*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| B952 - Enterococcus as the cause of diseases classified elsewhere - as a primary diagnosis code | B952 - Enterococcus as the cause of diseases classified elsewhere - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 9.73 | |
| Readmission Rate (%) | 29.64 | |
| Unplanned Readmission Rate (%) | 13.49 | |
| 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 B952 - Enterococcus as the cause of diseases classified elsewhere | 63 | ||
| DRG Share of Total Hospitalizations | 0.02 | ||
| % of Total ICD B952 - Enterococcus as the cause of diseases classified elsewhere in DRG | 44.06 | ||
| Avg LOS at DRG | 4.83 | ||
| Avg LOS with ICD B952 - Enterococcus as the cause of diseases classified elsewhere | 7.05 | ||
| Readmission Rate at DRG | 15.74 | ||
| Readmission Rate with ICD B952 - Enterococcus as the cause of diseases classified elsewhere | 27.59 | ||
| Unplanned Readmission Rate at DRG | 9.56 | ||
| Unplanned Readmission Rate with ICD B952 - Enterococcus as the cause of diseases classified elsewhere | NA | ||
| Total Medicare payments at DRG | $54,235,213 | ||
| Total Medicare payments with ICD B952 - Enterococcus as the cause of diseases classified elsewhere | $489,917 | ||
| Total Medicare payment per Day at DRG | $1,515 | ||
| Total Medicare payment per Day with ICD B952 - Enterococcus as the cause of diseases classified elsewhere | $1,103 | ||
| Total Medicare payment per Hospitalization at DRG | $7,315 | ||
| Total Medicare payment per Hospitalization with ICD B952 - Enterococcus as the cause of diseases classified elsewhere | $7,776 | ||
| Total Medicare Charges at DRG | $260,425,297 | ||
| Total Medicare Charges with ICD B952 - Enterococcus as the cause of diseases classified elsewhere | $2,856,680 | ||
| Avg Charges at DRG | $35,126 | ||
| Avg Charges with ICD B952 - Enterococcus as the cause of diseases classified elsewhere | $45,344 | ||
| Mortality Rate at DRG | 0.4 | ||
| Mortality Rate with ICD B952 - Enterococcus as the cause of diseases classified elsewhere | NA | ||
| SNF Discharge Rate at DRG | 11.65 | ||
| SNF Discharge Rate with ICD B952 - Enterococcus as the cause of diseases classified elsewhere | 17.46 | ||
| Home Discharge Rate at DRG | 60.94 | ||
| Home Discharge Rate with ICD B952 - Enterococcus as the cause of diseases classified elsewhere | 41.27 |
*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 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD B952 - Enterococcus as the cause of diseases classified elsewhere | 30,197 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD B952 - Enterococcus as the cause of diseases classified elsewhere in DRG | 9.6 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD B952 - Enterococcus as the cause of diseases classified elsewhere | 8.38 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD B952 - Enterococcus as the cause of diseases classified elsewhere | 29.77 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD B952 - Enterococcus as the cause of diseases classified elsewhere | 20.6 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD B952 - Enterococcus as the cause of diseases classified elsewhere | $381,293,501 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD B952 - Enterococcus as the cause of diseases classified elsewhere | $1,507 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD B952 - Enterococcus as the cause of diseases classified elsewhere | $12,627 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD B952 - Enterococcus as the cause of diseases classified elsewhere | $2,148,939,880 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD B952 - Enterococcus as the cause of diseases classified elsewhere | $71,164 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD B952 - Enterococcus as the cause of diseases classified elsewhere | 7.71 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD B952 - Enterococcus as the cause of diseases classified elsewhere | 37.78 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD B952 - Enterococcus as the cause of diseases classified elsewhere | 15.7 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 699: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD B952 - Enterococcus as the cause of diseases classified elsewhere | 7,423 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD B952 - Enterococcus as the cause of diseases classified elsewhere in DRG | 2.36 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD B952 - Enterococcus as the cause of diseases classified elsewhere | 15.22 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD B952 - Enterococcus as the cause of diseases classified elsewhere | 42.08 | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD B952 - Enterococcus as the cause of diseases classified elsewhere | 19.23 | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD B952 - Enterococcus as the cause of diseases classified elsewhere | $259,143,585 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD B952 - Enterococcus as the cause of diseases classified elsewhere | $2,294 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD B952 - Enterococcus as the cause of diseases classified elsewhere | $34,911 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD B952 - Enterococcus as the cause of diseases classified elsewhere | $1,191,725,327 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD B952 - Enterococcus as the cause of diseases classified elsewhere | $160,545 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD B952 - Enterococcus as the cause of diseases classified elsewhere | 7.49 | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD B952 - Enterococcus as the cause of diseases classified elsewhere | 38.89 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD B952 - Enterococcus as the cause of diseases classified elsewhere | 8.99 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 359,935 | ||||
