*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K709 - Alcoholic liver disease, unspecified - as a primary diagnosis code | K709 - Alcoholic liver disease, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.42 | |
| Readmission Rate (%) | 27.17 | |
| Unplanned Readmission Rate (%) | 19.39 | |
| 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) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 34,515 | ||
| Total Hospitalizations with ICD K709 - Alcoholic liver disease, unspecified | 159 | ||
| DRG Share of Total Hospitalizations | 0.11 | ||
| % of Total ICD K709 - Alcoholic liver disease, unspecified in DRG | 47.04 | ||
| Avg LOS at DRG | 4.18 | ||
| Avg LOS with ICD K709 - Alcoholic liver disease, unspecified | 4.2 | ||
| Readmission Rate at DRG | 35.39 | ||
| Readmission Rate with ICD K709 - Alcoholic liver disease, unspecified | 22.07 | ||
| Unplanned Readmission Rate at DRG | 28.09 | ||
| Unplanned Readmission Rate with ICD K709 - Alcoholic liver disease, unspecified | 18.62 | ||
| Total Medicare payments at DRG | $218,331,747 | ||
| Total Medicare payments with ICD K709 - Alcoholic liver disease, unspecified | $911,520 | ||
| Total Medicare payment per Day at DRG | $1,513 | ||
| Total Medicare payment per Day with ICD K709 - Alcoholic liver disease, unspecified | $1,365 | ||
| Total Medicare payment per Hospitalization at DRG | $6,326 | ||
| Total Medicare payment per Hospitalization with ICD K709 - Alcoholic liver disease, unspecified | $5,733 | ||
| Total Medicare Charges at DRG | $1,184,008,123 | ||
| Total Medicare Charges with ICD K709 - Alcoholic liver disease, unspecified | $5,013,902 | ||
| Avg Charges at DRG | $34,304 | ||
| Avg Charges with ICD K709 - Alcoholic liver disease, unspecified | $31,534 | ||
| Mortality Rate at DRG | 0.79 | ||
| Mortality Rate with ICD K709 - Alcoholic liver disease, unspecified | NA | ||
| SNF Discharge Rate at DRG | 14.95 | ||
| SNF Discharge Rate with ICD K709 - Alcoholic liver disease, unspecified | 18.87 | ||
| Home Discharge Rate at DRG | 56.13 | ||
| Home Discharge Rate with ICD K709 - Alcoholic liver disease, unspecified | 64.78 |
*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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 896: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 167,575 | ||||
| Total Hospitalizations with ICD K709 - Alcoholic liver disease, unspecified | 2,126 | ||||
| DRG Share of Total Hospitalizations | 0.51 | ||||
| % of Total ICD K709 - Alcoholic liver disease, unspecified in DRG | 10.79 | ||||
| Avg LOS at DRG | 5.54 | ||||
| Avg LOS with ICD K709 - Alcoholic liver disease, unspecified | 4.8 | ||||
| Readmission Rate at DRG | 28.6 | ||||
| Readmission Rate with ICD K709 - Alcoholic liver disease, unspecified | 27.61 | ||||
| Unplanned Readmission Rate at DRG | 14.22 | ||||
| Unplanned Readmission Rate with ICD K709 - Alcoholic liver disease, unspecified | 16.28 | ||||
| Total Medicare payments at DRG | $830,329,176 | ||||
| Total Medicare payments with ICD K709 - Alcoholic liver disease, unspecified | $10,602,588 | ||||
| Total Medicare payment per Day at DRG | $895 | ||||
| Total Medicare payment per Day with ICD K709 - Alcoholic liver disease, unspecified | $1,038 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,955 | ||||
| Total Medicare payment per Hospitalization with ICD K709 - Alcoholic liver disease, unspecified | $4,987 | ||||
| Total Medicare Charges at DRG | $3,314,158,261 | ||||
| Total Medicare Charges with ICD K709 - Alcoholic liver disease, unspecified | $56,262,203 | ||||
| Avg Charges at DRG | $19,777 | ||||
