| 30391 - Other and unspecified alcohol dependence, continuous - as a primary diagnosis code | 30391 - Other and unspecified alcohol dependence, continuous - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.14 | |
| Readmission Rate (%) | 27.17 | |
| Unplanned Readmission Rate (%) | 11.01 | |
| 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 | ||
| DRG 895: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 29,517 | |||
| Total Hospitalizations with ICD 30391 - Other and unspecified alcohol dependence, continuous | 6,694 | |||
| DRG Share of Total Hospitalizations | 0.13 | |||
| % of Total ICD 30391 - Other and unspecified alcohol dependence, continuous in DRG | 47.54 | |||
| Avg LOS at DRG | 12.88 | |||
| Avg LOS with ICD 30391 - Other and unspecified alcohol dependence, continuous | 10.58 | |||
| Readmission Rate at DRG | 21.62 | |||
| Readmission Rate with ICD 30391 - Other and unspecified alcohol dependence, continuous | 21.03 | |||
| Unplanned Readmission Rate at DRG | 8.54 | |||
| Unplanned Readmission Rate with ICD 30391 - Other and unspecified alcohol dependence, continuous | 8.76 | |||
| Total Medicare payments at DRG | $269,202,984 | |||
| Total Medicare payments with ICD 30391 - Other and unspecified alcohol dependence, continuous | $51,812,839 | |||
| Total Medicare payment per Day at DRG | $708 | |||
| Total Medicare payment per Day with ICD 30391 - Other and unspecified alcohol dependence, continuous | $731 | |||
| Total Medicare payment per Hospitalization at DRG | $9,120 | |||
| Total Medicare payment per Hospitalization with ICD 30391 - Other and unspecified alcohol dependence, continuous | $7,740 | |||
| Total Medicare Charges at DRG | $597,820,955 | |||
| Total Medicare Charges with ICD 30391 - Other and unspecified alcohol dependence, continuous | $119,952,583 | |||
| Avg Charges at DRG | $20,253 | |||
| Avg Charges with ICD 30391 - Other and unspecified alcohol dependence, continuous | $17,919 | |||
| Mortality Rate at DRG | NA | |||
| Mortality Rate with ICD 30391 - Other and unspecified alcohol dependence, continuous | NA | |||
| SNF Discharge Rate at DRG | 0.4 | |||
| SNF Discharge Rate with ICD 30391 - Other and unspecified alcohol dependence, continuous | 0.25 | |||
| Home Discharge Rate at DRG | 91.39 | |||
| Home Discharge Rate with ICD 30391 - Other and unspecified alcohol dependence, continuous | 91.35 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| TURNING POINT HOSPITAL | 3015 VETERANS PKWY S | MOULTRIE | GA | 31788 | 2,340 |
| EAGLEVILLE HOSPITAL | 100 EAGLEVILLE RD | EAGLEVILLE | PA | 19403 | 490 |
| MOUNT SINAI BETH ISRAEL | FIRST AVENUE AND 16TH STREET | NEW YORK | NY | 10003 | 411 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 1,361 |
| Dr. WANDA J GOBIN | 1511 W. THIRD AVE | ALBANY | GA | 31707 | 830 |
| Dr. OM PARKASH ANAND | FIRST AVENUE AT 16TH ST | NEW YORK | NY | 10003 | 302 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 1,373 |
| Dr. WANDA J GOBIN | 1511 W. THIRD AVE | ALBANY | GA | 31707 | 853 |
| Dr. OM PARKASH ANAND | FIRST AVENUE AT 16TH ST | NEW YORK | NY | 10003 | 353 |
| DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 895: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 123,354 | ||||
| Total Hospitalizations with ICD 30391 - Other and unspecified alcohol dependence, continuous | 23,718 | ||||
| DRG Share of Total Hospitalizations | 0.54 | ||||
| % of Total ICD 30391 - Other and unspecified alcohol dependence, continuous in DRG | 19.09 | ||||
| Avg LOS at DRG | 5.68 | ||||
| Avg LOS with ICD 30391 - Other and unspecified alcohol dependence, continuous | 5.58 | ||||
| Readmission Rate at DRG | 27.97 | ||||
| Readmission Rate with ICD 30391 - Other and unspecified alcohol dependence, continuous | 28.57 | ||||
| Unplanned Readmission Rate at DRG | 12.96 | ||||
| Unplanned Readmission Rate with ICD 30391 - Other and unspecified alcohol dependence, continuous | 13.67 | ||||
| Total Medicare payments at DRG | $587,825,453 | ||||
| Total Medicare payments with ICD 30391 - Other and unspecified alcohol dependence, continuous | $118,105,493 | ||||
