*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| A319 - Mycobacterial infection, unspecified - as a primary diagnosis code | A319 - Mycobacterial infection, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 9.0 | |
| Readmission Rate (%) | 27.68 | |
| Unplanned Readmission Rate (%) | 15.97 | |
| 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 867: OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 868: OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 869: OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 9,432 | |||
| Total Hospitalizations with ICD A319 - Mycobacterial infection, unspecified | 48 | |||
| DRG Share of Total Hospitalizations | 0.03 | |||
| % of Total ICD A319 - Mycobacterial infection, unspecified in DRG | 36.92 | |||
| Avg LOS at DRG | 8.4 | |||
| Avg LOS with ICD A319 - Mycobacterial infection, unspecified | 7.81 | |||
| Readmission Rate at DRG | 26.71 | |||
| Readmission Rate with ICD A319 - Mycobacterial infection, unspecified | 26.67 | |||
| Unplanned Readmission Rate at DRG | 16.9 | |||
| Unplanned Readmission Rate with ICD A319 - Mycobacterial infection, unspecified | NA | |||
| Total Medicare payments at DRG | $167,477,396 | |||
| Total Medicare payments with ICD A319 - Mycobacterial infection, unspecified | $858,155 | |||
| Total Medicare payment per Day at DRG | $2,115 | |||
| Total Medicare payment per Day with ICD A319 - Mycobacterial infection, unspecified | $2,288 | |||
| Total Medicare payment per Hospitalization at DRG | $17,756 | |||
| Total Medicare payment per Hospitalization with ICD A319 - Mycobacterial infection, unspecified | $17,878 | |||
| Total Medicare Charges at DRG | $672,074,241 | |||
| Total Medicare Charges with ICD A319 - Mycobacterial infection, unspecified | $2,544,851 | |||
| Avg Charges at DRG | $71,255 | |||
| Avg Charges with ICD A319 - Mycobacterial infection, unspecified | $53,018 | |||
| Mortality Rate at DRG | 5.71 | |||
| Mortality Rate with ICD A319 - Mycobacterial infection, unspecified | NA | |||
| SNF Discharge Rate at DRG | 17.84 | |||
| SNF Discharge Rate with ICD A319 - Mycobacterial infection, unspecified | NA | |||
| Home Discharge Rate at DRG | 44.03 | |||
| Home Discharge Rate with ICD A319 - Mycobacterial infection, unspecified | 52.08 |
*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 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD A319 - Mycobacterial infection, unspecified | 206 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD A319 - Mycobacterial infection, unspecified in DRG | 7.25 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD A319 - Mycobacterial infection, unspecified | 8.22 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD A319 - Mycobacterial infection, unspecified | 27.68 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD A319 - Mycobacterial infection, unspecified | 18.64 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD A319 - Mycobacterial infection, unspecified | $2,780,866 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD A319 - Mycobacterial infection, unspecified | $1,642 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD A319 - Mycobacterial infection, unspecified | $13,499 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD A319 - Mycobacterial infection, unspecified | $16,528,657 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD A319 - Mycobacterial infection, unspecified | $80,236 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD A319 - Mycobacterial infection, unspecified | 9.22 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD A319 - Mycobacterial infection, unspecified | 24.76 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD A319 - Mycobacterial infection, unspecified | 25.24 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD A319 - Mycobacterial infection, unspecified | 80 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD A319 - Mycobacterial infection, unspecified in DRG | 2.82 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD A319 - Mycobacterial infection, unspecified | 4.78 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD A319 - Mycobacterial infection, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD A319 - Mycobacterial infection, unspecified | NA | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD A319 - Mycobacterial infection, unspecified | $498,575 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD A319 - Mycobacterial infection, unspecified | $1,305 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD A319 - Mycobacterial infection, unspecified | $6,232 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD A319 - Mycobacterial infection, unspecified | $2,925,899 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD A319 - Mycobacterial infection, unspecified | $36,574 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD A319 - Mycobacterial infection, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD A319 - Mycobacterial infection, unspecified | NA | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD A319 - Mycobacterial infection, unspecified | 58.75 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 867: OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 868: OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 9,432 | ||||
