*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| A4901 - Methicillin susceptible Staphylococcus aureus infection, unspecified site - as a primary diagnosis code | A4901 - Methicillin susceptible Staphylococcus aureus infection, unspecified site - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.57 | |
| Readmission Rate (%) | 25.82 | |
| Unplanned Readmission Rate (%) | 16.92 | |
| 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 869: OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 9,432 | ||||
| Total Hospitalizations with ICD A4901 - Methicillin susceptible Staphylococcus aureus infection, unspecified site | 138 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD A4901 - Methicillin susceptible Staphylococcus aureus infection, unspecified site in DRG | 48.08 | ||||
| Avg LOS at DRG | 8.4 | ||||
| Avg LOS with ICD A4901 - Methicillin susceptible Staphylococcus aureus infection, unspecified site | 10.51 | ||||
| Readmission Rate at DRG | 26.71 | ||||
| Readmission Rate with ICD A4901 - Methicillin susceptible Staphylococcus aureus infection, unspecified site | 32.26 | ||||
| Unplanned Readmission Rate at DRG | 16.9 | ||||
| Unplanned Readmission Rate with ICD A4901 - Methicillin susceptible Staphylococcus aureus infection, unspecified site | 20.97 | ||||
| Total Medicare payments at DRG | $167,477,396 | ||||
| Total Medicare payments with ICD A4901 - Methicillin susceptible Staphylococcus aureus infection, unspecified site | $2,800,510 | ||||
| Total Medicare payment per Day at DRG | $2,115 | ||||
| Total Medicare payment per Day with ICD A4901 - Methicillin susceptible Staphylococcus aureus infection, unspecified site | $1,930 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,756 | ||||
| Total Medicare payment per Hospitalization with ICD A4901 - Methicillin susceptible Staphylococcus aureus infection, unspecified site | $20,294 | ||||
| Total Medicare Charges at DRG | $672,074,241 | ||||
| Total Medicare Charges with ICD A4901 - Methicillin susceptible Staphylococcus aureus infection, unspecified site | $9,382,162 | ||||
| Avg Charges at DRG | $71,255 | ||||
| Avg Charges with ICD A4901 - Methicillin susceptible Staphylococcus aureus infection, unspecified site | $67,987 | ||||
| Mortality Rate at DRG | 5.71 | ||||
| Mortality Rate with ICD A4901 - Methicillin susceptible Staphylococcus aureus infection, unspecified site | NA | ||||
| SNF Discharge Rate at DRG | 17.84 | ||||
| SNF Discharge Rate with ICD A4901 - Methicillin susceptible Staphylococcus aureus infection, unspecified site | 28.99 | ||||
| Home Discharge Rate at DRG | 44.03 | ||||
| Home Discharge Rate with ICD A4901 - Methicillin susceptible Staphylococcus aureus infection, unspecified site | 32.61 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 857: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 364,421 | ||||
| Total Hospitalizations with ICD A4901 - Methicillin susceptible Staphylococcus aureus infection, unspecified site | 1,108 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD A4901 - Methicillin susceptible Staphylococcus aureus infection, unspecified site in DRG | 6.52 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD A4901 - Methicillin susceptible Staphylococcus aureus infection, unspecified site | 4.84 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD A4901 - Methicillin susceptible Staphylococcus aureus infection, unspecified site | 12.9 | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD A4901 - Methicillin susceptible Staphylococcus aureus infection, unspecified site | 7.02 | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD A4901 - Methicillin susceptible Staphylococcus aureus infection, unspecified site | $5,910,757 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD A4901 - Methicillin susceptible Staphylococcus aureus infection, unspecified site | $1,101 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD A4901 - Methicillin susceptible Staphylococcus aureus infection, unspecified site | $5,335 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD A4901 - Methicillin susceptible Staphylococcus aureus infection, unspecified