*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| F19939 - Other psychoactive substance use, unspecified with withdrawal, unspecified - as a primary diagnosis code | F19939 - Other psychoactive substance use, unspecified with withdrawal, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.42 | |
| Readmission Rate (%) | 25.22 | |
| Unplanned Readmission Rate (%) | 7.57 | |
| 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 F19939 - Other psychoactive substance use, unspecified with withdrawal, unspecified | 2,293 | |||
| DRG Share of Total Hospitalizations | 0.51 | |||
| % of Total ICD F19939 - Other psychoactive substance use, unspecified with withdrawal, unspecified in DRG | 58.83 | |||
| Avg LOS at DRG | 5.54 | |||
| Avg LOS with ICD F19939 - Other psychoactive substance use, unspecified with withdrawal, unspecified | 4.56 | |||
| Readmission Rate at DRG | 28.6 | |||
| Readmission Rate with ICD F19939 - Other psychoactive substance use, unspecified with withdrawal, unspecified | 22.39 | |||
| Unplanned Readmission Rate at DRG | 14.22 | |||
| Unplanned Readmission Rate with ICD F19939 - Other psychoactive substance use, unspecified with withdrawal, unspecified | 7.45 | |||
| Total Medicare payments at DRG | $830,329,176 | |||
| Total Medicare payments with ICD F19939 - Other psychoactive substance use, unspecified with withdrawal, unspecified | $13,135,750 | |||
| Total Medicare payment per Day at DRG | $895 | |||
| Total Medicare payment per Day with ICD F19939 - Other psychoactive substance use, unspecified with withdrawal, unspecified | $1,256 | |||
| Total Medicare payment per Hospitalization at DRG | $4,955 | |||
| Total Medicare payment per Hospitalization with ICD F19939 - Other psychoactive substance use, unspecified with withdrawal, unspecified | $5,729 | |||
| Total Medicare Charges at DRG | $3,314,158,261 | |||
| Total Medicare Charges with ICD F19939 - Other psychoactive substance use, unspecified with withdrawal, unspecified | $21,619,588 | |||
| Avg Charges at DRG | $19,777 | |||
| Avg Charges with ICD F19939 - Other psychoactive substance use, unspecified with withdrawal, unspecified | $9,429 | |||
| Mortality Rate at DRG | 0.03 | |||
| Mortality Rate with ICD F19939 - Other psychoactive substance use, unspecified with withdrawal, unspecified | NA | |||
| SNF Discharge Rate at DRG | 5.67 | |||
| SNF Discharge Rate with ICD F19939 - Other psychoactive substance use, unspecified with withdrawal, unspecified | 1.74 | |||
| Home Discharge Rate at DRG | 80.01 | |||
| Home Discharge Rate with ICD F19939 - Other psychoactive substance use, unspecified with withdrawal, unspecified | 81.86 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADCARE HOSPITAL OF WORCESTER | 107 LINCOLN ST | WORCESTER | MA | 01605 | 2,991 |
| LAKE CHELAN COMMUNITY HOSPITAL | 503 E HIGHLAND AVE | CHELAN | WA | 98816 | 164 |
| KENSINGTON HOSPITAL | 136 DIAMOND ST | PHILADELPHIA | PA | 19122 | 125 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. WOJCIECH POLUHA | 107 LINCOLN ST | WORCESTER | MA | 01605 | 947 |
| Dr. RONALD F. PIKE | 107 LINCOLN ST | WORCESTER | MA | 01605 | 759 |
| Dr. KAREN S GUADAGNINI | 102 NORTH ST | BRISTOL | CT | 06010 | 642 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. WOJCIECH POLUHA | 107 LINCOLN ST | WORCESTER | MA | 01605 | 987 |
| Dr. RONALD F. PIKE | 107 LINCOLN ST | WORCESTER | MA | 01605 | 822 |
| Dr. KAREN S GUADAGNINI | 102 NORTH ST | BRISTOL | CT | 06010 | 704 |
*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 885: PSYCHOSES | 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 F19939 - Other psychoactive substance use, unspecified with withdrawal, unspecified | 3,256 | ||||
| DRG Share of Total Hospitalizations | 0.51 | ||||
| % of Total ICD F19939 - Other psychoactive substance use, unspecified with withdrawal, unspecified in DRG | 37.11 | ||||
| Avg LOS at DRG | 5.54 | ||||
| Avg LOS with ICD F19939 - Other psychoactive substance use, unspecified with withdrawal, unspecified | 4.54 | ||||
| Readmission Rate at DRG | 28.6 | ||||
| Readmission Rate with ICD F19939 - Other psychoactive substance use, unspecified with withdrawal, unspecified | 23.57 | ||||
| Unplanned Readmission Rate at DRG | 14.22 | ||||
| Unplanned Readmission Rate with ICD F19939 - Other psychoactive substance use, unspecified with withdrawal, unspecified | 8.27 | ||||
