*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z765 - Malingerer [conscious simulation] - as a primary diagnosis code | Z765 - Malingerer [conscious simulation] - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.4 | |
| Readmission Rate (%) | 46.08 | |
| Unplanned Readmission Rate (%) | 28.82 | |
| 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 951: OTHER FACTORS INFLUENCING HEALTH STATUS | |
|---|---|
| Total Hospitalizations at DRG | 4,475 |
| Total Hospitalizations with ICD Z765 - Malingerer [conscious simulation] | 553 |
| DRG Share of Total Hospitalizations | 0.01 |
| % of Total ICD Z765 - Malingerer [conscious simulation] in DRG | 99.46 |
| Avg LOS at DRG | 6.46 |
| Avg LOS with ICD Z765 - Malingerer [conscious simulation] | 3.76 |
| Readmission Rate at DRG | 21.75 |
| Readmission Rate with ICD Z765 - Malingerer [conscious simulation] | 43.11 |
| Unplanned Readmission Rate at DRG | 13.67 |
| Unplanned Readmission Rate with ICD Z765 - Malingerer [conscious simulation] | 28.94 |
| Total Medicare payments at DRG | $24,331,342 |
| Total Medicare payments with ICD Z765 - Malingerer [conscious simulation] | $2,231,315 |
| Total Medicare payment per Day at DRG | $842 |
| Total Medicare payment per Day with ICD Z765 - Malingerer [conscious simulation] | $1,074 |
| Total Medicare payment per Hospitalization at DRG | $5,437 |
| Total Medicare payment per Hospitalization with ICD Z765 - Malingerer [conscious simulation] | $4,035 |
| Total Medicare Charges at DRG | $86,404,017 |
| Total Medicare Charges with ICD Z765 - Malingerer [conscious simulation] | $9,571,529 |
| Avg Charges at DRG | $19,308 |
| Avg Charges with ICD Z765 - Malingerer [conscious simulation] | $17,308 |
| Mortality Rate at DRG | 26.77 |
| Mortality Rate with ICD Z765 - Malingerer [conscious simulation] | NA |
| SNF Discharge Rate at DRG | 8.09 |
| SNF Discharge Rate with ICD Z765 - Malingerer [conscious simulation] | 2.35 |
| Home Discharge Rate at DRG | 40.13 |
| Home Discharge Rate with ICD Z765 - Malingerer [conscious simulation] | 80.11 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| EASTERN STATE HOSPITAL | 1350 BULL LEA RD | LEXINGTON | KY | 40511 | 14 |
| ST. ELIZABETH FLORENCE | 4900 HOUSTON RD | FLORENCE | KY | 41042 | 12 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RODNEY E. VIVIAN | 8000 5 MILE RD | CINCINNATI | OH | 45230 | 12 |
*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 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 881: DEPRESSIVE NEUROSES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD Z765 - Malingerer [conscious simulation] | 4,486 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD Z765 - Malingerer [conscious simulation] in DRG | 18.1 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD Z765 - Malingerer [conscious simulation] | 8.01 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD Z765 - Malingerer [conscious simulation] | 44.84 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD Z765 - Malingerer [conscious simulation] | 25.19 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD Z765 - Malingerer [conscious simulation] | $27,237,432 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD Z765 - Malingerer [conscious simulation] | $758 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD Z765 - Malingerer [conscious simulation] | $6,072 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD Z765 - Malingerer [conscious simulation] | $108,649,416 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD Z765 - Malingerer [conscious simulation] | $24,220 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD Z765 - Malingerer [conscious simulation] | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD Z765 - Malingerer [conscious simulation] | 2.25 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD Z765 - Malingerer [conscious simulation] | 85.67 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 313: CHEST PAIN | DRG 951: OTHER FACTORS INFLUENCING HEALTH STATUS | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 180,138 | ||||
| Total Hospitalizations with ICD Z765 - Malingerer [conscious simulation] | 559 | ||||
| DRG Share of Total Hospitalizations | 0.55 | ||||
| % of Total ICD Z765 - Malingerer [conscious simulation] in DRG | 2.26 | ||||
| Avg LOS at DRG | 1.91 | ||||
| Avg LOS with ICD Z765 - Malingerer [conscious simulation] | 2.74 | ||||
| Readmission Rate at DRG | 16.98 | ||||
| Readmission Rate with ICD Z765 - Malingerer [conscious simulation] | 52.11 | ||||
| Unplanned Readmission Rate at DRG | 12.86 | ||||
| Unplanned Readmission Rate with ICD Z765 - Malingerer [conscious simulation] | 42.79 | ||||
| Total Medicare payments at DRG | $645,443,207 | ||||
| Total Medicare payments with ICD Z765 - Malingerer [conscious simulation] | $2,155,006 | ||||
| Total Medicare payment per Day at DRG | $1,876 | ||||
| Total Medicare payment per Day with ICD Z765 - Malingerer [conscious simulation] | $1,409 | ||||
| Total Medicare payment per Hospitalization at DRG | $3,583 | ||||
| Total Medicare payment per Hospitalization with ICD Z765 - Malingerer [conscious simulation] | $3,855 | ||||
| Total Medicare Charges at DRG | $4,502,159,305 | ||||
