*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| F1099 - Alcohol use, unspecified with unspecified alcohol-induced disorder - as a primary diagnosis code | F1099 - Alcohol use, unspecified with unspecified alcohol-induced disorder - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.91 | |
| Readmission Rate (%) | 23.42 | |
| Unplanned Readmission Rate (%) | 10.78 | |
| 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) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 167,575 | |||
| Total Hospitalizations with ICD F1099 - Alcohol use, unspecified with unspecified alcohol-induced disorder | 554 | |||
| DRG Share of Total Hospitalizations | 0.51 | |||
| % of Total ICD F1099 - Alcohol use, unspecified with unspecified alcohol-induced disorder in DRG | 84.58 | |||
| Avg LOS at DRG | 5.54 | |||
| Avg LOS with ICD F1099 - Alcohol use, unspecified with unspecified alcohol-induced disorder | 6.88 | |||
| Readmission Rate at DRG | 28.6 | |||
| Readmission Rate with ICD F1099 - Alcohol use, unspecified with unspecified alcohol-induced disorder | 26.7 | |||
| Unplanned Readmission Rate at DRG | 14.22 | |||
| Unplanned Readmission Rate with ICD F1099 - Alcohol use, unspecified with unspecified alcohol-induced disorder | 10.5 | |||
| Total Medicare payments at DRG | $830,329,176 | |||
| Total Medicare payments with ICD F1099 - Alcohol use, unspecified with unspecified alcohol-induced disorder | $2,545,714 | |||
| Total Medicare payment per Day at DRG | $895 | |||
| Total Medicare payment per Day with ICD F1099 - Alcohol use, unspecified with unspecified alcohol-induced disorder | $668 | |||
| Total Medicare payment per Hospitalization at DRG | $4,955 | |||
| Total Medicare payment per Hospitalization with ICD F1099 - Alcohol use, unspecified with unspecified alcohol-induced disorder | $4,595 | |||
| Total Medicare Charges at DRG | $3,314,158,261 | |||
| Total Medicare Charges with ICD F1099 - Alcohol use, unspecified with unspecified alcohol-induced disorder | $9,416,584 | |||
| Avg Charges at DRG | $19,777 | |||
| Avg Charges with ICD F1099 - Alcohol use, unspecified with unspecified alcohol-induced disorder | $16,997 | |||
| Mortality Rate at DRG | 0.03 | |||
| Mortality Rate with ICD F1099 - Alcohol use, unspecified with unspecified alcohol-induced disorder | NA | |||
| SNF Discharge Rate at DRG | 5.67 | |||
| SNF Discharge Rate with ICD F1099 - Alcohol use, unspecified with unspecified alcohol-induced disorder | NA | |||
| Home Discharge Rate at DRG | 80.01 | |||
| Home Discharge Rate with ICD F1099 - Alcohol use, unspecified with unspecified alcohol-induced disorder | 91.34 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MCLEAN HOSPITAL | 115 MILL ST | BELMONT | MA | 02478 | 112 |
| BUTLER HOSPITAL | 345 BLACKSTONE BLVD | PROVIDENCE | RI | 02906 | 48 |
| BRATTLEBORO RETREAT | ANNA MARSH LANE | BRATTLEBORO | VT | 05301 | 40 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. THOMAS EDMUND KREIDER | 7165 CLEARVISTA PARKWAY | INDIANAPOLIS | IN | 46256 | 14 |
| Dr. ALEX ETIENNE | 825 CHALKSTONE AVE | PROVIDENCE | RI | 02908 | 13 |
| Dr. CHARLES BROOK BENSENHAVER, III | 3430 NEWBURG RD | LOUISVILLE | KY | 40218 | 12 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CRAIG E. BOYAJIAN | 115 MILL ST | BELMONT | MA | 02478 | 47 |
| Dr. JULIE FORREST | 345 BLACKSTONE BLVD | PROVIDENCE | RI | 02906 | 27 |
| Dr. SRIKANTH MADADI REDDY | 230 E RIDGEWOOD AVE | PARAMUS | NJ | 07652 | 21 |
*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 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 881: DEPRESSIVE NEUROSES | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD F1099 - Alcohol use, unspecified with unspecified alcohol-induced disorder | 8,264 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD F1099 - Alcohol use, unspecified with unspecified alcohol-induced disorder in DRG | 25.7 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD F1099 - Alcohol use, unspecified with unspecified alcohol-induced disorder | 10.79 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD F1099 - Alcohol use, unspecified with unspecified alcohol-induced disorder | 29.42 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD F1099 - Alcohol use, unspecified with unspecified alcohol-induced disorder | 13.6 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD F1099 - Alcohol use, unspecified with unspecified alcohol-induced disorder | $60,896,904 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD F1099 - Alcohol use, unspecified with unspecified alcohol-induced disorder | $683 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD F1099 - Alcohol use, unspecified with unspecified alcohol-induced disorder | $7,369 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD F1099 - Alcohol use, unspecified with unspecified alcohol-induced disorder | $211,957,668 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD F1099 - Alcohol use, unspecified with unspecified alcohol-induced disorder | $25,648 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD F1099 - Alcohol use, unspecified with unspecified alcohol-induced disorder | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD F1099 - Alcohol use, unspecified with unspecified alcohol-induced disorder | 1.65 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD F1099 - Alcohol use, unspecified with unspecified alcohol-induced disorder | 86.46 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 352,097 | ||||
| Total Hospitalizations with ICD F1099 - Alcohol use, unspecified with unspecified alcohol-induced disorder | 476 | ||||
| DRG Share of Total Hospitalizations | 1.07 | ||||
| % of Total ICD F1099 - Alcohol use, unspecified with unspecified alcohol-induced disorder in DRG | 1.48 | ||||
| Avg LOS at DRG | 3.96 | ||||
| Avg LOS with ICD F1099 - Alcohol use, unspecified with unspecified alcohol-induced disorder | 4.03 | ||||
| Readmission Rate at DRG | 35.38 | ||||
| Readmission Rate with ICD F1099 - Alcohol use, unspecified with unspecified alcohol-induced disorder | 31.43 | ||||
| Unplanned Readmission Rate at DRG | 7.63 | ||||
| Unplanned Readmission Rate with ICD F1099 - Alcohol use, unspecified with unspecified alcohol-induced disorder | 5.71 | ||||
| Total Medicare payments at DRG | $2,360,891,966 | ||||
| Total Medicare payments with ICD F1099 - Alcohol use, unspecified with unspecified alcohol-induced disorder | $3,348,314 | ||||
| Total Medicare payment per Day at DRG | $1,693 | ||||
| Total Medicare payment per Day with ICD F1099 - Alcohol use, unspecified with unspecified alcohol-induced disorder | $1,747 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,705 | ||||
| Total Medicare payment per Hospitalization with ICD F1099 - Alcohol use, unspecified with unspecified alcohol-induced disorder | $7,034 | ||||
| Total Medicare Charges at DRG | $13,014,640,264 | ||||
| Total Medicare Charges with ICD F1099 - Alcohol use, unspecified with unspecified alcohol-induced disorder | $16,780,948 | ||||
| Avg Charges at DRG | $36,963 | ||||
| Avg Charges with ICD F1099 - Alcohol use, unspecified with unspecified alcohol-induced disorder | $35,254 | ||||
| Mortality Rate at DRG | 1.54 | ||||
| Mortality Rate with ICD F1099 - Alcohol use, unspecified with unspecified alcohol-induced disorder | NA | ||||
| SNF Discharge Rate at DRG | 24.0 | ||||
| SNF Discharge Rate with ICD F1099 - Alcohol use, unspecified with unspecified alcohol-induced disorder | 15.76 | ||||
| Home Discharge Rate at DRG | 26.62 | ||||
| Home Discharge Rate with ICD F1099 - Alcohol use, unspecified with unspecified alcohol-induced disorder | 41.81 |
*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 439: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 286,456 | ||||
| Total Hospitalizations with ICD F1099 - Alcohol use, unspecified with unspecified alcohol-induced disorder | 350 | ||||
| DRG Share of Total Hospitalizations | 0.87 | ||||
| % of Total ICD F1099 - Alcohol use, unspecified with unspecified alcohol-induced disorder in DRG | 1.09 | ||||
| Avg LOS at DRG | 3.75 | ||||
| Avg LOS with ICD F1099 - Alcohol use, unspecified with unspecified alcohol-induced disorder | 3.33 | ||||
| Readmission Rate at DRG | 22.9 | ||||
| Readmission Rate with ICD F1099 - Alcohol use, unspecified with unspecified alcohol-induced disorder | 19.58 | ||||
| Unplanned Readmission Rate at DRG | 18.29 | ||||
