*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| F1120 - Opioid dependence, uncomplicated - as a primary diagnosis code | F1120 - Opioid dependence, uncomplicated - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.79 | |
| Readmission Rate (%) | 29.93 | |
| Unplanned Readmission Rate (%) | 8.95 | |
| 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 F1120 - Opioid dependence, uncomplicated | 7,118 | |||
| DRG Share of Total Hospitalizations | 0.51 | |||
| % of Total ICD F1120 - Opioid dependence, uncomplicated in DRG | 54.22 | |||
| Avg LOS at DRG | 5.54 | |||
| Avg LOS with ICD F1120 - Opioid dependence, uncomplicated | 7.36 | |||
| Readmission Rate at DRG | 28.6 | |||
| Readmission Rate with ICD F1120 - Opioid dependence, uncomplicated | 25.68 | |||
| Unplanned Readmission Rate at DRG | 14.22 | |||
| Unplanned Readmission Rate with ICD F1120 - Opioid dependence, uncomplicated | 8.9 | |||
| Total Medicare payments at DRG | $830,329,176 | |||
| Total Medicare payments with ICD F1120 - Opioid dependence, uncomplicated | $35,922,630 | |||
| Total Medicare payment per Day at DRG | $895 | |||
| Total Medicare payment per Day with ICD F1120 - Opioid dependence, uncomplicated | $686 | |||
| Total Medicare payment per Hospitalization at DRG | $4,955 | |||
| Total Medicare payment per Hospitalization with ICD F1120 - Opioid dependence, uncomplicated | $5,047 | |||
| Total Medicare Charges at DRG | $3,314,158,261 | |||
| Total Medicare Charges with ICD F1120 - Opioid dependence, uncomplicated | $105,218,309 | |||
| Avg Charges at DRG | $19,777 | |||
| Avg Charges with ICD F1120 - Opioid dependence, uncomplicated | $14,782 | |||
| Mortality Rate at DRG | 0.03 | |||
| Mortality Rate with ICD F1120 - Opioid dependence, uncomplicated | NA | |||
| SNF Discharge Rate at DRG | 5.67 | |||
| SNF Discharge Rate with ICD F1120 - Opioid dependence, uncomplicated | 0.44 | |||
| Home Discharge Rate at DRG | 80.01 | |||
| Home Discharge Rate with ICD F1120 - Opioid dependence, uncomplicated | 89.27 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| TURNING POINT HOSPITAL | 3015 VETERANS PKWY S | MOULTRIE | GA | 31788 | 737 |
| THE WOODS AT PARKSIDE | 349 OLDE RIDENOUR RD | COLUMBUS | OH | 43230 | 528 |
| VALLEY FORGE MEDICAL CENTER AND HOSPITAL | 1033 W GERMANTOWN PIKE | NORRISTOWN | PA | 19403 | 506 |
| 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 | 702 |
| Dr. JASON TSAI CHEN | 1424 W 87TH ST | CHICAGO | IL | 60620 | 319 |
| Dr. CHRISTOPHER L ADELMAN | 2351 E 22ND ST | CLEVELAND | OH | 44115 | 261 |
| 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 | 716 |
| Dr. WAYNE MILLER | 1033 W GERMANTOWN PIKE | NORRISTOWN | PA | 19403 | 494 |
| Dr. HARRY P NGUYEN | 2715 SAWBURY BLVD. | COLUMBUS | OH | 43235 | 353 |
*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 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 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD F1120 - Opioid dependence, uncomplicated | 30,757 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD F1120 - Opioid dependence, uncomplicated in DRG | 8.83 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD F1120 - Opioid dependence, uncomplicated | 10.24 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD F1120 - Opioid dependence, uncomplicated | 32.25 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD F1120 - Opioid dependence, uncomplicated | 14.22 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD F1120 - Opioid dependence, uncomplicated | $236,009,677 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD F1120 - Opioid dependence, uncomplicated | $750 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD F1120 - Opioid dependence, uncomplicated | $7,673 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD F1120 - Opioid dependence, uncomplicated | $749,022,269 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD F1120 - Opioid dependence, uncomplicated | $24,353 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD F1120 - Opioid dependence, uncomplicated | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD F1120 - Opioid dependence, uncomplicated | 1.6 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD F1120 - Opioid dependence, uncomplicated | 86.09 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 917: POISONING AND TOXIC EFFECTS OF DRUGS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 101,548 | ||||
| Total Hospitalizations with ICD F1120 - Opioid dependence, uncomplicated | 8,101 | ||||
| DRG Share of Total Hospitalizations | 0.31 | ||||
| % of Total ICD F1120 - Opioid dependence, uncomplicated in DRG | 2.33 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD F1120 - Opioid dependence, uncomplicated | 4.87 | ||||
| Readmission Rate at DRG | 32.74 | ||||
