*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| B59 - Pneumocystosis - as a primary diagnosis code | B59 - Pneumocystosis - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 12.08 | |
| Readmission Rate (%) | 33.64 | |
| Unplanned Readmission Rate (%) | 18.13 | |
| 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 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 974: HIV WITH MAJOR RELATED CONDITION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 231,410 | ||||
| Total Hospitalizations with ICD B59 - Pneumocystosis | 576 | ||||
| DRG Share of Total Hospitalizations | 0.7 | ||||
| % of Total ICD B59 - Pneumocystosis in DRG | 39.56 | ||||
| Avg LOS at DRG | 7.29 | ||||
| Avg LOS with ICD B59 - Pneumocystosis | 10.72 | ||||
| Readmission Rate at DRG | 25.54 | ||||
| Readmission Rate with ICD B59 - Pneumocystosis | 28.91 | ||||
| Unplanned Readmission Rate at DRG | 18.36 | ||||
| Unplanned Readmission Rate with ICD B59 - Pneumocystosis | 16.49 | ||||
| Total Medicare payments at DRG | $2,801,759,007 | ||||
| Total Medicare payments with ICD B59 - Pneumocystosis | $8,980,949 | ||||
| Total Medicare payment per Day at DRG | $1,661 | ||||
| Total Medicare payment per Day with ICD B59 - Pneumocystosis | $1,454 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,107 | ||||
| Total Medicare payment per Hospitalization with ICD B59 - Pneumocystosis | $15,592 | ||||
| Total Medicare Charges at DRG | $13,366,030,360 | ||||
| Total Medicare Charges with ICD B59 - Pneumocystosis | $51,202,958 | ||||
| Avg Charges at DRG | $57,759 | ||||
| Avg Charges with ICD B59 - Pneumocystosis | $88,894 | ||||
| Mortality Rate at DRG | 7.21 | ||||
| Mortality Rate with ICD B59 - Pneumocystosis | 13.37 | ||||
| SNF Discharge Rate at DRG | 32.47 | ||||
| SNF Discharge Rate with ICD B59 - Pneumocystosis | 15.97 | ||||
| Home Discharge Rate at DRG | 20.84 | ||||
| Home Discharge Rate with ICD B59 - Pneumocystosis | 27.08 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 975: HIV WITH MAJOR RELATED CONDITION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 976: HIV WITH MAJOR RELATED CONDITION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 99,136 | ||||
| Total Hospitalizations with ICD B59 - Pneumocystosis | 54 | ||||
| DRG Share of Total Hospitalizations | 0.3 | ||||
| % of Total ICD B59 - Pneumocystosis in DRG | 3.71 | ||||
| Avg LOS at DRG | 22.0 | ||||
| Avg LOS with ICD B59 - Pneumocystosis | 19.61 | ||||
| Readmission Rate at DRG | 40.67 | ||||
| Readmission Rate with ICD B59 - Pneumocystosis | NA | ||||
| Unplanned Readmission Rate at DRG | 20.54 | ||||
| Unplanned Readmission Rate with ICD B59 - Pneumocystosis | NA | ||||
| Total Medicare payments at DRG | $4,616,563,352 | ||||
| Total Medicare payments with ICD B59 - Pneumocystosis | $2,462,015 | ||||
| Total Medicare payment per Day at DRG | $2,116 | ||||
| Total Medicare payment per Day with ICD B59 - Pneumocystosis | $2,325 | ||||
| Total Medicare payment per Hospitalization at DRG | $46,568 | ||||
| Total Medicare payment per Hospitalization with ICD B59 - Pneumocystosis | $45,593 | ||||
| Total Medicare Charges at DRG | $21,375,486,291 | ||||
| Total Medicare Charges with ICD B59 - Pneumocystosis | $15,585,087 | ||||
| Avg Charges at DRG | $215,618 | ||||
| Avg Charges with ICD B59 - Pneumocystosis | $288,613 | ||||
| Mortality Rate at DRG | 28.16 | ||||
| Mortality Rate with ICD B59 - Pneumocystosis | 62.96 | ||||
| SNF Discharge Rate at DRG | 30.65 | ||||
| SNF Discharge Rate with ICD B59 - Pneumocystosis | NA | ||||
| Home Discharge Rate at DRG | 5.17 | ||||
| Home Discharge Rate with ICD B59 - Pneumocystosis | 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 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | |
|---|---|
| Total Hospitalizations at DRG | 45,478 |
