*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Y908 - Blood alcohol level of 240 mg/100 ml or more - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 21.75 | |
| 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 885: PSYCHOSES | DRG 895: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | DRG 896: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 894: ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 167,575 | ||||
| Total Hospitalizations with ICD Y908 - Blood alcohol level of 240 mg/100 ml or more | 439 | ||||
| DRG Share of Total Hospitalizations | 0.51 | ||||
| % of Total ICD Y908 - Blood alcohol level of 240 mg/100 ml or more in DRG | 29.78 | ||||
| Avg LOS at DRG | 5.54 | ||||
| Avg LOS with ICD Y908 - Blood alcohol level of 240 mg/100 ml or more | 4.03 | ||||
| Readmission Rate at DRG | 28.6 | ||||
| Readmission Rate with ICD Y908 - Blood alcohol level of 240 mg/100 ml or more | 41.69 | ||||
| Unplanned Readmission Rate at DRG | 14.22 | ||||
| Unplanned Readmission Rate with ICD Y908 - Blood alcohol level of 240 mg/100 ml or more | 28.1 | ||||
| Total Medicare payments at DRG | $830,329,176 | ||||
| Total Medicare payments with ICD Y908 - Blood alcohol level of 240 mg/100 ml or more | $2,214,565 | ||||
| Total Medicare payment per Day at DRG | $895 | ||||
| Total Medicare payment per Day with ICD Y908 - Blood alcohol level of 240 mg/100 ml or more | $1,250 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,955 | ||||
| Total Medicare payment per Hospitalization with ICD Y908 - Blood alcohol level of 240 mg/100 ml or more | $5,045 | ||||
| Total Medicare Charges at DRG | $3,314,158,261 | ||||
| Total Medicare Charges with ICD Y908 - Blood alcohol level of 240 mg/100 ml or more | $9,719,811 | ||||
| Avg Charges at DRG | $19,777 | ||||
| Avg Charges with ICD Y908 - Blood alcohol level of 240 mg/100 ml or more | $22,141 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD Y908 - Blood alcohol level of 240 mg/100 ml or more | NA | ||||
| SNF Discharge Rate at DRG | 5.67 | ||||
| SNF Discharge Rate with ICD Y908 - Blood alcohol level of 240 mg/100 ml or more | 9.34 | ||||
| Home Discharge Rate at DRG | 80.01 | ||||
| Home Discharge Rate with ICD Y908 - Blood alcohol level of 240 mg/100 ml or more | 73.12 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 918: POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 881: DEPRESSIVE NEUROSES | 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) | DRG 439: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 71,748 | ||||
| Total Hospitalizations with ICD Y908 - Blood alcohol level of 240 mg/100 ml or more | 26 | ||||
| DRG Share of Total Hospitalizations | 0.22 | ||||
| % of Total ICD Y908 - Blood alcohol level of 240 mg/100 ml or more in DRG | 1.76 | ||||
| Avg LOS at DRG | 2.93 | ||||
| Avg LOS with ICD Y908 - Blood alcohol level of 240 mg/100 ml or more | 2.54 | ||||
| Readmission Rate at DRG | 33.86 | ||||
| Readmission Rate with ICD Y908 - Blood alcohol level of 240 mg/100 ml or more | NA | ||||
| Unplanned Readmission Rate at DRG | 10.34 | ||||
| Unplanned Readmission Rate with ICD Y908 - Blood alcohol level of 240 mg/100 ml or more | NA | ||||
| Total Medicare payments at DRG | $313,351,773 | ||||
| Total Medicare payments with ICD Y908 - Blood alcohol level of 240 mg/100 ml or more | $115,722 | ||||
| Total Medicare payment per Day at DRG | $1,489 | ||||
| Total Medicare payment per Day with ICD Y908 - Blood alcohol level of 240 mg/100 ml or more | $1,753 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,367 | ||||
| Total Medicare payment per Hospitalization with ICD Y908 - Blood alcohol level of 240 mg/100 ml or more | $4,451 | ||||
| Total Medicare Charges at DRG | $1,750,048,705 | ||||
| Total Medicare Charges with ICD Y908 - Blood alcohol level of 240 mg/100 ml or more | $450,465 | ||||
| Avg Charges at DRG | $24,392 | ||||
| Avg Charges with ICD Y908 - Blood alcohol level of 240 mg/100 ml or more | $17,326 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD Y908 - Blood alcohol level of 240 mg/100 ml or more | NA | ||||
| SNF Discharge Rate at DRG | 7.61 | ||||
| SNF Discharge Rate with ICD Y908 - Blood alcohol level of 240 mg/100 ml or more | NA | ||||
| Home Discharge Rate at DRG | 51.88 | ||||
