*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| F1021 - Alcohol dependence, in remission - as a primary diagnosis code | F1021 - Alcohol dependence, in remission - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.75 | |
| Readmission Rate (%) | 25.93 | |
| Unplanned Readmission Rate (%) | 16.04 | |
| 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 | |
|---|---|---|
| Total Hospitalizations at DRG | 167,575 | |
| Total Hospitalizations with ICD F1021 - Alcohol dependence, in remission | 117 | |
| DRG Share of Total Hospitalizations | 0.51 | |
| % of Total ICD F1021 - Alcohol dependence, in remission in DRG | 57.35 | |
| Avg LOS at DRG | 5.54 | |
| Avg LOS with ICD F1021 - Alcohol dependence, in remission | 8.58 | |
| Readmission Rate at DRG | 28.6 | |
| Readmission Rate with ICD F1021 - Alcohol dependence, in remission | 28.57 | |
| Unplanned Readmission Rate at DRG | 14.22 | |
| Unplanned Readmission Rate with ICD F1021 - Alcohol dependence, in remission | 16.96 | |
| Total Medicare payments at DRG | $830,329,176 | |
| Total Medicare payments with ICD F1021 - Alcohol dependence, in remission | $585,538 | |
| Total Medicare payment per Day at DRG | $895 | |
| Total Medicare payment per Day with ICD F1021 - Alcohol dependence, in remission | $583 | |
| Total Medicare payment per Hospitalization at DRG | $4,955 | |
| Total Medicare payment per Hospitalization with ICD F1021 - Alcohol dependence, in remission | $5,005 | |
| Total Medicare Charges at DRG | $3,314,158,261 | |
| Total Medicare Charges with ICD F1021 - Alcohol dependence, in remission | $2,157,718 | |
| Avg Charges at DRG | $19,777 | |
| Avg Charges with ICD F1021 - Alcohol dependence, in remission | $18,442 | |
| Mortality Rate at DRG | 0.03 | |
| Mortality Rate with ICD F1021 - Alcohol dependence, in remission | NA | |
| SNF Discharge Rate at DRG | 5.67 | |
| SNF Discharge Rate with ICD F1021 - Alcohol dependence, in remission | NA | |
| Home Discharge Rate at DRG | 80.01 | |
| Home Discharge Rate with ICD F1021 - Alcohol dependence, in remission | 90.6 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MCLEAN HOSPITAL | 115 MILL ST | BELMONT | MA | 02478 | 32 |
| BULLOCK COUNTY HOSPITAL | 102 CONECUH AVE W | UNION SPRINGS | AL | 36089 | 28 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SAEED A SHAH | 5906 CARMICHAEL PLACE | MONTGOMERY | AL | 36117 | 28 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SAEED A SHAH | 5906 CARMICHAEL PLACE | MONTGOMERY | AL | 36117 | 28 |
| Dr. CRAIG E. BOYAJIAN | 115 MILL ST | BELMONT | MA | 02478 | 28 |
*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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 432: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD F1021 - Alcohol dependence, in remission | 15,780 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD F1021 - Alcohol dependence, in remission in DRG | 11.1 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD F1021 - Alcohol dependence, in remission | 11.6 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD F1021 - Alcohol dependence, in remission | 25.32 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD F1021 - Alcohol dependence, in remission | 12.88 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD F1021 - Alcohol dependence, in remission | $132,122,905 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD F1021 - Alcohol dependence, in remission | $722 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD F1021 - Alcohol dependence, in remission | $8,373 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD F1021 - Alcohol dependence, in remission | $460,220,725 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD F1021 - Alcohol dependence, in remission | $29,165 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD F1021 - Alcohol dependence, in remission | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD F1021 - Alcohol dependence, in remission | 5.63 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD F1021 - Alcohol dependence, in remission | 80.41 |
*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 433: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 442: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD F1021 - Alcohol dependence, in remission | 2,412 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD F1021 - Alcohol dependence, in remission in DRG | 1.7 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD F1021 - Alcohol dependence, in remission | 4.79 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD F1021 - Alcohol dependence, in remission | 26.66 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD F1021 - Alcohol dependence, in remission | 20.76 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD F1021 - Alcohol dependence, in remission | $17,768,380 