*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| A159 - Respiratory tuberculosis unspecified - as a primary diagnosis code | A159 - Respiratory tuberculosis unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 9.2 | |
| Readmission Rate (%) | 26.21 | |
| Unplanned Readmission Rate (%) | 15.89 | |
| 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 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 179: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 109,057 | ||||
| Total Hospitalizations with ICD A159 - Respiratory tuberculosis unspecified | 127 | ||||
| DRG Share of Total Hospitalizations | 0.33 | ||||
| % of Total ICD A159 - Respiratory tuberculosis unspecified in DRG | 41.91 | ||||
| Avg LOS at DRG | 5.35 | ||||
| Avg LOS with ICD A159 - Respiratory tuberculosis unspecified | 10.62 | ||||
| Readmission Rate at DRG | 21.3 | ||||
| Readmission Rate with ICD A159 - Respiratory tuberculosis unspecified | 20.91 | ||||
| Unplanned Readmission Rate at DRG | 15.67 | ||||
| Unplanned Readmission Rate with ICD A159 - Respiratory tuberculosis unspecified | 13.64 | ||||
| Total Medicare payments at DRG | $920,227,801 | ||||
| Total Medicare payments with ICD A159 - Respiratory tuberculosis unspecified | $1,484,240 | ||||
| Total Medicare payment per Day at DRG | $1,576 | ||||
| Total Medicare payment per Day with ICD A159 - Respiratory tuberculosis unspecified | $1,100 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,438 | ||||
| Total Medicare payment per Hospitalization with ICD A159 - Respiratory tuberculosis unspecified | $11,687 | ||||
| Total Medicare Charges at DRG | $4,179,019,701 | ||||
| Total Medicare Charges with ICD A159 - Respiratory tuberculosis unspecified | $8,668,136 | ||||
| Avg Charges at DRG | $38,320 | ||||
| Avg Charges with ICD A159 - Respiratory tuberculosis unspecified | $68,253 | ||||
| Mortality Rate at DRG | 1.76 | ||||
| Mortality Rate with ICD A159 - Respiratory tuberculosis unspecified | NA | ||||
| SNF Discharge Rate at DRG | 27.6 | ||||
| SNF Discharge Rate with ICD A159 - Respiratory tuberculosis unspecified | 16.54 | ||||
| Home Discharge Rate at DRG | 33.88 | ||||
| Home Discharge Rate with ICD A159 - Respiratory tuberculosis unspecified | 55.12 |
*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 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD A159 - Respiratory tuberculosis unspecified | 243 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD A159 - Respiratory tuberculosis unspecified in DRG | 9.02 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD A159 - Respiratory tuberculosis unspecified | 9.11 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD A159 - Respiratory tuberculosis unspecified | 23.16 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD A159 - Respiratory tuberculosis unspecified | 14.69 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD A159 - Respiratory tuberculosis unspecified | $3,435,721 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD A159 - Respiratory tuberculosis unspecified | $1,553 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD A159 - Respiratory tuberculosis unspecified | $14,139 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD A159 - Respiratory tuberculosis unspecified | $23,982,003 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD A159 - Respiratory tuberculosis unspecified | $98,691 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD A159 - Respiratory tuberculosis unspecified | 17.28 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD A159 - Respiratory tuberculosis unspecified | 19.75 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD A159 - Respiratory tuberculosis unspecified | 30.04 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 885: PSYCHOSES | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD A159 - Respiratory tuberculosis unspecified | 60 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD A159 - Respiratory tuberculosis unspecified in DRG | 2.23 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD A159 - Respiratory tuberculosis unspecified | 10.9 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD A159 - Respiratory tuberculosis unspecified | 26.42 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD A159 - Respiratory tuberculosis unspecified | NA | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD A159 - Respiratory tuberculosis unspecified | $442,336 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD A159 - Respiratory tuberculosis unspecified | $676 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD A159 - Respiratory tuberculosis unspecified | $7,372 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD A159 - Respiratory tuberculosis unspecified | $1,791,473 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD A159 - Respiratory tuberculosis unspecified | $29,858 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD A159 - Respiratory tuberculosis unspecified | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD A159 - Respiratory tuberculosis unspecified | NA | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD A159 - Respiratory tuberculosis unspecified | 63.33 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 179: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 82,335 | ||||
