*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| T402X5D - Adverse effect of other opioids, subsequent encounter - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 10.44 | |
| 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 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 559: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 188,863 | ||||
| Total Hospitalizations with ICD T402X5D - Adverse effect of other opioids, subsequent encounter | 678 | ||||
| DRG Share of Total Hospitalizations | 0.57 | ||||
| % of Total ICD T402X5D - Adverse effect of other opioids, subsequent encounter in DRG | 24.86 | ||||
| Avg LOS at DRG | 11.75 | ||||
| Avg LOS with ICD T402X5D - Adverse effect of other opioids, subsequent encounter | 11.93 | ||||
| Readmission Rate at DRG | 12.14 | ||||
| Readmission Rate with ICD T402X5D - Adverse effect of other opioids, subsequent encounter | 8.13 | ||||
| Unplanned Readmission Rate at DRG | 7.97 | ||||
| Unplanned Readmission Rate with ICD T402X5D - Adverse effect of other opioids, subsequent encounter | 5.9 | ||||
| Total Medicare payments at DRG | $3,216,901,374 | ||||
| Total Medicare payments with ICD T402X5D - Adverse effect of other opioids, subsequent encounter | $11,823,834 | ||||
| Total Medicare payment per Day at DRG | $1,450 | ||||
| Total Medicare payment per Day with ICD T402X5D - Adverse effect of other opioids, subsequent encounter | $1,462 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,033 | ||||
| Total Medicare payment per Hospitalization with ICD T402X5D - Adverse effect of other opioids, subsequent encounter | $17,439 | ||||
| Total Medicare Charges at DRG | $7,709,712,645 | ||||
| Total Medicare Charges with ICD T402X5D - Adverse effect of other opioids, subsequent encounter | $27,081,970 | ||||
| Avg Charges at DRG | $40,822 | ||||
| Avg Charges with ICD T402X5D - Adverse effect of other opioids, subsequent encounter | $39,944 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD T402X5D - Adverse effect of other opioids, subsequent encounter | NA | ||||
| SNF Discharge Rate at DRG | 19.54 | ||||
| SNF Discharge Rate with ICD T402X5D - Adverse effect of other opioids, subsequent encounter | 12.24 | ||||
| Home Discharge Rate at DRG | 19.47 | ||||
| Home Discharge Rate with ICD T402X5D - Adverse effect of other opioids, subsequent encounter | 25.07 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 950: AFTERCARE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 195,476 | ||||
| Total Hospitalizations with ICD T402X5D - Adverse effect of other opioids, subsequent encounter | 79 | ||||
| DRG Share of Total Hospitalizations | 0.59 | ||||
| % of Total ICD T402X5D - Adverse effect of other opioids, subsequent encounter in DRG | 2.9 | ||||
| Avg LOS at DRG | 4.48 | ||||
| Avg LOS with ICD T402X5D - Adverse effect of other opioids, subsequent encounter | 10.86 | ||||
| Readmission Rate at DRG | 20.57 | ||||
| Readmission Rate with ICD T402X5D - Adverse effect of other opioids, subsequent encounter | NA | ||||
| Unplanned Readmission Rate at DRG | 9.88 | ||||
| Unplanned Readmission Rate with ICD T402X5D - Adverse effect of other opioids, subsequent encounter | NA | ||||
| Total Medicare payments at DRG | $1,320,662,237 | ||||
| Total Medicare payments with ICD T402X5D - Adverse effect of other opioids, subsequent encounter | $1,335,491 | ||||
| Total Medicare payment per Day at DRG | $1,508 | ||||
| Total Medicare payment per Day with ICD T402X5D - Adverse effect of other opioids, subsequent encounter | $1,557 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,756 | ||||
| Total Medicare payment per Hospitalization with ICD T402X5D - Adverse effect of other opioids, subsequent encounter | $16,905 | ||||
| Total Medicare Charges at DRG | $6,024,639,461 | ||||
| Total Medicare Charges with ICD T402X5D - Adverse effect of other opioids, subsequent encounter | $2,697,153 | ||||
| Avg Charges at DRG | $30,820 | ||||
| Avg Charges with ICD T402X5D - Adverse effect of other opioids, subsequent encounter | $34,141 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD T402X5D - Adverse effect of other opioids, subsequent encounter | NA | ||||
| SNF Discharge Rate at DRG | 33.36 | ||||
| SNF Discharge Rate with ICD T402X5D - Adverse effect of other opioids, subsequent encounter | NA | ||||
| Home Discharge Rate at DRG | 30.98 | ||||
| Home Discharge Rate with ICD T402X5D - Adverse effect of other opioids, subsequent encounter | 20.25 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 947: SIGNS AND SYMPTOMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 359,935 | ||||
| Total Hospitalizations with ICD T402X5D - Adverse effect of other opioids, subsequent encounter | 47 | ||||
| DRG Share of Total Hospitalizations | 1.1 | ||||
