*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| F1123 - Opioid dependence with withdrawal - as a primary diagnosis code | F1123 - Opioid dependence with withdrawal - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.1 | |
| Readmission Rate (%) | 27.93 | |
| Unplanned Readmission Rate (%) | 9.35 | |
| 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) | DRG 988: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 167,575 | ||||
| Total Hospitalizations with ICD F1123 - Opioid dependence with withdrawal | 22,890 | ||||
| DRG Share of Total Hospitalizations | 0.51 | ||||
| % of Total ICD F1123 - Opioid dependence with withdrawal in DRG | 63.17 | ||||
| Avg LOS at DRG | 5.54 | ||||
| Avg LOS with ICD F1123 - Opioid dependence with withdrawal | 5.16 | ||||
| Readmission Rate at DRG | 28.6 | ||||
| Readmission Rate with ICD F1123 - Opioid dependence with withdrawal | 25.14 | ||||
| Unplanned Readmission Rate at DRG | 14.22 | ||||
| Unplanned Readmission Rate with ICD F1123 - Opioid dependence with withdrawal | 9.34 | ||||
| Total Medicare payments at DRG | $830,329,176 | ||||
| Total Medicare payments with ICD F1123 - Opioid dependence with withdrawal | $112,944,718 | ||||
| Total Medicare payment per Day at DRG | $895 | ||||
| Total Medicare payment per Day with ICD F1123 - Opioid dependence with withdrawal | $957 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,955 | ||||
| Total Medicare payment per Hospitalization with ICD F1123 - Opioid dependence with withdrawal | $4,934 | ||||
| Total Medicare Charges at DRG | $3,314,158,261 | ||||
| Total Medicare Charges with ICD F1123 - Opioid dependence with withdrawal | $336,843,859 | ||||
| Avg Charges at DRG | $19,777 | ||||
| Avg Charges with ICD F1123 - Opioid dependence with withdrawal | $14,716 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD F1123 - Opioid dependence with withdrawal | NA | ||||
| SNF Discharge Rate at DRG | 5.67 | ||||
| SNF Discharge Rate with ICD F1123 - Opioid dependence with withdrawal | 1.64 | ||||
| Home Discharge Rate at DRG | 80.01 | ||||
| Home Discharge Rate with ICD F1123 - Opioid dependence with withdrawal | 88.19 |
*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 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 52,726 | |
| Total Hospitalizations with ICD F1123 - Opioid dependence with withdrawal | 24 | |
| DRG Share of Total Hospitalizations | 0.16 | |
| % of Total ICD F1123 - Opioid dependence with withdrawal in DRG | 0.07 | |
| Avg LOS at DRG | 6.68 | |
| Avg LOS with ICD F1123 - Opioid dependence with withdrawal | 7.08 | |
| Readmission Rate at DRG | 24.76 | |
| Readmission Rate with ICD F1123 - Opioid dependence with withdrawal | NA | |
| Unplanned Readmission Rate at DRG | 14.45 | |
| Unplanned Readmission Rate with ICD F1123 - Opioid dependence with withdrawal | NA | |
| Total Medicare payments at DRG | $902,862,104 | |
| Total Medicare payments with ICD F1123 - Opioid dependence with withdrawal | $413,487 | |
| Total Medicare payment per Day at DRG | $2,565 | |
| Total Medicare payment per Day with ICD F1123 - Opioid dependence with withdrawal | $2,432 | |
| Total Medicare payment per Hospitalization at DRG | $17,124 | |
| Total Medicare payment per Hospitalization with ICD F1123 - Opioid dependence with withdrawal | $17,229 | |
| Total Medicare Charges at DRG | $4,216,562,728 | |
| Total Medicare Charges with ICD F1123 - Opioid dependence with withdrawal | $1,289,499 | |
| Avg Charges at DRG | $79,971 | |
| Avg Charges with ICD F1123 - Opioid dependence with withdrawal | $53,729 | |
| Mortality Rate at DRG | 0.83 | |
| Mortality Rate with ICD F1123 - Opioid dependence with withdrawal | NA | |
| SNF Discharge Rate at DRG | 22.41 | |
| SNF Discharge Rate with ICD F1123 - Opioid dependence with withdrawal | NA | |
| Home Discharge Rate at DRG | 43.51 | |
| Home Discharge Rate with ICD F1123 - Opioid dependence with withdrawal | 45.83 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| SUMMIT OAKS HOSPITAL | 19 PROSPECT ST | SUMMIT | NJ | 07901 | 1,280 |
| TURNING POINT HOSPITAL | 3015 VETERANS PKWY S | MOULTRIE | GA | 31788 | 801 |
| EAGLEVILLE HOSPITAL | 100 EAGLEVILLE RD | EAGLEVILLE | PA | 19403 | 714 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. HILTON GORDON | 4646 N MARINE DR | CHICAGO | IL | 60640 | 978 |
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 776 |
| Dr. THEODORE V PARRAN | 2351 E 22ND ST | CLEVELAND | OH | 44115 | 559 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. HILTON GORDON | 4646 N MARINE DR | CHICAGO | IL | 60640 | 979 |
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 771 |
| Dr. THEODORE V PARRAN | 2351 E 22ND ST | CLEVELAND | OH | 44115 | 601 |
*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 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 F1123 - Opioid dependence with withdrawal | 26,877 | ||||
| DRG Share of Total Hospitalizations | 0.51 | ||||
| % of Total ICD F1123 - Opioid dependence with withdrawal in DRG | 33.6 | ||||
| Avg LOS at DRG | 5.54 | ||||
| Avg LOS with ICD F1123 - Opioid dependence with withdrawal | 5.28 | ||||
| Readmission Rate at DRG | 28.6 | ||||
| Readmission Rate with ICD F1123 - Opioid dependence with withdrawal | 25.96 | ||||
| Unplanned Readmission Rate at DRG | 14.22 | ||||
| Unplanned Readmission Rate with ICD F1123 - Opioid dependence with withdrawal | 9.92 | ||||
| Total Medicare payments at DRG | $830,329,176 | ||||
| Total Medicare payments with ICD F1123 - Opioid dependence with withdrawal | $132,830,283 | ||||
| Total Medicare payment per Day at DRG | $895 | ||||
| Total Medicare payment per Day with ICD F1123 - Opioid dependence with withdrawal | $935 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,955 | ||||
| Total Medicare payment per Hospitalization with ICD F1123 - Opioid dependence with withdrawal | $4,942 | ||||
