*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| F1110 - Opioid abuse, uncomplicated - as a primary diagnosis code | F1110 - Opioid abuse, uncomplicated - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.52 | |
| Readmission Rate (%) | 32.2 | |
| Unplanned Readmission Rate (%) | 8.07 | |
| 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 F1110 - Opioid abuse, uncomplicated | 741 | |||
| DRG Share of Total Hospitalizations | 0.51 | |||
| % of Total ICD F1110 - Opioid abuse, uncomplicated in DRG | 63.44 | |||
| Avg LOS at DRG | 5.54 | |||
| Avg LOS with ICD F1110 - Opioid abuse, uncomplicated | 9.06 | |||
| Readmission Rate at DRG | 28.6 | |||
| Readmission Rate with ICD F1110 - Opioid abuse, uncomplicated | 22.71 | |||
| Unplanned Readmission Rate at DRG | 14.22 | |||
| Unplanned Readmission Rate with ICD F1110 - Opioid abuse, uncomplicated | 8.14 | |||
| Total Medicare payments at DRG | $830,329,176 | |||
| Total Medicare payments with ICD F1110 - Opioid abuse, uncomplicated | $4,282,684 | |||
| Total Medicare payment per Day at DRG | $895 | |||
| Total Medicare payment per Day with ICD F1110 - Opioid abuse, uncomplicated | $638 | |||
| Total Medicare payment per Hospitalization at DRG | $4,955 | |||
| Total Medicare payment per Hospitalization with ICD F1110 - Opioid abuse, uncomplicated | $5,780 | |||
| Total Medicare Charges at DRG | $3,314,158,261 | |||
| Total Medicare Charges with ICD F1110 - Opioid abuse, uncomplicated | $13,899,740 | |||
| Avg Charges at DRG | $19,777 | |||
| Avg Charges with ICD F1110 - Opioid abuse, uncomplicated | $18,758 | |||
| Mortality Rate at DRG | 0.03 | |||
| Mortality Rate with ICD F1110 - Opioid abuse, uncomplicated | NA | |||
| SNF Discharge Rate at DRG | 5.67 | |||
| SNF Discharge Rate with ICD F1110 - Opioid abuse, uncomplicated | 1.62 | |||
| Home Discharge Rate at DRG | 80.01 | |||
| Home Discharge Rate with ICD F1110 - Opioid abuse, uncomplicated | 85.96 |
| 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 | 177 |
| LAKELAND COMMUNITY HOSPITAL | 42024 HIGHWAY 195 | HALEYVILLE | AL | 35565 | 59 |
| SOUTH CENTRAL REGIONAL MEDICAL CENTER | 1220 JEFFERSON ST | LAUREL | MS | 39440 | 35 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. BOYDE J HARRISON | 904 26TH STREET | HALEYVILLE | AL | 35565 | 58 |
| Dr. STUART SAMSON | 5 DUNNBARR | LAUREL | MS | 39440 | 30 |
| Dr. CHARLES A WOOD | 1350 HIGHWAY 231 S | TROY | AL | 36081 | 25 |
| 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 | 116 |
| Dr. BOYDE J HARRISON | 904 26TH STREET | HALEYVILLE | AL | 35565 | 56 |
| Dr. RAFAEL ANTIONIO MUNNE MD PA | 2550 SE WALTON RD | PORT ST LUCIE | FL | 34952 | 48 |
*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 917: POISONING AND TOXIC EFFECTS OF DRUGS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD F1110 - Opioid abuse, uncomplicated | 13,159 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD F1110 - Opioid abuse, uncomplicated in DRG | 19.97 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD F1110 - Opioid abuse, uncomplicated | 9.18 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD F1110 - Opioid abuse, uncomplicated | 33.52 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD F1110 - Opioid abuse, uncomplicated | 16.16 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD F1110 - Opioid abuse, uncomplicated | $89,863,229 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD F1110 - Opioid abuse, uncomplicated | $744 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD F1110 - Opioid abuse, uncomplicated | $6,829 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD F1110 - Opioid abuse, uncomplicated | $314,553,061 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD F1110 - Opioid abuse, uncomplicated | $23,904 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD F1110 - Opioid abuse, uncomplicated | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD F1110 - Opioid abuse, uncomplicated | 1.49 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD F1110 - Opioid abuse, 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 918: POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 881: DEPRESSIVE NEUROSES | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 71,748 | ||||
| Total Hospitalizations with ICD F1110 - Opioid abuse, uncomplicated | 1,579 | ||||
| DRG Share of Total Hospitalizations | 0.22 | ||||
| % of Total ICD F1110 - Opioid abuse, uncomplicated in DRG | 2.4 | ||||
| Avg LOS at DRG | 2.93 | ||||
| Avg LOS with ICD F1110 - Opioid abuse, uncomplicated | 2.83 | ||||
| Readmission Rate at DRG | 33.86 | ||||
| Readmission Rate with ICD F1110 - Opioid abuse, uncomplicated | 38.58 | ||||
| Unplanned Readmission Rate at DRG | 10.34 | ||||
| Unplanned Readmission Rate with ICD F1110 - Opioid abuse, uncomplicated | 13.01 | ||||
| Total Medicare payments at DRG | $313,351,773 | ||||
