*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z7141 - Alcohol abuse counseling and surveillance of alcoholic - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 17.01 | |
| 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 439: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 167,575 | ||||
| Total Hospitalizations with ICD Z7141 - Alcohol abuse counseling and surveillance of alcoholic | 719 | ||||
| DRG Share of Total Hospitalizations | 0.51 | ||||
| % of Total ICD Z7141 - Alcohol abuse counseling and surveillance of alcoholic in DRG | 10.42 | ||||
| Avg LOS at DRG | 5.54 | ||||
| Avg LOS with ICD Z7141 - Alcohol abuse counseling and surveillance of alcoholic | 4.03 | ||||
| Readmission Rate at DRG | 28.6 | ||||
| Readmission Rate with ICD Z7141 - Alcohol abuse counseling and surveillance of alcoholic | 29.75 | ||||
| Unplanned Readmission Rate at DRG | 14.22 | ||||
| Unplanned Readmission Rate with ICD Z7141 - Alcohol abuse counseling and surveillance of alcoholic | 16.98 | ||||
| Total Medicare payments at DRG | $830,329,176 | ||||
| Total Medicare payments with ICD Z7141 - Alcohol abuse counseling and surveillance of alcoholic | $3,720,679 | ||||
| Total Medicare payment per Day at DRG | $895 | ||||
| Total Medicare payment per Day with ICD Z7141 - Alcohol abuse counseling and surveillance of alcoholic | $1,283 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,955 | ||||
| Total Medicare payment per Hospitalization with ICD Z7141 - Alcohol abuse counseling and surveillance of alcoholic | $5,175 | ||||
| Total Medicare Charges at DRG | $3,314,158,261 | ||||
| Total Medicare Charges with ICD Z7141 - Alcohol abuse counseling and surveillance of alcoholic | $18,866,597 | ||||
| Avg Charges at DRG | $19,777 | ||||
| Avg Charges with ICD Z7141 - Alcohol abuse counseling and surveillance of alcoholic | $26,240 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD Z7141 - Alcohol abuse counseling and surveillance of alcoholic | NA | ||||
| SNF Discharge Rate at DRG | 5.67 | ||||
| SNF Discharge Rate with ICD Z7141 - Alcohol abuse counseling and surveillance of alcoholic | 9.32 | ||||
| Home Discharge Rate at DRG | 80.01 | ||||
| Home Discharge Rate with ICD Z7141 - Alcohol abuse counseling and surveillance of alcoholic | 75.66 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | 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 433: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 408,103 | ||||
| Total Hospitalizations with ICD Z7141 - Alcohol abuse counseling and surveillance of alcoholic | 198 | ||||
| DRG Share of Total Hospitalizations | 1.24 | ||||
| % of Total ICD Z7141 - Alcohol abuse counseling and surveillance of alcoholic in DRG | 2.87 | ||||
| Avg LOS at DRG | 3.52 | ||||
| Avg LOS with ICD Z7141 - Alcohol abuse counseling and surveillance of alcoholic | 3.22 | ||||
| Readmission Rate at DRG | 17.83 | ||||
| Readmission Rate with ICD Z7141 - Alcohol abuse counseling and surveillance of alcoholic | 23.2 | ||||
| Unplanned Readmission Rate at DRG | 13.81 | ||||
| Unplanned Readmission Rate with ICD Z7141 - Alcohol abuse counseling and surveillance of alcoholic | 20.99 | ||||
| Total Medicare payments at DRG | $2,416,862,532 | ||||
| Total Medicare payments with ICD Z7141 - Alcohol abuse counseling and surveillance of alcoholic | $1,216,777 | ||||
| Total Medicare payment per Day at DRG | $1,682 | ||||
| Total Medicare payment per Day with ICD Z7141 - Alcohol abuse counseling and surveillance of alcoholic | $1,910 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
| Total Medicare payment per Hospitalization with ICD Z7141 - Alcohol abuse counseling and surveillance of alcoholic | $6,145 | ||||
| Total Medicare Charges at DRG | $13,267,744,847 | ||||
| Total Medicare Charges with ICD Z7141 - Alcohol abuse counseling and surveillance of alcoholic | $7,037,603 | ||||
| Avg Charges at DRG | $32,511 | ||||
| Avg Charges with ICD Z7141 - Alcohol abuse counseling and surveillance of alcoholic | $35,543 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD Z7141 - Alcohol abuse counseling and surveillance of alcoholic | NA | ||||
| SNF Discharge Rate at DRG | 14.1 | ||||
| SNF Discharge Rate with ICD Z7141 - Alcohol abuse counseling and surveillance of alcoholic | 6.06 | ||||
| Home Discharge Rate at DRG | 62.97 | ||||
| Home Discharge Rate with ICD Z7141 - Alcohol abuse counseling and surveillance of alcoholic | 82.83 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 432: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 440: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 40,596 | ||||
| Total Hospitalizations with ICD Z7141 - Alcohol abuse counseling and surveillance of alcoholic | 123 | ||||
| DRG Share of Total Hospitalizations | 0.12 | ||||