| Avg Charges with ICD K709 - Alcoholic liver disease, unspecified | $26,464 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD K709 - Alcoholic liver disease, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 5.67 | ||||
| SNF Discharge Rate with ICD K709 - Alcoholic liver disease, unspecified | 13.22 | ||||
| Home Discharge Rate at DRG | 80.01 | ||||
| Home Discharge Rate with ICD K709 - Alcoholic liver disease, unspecified | 71.64 |
*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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 439: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 433: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 310,318 | ||||
| Total Hospitalizations with ICD K709 - Alcoholic liver disease, unspecified | 407 | ||||
| DRG Share of Total Hospitalizations | 0.94 | ||||
| % of Total ICD K709 - Alcoholic liver disease, unspecified in DRG | 2.07 | ||||
| Avg LOS at DRG | 3.19 | ||||
| Avg LOS with ICD K709 - Alcoholic liver disease, unspecified | 3.61 | ||||
| Readmission Rate at DRG | 20.19 | ||||
| Readmission Rate with ICD K709 - Alcoholic liver disease, unspecified | 22.55 | ||||
| Unplanned Readmission Rate at DRG | 13.62 | ||||
| Unplanned Readmission Rate with ICD K709 - Alcoholic liver disease, unspecified | 16.45 | ||||
| Total Medicare payments at DRG | $1,415,392,709 | ||||
| Total Medicare payments with ICD K709 - Alcoholic liver disease, unspecified | $1,916,949 | ||||
| Total Medicare payment per Day at DRG | $1,431 | ||||
| Total Medicare payment per Day with ICD K709 - Alcoholic liver disease, unspecified | $1,305 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,561 | ||||
| Total Medicare payment per Hospitalization with ICD K709 - Alcoholic liver disease, unspecified | $4,710 | ||||
| Total Medicare Charges at DRG | $7,113,640,596 | ||||
| Total Medicare Charges with ICD K709 - Alcoholic liver disease, unspecified | $10,889,434 | ||||
| Avg Charges at DRG | $22,924 | ||||
| Avg Charges with ICD K709 - Alcoholic liver disease, unspecified | $26,755 | ||||
| Mortality Rate at DRG | 0.63 | ||||
| Mortality Rate with ICD K709 - Alcoholic liver disease, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 19.76 | ||||
| SNF Discharge Rate with ICD K709 - Alcoholic liver disease, unspecified | 21.87 | ||||
| Home Discharge Rate at DRG | 50.47 | ||||
| Home Discharge Rate with ICD K709 - Alcoholic liver disease, unspecified | 54.79 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 432: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 895: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 190,819 | ||||
| Total Hospitalizations with ICD K709 - Alcoholic liver disease, unspecified | 294 | ||||
| DRG Share of Total Hospitalizations | 0.58 | ||||
| % of Total ICD K709 - Alcoholic liver disease, unspecified in DRG | 1.49 | ||||
| Avg LOS at DRG | 5.63 | ||||
| Avg LOS with ICD K709 - Alcoholic liver disease, unspecified | 6.22 | ||||
| Readmission Rate at DRG | 28.97 | ||||
| Readmission Rate with ICD K709 - Alcoholic liver disease, unspecified | 32.34 | ||||
| Unplanned Readmission Rate at DRG | 22.07 | ||||
| Unplanned Readmission Rate with ICD K709 - Alcoholic liver disease, unspecified | 20.43 | ||||
| Total Medicare payments at DRG | $2,165,853,817 | ||||
| Total Medicare payments with ICD K709 - Alcoholic liver disease, unspecified | $3,268,579 | ||||
| Total Medicare payment per Day at DRG | $2,015 | ||||
| Total Medicare payment per Day with ICD K709 - Alcoholic liver disease, unspecified | $1,788 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,350 | ||||
