*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| F1290 - Cannabis use, unspecified, uncomplicated - as a primary diagnosis code | F1290 - Cannabis use, unspecified, uncomplicated - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.71 | |
| Readmission Rate (%) | 26.12 | |
| 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 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 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 F1290 - Cannabis use, unspecified, uncomplicated | 68 | ||
| DRG Share of Total Hospitalizations | 0.51 | ||
| % of Total ICD F1290 - Cannabis use, unspecified, uncomplicated in DRG | 68.69 | ||
| Avg LOS at DRG | 5.54 | ||
| Avg LOS with ICD F1290 - Cannabis use, unspecified, uncomplicated | 5.49 | ||
| Readmission Rate at DRG | 28.6 | ||
| Readmission Rate with ICD F1290 - Cannabis use, unspecified, uncomplicated | 19.7 | ||
| Unplanned Readmission Rate at DRG | 14.22 | ||
| Unplanned Readmission Rate with ICD F1290 - Cannabis use, unspecified, uncomplicated | NA | ||
| Total Medicare payments at DRG | $830,329,176 | ||
| Total Medicare payments with ICD F1290 - Cannabis use, unspecified, uncomplicated | $266,580 | ||
| Total Medicare payment per Day at DRG | $895 | ||
| Total Medicare payment per Day with ICD F1290 - Cannabis use, unspecified, uncomplicated | $715 | ||
| Total Medicare payment per Hospitalization at DRG | $4,955 | ||
| Total Medicare payment per Hospitalization with ICD F1290 - Cannabis use, unspecified, uncomplicated | $3,920 | ||
| Total Medicare Charges at DRG | $3,314,158,261 | ||
| Total Medicare Charges with ICD F1290 - Cannabis use, unspecified, uncomplicated | $1,178,833 | ||
| Avg Charges at DRG | $19,777 | ||
| Avg Charges with ICD F1290 - Cannabis use, unspecified, uncomplicated | $17,336 | ||
| Mortality Rate at DRG | 0.03 | ||
| Mortality Rate with ICD F1290 - Cannabis use, unspecified, uncomplicated | NA | ||
| SNF Discharge Rate at DRG | 5.67 | ||
| SNF Discharge Rate with ICD F1290 - Cannabis use, unspecified, uncomplicated | NA | ||
| Home Discharge Rate at DRG | 80.01 | ||
| Home Discharge Rate with ICD F1290 - Cannabis use, unspecified, uncomplicated | 86.76 |
*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 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD F1290 - Cannabis use, unspecified, uncomplicated | 34,952 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD F1290 - Cannabis use, unspecified, uncomplicated in DRG | 19.89 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD F1290 - Cannabis use, unspecified, uncomplicated | 9.1 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD F1290 - Cannabis use, unspecified, uncomplicated | 28.85 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD F1290 - Cannabis use, unspecified, uncomplicated | 13.91 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD F1290 - Cannabis use, unspecified, uncomplicated | $243,756,282 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD F1290 - Cannabis use, unspecified, uncomplicated | $767 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD F1290 - Cannabis use, unspecified, uncomplicated | $6,974 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD F1290 - Cannabis use, unspecified, uncomplicated | $923,098,701 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD F1290 - Cannabis use, unspecified, uncomplicated | $26,410 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD F1290 - Cannabis use, unspecified, uncomplicated | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD F1290 - Cannabis use, unspecified, uncomplicated | 1.12 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD F1290 - Cannabis use, unspecified, uncomplicated | 87.72 |
*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 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 101: SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 881: DEPRESSIVE NEUROSES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD F1290 - Cannabis use, unspecified, uncomplicated | 2,235 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD F1290 - Cannabis use, unspecified, uncomplicated in DRG | 1.27 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD F1290 - Cannabis use, unspecified, uncomplicated | 2.41 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD F1290 - Cannabis use, unspecified, uncomplicated | 8.17 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD F1290 - Cannabis use, unspecified, uncomplicated | 3.21 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD F1290 - Cannabis use, unspecified, uncomplicated | $28,022,251 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD F1290 - Cannabis use, unspecified, uncomplicated | $5,210 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD F1290 - Cannabis use, unspecified, uncomplicated | $12,538 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD F1290 - Cannabis use, unspecified, uncomplicated | $147,527,642 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD F1290 - Cannabis use, unspecified, uncomplicated | $66,008 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD F1290 - Cannabis use, unspecified, uncomplicated | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD F1290 - Cannabis use, unspecified, uncomplicated | 15.57 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD F1290 - Cannabis use, unspecified, uncomplicated | 37.4 |