| Total Hospitalizations with ICD B952 - Enterococcus as the cause of diseases classified elsewhere | 3,860 | ||||
| DRG Share of Total Hospitalizations | 1.1 | ||||
| % of Total ICD B952 - Enterococcus as the cause of diseases classified elsewhere in DRG | 1.23 | ||||
| Avg LOS at DRG | 12.3 | ||||
| Avg LOS with ICD B952 - Enterococcus as the cause of diseases classified elsewhere | 16.75 | ||||
| Readmission Rate at DRG | 16.01 | ||||
| Readmission Rate with ICD B952 - Enterococcus as the cause of diseases classified elsewhere | 18.37 | ||||
| Unplanned Readmission Rate at DRG | 9.86 | ||||
| Unplanned Readmission Rate with ICD B952 - Enterococcus as the cause of diseases classified elsewhere | 13.49 | ||||
| Total Medicare payments at DRG | $5,883,826,653 | ||||
| Total Medicare payments with ICD B952 - Enterococcus as the cause of diseases classified elsewhere | $86,381,839 | ||||
| Total Medicare payment per Day at DRG | $1,329 | ||||
| Total Medicare payment per Day with ICD B952 - Enterococcus as the cause of diseases classified elsewhere | $1,336 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
| Total Medicare payment per Hospitalization with ICD B952 - Enterococcus as the cause of diseases classified elsewhere | $22,379 | ||||
| Total Medicare Charges at DRG | $15,374,824,749 | ||||
| Total Medicare Charges with ICD B952 - Enterococcus as the cause of diseases classified elsewhere | $224,983,583 | ||||
| Avg Charges at DRG | $42,716 | ||||
| Avg Charges with ICD B952 - Enterococcus as the cause of diseases classified elsewhere | $58,286 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD B952 - Enterococcus as the cause of diseases classified elsewhere | 0.31 | ||||
| SNF Discharge Rate at DRG | 27.95 | ||||
| SNF Discharge Rate with ICD B952 - Enterococcus as the cause of diseases classified elsewhere | 37.31 | ||||
| Home Discharge Rate at DRG | 26.85 | ||||
| Home Discharge Rate with ICD B952 - Enterococcus as the cause of diseases classified elsewhere | 15.36 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD B952 - Enterococcus as the cause of diseases classified elsewhere | 2,968 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD B952 - Enterococcus as the cause of diseases classified elsewhere in DRG | 0.94 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD B952 - Enterococcus as the cause of diseases classified elsewhere | 7.42 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD B952 - Enterococcus as the cause of diseases classified elsewhere | 28.3 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD B952 - Enterococcus as the cause of diseases classified elsewhere | 20.21 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD B952 - Enterococcus as the cause of diseases classified elsewhere | $28,962,631 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD B952 - Enterococcus as the cause of diseases classified elsewhere | $1,316 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD B952 - Enterococcus as the cause of diseases classified elsewhere | $9,758 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD B952 - Enterococcus as the cause of diseases classified elsewhere | $162,148,490 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD B952 - Enterococcus as the cause of diseases classified elsewhere | $54,632 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD B952 - Enterococcus as the cause of diseases classified elsewhere | 4.55 | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD B952 - Enterococcus as the cause of diseases classified elsewhere | 38.51 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD B952 - Enterococcus as the cause of diseases classified elsewhere | 18.4 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MEMORIAL HERMANN HOSPITAL SYSTEM | 1635 NORTH LOOP W | HOUSTON | TX | 77008 | 943 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 900 |
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 831 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DANIEL LIND CROCKER | 1041 NOELL LN | ROCKY MOUNT | NC | 27804 | 98 |
| Dr. MONIQUE LEONA CONSOER | 46 LOUIS PRIMA DR | COVINGTON | LA | 70433 | 84 |
| Dr. MOHAMEDAOUF KHAZNADAR | 1901 MEDI PARK DR | AMARILLO | TX | 79106 | 62 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DANIEL LIND CROCKER | 1041 NOELL LN | ROCKY MOUNT | NC | 27804 | 250 |
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 191 |
| Dr. FAISAL WASI | 905 NW 5TH ST | STIGLER | OK | 74462 | 132 |