*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| F10239 - Alcohol dependence with withdrawal, unspecified - as a primary diagnosis code | F10239 - Alcohol dependence with withdrawal, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.94 | |
| Readmission Rate (%) | 30.18 | |
| Unplanned Readmission Rate (%) | 16.15 | |
| 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 | 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 F10239 - Alcohol dependence with withdrawal, unspecified | 45,945 | ||||
| DRG Share of Total Hospitalizations | 0.51 | ||||
| % of Total ICD F10239 - Alcohol dependence with withdrawal, unspecified in DRG | 66.22 | ||||
| Avg LOS at DRG | 5.54 | ||||
| Avg LOS with ICD F10239 - Alcohol dependence with withdrawal, unspecified | 4.72 | ||||
| Readmission Rate at DRG | 28.6 | ||||
| Readmission Rate with ICD F10239 - Alcohol dependence with withdrawal, unspecified | 30.56 | ||||
| Unplanned Readmission Rate at DRG | 14.22 | ||||
| Unplanned Readmission Rate with ICD F10239 - Alcohol dependence with withdrawal, unspecified | 16.72 | ||||
| Total Medicare payments at DRG | $830,329,176 | ||||
| Total Medicare payments with ICD F10239 - Alcohol dependence with withdrawal, unspecified | $228,172,841 | ||||
| Total Medicare payment per Day at DRG | $895 | ||||
| Total Medicare payment per Day with ICD F10239 - Alcohol dependence with withdrawal, unspecified | $1,053 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,955 | ||||
| Total Medicare payment per Hospitalization with ICD F10239 - Alcohol dependence with withdrawal, unspecified | $4,966 | ||||
| Total Medicare Charges at DRG | $3,314,158,261 | ||||
| Total Medicare Charges with ICD F10239 - Alcohol dependence with withdrawal, unspecified | $926,366,714 | ||||
| Avg Charges at DRG | $19,777 | ||||
| Avg Charges with ICD F10239 - Alcohol dependence with withdrawal, unspecified | $20,163 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD F10239 - Alcohol dependence with withdrawal, unspecified | 0.02 | ||||
| SNF Discharge Rate at DRG | 5.67 | ||||
| SNF Discharge Rate with ICD F10239 - Alcohol dependence with withdrawal, unspecified | 6.81 | ||||
| Home Discharge Rate at DRG | 80.01 | ||||
| Home Discharge Rate with ICD F10239 - Alcohol dependence with withdrawal, unspecified | 77.63 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 987: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 988: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | DRG 983: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 52,726 | ||||
| Total Hospitalizations with ICD F10239 - Alcohol dependence with withdrawal, unspecified | 82 | ||||
| DRG Share of Total Hospitalizations | 0.16 | ||||
| % of Total ICD F10239 - Alcohol dependence with withdrawal, unspecified in DRG | 0.12 | ||||
| Avg LOS at DRG | 6.68 | ||||
| Avg LOS with ICD F10239 - Alcohol dependence with withdrawal, unspecified | 5.99 | ||||
| Readmission Rate at DRG | 24.76 | ||||
| Readmission Rate with ICD F10239 - Alcohol dependence with withdrawal, unspecified | 20.55 | ||||
| Unplanned Readmission Rate at DRG | 14.45 | ||||
| Unplanned Readmission Rate with ICD F10239 - Alcohol dependence with withdrawal, unspecified | NA | ||||
| Total Medicare payments at DRG | $902,862,104 | ||||
| Total Medicare payments with ICD F10239 - Alcohol dependence with withdrawal, unspecified | $1,298,836 | ||||
| Total Medicare payment per Day at DRG | $2,565 | ||||
| Total Medicare payment per Day with ICD F10239 - Alcohol dependence with withdrawal, unspecified | $2,645 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,124 | ||||
| Total Medicare payment per Hospitalization with ICD F10239 - Alcohol dependence with withdrawal, unspecified | $15,839 | ||||
| Total Medicare Charges at DRG | $4,216,562,728 | ||||
| Total Medicare Charges with ICD F10239 - Alcohol dependence with withdrawal, unspecified | $5,374,235 | ||||
| Avg Charges at DRG | $79,971 | ||||
| Avg Charges with ICD F10239 - Alcohol dependence with withdrawal, unspecified | $65,539 | ||||
| Mortality Rate at DRG | 0.83 | ||||
| Mortality Rate with ICD F10239 - Alcohol dependence with withdrawal, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 22.41 | ||||
| SNF Discharge Rate with ICD F10239 - Alcohol dependence with withdrawal, unspecified | 31.71 | ||||
| Home Discharge Rate at DRG | 43.51 | ||||
| Home Discharge Rate with ICD F10239 - Alcohol dependence with withdrawal, unspecified | 39.02 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADCARE HOSPITAL OF WORCESTER | 107 LINCOLN ST | WORCESTER | MA | 01605 | 4,963 |
| CASCADE BEHAVIORAL HEALTH HOSPITAL | 12844 MILITARY RD S | TUKWILA | WA | 98168 | 756 |
