*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z811 - Family history of alcohol abuse and dependence - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 14.11 | |
| 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 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 895: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD Z811 - Family history of alcohol abuse and dependence | 11,929 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD Z811 - Family history of alcohol abuse and dependence in DRG | 27.77 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD Z811 - Family history of alcohol abuse and dependence | 9.44 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD Z811 - Family history of alcohol abuse and dependence | 28.64 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD Z811 - Family history of alcohol abuse and dependence | 13.29 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD Z811 - Family history of alcohol abuse and dependence | $89,452,494 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD Z811 - Family history of alcohol abuse and dependence | $794 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD Z811 - Family history of alcohol abuse and dependence | $7,499 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD Z811 - Family history of alcohol abuse and dependence | $308,186,442 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD Z811 - Family history of alcohol abuse and dependence | $25,835 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD Z811 - Family history of alcohol abuse and dependence | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD Z811 - Family history of alcohol abuse and dependence | 1.92 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD Z811 - Family history of alcohol abuse and dependence | 84.5 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 881: DEPRESSIVE NEUROSES | 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 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 61,417 | ||||
| Total Hospitalizations with ICD Z811 - Family history of alcohol abuse and dependence | 730 | ||||
| DRG Share of Total Hospitalizations | 0.19 | ||||
| % of Total ICD Z811 - Family history of alcohol abuse and dependence in DRG | 1.7 | ||||
| Avg LOS at DRG | 7.49 | ||||
| Avg LOS with ICD Z811 - Family history of alcohol abuse and dependence | 7.13 | ||||
| Readmission Rate at DRG | 25.08 | ||||
| Readmission Rate with ICD Z811 - Family history of alcohol abuse and dependence | 29.62 | ||||
| Unplanned Readmission Rate at DRG | 13.22 | ||||
| Unplanned Readmission Rate with ICD Z811 - Family history of alcohol abuse and dependence | 15.19 | ||||
| Total Medicare payments at DRG | $347,280,742 | ||||
| Total Medicare payments with ICD Z811 - Family history of alcohol abuse and dependence | $3,907,492 | ||||
| Total Medicare payment per Day at DRG | $755 | ||||
| Total Medicare payment per Day with ICD Z811 - Family history of alcohol abuse and dependence | $751 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,654 | ||||
| Total Medicare payment per Hospitalization with ICD Z811 - Family history of alcohol abuse and dependence | $5,353 | ||||
| Total Medicare Charges at DRG | $1,287,801,202 | ||||
| Total Medicare Charges with ICD Z811 - Family history of alcohol abuse and dependence | $14,280,297 | ||||
| Avg Charges at DRG | $20,968 | ||||
| Avg Charges with ICD Z811 - Family history of alcohol abuse and dependence | $19,562 | ||||
| Mortality Rate at DRG | 0.07 | ||||
| Mortality Rate with ICD Z811 - Family history of alcohol abuse and dependence | NA | ||||
| SNF Discharge Rate at DRG | 5.44 | ||||
| SNF Discharge Rate with ICD Z811 - Family history of alcohol abuse and dependence | 2.05 | ||||
| Home Discharge Rate at DRG | 79.31 | ||||
| Home Discharge Rate with ICD Z811 - Family history of alcohol abuse and dependence | 85.21 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| 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) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 918: POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 19,610 | ||||
| Total Hospitalizations with ICD Z811 - Family history of alcohol abuse and dependence | 444 | ||||
| DRG Share of Total Hospitalizations | 0.06 | ||||
| % of Total ICD Z811 - Family history of alcohol abuse and dependence in DRG | 1.03 | ||||
| Avg LOS at DRG | 3.16 | ||||
| Avg LOS with ICD Z811 - Family history of alcohol abuse and dependence | 3.61 | ||||
| Readmission Rate at DRG | NA | ||||
| Readmission Rate with ICD Z811 - Family history of alcohol abuse and dependence | NA | ||||
| Unplanned Readmission Rate at DRG | NA | ||||
| Unplanned Readmission Rate with ICD Z811 - Family history of alcohol abuse and dependence | NA | ||||
| Total Medicare payments at DRG | $69,381,305 | ||||
| Total Medicare payments with ICD Z811 - Family history of alcohol abuse and dependence | $1,364,329 | ||||
| Total Medicare payment per Day at DRG | $1,119 | ||||
| Total Medicare payment per Day with ICD Z811 - Family history of alcohol abuse and dependence | $850 | ||||
| Total Medicare payment per Hospitalization at DRG | $3,538 | ||||
| Total Medicare payment per Hospitalization with ICD Z811 - Family history of alcohol abuse and dependence | $3,073 | ||||
| Total Medicare Charges at DRG | $274,126,297 | ||||
| Total Medicare Charges with ICD Z811 - Family history of alcohol abuse and dependence | $5,325,957 | ||||
| Avg Charges at DRG | $13,979 | ||||
| Avg Charges with ICD Z811 - Family history of alcohol abuse and dependence | $11,995 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD Z811 - Family history of alcohol abuse and dependence | NA | ||||
| SNF Discharge Rate at DRG | NA | ||||
| SNF Discharge Rate with ICD Z811 - Family history of alcohol abuse and dependence | NA | ||||
| Home Discharge Rate at DRG | NA | ||||
| Home Discharge Rate with ICD Z811 - Family history of alcohol abuse and dependence | 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 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 917: POISONING AND TOXIC EFFECTS OF DRUGS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD Z811 - Family history of alcohol abuse and dependence | 336 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD Z811 - Family history of alcohol abuse and dependence in DRG | 0.78 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD Z811 - Family history of alcohol abuse and dependence | 3.4 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD Z811 - Family history of alcohol abuse and dependence | 26.81 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD Z811 - Family history of alcohol abuse and dependence | 16.4 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD Z811 - Family history of alcohol abuse and dependence | $1,833,236 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD Z811 - Family history of alcohol abuse and dependence | $1,604 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD Z811 - Family history of alcohol abuse and dependence | $5,456 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD Z811 - Family history of alcohol abuse and dependence | $8,122,764 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD Z811 - Family history of alcohol abuse and dependence | $24,175 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD Z811 - Family history of alcohol abuse and dependence | NA | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD Z811 - Family history of alcohol abuse and dependence | 13.1 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD Z811 - Family history of alcohol abuse and dependence | 59.23 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| NORTH VISTA HOSPITAL | 1409 E LAKE MEAD BLVD | NORTH LAS VEGAS | NV | 89030 | 1,106 |
| UNIVERSITY OF NEBRASKA MEDICAL CENTER | 987400 NEBRASKA MEDICAL CTR | OMAHA | NE | 68198 | 779 |
| ST. MARY'S REGIONAL MEDICAL CENTER | 93 CAMPUS AVE | LEWISTON | ME | 04240 | 673 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. GREGORY D RUDOLF | 1101 MADISON ST | SEATTLE | WA | 98104 | 200 |
| Dr. SCOTT W TREWORGY | 100 CAMPUS AVE | LEWISTON | ME | 04240 | 185 |
| Dr. MICHAEL E KELLEY | 100 CAMPUS AVE | LEWISTON | ME | 04240 | 154 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. KEVIN BERNSTEIN | 7010 SMOKE RANCH RD STE 120 | LAS VEGAS | NV | 89128 | 878 |
| Dr. SCOTT W TREWORGY | 100 CAMPUS AVE | LEWISTON | ME | 04240 | 290 |
| Dr. GREGORY D RUDOLF | 1101 MADISON ST | SEATTLE | WA | 98104 | 195 |