*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| A491 - Streptococcal infection, unspecified site - as a primary diagnosis code | A491 - Streptococcal infection, unspecified site - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.72 | |
| Readmission Rate (%) | 23.66 | |
| Unplanned Readmission Rate (%) | 13.56 | |
| 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 868: OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 867: OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 869: OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 7,414 | ||
| Total Hospitalizations with ICD A491 - Streptococcal infection, unspecified site | 57 | ||
| DRG Share of Total Hospitalizations | 0.02 | ||
| % of Total ICD A491 - Streptococcal infection, unspecified site in DRG | 43.51 | ||
| Avg LOS at DRG | 4.83 | ||
| Avg LOS with ICD A491 - Streptococcal infection, unspecified site | 4.3 | ||
| Readmission Rate at DRG | 15.74 | ||
| Readmission Rate with ICD A491 - Streptococcal infection, unspecified site | 20.75 | ||
| Unplanned Readmission Rate at DRG | 9.56 | ||
| Unplanned Readmission Rate with ICD A491 - Streptococcal infection, unspecified site | NA | ||
| Total Medicare payments at DRG | $54,235,213 | ||
| Total Medicare payments with ICD A491 - Streptococcal infection, unspecified site | $445,504 | ||
| Total Medicare payment per Day at DRG | $1,515 | ||
| Total Medicare payment per Day with ICD A491 - Streptococcal infection, unspecified site | $1,818 | ||
| Total Medicare payment per Hospitalization at DRG | $7,315 | ||
| Total Medicare payment per Hospitalization with ICD A491 - Streptococcal infection, unspecified site | $7,816 | ||
| Total Medicare Charges at DRG | $260,425,297 | ||
| Total Medicare Charges with ICD A491 - Streptococcal infection, unspecified site | $1,711,296 | ||
| Avg Charges at DRG | $35,126 | ||
| Avg Charges with ICD A491 - Streptococcal infection, unspecified site | $30,023 | ||
| Mortality Rate at DRG | 0.4 | ||
| Mortality Rate with ICD A491 - Streptococcal infection, unspecified site | NA | ||
| SNF Discharge Rate at DRG | 11.65 | ||
| SNF Discharge Rate with ICD A491 - Streptococcal infection, unspecified site | NA | ||
| Home Discharge Rate at DRG | 60.94 | ||
| Home Discharge Rate with ICD A491 - Streptococcal infection, unspecified site | 50.88 |
*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 603: CELLULITIS WITHOUT 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 868: OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD A491 - Streptococcal infection, unspecified site | 247 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD A491 - Streptococcal infection, unspecified site in DRG | 10.07 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD A491 - Streptococcal infection, unspecified site | 7.75 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD A491 - Streptococcal infection, unspecified site | 22.12 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD A491 - Streptococcal infection, unspecified site | 11.06 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD A491 - Streptococcal infection, unspecified site | $3,161,434 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD A491 - Streptococcal infection, unspecified site | $1,652 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD A491 - Streptococcal infection, unspecified site | $12,799 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD A491 - Streptococcal infection, unspecified site | $17,765,045 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD A491 - Streptococcal infection, unspecified site | $71,923 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD A491 - Streptococcal infection, unspecified site | 7.69 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD A491 - Streptococcal infection, unspecified site | 25.91 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD A491 - Streptococcal infection, unspecified site | 29.55 |
*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 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 9,432 | ||||
| Total Hospitalizations with ICD A491 - Streptococcal infection, unspecified site | 58 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD A491 - Streptococcal infection, unspecified site in DRG | 2.36 | ||||
| Avg LOS at DRG | 8.4 | ||||
| Avg LOS with ICD A491 - Streptococcal infection, unspecified site | 7.22 | ||||
| Readmission Rate at DRG | 26.71 | ||||
| Readmission Rate with ICD A491 - Streptococcal infection, unspecified site | 21.57 | ||||
| Unplanned Readmission Rate at DRG | 16.9 | ||||
| Unplanned Readmission Rate with ICD A491 - Streptococcal infection, unspecified site | NA | ||||
| Total Medicare payments at DRG | $167,477,396 | ||||
| Total Medicare payments with ICD A491 - Streptococcal infection, unspecified site | $932,641 | ||||
| Total Medicare payment per Day at DRG | $2,115 | ||||
| Total Medicare payment per Day with ICD A491 - Streptococcal infection, unspecified site | $2,226 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,756 | ||||