| BERKSHIRE MEDICAL CENTER | 725 NORTH ST | PITTSFIELD | MA | 01201 | 619 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. WOJCIECH POLUHA | 107 LINCOLN ST | WORCESTER | MA | 01605 | 1,575 |
| Dr. RONALD F. PIKE | 107 LINCOLN ST | WORCESTER | MA | 01605 | 1,189 |
| Dr. KAREN S GUADAGNINI | 102 NORTH ST | BRISTOL | CT | 06010 | 1,092 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. WOJCIECH POLUHA | 107 LINCOLN ST | WORCESTER | MA | 01605 | 1,679 |
| Dr. RONALD F. PIKE | 107 LINCOLN ST | WORCESTER | MA | 01605 | 1,342 |
| Dr. KAREN S GUADAGNINI | 102 NORTH ST | BRISTOL | CT | 06010 | 1,133 |
*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 885: PSYCHOSES | 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 F10239 - Alcohol dependence with withdrawal, unspecified | 51,166 | ||||
| DRG Share of Total Hospitalizations | 0.51 | ||||
| % of Total ICD F10239 - Alcohol dependence with withdrawal, unspecified in DRG | 28.31 | ||||
| Avg LOS at DRG | 5.54 | ||||
| Avg LOS with ICD F10239 - Alcohol dependence with withdrawal, unspecified | 4.8 | ||||
| Readmission Rate at DRG | 28.6 | ||||
| Readmission Rate with ICD F10239 - Alcohol dependence with withdrawal, unspecified | 30.9 | ||||
| Unplanned Readmission Rate at DRG | 14.22 | ||||
| Unplanned Readmission Rate with ICD F10239 - Alcohol dependence with withdrawal, unspecified | 16.75 | ||||
| Total Medicare payments at DRG | $830,329,176 | ||||
| Total Medicare payments with ICD F10239 - Alcohol dependence with withdrawal, unspecified | $254,492,913 | ||||
| Total Medicare payment per Day at DRG | $895 | ||||
| Total Medicare payment per Day with ICD F10239 - Alcohol dependence with withdrawal, unspecified | $1,037 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,955 | ||||
| Total Medicare payment per Hospitalization with ICD F10239 - Alcohol dependence with withdrawal, unspecified | $4,974 | ||||
| Total Medicare Charges at DRG | $3,314,158,261 | ||||
| Total Medicare Charges with ICD F10239 - Alcohol dependence with withdrawal, unspecified | $1,035,691,888 | ||||
| Avg Charges at DRG | $19,777 | ||||
| Avg Charges with ICD F10239 - Alcohol dependence with withdrawal, unspecified | $20,242 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD F10239 - Alcohol dependence with withdrawal, unspecified | 0.02 | ||||
| SNF Discharge Rate at DRG | 5.67 | ||||
| SNF Discharge Rate with ICD F10239 - Alcohol dependence with withdrawal, unspecified | 6.68 | ||||
| Home Discharge Rate at DRG | 80.01 | ||||
| Home Discharge Rate with ICD F10239 - Alcohol dependence with withdrawal, unspecified | 77.5 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 439: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 101: SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD F10239 - Alcohol dependence with withdrawal, unspecified | 5,698 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD F10239 - Alcohol dependence with withdrawal, unspecified in DRG | 3.15 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD F10239 - Alcohol dependence with withdrawal, unspecified | 8.57 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD F10239 - Alcohol dependence with withdrawal, unspecified | 26.81 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD F10239 - Alcohol dependence with withdrawal, unspecified | 17.02 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD F10239 - Alcohol dependence with withdrawal, unspecified | $74,634,927 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD F10239 - Alcohol dependence with withdrawal, unspecified | $1,529 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD F10239 - Alcohol dependence with withdrawal, unspecified | $13,098 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD F10239 - Alcohol dependence with withdrawal, unspecified | $490,366,114 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD F10239 - Alcohol dependence with withdrawal, unspecified | $86,059 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD F10239 - Alcohol dependence with withdrawal, unspecified | 9.09 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD F10239 - Alcohol dependence with withdrawal, unspecified | 28.59 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD F10239 - Alcohol dependence with withdrawal, unspecified | 29.36 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 432: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 286,456 | ||||
| Total Hospitalizations with ICD F10239 - Alcohol dependence with withdrawal, unspecified | 1,905 | ||||
| DRG Share of Total Hospitalizations | 0.87 | ||||
| % of Total ICD F10239 - Alcohol dependence with withdrawal, unspecified in DRG | 1.05 | ||||
