*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| A4159 - Other Gram-negative sepsis - as a primary diagnosis code | A4159 - Other Gram-negative sepsis - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 10.2 | |
| Readmission Rate (%) | 28.14 | |
| Unplanned Readmission Rate (%) | 16.55 | |
| 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 A4159 - Other Gram-negative sepsis | 32,084 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD A4159 - Other Gram-negative sepsis in DRG | 58.28 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD A4159 - Other Gram-negative sepsis | 7.74 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD A4159 - Other Gram-negative sepsis | 26.18 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD A4159 - Other Gram-negative sepsis | 17.62 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD A4159 - Other Gram-negative sepsis | $406,591,242 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD A4159 - Other Gram-negative sepsis | $1,637 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD A4159 - Other Gram-negative sepsis | $12,673 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD A4159 - Other Gram-negative sepsis | $2,316,567,345 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD A4159 - Other Gram-negative sepsis | $72,203 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD A4159 - Other Gram-negative sepsis | 8.28 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD A4159 - Other Gram-negative sepsis | 33.9 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD A4159 - Other Gram-negative sepsis | 20.86 |
*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 A4159 - Other Gram-negative sepsis | 300 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD A4159 - Other Gram-negative sepsis in DRG | 0.54 | ||||
| Avg LOS at DRG | 25.29 | ||||
| Avg LOS with ICD A4159 - Other Gram-negative sepsis | 28.51 | ||||
| Readmission Rate at DRG | 74.5 | ||||
| Readmission Rate with ICD A4159 - Other Gram-negative sepsis | 80.67 | ||||
| Unplanned Readmission Rate at DRG | 8.79 | ||||
| Unplanned Readmission Rate with ICD A4159 - Other Gram-negative sepsis | 8.82 | ||||
| Total Medicare payments at DRG | $3,386,848,549 | ||||
| Total Medicare payments with ICD A4159 - Other Gram-negative sepsis | $24,776,258 | ||||
| Total Medicare payment per Day at DRG | $2,945 | ||||
| Total Medicare payment per Day with ICD A4159 - Other Gram-negative sepsis | $2,896 | ||||
| Total Medicare payment per Hospitalization at DRG | $74,472 | ||||
| Total Medicare payment per Hospitalization with ICD A4159 - Other Gram-negative sepsis | $82,588 | ||||
| Total Medicare Charges at DRG | $15,882,518,852 | ||||
| Total Medicare Charges with ICD A4159 - Other Gram-negative sepsis | $123,818,702 | ||||
| Avg Charges at DRG | $349,235 | ||||
| Avg Charges with ICD A4159 - Other Gram-negative sepsis | $412,729 | ||||
| Mortality Rate at DRG | 13.7 | ||||
| Mortality Rate with ICD A4159 - Other Gram-negative sepsis | 17.0 | ||||
| SNF Discharge Rate at DRG | 17.77 | ||||
| SNF Discharge Rate with ICD A4159 - Other Gram-negative sepsis | 16.33 | ||||
| Home Discharge Rate at DRG | 1.95 | ||||
| Home Discharge Rate with ICD A4159 - Other Gram-negative sepsis | 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 | 254 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 223 |
| OHIO STATE UNIVERSITY HOSPITAL | 410 W 10TH AVE | COLUMBUS | OH | 43210 | 212 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DANIEL FLYNN | 579A CRANBURY RD | EAST BRUNSWICK | NJ | 08816 | 17 |
| Dr. MICHAEL T SERLE | 30 MEMORIAL DR | PINEHURST | NC | 28374 | 14 |
| Dr. BRADLEY SCOTT COOLIDGE | 20303 CRAWFORD AVE | OLYMPIA FIELDS | IL | 60461 | 14 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RAJESH AGARWAL | 6770 MAYFIELD RD | MAYFIELD HEIGHTS | OH | 44124 | 35 |
