*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| F1490 - Cocaine use, unspecified, uncomplicated - as a primary diagnosis code | F1490 - Cocaine use, unspecified, uncomplicated - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.65 | |
| Readmission Rate (%) | 34.07 | |
| Unplanned Readmission Rate (%) | 12.1 | |
| 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) | DRG 894: ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 167,575 | |||
| Total Hospitalizations with ICD F1490 - Cocaine use, unspecified, uncomplicated | 110 | |||
| DRG Share of Total Hospitalizations | 0.51 | |||
| % of Total ICD F1490 - Cocaine use, unspecified, uncomplicated in DRG | 61.8 | |||
| Avg LOS at DRG | 5.54 | |||
| Avg LOS with ICD F1490 - Cocaine use, unspecified, uncomplicated | 8.81 | |||
| Readmission Rate at DRG | 28.6 | |||
| Readmission Rate with ICD F1490 - Cocaine use, unspecified, uncomplicated | 24.3 | |||
| Unplanned Readmission Rate at DRG | 14.22 | |||
| Unplanned Readmission Rate with ICD F1490 - Cocaine use, unspecified, uncomplicated | 11.21 | |||
| Total Medicare payments at DRG | $830,329,176 | |||
| Total Medicare payments with ICD F1490 - Cocaine use, unspecified, uncomplicated | $535,384 | |||
| Total Medicare payment per Day at DRG | $895 | |||
| Total Medicare payment per Day with ICD F1490 - Cocaine use, unspecified, uncomplicated | $553 | |||
| Total Medicare payment per Hospitalization at DRG | $4,955 | |||
| Total Medicare payment per Hospitalization with ICD F1490 - Cocaine use, unspecified, uncomplicated | $4,867 | |||
| Total Medicare Charges at DRG | $3,314,158,261 | |||
| Total Medicare Charges with ICD F1490 - Cocaine use, unspecified, uncomplicated | $2,249,199 | |||
| Avg Charges at DRG | $19,777 | |||
| Avg Charges with ICD F1490 - Cocaine use, unspecified, uncomplicated | $20,447 | |||
| Mortality Rate at DRG | 0.03 | |||
| Mortality Rate with ICD F1490 - Cocaine use, unspecified, uncomplicated | NA | |||
| SNF Discharge Rate at DRG | 5.67 | |||
| SNF Discharge Rate with ICD F1490 - Cocaine use, unspecified, uncomplicated | NA | |||
| Home Discharge Rate at DRG | 80.01 | |||
| Home Discharge Rate with ICD F1490 - Cocaine use, unspecified, uncomplicated | 85.45 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ST. CHARLES HOSPITAL | 200 BELLE TERRE RD | PORT JEFFERSON | NY | 11777 | 18 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MARK DAVID SOLOMON | 701 ROUTE 25A | MOUNT SINAI | NY | 11766 | 18 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MARK DAVID SOLOMON | 701 ROUTE 25A | MOUNT SINAI | NY | 11766 | 18 |
*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 881: DEPRESSIVE NEUROSES | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD F1490 - Cocaine use, unspecified, uncomplicated | 10,994 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD F1490 - Cocaine use, unspecified, uncomplicated in DRG | 35.24 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD F1490 - Cocaine use, unspecified, uncomplicated | 8.84 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD F1490 - Cocaine use, unspecified, uncomplicated | 36.79 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD F1490 - Cocaine use, unspecified, uncomplicated | 18.24 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD F1490 - Cocaine use, unspecified, uncomplicated | $71,974,928 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD F1490 - Cocaine use, unspecified, uncomplicated | $741 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD F1490 - Cocaine use, unspecified, uncomplicated | $6,547 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD F1490 - Cocaine use, unspecified, uncomplicated | $272,853,617 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD F1490 - Cocaine use, unspecified, uncomplicated | $24,818 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD F1490 - Cocaine use, unspecified, uncomplicated | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD F1490 - Cocaine use, unspecified, uncomplicated | 1.04 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD F1490 - Cocaine use, unspecified, uncomplicated | 87.9 |
*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 895: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | DRG 918: POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 894: ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 101,548 | ||||
| Total Hospitalizations with ICD F1490 - Cocaine use, unspecified, uncomplicated | 523 | ||||
| DRG Share of Total Hospitalizations | 0.31 | ||||
| % of Total ICD F1490 - Cocaine use, unspecified, uncomplicated in DRG | 1.68 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD F1490 - Cocaine use, unspecified, uncomplicated | 4.2 | ||||
| Readmission Rate at DRG | 32.74 | ||||
| Readmission Rate with ICD F1490 - Cocaine use, unspecified, uncomplicated | 43.42 | ||||
| Unplanned Readmission Rate at DRG | 13.79 | ||||
| Unplanned Readmission Rate with ICD F1490 - Cocaine use, unspecified, uncomplicated | 15.13 | ||||
| Total Medicare payments at DRG | $922,969,291 | ||||
| Total Medicare payments with ICD F1490 - Cocaine use, unspecified, uncomplicated | $4,981,525 | ||||
| Total Medicare payment per Day at DRG | $1,941 | ||||
