*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K7010 - Alcoholic hepatitis without ascites - as a primary diagnosis code | K7010 - Alcoholic hepatitis without ascites - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.19 | |
| Readmission Rate (%) | 27.33 | |
| Unplanned Readmission Rate (%) | 19.34 | |
| 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 433: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 432: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 434: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 34,515 | |||
| Total Hospitalizations with ICD K7010 - Alcoholic hepatitis without ascites | 1,709 | |||
| DRG Share of Total Hospitalizations | 0.11 | |||
| % of Total ICD K7010 - Alcoholic hepatitis without ascites in DRG | 55.31 | |||
| Avg LOS at DRG | 4.18 | |||
| Avg LOS with ICD K7010 - Alcoholic hepatitis without ascites | 4.45 | |||
| Readmission Rate at DRG | 35.39 | |||
| Readmission Rate with ICD K7010 - Alcoholic hepatitis without ascites | 27.86 | |||
| Unplanned Readmission Rate at DRG | 28.09 | |||
| Unplanned Readmission Rate with ICD K7010 - Alcoholic hepatitis without ascites | 19.39 | |||
| Total Medicare payments at DRG | $218,331,747 | |||
| Total Medicare payments with ICD K7010 - Alcoholic hepatitis without ascites | $10,709,098 | |||
| Total Medicare payment per Day at DRG | $1,513 | |||
| Total Medicare payment per Day with ICD K7010 - Alcoholic hepatitis without ascites | $1,407 | |||
| Total Medicare payment per Hospitalization at DRG | $6,326 | |||
| Total Medicare payment per Hospitalization with ICD K7010 - Alcoholic hepatitis without ascites | $6,266 | |||
| Total Medicare Charges at DRG | $1,184,008,123 | |||
| Total Medicare Charges with ICD K7010 - Alcoholic hepatitis without ascites | $57,499,331 | |||
| Avg Charges at DRG | $34,304 | |||
| Avg Charges with ICD K7010 - Alcoholic hepatitis without ascites | $33,645 | |||
| Mortality Rate at DRG | 0.79 | |||
| Mortality Rate with ICD K7010 - Alcoholic hepatitis without ascites | NA | |||
| SNF Discharge Rate at DRG | 14.95 | |||
| SNF Discharge Rate with ICD K7010 - Alcoholic hepatitis without ascites | 12.99 | |||
| Home Discharge Rate at DRG | 56.13 | |||
| Home Discharge Rate with ICD K7010 - Alcoholic hepatitis without ascites | 62.2 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UMASS MEMORIAL MEDICAL CENTER | 55 LAKE AVENUE | WORCESTER | MA | 01655 | 20 |
| CARILION ROANOKE MEMORIAL HOSPITAL | 1906 BELLEVIEW AVE SE | ROANOKE | VA | 24014 | 14 |
| BAYSTATE MEDICAL CENTER | 759 CHESTNUT ST | SPRINGFIELD | MA | 01199 | 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 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 896: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 433: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 432: CIRRHOSIS AND ALCOHOLIC HEPATITIS 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 | 167,575 | ||||
| Total Hospitalizations with ICD K7010 - Alcoholic hepatitis without ascites | 6,126 | ||||
| DRG Share of Total Hospitalizations | 0.51 | ||||
| % of Total ICD K7010 - Alcoholic hepatitis without ascites in DRG | 16.53 | ||||
| Avg LOS at DRG | 5.54 | ||||
| Avg LOS with ICD K7010 - Alcoholic hepatitis without ascites | 4.84 | ||||
| Readmission Rate at DRG | 28.6 | ||||
| Readmission Rate with ICD K7010 - Alcoholic hepatitis without ascites | 28.26 | ||||
| Unplanned Readmission Rate at DRG | 14.22 | ||||
| Unplanned Readmission Rate with ICD K7010 - Alcoholic hepatitis without ascites | 18.03 | ||||
| Total Medicare payments at DRG | $830,329,176 | ||||
| Total Medicare payments with ICD K7010 - Alcoholic hepatitis without ascites | $30,569,183 | ||||
| Total Medicare payment per Day at DRG | $895 | ||||
| Total Medicare payment per Day with ICD K7010 - Alcoholic hepatitis without ascites | $1,030 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,955 | ||||
| Total Medicare payment per Hospitalization with ICD K7010 - Alcoholic hepatitis without ascites | $4,990 | ||||
| Total Medicare Charges at DRG | $3,314,158,261 | ||||
| Total Medicare Charges with ICD K7010 - Alcoholic hepatitis without ascites | $163,884,259 | ||||
| Avg Charges at DRG | $19,777 | ||||
| Avg Charges with ICD K7010 - Alcoholic hepatitis without ascites | $26,752 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD K7010 - Alcoholic hepatitis without ascites | NA | ||||
| SNF Discharge Rate at DRG | 5.67 | ||||
| SNF Discharge Rate with ICD K7010 - Alcoholic hepatitis without ascites | 12.36 | ||||
| Home Discharge Rate at DRG | 80.01 | ||||
| Home Discharge Rate with ICD K7010 - Alcoholic hepatitis without ascites | 70.6 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 439: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 885: PSYCHOSES | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 894: ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 85,343 | ||||
| Total Hospitalizations with ICD K7010 - Alcoholic hepatitis without ascites | 1,378 | ||||
| DRG Share of Total Hospitalizations | 0.26 | ||||
| % of Total ICD K7010 - Alcoholic hepatitis without ascites in DRG | 3.72 | ||||
| Avg LOS at DRG | 3.89 | ||||
| Avg LOS with ICD K7010 - Alcoholic hepatitis without ascites | 4.44 | ||||
| Readmission Rate at DRG | 21.05 | ||||
| Readmission Rate with ICD K7010 - Alcoholic hepatitis without ascites | 22.03 | ||||
| Unplanned Readmission Rate at DRG | 15.83 | ||||
