*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
A4189 - Other specified sepsis - as a primary diagnosis code | A4189 - Other specified sepsis - as a primary or secondary diagnosis code | |
---|---|---|
OUTCOMES | ||
Avg. LOS | 9.22 | |
Readmission Rate (%) | 25.42 | |
Unplanned Readmission Rate (%) | 15.0 | |
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 A4189 - Other specified sepsis | 50,988 | ||||
DRG Share of Total Hospitalizations | 5.5 | ||||
% of Total ICD A4189 - Other specified sepsis in DRG | 63.77 | ||||
Avg LOS at DRG | 6.34 | ||||
Avg LOS with ICD A4189 - Other specified sepsis | 6.79 | ||||
Readmission Rate at DRG | 24.2 | ||||
Readmission Rate with ICD A4189 - Other specified sepsis | 22.44 | ||||
Unplanned Readmission Rate at DRG | 16.78 | ||||
Unplanned Readmission Rate with ICD A4189 - Other specified sepsis | 15.58 | ||||
Total Medicare payments at DRG | $21,288,214,047 | ||||
Total Medicare payments with ICD A4189 - Other specified sepsis | $628,394,819 | ||||
Total Medicare payment per Day at DRG | $1,857 | ||||
Total Medicare payment per Day with ICD A4189 - Other specified sepsis | $1,814 | ||||
Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
Total Medicare payment per Hospitalization with ICD A4189 - Other specified sepsis | $12,324 | ||||
Total Medicare Charges at DRG | $107,155,481,388 | ||||
Total Medicare Charges with ICD A4189 - Other specified sepsis | $3,121,714,186 | ||||
Avg Charges at DRG | $59,254 | ||||
Avg Charges with ICD A4189 - Other specified sepsis | $61,224 | ||||
Mortality Rate at DRG | 12.11 | ||||
Mortality Rate with ICD A4189 - Other specified sepsis | 9.77 | ||||
SNF Discharge Rate at DRG | 27.18 | ||||
SNF Discharge Rate with ICD A4189 - Other specified sepsis | 27.61 | ||||
Home Discharge Rate at DRG | 25.81 | ||||
Home Discharge Rate with ICD A4189 - Other specified sepsis | 28.6 |
*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 A4189 - Other specified sepsis | 499 | ||||
DRG Share of Total Hospitalizations | 0.14 | ||||
% of Total ICD A4189 - Other specified sepsis in DRG | 0.62 | ||||
Avg LOS at DRG | 25.29 | ||||
Avg LOS with ICD A4189 - Other specified sepsis | 28.64 | ||||
Readmission Rate at DRG | 74.5 | ||||
Readmission Rate with ICD A4189 - Other specified sepsis | 77.92 | ||||
Unplanned Readmission Rate at DRG | 8.79 | ||||
Unplanned Readmission Rate with ICD A4189 - Other specified sepsis | 10.91 | ||||
Total Medicare payments at DRG | $3,386,848,549 | ||||
Total Medicare payments with ICD A4189 - Other specified sepsis | $43,316,465 | ||||
Total Medicare payment per Day at DRG | $2,945 | ||||
Total Medicare payment per Day with ICD A4189 - Other specified sepsis | $3,031 | ||||
Total Medicare payment per Hospitalization at DRG | $74,472 | ||||
Total Medicare payment per Hospitalization with ICD A4189 - Other specified sepsis | $86,807 | ||||
Total Medicare Charges at DRG | $15,882,518,852 | ||||
Total Medicare Charges with ICD A4189 - Other specified sepsis | $206,387,570 | ||||
Avg Charges at DRG | $349,235 | ||||
Avg Charges with ICD A4189 - Other specified sepsis | $413,602 | ||||
Mortality Rate at DRG | 13.7 | ||||
Mortality Rate with ICD A4189 - Other specified sepsis | 17.43 | ||||
SNF Discharge Rate at DRG | 17.77 | ||||
SNF Discharge Rate with ICD A4189 - Other specified sepsis | 21.04 | ||||
Home Discharge Rate at DRG | 1.95 | ||||
