| 316 - Psychic factors associated with diseases classified elsewhere - as a primary diagnosis code | 316 - Psychic factors associated with diseases classified elsewhere - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.96 | |
| Readmission Rate (%) | 27.34 | |
| Unplanned Readmission Rate (%) | 17.91 | |
| 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 884: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | |
|---|---|
| Total Hospitalizations at DRG | 100,367 |
| Total Hospitalizations with ICD 316 - Psychic factors associated with diseases classified elsewhere | 65 |
| DRG Share of Total Hospitalizations | 0.44 |
| % of Total ICD 316 - Psychic factors associated with diseases classified elsewhere in DRG | 95.59 |
| Avg LOS at DRG | 10.94 |
| Avg LOS with ICD 316 - Psychic factors associated with diseases classified elsewhere | 4.51 |
| Readmission Rate at DRG | 20.99 |
| Readmission Rate with ICD 316 - Psychic factors associated with diseases classified elsewhere | 20.31 |
| Unplanned Readmission Rate at DRG | 12.24 |
| Unplanned Readmission Rate with ICD 316 - Psychic factors associated with diseases classified elsewhere | 17.19 |
| Total Medicare payments at DRG | $937,263,376 |
| Total Medicare payments with ICD 316 - Psychic factors associated with diseases classified elsewhere | $427,331 |
| Total Medicare payment per Day at DRG | $854 |
| Total Medicare payment per Day with ICD 316 - Psychic factors associated with diseases classified elsewhere | $1,458 |
| Total Medicare payment per Hospitalization at DRG | $9,338 |
| Total Medicare payment per Hospitalization with ICD 316 - Psychic factors associated with diseases classified elsewhere | $6,574 |
| Total Medicare Charges at DRG | $2,966,860,937 |
| Total Medicare Charges with ICD 316 - Psychic factors associated with diseases classified elsewhere | $1,760,767 |
| Avg Charges at DRG | $29,560 |
| Avg Charges with ICD 316 - Psychic factors associated with diseases classified elsewhere | $27,089 |
| Mortality Rate at DRG | 0.71 |
| Mortality Rate with ICD 316 - Psychic factors associated with diseases classified elsewhere | NA |
| SNF Discharge Rate at DRG | 40.39 |
| SNF Discharge Rate with ICD 316 - Psychic factors associated with diseases classified elsewhere | NA |
| Home Discharge Rate at DRG | 26.25 |
| Home Discharge Rate with ICD 316 - Psychic factors associated with diseases classified elsewhere | 61.54 |
| DRG 885: PSYCHOSES | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 884: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | DRG 103: HEADACHES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 841,082 | ||||
| Total Hospitalizations with ICD 316 - Psychic factors associated with diseases classified elsewhere | 98 | ||||
| DRG Share of Total Hospitalizations | 3.68 | ||||
| % of Total ICD 316 - Psychic factors associated with diseases classified elsewhere in DRG | 9.91 | ||||
| Avg LOS at DRG | 11.58 | ||||
| Avg LOS with ICD 316 - Psychic factors associated with diseases classified elsewhere | 12.84 | ||||
| Readmission Rate at DRG | 26.57 | ||||
| Readmission Rate with ICD 316 - Psychic factors associated with diseases classified elsewhere | 25.53 | ||||
| Unplanned Readmission Rate at DRG | 13.06 | ||||
| Unplanned Readmission Rate with ICD 316 - Psychic factors associated with diseases classified elsewhere | 13.83 | ||||
| Total Medicare payments at DRG | $6,792,290,994 | ||||
| Total Medicare payments with ICD 316 - Psychic factors associated with diseases classified elsewhere | $1,047,206 | ||||
| Total Medicare payment per Day at DRG | $697 | ||||
| Total Medicare payment per Day with ICD 316 - Psychic factors associated with diseases classified elsewhere | $832 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,076 | ||||
| Total Medicare payment per Hospitalization with ICD 316 - Psychic factors associated with diseases classified elsewhere | $10,686 | ||||