| Dr. BORIS KHORETS | 2912 AVENUE X | BROOKLYN | NY | 11235 | 23 |
| Dr. WASIM KHAWAJA | 836 TURNBERRY LN | WILLOW BROOK | IL | 60527 | 23 |
*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 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD A4159 - Other Gram-negative sepsis | 34,815 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD A4159 - Other Gram-negative sepsis in DRG | 42.81 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD A4159 - Other Gram-negative sepsis | 7.84 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD A4159 - Other Gram-negative sepsis | 26.38 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD A4159 - Other Gram-negative sepsis | 17.75 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD A4159 - Other Gram-negative sepsis | $443,571,210 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD A4159 - Other Gram-negative sepsis | $1,626 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD A4159 - Other Gram-negative sepsis | $12,741 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD A4159 - Other Gram-negative sepsis | $2,540,556,467 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD A4159 - Other Gram-negative sepsis | $72,973 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD A4159 - Other Gram-negative sepsis | 8.32 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD A4159 - Other Gram-negative sepsis | 34.12 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD A4159 - Other Gram-negative sepsis | 20.46 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| 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) | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 862: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS 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 | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 99,217 | ||||
| Total Hospitalizations with ICD A4159 - Other Gram-negative sepsis | 2,671 | ||||
| DRG Share of Total Hospitalizations | 0.3 | ||||
| % of Total ICD A4159 - Other Gram-negative sepsis in DRG | 3.28 | ||||
| Avg LOS at DRG | 14.88 | ||||
| Avg LOS with ICD A4159 - Other Gram-negative sepsis | 16.35 | ||||
| Readmission Rate at DRG | 41.65 | ||||
| Readmission Rate with ICD A4159 - Other Gram-negative sepsis | 42.82 | ||||
| Unplanned Readmission Rate at DRG | 18.54 | ||||
| Unplanned Readmission Rate with ICD A4159 - Other Gram-negative sepsis | 21.52 | ||||
| Total Medicare payments at DRG | $4,073,197,631 | ||||
| Total Medicare payments with ICD A4159 - Other Gram-negative sepsis | $114,355,454 | ||||
| Total Medicare payment per Day at DRG | $2,758 | ||||
| Total Medicare payment per Day with ICD A4159 - Other Gram-negative sepsis | $2,619 | ||||
| Total Medicare payment per Hospitalization at DRG | $41,053 | ||||
| Total Medicare payment per Hospitalization with ICD A4159 - Other Gram-negative sepsis | $42,814 | ||||
| Total Medicare Charges at DRG | $20,258,140,795 | ||||
| Total Medicare Charges with ICD A4159 - Other Gram-negative sepsis | $595,586,766 | ||||
| Avg Charges at DRG | $204,180 | ||||
| Avg Charges with ICD A4159 - Other Gram-negative sepsis | $222,983 | ||||
| Mortality Rate at DRG | 35.07 | ||||
| Mortality Rate with ICD A4159 - Other Gram-negative sepsis | 30.48 | ||||
| SNF Discharge Rate at DRG | 25.76 | ||||
| SNF Discharge Rate with ICD A4159 - Other Gram-negative sepsis | 30.89 | ||||
| Home Discharge Rate at DRG | 4.34 | ||||
| Home Discharge Rate with ICD A4159 - Other Gram-negative sepsis | 3.86 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 856: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 115,984 | ||||
| Total Hospitalizations with ICD A4159 - Other Gram-negative sepsis | 510 | ||||
| DRG Share of Total Hospitalizations | 0.35 | ||||
| % of Total ICD A4159 - Other Gram-negative sepsis in DRG | 0.63 | ||||
| Avg LOS at DRG | 7.52 | ||||
| Avg LOS with ICD A4159 - Other Gram-negative sepsis | 13.21 | ||||
