*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| T400X5A - Adverse effect of opium, initial encounter - as a primary diagnosis code | T400X5A - Adverse effect of opium, initial encounter - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.18 | |
| Readmission Rate (%) | 25.98 | |
| 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 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 167,575 | ||||
| Total Hospitalizations with ICD T400X5A - Adverse effect of opium, initial encounter | 119 | ||||
| DRG Share of Total Hospitalizations | 0.51 | ||||
| % of Total ICD T400X5A - Adverse effect of opium, initial encounter in DRG | 5.46 | ||||
| Avg LOS at DRG | 5.54 | ||||
| Avg LOS with ICD T400X5A - Adverse effect of opium, initial encounter | 3.94 | ||||
| Readmission Rate at DRG | 28.6 | ||||
| Readmission Rate with ICD T400X5A - Adverse effect of opium, initial encounter | 28.21 | ||||
| Unplanned Readmission Rate at DRG | 14.22 | ||||
| Unplanned Readmission Rate with ICD T400X5A - Adverse effect of opium, initial encounter | 17.95 | ||||
| Total Medicare payments at DRG | $830,329,176 | ||||
| Total Medicare payments with ICD T400X5A - Adverse effect of opium, initial encounter | $623,244 | ||||
| Total Medicare payment per Day at DRG | $895 | ||||
| Total Medicare payment per Day with ICD T400X5A - Adverse effect of opium, initial encounter | $1,329 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,955 | ||||
| Total Medicare payment per Hospitalization with ICD T400X5A - Adverse effect of opium, initial encounter | $5,237 | ||||
| Total Medicare Charges at DRG | $3,314,158,261 | ||||
| Total Medicare Charges with ICD T400X5A - Adverse effect of opium, initial encounter | $3,353,199 | ||||
| Avg Charges at DRG | $19,777 | ||||
| Avg Charges with ICD T400X5A - Adverse effect of opium, initial encounter | $28,178 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD T400X5A - Adverse effect of opium, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 5.67 | ||||
| SNF Discharge Rate with ICD T400X5A - Adverse effect of opium, initial encounter | NA | ||||
| Home Discharge Rate at DRG | 80.01 | ||||
| Home Discharge Rate with ICD T400X5A - Adverse effect of opium, initial encounter | 73.95 |
*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 896: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD T400X5A - Adverse effect of opium, initial encounter | 46 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD T400X5A - Adverse effect of opium, initial encounter in DRG | 2.11 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD T400X5A - Adverse effect of opium, initial encounter | 4.67 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD T400X5A - Adverse effect of opium, initial encounter | 24.44 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD T400X5A - Adverse effect of opium, initial encounter | NA | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD T400X5A - Adverse effect of opium, initial encounter | $245,390 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD T400X5A - Adverse effect of opium, initial encounter | $1,141 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD T400X5A - Adverse effect of opium, initial encounter | $5,335 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD T400X5A - Adverse effect of opium, initial encounter | $1,544,418 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD T400X5A - Adverse effect of opium, initial encounter | $33,574 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD T400X5A - Adverse effect of opium, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD T400X5A - Adverse effect of opium, initial encounter | NA | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD T400X5A - Adverse effect of opium, initial encounter | 60.87 |
*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 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 469: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 917: POISONING AND TOXIC EFFECTS OF DRUGS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD T400X5A - Adverse effect of opium, initial encounter | 35 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD T400X5A - Adverse effect of opium, initial encounter in DRG | 1.6 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD T400X5A - Adverse effect of opium, initial encounter | 7.11 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD T400X5A - Adverse effect of opium, initial encounter | 47.06 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD T400X5A - Adverse effect of opium, initial encounter | 32.35 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD T400X5A - Adverse effect of opium, initial encounter | $333,577 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD T400X5A - Adverse effect of opium, initial encounter | $1,340 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD T400X5A - Adverse effect of opium, initial encounter | $9,531 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD T400X5A - Adverse effect of opium, initial encounter | $1,944,431 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD T400X5A - Adverse effect of opium, initial encounter | $55,555 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD T400X5A - Adverse effect of opium, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD T400X5A - Adverse effect of opium, initial encounter | NA | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD T400X5A - Adverse effect of opium, initial encounter | 34.29 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 947: SIGNS AND SYMPTOMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 201,938 | ||||
| Total Hospitalizations with ICD T400X5A - Adverse effect of opium, initial encounter | 25 | ||||
| DRG Share of Total Hospitalizations | 0.61 | ||||
| % of Total ICD T400X5A - Adverse effect of opium, initial encounter in DRG | 1.15 | ||||
| Avg LOS at DRG | 3.4 | ||||
| Avg LOS with ICD T400X5A - Adverse effect of opium, initial encounter | 5.6 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD T400X5A - Adverse effect of opium, initial encounter | NA | ||||
| Unplanned Readmission Rate at DRG | 21.29 | ||||
| Unplanned Readmission Rate with ICD T400X5A - Adverse effect of opium, initial encounter | NA | ||||
| Total Medicare payments at DRG | $1,046,791,335 | ||||
| Total Medicare payments with ICD T400X5A - Adverse effect of opium, initial encounter | $125,812 | ||||
| Total Medicare payment per Day at DRG | $1,523 | ||||
| Total Medicare payment per Day with ICD T400X5A - Adverse effect of opium, initial encounter | $899 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,184 | ||||
| Total Medicare payment per Hospitalization with ICD T400X5A - Adverse effect of opium, initial encounter | $5,032 | ||||
| Total Medicare Charges at DRG | $5,572,284,000 | ||||
| Total Medicare Charges with ICD T400X5A - Adverse effect of opium, initial encounter | $900,062 | ||||
| Avg Charges at DRG | $27,594 | ||||
| Avg Charges with ICD T400X5A - Adverse effect of opium, initial encounter | $36,002 | ||||
| Mortality Rate at DRG | 0.31 | ||||
| Mortality Rate with ICD T400X5A - Adverse effect of opium, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 12.45 | ||||
| SNF Discharge Rate with ICD T400X5A - Adverse effect of opium, initial encounter | NA | ||||
| Home Discharge Rate at DRG | 66.72 | ||||
| Home Discharge Rate with ICD T400X5A - Adverse effect of opium, initial encounter | 88.0 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MEMORIAL SLOAN KETTERING CANCER CENTER | 1275 YORK AVE | NEW YORK | NY | 10065 | 35 |
| MEDSTAR WASHINGTON HOSPITAL CENTER | 110 IRVING ST NW | WASHINGTON | DC | 20010 | 20 |
| MARIA PARHAM MEDICAL CENTER | 566 RUIN CREEK RD | HENDERSON | NC | 27536 | 18 |