*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| A4150 - Gram-negative sepsis, unspecified - as a primary diagnosis code | A4150 - Gram-negative sepsis, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.61 | |
| Readmission Rate (%) | 26.68 | |
| Unplanned Readmission Rate (%) | 15.13 | |
| 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 A4150 - Gram-negative sepsis, unspecified | 25,090 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD A4150 - Gram-negative sepsis, unspecified in DRG | 63.25 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD A4150 - Gram-negative sepsis, unspecified | 6.32 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD A4150 - Gram-negative sepsis, unspecified | 24.77 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD A4150 - Gram-negative sepsis, unspecified | 16.18 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD A4150 - Gram-negative sepsis, unspecified | $293,085,428 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD A4150 - Gram-negative sepsis, unspecified | $1,847 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD A4150 - Gram-negative sepsis, unspecified | $11,681 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD A4150 - Gram-negative sepsis, unspecified | $1,534,513,647 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD A4150 - Gram-negative sepsis, unspecified | $61,160 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD A4150 - Gram-negative sepsis, unspecified | 16.18 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD A4150 - Gram-negative sepsis, unspecified | 26.48 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD A4150 - Gram-negative sepsis, unspecified | 20.96 |
*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) | DRG 969: HIV WITH EXTENSIVE O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 45,478 | ||||
| Total Hospitalizations with ICD A4150 - Gram-negative sepsis, unspecified | 172 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD A4150 - Gram-negative sepsis, unspecified in DRG | 0.43 | ||||
| Avg LOS at DRG | 25.29 | ||||
| Avg LOS with ICD A4150 - Gram-negative sepsis, unspecified | 26.67 | ||||
| Readmission Rate at DRG | 74.5 | ||||
| Readmission Rate with ICD A4150 - Gram-negative sepsis, unspecified | 78.26 | ||||
| Unplanned Readmission Rate at DRG | 8.79 | ||||
| Unplanned Readmission Rate with ICD A4150 - Gram-negative sepsis, unspecified | NA | ||||
| Total Medicare payments at DRG | $3,386,848,549 | ||||
| Total Medicare payments with ICD A4150 - Gram-negative sepsis, unspecified | $14,081,165 | ||||
| Total Medicare payment per Day at DRG | $2,945 | ||||
| Total Medicare payment per Day with ICD A4150 - Gram-negative sepsis, unspecified | $3,070 | ||||
| Total Medicare payment per Hospitalization at DRG | $74,472 | ||||
| Total Medicare payment per Hospitalization with ICD A4150 - Gram-negative sepsis, unspecified | $81,867 | ||||
| Total Medicare Charges at DRG | $15,882,518,852 | ||||
| Total Medicare Charges with ICD A4150 - Gram-negative sepsis, unspecified | $72,876,584 | ||||
| Avg Charges at DRG | $349,235 | ||||
| Avg Charges with ICD A4150 - Gram-negative sepsis, unspecified | $423,701 | ||||
| Mortality Rate at DRG | 13.7 | ||||
| Mortality Rate with ICD A4150 - Gram-negative sepsis, unspecified | 16.86 | ||||
| SNF Discharge Rate at DRG | 17.77 | ||||
| SNF Discharge Rate with ICD A4150 - Gram-negative sepsis, unspecified | 13.37 | ||||
| Home Discharge Rate at DRG | 1.95 | ||||
| Home Discharge Rate with ICD A4150 - Gram-negative sepsis, unspecified | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MERCY HOSPITAL ADA | 430 N MONTE VISTA ST | ADA | OK | 74820 | 185 |
| MCLAREN MACOMB | 1000 HARRINGTON ST | MOUNT CLEMENS | MI | 48043 | 154 |
| MERCY HOSPITAL ST. LOUIS | 615 S NEW BALLAS RD | SAINT LOUIS | MO | 63141 | 139 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. REMBERTO J BITAR | 2210 WILBORN AVE | SOUTH BOSTON | VA | 24592 | 15 |
| Dr. JAMES F WITKO | 2210 WILBORN AVE | SOUTH BOSTON | VA | 24592 | 13 |
| Dr. ROBERT LUTHER WADDELL | 435 N MONTE VISTA | ADA | OK | 74820 | 12 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RAMON B INCIONG | 402 W WALNUT ST | OGLESBY | IL | 61348 | 41 |