| Readmission Rate at DRG | 33.13 | ||||
| Readmission Rate with ICD A4159 - Other Gram-negative sepsis | 32.21 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD A4159 - Other Gram-negative sepsis | 20.72 | ||||
| Total Medicare payments at DRG | $2,639,352,445 | ||||
| Total Medicare payments with ICD A4159 - Other Gram-negative sepsis | $14,469,959 | ||||
| Total Medicare payment per Day at DRG | $3,027 | ||||
| Total Medicare payment per Day with ICD A4159 - Other Gram-negative sepsis | $2,148 | ||||
| Total Medicare payment per Hospitalization at DRG | $22,756 | ||||
| Total Medicare payment per Hospitalization with ICD A4159 - Other Gram-negative sepsis | $28,372 | ||||
| Total Medicare Charges at DRG | $12,757,805,634 | ||||
| Total Medicare Charges with ICD A4159 - Other Gram-negative sepsis | $80,427,174 | ||||
| Avg Charges at DRG | $109,996 | ||||
| Avg Charges with ICD A4159 - Other Gram-negative sepsis | $157,700 | ||||
| Mortality Rate at DRG | 4.68 | ||||
| Mortality Rate with ICD A4159 - Other Gram-negative sepsis | 9.02 | ||||
| SNF Discharge Rate at DRG | 20.97 | ||||
| SNF Discharge Rate with ICD A4159 - Other Gram-negative sepsis | 17.65 | ||||
| Home Discharge Rate at DRG | 44.26 | ||||
| Home Discharge Rate with ICD A4159 - Other Gram-negative sepsis | 35.49 |
*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 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 106,782 | ||||
| Total Hospitalizations with ICD A4159 - Other Gram-negative sepsis | 298 | ||||
| DRG Share of Total Hospitalizations | 0.32 | ||||
| % of Total ICD A4159 - Other Gram-negative sepsis in DRG | 0.37 | ||||
| Avg LOS at DRG | 13.16 | ||||
| Avg LOS with ICD A4159 - Other Gram-negative sepsis | 23.69 | ||||
| Readmission Rate at DRG | 30.28 | ||||
| Readmission Rate with ICD A4159 - Other Gram-negative sepsis | 40.98 | ||||
| Unplanned Readmission Rate at DRG | 15.8 | ||||
| Unplanned Readmission Rate with ICD A4159 - Other Gram-negative sepsis | 22.95 | ||||
| Total Medicare payments at DRG | $3,545,118,598 | ||||
| Total Medicare payments with ICD A4159 - Other Gram-negative sepsis | $14,748,163 | ||||
| Total Medicare payment per Day at DRG | $2,523 | ||||
| Total Medicare payment per Day with ICD A4159 - Other Gram-negative sepsis | $2,089 | ||||
| Total Medicare payment per Hospitalization at DRG | $33,200 | ||||
| Total Medicare payment per Hospitalization with ICD A4159 - Other Gram-negative sepsis | $49,490 | ||||
| Total Medicare Charges at DRG | $16,714,197,313 | ||||
| Total Medicare Charges with ICD A4159 - Other Gram-negative sepsis | $87,677,661 | ||||
| Avg Charges at DRG | $156,526 | ||||
| Avg Charges with ICD A4159 - Other Gram-negative sepsis | $294,220 | ||||
| Mortality Rate at DRG | 9.42 | ||||
| Mortality Rate with ICD A4159 - Other Gram-negative sepsis | 16.44 | ||||
| SNF Discharge Rate at DRG | 28.14 | ||||
| SNF Discharge Rate with ICD A4159 - Other Gram-negative sepsis | 31.54 | ||||
| Home Discharge Rate at DRG | 22.53 | ||||
| Home Discharge Rate with ICD A4159 - Other Gram-negative sepsis | 10.07 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| OHIO STATE UNIVERSITY HOSPITAL | 410 W 10TH AVE | COLUMBUS | OH | 43210 | 412 |
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 407 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 403 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ALOZIE I UNEZE | 8220 GOOD LUCK RD | LANHAM | MD | 20706 | 29 |
| Dr. DANIEL FLYNN | 579A CRANBURY RD | EAST BRUNSWICK | NJ | 08816 | 24 |
| Dr. BORIS KHORETS | 2912 AVENUE X | BROOKLYN | NY | 11235 | 20 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RAJESH AGARWAL | 6770 MAYFIELD RD | MAYFIELD HEIGHTS | OH | 44124 | 61 |
| Dr. BORIS KHORETS | 2912 AVENUE X | BROOKLYN | NY | 11235 | 33 |
| Dr. SALMAN S. ALY | 1201 CREEKWAY DRIVE | SUGAR LAND | TX | 77478 | 32 |