| 30500 - Alcohol abuse, unspecified - as a primary diagnosis code | 30500 - Alcohol abuse, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.48 | |
| Readmission Rate (%) | 26.19 | |
| Unplanned Readmission Rate (%) | 13.91 | |
| 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 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 896: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 894: ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | DRG 895: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 123,354 | |||
| Total Hospitalizations with ICD 30500 - Alcohol abuse, unspecified | 3,030 | |||
| DRG Share of Total Hospitalizations | 0.54 | |||
| % of Total ICD 30500 - Alcohol abuse, unspecified in DRG | 71.48 | |||
| Avg LOS at DRG | 5.68 | |||
| Avg LOS with ICD 30500 - Alcohol abuse, unspecified | 3.41 | |||
| Readmission Rate at DRG | 27.97 | |||
| Readmission Rate with ICD 30500 - Alcohol abuse, unspecified | 24.58 | |||
| Unplanned Readmission Rate at DRG | 12.96 | |||
| Unplanned Readmission Rate with ICD 30500 - Alcohol abuse, unspecified | 13.5 | |||
| Total Medicare payments at DRG | $587,825,453 | |||
| Total Medicare payments with ICD 30500 - Alcohol abuse, unspecified | $12,193,860 | |||
| Total Medicare payment per Day at DRG | $839 | |||
| Total Medicare payment per Day with ICD 30500 - Alcohol abuse, unspecified | $1,181 | |||
| Total Medicare payment per Hospitalization at DRG | $4,765 | |||
| Total Medicare payment per Hospitalization with ICD 30500 - Alcohol abuse, unspecified | $4,024 | |||
| Total Medicare Charges at DRG | $2,077,306,032 | |||
| Total Medicare Charges with ICD 30500 - Alcohol abuse, unspecified | $51,973,383 | |||
| Avg Charges at DRG | $16,840 | |||
| Avg Charges with ICD 30500 - Alcohol abuse, unspecified | $17,153 | |||
| Mortality Rate at DRG | 0.03 | |||
| Mortality Rate with ICD 30500 - Alcohol abuse, unspecified | NA | |||
| SNF Discharge Rate at DRG | 5.97 | |||
| SNF Discharge Rate with ICD 30500 - Alcohol abuse, unspecified | 5.84 | |||
| Home Discharge Rate at DRG | 79.7 | |||
| Home Discharge Rate with ICD 30500 - Alcohol abuse, unspecified | 77.92 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| BRYAN W. WHITFIELD MEMORIAL HOSPITAL | 105 US HIGHWAY 80 E | DEMOPOLIS | AL | 36732 | 70 |
| BAPTIST HOSPITAL | 1101 W MORENO ST | PENSACOLA | FL | 32501 | 55 |
| WINDMOOR HEALTHCARE OF CLEARWATER | 11300 US 19 N | CLEARWATER | FL | 33764 | 40 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. JUDY COOKE TRAVIS | 123 EAST CAPITOL STREET | DEMOPOLIS | AL | 36732 | 69 |
| Dr. DINAR SAJAN | 1745 S HIGHLAND AVE | CLEARWATER | FL | 33756 | 20 |
| Dr. SANDEEP KUMAR GOVIL | 3969 S COBB DR SE | SMYRNA | GA | 30080 | 16 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. JUDY COOKE TRAVIS | 123 EAST CAPITOL STREET | DEMOPOLIS | AL | 36732 | 70 |
| Dr. VENKATA SOMPALLI | 1221 W LAKEVIEW AVE | PENSACOLA | FL | 32501 | 48 |
| Dr. DINAR SAJAN | 1745 S HIGHLAND AVE | CLEARWATER | FL | 33756 | 21 |
| DRG 885: PSYCHOSES | DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 918: POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 841,082 | ||||
| Total Hospitalizations with ICD 30500 - Alcohol abuse, unspecified | 49,460 | ||||
| DRG Share of Total Hospitalizations | 3.68 | ||||
| % of Total ICD 30500 - Alcohol abuse, unspecified in DRG | 17.6 | ||||
| Avg LOS at DRG | 11.58 | ||||
| Avg LOS with ICD 30500 - Alcohol abuse, unspecified | 9.76 | ||||
| Readmission Rate at DRG | 26.57 | ||||
| Readmission Rate with ICD 30500 - Alcohol abuse, unspecified | 29.89 | ||||
| Unplanned Readmission Rate at DRG | 13.06 | ||||