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD F1021 - Alcohol dependence, in remission | $1,537 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD F1021 - Alcohol dependence, in remission | $7,367 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD F1021 - Alcohol dependence, in remission | $86,296,653 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD F1021 - Alcohol dependence, in remission | $35,778 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD F1021 - Alcohol dependence, in remission | 1.41 | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD F1021 - Alcohol dependence, in remission | 17.21 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD F1021 - Alcohol dependence, in remission | 51.04 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 441: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS 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 | 522,791 | ||||
| Total Hospitalizations with ICD F1021 - Alcohol dependence, in remission | 1,881 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD F1021 - Alcohol dependence, in remission in DRG | 1.32 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD F1021 - Alcohol dependence, in remission | 3.23 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD F1021 - Alcohol dependence, in remission | 21.72 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD F1021 - Alcohol dependence, in remission | 16.25 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD F1021 - Alcohol dependence, in remission | $8,888,891 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD F1021 - Alcohol dependence, in remission | $1,462 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD F1021 - Alcohol dependence, in remission | $4,726 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD F1021 - Alcohol dependence, in remission | $49,781,536 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD F1021 - Alcohol dependence, in remission | $26,465 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD F1021 - Alcohol dependence, in remission | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD F1021 - Alcohol dependence, in remission | 9.73 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD F1021 - Alcohol dependence, in remission | 72.09 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 884: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 144,507 | ||||
| Total Hospitalizations with ICD F1021 - Alcohol dependence, in remission | 1,569 | ||||
| DRG Share of Total Hospitalizations | 0.44 | ||||
| % of Total ICD F1021 - Alcohol dependence, in remission in DRG | 1.1 | ||||
| Avg LOS at DRG | 11.23 | ||||
| Avg LOS with ICD F1021 - Alcohol dependence, in remission | 13.93 | ||||
| Readmission Rate at DRG | 20.52 | ||||
| Readmission Rate with ICD F1021 - Alcohol dependence, in remission | 21.23 | ||||
| Unplanned Readmission Rate at DRG | 12.21 | ||||
| Unplanned Readmission Rate with ICD F1021 - Alcohol dependence, in remission | 11.78 | ||||
| Total Medicare payments at DRG | $1,495,371,248 | ||||
| Total Medicare payments with ICD F1021 - Alcohol dependence, in remission | $18,375,643 | ||||
| Total Medicare payment per Day at DRG | $922 | ||||
| Total Medicare payment per Day with ICD F1021 - Alcohol dependence, in remission | $841 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,348 | ||||
| Total Medicare payment per Hospitalization with ICD F1021 - Alcohol dependence, in remission | $11,712 | ||||
| Total Medicare Charges at DRG | $5,107,483,805 | ||||
| Total Medicare Charges with ICD F1021 - Alcohol dependence, in remission | $57,254,480 | ||||
| Avg Charges at DRG | $35,344 | ||||
| Avg Charges with ICD F1021 - Alcohol dependence, in remission | $36,491 | ||||
| Mortality Rate at DRG | 0.73 | ||||
| Mortality Rate with ICD F1021 - Alcohol dependence, in remission | 0.7 | ||||
| SNF Discharge Rate at DRG | 38.43 | ||||
| SNF Discharge Rate with ICD F1021 - Alcohol dependence, in remission | 40.28 | ||||
| Home Discharge Rate at DRG | 27.81 | ||||
| Home Discharge Rate with ICD F1021 - Alcohol dependence, in remission | 27.85 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 660 |
| UMASS MEMORIAL MEDICAL CENTER | 55 LAKE AVENUE | WORCESTER | MA | 01655 | 503 |
| BETH ISRAEL DEACONESS MEDICAL CENTER | 330 BROOKLINE AVE | BOSTON | MA | 02215 | 496 |
| 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 | 78 |
| Dr. SAEED A SHAH | 5906 CARMICHAEL PLACE | MONTGOMERY | AL | 36117 | 51 |
| Dr. FARHAD KHOSSOUSSI | 504N BEDFORD DR | BEVERLY HILLS | CA | 90210 | 41 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. LYNNEA CARDER | 112 W JEFFERSON BLVD | SOUTH BEND | IN | 46601 | 128 |
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 108 |
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 100 |