| 29411 - Dementia in conditions classified elsewhere with behavioral disturbance - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 12.44 | |
| 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 | ||
| DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH 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 | 118,225 | ||||
| Total Hospitalizations with ICD 29411 - Dementia in conditions classified elsewhere with behavioral disturbance | 57,172 | ||||
| DRG Share of Total Hospitalizations | 0.52 | ||||
| % of Total ICD 29411 - Dementia in conditions classified elsewhere with behavioral disturbance in DRG | 41.24 | ||||
| Avg LOS at DRG | 9.98 | ||||
| Avg LOS with ICD 29411 - Dementia in conditions classified elsewhere with behavioral disturbance | 13.77 | ||||
| Readmission Rate at DRG | 20.58 | ||||
| Readmission Rate with ICD 29411 - Dementia in conditions classified elsewhere with behavioral disturbance | 19.98 | ||||
| Unplanned Readmission Rate at DRG | 10.71 | ||||
| Unplanned Readmission Rate with ICD 29411 - Dementia in conditions classified elsewhere with behavioral disturbance | 11.3 | ||||
| Total Medicare payments at DRG | $1,114,700,927 | ||||
| Total Medicare payments with ICD 29411 - Dementia in conditions classified elsewhere with behavioral disturbance | $646,964,154 | ||||
| Total Medicare payment per Day at DRG | $944 | ||||
| Total Medicare payment per Day with ICD 29411 - Dementia in conditions classified elsewhere with behavioral disturbance | $822 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,429 | ||||
| Total Medicare payment per Hospitalization with ICD 29411 - Dementia in conditions classified elsewhere with behavioral disturbance | $11,316 | ||||
| Total Medicare Charges at DRG | $3,575,304,373 | ||||
| Total Medicare Charges with ICD 29411 - Dementia in conditions classified elsewhere with behavioral disturbance | $1,725,419,814 | ||||
| Avg Charges at DRG | $30,242 | ||||
| Avg Charges with ICD 29411 - Dementia in conditions classified elsewhere with behavioral disturbance | $30,179 | ||||
| Mortality Rate at DRG | 0.6 | ||||
| Mortality Rate with ICD 29411 - Dementia in conditions classified elsewhere with behavioral disturbance | 0.46 | ||||
| SNF Discharge Rate at DRG | 37.73 | ||||
| SNF Discharge Rate with ICD 29411 - Dementia in conditions classified elsewhere with behavioral disturbance | 40.36 | ||||
| Home Discharge Rate at DRG | 28.3 | ||||
| Home Discharge Rate with ICD 29411 - Dementia in conditions classified elsewhere with behavioral disturbance | 26.21 |
| DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 368,382 | ||||
| Total Hospitalizations with ICD 29411 - Dementia in conditions classified elsewhere with behavioral disturbance | 3,051 | ||||
| DRG Share of Total Hospitalizations | 1.61 | ||||
| % of Total ICD 29411 - Dementia in conditions classified elsewhere with behavioral disturbance in DRG | 2.2 | ||||
| Avg LOS at DRG | 3.76 | ||||
| Avg LOS with ICD 29411 - Dementia in conditions classified elsewhere with behavioral disturbance | 5.12 | ||||
| Readmission Rate at DRG | 18.51 | ||||
| Readmission Rate with ICD 29411 - Dementia in conditions classified elsewhere with behavioral disturbance | 22.41 | ||||
| Unplanned Readmission Rate at DRG | 12.91 | ||||
| Unplanned Readmission Rate with ICD 29411 - Dementia in conditions classified elsewhere with behavioral disturbance | 11.64 | ||||
| Total Medicare payments at DRG | $1,761,365,865 | ||||
| Total Medicare payments with ICD 29411 - Dementia in conditions classified elsewhere with behavioral disturbance | $15,560,011 | ||||
| Total Medicare payment per Day at DRG | $1,270 | ||||
| Total Medicare payment per Day with ICD 29411 - Dementia in conditions classified elsewhere with behavioral disturbance | $996 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,781 | ||||
| Total Medicare payment per Hospitalization with ICD 29411 - Dementia in conditions classified elsewhere with behavioral disturbance | $5,100 | ||||
| Total Medicare Charges at DRG | $7,996,276,956 | ||||
| Total Medicare Charges with ICD 29411 - Dementia in conditions classified elsewhere with behavioral disturbance | $75,219,447 | ||||
| Avg Charges at DRG | $21,706 | ||||
| Avg Charges with ICD 29411 - Dementia in conditions classified elsewhere with behavioral disturbance | $24,654 | ||||
| Mortality Rate at DRG | 0.32 | ||||
| Mortality Rate with ICD 29411 - Dementia in conditions classified elsewhere with behavioral disturbance | NA | ||||
| SNF Discharge Rate at DRG | 27.88 | ||||
| SNF Discharge Rate with ICD 29411 - Dementia in conditions classified elsewhere with behavioral disturbance | 46.84 | ||||
| Home Discharge Rate at DRG | 42.37 | ||||
| Home Discharge Rate with ICD 29411 - Dementia in conditions classified elsewhere with behavioral disturbance | 17.24 |
| DRG 071: NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 34,670 | ||||
| Total Hospitalizations with ICD 29411 - Dementia in conditions classified elsewhere with behavioral disturbance | 1,339 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD 29411 - Dementia in conditions classified elsewhere with behavioral disturbance in DRG | 0.97 | ||||
