*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| F1010 - Alcohol abuse, uncomplicated - as a primary diagnosis code | F1010 - Alcohol abuse, uncomplicated - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.42 | |
| Readmission Rate (%) | 26.03 | |
| Unplanned Readmission Rate (%) | 12.55 | |
| 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 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 895: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | DRG 896: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 894: ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 167,575 | |||
| Total Hospitalizations with ICD F1010 - Alcohol abuse, uncomplicated | 2,383 | |||
| DRG Share of Total Hospitalizations | 0.51 | |||
| % of Total ICD F1010 - Alcohol abuse, uncomplicated in DRG | 68.77 | |||
| Avg LOS at DRG | 5.54 | |||
| Avg LOS with ICD F1010 - Alcohol abuse, uncomplicated | 8.36 | |||
| Readmission Rate at DRG | 28.6 | |||
| Readmission Rate with ICD F1010 - Alcohol abuse, uncomplicated | 26.71 | |||
| Unplanned Readmission Rate at DRG | 14.22 | |||
| Unplanned Readmission Rate with ICD F1010 - Alcohol abuse, uncomplicated | 12.41 | |||
| Total Medicare payments at DRG | $830,329,176 | |||
| Total Medicare payments with ICD F1010 - Alcohol abuse, uncomplicated | $13,081,566 | |||
| Total Medicare payment per Day at DRG | $895 | |||
| Total Medicare payment per Day with ICD F1010 - Alcohol abuse, uncomplicated | $657 | |||
| Total Medicare payment per Hospitalization at DRG | $4,955 | |||
| Total Medicare payment per Hospitalization with ICD F1010 - Alcohol abuse, uncomplicated | $5,490 | |||
| Total Medicare Charges at DRG | $3,314,158,261 | |||
| Total Medicare Charges with ICD F1010 - Alcohol abuse, uncomplicated | $48,795,921 | |||
| Avg Charges at DRG | $19,777 | |||
| Avg Charges with ICD F1010 - Alcohol abuse, uncomplicated | $20,477 | |||
| Mortality Rate at DRG | 0.03 | |||
| Mortality Rate with ICD F1010 - Alcohol abuse, uncomplicated | NA | |||
| SNF Discharge Rate at DRG | 5.67 | |||
| SNF Discharge Rate with ICD F1010 - Alcohol abuse, uncomplicated | 5.04 | |||
| Home Discharge Rate at DRG | 80.01 | |||
| Home Discharge Rate with ICD F1010 - Alcohol abuse, uncomplicated | 80.4 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| PORT ST LUCIE HOSPITAL | 18302 HIGHWOODS PRESERVE PKWY | TAMPA | FL | 33647 | 379 |
| BRYAN W. WHITFIELD MEMORIAL HOSPITAL | 105 US HIGHWAY 80 E | DEMOPOLIS | AL | 36732 | 191 |
| HILL HOSPITAL OF SUMTER COUNTY | 751 DERBY DR | YORK | AL | 36925 | 114 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JUDY COOKE TRAVIS | 123 EAST CAPITOL STREET | DEMOPOLIS | AL | 36732 | 185 |
| Dr. BOYDE J HARRISON | 904 26TH STREET | HALEYVILLE | AL | 35565 | 61 |
| Dr. MARK DAVID SOLOMON | 701 ROUTE 25A | MOUNT SINAI | NY | 11766 | 57 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. AMIT DESAI | 2550 SE WALTON RD | PORT ST LUCIE | FL | 34952 | 261 |
| Dr. JUDY COOKE TRAVIS | 123 EAST CAPITOL STREET | DEMOPOLIS | AL | 36732 | 191 |
| Dr. MARK DAVID SOLOMON | 701 ROUTE 25A | MOUNT SINAI | NY | 11766 | 63 |