| Total Medicare payment per Day at DRG | $839 | ||||
| Total Medicare payment per Day with ICD 30391 - Other and unspecified alcohol dependence, continuous | $893 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,765 | ||||
| Total Medicare payment per Hospitalization with ICD 30391 - Other and unspecified alcohol dependence, continuous | $4,980 | ||||
| Total Medicare Charges at DRG | $2,077,306,032 | ||||
| Total Medicare Charges with ICD 30391 - Other and unspecified alcohol dependence, continuous | $379,878,222 | ||||
| Avg Charges at DRG | $16,840 | ||||
| Avg Charges with ICD 30391 - Other and unspecified alcohol dependence, continuous | $16,016 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD 30391 - Other and unspecified alcohol dependence, continuous | NA | ||||
| SNF Discharge Rate at DRG | 5.97 | ||||
| SNF Discharge Rate with ICD 30391 - Other and unspecified alcohol dependence, continuous | 5.0 | ||||
| Home Discharge Rate at DRG | 79.7 | ||||
| Home Discharge Rate with ICD 30391 - Other and unspecified alcohol dependence, continuous | 80.54 |
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 432: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 439: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 901,552 | ||||
| Total Hospitalizations with ICD 30391 - Other and unspecified alcohol dependence, continuous | 2,507 | ||||
| DRG Share of Total Hospitalizations | 3.95 | ||||
| % of Total ICD 30391 - Other and unspecified alcohol dependence, continuous in DRG | 2.02 | ||||
| Avg LOS at DRG | 6.79 | ||||
| Avg LOS with ICD 30391 - Other and unspecified alcohol dependence, continuous | 7.72 | ||||
| Readmission Rate at DRG | 25.38 | ||||
| Readmission Rate with ICD 30391 - Other and unspecified alcohol dependence, continuous | 26.0 | ||||
| Unplanned Readmission Rate at DRG | 17.1 | ||||
| Unplanned Readmission Rate with ICD 30391 - Other and unspecified alcohol dependence, continuous | 15.62 | ||||
| Total Medicare payments at DRG | $11,142,976,193 | ||||
| Total Medicare payments with ICD 30391 - Other and unspecified alcohol dependence, continuous | $32,491,726 | ||||
| Total Medicare payment per Day at DRG | $1,821 | ||||
| Total Medicare payment per Day with ICD 30391 - Other and unspecified alcohol dependence, continuous | $1,679 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,360 | ||||
| Total Medicare payment per Hospitalization with ICD 30391 - Other and unspecified alcohol dependence, continuous | $12,960 | ||||
| Total Medicare Charges at DRG | $48,288,426,708 | ||||
| Total Medicare Charges with ICD 30391 - Other and unspecified alcohol dependence, continuous | $165,998,619 | ||||
| Avg Charges at DRG | $53,561 | ||||
| Avg Charges with ICD 30391 - Other and unspecified alcohol dependence, continuous | $66,214 | ||||
| Mortality Rate at DRG | 15.16 | ||||
| Mortality Rate with ICD 30391 - Other and unspecified alcohol dependence, continuous | 17.63 | ||||
| SNF Discharge Rate at DRG | 28.41 | ||||
| SNF Discharge Rate with ICD 30391 - Other and unspecified alcohol dependence, continuous | 24.29 | ||||
| Home Discharge Rate at DRG | 23.21 | ||||
| Home Discharge Rate with ICD 30391 - Other and unspecified alcohol dependence, continuous | 26.84 |
| DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 433: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 881: DEPRESSIVE NEUROSES | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,595 | ||||
| Total Hospitalizations with ICD 30391 - Other and unspecified alcohol dependence, continuous | 1,382 | ||||
| DRG Share of Total Hospitalizations | 1.83 | ||||
| % of Total ICD 30391 - Other and unspecified alcohol dependence, continuous in DRG | 1.11 | ||||
| Avg LOS at DRG | 3.34 | ||||
| Avg LOS with ICD 30391 - Other and unspecified alcohol dependence, continuous | 3.32 | ||||
| Readmission Rate at DRG | 17.47 | ||||
| Readmission Rate with ICD 30391 - Other and unspecified alcohol dependence, continuous | 22.87 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD 30391 - Other and unspecified alcohol dependence, continuous | 17.52 | ||||
