*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| A409 - Streptococcal sepsis, unspecified - as a primary diagnosis code | A409 - Streptococcal sepsis, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 9.42 | |
| Readmission Rate (%) | 27.07 | |
| Unplanned Readmission Rate (%) | 13.98 | |
| 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD A409 - Streptococcal sepsis, unspecified | 8,346 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD A409 - Streptococcal sepsis, unspecified in DRG | 62.31 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD A409 - Streptococcal sepsis, unspecified | 7.67 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD A409 - Streptococcal sepsis, unspecified | 24.11 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD A409 - Streptococcal sepsis, unspecified | 14.76 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD A409 - Streptococcal sepsis, unspecified | $101,356,427 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD A409 - Streptococcal sepsis, unspecified | $1,584 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD A409 - Streptococcal sepsis, unspecified | $12,144 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD A409 - Streptococcal sepsis, unspecified | $582,093,753 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD A409 - Streptococcal sepsis, unspecified | $69,745 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD A409 - Streptococcal sepsis, unspecified | 8.3 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD A409 - Streptococcal sepsis, unspecified | 28.03 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD A409 - Streptococcal sepsis, unspecified | 26.83 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 974: HIV WITH MAJOR RELATED CONDITION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 975: HIV WITH MAJOR RELATED CONDITION WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 45,478 | |||
| Total Hospitalizations with ICD A409 - Streptococcal sepsis, unspecified | 84 | |||
| DRG Share of Total Hospitalizations | 0.14 | |||
| % of Total ICD A409 - Streptococcal sepsis, unspecified in DRG | 0.63 | |||
| Avg LOS at DRG | 25.29 | |||
| Avg LOS with ICD A409 - Streptococcal sepsis, unspecified | 24.5 | |||
| Readmission Rate at DRG | 74.5 | |||
| Readmission Rate with ICD A409 - Streptococcal sepsis, unspecified | 79.1 | |||
| Unplanned Readmission Rate at DRG | 8.79 | |||
| Unplanned Readmission Rate with ICD A409 - Streptococcal sepsis, unspecified | NA | |||
| Total Medicare payments at DRG | $3,386,848,549 | |||
| Total Medicare payments with ICD A409 - Streptococcal sepsis, unspecified | $6,337,292 | |||
| Total Medicare payment per Day at DRG | $2,945 | |||
| Total Medicare payment per Day with ICD A409 - Streptococcal sepsis, unspecified | $3,079 | |||
| Total Medicare payment per Hospitalization at DRG | $74,472 | |||
| Total Medicare payment per Hospitalization with ICD A409 - Streptococcal sepsis, unspecified | $75,444 | |||
| Total Medicare Charges at DRG | $15,882,518,852 | |||
| Total Medicare Charges with ICD A409 - Streptococcal sepsis, unspecified | $32,424,844 | |||
| Avg Charges at DRG | $349,235 | |||
| Avg Charges with ICD A409 - Streptococcal sepsis, unspecified | $386,010 | |||
| Mortality Rate at DRG | 13.7 | |||
| Mortality Rate with ICD A409 - Streptococcal sepsis, unspecified | 14.29 | |||
| SNF Discharge Rate at DRG | 17.77 | |||
| SNF Discharge Rate with ICD A409 - Streptococcal sepsis, unspecified | 14.29 | |||
| Home Discharge Rate at DRG | 1.95 | |||
| Home Discharge Rate with ICD A409 - Streptococcal sepsis, unspecified | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 63 |
| PRESBYTERIAN HOSPITAL | 1100 CENTRAL SE | ALBUQUERQUE | NM | 87106 | 54 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE | 2401 S 31ST ST | TEMPLE | TX | 76508 | 52 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. BRIAN BENJAMIN ANDERSON | 302 UNIVERSITY BLVD | ROUND ROCK | TX | 78665 | 14 |
| Dr. GIRISH JANARDHANA MURTHY | 1011 14TH AVE NW | ARDMORE | OK | 73401 | 11 |
*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 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD A409 - Streptococcal sepsis, unspecified | 8,726 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD A409 - Streptococcal sepsis, unspecified in DRG | 51.59 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD A409 - Streptococcal sepsis, unspecified | 7.7 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD A409 - Streptococcal sepsis, unspecified | 24.23 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD A409 - Streptococcal sepsis, unspecified | 14.8 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD A409 - Streptococcal sepsis, unspecified | $106,200,062 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD A409 - Streptococcal sepsis, unspecified | $1,580 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD A409 - Streptococcal sepsis, unspecified | $12,171 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD A409 - Streptococcal sepsis, unspecified | $612,178,038 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD A409 - Streptococcal sepsis, unspecified | $70,156 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD A409 - Streptococcal sepsis, unspecified | 8.48 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD A409 - Streptococcal sepsis, unspecified | 28.12 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD A409 - Streptococcal sepsis, unspecified | 26.54 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | DRG 862: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 138,345 | ||||