| Total Medicare payments with ICD F1110 - Opioid abuse, uncomplicated | $7,289,433 | ||||
| Total Medicare payment per Day at DRG | $1,489 | ||||
| Total Medicare payment per Day with ICD F1110 - Opioid abuse, uncomplicated | $1,631 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,367 | ||||
| Total Medicare payment per Hospitalization with ICD F1110 - Opioid abuse, uncomplicated | $4,616 | ||||
| Total Medicare Charges at DRG | $1,750,048,705 | ||||
| Total Medicare Charges with ICD F1110 - Opioid abuse, uncomplicated | $36,667,507 | ||||
| Avg Charges at DRG | $24,392 | ||||
| Avg Charges with ICD F1110 - Opioid abuse, uncomplicated | $23,222 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD F1110 - Opioid abuse, uncomplicated | NA | ||||
| SNF Discharge Rate at DRG | 7.61 | ||||
| SNF Discharge Rate with ICD F1110 - Opioid abuse, uncomplicated | 3.67 | ||||
| Home Discharge Rate at DRG | 51.88 | ||||
| Home Discharge Rate with ICD F1110 - Opioid abuse, uncomplicated | 56.17 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 895: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 44,726 | ||||
| Total Hospitalizations with ICD F1110 - Opioid abuse, uncomplicated | 818 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD F1110 - Opioid abuse, uncomplicated in DRG | 1.24 | ||||
| Avg LOS at DRG | 12.1 | ||||
| Avg LOS with ICD F1110 - Opioid abuse, uncomplicated | 11.43 | ||||
| Readmission Rate at DRG | 22.75 | ||||
| Readmission Rate with ICD F1110 - Opioid abuse, uncomplicated | 25.79 | ||||
| Unplanned Readmission Rate at DRG | 8.4 | ||||
| Unplanned Readmission Rate with ICD F1110 - Opioid abuse, uncomplicated | 7.85 | ||||
| Total Medicare payments at DRG | $426,733,948 | ||||
| Total Medicare payments with ICD F1110 - Opioid abuse, uncomplicated | $7,141,547 | ||||
| Total Medicare payment per Day at DRG | $789 | ||||
| Total Medicare payment per Day with ICD F1110 - Opioid abuse, uncomplicated | $764 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,541 | ||||
| Total Medicare payment per Hospitalization with ICD F1110 - Opioid abuse, uncomplicated | $8,730 | ||||
| Total Medicare Charges at DRG | $1,040,774,746 | ||||
| Total Medicare Charges with ICD F1110 - Opioid abuse, uncomplicated | $19,831,229 | ||||
| Avg Charges at DRG | $23,270 | ||||
| Avg Charges with ICD F1110 - Opioid abuse, uncomplicated | $24,244 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD F1110 - Opioid abuse, uncomplicated | NA | ||||
| SNF Discharge Rate at DRG | 0.24 | ||||
| SNF Discharge Rate with ICD F1110 - Opioid abuse, uncomplicated | NA | ||||
| Home Discharge Rate at DRG | 92.46 | ||||
| Home Discharge Rate with ICD F1110 - Opioid abuse, uncomplicated | 88.14 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 896: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 894: ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD F1110 - Opioid abuse, uncomplicated | 655 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD F1110 - Opioid abuse, uncomplicated in DRG | 0.99 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD F1110 - Opioid abuse, uncomplicated | 13.69 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD F1110 - Opioid abuse, uncomplicated | 37.43 | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD F1110 - Opioid abuse, uncomplicated | 17.54 | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD F1110 - Opioid abuse, uncomplicated | $23,720,484 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD F1110 - Opioid abuse, uncomplicated | $2,646 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD F1110 - Opioid abuse, uncomplicated | $36,214 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD F1110 - Opioid abuse, uncomplicated | $102,522,909 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD F1110 - Opioid abuse, uncomplicated | $156,524 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD F1110 - Opioid abuse, uncomplicated | 10.53 | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD F1110 - Opioid abuse, uncomplicated | 25.65 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD F1110 - Opioid abuse, uncomplicated | 21.53 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| DETROIT RECEIVING HOSPITAL & UNIVERSITY HEALTH CENTER | 4201 SAINT ANTOINE ST | DETROIT | MI | 48201 | 317 |
| YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 247 |
| UNIVERSITY OF MARYLAND MEDICAL CENTER | 22 S GREENE STREET | BALTIMORE | MD | 21201 | 246 |
| 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 | 92 |
| Dr. DARRIN RICHARD MANGIACARNE | 5060 VALLEY VIEW BLVD NW | ROANOKE | VA | 24012 | 77 |
| Dr. BOYDE J HARRISON | 904 26TH STREET | HALEYVILLE | AL | 35565 | 76 |
| 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 | 148 |
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 99 |
| Dr. DARRIN RICHARD MANGIACARNE | 5060 VALLEY VIEW BLVD NW | ROANOKE | VA | 24012 | 78 |