| Avg LOS at DRG | 5.01 | ||||
| Avg LOS with ICD 29411 - Dementia in conditions classified elsewhere with behavioral disturbance | 8.92 | ||||
| Readmission Rate at DRG | 22.85 | ||||
| Readmission Rate with ICD 29411 - Dementia in conditions classified elsewhere with behavioral disturbance | 23.69 | ||||
| Unplanned Readmission Rate at DRG | 13.62 | ||||
| Unplanned Readmission Rate with ICD 29411 - Dementia in conditions classified elsewhere with behavioral disturbance | 11.1 | ||||
| Total Medicare payments at DRG | $224,102,127 | ||||
| Total Medicare payments with ICD 29411 - Dementia in conditions classified elsewhere with behavioral disturbance | $11,049,150 | ||||
| Total Medicare payment per Day at DRG | $1,290 | ||||
| Total Medicare payment per Day with ICD 29411 - Dementia in conditions classified elsewhere with behavioral disturbance | $925 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,464 | ||||
| Total Medicare payment per Hospitalization with ICD 29411 - Dementia in conditions classified elsewhere with behavioral disturbance | $8,252 | ||||
| Total Medicare Charges at DRG | $1,030,040,529 | ||||
| Total Medicare Charges with ICD 29411 - Dementia in conditions classified elsewhere with behavioral disturbance | $37,559,201 | ||||
| Avg Charges at DRG | $29,710 | ||||
| Avg Charges with ICD 29411 - Dementia in conditions classified elsewhere with behavioral disturbance | $28,050 | ||||
| Mortality Rate at DRG | 1.03 | ||||
| Mortality Rate with ICD 29411 - Dementia in conditions classified elsewhere with behavioral disturbance | 1.12 | ||||
| SNF Discharge Rate at DRG | 35.59 | ||||
| SNF Discharge Rate with ICD 29411 - Dementia in conditions classified elsewhere with behavioral disturbance | 42.79 | ||||
| Home Discharge Rate at DRG | 29.82 | ||||
| Home Discharge Rate with ICD 29411 - Dementia in conditions classified elsewhere with behavioral disturbance | 19.57 |
| DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 285,530 | ||||
| Total Hospitalizations with ICD 29411 - Dementia in conditions classified elsewhere with behavioral disturbance | 1,090 | ||||
| DRG Share of Total Hospitalizations | 1.25 | ||||
| % of Total ICD 29411 - Dementia in conditions classified elsewhere with behavioral disturbance in DRG | 0.79 | ||||
| Avg LOS at DRG | 4.72 | ||||
| Avg LOS with ICD 29411 - Dementia in conditions classified elsewhere with behavioral disturbance | 5.55 | ||||
| Readmission Rate at DRG | 18.55 | ||||
| Readmission Rate with ICD 29411 - Dementia in conditions classified elsewhere with behavioral disturbance | 22.44 | ||||
| Unplanned Readmission Rate at DRG | 12.87 | ||||
| Unplanned Readmission Rate with ICD 29411 - Dementia in conditions classified elsewhere with behavioral disturbance | 14.22 | ||||
| Total Medicare payments at DRG | $1,922,582,097 | ||||
| Total Medicare payments with ICD 29411 - Dementia in conditions classified elsewhere with behavioral disturbance | $7,584,845 | ||||
| Total Medicare payment per Day at DRG | $1,427 | ||||
| Total Medicare payment per Day with ICD 29411 - Dementia in conditions classified elsewhere with behavioral disturbance | $1,253 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,733 | ||||
| Total Medicare payment per Hospitalization with ICD 29411 - Dementia in conditions classified elsewhere with behavioral disturbance | $6,959 | ||||
| Total Medicare Charges at DRG | $8,696,353,387 | ||||
| Total Medicare Charges with ICD 29411 - Dementia in conditions classified elsewhere with behavioral disturbance | $33,730,779 | ||||
| Avg Charges at DRG | $30,457 | ||||
| Avg Charges with ICD 29411 - Dementia in conditions classified elsewhere with behavioral disturbance | $30,946 | ||||
| Mortality Rate at DRG | 2.4 | ||||
| Mortality Rate with ICD 29411 - Dementia in conditions classified elsewhere with behavioral disturbance | 3.58 | ||||
| SNF Discharge Rate at DRG | 23.54 | ||||
| SNF Discharge Rate with ICD 29411 - Dementia in conditions classified elsewhere with behavioral disturbance | 46.61 | ||||
| Home Discharge Rate at DRG | 44.6 | ||||
| Home Discharge Rate with ICD 29411 - Dementia in conditions classified elsewhere with behavioral disturbance | 13.85 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| ALEXIAN BROTHERS BEHAVIORAL HEALTH HOSPITAL | 1650 MOON LAKE BOULEVARD | HOFFMAN ESTATES | IL | 60169 | 649 |
| BEAUMONT HOSPITAL - FARMINGTON HILLS | 28050 GRAND RIVER AVE | FARMINGTON HILLS | MI | 48336 | 646 |
| CHRISTIAN HEALTH CARE CENTER | 301 SICOMAC AVE | WYCKOFF | NJ | 07481 | 606 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. D.V. PILLAI | 5016 CHESEBRO RD | AGOURA HILLS | CA | 91301 | 226 |
| Dr. RAVI PRAKASH SINGH | 1830 HERITAGE PARK PLZ | MURFREESBORO | TN | 37129 | 156 |
| Dr. DAVID PETER HILL | 701 HILDRETH LN | MARIETTA | OH | 45750 | 117 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. ROBERT OLIVER MORTON | 1000 ROLLING HILLS LN | ADA | OK | 74820 | 507 |
| Dr. WILLIAM BURTON ORR | 720 MAIN ST STE 204 | MENDOTA HTS | MN | 55118 | 456 |
| Dr. JAE H PAK | 2160 FOUNTAIN DR | SNELLVILLE | GA | 30078 | 445 |