*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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD F1010 - Alcohol abuse, uncomplicated | 54,430 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD F1010 - Alcohol abuse, uncomplicated in DRG | 13.04 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD F1010 - Alcohol abuse, uncomplicated | 10.19 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD F1010 - Alcohol abuse, uncomplicated | 31.83 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD F1010 - Alcohol abuse, uncomplicated | 15.67 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD F1010 - Alcohol abuse, uncomplicated | $404,673,817 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD F1010 - Alcohol abuse, uncomplicated | $730 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD F1010 - Alcohol abuse, uncomplicated | $7,435 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD F1010 - Alcohol abuse, uncomplicated | $1,410,216,884 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD F1010 - Alcohol abuse, uncomplicated | $25,909 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD F1010 - Alcohol abuse, uncomplicated | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD F1010 - Alcohol abuse, uncomplicated | 2.72 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD F1010 - Alcohol abuse, uncomplicated | 85.5 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 310,318 | ||||
| Total Hospitalizations with ICD F1010 - Alcohol abuse, uncomplicated | 6,286 | ||||
| DRG Share of Total Hospitalizations | 0.94 | ||||
| % of Total ICD F1010 - Alcohol abuse, uncomplicated in DRG | 1.51 | ||||
| Avg LOS at DRG | 3.19 | ||||
| Avg LOS with ICD F1010 - Alcohol abuse, uncomplicated | 3.19 | ||||
| Readmission Rate at DRG | 20.19 | ||||
| Readmission Rate with ICD F1010 - Alcohol abuse, uncomplicated | 21.29 | ||||
| Unplanned Readmission Rate at DRG | 13.62 | ||||
| Unplanned Readmission Rate with ICD F1010 - Alcohol abuse, uncomplicated | 14.32 | ||||
| Total Medicare payments at DRG | $1,415,392,709 | ||||
| Total Medicare payments with ICD F1010 - Alcohol abuse, uncomplicated | $28,545,752 | ||||
| Total Medicare payment per Day at DRG | $1,431 | ||||
| Total Medicare payment per Day with ICD F1010 - Alcohol abuse, uncomplicated | $1,426 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,561 | ||||
| Total Medicare payment per Hospitalization with ICD F1010 - Alcohol abuse, uncomplicated | $4,541 | ||||
| Total Medicare Charges at DRG | $7,113,640,596 | ||||
| Total Medicare Charges with ICD F1010 - Alcohol abuse, uncomplicated | $151,405,577 | ||||
| Avg Charges at DRG | $22,924 | ||||
| Avg Charges with ICD F1010 - Alcohol abuse, uncomplicated | $24,086 | ||||
| Mortality Rate at DRG | 0.63 | ||||
| Mortality Rate with ICD F1010 - Alcohol abuse, uncomplicated | 0.24 | ||||
| SNF Discharge Rate at DRG | 19.76 | ||||
| SNF Discharge Rate with ICD F1010 - Alcohol abuse, uncomplicated | 15.13 | ||||
| Home Discharge Rate at DRG | 50.47 | ||||
| Home Discharge Rate with ICD F1010 - Alcohol abuse, uncomplicated | 59.18 |
*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 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 432: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 85,343 | ||||
| Total Hospitalizations with ICD F1010 - Alcohol abuse, uncomplicated | 5,302 | ||||
| DRG Share of Total Hospitalizations | 0.26 | ||||
| % of Total ICD F1010 - Alcohol abuse, uncomplicated in DRG | 1.27 | ||||
| Avg LOS at DRG | 3.89 | ||||
| Avg LOS with ICD F1010 - Alcohol abuse, uncomplicated | 3.76 | ||||
| Readmission Rate at DRG | 21.05 | ||||
| Readmission Rate with ICD F1010 - Alcohol abuse, uncomplicated | 21.09 | ||||
| Unplanned Readmission Rate at DRG | 15.83 | ||||
| Unplanned Readmission Rate with ICD F1010 - Alcohol abuse, uncomplicated | 16.99 | ||||
| Total Medicare payments at DRG | $457,925,564 | ||||
