| 30401 - Opioid type dependence, continuous - as a primary diagnosis code | 30401 - Opioid type dependence, continuous - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.6 | |
| Readmission Rate (%) | 28.79 | |
| Unplanned Readmission Rate (%) | 8.96 | |
| 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 30401 - Opioid type dependence, continuous | 2,866 | |||
| DRG Share of Total Hospitalizations | 0.13 | |||
| % of Total ICD 30401 - Opioid type dependence, continuous in DRG | 41.64 | |||
| Avg LOS at DRG | 12.88 | |||
| Avg LOS with ICD 30401 - Opioid type dependence, continuous | 11.15 | |||
| Readmission Rate at DRG | 21.62 | |||
| Readmission Rate with ICD 30401 - Opioid type dependence, continuous | 21.46 | |||
| Unplanned Readmission Rate at DRG | 8.54 | |||
| Unplanned Readmission Rate with ICD 30401 - Opioid type dependence, continuous | 8.73 | |||
| Total Medicare payments at DRG | $269,202,984 | |||
| Total Medicare payments with ICD 30401 - Opioid type dependence, continuous | $23,276,357 | |||
| Total Medicare payment per Day at DRG | $708 | |||
| Total Medicare payment per Day with ICD 30401 - Opioid type dependence, continuous | $728 | |||
| Total Medicare payment per Hospitalization at DRG | $9,120 | |||
| Total Medicare payment per Hospitalization with ICD 30401 - Opioid type dependence, continuous | $8,122 | |||
| Total Medicare Charges at DRG | $597,820,955 | |||
| Total Medicare Charges with ICD 30401 - Opioid type dependence, continuous | $55,348,957 | |||
| Avg Charges at DRG | $20,253 | |||
| Avg Charges with ICD 30401 - Opioid type dependence, continuous | $19,312 | |||
| Mortality Rate at DRG | NA | |||
| Mortality Rate with ICD 30401 - Opioid type dependence, continuous | NA | |||
| SNF Discharge Rate at DRG | 0.4 | |||
| SNF Discharge Rate with ICD 30401 - Opioid type dependence, continuous | NA | |||
| Home Discharge Rate at DRG | 91.39 | |||
| Home Discharge Rate with ICD 30401 - Opioid type dependence, continuous | 91.87 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| EAGLEVILLE HOSPITAL | 100 EAGLEVILLE RD | EAGLEVILLE | PA | 19403 | 518 |
| SOUTH SHORE HOSPITAL | 8012 S CRANDON AVE | CHICAGO | IL | 60617 | 321 |
| FAIRBANKS | 8102 CLEARVISTA PKWY | INDIANAPOLIS | IN | 46256 | 304 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. MICHAEL P FROST | 722 E BUTLER PIKE | AMBLER | PA | 19002 | 333 |
| Dr. MYSORE N SHIVARAM | 6901 CERMAK RD | BERWYN | IL | 60402 | 236 |
| Dr. NYKOLAI VASIL PIDHORODECKYJ | 484 S MILLER RD | FAIRLAWN | OH | 44333 | 195 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. MICHAEL P FROST | 722 E BUTLER PIKE | AMBLER | PA | 19002 | 326 |
| Dr. WAYNE MILLER | 1033 W GERMANTOWN PIKE | NORRISTOWN | PA | 19403 | 250 |
| Dr. MYSORE N SHIVARAM | 6901 CERMAK RD | BERWYN | IL | 60402 | 235 |
| DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 895: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | DRG 885: PSYCHOSES | DRG 894: ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 123,354 | ||||
| Total Hospitalizations with ICD 30401 - Opioid type dependence, continuous | 14,216 | ||||
| DRG Share of Total Hospitalizations | 0.54 | ||||
| % of Total ICD 30401 - Opioid type dependence, continuous in DRG | 17.97 | ||||
| Avg LOS at DRG | 5.68 | ||||
| Avg LOS with ICD 30401 - Opioid type dependence, continuous | 5.05 | ||||
| Readmission Rate at DRG | 27.97 | ||||
| Readmission Rate with ICD 30401 - Opioid type dependence, continuous | 29.45 | ||||
| Unplanned Readmission Rate at DRG | 12.96 | ||||
| Unplanned Readmission Rate with ICD 30401 - Opioid type dependence, continuous | 9.76 | ||||
| Total Medicare payments at DRG | $587,825,453 | ||||
| Total Medicare payments with ICD 30401 - Opioid type dependence, continuous | $71,890,148 | ||||