| Total Medicare payments at DRG | $830,329,176 | ||||
| Total Medicare payments with ICD F19939 - Other psychoactive substance use, unspecified with withdrawal, unspecified | $18,590,213 | ||||
| Total Medicare payment per Day at DRG | $895 | ||||
| Total Medicare payment per Day with ICD F19939 - Other psychoactive substance use, unspecified with withdrawal, unspecified | $1,257 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,955 | ||||
| Total Medicare payment per Hospitalization with ICD F19939 - Other psychoactive substance use, unspecified with withdrawal, unspecified | $5,710 | ||||
| Total Medicare Charges at DRG | $3,314,158,261 | ||||
| Total Medicare Charges with ICD F19939 - Other psychoactive substance use, unspecified with withdrawal, unspecified | $30,130,888 | ||||
| Avg Charges at DRG | $19,777 | ||||
| Avg Charges with ICD F19939 - Other psychoactive substance use, unspecified with withdrawal, unspecified | $9,254 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD F19939 - Other psychoactive substance use, unspecified with withdrawal, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 5.67 | ||||
| SNF Discharge Rate with ICD F19939 - Other psychoactive substance use, unspecified with withdrawal, unspecified | 1.41 | ||||
| Home Discharge Rate at DRG | 80.01 | ||||
| Home Discharge Rate with ICD F19939 - Other psychoactive substance use, unspecified with withdrawal, unspecified | 79.05 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 917: POISONING AND TOXIC EFFECTS OF DRUGS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 101: SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 100: SEIZURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD F19939 - Other psychoactive substance use, unspecified with withdrawal, unspecified | 204 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD F19939 - Other psychoactive substance use, unspecified with withdrawal, unspecified in DRG | 2.33 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD F19939 - Other psychoactive substance use, unspecified with withdrawal, unspecified | 7.42 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD F19939 - Other psychoactive substance use, unspecified with withdrawal, unspecified | 26.4 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD F19939 - Other psychoactive substance use, unspecified with withdrawal, unspecified | 16.85 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD F19939 - Other psychoactive substance use, unspecified with withdrawal, unspecified | $2,284,841 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD F19939 - Other psychoactive substance use, unspecified with withdrawal, unspecified | $1,509 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD F19939 - Other psychoactive substance use, unspecified with withdrawal, unspecified | $11,200 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD F19939 - Other psychoactive substance use, unspecified with withdrawal, unspecified | $14,028,558 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD F19939 - Other psychoactive substance use, unspecified with withdrawal, unspecified | $68,767 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD F19939 - Other psychoactive substance use, unspecified with withdrawal, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD F19939 - Other psychoactive substance use, unspecified with withdrawal, unspecified | 29.9 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD F19939 - Other psychoactive substance use, unspecified with withdrawal, unspecified | 31.37 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 918: POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 071: NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 71,748 | ||||
| Total Hospitalizations with ICD F19939 - Other psychoactive substance use, unspecified with withdrawal, unspecified | 69 | ||||
| DRG Share of Total Hospitalizations | 0.22 | ||||
| % of Total ICD F19939 - Other psychoactive substance use, unspecified with withdrawal, unspecified in DRG | 0.79 | ||||
| Avg LOS at DRG | 2.93 | ||||
| Avg LOS with ICD F19939 - Other psychoactive substance use, unspecified with withdrawal, unspecified | 4.06 | ||||
| Readmission Rate at DRG | 33.86 | ||||
| Readmission Rate with ICD F19939 - Other psychoactive substance use, unspecified with withdrawal, unspecified | 43.33 | ||||