| Unplanned Readmission Rate with ICD 30500 - Alcohol abuse, unspecified | 14.62 | ||||
| Total Medicare payments at DRG | $6,792,290,994 | ||||
| Total Medicare payments with ICD 30500 - Alcohol abuse, unspecified | $355,111,419 | ||||
| Total Medicare payment per Day at DRG | $697 | ||||
| Total Medicare payment per Day with ICD 30500 - Alcohol abuse, unspecified | $735 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,076 | ||||
| Total Medicare payment per Hospitalization with ICD 30500 - Alcohol abuse, unspecified | $7,180 | ||||
| Total Medicare Charges at DRG | $21,353,545,675 | ||||
| Total Medicare Charges with ICD 30500 - Alcohol abuse, unspecified | $1,083,669,328 | ||||
| Avg Charges at DRG | $25,388 | ||||
| Avg Charges with ICD 30500 - Alcohol abuse, unspecified | $21,910 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD 30500 - Alcohol abuse, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 6.24 | ||||
| SNF Discharge Rate with ICD 30500 - Alcohol abuse, unspecified | 2.83 | ||||
| Home Discharge Rate at DRG | 78.4 | ||||
| Home Discharge Rate with ICD 30500 - Alcohol abuse, unspecified | 85.69 |
| DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 293,121 | ||||
| Total Hospitalizations with ICD 30500 - Alcohol abuse, unspecified | 3,943 | ||||
| DRG Share of Total Hospitalizations | 1.28 | ||||
| % of Total ICD 30500 - Alcohol abuse, unspecified in DRG | 1.4 | ||||
| Avg LOS at DRG | 3.78 | ||||
| Avg LOS with ICD 30500 - Alcohol abuse, unspecified | 3.56 | ||||
| Readmission Rate at DRG | 17.73 | ||||
| Readmission Rate with ICD 30500 - Alcohol abuse, unspecified | 16.92 | ||||
| Unplanned Readmission Rate at DRG | 13.44 | ||||
| Unplanned Readmission Rate with ICD 30500 - Alcohol abuse, unspecified | 12.69 | ||||
| Total Medicare payments at DRG | $1,776,508,891 | ||||
| Total Medicare payments with ICD 30500 - Alcohol abuse, unspecified | $24,466,767 | ||||
| Total Medicare payment per Day at DRG | $1,604 | ||||
| Total Medicare payment per Day with ICD 30500 - Alcohol abuse, unspecified | $1,741 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,061 | ||||
| Total Medicare payment per Hospitalization with ICD 30500 - Alcohol abuse, unspecified | $6,205 | ||||
| Total Medicare Charges at DRG | $8,470,312,778 | ||||
| Total Medicare Charges with ICD 30500 - Alcohol abuse, unspecified | $118,426,958 | ||||
| Avg Charges at DRG | $28,897 | ||||
| Avg Charges with ICD 30500 - Alcohol abuse, unspecified | $30,035 | ||||
| Mortality Rate at DRG | 0.95 | ||||
| Mortality Rate with ICD 30500 - Alcohol abuse, unspecified | 0.53 | ||||
| SNF Discharge Rate at DRG | 14.94 | ||||
| SNF Discharge Rate with ICD 30500 - Alcohol abuse, unspecified | 8.45 | ||||
| Home Discharge Rate at DRG | 62.44 | ||||
| Home Discharge Rate with ICD 30500 - Alcohol abuse, unspecified | 74.71 |
| DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 439: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 305,326 | ||||
| Total Hospitalizations with ICD 30500 - Alcohol abuse, unspecified | 3,335 | ||||
| DRG Share of Total Hospitalizations | 1.34 | ||||
| % of Total ICD 30500 - Alcohol abuse, unspecified in DRG | 1.19 | ||||
| Avg LOS at DRG | 5.11 | ||||
| Avg LOS with ICD 30500 - Alcohol abuse, unspecified | 4.76 | ||||
| Readmission Rate at DRG | 24.58 | ||||
| Readmission Rate with ICD 30500 - Alcohol abuse, unspecified | 26.07 | ||||
| Unplanned Readmission Rate at DRG | 18.98 | ||||
| Unplanned Readmission Rate with ICD 30500 - Alcohol abuse, unspecified | 20.96 | ||||
| Total Medicare payments at DRG | $2,231,748,038 | ||||
