*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| F1124 - Opioid dependence with opioid-induced mood disorder - as a primary diagnosis code | F1124 - Opioid dependence with opioid-induced mood disorder - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.55 | |
| Readmission Rate (%) | 32.13 | |
| Unplanned Readmission Rate (%) | 14.02 | |
| 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 F1124 - Opioid dependence with opioid-induced mood disorder | 850 | |||
| DRG Share of Total Hospitalizations | 0.51 | |||
| % of Total ICD F1124 - Opioid dependence with opioid-induced mood disorder in DRG | 84.83 | |||
| Avg LOS at DRG | 5.54 | |||
| Avg LOS with ICD F1124 - Opioid dependence with opioid-induced mood disorder | 5.95 | |||
| Readmission Rate at DRG | 28.6 | |||
| Readmission Rate with ICD F1124 - Opioid dependence with opioid-induced mood disorder | 33.7 | |||
| Unplanned Readmission Rate at DRG | 14.22 | |||
| Unplanned Readmission Rate with ICD F1124 - Opioid dependence with opioid-induced mood disorder | 14.55 | |||
| Total Medicare payments at DRG | $830,329,176 | |||
| Total Medicare payments with ICD F1124 - Opioid dependence with opioid-induced mood disorder | $3,374,868 | |||
| Total Medicare payment per Day at DRG | $895 | |||
| Total Medicare payment per Day with ICD F1124 - Opioid dependence with opioid-induced mood disorder | $667 | |||
| Total Medicare payment per Hospitalization at DRG | $4,955 | |||
| Total Medicare payment per Hospitalization with ICD F1124 - Opioid dependence with opioid-induced mood disorder | $3,970 | |||
| Total Medicare Charges at DRG | $3,314,158,261 | |||
| Total Medicare Charges with ICD F1124 - Opioid dependence with opioid-induced mood disorder | $13,236,724 | |||
| Avg Charges at DRG | $19,777 | |||
| Avg Charges with ICD F1124 - Opioid dependence with opioid-induced mood disorder | $15,573 | |||
| Mortality Rate at DRG | 0.03 | |||
| Mortality Rate with ICD F1124 - Opioid dependence with opioid-induced mood disorder | NA | |||
| SNF Discharge Rate at DRG | 5.67 | |||
| SNF Discharge Rate with ICD F1124 - Opioid dependence with opioid-induced mood disorder | NA | |||
| Home Discharge Rate at DRG | 80.01 | |||
| Home Discharge Rate with ICD F1124 - Opioid dependence with opioid-induced mood disorder | 91.65 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BOURNEWOOD HOSPITAL | 300 SOUTH ST | BROOKLINE | MA | 02467 | 71 |
| BLOUNT MEMORIAL HOSPITAL | 907 E LAMAR ALEXANDER PKWY | MARYVILLE | TN | 37804 | 33 |
| PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER - SAN PEDRO | 1300 W 7TH ST | SAN PEDRO | CA | 90732 | 26 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. PAUL WARRICK MILLER | 907 E LAMAR ALEXANDER PKWY | MARYVILLE | TN | 37804 | 27 |
| Dr. CRESCENZO PISANO | 1499 W 1ST ST | SAN PEDRO | CA | 90732 | 21 |
| Dr. STEVEN EDWARD HOLROYD | 2470 WRONDEL WAY | RENO | NV | 89502 | 15 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MARK BRUDNIAK | 300 SOUTH ST | BROOKLINE | MA | 02467 | 61 |
| Dr. PAUL WARRICK MILLER | 907 E LAMAR ALEXANDER PKWY | MARYVILLE | TN | 37804 | 33 |
| Dr. CRESCENZO PISANO | 1499 W 1ST ST | SAN PEDRO | CA | 90732 | 26 |
*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 881: DEPRESSIVE NEUROSES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 167,575 | ||||
| Total Hospitalizations with ICD F1124 - Opioid dependence with opioid-induced mood disorder | 1,568 | ||||
| DRG Share of Total Hospitalizations | 0.51 | ||||
