*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z87891 - Personal history of nicotine dependence - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 13.89 | |
| 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 291: HEART FAILURE AND SHOCK 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 | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD Z87891 - Personal history of nicotine dependence | 427,263 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Z87891 - Personal history of nicotine dependence in DRG | 5.39 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Z87891 - Personal history of nicotine dependence | 5.68 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Z87891 - Personal history of nicotine dependence | 22.95 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Z87891 - Personal history of nicotine dependence | 16.36 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Z87891 - Personal history of nicotine dependence | $4,842,417,590 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Z87891 - Personal history of nicotine dependence | $1,994 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Z87891 - Personal history of nicotine dependence | $11,334 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Z87891 - Personal history of nicotine dependence | $22,153,602,291 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Z87891 - Personal history of nicotine dependence | $51,850 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Z87891 - Personal history of nicotine dependence | 10.11 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Z87891 - Personal history of nicotine dependence | 24.53 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Z87891 - Personal history of nicotine dependence | 30.57 |
*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 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD Z87891 - Personal history of nicotine dependence | 136,318 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD Z87891 - Personal history of nicotine dependence in DRG | 1.72 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD Z87891 - Personal history of nicotine dependence | 5.09 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD Z87891 - Personal history of nicotine dependence | 21.83 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD Z87891 - Personal history of nicotine dependence | 16.35 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD Z87891 - Personal history of nicotine dependence | $1,154,091,263 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD Z87891 - Personal history of nicotine dependence | $1,663 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD Z87891 - Personal history of nicotine dependence | $8,466 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD Z87891 - Personal history of nicotine dependence | $5,373,899,671 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD Z87891 - Personal history of nicotine dependence | $39,422 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD Z87891 - Personal history of nicotine dependence | 3.26 | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD Z87891 - Personal history of nicotine dependence | 20.64 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD Z87891 - Personal history of nicotine dependence | 43.2 |
*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 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD Z87891 - Personal history of nicotine dependence | 114,723 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD Z87891 - Personal history of nicotine dependence in DRG | 1.45 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD Z87891 - Personal history of nicotine dependence | 3.12 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD Z87891 - Personal history of nicotine dependence | 17.83 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD Z87891 - Personal history of nicotine dependence | 13.37 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD Z87891 - Personal history of nicotine dependence | $499,010,411 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD Z87891 - Personal history of nicotine dependence | $1,394 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD Z87891 - Personal history of nicotine dependence | $4,350 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD Z87891 - Personal history of nicotine dependence | $3,012,330,466 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD Z87891 - Personal history of nicotine dependence | $26,257 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD Z87891 - Personal history of nicotine dependence | 0.17 | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD Z87891 - Personal history of nicotine dependence | 8.43 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD Z87891 - Personal history of nicotine dependence | 72.72 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 247: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,438 | ||||
| Total Hospitalizations with ICD Z87891 - Personal history of nicotine dependence | 81,399 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD Z87891 - Personal history of nicotine dependence in DRG | 1.03 | ||||
| Avg LOS at DRG | 2.51 | ||||
| Avg LOS with ICD Z87891 - Personal history of nicotine dependence | 2.52 | ||||
| Readmission Rate at DRG | 10.86 | ||||
| Readmission Rate with ICD Z87891 - Personal history of nicotine dependence | 11.18 | ||||
| Unplanned Readmission Rate at DRG | 8.03 | ||||
| Unplanned Readmission Rate with ICD Z87891 - Personal history of nicotine dependence | 8.37 | ||||
| Total Medicare payments at DRG | $3,352,957,239 | ||||
| Total Medicare payments with ICD Z87891 - Personal history of nicotine dependence | $1,024,034,693 | ||||
| Total Medicare payment per Day at DRG | $4,952 | ||||
| Total Medicare payment per Day with ICD Z87891 - Personal history of nicotine dependence | $4,989 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,444 | ||||
| Total Medicare payment per Hospitalization with ICD Z87891 - Personal history of nicotine dependence | $12,580 | ||||
| Total Medicare Charges at DRG | $22,958,558,443 | ||||
| Total Medicare Charges with ICD Z87891 - Personal history of nicotine dependence | $6,867,182,253 | ||||
| Avg Charges at DRG | $85,209 | ||||
| Avg Charges with ICD Z87891 - Personal history of nicotine dependence | $84,364 | ||||
| Mortality Rate at DRG | 0.31 | ||||
| Mortality Rate with ICD Z87891 - Personal history of nicotine dependence | 0.27 | ||||
| SNF Discharge Rate at DRG | 2.62 | ||||
| SNF Discharge Rate with ICD Z87891 - Personal history of nicotine dependence | 2.49 | ||||
| Home Discharge Rate at DRG | 88.57 | ||||
| Home Discharge Rate with ICD Z87891 - Personal history of nicotine dependence | 88.91 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 26,399 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 23,082 |
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 20,423 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. VIJAY GANATRA | 13770 PLANTATION RD | FORT MYERS | FL | 33912 | 1,031 |
| Dr. ANDREW GLEN YUN | 13160 MINDANAO WAY | MARINA DEL REY | CA | 90292 | 821 |
| Dr. EDWARD J STOLARSKI | 6050 CATTLERIDGE BLVD STE 201 | SARASOTA | FL | 34232 | 798 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 3,043 |
| Dr. RAJESH AGARWAL | 6770 MAYFIELD RD | MAYFIELD HEIGHTS | OH | 44124 | 1,849 |
| Dr. VIJAY GANATRA | 13770 PLANTATION RD | FORT MYERS | FL | 33912 | 1,811 |