| Total Medicare payment per Hospitalization with ICD A491 - Streptococcal infection, unspecified site | $16,080 | ||||
| Total Medicare Charges at DRG | $672,074,241 | ||||
| Total Medicare Charges with ICD A491 - Streptococcal infection, unspecified site | $3,164,328 | ||||
| Avg Charges at DRG | $71,255 | ||||
| Avg Charges with ICD A491 - Streptococcal infection, unspecified site | $54,557 | ||||
| Mortality Rate at DRG | 5.71 | ||||
| Mortality Rate with ICD A491 - Streptococcal infection, unspecified site | NA | ||||
| SNF Discharge Rate at DRG | 17.84 | ||||
| SNF Discharge Rate with ICD A491 - Streptococcal infection, unspecified site | 27.59 | ||||
| Home Discharge Rate at DRG | 44.03 | ||||
| Home Discharge Rate with ICD A491 - Streptococcal infection, unspecified site | 31.03 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 602: CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 89,541 | ||||
| Total Hospitalizations with ICD A491 - Streptococcal infection, unspecified site | 33 | ||||
| DRG Share of Total Hospitalizations | 0.27 | ||||
| % of Total ICD A491 - Streptococcal infection, unspecified site in DRG | 1.34 | ||||
| Avg LOS at DRG | 6.24 | ||||
| Avg LOS with ICD A491 - Streptococcal infection, unspecified site | 7.76 | ||||
| Readmission Rate at DRG | 26.67 | ||||
| Readmission Rate with ICD A491 - Streptococcal infection, unspecified site | NA | ||||
| Unplanned Readmission Rate at DRG | 18.76 | ||||
| Unplanned Readmission Rate with ICD A491 - Streptococcal infection, unspecified site | NA | ||||
| Total Medicare payments at DRG | $856,155,421 | ||||
| Total Medicare payments with ICD A491 - Streptococcal infection, unspecified site | $384,679 | ||||
| Total Medicare payment per Day at DRG | $1,533 | ||||
| Total Medicare payment per Day with ICD A491 - Streptococcal infection, unspecified site | $1,503 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,562 | ||||
| Total Medicare payment per Hospitalization with ICD A491 - Streptococcal infection, unspecified site | $11,657 | ||||
| Total Medicare Charges at DRG | $3,903,111,040 | ||||
| Total Medicare Charges with ICD A491 - Streptococcal infection, unspecified site | $1,890,670 | ||||
| Avg Charges at DRG | $43,590 | ||||
| Avg Charges with ICD A491 - Streptococcal infection, unspecified site | $57,293 | ||||
| Mortality Rate at DRG | 1.89 | ||||
| Mortality Rate with ICD A491 - Streptococcal infection, unspecified site | NA | ||||
| SNF Discharge Rate at DRG | 27.48 | ||||
| SNF Discharge Rate with ICD A491 - Streptococcal infection, unspecified site | NA | ||||
| Home Discharge Rate at DRG | 33.49 | ||||
| Home Discharge Rate with ICD A491 - Streptococcal infection, unspecified site | 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 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 231,410 | ||||
| Total Hospitalizations with ICD A491 - Streptococcal infection, unspecified site | 25 | ||||
| DRG Share of Total Hospitalizations | 0.7 | ||||
| % of Total ICD A491 - Streptococcal infection, unspecified site in DRG | 1.02 | ||||
| Avg LOS at DRG | 7.29 | ||||
| Avg LOS with ICD A491 - Streptococcal infection, unspecified site | 10.36 | ||||
| Readmission Rate at DRG | 25.54 | ||||
| Readmission Rate with ICD A491 - Streptococcal infection, unspecified site | NA | ||||
| Unplanned Readmission Rate at DRG | 18.36 | ||||
| Unplanned Readmission Rate with ICD A491 - Streptococcal infection, unspecified site | NA | ||||
| Total Medicare payments at DRG | $2,801,759,007 | ||||
| Total Medicare payments with ICD A491 - Streptococcal infection, unspecified site | $384,482 | ||||
| Total Medicare payment per Day at DRG | $1,661 | ||||
| Total Medicare payment per Day with ICD A491 - Streptococcal infection, unspecified site | $1,484 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,107 | ||||
| Total Medicare payment per Hospitalization with ICD A491 - Streptococcal infection, unspecified site | $15,379 | ||||
| Total Medicare Charges at DRG | $13,366,030,360 | ||||
| Total Medicare Charges with ICD A491 - Streptococcal infection, unspecified site | $2,173,752 | ||||
| Avg Charges at DRG | $57,759 | ||||
| Avg Charges with ICD A491 - Streptococcal infection, unspecified site | $86,950 | ||||
| Mortality Rate at DRG | 7.21 | ||||
| Mortality Rate with ICD A491 - Streptococcal infection, unspecified site | NA | ||||
| SNF Discharge Rate at DRG | 32.47 | ||||
| SNF Discharge Rate with ICD A491 - Streptococcal infection, unspecified site | NA | ||||
| Home Discharge Rate at DRG | 20.84 | ||||
| Home Discharge Rate with ICD A491 - Streptococcal infection, unspecified site | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MISSION HOSPITAL | 509 BILTMORE AVE | ASHEVILLE | NC | 28801 | 19 |
| HEALTHSOUTH REHABILITATION OF GADSDEN | 801 GOODYEAR AVE | GADSDEN | AL | 35903 | 17 |
| EDWARD W SPARROW HOSPITAL | 1215 E MICHIGAN AVE | LANSING | MI | 48912 | 17 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. VLADIMIR SLUTSKER | 801 GOODYEAR AVE | GADSDEN | AL | 35903 | 11 |