| % of Total ICD Z7141 - Alcohol abuse counseling and surveillance of alcoholic in DRG | 1.78 | ||||
| Avg LOS at DRG | 6.32 | ||||
| Avg LOS with ICD Z7141 - Alcohol abuse counseling and surveillance of alcoholic | 5.79 | ||||
| Readmission Rate at DRG | 35.54 | ||||
| Readmission Rate with ICD Z7141 - Alcohol abuse counseling and surveillance of alcoholic | 31.53 | ||||
| Unplanned Readmission Rate at DRG | 27.96 | ||||
| Unplanned Readmission Rate with ICD Z7141 - Alcohol abuse counseling and surveillance of alcoholic | 27.03 | ||||
| Total Medicare payments at DRG | $491,148,810 | ||||
| Total Medicare payments with ICD Z7141 - Alcohol abuse counseling and surveillance of alcoholic | $1,313,107 | ||||
| Total Medicare payment per Day at DRG | $1,916 | ||||
| Total Medicare payment per Day with ICD Z7141 - Alcohol abuse counseling and surveillance of alcoholic | $1,844 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,098 | ||||
| Total Medicare payment per Hospitalization with ICD Z7141 - Alcohol abuse counseling and surveillance of alcoholic | $10,676 | ||||
| Total Medicare Charges at DRG | $2,425,808,073 | ||||
| Total Medicare Charges with ICD Z7141 - Alcohol abuse counseling and surveillance of alcoholic | $6,351,847 | ||||
| Avg Charges at DRG | $59,755 | ||||
| Avg Charges with ICD Z7141 - Alcohol abuse counseling and surveillance of alcoholic | $51,641 | ||||
| Mortality Rate at DRG | 7.58 | ||||
| Mortality Rate with ICD Z7141 - Alcohol abuse counseling and surveillance of alcoholic | NA | ||||
| SNF Discharge Rate at DRG | 16.9 | ||||
| SNF Discharge Rate with ICD Z7141 - Alcohol abuse counseling and surveillance of alcoholic | 11.38 | ||||
| Home Discharge Rate at DRG | 42.12 | ||||
| Home Discharge Rate with ICD Z7141 - Alcohol abuse counseling and surveillance of alcoholic | 69.11 |
*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 438: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 135,138 | ||||
| Total Hospitalizations with ICD Z7141 - Alcohol abuse counseling and surveillance of alcoholic | 88 | ||||
| DRG Share of Total Hospitalizations | 0.41 | ||||
| % of Total ICD Z7141 - Alcohol abuse counseling and surveillance of alcoholic in DRG | 1.27 | ||||
| Avg LOS at DRG | 3.28 | ||||
| Avg LOS with ICD Z7141 - Alcohol abuse counseling and surveillance of alcoholic | 2.88 | ||||
| Readmission Rate at DRG | 16.48 | ||||
| Readmission Rate with ICD Z7141 - Alcohol abuse counseling and surveillance of alcoholic | NA | ||||
| Unplanned Readmission Rate at DRG | 10.54 | ||||
| Unplanned Readmission Rate with ICD Z7141 - Alcohol abuse counseling and surveillance of alcoholic | NA | ||||
| Total Medicare payments at DRG | $705,646,122 | ||||
| Total Medicare payments with ICD Z7141 - Alcohol abuse counseling and surveillance of alcoholic | $446,872 | ||||
| Total Medicare payment per Day at DRG | $1,592 | ||||
| Total Medicare payment per Day with ICD Z7141 - Alcohol abuse counseling and surveillance of alcoholic | $1,766 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,222 | ||||
| Total Medicare payment per Hospitalization with ICD Z7141 - Alcohol abuse counseling and surveillance of alcoholic | $5,078 | ||||
| Total Medicare Charges at DRG | $4,131,642,258 | ||||
| Total Medicare Charges with ICD Z7141 - Alcohol abuse counseling and surveillance of alcoholic | $2,471,394 | ||||
| Avg Charges at DRG | $30,574 | ||||
| Avg Charges with ICD Z7141 - Alcohol abuse counseling and surveillance of alcoholic | $28,084 | ||||
| Mortality Rate at DRG | 0.2 | ||||
| Mortality Rate with ICD Z7141 - Alcohol abuse counseling and surveillance of alcoholic | NA | ||||
| SNF Discharge Rate at DRG | 16.47 | ||||
| SNF Discharge Rate with ICD Z7141 - Alcohol abuse counseling and surveillance of alcoholic | NA | ||||
| Home Discharge Rate at DRG | 56.97 | ||||
| Home Discharge Rate with ICD Z7141 - Alcohol abuse counseling and surveillance of alcoholic | 73.86 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| PARADISE VALLEY HOSPITAL | 2400 E 4TH ST | NATIONAL CITY | CA | 91950 | 188 |
| SHASTA REGIONAL MEDICAL CENTER | 1100 BUTTE ST | REDDING | CA | 96001 | 90 |
| BEHAVIORAL CENTER OF MICHIGAN | 4050 E 12 MILE RD | WARREN | MI | 48092 | 78 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JAVEED A MIR | 34 SWAN ST | BATAVIA | NY | 14020 | 48 |
| Dr. TIMOTHY KOEHLER BRENNAN | 3800 RESERVOIR RD NW | WASHINGTON | DC | 20007 | 34 |
| Dr. BORIS MAGID | 760 BROADWAY | BROOKLYN | NY | 11206 | 26 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SAMUEL KUGEL | 502 EUCLID AVE STE 306 | NATIONAL CITY | CA | 91950 | 49 |
| Dr. JAVEED A MIR | 34 SWAN ST | BATAVIA | NY | 14020 | 48 |
| Dr. NAGY R KHEIR | DETROIT RECEICING HOSPITAL CRISIS CENTER | DETROIT | MI | 48201 | 39 |