*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| B953 - Streptococcus pneumoniae as the cause of diseases classified elsewhere - as a primary diagnosis code | B953 - Streptococcus pneumoniae as the cause of diseases classified elsewhere - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.02 | |
| Readmission Rate (%) | 22.05 | |
| Unplanned Readmission Rate (%) | NA | |
| 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) | |
|---|---|
| Total Hospitalizations at DRG | 7,414 |
| Total Hospitalizations with ICD B953 - Streptococcus pneumoniae as the cause of diseases classified elsewhere | 13 |
| DRG Share of Total Hospitalizations | 0.02 |
| % of Total ICD B953 - Streptococcus pneumoniae as the cause of diseases classified elsewhere in DRG | 50.0 |
| Avg LOS at DRG | 4.83 |
| Avg LOS with ICD B953 - Streptococcus pneumoniae as the cause of diseases classified elsewhere | 5.62 |
| Readmission Rate at DRG | 15.74 |
| Readmission Rate with ICD B953 - Streptococcus pneumoniae as the cause of diseases classified elsewhere | NA |
| Unplanned Readmission Rate at DRG | 9.56 |
| Unplanned Readmission Rate with ICD B953 - Streptococcus pneumoniae as the cause of diseases classified elsewhere | NA |
| Total Medicare payments at DRG | $54,235,213 |
| Total Medicare payments with ICD B953 - Streptococcus pneumoniae as the cause of diseases classified elsewhere | $133,204 |
| Total Medicare payment per Day at DRG | $1,515 |
| Total Medicare payment per Day with ICD B953 - Streptococcus pneumoniae as the cause of diseases classified elsewhere | $1,825 |
| Total Medicare payment per Hospitalization at DRG | $7,315 |
| Total Medicare payment per Hospitalization with ICD B953 - Streptococcus pneumoniae as the cause of diseases classified elsewhere | $10,246 |
| Total Medicare Charges at DRG | $260,425,297 |
| Total Medicare Charges with ICD B953 - Streptococcus pneumoniae as the cause of diseases classified elsewhere | $409,763 |
| Avg Charges at DRG | $35,126 |
| Avg Charges with ICD B953 - Streptococcus pneumoniae as the cause of diseases classified elsewhere | $31,520 |
| Mortality Rate at DRG | 0.4 |
| Mortality Rate with ICD B953 - Streptococcus pneumoniae as the cause of diseases classified elsewhere | NA |
| SNF Discharge Rate at DRG | 11.65 |
| SNF Discharge Rate with ICD B953 - Streptococcus pneumoniae as the cause of diseases classified elsewhere | NA |
| Home Discharge Rate at DRG | 60.94 |
| Home Discharge Rate with ICD B953 - Streptococcus pneumoniae as the cause of diseases classified elsewhere | 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD B953 - Streptococcus pneumoniae as the cause of diseases classified elsewhere | 1,337 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD B953 - Streptococcus pneumoniae as the cause of diseases classified elsewhere in DRG | 20.6 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD B953 - Streptococcus pneumoniae as the cause of diseases classified elsewhere | 6.8 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD B953 - Streptococcus pneumoniae as the cause of diseases classified elsewhere | 17.85 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD B953 - Streptococcus pneumoniae as the cause of diseases classified elsewhere | 10.93 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD B953 - Streptococcus pneumoniae as the cause of diseases classified elsewhere | $15,814,478 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD B953 - Streptococcus pneumoniae as the cause of diseases classified elsewhere | $1,739 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD B953 - Streptococcus pneumoniae as the cause of diseases classified elsewhere | $11,828 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD B953 - Streptococcus pneumoniae as the cause of diseases classified elsewhere | $81,011,519 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD B953 - Streptococcus pneumoniae as the cause of diseases classified elsewhere | $60,592 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD B953 - Streptococcus pneumoniae as the cause of diseases classified elsewhere | 7.63 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD B953 - Streptococcus pneumoniae as the cause of diseases classified elsewhere | 21.69 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD B953 - Streptococcus pneumoniae as the cause of diseases classified elsewhere | 35.3 |
*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 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD B953 - Streptococcus pneumoniae as the cause of diseases classified elsewhere | 223 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD B953 - Streptococcus pneumoniae as the cause of diseases classified elsewhere in DRG | 3.44 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD B953 - Streptococcus pneumoniae as the cause of diseases classified elsewhere | 12.32 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD B953 - Streptococcus pneumoniae as the cause of diseases classified elsewhere | 36.41 | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD B953 - Streptococcus pneumoniae as the cause of diseases classified elsewhere | 13.59 | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD B953 - Streptococcus pneumoniae as the cause of diseases classified elsewhere | $7,539,971 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD B953 - Streptococcus pneumoniae as the cause of diseases classified elsewhere | $2,745 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD B953 - Streptococcus pneumoniae as the cause of diseases classified elsewhere | $33,812 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD B953 - Streptococcus pneumoniae as the cause of diseases classified elsewhere | $36,233,097 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD B953 - Streptococcus pneumoniae as the cause of diseases classified elsewhere | $162,480 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD B953 - Streptococcus pneumoniae as the cause of diseases classified elsewhere | 13.9 | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD B953 - Streptococcus pneumoniae as the cause of diseases classified elsewhere | 28.25 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD B953 - Streptococcus pneumoniae as the cause of diseases classified elsewhere | 22.87 |
