*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| F1121 - Opioid dependence, in remission - as a primary diagnosis code | F1121 - Opioid dependence, in remission - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.67 | |
| Readmission Rate (%) | 27.71 | |
| Unplanned Readmission Rate (%) | NA | |
| 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 895: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 44,726 | |
| Total Hospitalizations with ICD F1121 - Opioid dependence, in remission | 51 | |
| DRG Share of Total Hospitalizations | 0.14 | |
| % of Total ICD F1121 - Opioid dependence, in remission in DRG | 54.84 | |
| Avg LOS at DRG | 12.1 | |
| Avg LOS with ICD F1121 - Opioid dependence, in remission | 12.12 | |
| Readmission Rate at DRG | 22.75 | |
| Readmission Rate with ICD F1121 - Opioid dependence, in remission | NA | |
| Unplanned Readmission Rate at DRG | 8.4 | |
| Unplanned Readmission Rate with ICD F1121 - Opioid dependence, in remission | NA | |
| Total Medicare payments at DRG | $426,733,948 | |
| Total Medicare payments with ICD F1121 - Opioid dependence, in remission | $464,018 | |
| Total Medicare payment per Day at DRG | $789 | |
| Total Medicare payment per Day with ICD F1121 - Opioid dependence, in remission | $751 | |
| Total Medicare payment per Hospitalization at DRG | $9,541 | |
| Total Medicare payment per Hospitalization with ICD F1121 - Opioid dependence, in remission | $9,098 | |
| Total Medicare Charges at DRG | $1,040,774,746 | |
| Total Medicare Charges with ICD F1121 - Opioid dependence, in remission | $1,102,163 | |
| Avg Charges at DRG | $23,270 | |
| Avg Charges with ICD F1121 - Opioid dependence, in remission | $21,611 | |
| Mortality Rate at DRG | NA | |
| Mortality Rate with ICD F1121 - Opioid dependence, in remission | NA | |
| SNF Discharge Rate at DRG | 0.24 | |
| SNF Discharge Rate with ICD F1121 - Opioid dependence, in remission | NA | |
| Home Discharge Rate at DRG | 92.46 | |
| Home Discharge Rate with ICD F1121 - Opioid dependence, in remission | 92.16 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BULLOCK COUNTY HOSPITAL | 102 CONECUH AVE W | UNION SPRINGS | AL | 36089 | 21 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SAEED A SHAH | 5906 CARMICHAEL PLACE | MONTGOMERY | AL | 36117 | 21 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SAEED A SHAH | 5906 CARMICHAEL PLACE | MONTGOMERY | AL | 36117 | 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 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 881: DEPRESSIVE NEUROSES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD F1121 - Opioid dependence, in remission | 4,001 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD F1121 - Opioid dependence, in remission in DRG | 28.44 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD F1121 - Opioid dependence, in remission | 10.54 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD F1121 - Opioid dependence, in remission | 28.12 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD F1121 - Opioid dependence, in remission | 12.57 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD F1121 - Opioid dependence, in remission | $29,897,396 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD F1121 - Opioid dependence, in remission | $709 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD F1121 - Opioid dependence, in remission | $7,472 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD F1121 - Opioid dependence, in remission | $102,186,036 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD F1121 - Opioid dependence, in remission | $25,540 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD F1121 - Opioid dependence, in remission | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD F1121 - Opioid dependence, in remission | 1.82 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD F1121 - Opioid dependence, in remission | 87.28 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 882: NEUROSES EXCEPT DEPRESSIVE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD F1121 - Opioid dependence, in remission | 221 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD F1121 - Opioid dependence, in remission in DRG | 1.57 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD F1121 - Opioid dependence, in remission | 2.86 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD F1121 - Opioid dependence, in remission | 12.09 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD F1121 - Opioid dependence, in remission | 5.58 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD F1121 - Opioid dependence, in remission | $2,878,546 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD F1121 - Opioid dependence, in remission | $4,547 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD F1121 - Opioid dependence, in remission | $13,025 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD F1121 - Opioid dependence, in remission | $12,691,257 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD F1121 - Opioid dependence, in remission | $57,427 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD F1121 - Opioid dependence, in remission | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD F1121 - Opioid dependence, in remission | 27.15 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD F1121 - Opioid dependence, in remission | 28.96 |