| Total Medicare payment per Day at DRG | $839 | ||||
| Total Medicare payment per Day with ICD 30401 - Opioid type dependence, continuous | $1,002 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,765 | ||||
| Total Medicare payment per Hospitalization with ICD 30401 - Opioid type dependence, continuous | $5,057 | ||||
| Total Medicare Charges at DRG | $2,077,306,032 | ||||
| Total Medicare Charges with ICD 30401 - Opioid type dependence, continuous | $160,911,645 | ||||
| Avg Charges at DRG | $16,840 | ||||
| Avg Charges with ICD 30401 - Opioid type dependence, continuous | $11,319 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD 30401 - Opioid type dependence, continuous | NA | ||||
| SNF Discharge Rate at DRG | 5.97 | ||||
| SNF Discharge Rate with ICD 30401 - Opioid type dependence, continuous | 0.92 | ||||
| Home Discharge Rate at DRG | 79.7 | ||||
| Home Discharge Rate with ICD 30401 - Opioid type dependence, continuous | 89.15 |
| DRG 917: POISONING AND TOXIC EFFECTS OF DRUGS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 59,327 | ||||
| Total Hospitalizations with ICD 30401 - Opioid type dependence, continuous | 1,650 | ||||
| DRG Share of Total Hospitalizations | 0.26 | ||||
| % of Total ICD 30401 - Opioid type dependence, continuous in DRG | 2.09 | ||||
| Avg LOS at DRG | 4.76 | ||||
| Avg LOS with ICD 30401 - Opioid type dependence, continuous | 4.92 | ||||
| Readmission Rate at DRG | 34.88 | ||||
| Readmission Rate with ICD 30401 - Opioid type dependence, continuous | 30.63 | ||||
| Unplanned Readmission Rate at DRG | 13.42 | ||||
| Unplanned Readmission Rate with ICD 30401 - Opioid type dependence, continuous | 14.91 | ||||
| Total Medicare payments at DRG | $548,038,899 | ||||
| Total Medicare payments with ICD 30401 - Opioid type dependence, continuous | $15,925,034 | ||||
| Total Medicare payment per Day at DRG | $1,940 | ||||
| Total Medicare payment per Day with ICD 30401 - Opioid type dependence, continuous | $1,962 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,238 | ||||
| Total Medicare payment per Hospitalization with ICD 30401 - Opioid type dependence, continuous | $9,652 | ||||
| Total Medicare Charges at DRG | $2,510,459,771 | ||||
| Total Medicare Charges with ICD 30401 - Opioid type dependence, continuous | $76,021,015 | ||||
| Avg Charges at DRG | $42,316 | ||||
| Avg Charges with ICD 30401 - Opioid type dependence, continuous | $46,073 | ||||
| Mortality Rate at DRG | 3.12 | ||||
| Mortality Rate with ICD 30401 - Opioid type dependence, continuous | 1.82 | ||||
| SNF Discharge Rate at DRG | 11.68 | ||||
| SNF Discharge Rate with ICD 30401 - Opioid type dependence, continuous | 12.18 | ||||
| Home Discharge Rate at DRG | 44.02 | ||||
| Home Discharge Rate with ICD 30401 - Opioid type dependence, continuous | 49.27 |
| DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 918: POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 896: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 939,378 | ||||
| Total Hospitalizations with ICD 30401 - Opioid type dependence, continuous | 862 | ||||
| DRG Share of Total Hospitalizations | 4.11 | ||||
| % of Total ICD 30401 - Opioid type dependence, continuous in DRG | 1.09 | ||||
| Avg LOS at DRG | 3.12 | ||||
| Avg LOS with ICD 30401 - Opioid type dependence, continuous | 3.39 | ||||
| Readmission Rate at DRG | 12.54 | ||||
| Readmission Rate with ICD 30401 - Opioid type dependence, continuous | 17.58 | ||||
| Unplanned Readmission Rate at DRG | 3.52 | ||||
| Unplanned Readmission Rate with ICD 30401 - Opioid type dependence, continuous | 6.98 | ||||
| Total Medicare payments at DRG | $11,301,359,598 | ||||
