*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| F1020 - Alcohol dependence, uncomplicated - as a primary diagnosis code | F1020 - Alcohol dependence, uncomplicated - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.15 | |
| Readmission Rate (%) | 27.05 | |
| Unplanned Readmission Rate (%) | 9.91 | |
| 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 | ||
*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 894: ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | DRG 896: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 167,575 | ||||
| Total Hospitalizations with ICD F1020 - Alcohol dependence, uncomplicated | 13,917 | ||||
| DRG Share of Total Hospitalizations | 0.51 | ||||
| % of Total ICD F1020 - Alcohol dependence, uncomplicated in DRG | 51.26 | ||||
| Avg LOS at DRG | 5.54 | ||||
| Avg LOS with ICD F1020 - Alcohol dependence, uncomplicated | 7.91 | ||||
| Readmission Rate at DRG | 28.6 | ||||
| Readmission Rate with ICD F1020 - Alcohol dependence, uncomplicated | 28.04 | ||||
| Unplanned Readmission Rate at DRG | 14.22 | ||||
| Unplanned Readmission Rate with ICD F1020 - Alcohol dependence, uncomplicated | 11.07 | ||||
| Total Medicare payments at DRG | $830,329,176 | ||||
| Total Medicare payments with ICD F1020 - Alcohol dependence, uncomplicated | $74,101,513 | ||||
| Total Medicare payment per Day at DRG | $895 | ||||
| Total Medicare payment per Day with ICD F1020 - Alcohol dependence, uncomplicated | $673 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,955 | ||||
| Total Medicare payment per Hospitalization with ICD F1020 - Alcohol dependence, uncomplicated | $5,325 | ||||
| Total Medicare Charges at DRG | $3,314,158,261 | ||||
| Total Medicare Charges with ICD F1020 - Alcohol dependence, uncomplicated | $229,282,384 | ||||
| Avg Charges at DRG | $19,777 | ||||
| Avg Charges with ICD F1020 - Alcohol dependence, uncomplicated | $16,475 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD F1020 - Alcohol dependence, uncomplicated | NA | ||||
| SNF Discharge Rate at DRG | 5.67 | ||||
| SNF Discharge Rate with ICD F1020 - Alcohol dependence, uncomplicated | 1.45 | ||||
| Home Discharge Rate at DRG | 80.01 | ||||
| Home Discharge Rate with ICD F1020 - Alcohol dependence, uncomplicated | 87.64 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|
| Total Hospitalizations at DRG | 52,726 |
| Total Hospitalizations with ICD F1020 - Alcohol dependence, uncomplicated | 11 |
| DRG Share of Total Hospitalizations | 0.16 |
| % of Total ICD F1020 - Alcohol dependence, uncomplicated in DRG | 0.04 |
| Avg LOS at DRG | 6.68 |
| Avg LOS with ICD F1020 - Alcohol dependence, uncomplicated | 21.82 |
| Readmission Rate at DRG | 24.76 |
| Readmission Rate with ICD F1020 - Alcohol dependence, uncomplicated | NA |
| Unplanned Readmission Rate at DRG | 14.45 |
| Unplanned Readmission Rate with ICD F1020 - Alcohol dependence, uncomplicated | NA |
| Total Medicare payments at DRG | $902,862,104 |
| Total Medicare payments with ICD F1020 - Alcohol dependence, uncomplicated | $285,536 |
| Total Medicare payment per Day at DRG | $2,565 |
| Total Medicare payment per Day with ICD F1020 - Alcohol dependence, uncomplicated | $1,190 |
| Total Medicare payment per Hospitalization at DRG | $17,124 |
| Total Medicare payment per Hospitalization with ICD F1020 - Alcohol dependence, uncomplicated | $25,958 |
| Total Medicare Charges at DRG | $4,216,562,728 |
| Total Medicare Charges with ICD F1020 - Alcohol dependence, uncomplicated | $892,807 |
| Avg Charges at DRG | $79,971 |
| Avg Charges with ICD F1020 - Alcohol dependence, uncomplicated | $81,164 |
| Mortality Rate at DRG | 0.83 |
| Mortality Rate with ICD F1020 - Alcohol dependence, uncomplicated | NA |
| SNF Discharge Rate at DRG | 22.41 |
| SNF Discharge Rate with ICD F1020 - Alcohol dependence, uncomplicated | NA |
| Home Discharge Rate at DRG | 43.51 |