Home Discharge Rate with ICD A4189 - Other specified sepsis | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 855: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 976: HIV WITH MAJOR RELATED CONDITION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|
Total Hospitalizations at DRG | 900 | |
Total Hospitalizations with ICD A4189 - Other specified sepsis | 18 | |
DRG Share of Total Hospitalizations | 0.0 | |
% of Total ICD A4189 - Other specified sepsis in DRG | 0.02 | |
Avg LOS at DRG | 4.46 | |
Avg LOS with ICD A4189 - Other specified sepsis | 5.11 | |
Readmission Rate at DRG | 13.87 | |
Readmission Rate with ICD A4189 - Other specified sepsis | NA | |
Unplanned Readmission Rate at DRG | 8.16 | |
Unplanned Readmission Rate with ICD A4189 - Other specified sepsis | NA | |
Total Medicare payments at DRG | $8,428,607 | |
Total Medicare payments with ICD A4189 - Other specified sepsis | $168,436 | |
Total Medicare payment per Day at DRG | $2,101 | |
Total Medicare payment per Day with ICD A4189 - Other specified sepsis | $1,831 | |
Total Medicare payment per Hospitalization at DRG | $9,365 | |
Total Medicare payment per Hospitalization with ICD A4189 - Other specified sepsis | $9,358 | |
Total Medicare Charges at DRG | $46,502,612 | |
Total Medicare Charges with ICD A4189 - Other specified sepsis | $909,723 | |
Avg Charges at DRG | $51,670 | |
Avg Charges with ICD A4189 - Other specified sepsis | $50,540 | |
Mortality Rate at DRG | NA | |
Mortality Rate with ICD A4189 - Other specified sepsis | NA | |
SNF Discharge Rate at DRG | 11.44 | |
SNF Discharge Rate with ICD A4189 - Other specified sepsis | NA | |
Home Discharge Rate at DRG | 63.33 | |
Home Discharge Rate with ICD A4189 - Other specified sepsis | NA |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
NEW YORK - PRESBYTERIAN/QUEENS | 56-45 MAIN STREET | NEW YORK | NY | 11355 | 627 |
HENDRICK MEDICAL CENTER | 1900 PINE ST | ABILENE | TX | 79601 | 426 |
BROOKDALE HOSPITAL MEDICAL CENTER | 1 BROOKDALE PLZ | BROOKLYN | NY | 11212 | 424 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. ROXANA ELENA LAZARESCU | 5645 MAIN ST | FLUSHING | NY | 11355 | 34 |
Dr. EHIZODE MARTIN UDEVBULU | 1295 5TH AVE | NEW YORK | NY | 10029 | 27 |
Dr. ROBERT GLENNON | 170 WILLIAM ST | NEW YORK | NY | 10038 | 26 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. JOEL THOMAS HUMMER | 812 GORMAN AVE | ELKINS | WV | 26241 | 88 |
Dr. PHILIP J. CHUA | 812 GORMAN AVE | ELKINS | WV | 26241 | 84 |
Dr. MOSTAQUE AHMED | 555 ROCKAWAY PKWY | BROOKLYN | NY | 11212 | 59 |
*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 A4189 - Other specified sepsis | 54,662 | ||||
DRG Share of Total Hospitalizations | 5.5 | ||||
% of Total ICD A4189 - Other specified sepsis in DRG | 50.1 | ||||
Avg LOS at DRG | 6.34 | ||||
Avg LOS with ICD A4189 - Other specified sepsis | 6.92 | ||||
Readmission Rate at DRG | 24.2 | ||||
Readmission Rate with ICD A4189 - Other specified sepsis | 22.75 | ||||
Unplanned Readmission Rate at DRG | 16.78 | ||||
Unplanned Readmission Rate with ICD A4189 - Other specified sepsis | 15.73 | ||||
Total Medicare payments at DRG | $21,288,214,047 | ||||
Total Medicare payments with ICD A4189 - Other specified sepsis | $677,843,522 | ||||
Total Medicare payment per Day at DRG | $1,857 | ||||
Total Medicare payment per Day with ICD A4189 - Other specified sepsis | $1,791 | ||||
Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
Total Medicare payment per Hospitalization with ICD A4189 - Other specified sepsis | $12,401 | ||||
Total Medicare Charges at DRG | $107,155,481,388 | ||||
Total Medicare Charges with ICD A4189 - Other specified sepsis | $3,402,179,225 | ||||
Avg Charges at DRG | $59,254 | ||||
Avg Charges with ICD A4189 - Other specified sepsis | $62,240 | ||||
Mortality Rate at DRG | 12.11 | ||||
Mortality Rate with ICD A4189 - Other specified sepsis | 9.78 | ||||
SNF Discharge Rate at DRG | 27.18 | ||||
SNF Discharge Rate with ICD A4189 - Other specified sepsis | 27.98 | ||||
Home Discharge Rate at DRG | 25.81 | ||||
Home Discharge Rate with ICD A4189 - Other specified sepsis | 28.06 |
*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 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 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 138,345 | ||||
Total Hospitalizations with ICD A4189 - Other specified sepsis | 2,335 | ||||
DRG Share of Total Hospitalizations | 0.42 | ||||
% of Total ICD A4189 - Other specified sepsis in DRG | 2.14 | ||||
Avg LOS at DRG | 6.92 | ||||
Avg LOS with ICD A4189 - Other specified sepsis | 9.69 | ||||
Readmission Rate at DRG | 32.2 | ||||
Readmission Rate with ICD A4189 - Other specified sepsis | 35.38 | ||||
Unplanned Readmission Rate at DRG | 22.95 | ||||
Unplanned Readmission Rate with ICD A4189 - Other specified sepsis | 25.22 | ||||
Total Medicare payments at DRG | $1,845,581,658 | ||||
Total Medicare payments with ICD A4189 - Other specified sepsis | $33,701,369 | ||||
Total Medicare payment per Day at DRG | $1,929 | ||||
Total Medicare payment per Day with ICD A4189 - Other specified sepsis | $1,489 | ||||
Total Medicare payment per Hospitalization at DRG | $13,340 | ||||
Total Medicare payment per Hospitalization with ICD A4189 - Other specified sepsis | $14,433 | ||||
Total Medicare Charges at DRG | $9,021,459,592 | ||||
Total Medicare Charges with ICD A4189 - Other specified sepsis | $203,807,946 | ||||
Avg Charges at DRG | $65,210 | ||||
Avg Charges with ICD A4189 - Other specified sepsis | $87,284 | ||||
Mortality Rate at DRG | 5.29 | ||||
Mortality Rate with ICD A4189 - Other specified sepsis | 6.38 | ||||
SNF Discharge Rate at DRG | 18.8 | ||||
SNF Discharge Rate with ICD A4189 - Other specified sepsis | 18.54 | ||||
Home Discharge Rate at DRG | 39.78 | ||||
Home Discharge Rate with ICD A4189 - Other specified sepsis | 30.92 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 862: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 38,827 | ||||
Total Hospitalizations with ICD A4189 - Other specified sepsis | 559 | ||||
DRG Share of Total Hospitalizations | 0.12 | ||||
% of Total ICD A4189 - Other specified sepsis in DRG | 0.51 | ||||
Avg LOS at DRG | 8.58 | ||||
Avg LOS with ICD A4189 - Other specified sepsis | 9.68 | ||||
Readmission Rate at DRG | 27.62 | ||||
Readmission Rate with ICD A4189 - Other specified sepsis | 29.47 | ||||
Unplanned Readmission Rate at DRG | 15.85 | ||||
Unplanned Readmission Rate with ICD A4189 - Other specified sepsis | 16.06 | ||||
Total Medicare payments at DRG | $555,779,802 | ||||
Total Medicare payments with ICD A4189 - Other specified sepsis | $8,736,131 | ||||
Total Medicare payment per Day at DRG | $1,668 | ||||
