*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Y900 - Blood alcohol level of less than 20 mg/100 ml - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 14.53 | |
| 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 895: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | DRG 885: PSYCHOSES | DRG 894: ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | DRG 896: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 167,575 | ||||
| Total Hospitalizations with ICD Y900 - Blood alcohol level of less than 20 mg/100 ml | 262 | ||||
| DRG Share of Total Hospitalizations | 0.51 | ||||
| % of Total ICD Y900 - Blood alcohol level of less than 20 mg/100 ml in DRG | 17.97 | ||||
| Avg LOS at DRG | 5.54 | ||||
| Avg LOS with ICD Y900 - Blood alcohol level of less than 20 mg/100 ml | 5.84 | ||||
| Readmission Rate at DRG | 28.6 | ||||
| Readmission Rate with ICD Y900 - Blood alcohol level of less than 20 mg/100 ml | 34.68 | ||||
| Unplanned Readmission Rate at DRG | 14.22 | ||||
| Unplanned Readmission Rate with ICD Y900 - Blood alcohol level of less than 20 mg/100 ml | 16.13 | ||||
| Total Medicare payments at DRG | $830,329,176 | ||||
| Total Medicare payments with ICD Y900 - Blood alcohol level of less than 20 mg/100 ml | $1,415,327 | ||||
| Total Medicare payment per Day at DRG | $895 | ||||
| Total Medicare payment per Day with ICD Y900 - Blood alcohol level of less than 20 mg/100 ml | $925 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,955 | ||||
| Total Medicare payment per Hospitalization with ICD Y900 - Blood alcohol level of less than 20 mg/100 ml | $5,402 | ||||
| Total Medicare Charges at DRG | $3,314,158,261 | ||||
| Total Medicare Charges with ICD Y900 - Blood alcohol level of less than 20 mg/100 ml | $5,897,665 | ||||
| Avg Charges at DRG | $19,777 | ||||
| Avg Charges with ICD Y900 - Blood alcohol level of less than 20 mg/100 ml | $22,510 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD Y900 - Blood alcohol level of less than 20 mg/100 ml | NA | ||||
| SNF Discharge Rate at DRG | 5.67 | ||||
| SNF Discharge Rate with ICD Y900 - Blood alcohol level of less than 20 mg/100 ml | 6.11 | ||||
| Home Discharge Rate at DRG | 80.01 | ||||
| Home Discharge Rate with ICD Y900 - Blood alcohol level of less than 20 mg/100 ml | 77.1 |
*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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 101: SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 917: POISONING AND TOXIC EFFECTS OF DRUGS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 439: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 310,318 | ||||
| Total Hospitalizations with ICD Y900 - Blood alcohol level of less than 20 mg/100 ml | 35 | ||||
| DRG Share of Total Hospitalizations | 0.94 | ||||
| % of Total ICD Y900 - Blood alcohol level of less than 20 mg/100 ml in DRG | 2.4 | ||||
| Avg LOS at DRG | 3.19 | ||||
| Avg LOS with ICD Y900 - Blood alcohol level of less than 20 mg/100 ml | 4.63 | ||||
| Readmission Rate at DRG | 20.19 | ||||
| Readmission Rate with ICD Y900 - Blood alcohol level of less than 20 mg/100 ml | NA | ||||
| Unplanned Readmission Rate at DRG | 13.62 | ||||
| Unplanned Readmission Rate with ICD Y900 - Blood alcohol level of less than 20 mg/100 ml | NA | ||||
| Total Medicare payments at DRG | $1,415,392,709 | ||||
| Total Medicare payments with ICD Y900 - Blood alcohol level of less than 20 mg/100 ml | $184,198 | ||||
| Total Medicare payment per Day at DRG | $1,431 | ||||
| Total Medicare payment per Day with ICD Y900 - Blood alcohol level of less than 20 mg/100 ml | $1,137 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,561 | ||||
| Total Medicare payment per Hospitalization with ICD Y900 - Blood alcohol level of less than 20 mg/100 ml | $5,263 | ||||
| Total Medicare Charges at DRG | $7,113,640,596 | ||||
| Total Medicare Charges with ICD Y900 - Blood alcohol level of less than 20 mg/100 ml | $816,382 | ||||
| Avg Charges at DRG | $22,924 | ||||
| Avg Charges with ICD Y900 - Blood alcohol level of less than 20 mg/100 ml | $23,325 | ||||
| Mortality Rate at DRG | 0.63 | ||||
| Mortality Rate with ICD Y900 - Blood alcohol level of less than 20 mg/100 ml | NA | ||||
| SNF Discharge Rate at DRG | 19.76 | ||||
| SNF Discharge Rate with ICD Y900 - Blood alcohol level of less than 20 mg/100 ml | NA | ||||
| Home Discharge Rate at DRG | 50.47 | ||||