| Home Discharge Rate with ICD Y908 - Blood alcohol level of 240 mg/100 ml or more | 46.15 |
*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 433: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD Y908 - Blood alcohol level of 240 mg/100 ml or more | 20 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD Y908 - Blood alcohol level of 240 mg/100 ml or more in DRG | 1.36 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD Y908 - Blood alcohol level of 240 mg/100 ml or more | 3.45 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD Y908 - Blood alcohol level of 240 mg/100 ml or more | NA | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD Y908 - Blood alcohol level of 240 mg/100 ml or more | NA | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD Y908 - Blood alcohol level of 240 mg/100 ml or more | $82,658 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD Y908 - Blood alcohol level of 240 mg/100 ml or more | $1,198 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD Y908 - Blood alcohol level of 240 mg/100 ml or more | $4,133 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD Y908 - Blood alcohol level of 240 mg/100 ml or more | $419,093 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD Y908 - Blood alcohol level of 240 mg/100 ml or more | $20,955 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD Y908 - Blood alcohol level of 240 mg/100 ml or more | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD Y908 - Blood alcohol level of 240 mg/100 ml or more | NA | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD Y908 - Blood alcohol level of 240 mg/100 ml or more | 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 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 181,637 | ||||
| Total Hospitalizations with ICD Y908 - Blood alcohol level of 240 mg/100 ml or more | 12 | ||||
| DRG Share of Total Hospitalizations | 0.55 | ||||
| % of Total ICD Y908 - Blood alcohol level of 240 mg/100 ml or more in DRG | 0.81 | ||||
| Avg LOS at DRG | 7.0 | ||||
| Avg LOS with ICD Y908 - Blood alcohol level of 240 mg/100 ml or more | 4.67 | ||||
| Readmission Rate at DRG | 32.53 | ||||
| Readmission Rate with ICD Y908 - Blood alcohol level of 240 mg/100 ml or more | NA | ||||
| Unplanned Readmission Rate at DRG | 19.84 | ||||
| Unplanned Readmission Rate with ICD Y908 - Blood alcohol level of 240 mg/100 ml or more | NA | ||||
| Total Medicare payments at DRG | $2,845,609,163 | ||||
| Total Medicare payments with ICD Y908 - Blood alcohol level of 240 mg/100 ml or more | $155,245 | ||||
| Total Medicare payment per Day at DRG | $2,237 | ||||
| Total Medicare payment per Day with ICD Y908 - Blood alcohol level of 240 mg/100 ml or more | $2,772 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,666 | ||||
| Total Medicare payment per Hospitalization with ICD Y908 - Blood alcohol level of 240 mg/100 ml or more | $12,937 | ||||
| Total Medicare Charges at DRG | $14,794,146,746 | ||||
| Total Medicare Charges with ICD Y908 - Blood alcohol level of 240 mg/100 ml or more | $509,967 | ||||
| Avg Charges at DRG | $81,449 | ||||
| Avg Charges with ICD Y908 - Blood alcohol level of 240 mg/100 ml or more | $42,497 | ||||
| Mortality Rate at DRG | 25.14 | ||||
| Mortality Rate with ICD Y908 - Blood alcohol level of 240 mg/100 ml or more | NA | ||||
| SNF Discharge Rate at DRG | 19.06 | ||||
| SNF Discharge Rate with ICD Y908 - Blood alcohol level of 240 mg/100 ml or more | NA | ||||
| Home Discharge Rate at DRG | 20.69 | ||||
| Home Discharge Rate with ICD Y908 - Blood alcohol level of 240 mg/100 ml or more | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UNIVERSITY OF MISSOURI HEALTH CARE | ONE HOSPITAL DRIVE | COLUMBIA | MO | 65212 | 98 |
| SHARP GROSSMONT HOSPITAL | 5555 GROSSMONT CENTER DR | LA MESA | CA | 91942 | 84 |
| CLAY COUNTY HOSPITAL | 83825 HWY 9 | ASHLAND | AL | 36251 | 81 |
| 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 | 80 |
| Dr. TRENTON ELIOT MOYER | 3252 HOLIDAY CT | LA JOLLA | CA | 92037 | 19 |
| Dr. MOHSEN VAZIRIAN | 9500 EUCLID AVE DEPART OF PSYCHIATRY & PSYCHOLOGY | CLEVELAND | OH | 44195 | 12 |
| 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 | 79 |
| Dr. SHALINI SANGAL | 1200 W CHEROKEE ST | WAGONER | OK | 74467 | 21 |
| Dr. TRENTON ELIOT MOYER | 3252 HOLIDAY CT | LA JOLLA | CA | 92037 | 20 |