| Readmission Rate with ICD F1120 - Opioid dependence, uncomplicated | 30.09 | ||||
| Unplanned Readmission Rate at DRG | 13.79 | ||||
| Unplanned Readmission Rate with ICD F1120 - Opioid dependence, uncomplicated | 15.66 | ||||
| Total Medicare payments at DRG | $922,969,291 | ||||
| Total Medicare payments with ICD F1120 - Opioid dependence, uncomplicated | $75,309,552 | ||||
| Total Medicare payment per Day at DRG | $1,941 | ||||
| Total Medicare payment per Day with ICD F1120 - Opioid dependence, uncomplicated | $1,910 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,089 | ||||
| Total Medicare payment per Hospitalization with ICD F1120 - Opioid dependence, uncomplicated | $9,296 | ||||
| Total Medicare Charges at DRG | $4,727,523,206 | ||||
| Total Medicare Charges with ICD F1120 - Opioid dependence, uncomplicated | $393,493,153 | ||||
| Avg Charges at DRG | $46,555 | ||||
| Avg Charges with ICD F1120 - Opioid dependence, uncomplicated | $48,573 | ||||
| Mortality Rate at DRG | 2.95 | ||||
| Mortality Rate with ICD F1120 - Opioid dependence, uncomplicated | 2.48 | ||||
| SNF Discharge Rate at DRG | 13.87 | ||||
| SNF Discharge Rate with ICD F1120 - Opioid dependence, uncomplicated | 13.23 | ||||
| Home Discharge Rate at DRG | 43.04 | ||||
| Home Discharge Rate with ICD F1120 - Opioid dependence, uncomplicated | 47.97 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD F1120 - Opioid dependence, uncomplicated | 5,395 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD F1120 - Opioid dependence, uncomplicated in DRG | 1.55 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD F1120 - Opioid dependence, uncomplicated | 3.02 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD F1120 - Opioid dependence, uncomplicated | 12.97 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD F1120 - Opioid dependence, uncomplicated | 6.22 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD F1120 - Opioid dependence, uncomplicated | $66,722,988 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD F1120 - Opioid dependence, uncomplicated | $4,095 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD F1120 - Opioid dependence, uncomplicated | $12,368 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD F1120 - Opioid dependence, uncomplicated | $381,576,339 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD F1120 - Opioid dependence, uncomplicated | $70,728 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD F1120 - Opioid dependence, uncomplicated | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD F1120 - Opioid dependence, uncomplicated | 31.6 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD F1120 - Opioid dependence, uncomplicated | 24.41 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD F1120 - Opioid dependence, uncomplicated | 4,253 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD F1120 - Opioid dependence, uncomplicated in DRG | 1.22 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD F1120 - Opioid dependence, uncomplicated | 3.76 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD F1120 - Opioid dependence, uncomplicated | 25.69 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD F1120 - Opioid dependence, uncomplicated | 20.17 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD F1120 - Opioid dependence, uncomplicated | $24,300,717 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD F1120 - Opioid dependence, uncomplicated | $1,518 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD F1120 - Opioid dependence, uncomplicated | $5,714 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD F1120 - Opioid dependence, uncomplicated | $124,270,720 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD F1120 - Opioid dependence, uncomplicated | $29,220 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD F1120 - Opioid dependence, uncomplicated | 0.38 | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD F1120 - Opioid dependence, uncomplicated | 14.88 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD F1120 - Opioid dependence, uncomplicated | 55.02 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADCARE HOSPITAL OF WORCESTER | 107 LINCOLN ST | WORCESTER | MA | 01605 | 4,687 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 3,863 |
| TURNING POINT HOSPITAL | 3015 VETERANS PKWY S | MOULTRIE | GA | 31788 | 2,868 |
| 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 | 2,194 |
| Dr. WOJCIECH POLUHA | 107 LINCOLN ST | WORCESTER | MA | 01605 | 1,468 |
| Dr. RONALD F. PIKE | 107 LINCOLN ST | WORCESTER | MA | 01605 | 1,180 |
| 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 | 2,642 |
| Dr. WOJCIECH POLUHA | 107 LINCOLN ST | WORCESTER | MA | 01605 | 1,543 |
| Dr. RONALD F. PIKE | 107 LINCOLN ST | WORCESTER | MA | 01605 | 1,312 |