| Dr. ALI TIPU | 430 N MONTE VISTA ST | ADA | OK | 74820 | 39 |
| Dr. LUIS H VIGIL | 430 N MONTE VISTA ST | ADA | OK | 74820 | 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 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 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD A4150 - Gram-negative sepsis, unspecified | 25,922 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD A4150 - Gram-negative sepsis, unspecified in DRG | 49.38 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD A4150 - Gram-negative sepsis, unspecified | 6.39 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD A4150 - Gram-negative sepsis, unspecified | 25.05 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD A4150 - Gram-negative sepsis, unspecified | 16.28 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD A4150 - Gram-negative sepsis, unspecified | $304,180,691 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD A4150 - Gram-negative sepsis, unspecified | $1,837 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD A4150 - Gram-negative sepsis, unspecified | $11,734 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD A4150 - Gram-negative sepsis, unspecified | $1,597,648,925 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD A4150 - Gram-negative sepsis, unspecified | $61,633 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD A4150 - Gram-negative sepsis, unspecified | 16.09 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD A4150 - Gram-negative sepsis, unspecified | 26.57 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD A4150 - Gram-negative sepsis, unspecified | 20.89 |
*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 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | 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 | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 138,345 | ||||
| Total Hospitalizations with ICD A4150 - Gram-negative sepsis, unspecified | 1,262 | ||||
| DRG Share of Total Hospitalizations | 0.42 | ||||
| % of Total ICD A4150 - Gram-negative sepsis, unspecified in DRG | 2.4 | ||||
| Avg LOS at DRG | 6.92 | ||||
| Avg LOS with ICD A4150 - Gram-negative sepsis, unspecified | 8.2 | ||||
| Readmission Rate at DRG | 32.2 | ||||
| Readmission Rate with ICD A4150 - Gram-negative sepsis, unspecified | 33.59 | ||||
| Unplanned Readmission Rate at DRG | 22.95 | ||||
| Unplanned Readmission Rate with ICD A4150 - Gram-negative sepsis, unspecified | 23.27 | ||||
| Total Medicare payments at DRG | $1,845,581,658 | ||||
| Total Medicare payments with ICD A4150 - Gram-negative sepsis, unspecified | $17,872,848 | ||||
| Total Medicare payment per Day at DRG | $1,929 | ||||
| Total Medicare payment per Day with ICD A4150 - Gram-negative sepsis, unspecified | $1,728 | ||||
| Total Medicare payment per Hospitalization at DRG | $13,340 | ||||
| Total Medicare payment per Hospitalization with ICD A4150 - Gram-negative sepsis, unspecified | $14,162 | ||||
| Total Medicare Charges at DRG | $9,021,459,592 | ||||
| Total Medicare Charges with ICD A4150 - Gram-negative sepsis, unspecified | $98,138,020 | ||||
| Avg Charges at DRG | $65,210 | ||||
| Avg Charges with ICD A4150 - Gram-negative sepsis, unspecified | $77,764 | ||||
| Mortality Rate at DRG | 5.29 | ||||
| Mortality Rate with ICD A4150 - Gram-negative sepsis, unspecified | 6.42 | ||||
| SNF Discharge Rate at DRG | 18.8 | ||||
| SNF Discharge Rate with ICD A4150 - Gram-negative sepsis, unspecified | 15.77 | ||||
| Home Discharge Rate at DRG | 39.78 | ||||
| Home Discharge Rate with ICD A4150 - Gram-negative sepsis, unspecified | 38.11 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES 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 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 919: COMPLICATIONS OF TREATMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 106,782 | ||||
| Total Hospitalizations with ICD A4150 - Gram-negative sepsis, unspecified | 327 | ||||
| DRG Share of Total Hospitalizations | 0.32 | ||||
| % of Total ICD A4150 - Gram-negative sepsis, unspecified in DRG | 0.62 | ||||