| Home Discharge Rate with ICD F1020 - Alcohol dependence, uncomplicated | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| TURNING POINT HOSPITAL | 3015 VETERANS PKWY S | MOULTRIE | GA | 31788 | 3,871 |
| WILMINGTON TREATMENT CENTER | 2520 TROY DR | WILMINGTON | NC | 28401 | 616 |
| PORT ST LUCIE HOSPITAL | 18302 HIGHWOODS PRESERVE PKWY | TAMPA | FL | 33647 | 569 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 3,696 |
| Dr. CHRISTOPHER L ADELMAN | 2351 E 22ND ST | CLEVELAND | OH | 44115 | 402 |
| Dr. AZHER SIDDIQI | 1147 RICHMOND RD | STATEN ISLAND | NY | 10304 | 314 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 3,696 |
| Dr. BERNARD GOTTSCHALK | 2520 TROY DR | WILMINGTON | NC | 28401 | 420 |
| Dr. CHRISTOPHER L ADELMAN | 2351 E 22ND ST | CLEVELAND | OH | 44115 | 403 |
*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 895: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD F1020 - Alcohol dependence, uncomplicated | 51,184 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD F1020 - Alcohol dependence, uncomplicated in DRG | 16.54 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD F1020 - Alcohol dependence, uncomplicated | 10.51 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD F1020 - Alcohol dependence, uncomplicated | 32.63 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD F1020 - Alcohol dependence, uncomplicated | 14.55 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD F1020 - Alcohol dependence, uncomplicated | $380,948,778 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD F1020 - Alcohol dependence, uncomplicated | $708 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD F1020 - Alcohol dependence, uncomplicated | $7,443 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD F1020 - Alcohol dependence, uncomplicated | $1,219,215,918 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD F1020 - Alcohol dependence, uncomplicated | $23,820 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD F1020 - Alcohol dependence, uncomplicated | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD F1020 - Alcohol dependence, uncomplicated | 1.67 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD F1020 - Alcohol dependence, uncomplicated | 85.94 |
*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 432: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 433: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 881: DEPRESSIVE NEUROSES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 310,318 | ||||
| Total Hospitalizations with ICD F1020 - Alcohol dependence, uncomplicated | 5,133 | ||||
| DRG Share of Total Hospitalizations | 0.94 | ||||
| % of Total ICD F1020 - Alcohol dependence, uncomplicated in DRG | 1.66 | ||||
| Avg LOS at DRG | 3.19 | ||||
| Avg LOS with ICD F1020 - Alcohol dependence, uncomplicated | 3.44 | ||||
| Readmission Rate at DRG | 20.19 | ||||
| Readmission Rate with ICD F1020 - Alcohol dependence, uncomplicated | 22.02 | ||||
| Unplanned Readmission Rate at DRG | 13.62 | ||||
| Unplanned Readmission Rate with ICD F1020 - Alcohol dependence, uncomplicated | 14.5 | ||||
| Total Medicare payments at DRG | $1,415,392,709 | ||||
| Total Medicare payments with ICD F1020 - Alcohol dependence, uncomplicated | $24,169,326 | ||||
| Total Medicare payment per Day at DRG | $1,431 | ||||
| Total Medicare payment per Day with ICD F1020 - Alcohol dependence, uncomplicated | $1,368 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,561 | ||||
| Total Medicare payment per Hospitalization with ICD F1020 - Alcohol dependence, uncomplicated | $4,709 | ||||
| Total Medicare Charges at DRG | $7,113,640,596 | ||||
| Total Medicare Charges with ICD F1020 - Alcohol dependence, uncomplicated | $123,303,104 | ||||
| Avg Charges at DRG | $22,924 | ||||
| Avg Charges with ICD F1020 - Alcohol dependence, uncomplicated | $24,022 | ||||
| Mortality Rate at DRG | 0.63 | ||||
| Mortality Rate with ICD F1020 - Alcohol dependence, uncomplicated | 0.45 | ||||