site | $30,490,415 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD A4901 - Methicillin susceptible Staphylococcus aureus infection, unspecified site | $27,518 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD A4901 - Methicillin susceptible Staphylococcus aureus infection, unspecified site | NA | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD A4901 - Methicillin susceptible Staphylococcus aureus infection, unspecified site | 16.88 | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD A4901 - Methicillin susceptible Staphylococcus aureus infection, unspecified site | 48.74 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 464: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 863: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 602: CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 34,505 | ||||
| Total Hospitalizations with ICD A4901 - Methicillin susceptible Staphylococcus aureus infection, unspecified site | 367 | ||||
| DRG Share of Total Hospitalizations | 0.1 | ||||
| % of Total ICD A4901 - Methicillin susceptible Staphylococcus aureus infection, unspecified site in DRG | 2.16 | ||||
| Avg LOS at DRG | 7.5 | ||||
| Avg LOS with ICD A4901 - Methicillin susceptible Staphylococcus aureus infection, unspecified site | 7.94 | ||||
| Readmission Rate at DRG | 24.13 | ||||
| Readmission Rate with ICD A4901 - Methicillin susceptible Staphylococcus aureus infection, unspecified site | 26.92 | ||||
| Unplanned Readmission Rate at DRG | 9.59 | ||||
| Unplanned Readmission Rate with ICD A4901 - Methicillin susceptible Staphylococcus aureus infection, unspecified site | 8.79 | ||||
| Total Medicare payments at DRG | $661,706,701 | ||||
| Total Medicare payments with ICD A4901 - Methicillin susceptible Staphylococcus aureus infection, unspecified site | $7,030,548 | ||||
| Total Medicare payment per Day at DRG | $2,559 | ||||
| Total Medicare payment per Day with ICD A4901 - Methicillin susceptible Staphylococcus aureus infection, unspecified site | $2,412 | ||||
| Total Medicare payment per Hospitalization at DRG | $19,177 | ||||
| Total Medicare payment per Hospitalization with ICD A4901 - Methicillin susceptible Staphylococcus aureus infection, unspecified site | $19,157 | ||||
| Total Medicare Charges at DRG | $3,132,931,207 | ||||
| Total Medicare Charges with ICD A4901 - Methicillin susceptible Staphylococcus aureus infection, unspecified site | $30,923,504 | ||||
| Avg Charges at DRG | $90,796 | ||||
| Avg Charges with ICD A4901 - Methicillin susceptible Staphylococcus aureus infection, unspecified site | $84,260 | ||||
| Mortality Rate at DRG | 0.1 | ||||
| Mortality Rate with ICD A4901 - Methicillin susceptible Staphylococcus aureus infection, unspecified site | NA | ||||
| SNF Discharge Rate at DRG | 38.89 | ||||
| SNF Discharge Rate with ICD A4901 - Methicillin susceptible Staphylococcus aureus infection, unspecified site | 41.14 | ||||
| Home Discharge Rate at DRG | 17.15 | ||||
| Home Discharge Rate with ICD A4901 - Methicillin susceptible Staphylococcus aureus infection, unspecified site | 14.17 |
*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 617: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 580: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 115,984 | ||||
| Total Hospitalizations with ICD A4901 - Methicillin susceptible Staphylococcus aureus infection, unspecified site | 236 | ||||
| DRG Share of Total Hospitalizations | 0.35 | ||||
| % of Total ICD A4901 - Methicillin susceptible Staphylococcus aureus infection, unspecified site in DRG | 1.39 | ||||
| Avg LOS at DRG | 7.52 | ||||
| Avg LOS with ICD A4901 - Methicillin susceptible Staphylococcus aureus infection, unspecified site | 9.51 | ||||
| Readmission Rate at DRG | 33.13 | ||||
| Readmission Rate with ICD A4901 - Methicillin susceptible Staphylococcus aureus infection, unspecified site | 28.13 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD A4901 - Methicillin susceptible Staphylococcus aureus infection, unspecified site | 18.3 | ||||
| Total Medicare payments at DRG | $2,639,352,445 | ||||