| Total Hospitalizations with ICD A409 - Streptococcal sepsis, unspecified | 366 | ||||
| DRG Share of Total Hospitalizations | 0.42 | ||||
| % of Total ICD A409 - Streptococcal sepsis, unspecified in DRG | 2.16 | ||||
| Avg LOS at DRG | 6.92 | ||||
| Avg LOS with ICD A409 - Streptococcal sepsis, unspecified | 8.79 | ||||
| Readmission Rate at DRG | 32.2 | ||||
| Readmission Rate with ICD A409 - Streptococcal sepsis, unspecified | 31.91 | ||||
| Unplanned Readmission Rate at DRG | 22.95 | ||||
| Unplanned Readmission Rate with ICD A409 - Streptococcal sepsis, unspecified | 21.38 | ||||
| Total Medicare payments at DRG | $1,845,581,658 | ||||
| Total Medicare payments with ICD A409 - Streptococcal sepsis, unspecified | $5,159,098 | ||||
| Total Medicare payment per Day at DRG | $1,929 | ||||
| Total Medicare payment per Day with ICD A409 - Streptococcal sepsis, unspecified | $1,604 | ||||
| Total Medicare payment per Hospitalization at DRG | $13,340 | ||||
| Total Medicare payment per Hospitalization with ICD A409 - Streptococcal sepsis, unspecified | $14,096 | ||||
| Total Medicare Charges at DRG | $9,021,459,592 | ||||
| Total Medicare Charges with ICD A409 - Streptococcal sepsis, unspecified | $29,804,965 | ||||
| Avg Charges at DRG | $65,210 | ||||
| Avg Charges with ICD A409 - Streptococcal sepsis, unspecified | $81,434 | ||||
| Mortality Rate at DRG | 5.29 | ||||
| Mortality Rate with ICD A409 - Streptococcal sepsis, unspecified | 7.38 | ||||
| SNF Discharge Rate at DRG | 18.8 | ||||
| SNF Discharge Rate with ICD A409 - Streptococcal sepsis, unspecified | 20.77 | ||||
| Home Discharge Rate at DRG | 39.78 | ||||
| Home Discharge Rate with ICD A409 - Streptococcal sepsis, unspecified | 27.87 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 559: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 974: HIV WITH MAJOR RELATED CONDITION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 463: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD A409 - Streptococcal sepsis, unspecified | 69 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD A409 - Streptococcal sepsis, unspecified in DRG | 0.41 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD A409 - Streptococcal sepsis, unspecified | 11.72 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD A409 - Streptococcal sepsis, unspecified | 34.62 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD A409 - Streptococcal sepsis, unspecified | 26.92 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD A409 - Streptococcal sepsis, unspecified | $966,972 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD A409 - Streptococcal sepsis, unspecified | $1,195 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD A409 - Streptococcal sepsis, unspecified | $14,014 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD A409 - Streptococcal sepsis, unspecified | $6,990,169 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD A409 - Streptococcal sepsis, unspecified | $101,307 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD A409 - Streptococcal sepsis, unspecified | 20.29 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD A409 - Streptococcal sepsis, unspecified | 24.64 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD A409 - Streptococcal sepsis, unspecified | 17.39 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 919: COMPLICATIONS OF TREATMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 99,136 | ||||
| Total Hospitalizations with ICD A409 - Streptococcal sepsis, unspecified | 56 | ||||
| DRG Share of Total Hospitalizations | 0.3 | ||||
| % of Total ICD A409 - Streptococcal sepsis, unspecified in DRG | 0.33 | ||||
| Avg LOS at DRG | 22.0 | ||||
| Avg LOS with ICD A409 - Streptococcal sepsis, unspecified | 26.36 | ||||
| Readmission Rate at DRG | 40.67 | ||||
| Readmission Rate with ICD A409 - Streptococcal sepsis, unspecified | 45.95 | ||||
| Unplanned Readmission Rate at DRG | 20.54 | ||||
| Unplanned Readmission Rate with ICD A409 - Streptococcal sepsis, unspecified | NA | ||||
| Total Medicare payments at DRG | $4,616,563,352 | ||||
| Total Medicare payments with ICD A409 - Streptococcal sepsis, unspecified | $3,249,110 | ||||
| Total Medicare payment per Day at DRG | $2,116 | ||||
| Total Medicare payment per Day with ICD A409 - Streptococcal sepsis, unspecified | $2,201 | ||||
| Total Medicare payment per Hospitalization at DRG | $46,568 | ||||
| Total Medicare payment per Hospitalization with ICD A409 - Streptococcal sepsis, unspecified | $58,020 | ||||
| Total Medicare Charges at DRG | $21,375,486,291 | ||||
| Total Medicare Charges with ICD A409 - Streptococcal sepsis, unspecified | $17,304,575 | ||||
| Avg Charges at DRG | $215,618 | ||||
| Avg Charges with ICD A409 - Streptococcal sepsis, unspecified | $309,010 | ||||
| Mortality Rate at DRG | 28.16 | ||||
| Mortality Rate with ICD A409 - Streptococcal sepsis, unspecified | 28.57 | ||||
| SNF Discharge Rate at DRG | 30.65 | ||||
| SNF Discharge Rate with ICD A409 - Streptococcal sepsis, unspecified | 25.0 | ||||
| Home Discharge Rate at DRG | 5.17 | ||||
| Home Discharge Rate with ICD A409 - Streptococcal sepsis, unspecified | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE | 2401 S 31ST ST | TEMPLE | TX | 76508 | 63 |
| PRESBYTERIAN HOSPITAL | 1100 CENTRAL SE | ALBUQUERQUE | NM | 87106 | 61 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. BRIAN BENJAMIN ANDERSON | 302 UNIVERSITY BLVD | ROUND ROCK | TX | 78665 | 15 |
| Dr. GIRISH JANARDHANA MURTHY | 1011 14TH AVE NW | ARDMORE | OK | 73401 | 12 |