| Total Medicare Charges with ICD Z765 - Malingerer [conscious simulation] | $16,386,297 | ||||
| Avg Charges at DRG | $24,993 | ||||
| Avg Charges with ICD Z765 - Malingerer [conscious simulation] | $29,314 | ||||
| Mortality Rate at DRG | 0.13 | ||||
| Mortality Rate with ICD Z765 - Malingerer [conscious simulation] | NA | ||||
| SNF Discharge Rate at DRG | 7.73 | ||||
| SNF Discharge Rate with ICD Z765 - Malingerer [conscious simulation] | 7.69 | ||||
| Home Discharge Rate at DRG | 72.82 | ||||
| Home Discharge Rate with ICD Z765 - Malingerer [conscious simulation] | 64.04 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 880: ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | DRG 882: NEUROSES EXCEPT DEPRESSIVE | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 883: DISORDERS OF PERSONALITY AND IMPULSE CONTROL | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 231,812 | ||||
| Total Hospitalizations with ICD Z765 - Malingerer [conscious simulation] | 383 | ||||
| DRG Share of Total Hospitalizations | 0.71 | ||||
| % of Total ICD Z765 - Malingerer [conscious simulation] in DRG | 1.55 | ||||
| Avg LOS at DRG | 4.41 | ||||
| Avg LOS with ICD Z765 - Malingerer [conscious simulation] | 3.45 | ||||
| Readmission Rate at DRG | 29.12 | ||||
| Readmission Rate with ICD Z765 - Malingerer [conscious simulation] | 63.31 | ||||
| Unplanned Readmission Rate at DRG | 22.82 | ||||
| Unplanned Readmission Rate with ICD Z765 - Malingerer [conscious simulation] | 56.17 | ||||
| Total Medicare payments at DRG | $1,743,376,418 | ||||
| Total Medicare payments with ICD Z765 - Malingerer [conscious simulation] | $2,574,700 | ||||
| Total Medicare payment per Day at DRG | $1,704 | ||||
| Total Medicare payment per Day with ICD Z765 - Malingerer [conscious simulation] | $1,948 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,521 | ||||
| Total Medicare payment per Hospitalization with ICD Z765 - Malingerer [conscious simulation] | $6,722 | ||||
| Total Medicare Charges at DRG | $8,543,867,896 | ||||
| Total Medicare Charges with ICD Z765 - Malingerer [conscious simulation] | $12,458,961 | ||||
| Avg Charges at DRG | $36,857 | ||||
| Avg Charges with ICD Z765 - Malingerer [conscious simulation] | $32,530 | ||||
| Mortality Rate at DRG | 2.89 | ||||
| Mortality Rate with ICD Z765 - Malingerer [conscious simulation] | NA | ||||
| SNF Discharge Rate at DRG | 22.92 | ||||
| SNF Discharge Rate with ICD Z765 - Malingerer [conscious simulation] | 7.83 | ||||
| Home Discharge Rate at DRG | 43.02 | ||||
| Home Discharge Rate with ICD Z765 - Malingerer [conscious simulation] | 65.8 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 439: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 85,343 | ||||
| Total Hospitalizations with ICD Z765 - Malingerer [conscious simulation] | 324 | ||||
| DRG Share of Total Hospitalizations | 0.26 | ||||
| % of Total ICD Z765 - Malingerer [conscious simulation] in DRG | 1.31 | ||||
| Avg LOS at DRG | 3.89 | ||||
| Avg LOS with ICD Z765 - Malingerer [conscious simulation] | 4.43 | ||||
| Readmission Rate at DRG | 21.05 | ||||
| Readmission Rate with ICD Z765 - Malingerer [conscious simulation] | 45.99 | ||||
| Unplanned Readmission Rate at DRG | 15.83 | ||||
| Unplanned Readmission Rate with ICD Z765 - Malingerer [conscious simulation] | 40.51 | ||||
| Total Medicare payments at DRG | $457,925,564 | ||||
| Total Medicare payments with ICD Z765 - Malingerer [conscious simulation] | $1,846,002 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD Z765 - Malingerer [conscious simulation] | $1,286 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,366 | ||||
| Total Medicare payment per Hospitalization with ICD Z765 - Malingerer [conscious simulation] | $5,698 | ||||
| Total Medicare Charges at DRG | $2,522,082,455 | ||||
| Total Medicare Charges with ICD Z765 - Malingerer [conscious simulation] | $9,721,029 | ||||
| Avg Charges at DRG | $29,552 | ||||
| Avg Charges with ICD Z765 - Malingerer [conscious simulation] | $30,003 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD Z765 - Malingerer [conscious simulation] | NA | ||||
| SNF Discharge Rate at DRG | 5.52 | ||||
| SNF Discharge Rate with ICD Z765 - Malingerer [conscious simulation] | NA | ||||
| Home Discharge Rate at DRG | 75.74 | ||||
| Home Discharge Rate with ICD Z765 - Malingerer [conscious simulation] | 75.93 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| FORREST GENERAL HOSPITAL | 6051 U S HIGHWAY 49 | HATTIESBURG | MS | 39401 | 160 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 141 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 127 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID DANIEL ROBINSON | 1244 HEIDELBERG WAY | LODI | CA | 95242 | 29 |
| Dr. CHARLES E GAINES | 403 N STATE OF FRANKLIN RD | JOHNSON CITY | TN | 37604 | 22 |
| Dr. BASIM A TOWFIQ | ONE HURLEY PLAZA | FLINT | MI | 48503 | 21 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOHN FINDLEY | 55 FRUIT ST | BOSTON | MA | 02114 | 57 |
| Dr. GARA ALSAADI | 2450 RIVERSIDE AVE | MINNEAPOLIS | MN | 55454 | 46 |
| Dr. RODNEY E. VIVIAN | 8000 5 MILE RD | CINCINNATI | OH | 45230 | 38 |