| Total Medicare payments with ICD 30401 - Opioid type dependence, continuous | $10,878,348 | ||||
| Total Medicare payment per Day at DRG | $3,853 | ||||
| Total Medicare payment per Day with ICD 30401 - Opioid type dependence, continuous | $3,718 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,031 | ||||
| Total Medicare payment per Hospitalization with ICD 30401 - Opioid type dependence, continuous | $12,620 | ||||
| Total Medicare Charges at DRG | $51,993,364,479 | ||||
| Total Medicare Charges with ICD 30401 - Opioid type dependence, continuous | $57,151,528 | ||||
| Avg Charges at DRG | $55,349 | ||||
| Avg Charges with ICD 30401 - Opioid type dependence, continuous | $66,301 | ||||
| Mortality Rate at DRG | 0.07 | ||||
| Mortality Rate with ICD 30401 - Opioid type dependence, continuous | NA | ||||
| SNF Discharge Rate at DRG | 32.49 | ||||
| SNF Discharge Rate with ICD 30401 - Opioid type dependence, continuous | 38.4 | ||||
| Home Discharge Rate at DRG | 21.06 | ||||
| Home Discharge Rate with ICD 30401 - Opioid type dependence, continuous | 23.09 |
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 881: DEPRESSIVE NEUROSES | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 311,763 | ||||
| Total Hospitalizations with ICD 30401 - Opioid type dependence, continuous | 759 | ||||
| DRG Share of Total Hospitalizations | 1.36 | ||||
| % of Total ICD 30401 - Opioid type dependence, continuous in DRG | 0.96 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD 30401 - Opioid type dependence, continuous | 3.7 | ||||
| Readmission Rate at DRG | 23.41 | ||||
| Readmission Rate with ICD 30401 - Opioid type dependence, continuous | 24.62 | ||||
| Unplanned Readmission Rate at DRG | 16.67 | ||||
| Unplanned Readmission Rate with ICD 30401 - Opioid type dependence, continuous | 18.98 | ||||
| Total Medicare payments at DRG | $1,867,955,174 | ||||
| Total Medicare payments with ICD 30401 - Opioid type dependence, continuous | $4,620,146 | ||||
| Total Medicare payment per Day at DRG | $1,382 | ||||
| Total Medicare payment per Day with ICD 30401 - Opioid type dependence, continuous | $1,647 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,992 | ||||
| Total Medicare payment per Hospitalization with ICD 30401 - Opioid type dependence, continuous | $6,087 | ||||
| Total Medicare Charges at DRG | $8,358,483,119 | ||||
| Total Medicare Charges with ICD 30401 - Opioid type dependence, continuous | $19,485,809 | ||||
| Avg Charges at DRG | $26,810 | ||||
| Avg Charges with ICD 30401 - Opioid type dependence, continuous | $25,673 | ||||
| Mortality Rate at DRG | 1.37 | ||||
| Mortality Rate with ICD 30401 - Opioid type dependence, continuous | NA | ||||
| SNF Discharge Rate at DRG | 23.3 | ||||
| SNF Discharge Rate with ICD 30401 - Opioid type dependence, continuous | 15.55 | ||||
| Home Discharge Rate at DRG | 45.55 | ||||
| Home Discharge Rate with ICD 30401 - Opioid type dependence, continuous | 59.16 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| ADCARE HOSPITAL OF WORCESTER | 107 LINCOLN ST | WORCESTER | MA | 01605 | 3,210 |
| ENLOE MEDICAL CENTER | 1531 ESPLANADE | CHICO | CA | 95926 | 851 |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER | 1055 N CURTIS RD | BOISE | ID | 83706 | 763 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. RONALD F. PIKE | 107 LINCOLN ST | WORCESTER | MA | 01605 | 1,379 |
| Dr. WOJCIECH POLUHA | 107 LINCOLN ST | WORCESTER | MA | 01605 | 1,086 |
| Dr. HILTON GORDON | 4646 N MARINE DR | CHICAGO | IL | 60640 | 550 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. RONALD F. PIKE | 107 LINCOLN ST | WORCESTER | MA | 01605 | 1,433 |
| Dr. WOJCIECH POLUHA | 107 LINCOLN ST | WORCESTER | MA | 01605 | 1,105 |
| Dr. HILTON GORDON | 4646 N MARINE DR | CHICAGO | IL | 60640 | 559 |