*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 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 917: POISONING AND TOXIC EFFECTS OF DRUGS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD F1121 - Opioid dependence, in remission | 164 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD F1121 - Opioid dependence, in remission in DRG | 1.17 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD F1121 - Opioid dependence, in remission | 3.18 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD F1121 - Opioid dependence, in remission | 19.35 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD F1121 - Opioid dependence, in remission | 16.13 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD F1121 - Opioid dependence, in remission | $738,939 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD F1121 - Opioid dependence, in remission | $1,416 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD F1121 - Opioid dependence, in remission | $4,506 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD F1121 - Opioid dependence, in remission | $4,394,584 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD F1121 - Opioid dependence, in remission | $26,796 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD F1121 - Opioid dependence, in remission | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD F1121 - Opioid dependence, in remission | NA | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD F1121 - Opioid dependence, in remission | 80.49 |
*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 896: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 894: ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 71,748 | ||||
| Total Hospitalizations with ICD F1121 - Opioid dependence, in remission | 103 | ||||
| DRG Share of Total Hospitalizations | 0.22 | ||||
| % of Total ICD F1121 - Opioid dependence, in remission in DRG | 0.73 | ||||
| Avg LOS at DRG | 2.93 | ||||
| Avg LOS with ICD F1121 - Opioid dependence, in remission | 3.73 | ||||
| Readmission Rate at DRG | 33.86 | ||||
| Readmission Rate with ICD F1121 - Opioid dependence, in remission | 40.86 | ||||
| Unplanned Readmission Rate at DRG | 10.34 | ||||
| Unplanned Readmission Rate with ICD F1121 - Opioid dependence, in remission | NA | ||||
| Total Medicare payments at DRG | $313,351,773 | ||||
| Total Medicare payments with ICD F1121 - Opioid dependence, in remission | $444,454 | ||||
| Total Medicare payment per Day at DRG | $1,489 | ||||
| Total Medicare payment per Day with ICD F1121 - Opioid dependence, in remission | $1,157 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,367 | ||||
| Total Medicare payment per Hospitalization with ICD F1121 - Opioid dependence, in remission | $4,315 | ||||
| Total Medicare Charges at DRG | $1,750,048,705 | ||||
| Total Medicare Charges with ICD F1121 - Opioid dependence, in remission | $2,179,135 | ||||
| Avg Charges at DRG | $24,392 | ||||
| Avg Charges with ICD F1121 - Opioid dependence, in remission | $21,157 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD F1121 - Opioid dependence, in remission | NA | ||||
| SNF Discharge Rate at DRG | 7.61 | ||||
| SNF Discharge Rate with ICD F1121 - Opioid dependence, in remission | NA | ||||
| Home Discharge Rate at DRG | 51.88 | ||||
| Home Discharge Rate with ICD F1121 - Opioid dependence, in remission | 51.46 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| TURNING POINT HOSPITAL | 3015 VETERANS PKWY S | MOULTRIE | GA | 31788 | 159 |
| UMASS MEMORIAL MEDICAL CENTER | 55 LAKE AVENUE | WORCESTER | MA | 01655 | 78 |
| MAINEGENERAL MEDICAL CENTER | 35 MEDICAL CENTER PARKWAY | AUGUSTA | ME | 04330 | 75 |
| 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 | 105 |
| Dr. WOJCIECH POLUHA | 107 LINCOLN ST | WORCESTER | MA | 01605 | 34 |
| Dr. SAEED A SHAH | 5906 CARMICHAEL PLACE | MONTGOMERY | AL | 36117 | 34 |
| 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 | 121 |
| Dr. JAMES DARIN DRURY | 401 OLD ALBANY RD | THOMASVILLE | GA | 31792 | 38 |
| Dr. TRENTON ELIOT MOYER | 3252 HOLIDAY CT | LA JOLLA | CA | 92037 | 36 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | K219 | Gastro-esophageal reflux disease without esophagitis |
| 2 | F17210 | Nicotine dependence, cigarettes, uncomplicated |