| Total Medicare Charges at DRG | $21,353,545,675 | ||||
| Total Medicare Charges with ICD 316 - Psychic factors associated with diseases classified elsewhere | $2,931,877 | ||||
| Avg Charges at DRG | $25,388 | ||||
| Avg Charges with ICD 316 - Psychic factors associated with diseases classified elsewhere | $29,917 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD 316 - Psychic factors associated with diseases classified elsewhere | NA | ||||
| SNF Discharge Rate at DRG | 6.24 | ||||
| SNF Discharge Rate with ICD 316 - Psychic factors associated with diseases classified elsewhere | NA | ||||
| Home Discharge Rate at DRG | 78.4 | ||||
| Home Discharge Rate with ICD 316 - Psychic factors associated with diseases classified elsewhere | 70.41 |
| DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 101: SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 895: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 134,386 | ||||
| Total Hospitalizations with ICD 316 - Psychic factors associated with diseases classified elsewhere | 23 | ||||
| DRG Share of Total Hospitalizations | 0.59 | ||||
| % of Total ICD 316 - Psychic factors associated with diseases classified elsewhere in DRG | 2.33 | ||||
| Avg LOS at DRG | 4.64 | ||||
| Avg LOS with ICD 316 - Psychic factors associated with diseases classified elsewhere | 11.74 | ||||
| Readmission Rate at DRG | 29.51 | ||||
| Readmission Rate with ICD 316 - Psychic factors associated with diseases classified elsewhere | NA | ||||
| Unplanned Readmission Rate at DRG | 22.6 | ||||
| Unplanned Readmission Rate with ICD 316 - Psychic factors associated with diseases classified elsewhere | NA | ||||
| Total Medicare payments at DRG | $1,013,925,667 | ||||
| Total Medicare payments with ICD 316 - Psychic factors associated with diseases classified elsewhere | $213,484 | ||||
| Total Medicare payment per Day at DRG | $1,625 | ||||
| Total Medicare payment per Day with ICD 316 - Psychic factors associated with diseases classified elsewhere | $791 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,545 | ||||
| Total Medicare payment per Hospitalization with ICD 316 - Psychic factors associated with diseases classified elsewhere | $9,282 | ||||
| Total Medicare Charges at DRG | $4,351,143,903 | ||||
| Total Medicare Charges with ICD 316 - Psychic factors associated with diseases classified elsewhere | $1,142,658 | ||||
| Avg Charges at DRG | $32,378 | ||||
| Avg Charges with ICD 316 - Psychic factors associated with diseases classified elsewhere | $49,681 | ||||
| Mortality Rate at DRG | 3.51 | ||||
| Mortality Rate with ICD 316 - Psychic factors associated with diseases classified elsewhere | NA | ||||
| SNF Discharge Rate at DRG | 22.05 | ||||
| SNF Discharge Rate with ICD 316 - Psychic factors associated with diseases classified elsewhere | NA | ||||
| Home Discharge Rate at DRG | 45.28 | ||||
| Home Discharge Rate with ICD 316 - Psychic factors associated with diseases classified elsewhere | NA |
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 946: REHABILITATION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 311,763 | ||||
| Total Hospitalizations with ICD 316 - Psychic factors associated with diseases classified elsewhere | 13 | ||||
| DRG Share of Total Hospitalizations | 1.36 | ||||
| % of Total ICD 316 - Psychic factors associated with diseases classified elsewhere in DRG | 1.31 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD 316 - Psychic factors associated with diseases classified elsewhere | 5.08 | ||||
| Readmission Rate at DRG | 23.41 | ||||
| Readmission Rate with ICD 316 - Psychic factors associated with diseases classified elsewhere | NA | ||||
| Unplanned Readmission Rate at DRG | 16.67 | ||||
| Unplanned Readmission Rate with ICD 316 - Psychic factors associated with diseases classified elsewhere | NA | ||||
| Total Medicare payments at DRG | $1,867,955,174 | ||||