| Total Medicare payment per Day with ICD F1490 - Cocaine use, unspecified, uncomplicated | $2,269 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,089 | ||||
| Total Medicare payment per Hospitalization with ICD F1490 - Cocaine use, unspecified, uncomplicated | $9,525 | ||||
| Total Medicare Charges at DRG | $4,727,523,206 | ||||
| Total Medicare Charges with ICD F1490 - Cocaine use, unspecified, uncomplicated | $22,416,426 | ||||
| Avg Charges at DRG | $46,555 | ||||
| Avg Charges with ICD F1490 - Cocaine use, unspecified, uncomplicated | $42,861 | ||||
| Mortality Rate at DRG | 2.95 | ||||
| Mortality Rate with ICD F1490 - Cocaine use, unspecified, uncomplicated | NA | ||||
| SNF Discharge Rate at DRG | 13.87 | ||||
| SNF Discharge Rate with ICD F1490 - Cocaine use, unspecified, uncomplicated | 4.78 | ||||
| Home Discharge Rate at DRG | 43.04 | ||||
| Home Discharge Rate with ICD F1490 - Cocaine use, unspecified, uncomplicated | 50.86 |
*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 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 313: CHEST PAIN | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD F1490 - Cocaine use, unspecified, uncomplicated | 336 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD F1490 - Cocaine use, unspecified, uncomplicated in DRG | 1.08 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD F1490 - Cocaine use, unspecified, uncomplicated | 4.4 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD F1490 - Cocaine use, unspecified, uncomplicated | 37.15 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD F1490 - Cocaine use, unspecified, uncomplicated | 30.56 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD F1490 - Cocaine use, unspecified, uncomplicated | $3,272,690 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD F1490 - Cocaine use, unspecified, uncomplicated | $2,213 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD F1490 - Cocaine use, unspecified, uncomplicated | $9,740 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD F1490 - Cocaine use, unspecified, uncomplicated | $12,709,451 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD F1490 - Cocaine use, unspecified, uncomplicated | $37,826 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD F1490 - Cocaine use, unspecified, uncomplicated | NA | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD F1490 - Cocaine use, unspecified, uncomplicated | 7.14 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD F1490 - Cocaine use, unspecified, uncomplicated | 60.71 |
*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 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 286,456 | ||||
| Total Hospitalizations with ICD F1490 - Cocaine use, unspecified, uncomplicated | 259 | ||||
| DRG Share of Total Hospitalizations | 0.87 | ||||
| % of Total ICD F1490 - Cocaine use, unspecified, uncomplicated in DRG | 0.83 | ||||
| Avg LOS at DRG | 3.75 | ||||
| Avg LOS with ICD F1490 - Cocaine use, unspecified, uncomplicated | 3.44 | ||||
| Readmission Rate at DRG | 22.9 | ||||
| Readmission Rate with ICD F1490 - Cocaine use, unspecified, uncomplicated | 35.34 | ||||
| Unplanned Readmission Rate at DRG | 18.29 | ||||
| Unplanned Readmission Rate with ICD F1490 - Cocaine use, unspecified, uncomplicated | 31.47 | ||||
| Total Medicare payments at DRG | $1,641,467,496 | ||||
| Total Medicare payments with ICD F1490 - Cocaine use, unspecified, uncomplicated | $1,807,057 | ||||
| Total Medicare payment per Day at DRG | $1,526 | ||||
| Total Medicare payment per Day with ICD F1490 - Cocaine use, unspecified, uncomplicated | $2,026 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,730 | ||||
| Total Medicare payment per Hospitalization with ICD F1490 - Cocaine use, unspecified, uncomplicated | $6,977 | ||||
| Total Medicare Charges at DRG | $8,050,963,680 | ||||
| Total Medicare Charges with ICD F1490 - Cocaine use, unspecified, uncomplicated | $8,011,216 | ||||
| Avg Charges at DRG | $28,105 | ||||
| Avg Charges with ICD F1490 - Cocaine use, unspecified, uncomplicated | $30,931 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD F1490 - Cocaine use, unspecified, uncomplicated | NA | ||||
| SNF Discharge Rate at DRG | 10.84 | ||||
| SNF Discharge Rate with ICD F1490 - Cocaine use, unspecified, uncomplicated | 8.11 | ||||
| Home Discharge Rate at DRG | 59.73 | ||||
| Home Discharge Rate with ICD F1490 - Cocaine use, unspecified, uncomplicated | 70.27 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADCARE HOSPITAL OF WORCESTER | 107 LINCOLN ST | WORCESTER | MA | 01605 | 218 |
| UPMC PRESBYTERIAN SHADYSIDE | 200 LOTHROP ST | PITTSBURGH | PA | 15213 | 174 |
| BERKSHIRE MEDICAL CENTER | 725 NORTH ST | PITTSFIELD | MA | 01201 | 170 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DOROTA K. POLUHA | 107 LINCOLN ST | WORCESTER | MA | 01605 | 116 |
| Dr. WOJCIECH POLUHA | 107 LINCOLN ST | WORCESTER | MA | 01605 | 81 |
| Dr. MARK DAVID SOLOMON | 701 ROUTE 25A | MOUNT SINAI | NY | 11766 | 71 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DOROTA K. POLUHA | 107 LINCOLN ST | WORCESTER | MA | 01605 | 124 |
| Dr. WOJCIECH POLUHA | 107 LINCOLN ST | WORCESTER | MA | 01605 | 88 |
| Dr. MARK DAVID SOLOMON | 701 ROUTE 25A | MOUNT SINAI | NY | 11766 | 74 |