| Total Hospitalizations with ICD B59 - Pneumocystosis | 12 |
| DRG Share of Total Hospitalizations | 0.14 |
| % of Total ICD B59 - Pneumocystosis in DRG | 0.82 |
| Avg LOS at DRG | 25.29 |
| Avg LOS with ICD B59 - Pneumocystosis | 42.5 |
| Readmission Rate at DRG | 74.5 |
| Readmission Rate with ICD B59 - Pneumocystosis | NA |
| Unplanned Readmission Rate at DRG | 8.79 |
| Unplanned Readmission Rate with ICD B59 - Pneumocystosis | NA |
| Total Medicare payments at DRG | $3,386,848,549 |
| Total Medicare payments with ICD B59 - Pneumocystosis | $1,610,225 |
| Total Medicare payment per Day at DRG | $2,945 |
| Total Medicare payment per Day with ICD B59 - Pneumocystosis | $3,157 |
| Total Medicare payment per Hospitalization at DRG | $74,472 |
| Total Medicare payment per Hospitalization with ICD B59 - Pneumocystosis | $134,185 |
| Total Medicare Charges at DRG | $15,882,518,852 |
| Total Medicare Charges with ICD B59 - Pneumocystosis | $6,929,034 |
| Avg Charges at DRG | $349,235 |
| Avg Charges with ICD B59 - Pneumocystosis | $577,420 |
| Mortality Rate at DRG | 13.7 |
| Mortality Rate with ICD B59 - Pneumocystosis | NA |
| SNF Discharge Rate at DRG | 17.77 |
| SNF Discharge Rate with ICD B59 - Pneumocystosis | NA |
| Home Discharge Rate at DRG | 1.95 |
| Home Discharge Rate with ICD B59 - Pneumocystosis | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 23 |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM | 1500 EAST MEDICAL CENTER DRIVE | ANN ARBOR | MI | 48109 | 21 |
| NEWYORK PRESBYTERIAN - WEILL CORNELL MEDICAL CENTER | 525 E 68TH ST | NEW YORK | NY | 10021 | 21 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 974: HIV WITH MAJOR RELATED CONDITION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 975: HIV WITH MAJOR RELATED CONDITION WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 15,066 | ||||
| Total Hospitalizations with ICD B59 - Pneumocystosis | 1,540 | ||||
| DRG Share of Total Hospitalizations | 0.05 | ||||
| % of Total ICD B59 - Pneumocystosis in DRG | 22.5 | ||||
| Avg LOS at DRG | 9.3 | ||||
| Avg LOS with ICD B59 - Pneumocystosis | 11.12 | ||||
| Readmission Rate at DRG | 35.25 | ||||
| Readmission Rate with ICD B59 - Pneumocystosis | 34.08 | ||||
| Unplanned Readmission Rate at DRG | 25.91 | ||||
| Unplanned Readmission Rate with ICD B59 - Pneumocystosis | 23.33 | ||||
| Total Medicare payments at DRG | $327,897,431 | ||||
| Total Medicare payments with ICD B59 - Pneumocystosis | $35,200,610 | ||||
| Total Medicare payment per Day at DRG | $2,341 | ||||
| Total Medicare payment per Day with ICD B59 - Pneumocystosis | $2,056 | ||||
| Total Medicare payment per Hospitalization at DRG | $21,764 | ||||
| Total Medicare payment per Hospitalization with ICD B59 - Pneumocystosis | $22,858 | ||||
| Total Medicare Charges at DRG | $1,464,361,630 | ||||
| Total Medicare Charges with ICD B59 - Pneumocystosis | $174,014,108 | ||||
| Avg Charges at DRG | $97,196 | ||||
| Avg Charges with ICD B59 - Pneumocystosis | $112,996 | ||||
| Mortality Rate at DRG | 10.49 | ||||
| Mortality Rate with ICD B59 - Pneumocystosis | 12.4 | ||||
| SNF Discharge Rate at DRG | 17.66 | ||||
| SNF Discharge Rate with ICD B59 - Pneumocystosis | 13.64 | ||||
| Home Discharge Rate at DRG | 40.16 | ||||
| Home Discharge Rate with ICD B59 - Pneumocystosis | 40.65 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 976: HIV WITH MAJOR RELATED CONDITION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD B59 - Pneumocystosis | 335 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD B59 - Pneumocystosis in DRG | 4.89 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD B59 - Pneumocystosis | 15.9 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD B59 - Pneumocystosis | 29.77 | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD B59 - Pneumocystosis | 13.95 | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD B59 - Pneumocystosis | $14,240,598 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD B59 - Pneumocystosis | $2,674 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD B59 - Pneumocystosis | $42,509 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD B59 - Pneumocystosis | $69,029,909 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD B59 - Pneumocystosis | $206,059 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD B59 - Pneumocystosis | 31.94 | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD B59 - Pneumocystosis | 17.91 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD B59 - Pneumocystosis | 17.61 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 969: HIV WITH EXTENSIVE O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 181,637 | ||||
| Total Hospitalizations with ICD B59 - Pneumocystosis | 131 | ||||
| DRG Share of Total Hospitalizations | 0.55 | ||||
| % of Total ICD B59 - Pneumocystosis in DRG | 1.91 | ||||
| Avg LOS at DRG | 7.0 | ||||
| Avg LOS with ICD B59 - Pneumocystosis | 11.05 | ||||
| Readmission Rate at DRG | 32.53 | ||||
| Readmission Rate with ICD B59 - Pneumocystosis | 41.82 | ||||
| Unplanned Readmission Rate at DRG | 19.84 | ||||
| Unplanned Readmission Rate with ICD B59 - Pneumocystosis | NA | ||||
| Total Medicare payments at DRG | $2,845,609,163 | ||||
| Total Medicare payments with ICD B59 - Pneumocystosis | $2,733,452 | ||||
| Total Medicare payment per Day at DRG | $2,237 | ||||
| Total Medicare payment per Day with ICD B59 - Pneumocystosis | $1,889 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,666 | ||||
| Total Medicare payment per Hospitalization with ICD B59 - Pneumocystosis | $20,866 | ||||
| Total Medicare Charges at DRG | $14,794,146,746 | ||||
| Total Medicare Charges with ICD B59 - Pneumocystosis | $17,152,190 | ||||
| Avg Charges at DRG | $81,449 | ||||
| Avg Charges with ICD B59 - Pneumocystosis | $130,933 | ||||
| Mortality Rate at DRG | 25.14 | ||||
| Mortality Rate with ICD B59 - Pneumocystosis | 40.46 | ||||
| SNF Discharge Rate at DRG | 19.06 | ||||
| SNF Discharge Rate with ICD B59 - Pneumocystosis | 9.92 | ||||
| Home Discharge Rate at DRG | 20.69 | ||||
| Home Discharge Rate with ICD B59 - Pneumocystosis | 8.4 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 987: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS 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 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD B59 - Pneumocystosis | 79 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD B59 - Pneumocystosis in DRG | 1.15 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD B59 - Pneumocystosis | 9.0 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD B59 - Pneumocystosis | 35.29 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD B59 - Pneumocystosis | 20.59 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD B59 - Pneumocystosis | $1,210,797 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD B59 - Pneumocystosis | $1,703 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD B59 - Pneumocystosis | $15,327 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD B59 - Pneumocystosis | $5,490,147 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD B59 - Pneumocystosis | $69,496 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD B59 - Pneumocystosis | NA | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD B59 - Pneumocystosis | 18.99 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD B59 - Pneumocystosis | 34.18 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM | 1500 EAST MEDICAL CENTER DRIVE | ANN ARBOR | MI | 48109 | 68 |
| NEWYORK PRESBYTERIAN - WEILL CORNELL MEDICAL CENTER | 525 E 68TH ST | NEW YORK | NY | 10021 | 58 |
| MEMORIAL SLOAN KETTERING CANCER CENTER | 1275 YORK AVE | NEW YORK | NY | 10065 | 52 |