| Total Hospitalizations with ICD A319 - Mycobacterial infection, unspecified | 57 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD A319 - Mycobacterial infection, unspecified in DRG | 2.01 | ||||
| Avg LOS at DRG | 8.4 | ||||
| Avg LOS with ICD A319 - Mycobacterial infection, unspecified | 8.39 | ||||
| Readmission Rate at DRG | 26.71 | ||||
| Readmission Rate with ICD A319 - Mycobacterial infection, unspecified | 25.93 | ||||
| Unplanned Readmission Rate at DRG | 16.9 | ||||
| Unplanned Readmission Rate with ICD A319 - Mycobacterial infection, unspecified | NA | ||||
| Total Medicare payments at DRG | $167,477,396 | ||||
| Total Medicare payments with ICD A319 - Mycobacterial infection, unspecified | $1,099,058 | ||||
| Total Medicare payment per Day at DRG | $2,115 | ||||
| Total Medicare payment per Day with ICD A319 - Mycobacterial infection, unspecified | $2,299 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,756 | ||||
| Total Medicare payment per Hospitalization with ICD A319 - Mycobacterial infection, unspecified | $19,282 | ||||
| Total Medicare Charges at DRG | $672,074,241 | ||||
| Total Medicare Charges with ICD A319 - Mycobacterial infection, unspecified | $3,509,691 | ||||
| Avg Charges at DRG | $71,255 | ||||
| Avg Charges with ICD A319 - Mycobacterial infection, unspecified | $61,574 | ||||
| Mortality Rate at DRG | 5.71 | ||||
| Mortality Rate with ICD A319 - Mycobacterial infection, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 17.84 | ||||
| SNF Discharge Rate with ICD A319 - Mycobacterial infection, unspecified | NA | ||||
| Home Discharge Rate at DRG | 44.03 | ||||
| Home Discharge Rate with ICD A319 - Mycobacterial infection, unspecified | 50.88 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 974: HIV WITH MAJOR RELATED CONDITION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 15,066 | ||||
| Total Hospitalizations with ICD A319 - Mycobacterial infection, unspecified | 31 | ||||
| DRG Share of Total Hospitalizations | 0.05 | ||||
| % of Total ICD A319 - Mycobacterial infection, unspecified in DRG | 1.09 | ||||
| Avg LOS at DRG | 9.3 | ||||
| Avg LOS with ICD A319 - Mycobacterial infection, unspecified | 15.9 | ||||
| Readmission Rate at DRG | 35.25 | ||||
| Readmission Rate with ICD A319 - Mycobacterial infection, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 25.91 | ||||
| Unplanned Readmission Rate with ICD A319 - Mycobacterial infection, unspecified | NA | ||||
| Total Medicare payments at DRG | $327,897,431 | ||||
| Total Medicare payments with ICD A319 - Mycobacterial infection, unspecified | $868,184 | ||||
| Total Medicare payment per Day at DRG | $2,341 | ||||
| Total Medicare payment per Day with ICD A319 - Mycobacterial infection, unspecified | $1,761 | ||||
| Total Medicare payment per Hospitalization at DRG | $21,764 | ||||
| Total Medicare payment per Hospitalization with ICD A319 - Mycobacterial infection, unspecified | $28,006 | ||||
| Total Medicare Charges at DRG | $1,464,361,630 | ||||
| Total Medicare Charges with ICD A319 - Mycobacterial infection, unspecified | $4,873,751 | ||||
| Avg Charges at DRG | $97,196 | ||||
| Avg Charges with ICD A319 - Mycobacterial infection, unspecified | $157,218 | ||||
| Mortality Rate at DRG | 10.49 | ||||
| Mortality Rate with ICD A319 - Mycobacterial infection, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 17.66 | ||||
| SNF Discharge Rate with ICD A319 - Mycobacterial infection, unspecified | NA | ||||
| Home Discharge Rate at DRG | 40.16 | ||||
| Home Discharge Rate with ICD A319 - Mycobacterial infection, unspecified | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| NYU LANGONE'S TISCH HOSPITAL | 550 1ST AVE | NEW YORK | NY | 10016 | 34 |
| MUSC MEDICAL CENTER | 169 ASHLEY AVE | CHARLESTON | SC | 29403 | 30 |
| BAYLOR UNIVERSITY MEDICAL CENTER | 3500 GASTON AVE | DALLAS | TX | 75246 | 29 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | K219 | Gastro-esophageal reflux disease without esophagitis |
| 2 | Z87891 | Personal history of nicotine dependence |
| 3 | I10 | Essential (primary) hypertension |