| Total Medicare payments with ICD F1010 - Alcohol abuse, uncomplicated | $28,844,401 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD F1010 - Alcohol abuse, uncomplicated | $1,447 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,366 | ||||
| Total Medicare payment per Hospitalization with ICD F1010 - Alcohol abuse, uncomplicated | $5,440 | ||||
| Total Medicare Charges at DRG | $2,522,082,455 | ||||
| Total Medicare Charges with ICD F1010 - Alcohol abuse, uncomplicated | $149,181,543 | ||||
| Avg Charges at DRG | $29,552 | ||||
| Avg Charges with ICD F1010 - Alcohol abuse, uncomplicated | $28,137 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD F1010 - Alcohol abuse, uncomplicated | NA | ||||
| SNF Discharge Rate at DRG | 5.52 | ||||
| SNF Discharge Rate with ICD F1010 - Alcohol abuse, uncomplicated | 3.13 | ||||
| Home Discharge Rate at DRG | 75.74 | ||||
| Home Discharge Rate with ICD F1010 - Alcohol abuse, uncomplicated | 82.25 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 433: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 917: POISONING AND TOXIC EFFECTS OF DRUGS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 422,757 | ||||
| Total Hospitalizations with ICD F1010 - Alcohol abuse, uncomplicated | 4,349 | ||||
| DRG Share of Total Hospitalizations | 1.29 | ||||
| % of Total ICD F1010 - Alcohol abuse, uncomplicated in DRG | 1.04 | ||||
| Avg LOS at DRG | 4.14 | ||||
| Avg LOS with ICD F1010 - Alcohol abuse, uncomplicated | 4.09 | ||||
| Readmission Rate at DRG | 24.43 | ||||
| Readmission Rate with ICD F1010 - Alcohol abuse, uncomplicated | 25.79 | ||||
| Unplanned Readmission Rate at DRG | 18.48 | ||||
| Unplanned Readmission Rate with ICD F1010 - Alcohol abuse, uncomplicated | 21.22 | ||||
| Total Medicare payments at DRG | $2,636,135,714 | ||||
| Total Medicare payments with ICD F1010 - Alcohol abuse, uncomplicated | $28,164,529 | ||||
| Total Medicare payment per Day at DRG | $1,507 | ||||
| Total Medicare payment per Day with ICD F1010 - Alcohol abuse, uncomplicated | $1,584 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,236 | ||||
| Total Medicare payment per Hospitalization with ICD F1010 - Alcohol abuse, uncomplicated | $6,476 | ||||
| Total Medicare Charges at DRG | $11,980,955,733 | ||||
| Total Medicare Charges with ICD F1010 - Alcohol abuse, uncomplicated | $129,672,445 | ||||
| Avg Charges at DRG | $28,340 | ||||
| Avg Charges with ICD F1010 - Alcohol abuse, uncomplicated | $29,817 | ||||
| Mortality Rate at DRG | 1.01 | ||||
| Mortality Rate with ICD F1010 - Alcohol abuse, uncomplicated | 0.55 | ||||
| SNF Discharge Rate at DRG | 16.05 | ||||
| SNF Discharge Rate with ICD F1010 - Alcohol abuse, uncomplicated | 10.09 | ||||
| Home Discharge Rate at DRG | 47.18 | ||||
| Home Discharge Rate with ICD F1010 - Alcohol abuse, uncomplicated | 60.08 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 1,150 |
| VIDANT MEDICAL CENTER | 2100 STANTONSBURG RD | GREENVILLE | NC | 27834 | 1,135 |
| NEW HANOVER REGIONAL MEDICAL CENTER | 2131 S 17TH ST | WILMINGTON | NC | 28401 | 1,057 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JUDY COOKE TRAVIS | 123 EAST CAPITOL STREET | DEMOPOLIS | AL | 36732 | 283 |
| Dr. GADSON JOHN JOHNSON | 701 SANTA MONICA BLVD | SANTA MONICA | CA | 90401 | 206 |
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 125 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. AMIT DESAI | 2550 SE WALTON RD | PORT ST LUCIE | FL | 34952 | 296 |
| Dr. JUDY COOKE TRAVIS | 123 EAST CAPITOL STREET | DEMOPOLIS | AL | 36732 | 295 |
| Dr. GADSON JOHN JOHNSON | 701 SANTA MONICA BLVD | SANTA MONICA | CA | 90401 | 240 |