*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| T404X5A - Adverse effect of other synthetic narcotics, initial encounter - as a primary diagnosis code | T404X5A - Adverse effect of other synthetic narcotics, initial encounter - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.27 | |
| Readmission Rate (%) | 22.21 | |
| Unplanned Readmission Rate (%) | 18.05 | |
| 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 917: POISONING AND TOXIC EFFECTS OF DRUGS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 918: POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 101,548 | |
| Total Hospitalizations with ICD T404X5A - Adverse effect of other synthetic narcotics, initial encounter | 83 | |
| DRG Share of Total Hospitalizations | 0.31 | |
| % of Total ICD T404X5A - Adverse effect of other synthetic narcotics, initial encounter in DRG | 61.03 | |
| Avg LOS at DRG | 4.68 | |
| Avg LOS with ICD T404X5A - Adverse effect of other synthetic narcotics, initial encounter | 3.63 | |
| Readmission Rate at DRG | 32.74 | |
| Readmission Rate with ICD T404X5A - Adverse effect of other synthetic narcotics, initial encounter | 30.49 | |
| Unplanned Readmission Rate at DRG | 13.79 | |
| Unplanned Readmission Rate with ICD T404X5A - Adverse effect of other synthetic narcotics, initial encounter | 21.95 | |
| Total Medicare payments at DRG | $922,969,291 | |
| Total Medicare payments with ICD T404X5A - Adverse effect of other synthetic narcotics, initial encounter | $661,332 | |
| Total Medicare payment per Day at DRG | $1,941 | |
| Total Medicare payment per Day with ICD T404X5A - Adverse effect of other synthetic narcotics, initial encounter | $2,197 | |
| Total Medicare payment per Hospitalization at DRG | $9,089 | |
| Total Medicare payment per Hospitalization with ICD T404X5A - Adverse effect of other synthetic narcotics, initial encounter | $7,968 | |
| Total Medicare Charges at DRG | $4,727,523,206 | |
| Total Medicare Charges with ICD T404X5A - Adverse effect of other synthetic narcotics, initial encounter | $2,458,916 | |
| Avg Charges at DRG | $46,555 | |
| Avg Charges with ICD T404X5A - Adverse effect of other synthetic narcotics, initial encounter | $29,625 | |
| Mortality Rate at DRG | 2.95 | |
| Mortality Rate with ICD T404X5A - Adverse effect of other synthetic narcotics, initial encounter | NA | |
| SNF Discharge Rate at DRG | 13.87 | |
| SNF Discharge Rate with ICD T404X5A - Adverse effect of other synthetic narcotics, initial encounter | 39.76 | |
| Home Discharge Rate at DRG | 43.04 | |
| Home Discharge Rate with ICD T404X5A - Adverse effect of other synthetic narcotics, initial encounter | 27.71 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | 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 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 122,730 | ||||
| Total Hospitalizations with ICD T404X5A - Adverse effect of other synthetic narcotics, initial encounter | 1,286 | ||||
| DRG Share of Total Hospitalizations | 0.37 | ||||
| % of Total ICD T404X5A - Adverse effect of other synthetic narcotics, initial encounter in DRG | 6.67 | ||||
| Avg LOS at DRG | 7.61 | ||||
| Avg LOS with ICD T404X5A - Adverse effect of other synthetic narcotics, initial encounter | 3.56 | ||||
| Readmission Rate at DRG | 21.31 | ||||
| Readmission Rate with ICD T404X5A - Adverse effect of other synthetic narcotics, initial encounter | 20.18 | ||||
| Unplanned Readmission Rate at DRG | 14.13 | ||||
| Unplanned Readmission Rate with ICD T404X5A - Adverse effect of other synthetic narcotics, initial encounter | 12.77 | ||||
| Total Medicare payments at DRG | $1,397,885,220 | ||||
| Total Medicare payments with ICD T404X5A - Adverse effect of other synthetic narcotics, initial encounter | $7,139,525 | ||||
| Total Medicare payment per Day at DRG | $1,497 | ||||
| Total Medicare payment per Day with ICD T404X5A - Adverse effect of other synthetic narcotics, initial encounter | $1,561 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,390 | ||||
| Total Medicare payment per Hospitalization with ICD T404X5A - Adverse effect of other synthetic narcotics, initial encounter | $5,552 | ||||
| Total Medicare Charges at DRG | $4,175,290,309 | ||||
| Total Medicare Charges with ICD T404X5A - Adverse effect of other synthetic narcotics, initial encounter | $35,746,261 | ||||
| Avg Charges at DRG | $34,020 | ||||
| Avg Charges with ICD T404X5A - Adverse effect of other synthetic narcotics, initial encounter | $27,796 | ||||
| Mortality Rate at DRG | 0.28 | ||||
| Mortality Rate with ICD T404X5A - Adverse effect of other synthetic narcotics, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 21.64 | ||||
| SNF Discharge Rate with ICD T404X5A - Adverse effect of other synthetic narcotics, initial encounter | 36.78 | ||||
| Home Discharge Rate at DRG | 28.06 | ||||
| Home Discharge Rate with ICD T404X5A - Adverse effect of other synthetic narcotics, initial encounter | 29.0 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 312: SYNCOPE AND COLLAPSE | DRG 093: OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD T404X5A - Adverse effect of other synthetic narcotics, initial encounter | 449 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD T404X5A - Adverse effect of other synthetic narcotics, initial encounter in DRG | 2.33 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD T404X5A - Adverse effect of other synthetic narcotics, initial encounter | 3.26 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD T404X5A - Adverse effect of other synthetic narcotics, initial encounter | 18.69 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD T404X5A - Adverse effect of other synthetic narcotics, initial encounter | 13.55 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD T404X5A - Adverse effect of other synthetic narcotics, initial encounter | $1,894,352 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD T404X5A - Adverse effect of other synthetic narcotics, initial encounter | $1,296 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD T404X5A - Adverse effect of other synthetic narcotics, initial encounter | $4,219 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD T404X5A - Adverse effect of other synthetic narcotics, initial encounter | $11,647,780 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD T404X5A - Adverse effect of other synthetic narcotics, initial encounter | $25,942 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD T404X5A - Adverse effect of other synthetic narcotics, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD T404X5A - Adverse effect of other synthetic narcotics, initial encounter | 12.92 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD T404X5A - Adverse effect of other synthetic narcotics, initial encounter | 61.02 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 947: SIGNS AND SYMPTOMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 469: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD T404X5A - Adverse effect of other synthetic narcotics, initial encounter | 322 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD T404X5A - Adverse effect of other synthetic narcotics, initial encounter in DRG | 1.67 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD T404X5A - Adverse effect of other synthetic narcotics, initial encounter | 4.06 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD T404X5A - Adverse effect of other synthetic narcotics, initial encounter | 26.49 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD T404X5A - Adverse effect of other synthetic narcotics, initial encounter | 20.86 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD T404X5A - Adverse effect of other synthetic narcotics, initial encounter | $2,678,758 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD T404X5A - Adverse effect of other synthetic narcotics, initial encounter | $2,050 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD T404X5A - Adverse effect of other synthetic narcotics, initial encounter | $8,319 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD T404X5A - Adverse effect of other synthetic narcotics, initial encounter | $10,470,163 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD T404X5A - Adverse effect of other synthetic narcotics, initial encounter | $32,516 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD T404X5A - Adverse effect of other synthetic narcotics, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD T404X5A - Adverse effect of other synthetic narcotics, initial encounter | 30.12 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD T404X5A - Adverse effect of other synthetic narcotics, initial encounter | 34.78 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 101: SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 917: POISONING AND TOXIC EFFECTS OF DRUGS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 135,138 | ||||
| Total Hospitalizations with ICD T404X5A - Adverse effect of other synthetic narcotics, initial encounter | 243 | ||||
| DRG Share of Total Hospitalizations | 0.41 | ||||
| % of Total ICD T404X5A - Adverse effect of other synthetic narcotics, initial encounter in DRG | 1.26 | ||||
| Avg LOS at DRG | 3.28 | ||||
| Avg LOS with ICD T404X5A - Adverse effect of other synthetic narcotics, initial encounter | 2.94 | ||||
| Readmission Rate at DRG | 16.48 | ||||
| Readmission Rate with ICD T404X5A - Adverse effect of other synthetic narcotics, initial encounter | 18.45 | ||||
| Unplanned Readmission Rate at DRG | 10.54 | ||||
| Unplanned Readmission Rate with ICD T404X5A - Adverse effect of other synthetic narcotics, initial encounter | 11.16 | ||||
| Total Medicare payments at DRG | $705,646,122 | ||||
| Total Medicare payments with ICD T404X5A - Adverse effect of other synthetic narcotics, initial encounter | $1,122,592 | ||||
| Total Medicare payment per Day at DRG | $1,592 | ||||
| Total Medicare payment per Day with ICD T404X5A - Adverse effect of other synthetic narcotics, initial encounter | $1,572 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,222 | ||||
| Total Medicare payment per Hospitalization with ICD T404X5A - Adverse effect of other synthetic narcotics, initial encounter | $4,620 | ||||
| Total Medicare Charges at DRG | $4,131,642,258 | ||||
| Total Medicare Charges with ICD T404X5A - Adverse effect of other synthetic narcotics, initial encounter | $6,953,697 | ||||
| Avg Charges at DRG | $30,574 | ||||
| Avg Charges with ICD T404X5A - Adverse effect of other synthetic narcotics, initial encounter | $28,616 | ||||
| Mortality Rate at DRG | 0.2 | ||||
| Mortality Rate with ICD T404X5A - Adverse effect of other synthetic narcotics, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 16.47 | ||||
| SNF Discharge Rate with ICD T404X5A - Adverse effect of other synthetic narcotics, initial encounter | 20.58 | ||||
| Home Discharge Rate at DRG | 56.97 | ||||
| Home Discharge Rate with ICD T404X5A - Adverse effect of other synthetic narcotics, initial encounter | 50.21 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| OSF SAINT FRANCIS MEDICAL CENTER | 530 NE GLEN OAK AVE | PEORIA | IL | 61637 | 86 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 82 |
| BAPTIST ST. ANTHONY'S HOSPITAL | 1600 WALLACE BLVD | AMARILLO | TX | 79106 | 70 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. WILLIAM WINN | 4215 JOE RAMSEY BLVD E | GREENVILLE | TX | 75401 | 12 |