| Avg LOS at DRG | 3.75 | ||||
| Avg LOS with ICD F10239 - Alcohol dependence with withdrawal, unspecified | 3.86 | ||||
| Readmission Rate at DRG | 22.9 | ||||
| Readmission Rate with ICD F10239 - Alcohol dependence with withdrawal, unspecified | 32.08 | ||||
| Unplanned Readmission Rate at DRG | 18.29 | ||||
| Unplanned Readmission Rate with ICD F10239 - Alcohol dependence with withdrawal, unspecified | 24.9 | ||||
| Total Medicare payments at DRG | $1,641,467,496 | ||||
| Total Medicare payments with ICD F10239 - Alcohol dependence with withdrawal, unspecified | $11,789,899 | ||||
| Total Medicare payment per Day at DRG | $1,526 | ||||
| Total Medicare payment per Day with ICD F10239 - Alcohol dependence with withdrawal, unspecified | $1,602 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,730 | ||||
| Total Medicare payment per Hospitalization with ICD F10239 - Alcohol dependence with withdrawal, unspecified | $6,189 | ||||
| Total Medicare Charges at DRG | $8,050,963,680 | ||||
| Total Medicare Charges with ICD F10239 - Alcohol dependence with withdrawal, unspecified | $57,510,179 | ||||
| Avg Charges at DRG | $28,105 | ||||
| Avg Charges with ICD F10239 - Alcohol dependence with withdrawal, unspecified | $30,189 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD F10239 - Alcohol dependence with withdrawal, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 10.84 | ||||
| SNF Discharge Rate with ICD F10239 - Alcohol dependence with withdrawal, unspecified | 10.5 | ||||
| Home Discharge Rate at DRG | 59.73 | ||||
| Home Discharge Rate with ICD F10239 - Alcohol dependence with withdrawal, unspecified | 60.89 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 433: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 917: POISONING AND TOXIC EFFECTS OF DRUGS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 881: DEPRESSIVE NEUROSES | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 34,515 | ||||
| Total Hospitalizations with ICD F10239 - Alcohol dependence with withdrawal, unspecified | 1,540 | ||||
| DRG Share of Total Hospitalizations | 0.11 | ||||
| % of Total ICD F10239 - Alcohol dependence with withdrawal, unspecified in DRG | 0.85 | ||||
| Avg LOS at DRG | 4.18 | ||||
| Avg LOS with ICD F10239 - Alcohol dependence with withdrawal, unspecified | 5.25 | ||||
| Readmission Rate at DRG | 35.39 | ||||
| Readmission Rate with ICD F10239 - Alcohol dependence with withdrawal, unspecified | 31.54 | ||||
| Unplanned Readmission Rate at DRG | 28.09 | ||||
| Unplanned Readmission Rate with ICD F10239 - Alcohol dependence with withdrawal, unspecified | 24.66 | ||||
| Total Medicare payments at DRG | $218,331,747 | ||||
| Total Medicare payments with ICD F10239 - Alcohol dependence with withdrawal, unspecified | $9,729,882 | ||||
| Total Medicare payment per Day at DRG | $1,513 | ||||
| Total Medicare payment per Day with ICD F10239 - Alcohol dependence with withdrawal, unspecified | $1,204 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,326 | ||||
| Total Medicare payment per Hospitalization with ICD F10239 - Alcohol dependence with withdrawal, unspecified | $6,318 | ||||
| Total Medicare Charges at DRG | $1,184,008,123 | ||||
| Total Medicare Charges with ICD F10239 - Alcohol dependence with withdrawal, unspecified | $57,985,645 | ||||
| Avg Charges at DRG | $34,304 | ||||
| Avg Charges with ICD F10239 - Alcohol dependence with withdrawal, unspecified | $37,653 | ||||
| Mortality Rate at DRG | 0.79 | ||||
| Mortality Rate with ICD F10239 - Alcohol dependence with withdrawal, unspecified | 0.84 | ||||
| SNF Discharge Rate at DRG | 14.95 | ||||
| SNF Discharge Rate with ICD F10239 - Alcohol dependence with withdrawal, unspecified | 19.29 | ||||
| Home Discharge Rate at DRG | 56.13 | ||||
| Home Discharge Rate with ICD F10239 - Alcohol dependence with withdrawal, unspecified | 53.7 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADCARE HOSPITAL OF WORCESTER | 107 LINCOLN ST | WORCESTER | MA | 01605 | 5,453 |
| SUMMIT OAKS HOSPITAL | 19 PROSPECT ST | SUMMIT | NJ | 07901 | 1,049 |
| BERKSHIRE MEDICAL CENTER | 725 NORTH ST | PITTSFIELD | MA | 01201 | 966 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. WOJCIECH POLUHA | 107 LINCOLN ST | WORCESTER | MA | 01605 | 1,723 |
| Dr. RONALD F. PIKE | 107 LINCOLN ST | WORCESTER | MA | 01605 | 1,286 |
| Dr. KAREN S GUADAGNINI | 102 NORTH ST | BRISTOL | CT | 06010 | 1,200 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. WOJCIECH POLUHA | 107 LINCOLN ST | WORCESTER | MA | 01605 | 1,841 |
| Dr. RONALD F. PIKE | 107 LINCOLN ST | WORCESTER | MA | 01605 | 1,451 |
| Dr. KAREN S GUADAGNINI | 102 NORTH ST | BRISTOL | CT | 06010 | 1,257 |