*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z79891 - Long term (current) use of opiate analgesic - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 15.17 | |
| 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD Z79891 - Long term (current) use of opiate analgesic | 31,065 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Z79891 - Long term (current) use of opiate analgesic in DRG | 5.37 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Z79891 - Long term (current) use of opiate analgesic | 5.33 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Z79891 - Long term (current) use of opiate analgesic | 23.46 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Z79891 - Long term (current) use of opiate analgesic | 17.18 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Z79891 - Long term (current) use of opiate analgesic | $342,556,169 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Z79891 - Long term (current) use of opiate analgesic | $2,070 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Z79891 - Long term (current) use of opiate analgesic | $11,027 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Z79891 - Long term (current) use of opiate analgesic | $1,530,042,331 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Z79891 - Long term (current) use of opiate analgesic | $49,253 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Z79891 - Long term (current) use of opiate analgesic | 7.75 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Z79891 - Long term (current) use of opiate analgesic | 23.25 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Z79891 - Long term (current) use of opiate analgesic | 33.84 |
*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 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD Z79891 - Long term (current) use of opiate analgesic | 11,678 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD Z79891 - Long term (current) use of opiate analgesic in DRG | 2.02 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD Z79891 - Long term (current) use of opiate analgesic | 4.33 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD Z79891 - Long term (current) use of opiate analgesic | 26.75 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD Z79891 - Long term (current) use of opiate analgesic | 21.72 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD Z79891 - Long term (current) use of opiate analgesic | $88,578,514 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD Z79891 - Long term (current) use of opiate analgesic | $1,750 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD Z79891 - Long term (current) use of opiate analgesic | $7,585 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD Z79891 - Long term (current) use of opiate analgesic | $417,226,938 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD Z79891 - Long term (current) use of opiate analgesic | $35,728 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD Z79891 - Long term (current) use of opiate analgesic | 3.05 | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD Z79891 - Long term (current) use of opiate analgesic | 15.92 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD Z79891 - Long term (current) use of opiate analgesic | 45.76 |
*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 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD Z79891 - Long term (current) use of opiate analgesic | 8,176 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD Z79891 - Long term (current) use of opiate analgesic in DRG | 1.41 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD Z79891 - Long term (current) use of opiate analgesic | 3.51 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD Z79891 - Long term (current) use of opiate analgesic | 23.23 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD Z79891 - Long term (current) use of opiate analgesic | 17.29 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD Z79891 - Long term (current) use of opiate analgesic | $44,807,438 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD Z79891 - Long term (current) use of opiate analgesic | $1,561 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD Z79891 - Long term (current) use of opiate analgesic | $5,480 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD Z79891 - Long term (current) use of opiate analgesic | $214,498,903 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD Z79891 - Long term (current) use of opiate analgesic | $26,235 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD Z79891 - Long term (current) use of opiate analgesic | 0.65 | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD Z79891 - Long term (current) use of opiate analgesic | 18.57 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD Z79891 - Long term (current) use of opiate analgesic | 50.67 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 885: PSYCHOSES | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD Z79891 - Long term (current) use of opiate analgesic | 6,301 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD Z79891 - Long term (current) use of opiate analgesic in DRG | 1.09 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD Z79891 - Long term (current) use of opiate analgesic | 4.53 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD Z79891 - Long term (current) use of opiate analgesic | 26.43 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD Z79891 - Long term (current) use of opiate analgesic | 20.19 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD Z79891 - Long term (current) use of opiate analgesic | $55,331,847 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD Z79891 - Long term (current) use of opiate analgesic | $1,937 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD Z79891 - Long term (current) use of opiate analgesic | $8,781 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD Z79891 - Long term (current) use of opiate analgesic | $228,794,680 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD Z79891 - Long term (current) use of opiate analgesic | $36,311 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD Z79891 - Long term (current) use of opiate analgesic | 2.67 | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD Z79891 - Long term (current) use of opiate analgesic | 25.08 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD Z79891 - Long term (current) use of opiate analgesic | 38.76 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UPMC PRESBYTERIAN SHADYSIDE | 200 LOTHROP ST | PITTSBURGH | PA | 15213 | 3,673 |
| SAINT FRANCIS HOSPITAL | 6161 S YALE AVE | TULSA | OK | 74136 | 3,088 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 2,548 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. BRIAN SETH COHEN | 4437 STATE ROUTE 159 | CHILLICOTHE | OH | 45601 | 183 |
| Dr. JAMES E. JENNINGS | 35 INTERNATIONAL DR | GREENVILLE | SC | 29615 | 167 |
| Dr. HELMUTH G JONES | 6127 CLARK RD. STE 200 | PARADISE | CA | 95969 | 166 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 649 |
| Dr. ANTHONY WETHERINGTON | 1275 N HIGH ST | HILLSBORO | OH | 45133 | 296 |
| Dr. MORAD L EL-RAHEB | 1145 S UTICA AVE | TULSA | OK | 74104 | 264 |