*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| F1190 - Opioid use, unspecified, uncomplicated - as a primary diagnosis code | F1190 - Opioid use, unspecified, uncomplicated - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.19 | |
| Readmission Rate (%) | 28.16 | |
| Unplanned Readmission Rate (%) | 10.83 | |
| 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 894: ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | DRG 895: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | 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 F1190 - Opioid use, unspecified, uncomplicated | 328 | |||
| DRG Share of Total Hospitalizations | 0.51 | |||
| % of Total ICD F1190 - Opioid use, unspecified, uncomplicated in DRG | 76.1 | |||
| Avg LOS at DRG | 5.54 | |||
| Avg LOS with ICD F1190 - Opioid use, unspecified, uncomplicated | 6.37 | |||
| Readmission Rate at DRG | 28.6 | |||
| Readmission Rate with ICD F1190 - Opioid use, unspecified, uncomplicated | 20.7 | |||
| Unplanned Readmission Rate at DRG | 14.22 | |||
| Unplanned Readmission Rate with ICD F1190 - Opioid use, unspecified, uncomplicated | 10.83 | |||
| Total Medicare payments at DRG | $830,329,176 | |||
| Total Medicare payments with ICD F1190 - Opioid use, unspecified, uncomplicated | $1,416,018 | |||
| Total Medicare payment per Day at DRG | $895 | |||
| Total Medicare payment per Day with ICD F1190 - Opioid use, unspecified, uncomplicated | $678 | |||
| Total Medicare payment per Hospitalization at DRG | $4,955 | |||
| Total Medicare payment per Hospitalization with ICD F1190 - Opioid use, unspecified, uncomplicated | $4,317 | |||
| Total Medicare Charges at DRG | $3,314,158,261 | |||
| Total Medicare Charges with ICD F1190 - Opioid use, unspecified, uncomplicated | $4,841,785 | |||
| Avg Charges at DRG | $19,777 | |||
| Avg Charges with ICD F1190 - Opioid use, unspecified, uncomplicated | $14,762 | |||
| Mortality Rate at DRG | 0.03 | |||
| Mortality Rate with ICD F1190 - Opioid use, unspecified, uncomplicated | NA | |||
| SNF Discharge Rate at DRG | 5.67 | |||
| SNF Discharge Rate with ICD F1190 - Opioid use, unspecified, uncomplicated | NA | |||
| Home Discharge Rate at DRG | 80.01 | |||
| Home Discharge Rate with ICD F1190 - Opioid use, unspecified, uncomplicated | 89.94 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MCLEAN HOSPITAL | 115 MILL ST | BELMONT | MA | 02478 | 41 |
| ST. VINCENT KOKOMO | 1907 W SYCAMORE ST | KOKOMO | IN | 46901 | 29 |
| SAVOY MEDICAL MANAGEMENT GROUP, INC. | 1610 7TH ST | MAMOU | LA | 70554 | 14 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. THOMAS EDMUND KREIDER | 7165 CLEARVISTA PARKWAY | INDIANAPOLIS | IN | 46256 | 12 |
| Dr. SITHA GITA KALAPATAPU | 6 CHASE PARK | LOGANSPORT | IN | 46947 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CRAIG E. BOYAJIAN | 115 MILL ST | BELMONT | MA | 02478 | 17 |
| Dr. THOMAS EDMUND KREIDER | 7165 CLEARVISTA PARKWAY | INDIANAPOLIS | IN | 46256 | 14 |
| Dr. SITHA GITA KALAPATAPU | 6 CHASE PARK | LOGANSPORT | IN | 46947 | 12 |
*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 917: POISONING AND TOXIC EFFECTS OF DRUGS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 881: DEPRESSIVE NEUROSES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD F1190 - Opioid use, unspecified, uncomplicated | 6,669 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD F1190 - Opioid use, unspecified, uncomplicated in DRG | 19.41 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD F1190 - Opioid use, unspecified, uncomplicated | 8.57 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD F1190 - Opioid use, unspecified, uncomplicated | 31.66 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD F1190 - Opioid use, unspecified, uncomplicated | 16.5 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD F1190 - Opioid use, unspecified, uncomplicated | $44,038,493 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD F1190 - Opioid use, unspecified, uncomplicated | $770 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD F1190 - Opioid use, unspecified, uncomplicated | $6,603 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD F1190 - Opioid use, unspecified, uncomplicated | $162,658,381 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD F1190 - Opioid use, unspecified, uncomplicated | $24,390 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD F1190 - Opioid use, unspecified, uncomplicated | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD F1190 - Opioid use, unspecified, uncomplicated | 1.27 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD F1190 - Opioid use, unspecified, uncomplicated | 86.5 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 918: POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD F1190 - Opioid use, unspecified, uncomplicated | 721 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD F1190 - Opioid use, unspecified, uncomplicated in DRG | 2.1 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD F1190 - Opioid use, unspecified, uncomplicated | 3.28 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD F1190 - Opioid use, unspecified, uncomplicated | 23.3 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD F1190 - Opioid use, unspecified, uncomplicated | 18.44 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD F1190 - Opioid use, unspecified, uncomplicated | $3,301,088 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD F1190 - Opioid use, unspecified, uncomplicated | $1,394 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD F1190 - Opioid use, unspecified, uncomplicated | $4,578 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD F1190 - Opioid use, unspecified, uncomplicated | $21,169,716 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD F1190 - Opioid use, unspecified, uncomplicated | $29,362 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD F1190 - Opioid use, unspecified, uncomplicated | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD F1190 - Opioid use, unspecified, uncomplicated | 5.13 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD F1190 - Opioid use, unspecified, uncomplicated | 77.12 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD F1190 - Opioid use, unspecified, uncomplicated | 412 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD F1190 - Opioid use, unspecified, uncomplicated in DRG | 1.2 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD F1190 - Opioid use, unspecified, uncomplicated | 4.75 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD F1190 - Opioid use, unspecified, uncomplicated | 27.6 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD F1190 - Opioid use, unspecified, uncomplicated | 22.66 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD F1190 - Opioid use, unspecified, uncomplicated | $3,025,100 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD F1190 - Opioid use, unspecified, uncomplicated | $1,546 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD F1190 - Opioid use, unspecified, uncomplicated | $7,342 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD F1190 - Opioid use, unspecified, uncomplicated | $16,592,450 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD F1190 - Opioid use, unspecified, uncomplicated | $40,273 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD F1190 - Opioid use, unspecified, uncomplicated | NA | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD F1190 - Opioid use, unspecified, uncomplicated | 11.65 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD F1190 - Opioid use, unspecified, uncomplicated | 59.95 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 201,938 | ||||
| Total Hospitalizations with ICD F1190 - Opioid use, unspecified, uncomplicated | 299 | ||||
| DRG Share of Total Hospitalizations | 0.61 | ||||
| % of Total ICD F1190 - Opioid use, unspecified, uncomplicated in DRG | 0.87 | ||||
| Avg LOS at DRG | 3.4 | ||||
| Avg LOS with ICD F1190 - Opioid use, unspecified, uncomplicated | 5.03 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD F1190 - Opioid use, unspecified, uncomplicated | 45.68 | ||||
| Unplanned Readmission Rate at DRG | 21.29 | ||||
| Unplanned Readmission Rate with ICD F1190 - Opioid use, unspecified, uncomplicated | 39.57 | ||||
| Total Medicare payments at DRG | $1,046,791,335 | ||||
| Total Medicare payments with ICD F1190 - Opioid use, unspecified, uncomplicated | $1,670,488 | ||||
| Total Medicare payment per Day at DRG | $1,523 | ||||
| Total Medicare payment per Day with ICD F1190 - Opioid use, unspecified, uncomplicated | $1,111 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,184 | ||||
| Total Medicare payment per Hospitalization with ICD F1190 - Opioid use, unspecified, uncomplicated | $5,587 | ||||
| Total Medicare Charges at DRG | $5,572,284,000 | ||||
| Total Medicare Charges with ICD F1190 - Opioid use, unspecified, uncomplicated | $9,480,801 | ||||
| Avg Charges at DRG | $27,594 | ||||
| Avg Charges with ICD F1190 - Opioid use, unspecified, uncomplicated | $31,708 | ||||
| Mortality Rate at DRG | 0.31 | ||||
| Mortality Rate with ICD F1190 - Opioid use, unspecified, uncomplicated | NA | ||||
| SNF Discharge Rate at DRG | 12.45 | ||||
| SNF Discharge Rate with ICD F1190 - Opioid use, unspecified, uncomplicated | NA | ||||
| Home Discharge Rate at DRG | 66.72 | ||||
| Home Discharge Rate with ICD F1190 - Opioid use, unspecified, uncomplicated | 86.96 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UPMC PRESBYTERIAN SHADYSIDE | 200 LOTHROP ST | PITTSBURGH | PA | 15213 | 253 |
| BRIGHAM AND WOMEN'S HOSPITAL | 75 FRANCIS ST | BOSTON | MA | 02115 | 243 |
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 233 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. HETAL K. BRAHMBHATT | 403 N STATE OF FRANKLIN RD | JOHNSON CITY | TN | 37604 | 98 |
| Dr. MONIR CHAUDHRY | 560 W 3RD ST | JAMESTOWN | NY | 14701 | 31 |
| Dr. TERRY C BOREL | 403 N STATE OF FRANKLIN RD | JOHNSON CITY | TN | 37604 | 24 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ROBERT OLIVER MORTON | 1000 ROLLING HILLS LN | ADA | OK | 74820 | 106 |
| Dr. HETAL K. BRAHMBHATT | 403 N STATE OF FRANKLIN RD | JOHNSON CITY | TN | 37604 | 97 |
| Dr. JEFFRY TRAVIS GEE | 1333 SOUTHVIEW DRIVE | BLUEFIELD | WV | 24701 | 56 |