*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z8659 - Personal history of other mental and behavioral disorders - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 12.92 | |
| 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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 884: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD Z8659 - Personal history of other mental and behavioral disorders | 5,595 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD Z8659 - Personal history of other mental and behavioral disorders in DRG | 32.41 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD Z8659 - Personal history of other mental and behavioral disorders | 12.97 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD Z8659 - Personal history of other mental and behavioral disorders | 25.92 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD Z8659 - Personal history of other mental and behavioral disorders | 11.76 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD Z8659 - Personal history of other mental and behavioral disorders | $47,272,426 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD Z8659 - Personal history of other mental and behavioral disorders | $651 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD Z8659 - Personal history of other mental and behavioral disorders | $8,449 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD Z8659 - Personal history of other mental and behavioral disorders | $154,032,046 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD Z8659 - Personal history of other mental and behavioral disorders | $27,530 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD Z8659 - Personal history of other mental and behavioral disorders | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD Z8659 - Personal history of other mental and behavioral disorders | 3.11 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD Z8659 - Personal history of other mental and behavioral disorders | 86.29 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 881: DEPRESSIVE NEUROSES | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE 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 | 61,417 | ||||
| Total Hospitalizations with ICD Z8659 - Personal history of other mental and behavioral disorders | 282 | ||||
| DRG Share of Total Hospitalizations | 0.19 | ||||
| % of Total ICD Z8659 - Personal history of other mental and behavioral disorders in DRG | 1.63 | ||||
| Avg LOS at DRG | 7.49 | ||||
| Avg LOS with ICD Z8659 - Personal history of other mental and behavioral disorders | 6.9 | ||||
| Readmission Rate at DRG | 25.08 | ||||
| Readmission Rate with ICD Z8659 - Personal history of other mental and behavioral disorders | 24.81 | ||||
| Unplanned Readmission Rate at DRG | 13.22 | ||||
| Unplanned Readmission Rate with ICD Z8659 - Personal history of other mental and behavioral disorders | 10.9 | ||||
| Total Medicare payments at DRG | $347,280,742 | ||||
| Total Medicare payments with ICD Z8659 - Personal history of other mental and behavioral disorders | $1,363,375 | ||||
| Total Medicare payment per Day at DRG | $755 | ||||
| Total Medicare payment per Day with ICD Z8659 - Personal history of other mental and behavioral disorders | $701 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,654 | ||||
| Total Medicare payment per Hospitalization with ICD Z8659 - Personal history of other mental and behavioral disorders | $4,835 | ||||
| Total Medicare Charges at DRG | $1,287,801,202 | ||||
| Total Medicare Charges with ICD Z8659 - Personal history of other mental and behavioral disorders | $4,471,212 | ||||
| Avg Charges at DRG | $20,968 | ||||
| Avg Charges with ICD Z8659 - Personal history of other mental and behavioral disorders | $15,855 | ||||
| Mortality Rate at DRG | 0.07 | ||||
| Mortality Rate with ICD Z8659 - Personal history of other mental and behavioral disorders | NA | ||||
| SNF Discharge Rate at DRG | 5.44 | ||||
| SNF Discharge Rate with ICD Z8659 - Personal history of other mental and behavioral disorders | 4.26 | ||||
| Home Discharge Rate at DRG | 79.31 | ||||
| Home Discharge Rate with ICD Z8659 - Personal history of other mental and behavioral disorders | 85.11 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 882: NEUROSES EXCEPT DEPRESSIVE | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 364,421 | ||||