*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 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 101,548 | ||||
| Total Hospitalizations with ICD F1290 - Cannabis use, unspecified, uncomplicated | 2,071 | ||||
| DRG Share of Total Hospitalizations | 0.31 | ||||
| % of Total ICD F1290 - Cannabis use, unspecified, uncomplicated in DRG | 1.18 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD F1290 - Cannabis use, unspecified, uncomplicated | 4.17 | ||||
| Readmission Rate at DRG | 32.74 | ||||
| Readmission Rate with ICD F1290 - Cannabis use, unspecified, uncomplicated | 33.78 | ||||
| Unplanned Readmission Rate at DRG | 13.79 | ||||
| Unplanned Readmission Rate with ICD F1290 - Cannabis use, unspecified, uncomplicated | 10.18 | ||||
| Total Medicare payments at DRG | $922,969,291 | ||||
| Total Medicare payments with ICD F1290 - Cannabis use, unspecified, uncomplicated | $19,423,065 | ||||
| Total Medicare payment per Day at DRG | $1,941 | ||||
| Total Medicare payment per Day with ICD F1290 - Cannabis use, unspecified, uncomplicated | $2,247 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,089 | ||||
| Total Medicare payment per Hospitalization with ICD F1290 - Cannabis use, unspecified, uncomplicated | $9,379 | ||||
| Total Medicare Charges at DRG | $4,727,523,206 | ||||
| Total Medicare Charges with ICD F1290 - Cannabis use, unspecified, uncomplicated | $87,320,528 | ||||
| Avg Charges at DRG | $46,555 | ||||
| Avg Charges with ICD F1290 - Cannabis use, unspecified, uncomplicated | $42,163 | ||||
| Mortality Rate at DRG | 2.95 | ||||
| Mortality Rate with ICD F1290 - Cannabis use, unspecified, uncomplicated | 1.59 | ||||
| SNF Discharge Rate at DRG | 13.87 | ||||
| SNF Discharge Rate with ICD F1290 - Cannabis use, unspecified, uncomplicated | 5.6 | ||||
| Home Discharge Rate at DRG | 43.04 | ||||
| Home Discharge Rate with ICD F1290 - Cannabis use, unspecified, uncomplicated | 52.34 |
*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 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 918: POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 247: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 201,938 | ||||
| Total Hospitalizations with ICD F1290 - Cannabis use, unspecified, uncomplicated | 1,720 | ||||
| DRG Share of Total Hospitalizations | 0.61 | ||||
| % of Total ICD F1290 - Cannabis use, unspecified, uncomplicated in DRG | 0.98 | ||||
| Avg LOS at DRG | 3.4 | ||||
| Avg LOS with ICD F1290 - Cannabis use, unspecified, uncomplicated | 3.69 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD F1290 - Cannabis use, unspecified, uncomplicated | 39.33 | ||||
| Unplanned Readmission Rate at DRG | 21.29 | ||||
| Unplanned Readmission Rate with ICD F1290 - Cannabis use, unspecified, uncomplicated | 34.52 | ||||
| Total Medicare payments at DRG | $1,046,791,335 | ||||
| Total Medicare payments with ICD F1290 - Cannabis use, unspecified, uncomplicated | $9,767,958 | ||||
| Total Medicare payment per Day at DRG | $1,523 | ||||
| Total Medicare payment per Day with ICD F1290 - Cannabis use, unspecified, uncomplicated | $1,541 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,184 | ||||
| Total Medicare payment per Hospitalization with ICD F1290 - Cannabis use, unspecified, uncomplicated | $5,679 | ||||
| Total Medicare Charges at DRG | $5,572,284,000 | ||||
| Total Medicare Charges with ICD F1290 - Cannabis use, unspecified, uncomplicated | $44,743,622 | ||||
| Avg Charges at DRG | $27,594 | ||||
| Avg Charges with ICD F1290 - Cannabis use, unspecified, uncomplicated | $26,014 | ||||
| Mortality Rate at DRG | 0.31 | ||||
| Mortality Rate with ICD F1290 - Cannabis use, unspecified, uncomplicated | NA | ||||
| SNF Discharge Rate at DRG | 12.45 | ||||
| SNF Discharge Rate with ICD F1290 - Cannabis use, unspecified, uncomplicated | 0.93 | ||||
| Home Discharge Rate at DRG | 66.72 | ||||
| Home Discharge Rate with ICD F1290 - Cannabis use, unspecified, uncomplicated | 85.64 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BAYSTATE MEDICAL CENTER | 759 CHESTNUT ST | SPRINGFIELD | MA | 01199 | 889 |
| BERKSHIRE MEDICAL CENTER | 725 NORTH ST | PITTSFIELD | MA | 01201 | 880 |
| UNIVERSITY OF CINCINNATI MEDICAL CENTER | 234 GOODMAN STREET | CINCINNATI | OH | 45219 | 815 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. THOMAS SCOTT GROGEAN | 1700 S TAMIAMI TRAIL | SARASOTA | FL | 34239 | 122 |
| Dr. LJILJANA MARKOVIC | 25 MARSHALL STREET | NORTH ADAMS | MA | 01247 | 121 |
| Dr. RONALD F. PIKE | 107 LINCOLN ST | WORCESTER | MA | 01605 | 104 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. LJILJANA MARKOVIC | 25 MARSHALL STREET | NORTH ADAMS | MA | 01247 | 146 |
| Dr. JULIE LYNN SANFORD | 6160 TUTT BLVD | COLORADO SPRINGS | CO | 80923 | 140 |
| Dr. C. DEAN MILNE | 2010 GOLDRING AVE. | LAS VEGAS | NV | 89106 | 139 |