*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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 094: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 181,637 | ||||
| Total Hospitalizations with ICD B953 - Streptococcus pneumoniae as the cause of diseases classified elsewhere | 118 | ||||
| DRG Share of Total Hospitalizations | 0.55 | ||||
| % of Total ICD B953 - Streptococcus pneumoniae as the cause of diseases classified elsewhere in DRG | 1.82 | ||||
| Avg LOS at DRG | 7.0 | ||||
| Avg LOS with ICD B953 - Streptococcus pneumoniae as the cause of diseases classified elsewhere | 8.44 | ||||
| Readmission Rate at DRG | 32.53 | ||||
| Readmission Rate with ICD B953 - Streptococcus pneumoniae as the cause of diseases classified elsewhere | 30.0 | ||||
| Unplanned Readmission Rate at DRG | 19.84 | ||||
| Unplanned Readmission Rate with ICD B953 - Streptococcus pneumoniae as the cause of diseases classified elsewhere | 16.0 | ||||
| Total Medicare payments at DRG | $2,845,609,163 | ||||
| Total Medicare payments with ICD B953 - Streptococcus pneumoniae as the cause of diseases classified elsewhere | $1,900,165 | ||||
| Total Medicare payment per Day at DRG | $2,237 | ||||
| Total Medicare payment per Day with ICD B953 - Streptococcus pneumoniae as the cause of diseases classified elsewhere | $1,908 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,666 | ||||
| Total Medicare payment per Hospitalization with ICD B953 - Streptococcus pneumoniae as the cause of diseases classified elsewhere | $16,103 | ||||
| Total Medicare Charges at DRG | $14,794,146,746 | ||||
| Total Medicare Charges with ICD B953 - Streptococcus pneumoniae as the cause of diseases classified elsewhere | $10,267,498 | ||||
| Avg Charges at DRG | $81,449 | ||||
| Avg Charges with ICD B953 - Streptococcus pneumoniae as the cause of diseases classified elsewhere | $87,013 | ||||
| Mortality Rate at DRG | 25.14 | ||||
| Mortality Rate with ICD B953 - Streptococcus pneumoniae as the cause of diseases classified elsewhere | NA | ||||
| SNF Discharge Rate at DRG | 19.06 | ||||
| SNF Discharge Rate with ICD B953 - Streptococcus pneumoniae as the cause of diseases classified elsewhere | 22.03 | ||||
| Home Discharge Rate at DRG | 20.69 | ||||
| Home Discharge Rate with ICD B953 - Streptococcus pneumoniae as the cause of diseases classified elsewhere | 29.66 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 202: BRONCHITIS AND ASTHMA WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 192: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 120,026 | ||||
| Total Hospitalizations with ICD B953 - Streptococcus pneumoniae as the cause of diseases classified elsewhere | 70 | ||||
| DRG Share of Total Hospitalizations | 0.37 | ||||
| % of Total ICD B953 - Streptococcus pneumoniae as the cause of diseases classified elsewhere in DRG | 1.08 | ||||
| Avg LOS at DRG | 3.68 | ||||
| Avg LOS with ICD B953 - Streptococcus pneumoniae as the cause of diseases classified elsewhere | 4.16 | ||||
| Readmission Rate at DRG | 16.52 | ||||
| Readmission Rate with ICD B953 - Streptococcus pneumoniae as the cause of diseases classified elsewhere | NA | ||||
| Unplanned Readmission Rate at DRG | 13.07 | ||||
| Unplanned Readmission Rate with ICD B953 - Streptococcus pneumoniae as the cause of diseases classified elsewhere | NA | ||||
| Total Medicare payments at DRG | $659,875,657 | ||||
| Total Medicare payments with ICD B953 - Streptococcus pneumoniae as the cause of diseases classified elsewhere | $392,644 | ||||
| Total Medicare payment per Day at DRG | $1,493 | ||||
| Total Medicare payment per Day with ICD B953 - Streptococcus pneumoniae as the cause of diseases classified elsewhere | $1,349 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,498 | ||||
| Total Medicare payment per Hospitalization with ICD B953 - Streptococcus pneumoniae as the cause of diseases classified elsewhere | $5,609 | ||||
| Total Medicare Charges at DRG | $3,598,009,636 | ||||
| Total Medicare Charges with ICD B953 - Streptococcus pneumoniae as the cause of diseases classified elsewhere | $1,713,475 | ||||
| Avg Charges at DRG | $29,977 | ||||
| Avg Charges with ICD B953 - Streptococcus pneumoniae as the cause of diseases classified elsewhere | $24,478 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD B953 - Streptococcus pneumoniae as the cause of diseases classified elsewhere | NA | ||||
| SNF Discharge Rate at DRG | 10.98 | ||||
| SNF Discharge Rate with ICD B953 - Streptococcus pneumoniae as the cause of diseases classified elsewhere | NA | ||||
| Home Discharge Rate at DRG | 64.98 | ||||
| Home Discharge Rate with ICD B953 - Streptococcus pneumoniae as the cause of diseases classified elsewhere | 71.43 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 40 |
| CHARLESTON AREA MEDICAL CENTER | 501 MORRIS ST | CHARLESTON | WV | 25301 | 23 |
| THE JOHNS HOPKINS HOSPITAL | 600 N WOLFE ST | BALTIMORE | MD | 21287 | 22 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. NISHANT TRIPATHI | 7 HEGEMAN AVE APT 14A | BROOKLYN | NY | 11212 | 13 |