| 30503 - Alcohol abuse, in remission - as a primary diagnosis code | 30503 - Alcohol abuse, in remission - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.75 | |
| Readmission Rate (%) | 26.29 | |
| Unplanned Readmission Rate (%) | NA | |
| 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 885: PSYCHOSES | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 841,082 | ||||
| Total Hospitalizations with ICD 30503 - Alcohol abuse, in remission | 8,369 | ||||
| DRG Share of Total Hospitalizations | 3.68 | ||||
| % of Total ICD 30503 - Alcohol abuse, in remission in DRG | 12.84 | ||||
| Avg LOS at DRG | 11.58 | ||||
| Avg LOS with ICD 30503 - Alcohol abuse, in remission | 10.95 | ||||
| Readmission Rate at DRG | 26.57 | ||||
| Readmission Rate with ICD 30503 - Alcohol abuse, in remission | 25.88 | ||||
| Unplanned Readmission Rate at DRG | 13.06 | ||||
| Unplanned Readmission Rate with ICD 30503 - Alcohol abuse, in remission | 13.09 | ||||
| Total Medicare payments at DRG | $6,792,290,994 | ||||
| Total Medicare payments with ICD 30503 - Alcohol abuse, in remission | $66,540,043 | ||||
| Total Medicare payment per Day at DRG | $697 | ||||
| Total Medicare payment per Day with ICD 30503 - Alcohol abuse, in remission | $726 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,076 | ||||
| Total Medicare payment per Hospitalization with ICD 30503 - Alcohol abuse, in remission | $7,951 | ||||
| Total Medicare Charges at DRG | $21,353,545,675 | ||||
| Total Medicare Charges with ICD 30503 - Alcohol abuse, in remission | $224,508,546 | ||||
| Avg Charges at DRG | $25,388 | ||||
| Avg Charges with ICD 30503 - Alcohol abuse, in remission | $26,826 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD 30503 - Alcohol abuse, in remission | NA | ||||
| SNF Discharge Rate at DRG | 6.24 | ||||
| SNF Discharge Rate with ICD 30503 - Alcohol abuse, in remission | 4.74 | ||||
| Home Discharge Rate at DRG | 78.4 | ||||
| Home Discharge Rate with ICD 30503 - Alcohol abuse, in remission | 80.89 |
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,322 | ||||
| Total Hospitalizations with ICD 30503 - Alcohol abuse, in remission | 968 | ||||
| DRG Share of Total Hospitalizations | 1.83 | ||||
| % of Total ICD 30503 - Alcohol abuse, in remission in DRG | 1.48 | ||||
| Avg LOS at DRG | 5.93 | ||||
| Avg LOS with ICD 30503 - Alcohol abuse, in remission | 6.24 | ||||
| Readmission Rate at DRG | 28.69 | ||||
| Readmission Rate with ICD 30503 - Alcohol abuse, in remission | 30.93 | ||||
| Unplanned Readmission Rate at DRG | 21.75 | ||||
| Unplanned Readmission Rate with ICD 30503 - Alcohol abuse, in remission | 23.7 | ||||
| Total Medicare payments at DRG | $4,026,370,259 | ||||
| Total Medicare payments with ICD 30503 - Alcohol abuse, in remission | $9,863,861 | ||||
| Total Medicare payment per Day at DRG | $1,626 | ||||
| Total Medicare payment per Day with ICD 30503 - Alcohol abuse, in remission | $1,634 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,648 | ||||
| Total Medicare payment per Hospitalization with ICD 30503 - Alcohol abuse, in remission | $10,190 | ||||
| Total Medicare Charges at DRG | $17,296,169,702 | ||||
| Total Medicare Charges with ICD 30503 - Alcohol abuse, in remission | $43,758,372 | ||||
| Avg Charges at DRG | $41,446 | ||||
| Avg Charges with ICD 30503 - Alcohol abuse, in remission | $45,205 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD 30503 - Alcohol abuse, in remission | 4.34 | ||||
| SNF Discharge Rate at DRG | 23.05 | ||||
| SNF Discharge Rate with ICD 30503 - Alcohol abuse, in remission | 20.76 | ||||
| Home Discharge Rate at DRG | 34.75 | ||||
| Home Discharge Rate with ICD 30503 - Alcohol abuse, in remission | 41.94 |
| DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 442: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 261,933 | ||||
| Total Hospitalizations with ICD 30503 - Alcohol abuse, in remission | 823 | ||||
| DRG Share of Total Hospitalizations | 1.15 | ||||