| Total Medicare payments at DRG | $1,834,433,235 | ||||
| Total Medicare payments with ICD 30391 - Other and unspecified alcohol dependence, continuous | $6,747,927 | ||||
| Total Medicare payment per Day at DRG | $1,317 | ||||
| Total Medicare payment per Day with ICD 30391 - Other and unspecified alcohol dependence, continuous | $1,471 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,393 | ||||
| Total Medicare payment per Hospitalization with ICD 30391 - Other and unspecified alcohol dependence, continuous | $4,883 | ||||
| Total Medicare Charges at DRG | $9,558,780,965 | ||||
| Total Medicare Charges with ICD 30391 - Other and unspecified alcohol dependence, continuous | $32,358,977 | ||||
| Avg Charges at DRG | $22,890 | ||||
| Avg Charges with ICD 30391 - Other and unspecified alcohol dependence, continuous | $23,415 | ||||
| Mortality Rate at DRG | 0.23 | ||||
| Mortality Rate with ICD 30391 - Other and unspecified alcohol dependence, continuous | NA | ||||
| SNF Discharge Rate at DRG | 8.82 | ||||
| SNF Discharge Rate with ICD 30391 - Other and unspecified alcohol dependence, continuous | 6.66 | ||||
| Home Discharge Rate at DRG | 73.03 | ||||
| Home Discharge Rate with ICD 30391 - Other and unspecified alcohol dependence, continuous | 73.44 |
| DRG 441: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 442: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 42,806 | ||||
| Total Hospitalizations with ICD 30391 - Other and unspecified alcohol dependence, continuous | 1,163 | ||||
| DRG Share of Total Hospitalizations | 0.19 | ||||
| % of Total ICD 30391 - Other and unspecified alcohol dependence, continuous in DRG | 0.94 | ||||
| Avg LOS at DRG | 6.9 | ||||
| Avg LOS with ICD 30391 - Other and unspecified alcohol dependence, continuous | 7.99 | ||||
| Readmission Rate at DRG | 37.68 | ||||
| Readmission Rate with ICD 30391 - Other and unspecified alcohol dependence, continuous | 31.88 | ||||
| Unplanned Readmission Rate at DRG | 27.81 | ||||
| Unplanned Readmission Rate with ICD 30391 - Other and unspecified alcohol dependence, continuous | 22.85 | ||||
| Total Medicare payments at DRG | $568,161,721 | ||||
| Total Medicare payments with ICD 30391 - Other and unspecified alcohol dependence, continuous | $14,914,922 | ||||
| Total Medicare payment per Day at DRG | $1,922 | ||||
| Total Medicare payment per Day with ICD 30391 - Other and unspecified alcohol dependence, continuous | $1,605 | ||||
| Total Medicare payment per Hospitalization at DRG | $13,273 | ||||
| Total Medicare payment per Hospitalization with ICD 30391 - Other and unspecified alcohol dependence, continuous | $12,825 | ||||
| Total Medicare Charges at DRG | $2,430,562,172 | ||||
| Total Medicare Charges with ICD 30391 - Other and unspecified alcohol dependence, continuous | $70,891,268 | ||||
| Avg Charges at DRG | $56,781 | ||||
| Avg Charges with ICD 30391 - Other and unspecified alcohol dependence, continuous | $60,956 | ||||
| Mortality Rate at DRG | 11.18 | ||||
| Mortality Rate with ICD 30391 - Other and unspecified alcohol dependence, continuous | 16.68 | ||||
| SNF Discharge Rate at DRG | 17.89 | ||||
| SNF Discharge Rate with ICD 30391 - Other and unspecified alcohol dependence, continuous | 20.64 | ||||
| Home Discharge Rate at DRG | 35.02 | ||||
| Home Discharge Rate with ICD 30391 - Other and unspecified alcohol dependence, continuous | 27.77 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| TURNING POINT HOSPITAL | 3015 VETERANS PKWY S | MOULTRIE | GA | 31788 | 2,874 |
| ADCARE HOSPITAL OF WORCESTER | 107 LINCOLN ST | WORCESTER | MA | 01605 | 2,563 |
| WINDSOR LAURELWOOD CENTER FOR BEHAVIORAL MEDICINE | 35900 EUCLID AVENUE | WILLOUGHBY | OH | 44094 | 996 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 1,467 |
| Dr. RONALD F. PIKE | 107 LINCOLN ST | WORCESTER | MA | 01605 | 1,167 |
| Dr. WANDA J GOBIN | 1511 W. THIRD AVE | ALBANY | GA | 31707 | 927 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 1,689 |
| Dr. RONALD F. PIKE | 107 LINCOLN ST | WORCESTER | MA | 01605 | 1,187 |
| Dr. WANDA J GOBIN | 1511 W. THIRD AVE | ALBANY | GA | 31707 | 1,038 |