| Total Medicare payments with ICD 316 - Psychic factors associated with diseases classified elsewhere | $98,669 | ||||
| Total Medicare payment per Day at DRG | $1,382 | ||||
| Total Medicare payment per Day with ICD 316 - Psychic factors associated with diseases classified elsewhere | $1,495 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,992 | ||||
| Total Medicare payment per Hospitalization with ICD 316 - Psychic factors associated with diseases classified elsewhere | $7,590 | ||||
| Total Medicare Charges at DRG | $8,358,483,119 | ||||
| Total Medicare Charges with ICD 316 - Psychic factors associated with diseases classified elsewhere | $355,959 | ||||
| Avg Charges at DRG | $26,810 | ||||
| Avg Charges with ICD 316 - Psychic factors associated with diseases classified elsewhere | $27,381 | ||||
| Mortality Rate at DRG | 1.37 | ||||
| Mortality Rate with ICD 316 - Psychic factors associated with diseases classified elsewhere | NA | ||||
| SNF Discharge Rate at DRG | 23.3 | ||||
| SNF Discharge Rate with ICD 316 - Psychic factors associated with diseases classified elsewhere | NA | ||||
| Home Discharge Rate at DRG | 45.55 | ||||
| Home Discharge Rate with ICD 316 - Psychic factors associated with diseases classified elsewhere | NA |
| DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 123,354 |
| Total Hospitalizations with ICD 316 - Psychic factors associated with diseases classified elsewhere | 11 |
| DRG Share of Total Hospitalizations | 0.54 |
| % of Total ICD 316 - Psychic factors associated with diseases classified elsewhere in DRG | 1.11 |
| Avg LOS at DRG | 5.68 |
| Avg LOS with ICD 316 - Psychic factors associated with diseases classified elsewhere | 5.73 |
| Readmission Rate at DRG | 27.97 |
| Readmission Rate with ICD 316 - Psychic factors associated with diseases classified elsewhere | NA |
| Unplanned Readmission Rate at DRG | 12.96 |
| Unplanned Readmission Rate with ICD 316 - Psychic factors associated with diseases classified elsewhere | NA |
| Total Medicare payments at DRG | $587,825,453 |
| Total Medicare payments with ICD 316 - Psychic factors associated with diseases classified elsewhere | $41,698 |
| Total Medicare payment per Day at DRG | $839 |
| Total Medicare payment per Day with ICD 316 - Psychic factors associated with diseases classified elsewhere | $662 |
| Total Medicare payment per Hospitalization at DRG | $4,765 |
| Total Medicare payment per Hospitalization with ICD 316 - Psychic factors associated with diseases classified elsewhere | $3,791 |
| Total Medicare Charges at DRG | $2,077,306,032 |
| Total Medicare Charges with ICD 316 - Psychic factors associated with diseases classified elsewhere | $199,395 |
| Avg Charges at DRG | $16,840 |
| Avg Charges with ICD 316 - Psychic factors associated with diseases classified elsewhere | $18,127 |
| Mortality Rate at DRG | 0.03 |
| Mortality Rate with ICD 316 - Psychic factors associated with diseases classified elsewhere | NA |
| SNF Discharge Rate at DRG | 5.97 |
| SNF Discharge Rate with ICD 316 - Psychic factors associated with diseases classified elsewhere | NA |
| Home Discharge Rate at DRG | 79.7 |
| Home Discharge Rate with ICD 316 - Psychic factors associated with diseases classified elsewhere | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | 20201 CRAWFORD AVE | OLYMPIA FIELDS | IL | 60461 | 52 |
| KINDRED REHABILITATION HOSPITAL ARLINGTON | 2601 W RANDOL MILL RD | ARLINGTON | TX | 76012 | 35 |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL | 111 S 11TH ST | PHILADELPHIA | PA | 19107 | 19 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. STEVEN DANA MARTIN | 56 CLUB MANOR DR | PUEBLO | CO | 81008 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. ALBERT RAMIREZ | 2601 W RANDOL MILL RD STE 101 | ARLINGTON | TX | 76012 | 22 |
| Dr. THERONICA ROOSETTA BOND | 3200 MATLOCK RD | ARLINGTON | TX | 76015 | 13 |
| Dr. STEVEN DANA MARTIN | 56 CLUB MANOR DR | PUEBLO | CO | 81008 | 12 |