| Total Hospitalizations with ICD A159 - Respiratory tuberculosis unspecified | 57 | ||||
| DRG Share of Total Hospitalizations | 0.25 | ||||
| % of Total ICD A159 - Respiratory tuberculosis unspecified in DRG | 2.12 | ||||
| Avg LOS at DRG | 12.91 | ||||
| Avg LOS with ICD A159 - Respiratory tuberculosis unspecified | 15.05 | ||||
| Readmission Rate at DRG | 32.17 | ||||
| Readmission Rate with ICD A159 - Respiratory tuberculosis unspecified | 48.89 | ||||
| Unplanned Readmission Rate at DRG | 19.76 | ||||
| Unplanned Readmission Rate with ICD A159 - Respiratory tuberculosis unspecified | 33.33 | ||||
| Total Medicare payments at DRG | $2,324,349,241 | ||||
| Total Medicare payments with ICD A159 - Respiratory tuberculosis unspecified | $1,572,329 | ||||
| Total Medicare payment per Day at DRG | $2,187 | ||||
| Total Medicare payment per Day with ICD A159 - Respiratory tuberculosis unspecified | $1,833 | ||||
| Total Medicare payment per Hospitalization at DRG | $28,230 | ||||
| Total Medicare payment per Hospitalization with ICD A159 - Respiratory tuberculosis unspecified | $27,585 | ||||
| Total Medicare Charges at DRG | $11,401,334,817 | ||||
| Total Medicare Charges with ICD A159 - Respiratory tuberculosis unspecified | $7,105,403 | ||||
| Avg Charges at DRG | $138,475 | ||||
| Avg Charges with ICD A159 - Respiratory tuberculosis unspecified | $124,656 | ||||
| Mortality Rate at DRG | 10.6 | ||||
| Mortality Rate with ICD A159 - Respiratory tuberculosis unspecified | NA | ||||
| SNF Discharge Rate at DRG | 21.62 | ||||
| SNF Discharge Rate with ICD A159 - Respiratory tuberculosis unspecified | NA | ||||
| Home Discharge Rate at DRG | 30.12 | ||||
| Home Discharge Rate with ICD A159 - Respiratory tuberculosis unspecified | 31.58 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 974: HIV WITH MAJOR RELATED CONDITION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 286,456 | ||||
| Total Hospitalizations with ICD A159 - Respiratory tuberculosis unspecified | 35 | ||||
| DRG Share of Total Hospitalizations | 0.87 | ||||
| % of Total ICD A159 - Respiratory tuberculosis unspecified in DRG | 1.3 | ||||
| Avg LOS at DRG | 3.75 | ||||
| Avg LOS with ICD A159 - Respiratory tuberculosis unspecified | 4.31 | ||||
| Readmission Rate at DRG | 22.9 | ||||
| Readmission Rate with ICD A159 - Respiratory tuberculosis unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 18.29 | ||||
| Unplanned Readmission Rate with ICD A159 - Respiratory tuberculosis unspecified | NA | ||||
| Total Medicare payments at DRG | $1,641,467,496 | ||||
| Total Medicare payments with ICD A159 - Respiratory tuberculosis unspecified | $223,335 | ||||
| Total Medicare payment per Day at DRG | $1,526 | ||||
| Total Medicare payment per Day with ICD A159 - Respiratory tuberculosis unspecified | $1,479 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,730 | ||||
| Total Medicare payment per Hospitalization with ICD A159 - Respiratory tuberculosis unspecified | $6,381 | ||||
| Total Medicare Charges at DRG | $8,050,963,680 | ||||
| Total Medicare Charges with ICD A159 - Respiratory tuberculosis unspecified | $1,223,476 | ||||
| Avg Charges at DRG | $28,105 | ||||
| Avg Charges with ICD A159 - Respiratory tuberculosis unspecified | $34,956 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD A159 - Respiratory tuberculosis unspecified | NA | ||||
| SNF Discharge Rate at DRG | 10.84 | ||||
| SNF Discharge Rate with ICD A159 - Respiratory tuberculosis unspecified | NA | ||||
| Home Discharge Rate at DRG | 59.73 | ||||
| Home Discharge Rate with ICD A159 - Respiratory tuberculosis unspecified | 51.43 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| DCH REGIONAL MEDICAL CENTER | 809 UNIVERSITY BLVD E | TUSCALOOSA | AL | 35401 | 21 |
| LONG ISLAND JEWISH MEDICAL CENTER | 270-05 76 AVE | NEW HYDE PARK | NY | 11040 | 19 |
| ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL & TRAUMA CENTER | 1001 POTRERO AVE | SAN FRANCISCO | CA | 94110 | 16 |