Total Medicare payment per Day with ICD A4189 - Other specified sepsis | $1,614 | ||||
Total Medicare payment per Hospitalization at DRG | $14,314 | ||||
Total Medicare payment per Hospitalization with ICD A4189 - Other specified sepsis | $15,628 | ||||
Total Medicare Charges at DRG | $2,652,789,227 | ||||
Total Medicare Charges with ICD A4189 - Other specified sepsis | $45,392,824 | ||||
Avg Charges at DRG | $68,323 | ||||
Avg Charges with ICD A4189 - Other specified sepsis | $81,204 | ||||
Mortality Rate at DRG | 3.06 | ||||
Mortality Rate with ICD A4189 - Other specified sepsis | 4.47 | ||||
SNF Discharge Rate at DRG | 20.78 | ||||
SNF Discharge Rate with ICD A4189 - Other specified sepsis | 20.57 | ||||
Home Discharge Rate at DRG | 32.02 | ||||
Home Discharge Rate with ICD A4189 - Other specified sepsis | 29.7 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 856: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 974: HIV WITH MAJOR RELATED CONDITION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 270,209 | ||||
Total Hospitalizations with ICD A4189 - Other specified sepsis | 427 | ||||
DRG Share of Total Hospitalizations | 0.82 | ||||
% of Total ICD A4189 - Other specified sepsis in DRG | 0.39 | ||||
Avg LOS at DRG | 4.84 | ||||
Avg LOS with ICD A4189 - Other specified sepsis | 7.0 | ||||
Readmission Rate at DRG | 22.35 | ||||
Readmission Rate with ICD A4189 - Other specified sepsis | 19.47 | ||||
Unplanned Readmission Rate at DRG | 16.33 | ||||
Unplanned Readmission Rate with ICD A4189 - Other specified sepsis | 10.93 | ||||
Total Medicare payments at DRG | $1,824,333,389 | ||||
Total Medicare payments with ICD A4189 - Other specified sepsis | $4,017,170 | ||||
Total Medicare payment per Day at DRG | $1,395 | ||||
Total Medicare payment per Day with ICD A4189 - Other specified sepsis | $1,343 | ||||
Total Medicare payment per Hospitalization at DRG | $6,752 | ||||
Total Medicare payment per Hospitalization with ICD A4189 - Other specified sepsis | $9,408 | ||||
Total Medicare Charges at DRG | $9,128,673,695 | ||||
Total Medicare Charges with ICD A4189 - Other specified sepsis | $15,830,784 | ||||
Avg Charges at DRG | $33,784 | ||||
Avg Charges with ICD A4189 - Other specified sepsis | $37,074 | ||||
Mortality Rate at DRG | 1.32 | ||||
Mortality Rate with ICD A4189 - Other specified sepsis | 3.51 | ||||
SNF Discharge Rate at DRG | 39.0 | ||||
SNF Discharge Rate with ICD A4189 - Other specified sepsis | 22.48 | ||||
Home Discharge Rate at DRG | 24.73 | ||||
Home Discharge Rate with ICD A4189 - Other specified sepsis | 34.66 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
NEW YORK - PRESBYTERIAN/QUEENS | 56-45 MAIN STREET | NEW YORK | NY | 11355 | 738 |
NEWYORK PRESBYTERIAN - WEILL CORNELL MEDICAL CENTER | 525 E 68TH ST | NEW YORK | NY | 10021 | 495 |
MAYO CLINIC HOSPITAL | 5777 E MAYO BLVD | PHOENIX | AZ | 85054 | 492 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. GERARD MOAWAD | 7507 CHRISLAND CV | FALLS CHURCH | VA | 22042 | 38 |
Dr. ROXANA ELENA LAZARESCU | 5645 MAIN ST | FLUSHING | NY | 11355 | 37 |
Dr. ROBERT GLENNON | 170 WILLIAM ST | NEW YORK | NY | 10038 | 29 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. JOEL THOMAS HUMMER | 812 GORMAN AVE | ELKINS | WV | 26241 | 97 |
Dr. PHILIP J. CHUA | 812 GORMAN AVE | ELKINS | WV | 26241 | 89 |
Dr. MOSTAQUE AHMED | 555 ROCKAWAY PKWY | BROOKLYN | NY | 11212 | 61 |