*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z720 - Tobacco use - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 13.94 | |
| 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 885: PSYCHOSES | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD Z720 - Tobacco use | 40,297 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD Z720 - Tobacco use in DRG | 10.89 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD Z720 - Tobacco use | 10.72 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD Z720 - Tobacco use | 30.88 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD Z720 - Tobacco use | 13.43 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD Z720 - Tobacco use | $304,457,524 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD Z720 - Tobacco use | $705 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD Z720 - Tobacco use | $7,555 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD Z720 - Tobacco use | $1,024,383,361 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD Z720 - Tobacco use | $25,421 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD Z720 - Tobacco use | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD Z720 - Tobacco use | 3.56 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD Z720 - Tobacco use | 83.28 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 192: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD Z720 - Tobacco use | 8,036 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD Z720 - Tobacco use in DRG | 2.17 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD Z720 - Tobacco use | 4.87 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD Z720 - Tobacco use | 29.92 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD Z720 - Tobacco use | 23.68 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD Z720 - Tobacco use | $73,977,333 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD Z720 - Tobacco use | $1,891 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD Z720 - Tobacco use | $9,206 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD Z720 - Tobacco use | $318,605,448 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD Z720 - Tobacco use | $39,647 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD Z720 - Tobacco use | 2.31 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD Z720 - Tobacco use | 13.35 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD Z720 - Tobacco use | 49.91 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 247: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD Z720 - Tobacco use | 4,827 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD Z720 - Tobacco use in DRG | 1.3 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD Z720 - Tobacco use | 4.96 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD Z720 - Tobacco use | 23.12 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD Z720 - Tobacco use | 17.11 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD Z720 - Tobacco use | $40,989,564 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD Z720 - Tobacco use | $1,711 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD Z720 - Tobacco use | $8,492 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD Z720 - Tobacco use | $183,298,896 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD Z720 - Tobacco use | $37,974 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD Z720 - Tobacco use | 2.49 | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD Z720 - Tobacco use | 12.93 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD Z720 - Tobacco use | 53.53 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 352,097 | ||||
| Total Hospitalizations with ICD Z720 - Tobacco use | 4,008 | ||||
| DRG Share of Total Hospitalizations | 1.07 | ||||
| % of Total ICD Z720 - Tobacco use in DRG | 1.08 | ||||
| Avg LOS at DRG | 3.96 | ||||
| Avg LOS with ICD Z720 - Tobacco use | 4.17 | ||||
| Readmission Rate at DRG | 35.38 | ||||
| Readmission Rate with ICD Z720 - Tobacco use | 37.51 | ||||
| Unplanned Readmission Rate at DRG | 7.63 | ||||
| Unplanned Readmission Rate with ICD Z720 - Tobacco use | 7.29 | ||||
| Total Medicare payments at DRG | $2,360,891,966 | ||||
| Total Medicare payments with ICD Z720 - Tobacco use | $27,777,844 | ||||
| Total Medicare payment per Day at DRG | $1,693 | ||||
| Total Medicare payment per Day with ICD Z720 - Tobacco use | $1,662 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,705 | ||||
| Total Medicare payment per Hospitalization with ICD Z720 - Tobacco use | $6,931 | ||||
| Total Medicare Charges at DRG | $13,014,640,264 | ||||
| Total Medicare Charges with ICD Z720 - Tobacco use | $146,765,215 | ||||
| Avg Charges at DRG | $36,963 | ||||
| Avg Charges with ICD Z720 - Tobacco use | $36,618 | ||||
| Mortality Rate at DRG | 1.54 | ||||
| Mortality Rate with ICD Z720 - Tobacco use | 0.92 | ||||
| SNF Discharge Rate at DRG | 24.0 | ||||
| SNF Discharge Rate with ICD Z720 - Tobacco use | 17.24 | ||||
| Home Discharge Rate at DRG | 26.62 | ||||
| Home Discharge Rate with ICD Z720 - Tobacco use | 33.93 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BERKSHIRE MEDICAL CENTER | 725 NORTH ST | PITTSFIELD | MA | 01201 | 1,694 |
| MEDSTAR WASHINGTON HOSPITAL CENTER | 110 IRVING ST NW | WASHINGTON | DC | 20010 | 1,335 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 1,312 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. LJILJANA MARKOVIC | 25 MARSHALL STREET | NORTH ADAMS | MA | 01247 | 213 |
| Dr. FAWZY SAMY BASTA | 17075 DEVONSHIRE ST | NORTHRIDGE | CA | 91325 | 177 |
| Dr. MAREK BELZ | 19 PROSPECT ST | SUMMIT | NJ | 07901 | 176 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SHIVA KUMAR LAM | 1600 W 38TH STREET | AUSTIN | TX | 78731 | 272 |
| Dr. LJILJANA MARKOVIC | 25 MARSHALL STREET | NORTH ADAMS | MA | 01247 | 249 |
| Dr. MUHAMMAD KALEEM ARSHAD | 229 BELLEMEADE BLVD | GRETNA | LA | 70056 | 231 |