| Total Medicare payment per Hospitalization with ICD K709 - Alcoholic liver disease, unspecified | $11,118 | ||||
| Total Medicare Charges at DRG | $10,686,431,125 | ||||
| Total Medicare Charges with ICD K709 - Alcoholic liver disease, unspecified | $19,204,836 | ||||
| Avg Charges at DRG | $56,003 | ||||
| Avg Charges with ICD K709 - Alcoholic liver disease, unspecified | $65,323 | ||||
| Mortality Rate at DRG | 5.35 | ||||
| Mortality Rate with ICD K709 - Alcoholic liver disease, unspecified | 9.86 | ||||
| SNF Discharge Rate at DRG | 23.91 | ||||
| SNF Discharge Rate with ICD K709 - Alcoholic liver disease, unspecified | 21.09 | ||||
| Home Discharge Rate at DRG | 39.51 | ||||
| Home Discharge Rate with ICD K709 - Alcoholic liver disease, unspecified | 41.84 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES 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 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 231,812 | ||||
| Total Hospitalizations with ICD K709 - Alcoholic liver disease, unspecified | 238 | ||||
| DRG Share of Total Hospitalizations | 0.71 | ||||
| % of Total ICD K709 - Alcoholic liver disease, unspecified in DRG | 1.21 | ||||
| Avg LOS at DRG | 4.41 | ||||
| Avg LOS with ICD K709 - Alcoholic liver disease, unspecified | 5.48 | ||||
| Readmission Rate at DRG | 29.12 | ||||
| Readmission Rate with ICD K709 - Alcoholic liver disease, unspecified | 27.68 | ||||
| Unplanned Readmission Rate at DRG | 22.82 | ||||
| Unplanned Readmission Rate with ICD K709 - Alcoholic liver disease, unspecified | 20.54 | ||||
| Total Medicare payments at DRG | $1,743,376,418 | ||||
| Total Medicare payments with ICD K709 - Alcoholic liver disease, unspecified | $1,902,303 | ||||
| Total Medicare payment per Day at DRG | $1,704 | ||||
| Total Medicare payment per Day with ICD K709 - Alcoholic liver disease, unspecified | $1,458 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,521 | ||||
| Total Medicare payment per Hospitalization with ICD K709 - Alcoholic liver disease, unspecified | $7,993 | ||||
| Total Medicare Charges at DRG | $8,543,867,896 | ||||
| Total Medicare Charges with ICD K709 - Alcoholic liver disease, unspecified | $9,184,929 | ||||
| Avg Charges at DRG | $36,857 | ||||
| Avg Charges with ICD K709 - Alcoholic liver disease, unspecified | $38,592 | ||||
| Mortality Rate at DRG | 2.89 | ||||
| Mortality Rate with ICD K709 - Alcoholic liver disease, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 22.92 | ||||
| SNF Discharge Rate with ICD K709 - Alcoholic liver disease, unspecified | 27.73 | ||||
| Home Discharge Rate at DRG | 43.02 | ||||
| Home Discharge Rate with ICD K709 - Alcoholic liver disease, unspecified | 40.34 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| JOHN MUIR HEALTH BEHAVIORAL HEALTH CENTER | 2740 GRANT ST | CONCORD | CA | 94520 | 154 |
| MISSION COMMUNITY HOSPITAL | 14850 ROSCOE BLVD | PANORAMA CITY | CA | 91402 | 120 |
| ST. MARY MERCY HOSPITAL | 36475 5 MILE RD | LIVONIA | MI | 48154 | 55 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MARK LUTHER CARLSON | 1423 N JEFFERSON AVE | SPRINGFIELD | MO | 65802 | 31 |
| Dr. NANI KANEN | 1838 EL CAMINO REAL | BURLINGAME | CA | 94010 | 28 |
| Dr. DARRIN RICHARD MANGIACARNE | 5060 VALLEY VIEW BLVD NW | ROANOKE | VA | 24012 | 26 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. FRED JOHN VONSTIEFF | 2481 PACHECO ST | CONCORD | CA | 94520 | 144 |
| Dr. NANI KANEN | 1838 EL CAMINO REAL | BURLINGAME | CA | 94010 | 29 |
| Dr. MARK LUTHER CARLSON | 1423 N JEFFERSON AVE | SPRINGFIELD | MO | 65802 | 29 |