| % of Total ICD F1124 - Opioid dependence with opioid-induced mood disorder in DRG | 46.69 | ||||
| Avg LOS at DRG | 5.54 | ||||
| Avg LOS with ICD F1124 - Opioid dependence with opioid-induced mood disorder | 6.18 | ||||
| Readmission Rate at DRG | 28.6 | ||||
| Readmission Rate with ICD F1124 - Opioid dependence with opioid-induced mood disorder | 30.6 | ||||
| Unplanned Readmission Rate at DRG | 14.22 | ||||
| Unplanned Readmission Rate with ICD F1124 - Opioid dependence with opioid-induced mood disorder | 13.66 | ||||
| Total Medicare payments at DRG | $830,329,176 | ||||
| Total Medicare payments with ICD F1124 - Opioid dependence with opioid-induced mood disorder | $6,653,058 | ||||
| Total Medicare payment per Day at DRG | $895 | ||||
| Total Medicare payment per Day with ICD F1124 - Opioid dependence with opioid-induced mood disorder | $687 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,955 | ||||
| Total Medicare payment per Hospitalization with ICD F1124 - Opioid dependence with opioid-induced mood disorder | $4,243 | ||||
| Total Medicare Charges at DRG | $3,314,158,261 | ||||
| Total Medicare Charges with ICD F1124 - Opioid dependence with opioid-induced mood disorder | $25,957,769 | ||||
| Avg Charges at DRG | $19,777 | ||||
| Avg Charges with ICD F1124 - Opioid dependence with opioid-induced mood disorder | $16,555 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD F1124 - Opioid dependence with opioid-induced mood disorder | NA | ||||
| SNF Discharge Rate at DRG | 5.67 | ||||
| SNF Discharge Rate with ICD F1124 - Opioid dependence with opioid-induced mood disorder | NA | ||||
| Home Discharge Rate at DRG | 80.01 | ||||
| Home Discharge Rate with ICD F1124 - Opioid dependence with opioid-induced mood disorder | 91.58 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 896: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 917: POISONING AND TOXIC EFFECTS OF DRUGS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 918: POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 882: NEUROSES EXCEPT DEPRESSIVE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 31,432 | ||||
| Total Hospitalizations with ICD F1124 - Opioid dependence with opioid-induced mood disorder | 79 | ||||
| DRG Share of Total Hospitalizations | 0.1 | ||||
| % of Total ICD F1124 - Opioid dependence with opioid-induced mood disorder in DRG | 2.35 | ||||
| Avg LOS at DRG | 6.73 | ||||
| Avg LOS with ICD F1124 - Opioid dependence with opioid-induced mood disorder | 7.66 | ||||
| Readmission Rate at DRG | 28.98 | ||||
| Readmission Rate with ICD F1124 - Opioid dependence with opioid-induced mood disorder | 22.22 | ||||
| Unplanned Readmission Rate at DRG | 17.59 | ||||
| Unplanned Readmission Rate with ICD F1124 - Opioid dependence with opioid-induced mood disorder | NA | ||||
| Total Medicare payments at DRG | $328,944,719 | ||||
| Total Medicare payments with ICD F1124 - Opioid dependence with opioid-induced mood disorder | $612,570 | ||||
| Total Medicare payment per Day at DRG | $1,556 | ||||
| Total Medicare payment per Day with ICD F1124 - Opioid dependence with opioid-induced mood disorder | $1,013 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,465 | ||||
| Total Medicare payment per Hospitalization with ICD F1124 - Opioid dependence with opioid-induced mood disorder | $7,754 | ||||
| Total Medicare Charges at DRG | $1,547,716,423 | ||||
| Total Medicare Charges with ICD F1124 - Opioid dependence with opioid-induced mood disorder | $2,559,939 | ||||
| Avg Charges at DRG | $49,240 | ||||