| Unplanned Readmission Rate at DRG | 10.34 | ||||
| Unplanned Readmission Rate with ICD F19939 - Other psychoactive substance use, unspecified with withdrawal, unspecified | NA | ||||
| Total Medicare payments at DRG | $313,351,773 | ||||
| Total Medicare payments with ICD F19939 - Other psychoactive substance use, unspecified with withdrawal, unspecified | $301,829 | ||||
| Total Medicare payment per Day at DRG | $1,489 | ||||
| Total Medicare payment per Day with ICD F19939 - Other psychoactive substance use, unspecified with withdrawal, unspecified | $1,078 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,367 | ||||
| Total Medicare payment per Hospitalization with ICD F19939 - Other psychoactive substance use, unspecified with withdrawal, unspecified | $4,374 | ||||
| Total Medicare Charges at DRG | $1,750,048,705 | ||||
| Total Medicare Charges with ICD F19939 - Other psychoactive substance use, unspecified with withdrawal, unspecified | $1,871,853 | ||||
| Avg Charges at DRG | $24,392 | ||||
| Avg Charges with ICD F19939 - Other psychoactive substance use, unspecified with withdrawal, unspecified | $27,128 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD F19939 - Other psychoactive substance use, unspecified with withdrawal, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 7.61 | ||||
| SNF Discharge Rate with ICD F19939 - Other psychoactive substance use, unspecified with withdrawal, unspecified | NA | ||||
| Home Discharge Rate at DRG | 51.88 | ||||
| Home Discharge Rate with ICD F19939 - Other psychoactive substance use, unspecified with withdrawal, unspecified | 43.48 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 880: ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD F19939 - Other psychoactive substance use, unspecified with withdrawal, unspecified | 50 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD F19939 - Other psychoactive substance use, unspecified with withdrawal, unspecified in DRG | 0.57 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD F19939 - Other psychoactive substance use, unspecified with withdrawal, unspecified | 6.54 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD F19939 - Other psychoactive substance use, unspecified with withdrawal, unspecified | 36.36 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD F19939 - Other psychoactive substance use, unspecified with withdrawal, unspecified | 25.0 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD F19939 - Other psychoactive substance use, unspecified with withdrawal, unspecified | $445,719 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD F19939 - Other psychoactive substance use, unspecified with withdrawal, unspecified | $1,363 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD F19939 - Other psychoactive substance use, unspecified with withdrawal, unspecified | $8,914 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD F19939 - Other psychoactive substance use, unspecified with withdrawal, unspecified | $2,116,387 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD F19939 - Other psychoactive substance use, unspecified with withdrawal, unspecified | $42,328 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD F19939 - Other psychoactive substance use, unspecified with withdrawal, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD F19939 - Other psychoactive substance use, unspecified with withdrawal, unspecified | 26.0 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD F19939 - Other psychoactive substance use, unspecified with withdrawal, unspecified | 34.0 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADCARE HOSPITAL OF WORCESTER | 107 LINCOLN ST | WORCESTER | MA | 01605 | 4,136 |
| LAKE CHELAN COMMUNITY HOSPITAL | 503 E HIGHLAND AVE | CHELAN | WA | 98816 | 319 |
| KENSINGTON HOSPITAL | 136 DIAMOND ST | PHILADELPHIA | PA | 19122 | 163 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. WOJCIECH POLUHA | 107 LINCOLN ST | WORCESTER | MA | 01605 | 1,323 |
| Dr. RONALD F. PIKE | 107 LINCOLN ST | WORCESTER | MA | 01605 | 1,038 |
| Dr. KAREN S GUADAGNINI | 102 NORTH ST | BRISTOL | CT | 06010 | 898 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. WOJCIECH POLUHA | 107 LINCOLN ST | WORCESTER | MA | 01605 | 1,388 |
| Dr. RONALD F. PIKE | 107 LINCOLN ST | WORCESTER | MA | 01605 | 1,146 |
| Dr. KAREN S GUADAGNINI | 102 NORTH ST | BRISTOL | CT | 06010 | 962 |