| % of Total ICD 30503 - Alcohol abuse, in remission in DRG | 1.26 | ||||
| Avg LOS at DRG | 4.1 | ||||
| Avg LOS with ICD 30503 - Alcohol abuse, in remission | 4.01 | ||||
| Readmission Rate at DRG | 23.4 | ||||
| Readmission Rate with ICD 30503 - Alcohol abuse, in remission | 26.07 | ||||
| Unplanned Readmission Rate at DRG | 18.25 | ||||
| Unplanned Readmission Rate with ICD 30503 - Alcohol abuse, in remission | 20.93 | ||||
| Total Medicare payments at DRG | $1,493,154,986 | ||||
| Total Medicare payments with ICD 30503 - Alcohol abuse, in remission | $5,033,152 | ||||
| Total Medicare payment per Day at DRG | $1,391 | ||||
| Total Medicare payment per Day with ICD 30503 - Alcohol abuse, in remission | $1,525 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,701 | ||||
| Total Medicare payment per Hospitalization with ICD 30503 - Alcohol abuse, in remission | $6,116 | ||||
| Total Medicare Charges at DRG | $6,844,391,093 | ||||
| Total Medicare Charges with ICD 30503 - Alcohol abuse, in remission | $21,390,378 | ||||
| Avg Charges at DRG | $26,130 | ||||
| Avg Charges with ICD 30503 - Alcohol abuse, in remission | $25,991 | ||||
| Mortality Rate at DRG | 0.36 | ||||
| Mortality Rate with ICD 30503 - Alcohol abuse, in remission | NA | ||||
| SNF Discharge Rate at DRG | 12.08 | ||||
| SNF Discharge Rate with ICD 30503 - Alcohol abuse, in remission | 13.12 | ||||
| Home Discharge Rate at DRG | 59.35 | ||||
| Home Discharge Rate with ICD 30503 - Alcohol abuse, in remission | 56.99 |
| DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 441: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 439: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 235,369 | ||||
| Total Hospitalizations with ICD 30503 - Alcohol abuse, in remission | 754 | ||||
| DRG Share of Total Hospitalizations | 1.03 | ||||
| % of Total ICD 30503 - Alcohol abuse, in remission in DRG | 1.16 | ||||
| Avg LOS at DRG | 6.39 | ||||
| Avg LOS with ICD 30503 - Alcohol abuse, in remission | 6.9 | ||||
| Readmission Rate at DRG | 29.0 | ||||
| Readmission Rate with ICD 30503 - Alcohol abuse, in remission | 32.5 | ||||
| Unplanned Readmission Rate at DRG | 21.04 | ||||
| Unplanned Readmission Rate with ICD 30503 - Alcohol abuse, in remission | 23.24 | ||||
| Total Medicare payments at DRG | $2,435,030,298 | ||||
| Total Medicare payments with ICD 30503 - Alcohol abuse, in remission | $8,090,011 | ||||
| Total Medicare payment per Day at DRG | $1,619 | ||||
| Total Medicare payment per Day with ICD 30503 - Alcohol abuse, in remission | $1,555 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,346 | ||||
| Total Medicare payment per Hospitalization with ICD 30503 - Alcohol abuse, in remission | $10,729 | ||||
| Total Medicare Charges at DRG | $10,227,015,588 | ||||
| Total Medicare Charges with ICD 30503 - Alcohol abuse, in remission | $34,961,823 | ||||
| Avg Charges at DRG | $43,451 | ||||
| Avg Charges with ICD 30503 - Alcohol abuse, in remission | $46,368 | ||||
| Mortality Rate at DRG | 5.93 | ||||
| Mortality Rate with ICD 30503 - Alcohol abuse, in remission | 4.77 | ||||
| SNF Discharge Rate at DRG | 27.26 | ||||
| SNF Discharge Rate with ICD 30503 - Alcohol abuse, in remission | 23.87 | ||||
| Home Discharge Rate at DRG | 34.42 | ||||
| Home Discharge Rate with ICD 30503 - Alcohol abuse, in remission | 35.41 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 465 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 396 |
| YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 283 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. SETH TILZER | 2100 MADISON AVE. | GRANITE CITY | IL | 62040 | 18 |
| Dr. CHISOO CHOI | 201 S GARNETT RD | TULSA | OK | 74128 | 18 |
| Dr. ANDREW MARSALA | 2600 GREENWOOD RD | SHREVEPORT | LA | 71103 | 17 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. GARY B WATTS | 2925 COUNTRY CLUB RD | DENTON | TX | 76210 | 39 |
| Dr. S RAO CHALASANI | 5425 BRITTANY DR | BATON ROUGE | LA | 70808 | 37 |
| Dr. SUSAN C GILMAN | 1305 MEDFORD RD | WYNNEWOOD | PA | 19096 | 36 |