| Total Medicare payments with ICD 30500 - Alcohol abuse, unspecified | $25,112,720 | ||||
| Total Medicare payment per Day at DRG | $1,430 | ||||
| Total Medicare payment per Day with ICD 30500 - Alcohol abuse, unspecified | $1,582 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,309 | ||||
| Total Medicare payment per Hospitalization with ICD 30500 - Alcohol abuse, unspecified | $7,530 | ||||
| Total Medicare Charges at DRG | $10,098,826,638 | ||||
| Total Medicare Charges with ICD 30500 - Alcohol abuse, unspecified | $107,729,373 | ||||
| Avg Charges at DRG | $33,076 | ||||
| Avg Charges with ICD 30500 - Alcohol abuse, unspecified | $32,303 | ||||
| Mortality Rate at DRG | 1.47 | ||||
| Mortality Rate with ICD 30500 - Alcohol abuse, unspecified | 0.81 | ||||
| SNF Discharge Rate at DRG | 14.55 | ||||
| SNF Discharge Rate with ICD 30500 - Alcohol abuse, unspecified | 12.74 | ||||
| Home Discharge Rate at DRG | 53.12 | ||||
| Home Discharge Rate with ICD 30500 - Alcohol abuse, unspecified | 58.77 |
| DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 881: DEPRESSIVE NEUROSES | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 225,462 | ||||
| Total Hospitalizations with ICD 30500 - Alcohol abuse, unspecified | 2,829 | ||||
| DRG Share of Total Hospitalizations | 0.99 | ||||
| % of Total ICD 30500 - Alcohol abuse, unspecified in DRG | 1.01 | ||||
| Avg LOS at DRG | 4.38 | ||||
| Avg LOS with ICD 30500 - Alcohol abuse, unspecified | 4.43 | ||||
| Readmission Rate at DRG | 36.08 | ||||
| Readmission Rate with ICD 30500 - Alcohol abuse, unspecified | 39.87 | ||||
| Unplanned Readmission Rate at DRG | 8.19 | ||||
| Unplanned Readmission Rate with ICD 30500 - Alcohol abuse, unspecified | 6.38 | ||||
| Total Medicare payments at DRG | $1,563,613,675 | ||||
| Total Medicare payments with ICD 30500 - Alcohol abuse, unspecified | $19,447,218 | ||||
| Total Medicare payment per Day at DRG | $1,583 | ||||
| Total Medicare payment per Day with ICD 30500 - Alcohol abuse, unspecified | $1,550 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,935 | ||||
| Total Medicare payment per Hospitalization with ICD 30500 - Alcohol abuse, unspecified | $6,874 | ||||
| Total Medicare Charges at DRG | $7,541,062,508 | ||||
| Total Medicare Charges with ICD 30500 - Alcohol abuse, unspecified | $103,198,078 | ||||
| Avg Charges at DRG | $33,447 | ||||
| Avg Charges with ICD 30500 - Alcohol abuse, unspecified | $36,479 | ||||
| Mortality Rate at DRG | 2.36 | ||||
| Mortality Rate with ICD 30500 - Alcohol abuse, unspecified | 1.45 | ||||
| SNF Discharge Rate at DRG | 26.21 | ||||
| SNF Discharge Rate with ICD 30500 - Alcohol abuse, unspecified | 20.82 | ||||
| Home Discharge Rate at DRG | 24.01 | ||||
| Home Discharge Rate with ICD 30500 - Alcohol abuse, unspecified | 30.47 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| PARADISE VALLEY HOSPITAL | 2400 E 4TH ST | NATIONAL CITY | CA | 91950 | 921 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 888 |
| UPMC PRESBYTERIAN SHADYSIDE | 200 LOTHROP ST | PITTSBURGH | PA | 15213 | 802 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. JUDY COOKE TRAVIS | 123 EAST CAPITOL STREET | DEMOPOLIS | AL | 36732 | 122 |
| Dr. FARHAD KHOSSOUSSI | 504N BEDFORD DR | BEVERLY HILLS | CA | 90210 | 120 |
| Dr. RANDALL JEFFREY MOSKOVITZ | 1325 EASTMORELAND AVE | MEMPHIS | TN | 38104 | 116 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. SAMUEL KUGEL | 502 EUCLID AVE STE 306 | NATIONAL CITY | CA | 91950 | 327 |
| Dr. SAMUEL O ETCHIE | 7200 PARKWAY DR STE 113 | LA MESA | CA | 91942 | 284 |
| Dr. JOSE A CRUZ | 1210 WASHINGTON AVE STE 220 | MIAMI BEACH | FL | 33139 | 229 |