*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| F1421 - Cocaine dependence, in remission - as a primary diagnosis code | F1421 - Cocaine dependence, in remission - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.69 | |
| Readmission Rate (%) | 28.11 | |
| 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 | |
|---|---|
| Total Hospitalizations at DRG | 44,726 |
| Total Hospitalizations with ICD F1421 - Cocaine dependence, in remission | 13 |
| DRG Share of Total Hospitalizations | 0.14 |
| % of Total ICD F1421 - Cocaine dependence, in remission in DRG | 72.22 |
| Avg LOS at DRG | 12.1 |
| Avg LOS with ICD F1421 - Cocaine dependence, in remission | 10.46 |
| Readmission Rate at DRG | 22.75 |
| Readmission Rate with ICD F1421 - Cocaine dependence, in remission | NA |
| Unplanned Readmission Rate at DRG | 8.4 |
| Unplanned Readmission Rate with ICD F1421 - Cocaine dependence, in remission | NA |
| Total Medicare payments at DRG | $426,733,948 |
| Total Medicare payments with ICD F1421 - Cocaine dependence, in remission | $103,013 |
| Total Medicare payment per Day at DRG | $789 |
| Total Medicare payment per Day with ICD F1421 - Cocaine dependence, in remission | $757 |
| Total Medicare payment per Hospitalization at DRG | $9,541 |
| Total Medicare payment per Hospitalization with ICD F1421 - Cocaine dependence, in remission | $7,924 |
| Total Medicare Charges at DRG | $1,040,774,746 |
| Total Medicare Charges with ICD F1421 - Cocaine dependence, in remission | $238,358 |
| Avg Charges at DRG | $23,270 |
| Avg Charges with ICD F1421 - Cocaine dependence, in remission | $18,335 |
| Mortality Rate at DRG | NA |
| Mortality Rate with ICD F1421 - Cocaine dependence, in remission | NA |
| SNF Discharge Rate at DRG | 0.24 |
| SNF Discharge Rate with ICD F1421 - Cocaine dependence, in remission | NA |
| Home Discharge Rate at DRG | 92.46 |
| Home Discharge Rate with ICD F1421 - Cocaine dependence, in remission | NA |
*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 F1421 - Cocaine dependence, in remission | 3,083 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD F1421 - Cocaine dependence, in remission in DRG | 37.69 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD F1421 - Cocaine dependence, in remission | 11.27 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD F1421 - Cocaine dependence, in remission | 27.82 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD F1421 - Cocaine dependence, in remission | 13.11 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD F1421 - Cocaine dependence, in remission | $22,738,621 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD F1421 - Cocaine dependence, in remission | $654 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD F1421 - Cocaine dependence, in remission | $7,375 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD F1421 - Cocaine dependence, in remission | $78,569,738 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD F1421 - Cocaine dependence, in remission | $25,485 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD F1421 - Cocaine dependence, in remission | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD F1421 - Cocaine dependence, in remission | 1.65 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD F1421 - Cocaine dependence, in remission | 86.83 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 291: HEART FAILURE AND SHOCK WITH 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 882: NEUROSES EXCEPT DEPRESSIVE | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD F1421 - Cocaine dependence, in remission | 128 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD F1421 - Cocaine dependence, in remission in DRG | 1.56 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD F1421 - Cocaine dependence, in remission | 6.27 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD F1421 - Cocaine dependence, in remission | 38.94 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD F1421 - Cocaine dependence, in remission | 32.74 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD F1421 - Cocaine dependence, in remission | $1,291,333 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD F1421 - Cocaine dependence, in remission | $1,610 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD F1421 - Cocaine dependence, in remission | $10,089 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD F1421 - Cocaine dependence, in remission | $6,248,376 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD F1421 - Cocaine dependence, in remission | $48,815 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD F1421 - Cocaine dependence, in remission | NA | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD F1421 - Cocaine dependence, in remission | 9.38 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD F1421 - Cocaine dependence, in remission | 56.25 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 917: POISONING AND TOXIC EFFECTS OF DRUGS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 286,456 | ||||