| Unplanned Readmission Rate with ICD F1099 - Alcohol use, unspecified with unspecified alcohol-induced disorder | 15.06 | ||||
| Total Medicare payments at DRG | $1,641,467,496 | ||||
| Total Medicare payments with ICD F1099 - Alcohol use, unspecified with unspecified alcohol-induced disorder | $2,044,957 | ||||
| Total Medicare payment per Day at DRG | $1,526 | ||||
| Total Medicare payment per Day with ICD F1099 - Alcohol use, unspecified with unspecified alcohol-induced disorder | $1,754 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,730 | ||||
| Total Medicare payment per Hospitalization with ICD F1099 - Alcohol use, unspecified with unspecified alcohol-induced disorder | $5,843 | ||||
| Total Medicare Charges at DRG | $8,050,963,680 | ||||
| Total Medicare Charges with ICD F1099 - Alcohol use, unspecified with unspecified alcohol-induced disorder | $9,566,476 | ||||
| Avg Charges at DRG | $28,105 | ||||
| Avg Charges with ICD F1099 - Alcohol use, unspecified with unspecified alcohol-induced disorder | $27,333 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD F1099 - Alcohol use, unspecified with unspecified alcohol-induced disorder | NA | ||||
| SNF Discharge Rate at DRG | 10.84 | ||||
| SNF Discharge Rate with ICD F1099 - Alcohol use, unspecified with unspecified alcohol-induced disorder | 7.14 | ||||
| Home Discharge Rate at DRG | 59.73 | ||||
| Home Discharge Rate with ICD F1099 - Alcohol use, unspecified with unspecified alcohol-induced disorder | 70.86 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD F1099 - Alcohol use, unspecified with unspecified alcohol-induced disorder | 309 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD F1099 - Alcohol use, unspecified with unspecified alcohol-induced disorder in DRG | 0.96 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD F1099 - Alcohol use, unspecified with unspecified alcohol-induced disorder | 5.69 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD F1099 - Alcohol use, unspecified with unspecified alcohol-induced disorder | 22.42 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD F1099 - Alcohol use, unspecified with unspecified alcohol-induced disorder | 18.86 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD F1099 - Alcohol use, unspecified with unspecified alcohol-induced disorder | $2,816,660 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD F1099 - Alcohol use, unspecified with unspecified alcohol-induced disorder | $1,603 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD F1099 - Alcohol use, unspecified with unspecified alcohol-induced disorder | $9,115 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD F1099 - Alcohol use, unspecified with unspecified alcohol-induced disorder | $12,780,014 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD F1099 - Alcohol use, unspecified with unspecified alcohol-induced disorder | $41,359 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD F1099 - Alcohol use, unspecified with unspecified alcohol-induced disorder | NA | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD F1099 - Alcohol use, unspecified with unspecified alcohol-induced disorder | 11.33 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD F1099 - Alcohol use, unspecified with unspecified alcohol-induced disorder | 52.1 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| JOHNS HOPKINS MEDICINE - SUBURBAN HOSPITAL | 8600 OLD GEORGETOWN RD | BETHESDA | MD | 20814 | 459 |
| MCLEAN HOSPITAL | 115 MILL ST | BELMONT | MA | 02478 | 354 |
| WHITTIER PAVILLION | 76 SUMMER ST | HAVERHILL | MA | 01830 | 302 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CHRISTOPHER CANNOVA | 10215 FERNWOOD RD | BETHESDA | MD | 20817 | 37 |
| Dr. JOSEPH MARC VERRET | 654 E JERSEY ST | ELIZABETH | NJ | 07206 | 24 |
| Dr. CHARLES BROOK BENSENHAVER, III | 3430 NEWBURG RD | LOUISVILLE | KY | 40218 | 24 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ROBERT OLIVER MORTON | 1000 ROLLING HILLS LN | ADA | OK | 74820 | 90 |
| Dr. THOMAS B RICHARDSON | 101 E OLNEY AVE | PHILADELPHIA | PA | 19120 | 62 |
| Dr. JULIE FORREST | 345 BLACKSTONE BLVD | PROVIDENCE | RI | 02906 | 61 |