosocial circumstances | $775 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD Z659 - Problem related to unspecified psychosocial circumstances | $7,768 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD Z659 - Problem related to unspecified psychosocial circumstances | $72,282,848 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD Z659 - Problem related to unspecified psychosocial circumstances | $23,530 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD Z659 - Problem related to unspecified psychosocial circumstances | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD Z659 - Problem related to unspecified psychosocial circumstances | 4.79 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD Z659 - Problem related to unspecified psychosocial circumstances | 80.31 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 882: NEUROSES EXCEPT DEPRESSIVE | DRG 880: ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | DRG 103: HEADACHES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 895: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | DRG 883: DISORDERS OF PERSONALITY AND IMPULSE CONTROL | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 22,451 | ||||
| Total Hospitalizations with ICD Z659 - Problem related to unspecified psychosocial circumstances | 35 | ||||
| DRG Share of Total Hospitalizations | 0.07 | ||||
| % of Total ICD Z659 - Problem related to unspecified psychosocial circumstances in DRG | 0.8 | ||||
| Avg LOS at DRG | 7.27 | ||||
| Avg LOS with ICD Z659 - Problem related to unspecified psychosocial circumstances | 8.94 | ||||
| Readmission Rate at DRG | 20.53 | ||||
| Readmission Rate with ICD Z659 - Problem related to unspecified psychosocial circumstances | NA | ||||
| Unplanned Readmission Rate at DRG | 10.81 | ||||
| Unplanned Readmission Rate with ICD Z659 - Problem related to unspecified psychosocial circumstances | NA | ||||
| Total Medicare payments at DRG | $122,713,938 | ||||
| Total Medicare payments with ICD Z659 - Problem related to unspecified psychosocial circumstances | $127,540 | ||||
| Total Medicare payment per Day at DRG | $751 | ||||
| Total Medicare payment per Day with ICD Z659 - Problem related to unspecified psychosocial circumstances | $407 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,466 | ||||
| Total Medicare payment per Hospitalization with ICD Z659 - Problem related to unspecified psychosocial circumstances | $3,644 | ||||
| Total Medicare Charges at DRG | $442,340,377 | ||||
| Total Medicare Charges with ICD Z659 - Problem related to unspecified psychosocial circumstances | $443,287 | ||||
| Avg Charges at DRG | $19,702 | ||||
| Avg Charges with ICD Z659 - Problem related to unspecified psychosocial circumstances | $12,665 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD Z659 - Problem related to unspecified psychosocial circumstances | NA | ||||
| SNF Discharge Rate at DRG | 3.92 | ||||
| SNF Discharge Rate with ICD Z659 - Problem related to unspecified psychosocial circumstances | NA | ||||
| Home Discharge Rate at DRG | 84.46 | ||||
| Home Discharge Rate with ICD Z659 - Problem related to unspecified psychosocial circumstances | 97.14 |
*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 894: ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | 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 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD Z659 - Problem related to unspecified psychosocial circumstances | 18 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD Z659 - Problem related to unspecified psychosocial circumstances in DRG | 0.41 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD Z659 - Problem related to unspecified psychosocial circumstances | 4.06 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD Z659 - Problem related to unspecified psychosocial circumstances | NA | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD Z659 - Problem related to unspecified psychosocial circumstances | NA | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD Z659 - Problem related to unspecified psychosocial circumstances | $101,005 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD Z659 - Problem related to unspecified psychosocial circumstances | $1,384 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD Z659 - Problem related to unspecified psychosocial circumstances | $5,611 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD Z659 - Problem related to unspecified psychosocial circumstances | $417,197 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD Z659 - Problem related to unspecified psychosocial circumstances | $23,178 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD Z659 - Problem related to unspecified psychosocial circumstances | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD Z659 - Problem related to unspecified psychosocial circumstances | NA | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD Z659 - Problem related to unspecified psychosocial 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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | |
| Total Hospitalizations with ICD Z659 - Problem related to unspecified psychosocial circumstances | 12 | |
| DRG Share of Total Hospitalizations | 3.08 | |
| % of Total ICD Z659 - Problem related to unspecified psychosocial circumstances in DRG | 0.28 | |
| Avg LOS at DRG | 5.34 | |
| Avg LOS with ICD Z659 - Problem related to unspecified psychosocial circumstances | 5.67 | |
| Readmission Rate at DRG | 28.25 | |
| Readmission Rate with ICD Z659 - Problem related to unspecified psychosocial circumstances | NA | |
| Unplanned Readmission Rate at DRG | 21.93 | |
| Unplanned Readmission Rate with ICD Z659 - Problem related to unspecified psychosocial circumstances | NA | |
| Total Medicare payments at DRG | $9,469,067,156 | |
| Total Medicare payments with ICD Z659 - Problem related to unspecified psychosocial circumstances | $129,070 | |
| Total Medicare payment per Day at DRG | $1,751 | |
| Total Medicare payment per Day with ICD Z659 - Problem related to unspecified psychosocial circumstances | $1,898 | |
| Total Medicare payment per Hospitalization at DRG | $9,340 | |
| Total Medicare payment per Hospitalization with ICD Z659 - Problem related to unspecified psychosocial circumstances | $10,756 | |
| Total Medicare Charges at DRG | $43,343,716,813 | |
| Total Medicare Charges with ICD Z659 - Problem related to unspecified psychosocial circumstances | $462,728 | |
| Avg Charges at DRG | $42,755 | |
| Avg Charges with ICD Z659 - Problem related to unspecified psychosocial circumstances | $38,561 | |
| Mortality Rate at DRG | 3.72 | |
| Mortality Rate with ICD Z659 - Problem related to unspecified psychosocial circumstances | NA | |
| SNF Discharge Rate at DRG | 20.84 | |
| SNF Discharge Rate with ICD Z659 - Problem related to unspecified psychosocial circumstances | NA | |
| Home Discharge Rate at DRG | 37.68 | |
| Home Discharge Rate with ICD Z659 - Problem related to unspecified psychosocial circumstances | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ST JOSEPHS BEHAVIORAL HEALTH CENTER | 2510 N CALIFORNIA ST | STOCKTON | CA | 95204 | 955 |
| AMITA HEALTH SAINTS MARY AND ELIZABETH MEDICAL CENTER | 1127 N OAKLEY BLVD | CHICAGO | IL | 60622 | 260 |
| ALLEGIANCE SPECIALTY HOSPITAL OF GREENVILLE | 300 WASHINGTON AVE | GREENVILLE | MS | 38701 | 230 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. PARAMJIT KAUR GILL | 1805 N CALIFORNIA ST | STOCKTON | CA | 95204 | 377 |
| Dr. MUHAMMAD S. ZIA | 500 W. HOSPITAL RD. | FRENCH CAMP | CA | 95231 | 362 |
| Dr. CHESTER W JENKINS | 300 S WASHINGTON AVE | GREENVILLE | MS | 38701 | 215 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CHESTER W JENKINS | 300 S WASHINGTON AVE | GREENVILLE | MS | 38701 | 400 |
| Dr. MUHAMMAD S. ZIA | 500 W. HOSPITAL RD. | FRENCH CAMP | CA | 95231 | 376 |
| Dr. PARAMJIT KAUR GILL | 1805 N CALIFORNIA ST | STOCKTON | CA | 95204 | 375 |