| Avg Charges with ICD F1124 - Opioid dependence with opioid-induced mood disorder | $32,404 | ||||
| Mortality Rate at DRG | 1.22 | ||||
| Mortality Rate with ICD F1124 - Opioid dependence with opioid-induced mood disorder | NA | ||||
| SNF Discharge Rate at DRG | 21.13 | ||||
| SNF Discharge Rate with ICD F1124 - Opioid dependence with opioid-induced mood disorder | NA | ||||
| Home Discharge Rate at DRG | 53.38 | ||||
| Home Discharge Rate with ICD F1124 - Opioid dependence with opioid-induced mood disorder | 82.28 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 884: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 880: ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | |
|---|---|---|---|
| Total Hospitalizations at DRG | 144,507 | ||
| Total Hospitalizations with ICD F1124 - Opioid dependence with opioid-induced mood disorder | 17 | ||
| DRG Share of Total Hospitalizations | 0.44 | ||
| % of Total ICD F1124 - Opioid dependence with opioid-induced mood disorder in DRG | 0.51 | ||
| Avg LOS at DRG | 11.23 | ||
| Avg LOS with ICD F1124 - Opioid dependence with opioid-induced mood disorder | 8.29 | ||
| Readmission Rate at DRG | 20.52 | ||
| Readmission Rate with ICD F1124 - Opioid dependence with opioid-induced mood disorder | NA | ||
| Unplanned Readmission Rate at DRG | 12.21 | ||
| Unplanned Readmission Rate with ICD F1124 - Opioid dependence with opioid-induced mood disorder | NA | ||
| Total Medicare payments at DRG | $1,495,371,248 | ||
| Total Medicare payments with ICD F1124 - Opioid dependence with opioid-induced mood disorder | $140,108 | ||
| Total Medicare payment per Day at DRG | $922 | ||
| Total Medicare payment per Day with ICD F1124 - Opioid dependence with opioid-induced mood disorder | $994 | ||
| Total Medicare payment per Hospitalization at DRG | $10,348 | ||
| Total Medicare payment per Hospitalization with ICD F1124 - Opioid dependence with opioid-induced mood disorder | $8,242 | ||
| Total Medicare Charges at DRG | $5,107,483,805 | ||
| Total Medicare Charges with ICD F1124 - Opioid dependence with opioid-induced mood disorder | $416,995 | ||
| Avg Charges at DRG | $35,344 | ||
| Avg Charges with ICD F1124 - Opioid dependence with opioid-induced mood disorder | $24,529 | ||
| Mortality Rate at DRG | 0.73 | ||
| Mortality Rate with ICD F1124 - Opioid dependence with opioid-induced mood disorder | NA | ||
| SNF Discharge Rate at DRG | 38.43 | ||
| SNF Discharge Rate with ICD F1124 - Opioid dependence with opioid-induced mood disorder | NA | ||
| Home Discharge Rate at DRG | 27.81 | ||
| Home Discharge Rate with ICD F1124 - Opioid dependence with opioid-induced mood disorder | 76.47 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| JOHN MUIR HEALTH BEHAVIORAL HEALTH CENTER | 2740 GRANT ST | CONCORD | CA | 94520 | 153 |
| BOURNEWOOD HOSPITAL | 300 SOUTH ST | BROOKLINE | MA | 02467 | 108 |
| TEXAS STAR RECOVERY | 1106 W DITTMAR RD | AUSTIN | TX | 78745 | 77 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RUSSELL H CARTER | 4534 WEST GATE BLVD STE 112 | AUSTIN | TX | 78745 | 72 |
| Dr. PAUL WARRICK MILLER | 907 E LAMAR ALEXANDER PKWY | MARYVILLE | TN | 37804 | 39 |
| Dr. STEVEN EDWARD HOLROYD | 2470 WRONDEL WAY | RENO | NV | 89502 | 33 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. FRED JOHN VONSTIEFF | 2481 PACHECO ST | CONCORD | CA | 94520 | 151 |
| Dr. MARK BRUDNIAK | 300 SOUTH ST | BROOKLINE | MA | 02467 | 84 |
| Dr. RUSSELL H CARTER | 4534 WEST GATE BLVD STE 112 | AUSTIN | TX | 78745 | 73 |