| SNF Discharge Rate at DRG | 19.76 | ||||
| SNF Discharge Rate with ICD F1020 - Alcohol dependence, uncomplicated | 16.6 | ||||
| Home Discharge Rate at DRG | 50.47 | ||||
| Home Discharge Rate with ICD F1020 - Alcohol dependence, uncomplicated | 56.24 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 439: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD F1020 - Alcohol dependence, uncomplicated | 3,924 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD F1020 - Alcohol dependence, uncomplicated in DRG | 1.27 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD F1020 - Alcohol dependence, uncomplicated | 4.6 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD F1020 - Alcohol dependence, uncomplicated | 27.32 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD F1020 - Alcohol dependence, uncomplicated | 21.64 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD F1020 - Alcohol dependence, uncomplicated | $29,092,029 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD F1020 - Alcohol dependence, uncomplicated | $1,610 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD F1020 - Alcohol dependence, uncomplicated | $7,414 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD F1020 - Alcohol dependence, uncomplicated | $146,386,247 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD F1020 - Alcohol dependence, uncomplicated | $37,305 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD F1020 - Alcohol dependence, uncomplicated | 1.43 | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD F1020 - Alcohol dependence, uncomplicated | 14.19 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD F1020 - Alcohol dependence, uncomplicated | 54.79 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 894: ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE 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 | 434,264 | ||||
| Total Hospitalizations with ICD F1020 - Alcohol dependence, uncomplicated | 2,973 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD F1020 - Alcohol dependence, uncomplicated in DRG | 0.96 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD F1020 - Alcohol dependence, uncomplicated | 3.95 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD F1020 - Alcohol dependence, uncomplicated | 23.68 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD F1020 - Alcohol dependence, uncomplicated | 16.45 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD F1020 - Alcohol dependence, uncomplicated | $17,052,239 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD F1020 - Alcohol dependence, uncomplicated | $1,452 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD F1020 - Alcohol dependence, uncomplicated | $5,736 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD F1020 - Alcohol dependence, uncomplicated | $90,318,288 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD F1020 - Alcohol dependence, uncomplicated | $30,380 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD F1020 - Alcohol dependence, uncomplicated | 0.87 | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD F1020 - Alcohol dependence, uncomplicated | 17.05 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD F1020 - Alcohol dependence, uncomplicated | 54.96 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADCARE HOSPITAL OF WORCESTER | 107 LINCOLN ST | WORCESTER | MA | 01605 | 5,845 |
| TURNING POINT HOSPITAL | 3015 VETERANS PKWY S | MOULTRIE | GA | 31788 | 5,718 |
| PROMISE HOSPITAL OF LOUISIANA | 1800 IRVING PL | SHREVEPORT | LA | 71101 | 965 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 4,618 |
| Dr. WOJCIECH POLUHA | 107 LINCOLN ST | WORCESTER | MA | 01605 | 1,823 |
| Dr. RONALD F. PIKE | 107 LINCOLN ST | WORCESTER | MA | 01605 | 1,400 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 5,210 |
| Dr. WOJCIECH POLUHA | 107 LINCOLN ST | WORCESTER | MA | 01605 | 1,952 |
| Dr. RONALD F. PIKE | 107 LINCOLN ST | WORCESTER | MA | 01605 | 1,579 |