| Total Medicare Charges at DRG | $3,314,158,261 | ||||
| Total Medicare Charges with ICD F1123 - Opioid dependence with withdrawal | $408,462,459 | ||||
| Avg Charges at DRG | $19,777 | ||||
| Avg Charges with ICD F1123 - Opioid dependence with withdrawal | $15,197 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD F1123 - Opioid dependence with withdrawal | NA | ||||
| SNF Discharge Rate at DRG | 5.67 | ||||
| SNF Discharge Rate with ICD F1123 - Opioid dependence with withdrawal | 1.66 | ||||
| Home Discharge Rate at DRG | 80.01 | ||||
| Home Discharge Rate with ICD F1123 - Opioid dependence with withdrawal | 87.67 |
*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 917: POISONING AND TOXIC EFFECTS OF DRUGS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 881: DEPRESSIVE NEUROSES | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 918: POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD F1123 - Opioid dependence with withdrawal | 2,011 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD F1123 - Opioid dependence with withdrawal in DRG | 2.51 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD F1123 - Opioid dependence with withdrawal | 8.24 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD F1123 - Opioid dependence with withdrawal | 29.84 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD F1123 - Opioid dependence with withdrawal | 20.16 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD F1123 - Opioid dependence with withdrawal | $25,875,562 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD F1123 - Opioid dependence with withdrawal | $1,561 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD F1123 - Opioid dependence with withdrawal | $12,867 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD F1123 - Opioid dependence with withdrawal | $161,569,111 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD F1123 - Opioid dependence with withdrawal | $80,343 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD F1123 - Opioid dependence with withdrawal | 3.63 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD F1123 - Opioid dependence with withdrawal | 21.53 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD F1123 - Opioid dependence with withdrawal | 37.2 |
*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 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD F1123 - Opioid dependence with withdrawal | 576 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD F1123 - Opioid dependence with withdrawal in DRG | 0.72 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD F1123 - Opioid dependence with withdrawal | 3.74 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD F1123 - Opioid dependence with withdrawal | 25.05 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD F1123 - Opioid dependence with withdrawal | 16.13 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD F1123 - Opioid dependence with withdrawal | $3,279,942 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD F1123 - Opioid dependence with withdrawal | $1,522 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD F1123 - Opioid dependence with withdrawal | $5,694 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD F1123 - Opioid dependence with withdrawal | $15,504,132 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD F1123 - Opioid dependence with withdrawal | $26,917 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD F1123 - Opioid dependence with withdrawal | NA | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD F1123 - Opioid dependence with withdrawal | 10.24 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD F1123 - Opioid dependence with withdrawal | 62.5 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD F1123 - Opioid dependence with withdrawal | 430 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD F1123 - Opioid dependence with withdrawal in DRG | 0.54 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD F1123 - Opioid dependence with withdrawal | 5.77 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD F1123 - Opioid dependence with withdrawal | 32.28 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD F1123 - Opioid dependence with withdrawal | 24.07 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD F1123 - Opioid dependence with withdrawal | $3,920,043 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD F1123 - Opioid dependence with withdrawal | $1,579 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD F1123 - Opioid dependence with withdrawal | $9,116 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD F1123 - Opioid dependence with withdrawal | $20,173,507 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD F1123 - Opioid dependence with withdrawal | $46,915 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD F1123 - Opioid dependence with withdrawal | NA | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD F1123 - Opioid dependence with withdrawal | 14.88 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD F1123 - Opioid dependence with withdrawal | 49.07 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| SUMMIT OAKS HOSPITAL | 19 PROSPECT ST | SUMMIT | NJ | 07901 | 1,409 |
| TURNING POINT HOSPITAL | 3015 VETERANS PKWY S | MOULTRIE | GA | 31788 | 1,273 |
| WINDSOR LAURELWOOD CENTER FOR BEHAVIORAL MEDICINE | 35900 EUCLID AVENUE | WILLOUGHBY | OH | 44094 | 903 |
| 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 | 1,183 |
| Dr. HILTON GORDON | 4646 N MARINE DR | CHICAGO | IL | 60640 | 993 |
| Dr. THEODORE V PARRAN | 2351 E 22ND ST | CLEVELAND | OH | 44115 | 735 |
| 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 | 1,176 |
| Dr. HILTON GORDON | 4646 N MARINE DR | CHICAGO | IL | 60640 | 981 |
| Dr. THEODORE V PARRAN | 2351 E 22ND ST | CLEVELAND | OH | 44115 | 735 |