| Unplanned Readmission Rate with ICD K7010 - Alcoholic hepatitis without ascites | 16.01 | ||||
| Total Medicare payments at DRG | $457,925,564 | ||||
| Total Medicare payments with ICD K7010 - Alcoholic hepatitis without ascites | $7,900,990 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD K7010 - Alcoholic hepatitis without ascites | $1,292 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,366 | ||||
| Total Medicare payment per Hospitalization with ICD K7010 - Alcoholic hepatitis without ascites | $5,734 | ||||
| Total Medicare Charges at DRG | $2,522,082,455 | ||||
| Total Medicare Charges with ICD K7010 - Alcoholic hepatitis without ascites | $40,721,178 | ||||
| Avg Charges at DRG | $29,552 | ||||
| Avg Charges with ICD K7010 - Alcoholic hepatitis without ascites | $29,551 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD K7010 - Alcoholic hepatitis without ascites | NA | ||||
| SNF Discharge Rate at DRG | 5.52 | ||||
| SNF Discharge Rate with ICD K7010 - Alcoholic hepatitis without ascites | 5.73 | ||||
| Home Discharge Rate at DRG | 75.74 | ||||
| Home Discharge Rate with ICD K7010 - Alcoholic hepatitis without ascites | 75.76 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 438: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 441: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 310,318 | ||||
| Total Hospitalizations with ICD K7010 - Alcoholic hepatitis without ascites | 678 | ||||
| DRG Share of Total Hospitalizations | 0.94 | ||||
| % of Total ICD K7010 - Alcoholic hepatitis without ascites in DRG | 1.83 | ||||
| Avg LOS at DRG | 3.19 | ||||
| Avg LOS with ICD K7010 - Alcoholic hepatitis without ascites | 3.9 | ||||
| Readmission Rate at DRG | 20.19 | ||||
| Readmission Rate with ICD K7010 - Alcoholic hepatitis without ascites | 24.27 | ||||
| Unplanned Readmission Rate at DRG | 13.62 | ||||
| Unplanned Readmission Rate with ICD K7010 - Alcoholic hepatitis without ascites | 16.78 | ||||
| Total Medicare payments at DRG | $1,415,392,709 | ||||
| Total Medicare payments with ICD K7010 - Alcoholic hepatitis without ascites | $3,319,675 | ||||
| Total Medicare payment per Day at DRG | $1,431 | ||||
| Total Medicare payment per Day with ICD K7010 - Alcoholic hepatitis without ascites | $1,254 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,561 | ||||
| Total Medicare payment per Hospitalization with ICD K7010 - Alcoholic hepatitis without ascites | $4,896 | ||||
| Total Medicare Charges at DRG | $7,113,640,596 | ||||
| Total Medicare Charges with ICD K7010 - Alcoholic hepatitis without ascites | $17,268,672 | ||||
| Avg Charges at DRG | $22,924 | ||||
| Avg Charges with ICD K7010 - Alcoholic hepatitis without ascites | $25,470 | ||||
| Mortality Rate at DRG | 0.63 | ||||
| Mortality Rate with ICD K7010 - Alcoholic hepatitis without ascites | NA | ||||
| SNF Discharge Rate at DRG | 19.76 | ||||
| SNF Discharge Rate with ICD K7010 - Alcoholic hepatitis without ascites | 18.14 | ||||
| Home Discharge Rate at DRG | 50.47 | ||||
| Home Discharge Rate with ICD K7010 - Alcoholic hepatitis without ascites | 55.75 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 442: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 895: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD K7010 - Alcoholic hepatitis without ascites | 410 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD K7010 - Alcoholic hepatitis without ascites in DRG | 1.11 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD K7010 - Alcoholic hepatitis without ascites | 4.41 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD K7010 - Alcoholic hepatitis without ascites | 18.45 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD K7010 - Alcoholic hepatitis without ascites | 12.83 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD K7010 - Alcoholic hepatitis without ascites | $2,422,247 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD K7010 - Alcoholic hepatitis without ascites | $1,338 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD K7010 - Alcoholic hepatitis without ascites | $5,908 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD K7010 - Alcoholic hepatitis without ascites | $13,401,625 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD K7010 - Alcoholic hepatitis without ascites | $32,687 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD K7010 - Alcoholic hepatitis without ascites | NA | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD K7010 - Alcoholic hepatitis without ascites | 16.83 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD K7010 - Alcoholic hepatitis without ascites | 62.44 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| SOUTH SHORE HOSPITAL | 55 FOGG ROAD | SOUTH WEYMOUTH | MA | 02190 | 160 |
| ST. JOSEPH HOSPITAL | 1100 W STEWART DR | ORANGE | CA | 92868 | 132 |
| SANTA BARBARA COTTAGE HOSPITAL | 400 WEST PUEBLO | SANTA BARBARA | CA | 93105 | 130 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOHN H SOFFIETTI | 901 E BRADY ST | BUTLER | PA | 16001 | 67 |
| Dr. KENNETH L HALLMAN | 4509 WHITECHAPEL DR | VIRGINIA BEACH | VA | 23455 | 37 |
| Dr. JOHN L LEHTINEN | 1414 W FAIR AVE | MARQUETTE | MI | 49855 | 32 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RAVINDER P SINGH | 12555 GARDEN GROVE BLVD | GARDEN GROVE | CA | 92843 | 42 |
| Dr. KENNETH L HALLMAN | 4509 WHITECHAPEL DR | VIRGINIA BEACH | VA | 23455 | 38 |
| Dr. JOHN H SOFFIETTI | 901 E BRADY ST | BUTLER | PA | 16001 | 36 |