| Avg LOS at DRG | 13.16 | ||||
| Avg LOS with ICD A4150 - Gram-negative sepsis, unspecified | 17.28 | ||||
| Readmission Rate at DRG | 30.28 | ||||
| Readmission Rate with ICD A4150 - Gram-negative sepsis, unspecified | 40.87 | ||||
| Unplanned Readmission Rate at DRG | 15.8 | ||||
| Unplanned Readmission Rate with ICD A4150 - Gram-negative sepsis, unspecified | 13.46 | ||||
| Total Medicare payments at DRG | $3,545,118,598 | ||||
| Total Medicare payments with ICD A4150 - Gram-negative sepsis, unspecified | $12,493,564 | ||||
| Total Medicare payment per Day at DRG | $2,523 | ||||
| Total Medicare payment per Day with ICD A4150 - Gram-negative sepsis, unspecified | $2,211 | ||||
| Total Medicare payment per Hospitalization at DRG | $33,200 | ||||
| Total Medicare payment per Hospitalization with ICD A4150 - Gram-negative sepsis, unspecified | $38,207 | ||||
| Total Medicare Charges at DRG | $16,714,197,313 | ||||
| Total Medicare Charges with ICD A4150 - Gram-negative sepsis, unspecified | $75,799,839 | ||||
| Avg Charges at DRG | $156,526 | ||||
| Avg Charges with ICD A4150 - Gram-negative sepsis, unspecified | $231,804 | ||||
| Mortality Rate at DRG | 9.42 | ||||
| Mortality Rate with ICD A4150 - Gram-negative sepsis, unspecified | 32.42 | ||||
| SNF Discharge Rate at DRG | 28.14 | ||||
| SNF Discharge Rate with ICD A4150 - Gram-negative sepsis, unspecified | 20.18 | ||||
| Home Discharge Rate at DRG | 22.53 | ||||
| Home Discharge Rate with ICD A4150 - Gram-negative sepsis, unspecified | 7.03 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 856: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 25,598 | ||||
| Total Hospitalizations with ICD A4150 - Gram-negative sepsis, unspecified | 199 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD A4150 - Gram-negative sepsis, unspecified in DRG | 0.38 | ||||
| Avg LOS at DRG | 12.75 | ||||
| Avg LOS with ICD A4150 - Gram-negative sepsis, unspecified | 13.23 | ||||
| Readmission Rate at DRG | 37.72 | ||||
| Readmission Rate with ICD A4150 - Gram-negative sepsis, unspecified | 48.19 | ||||
| Unplanned Readmission Rate at DRG | 16.03 | ||||
| Unplanned Readmission Rate with ICD A4150 - Gram-negative sepsis, unspecified | 20.48 | ||||
| Total Medicare payments at DRG | $798,278,353 | ||||
| Total Medicare payments with ICD A4150 - Gram-negative sepsis, unspecified | $6,552,648 | ||||
| Total Medicare payment per Day at DRG | $2,445 | ||||
| Total Medicare payment per Day with ICD A4150 - Gram-negative sepsis, unspecified | $2,490 | ||||
| Total Medicare payment per Hospitalization at DRG | $31,185 | ||||
| Total Medicare payment per Hospitalization with ICD A4150 - Gram-negative sepsis, unspecified | $32,928 | ||||
| Total Medicare Charges at DRG | $3,604,344,398 | ||||
| Total Medicare Charges with ICD A4150 - Gram-negative sepsis, unspecified | $30,931,541 | ||||
| Avg Charges at DRG | $140,806 | ||||
| Avg Charges with ICD A4150 - Gram-negative sepsis, unspecified | $155,435 | ||||
| Mortality Rate at DRG | 4.29 | ||||
| Mortality Rate with ICD A4150 - Gram-negative sepsis, unspecified | 10.05 | ||||
| SNF Discharge Rate at DRG | 30.14 | ||||
| SNF Discharge Rate with ICD A4150 - Gram-negative sepsis, unspecified | 27.64 | ||||
| Home Discharge Rate at DRG | 15.85 | ||||
| Home Discharge Rate with ICD A4150 - Gram-negative sepsis, unspecified | 15.08 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MERCY HOSPITAL ADA | 430 N MONTE VISTA ST | ADA | OK | 74820 | 232 |
| CAPE FEAR VALLEY MEDICAL CENTER | 1638 OWEN DR | FAYETTEVILLE | NC | 28304 | 179 |
| MCLAREN MACOMB | 1000 HARRINGTON ST | MOUNT CLEMENS | MI | 48043 | 171 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MUHAMMAD YASEEN KARIM | 6071 W OUTER DR | DETROIT | MI | 48235 | 26 |
| Dr. ROBERT LUTHER WADDELL | 435 N MONTE VISTA | ADA | OK | 74820 | 20 |
| Dr. REMBERTO J BITAR | 2210 WILBORN AVE | SOUTH BOSTON | VA | 24592 | 19 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ALI TIPU | 430 N MONTE VISTA ST | ADA | OK | 74820 | 51 |
| Dr. LUIS H VIGIL | 430 N MONTE VISTA ST | ADA | OK | 74820 | 45 |
| Dr. RAMON B INCIONG | 402 W WALNUT ST | OGLESBY | IL | 61348 | 41 |