| Total Hospitalizations with ICD Z8659 - Personal history of other mental and behavioral disorders | 174 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD Z8659 - Personal history of other mental and behavioral disorders in DRG | 1.01 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD Z8659 - Personal history of other mental and behavioral disorders | 4.02 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD Z8659 - Personal history of other mental and behavioral disorders | 16.56 | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD Z8659 - Personal history of other mental and behavioral disorders | 9.55 | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD Z8659 - Personal history of other mental and behavioral disorders | $1,035,484 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD Z8659 - Personal history of other mental and behavioral disorders | $1,479 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD Z8659 - Personal history of other mental and behavioral disorders | $5,951 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD Z8659 - Personal history of other mental and behavioral disorders | $4,182,520 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD Z8659 - Personal history of other mental and behavioral disorders | $24,037 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD Z8659 - Personal history of other mental and behavioral disorders | NA | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD Z8659 - Personal history of other mental and behavioral disorders | 14.94 | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD Z8659 - Personal history of other mental and behavioral disorders | 56.9 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 883: DISORDERS OF PERSONALITY AND IMPULSE CONTROL | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 918: POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 11,877 | ||||
| Total Hospitalizations with ICD Z8659 - Personal history of other mental and behavioral disorders | 137 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD Z8659 - Personal history of other mental and behavioral disorders in DRG | 0.79 | ||||
| Avg LOS at DRG | 10.96 | ||||
| Avg LOS with ICD Z8659 - Personal history of other mental and behavioral disorders | 12.0 | ||||
| Readmission Rate at DRG | 28.43 | ||||
| Readmission Rate with ICD Z8659 - Personal history of other mental and behavioral disorders | 33.85 | ||||
| Unplanned Readmission Rate at DRG | 14.51 | ||||
| Unplanned Readmission Rate with ICD Z8659 - Personal history of other mental and behavioral disorders | 16.15 | ||||
| Total Medicare payments at DRG | $93,155,245 | ||||
| Total Medicare payments with ICD Z8659 - Personal history of other mental and behavioral disorders | $1,355,337 | ||||
| Total Medicare payment per Day at DRG | $716 | ||||
| Total Medicare payment per Day with ICD Z8659 - Personal history of other mental and behavioral disorders | $824 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,843 | ||||
| Total Medicare payment per Hospitalization with ICD Z8659 - Personal history of other mental and behavioral disorders | $9,893 | ||||
| Total Medicare Charges at DRG | $342,825,145 | ||||
| Total Medicare Charges with ICD Z8659 - Personal history of other mental and behavioral disorders | $3,210,294 | ||||
| Avg Charges at DRG | $28,865 | ||||
| Avg Charges with ICD Z8659 - Personal history of other mental and behavioral disorders | $23,433 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD Z8659 - Personal history of other mental and behavioral disorders | NA | ||||
| SNF Discharge Rate at DRG | 4.85 | ||||
| SNF Discharge Rate with ICD Z8659 - Personal history of other mental and behavioral disorders | NA | ||||
| Home Discharge Rate at DRG | 81.17 | ||||
| Home Discharge Rate with ICD Z8659 - Personal history of other mental and behavioral disorders | 85.4 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| STONECREST BEHAVIORAL HEALTH HOSPITAL | 15000 GRATIOT AVE | DETROIT | MI | 48205 | 965 |
| UNIVERSITY OF UTAH NEUROPSYCHIATRIC INSTITUTE | 501 CHIPETA WAY | SALT LAKE CITY | UT | 84108 | 318 |
| SOUTHCOAST BEHAVIORAL HEALTH HOSPITAL | 581 FAUNCE CORNER RD | DARTMOUTH | MA | 02747 | 200 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. BRIAN P ESPARZA | 9155 SW BARNES RD. | PORTLAND | OR | 97225 | 37 |
| Dr. RAYMOND ROLAND REMMEL | 11219 FINANCIAL CENTRE PKWY | LITTLE ROCK | AR | 72211 | 32 |
| Dr. DARRIN RICHARD MANGIACARNE | 5060 VALLEY VIEW BLVD NW | ROANOKE | VA | 24012 | 21 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CHRISTINE M POST | 115 N CENTER SUITE 202 | NORTHVILLE | MI | 48167 | 263 |
| Dr. JOHN WILLIAM HEAD | 19450 ARGYLE CRES | DETROIT | MI | 48203 | 259 |
| Dr. LUAY LUFTI BUTROS HADDAD | DETROIT RECEIVING HOSPITAL CRISIS CENTER | DETROIT | MI | 48201 | 195 |