| Total Medicare payments with ICD A4901 - Methicillin susceptible Staphylococcus aureus infection, unspecified site | $5,498,346 | ||||
| Total Medicare payment per Day at DRG | $3,027 | ||||
| Total Medicare payment per Day with ICD A4901 - Methicillin susceptible Staphylococcus aureus infection, unspecified site | $2,449 | ||||
| Total Medicare payment per Hospitalization at DRG | $22,756 | ||||
| Total Medicare payment per Hospitalization with ICD A4901 - Methicillin susceptible Staphylococcus aureus infection, unspecified site | $23,298 | ||||
| Total Medicare Charges at DRG | $12,757,805,634 | ||||
| Total Medicare Charges with ICD A4901 - Methicillin susceptible Staphylococcus aureus infection, unspecified site | $27,996,526 | ||||
| Avg Charges at DRG | $109,996 | ||||
| Avg Charges with ICD A4901 - Methicillin susceptible Staphylococcus aureus infection, unspecified site | $118,629 | ||||
| Mortality Rate at DRG | 4.68 | ||||
| Mortality Rate with ICD A4901 - Methicillin susceptible Staphylococcus aureus infection, unspecified site | NA | ||||
| SNF Discharge Rate at DRG | 20.97 | ||||
| SNF Discharge Rate with ICD A4901 - Methicillin susceptible Staphylococcus aureus infection, unspecified site | 17.8 | ||||
| Home Discharge Rate at DRG | 44.26 | ||||
| Home Discharge Rate with ICD A4901 - Methicillin susceptible Staphylococcus aureus infection, unspecified site | 40.25 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 856: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 188,863 | ||||
| Total Hospitalizations with ICD A4901 - Methicillin susceptible Staphylococcus aureus infection, unspecified site | 180 | ||||
| DRG Share of Total Hospitalizations | 0.57 | ||||
| % of Total ICD A4901 - Methicillin susceptible Staphylococcus aureus infection, unspecified site in DRG | 1.06 | ||||
| Avg LOS at DRG | 11.75 | ||||
| Avg LOS with ICD A4901 - Methicillin susceptible Staphylococcus aureus infection, unspecified site | 12.25 | ||||
| Readmission Rate at DRG | 12.14 | ||||
| Readmission Rate with ICD A4901 - Methicillin susceptible Staphylococcus aureus infection, unspecified site | 24.54 | ||||
| Unplanned Readmission Rate at DRG | 7.97 | ||||
| Unplanned Readmission Rate with ICD A4901 - Methicillin susceptible Staphylococcus aureus infection, unspecified site | 12.27 | ||||
| Total Medicare payments at DRG | $3,216,901,374 | ||||
| Total Medicare payments with ICD A4901 - Methicillin susceptible Staphylococcus aureus infection, unspecified site | $2,736,583 | ||||
| Total Medicare payment per Day at DRG | $1,450 | ||||
| Total Medicare payment per Day with ICD A4901 - Methicillin susceptible Staphylococcus aureus infection, unspecified site | $1,241 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,033 | ||||
| Total Medicare payment per Hospitalization with ICD A4901 - Methicillin susceptible Staphylococcus aureus infection, unspecified site | $15,203 | ||||
| Total Medicare Charges at DRG | $7,709,712,645 | ||||
| Total Medicare Charges with ICD A4901 - Methicillin susceptible Staphylococcus aureus infection, unspecified site | $10,899,364 | ||||
| Avg Charges at DRG | $40,822 | ||||
| Avg Charges with ICD A4901 - Methicillin susceptible Staphylococcus aureus infection, unspecified site | $60,552 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD A4901 - Methicillin susceptible Staphylococcus aureus infection, unspecified site | NA | ||||
| SNF Discharge Rate at DRG | 19.54 | ||||
| SNF Discharge Rate with ICD A4901 - Methicillin susceptible Staphylococcus aureus infection, unspecified site | 29.44 | ||||
| Home Discharge Rate at DRG | 19.47 | ||||
| Home Discharge Rate with ICD A4901 - Methicillin susceptible Staphylococcus aureus infection, unspecified site | 15.0 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MISSION HOSPITAL | 509 BILTMORE AVE | ASHEVILLE | NC | 28801 | 64 |
| BAYLOR UNIVERSITY MEDICAL CENTER | 3500 GASTON AVE | DALLAS | TX | 75246 | 54 |
| UNIVERSITY OF IOWA HOSPITAL & CLINICS | 200 HAWKINS DR | IOWA CITY | IA | 52242 | 51 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. BRADLEY JOE REDDICK | 8100 S WALKER AVE | OKLAHOMA CITY | OK | 73139 | 12 |