| Total Hospitalizations with ICD F1421 - Cocaine dependence, in remission | 69 | ||||
| DRG Share of Total Hospitalizations | 0.87 | ||||
| % of Total ICD F1421 - Cocaine dependence, in remission in DRG | 0.84 | ||||
| Avg LOS at DRG | 3.75 | ||||
| Avg LOS with ICD F1421 - Cocaine dependence, in remission | 4.22 | ||||
| Readmission Rate at DRG | 22.9 | ||||
| Readmission Rate with ICD F1421 - Cocaine dependence, in remission | 34.33 | ||||
| Unplanned Readmission Rate at DRG | 18.29 | ||||
| Unplanned Readmission Rate with ICD F1421 - Cocaine dependence, in remission | 29.85 | ||||
| Total Medicare payments at DRG | $1,641,467,496 | ||||
| Total Medicare payments with ICD F1421 - Cocaine dependence, in remission | $448,654 | ||||
| Total Medicare payment per Day at DRG | $1,526 | ||||
| Total Medicare payment per Day with ICD F1421 - Cocaine dependence, in remission | $1,542 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,730 | ||||
| Total Medicare payment per Hospitalization with ICD F1421 - Cocaine dependence, in remission | $6,502 | ||||
| Total Medicare Charges at DRG | $8,050,963,680 | ||||
| Total Medicare Charges with ICD F1421 - Cocaine dependence, in remission | $2,441,891 | ||||
| Avg Charges at DRG | $28,105 | ||||
| Avg Charges with ICD F1421 - Cocaine dependence, in remission | $35,390 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD F1421 - Cocaine dependence, in remission | NA | ||||
| SNF Discharge Rate at DRG | 10.84 | ||||
| SNF Discharge Rate with ICD F1421 - Cocaine dependence, in remission | NA | ||||
| Home Discharge Rate at DRG | 59.73 | ||||
| Home Discharge Rate with ICD F1421 - Cocaine dependence, in remission | 66.67 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 883: DISORDERS OF PERSONALITY AND IMPULSE CONTROL | DRG 057: DEGENERATIVE NERVOUS SYSTEM 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 | 174,196 | ||||
| Total Hospitalizations with ICD F1421 - Cocaine dependence, in remission | 56 | ||||
| DRG Share of Total Hospitalizations | 0.53 | ||||
| % of Total ICD F1421 - Cocaine dependence, in remission in DRG | 0.68 | ||||
| Avg LOS at DRG | 3.86 | ||||
| Avg LOS with ICD F1421 - Cocaine dependence, in remission | 5.57 | ||||
| Readmission Rate at DRG | 23.62 | ||||
| Readmission Rate with ICD F1421 - Cocaine dependence, in remission | 28.57 | ||||
| Unplanned Readmission Rate at DRG | 17.61 | ||||
| Unplanned Readmission Rate with ICD F1421 - Cocaine dependence, in remission | 22.45 | ||||
| Total Medicare payments at DRG | $959,872,570 | ||||
| Total Medicare payments with ICD F1421 - Cocaine dependence, in remission | $383,559 | ||||
| Total Medicare payment per Day at DRG | $1,426 | ||||
| Total Medicare payment per Day with ICD F1421 - Cocaine dependence, in remission | $1,229 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,510 | ||||
| Total Medicare payment per Hospitalization with ICD F1421 - Cocaine dependence, in remission | $6,849 | ||||
| Total Medicare Charges at DRG | $4,945,131,055 | ||||
| Total Medicare Charges with ICD F1421 - Cocaine dependence, in remission | $1,663,233 | ||||
| Avg Charges at DRG | $28,388 | ||||
| Avg Charges with ICD F1421 - Cocaine dependence, in remission | $29,701 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD F1421 - Cocaine dependence, in remission | NA | ||||
| SNF Discharge Rate at DRG | 14.83 | ||||
| SNF Discharge Rate with ICD F1421 - Cocaine dependence, in remission | NA | ||||
| Home Discharge Rate at DRG | 53.93 | ||||
| Home Discharge Rate with ICD F1421 - Cocaine dependence, in remission | 53.57 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| TURNING POINT HOSPITAL | 3015 VETERANS PKWY S | MOULTRIE | GA | 31788 | 221 |
| HENNEPIN COUNTY MEDICAL CENTER | 701 PARK AVE, P1-FINANCE | MINNEAPOLIS | MN | 55415 | 103 |
| BUTLER HOSPITAL | 345 BLACKSTONE BLVD | PROVIDENCE | RI | 02906 | 57 |
| 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 | 149 |
| Dr. SAEED A SHAH | 5906 CARMICHAEL PLACE | MONTGOMERY | AL | 36117 | 41 |
| Dr. LEE STEVENS | 1002 HIGHLAND AVE | SHREVEPORT | LA | 71101 | 31 |
| 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 | 176 |
| Dr. JAMES DARIN DRURY | 401 OLD ALBANY RD | THOMASVILLE | GA | 31792 | 45 |
| Dr. SAEED A SHAH | 5906 CARMICHAEL PLACE | MONTGOMERY | AL | 36117 | 42 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | F17210 | Nicotine dependence, cigarettes, uncomplicated |