| Home Discharge Rate with ICD Y900 - Blood alcohol level of less than 20 mg/100 ml | 60.0 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 433: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 432: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD Y900 - Blood alcohol level of less than 20 mg/100 ml | 21 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD Y900 - Blood alcohol level of less than 20 mg/100 ml in DRG | 1.44 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD Y900 - Blood alcohol level of less than 20 mg/100 ml | 3.95 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD Y900 - Blood alcohol level of less than 20 mg/100 ml | NA | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD Y900 - Blood alcohol level of less than 20 mg/100 ml | NA | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD Y900 - Blood alcohol level of less than 20 mg/100 ml | $124,780 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD Y900 - Blood alcohol level of less than 20 mg/100 ml | $1,503 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD Y900 - Blood alcohol level of less than 20 mg/100 ml | $5,942 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD Y900 - Blood alcohol level of less than 20 mg/100 ml | $680,180 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD Y900 - Blood alcohol level of less than 20 mg/100 ml | $32,390 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD Y900 - Blood alcohol level of less than 20 mg/100 ml | NA | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD Y900 - Blood alcohol level of less than 20 mg/100 ml | NA | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD Y900 - Blood alcohol level of less than 20 mg/100 ml | 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 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 918: POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 442: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 231,812 | |||
| Total Hospitalizations with ICD Y900 - Blood alcohol level of less than 20 mg/100 ml | 13 | |||
| DRG Share of Total Hospitalizations | 0.71 | |||
| % of Total ICD Y900 - Blood alcohol level of less than 20 mg/100 ml in DRG | 0.89 | |||
| Avg LOS at DRG | 4.41 | |||
| Avg LOS with ICD Y900 - Blood alcohol level of less than 20 mg/100 ml | 5.69 | |||
| Readmission Rate at DRG | 29.12 | |||
| Readmission Rate with ICD Y900 - Blood alcohol level of less than 20 mg/100 ml | NA | |||
| Unplanned Readmission Rate at DRG | 22.82 | |||
| Unplanned Readmission Rate with ICD Y900 - Blood alcohol level of less than 20 mg/100 ml | NA | |||
| Total Medicare payments at DRG | $1,743,376,418 | |||
| Total Medicare payments with ICD Y900 - Blood alcohol level of less than 20 mg/100 ml | $114,311 | |||
| Total Medicare payment per Day at DRG | $1,704 | |||
| Total Medicare payment per Day with ICD Y900 - Blood alcohol level of less than 20 mg/100 ml | $1,545 | |||
| Total Medicare payment per Hospitalization at DRG | $7,521 | |||
| Total Medicare payment per Hospitalization with ICD Y900 - Blood alcohol level of less than 20 mg/100 ml | $8,793 | |||
| Total Medicare Charges at DRG | $8,543,867,896 | |||
| Total Medicare Charges with ICD Y900 - Blood alcohol level of less than 20 mg/100 ml | $535,968 | |||
| Avg Charges at DRG | $36,857 | |||
| Avg Charges with ICD Y900 - Blood alcohol level of less than 20 mg/100 ml | $41,228 | |||
| Mortality Rate at DRG | 2.89 | |||
| Mortality Rate with ICD Y900 - Blood alcohol level of less than 20 mg/100 ml | NA | |||
| SNF Discharge Rate at DRG | 22.92 | |||
| SNF Discharge Rate with ICD Y900 - Blood alcohol level of less than 20 mg/100 ml | NA | |||
| Home Discharge Rate at DRG | 43.02 | |||
| Home Discharge Rate with ICD Y900 - Blood alcohol level of less than 20 mg/100 ml | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| SHARP GROSSMONT HOSPITAL | 5555 GROSSMONT CENTER DR | LA MESA | CA | 91942 | 193 |
| CLAY COUNTY HOSPITAL | 83825 HWY 9 | ASHLAND | AL | 36251 | 155 |
| INTERFAITH MEDICAL CENTER | 1545 ATLANTIC AVENUE | BROOKLYN | NY | 11213 | 131 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOHN STEWART FISCHER | 608 18TH ST N | BESSEMER | AL | 35020 | 152 |
| Dr. CYNTHIA KO | 401 FIRST AVE., APT. 11C | NEW YORK | NY | 10010 | 55 |
| Dr. MARK DAVID SOLOMON | 701 ROUTE 25A | MOUNT SINAI | NY | 11766 | 32 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOHN STEWART FISCHER | 608 18TH ST N | BESSEMER | AL | 35020 | 154 |
| Dr. CYNTHIA KO | 401 FIRST AVE., APT. 11C | NEW YORK | NY | 10010 | 57 |
| Dr. OLADAPO FOLARIN | 110 JOHN ESKEW DRIVE | ALEXANDRIA | LA | 71303 | 52 |