| % of Total ICD T402X5D - Adverse effect of other opioids, subsequent encounter in DRG | 1.72 | ||||
| Avg LOS at DRG | 12.3 | ||||
| Avg LOS with ICD T402X5D - Adverse effect of other opioids, subsequent encounter | 16.11 | ||||
| Readmission Rate at DRG | 16.01 | ||||
| Readmission Rate with ICD T402X5D - Adverse effect of other opioids, subsequent encounter | NA | ||||
| Unplanned Readmission Rate at DRG | 9.86 | ||||
| Unplanned Readmission Rate with ICD T402X5D - Adverse effect of other opioids, subsequent encounter | NA | ||||
| Total Medicare payments at DRG | $5,883,826,653 | ||||
| Total Medicare payments with ICD T402X5D - Adverse effect of other opioids, subsequent encounter | $1,107,634 | ||||
| Total Medicare payment per Day at DRG | $1,329 | ||||
| Total Medicare payment per Day with ICD T402X5D - Adverse effect of other opioids, subsequent encounter | $1,463 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
| Total Medicare payment per Hospitalization with ICD T402X5D - Adverse effect of other opioids, subsequent encounter | $23,567 | ||||
| Total Medicare Charges at DRG | $15,374,824,749 | ||||
| Total Medicare Charges with ICD T402X5D - Adverse effect of other opioids, subsequent encounter | $2,689,594 | ||||
| Avg Charges at DRG | $42,716 | ||||
| Avg Charges with ICD T402X5D - Adverse effect of other opioids, subsequent encounter | $57,225 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD T402X5D - Adverse effect of other opioids, subsequent encounter | NA | ||||
| SNF Discharge Rate at DRG | 27.95 | ||||
| SNF Discharge Rate with ICD T402X5D - Adverse effect of other opioids, subsequent encounter | NA | ||||
| Home Discharge Rate at DRG | 26.85 | ||||
| Home Discharge Rate with ICD T402X5D - Adverse effect of other opioids, subsequent encounter | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 052: SPINAL DISORDERS AND INJURIES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 45,626 | ||||
| Total Hospitalizations with ICD T402X5D - Adverse effect of other opioids, subsequent encounter | 29 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD T402X5D - Adverse effect of other opioids, subsequent encounter in DRG | 1.06 | ||||
| Avg LOS at DRG | 6.58 | ||||
| Avg LOS with ICD T402X5D - Adverse effect of other opioids, subsequent encounter | 13.52 | ||||
| Readmission Rate at DRG | 28.01 | ||||
| Readmission Rate with ICD T402X5D - Adverse effect of other opioids, subsequent encounter | NA | ||||
| Unplanned Readmission Rate at DRG | 15.44 | ||||
| Unplanned Readmission Rate with ICD T402X5D - Adverse effect of other opioids, subsequent encounter | NA | ||||
| Total Medicare payments at DRG | $509,048,598 | ||||
| Total Medicare payments with ICD T402X5D - Adverse effect of other opioids, subsequent encounter | $652,250 | ||||
| Total Medicare payment per Day at DRG | $1,696 | ||||
| Total Medicare payment per Day with ICD T402X5D - Adverse effect of other opioids, subsequent encounter | $1,664 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,157 | ||||
| Total Medicare payment per Hospitalization with ICD T402X5D - Adverse effect of other opioids, subsequent encounter | $22,491 | ||||
| Total Medicare Charges at DRG | $2,333,825,338 | ||||
| Total Medicare Charges with ICD T402X5D - Adverse effect of other opioids, subsequent encounter | $1,267,672 | ||||
| Avg Charges at DRG | $51,151 | ||||
| Avg Charges with ICD T402X5D - Adverse effect of other opioids, subsequent encounter | $43,713 | ||||
| Mortality Rate at DRG | 4.28 | ||||
| Mortality Rate with ICD T402X5D - Adverse effect of other opioids, subsequent encounter | NA | ||||
| SNF Discharge Rate at DRG | 39.84 | ||||
| SNF Discharge Rate with ICD T402X5D - Adverse effect of other opioids, subsequent encounter | NA | ||||
| Home Discharge Rate at DRG | 18.35 | ||||
| Home Discharge Rate with ICD T402X5D - Adverse effect of other opioids, subsequent encounter | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| SISKIN HOSPITAL FOR PHYSICAL REHABILITATION | 1 SISKIN PLZ | CHATTANOOGA | TN | 37403 | 164 |
| HEALTHSOUTH REHABILITATION HOSPITAL OF DALLAS | 7930 NORTHAVEN RD | DALLAS | TX | 75230 | 159 |
| NORTHERN COLORADO REHABILITATION HOSPITAL | 4401 UNION ST | LOVELAND | CO | 80537 | 147 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. REVELYN GILOK ARROGANTE | 4401 UNION ST | JOHNSTOWN | CO | 80534 | 56 |
| Dr. KENNY-BAO TRAN | 1215 RED RIVER ST | AUSTIN | TX | 78701 | 23 |
| Dr. ALBERTO LIN | 8600 SKYLINE DR | DALLAS | TX | 75243 | 22 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. STEPHAN F ESELGROTH | 3601 TVC | NASHVILLE | TN | 37232 | 156 |
| Dr. ANA FREED-SIGURDSSON | 7777 FOREST LN | DALLAS | TX | 75230 | 125 |
| Dr. REVELYN GILOK ARROGANTE | 4401 UNION ST | JOHNSTOWN | CO | 80534 | 107 |