*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| B954 - Other streptococcus as the cause of diseases classified elsewhere - as a primary diagnosis code | B954 - Other streptococcus as the cause of diseases classified elsewhere - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.82 | |
| Readmission Rate (%) | 23.99 | |
| 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) | DRG 867: OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 7,414 | |
| Total Hospitalizations with ICD B954 - Other streptococcus as the cause of diseases classified elsewhere | 38 | |
| DRG Share of Total Hospitalizations | 0.02 | |
| % of Total ICD B954 - Other streptococcus as the cause of diseases classified elsewhere in DRG | 44.71 | |
| Avg LOS at DRG | 4.83 | |
| Avg LOS with ICD B954 - Other streptococcus as the cause of diseases classified elsewhere | 6.32 | |
| Readmission Rate at DRG | 15.74 | |
| Readmission Rate with ICD B954 - Other streptococcus as the cause of diseases classified elsewhere | NA | |
| Unplanned Readmission Rate at DRG | 9.56 | |
| Unplanned Readmission Rate with ICD B954 - Other streptococcus as the cause of diseases classified elsewhere | NA | |
| Total Medicare payments at DRG | $54,235,213 | |
| Total Medicare payments with ICD B954 - Other streptococcus as the cause of diseases classified elsewhere | $382,411 | |
| Total Medicare payment per Day at DRG | $1,515 | |
| Total Medicare payment per Day with ICD B954 - Other streptococcus as the cause of diseases classified elsewhere | $1,593 | |
| Total Medicare payment per Hospitalization at DRG | $7,315 | |
| Total Medicare payment per Hospitalization with ICD B954 - Other streptococcus as the cause of diseases classified elsewhere | $10,063 | |
| Total Medicare Charges at DRG | $260,425,297 | |
| Total Medicare Charges with ICD B954 - Other streptococcus as the cause of diseases classified elsewhere | $1,649,805 | |
| Avg Charges at DRG | $35,126 | |
| Avg Charges with ICD B954 - Other streptococcus as the cause of diseases classified elsewhere | $43,416 | |
| Mortality Rate at DRG | 0.4 | |
| Mortality Rate with ICD B954 - Other streptococcus as the cause of diseases classified elsewhere | NA | |
| SNF Discharge Rate at DRG | 11.65 | |
| SNF Discharge Rate with ICD B954 - Other streptococcus as the cause of diseases classified elsewhere | NA | |
| Home Discharge Rate at DRG | 60.94 | |
| Home Discharge Rate with ICD B954 - Other streptococcus as the cause of diseases classified elsewhere | 34.21 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 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 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD B954 - Other streptococcus as the cause of diseases classified elsewhere | 5,813 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD B954 - Other streptococcus as the cause of diseases classified elsewhere in DRG | 9.1 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD B954 - Other streptococcus as the cause of diseases classified elsewhere | 8.09 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD B954 - Other streptococcus as the cause of diseases classified elsewhere | 24.44 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD B954 - Other streptococcus as the cause of diseases classified elsewhere | 15.35 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD B954 - Other streptococcus as the cause of diseases classified elsewhere | $72,259,254 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD B954 - Other streptococcus as the cause of diseases classified elsewhere | $1,536 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD B954 - Other streptococcus as the cause of diseases classified elsewhere | $12,431 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD B954 - Other streptococcus as the cause of diseases classified elsewhere | $400,078,123 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD B954 - Other streptococcus as the cause of diseases classified elsewhere | $68,825 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD B954 - Other streptococcus as the cause of diseases classified elsewhere | 4.35 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD B954 - Other streptococcus as the cause of diseases classified elsewhere | 33.03 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD B954 - Other streptococcus as the cause of diseases classified elsewhere | 23.62 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 617: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 270,209 | ||||
| Total Hospitalizations with ICD B954 - Other streptococcus as the cause of diseases classified elsewhere | 1,483 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD B954 - Other streptococcus as the cause of diseases classified elsewhere in DRG | 2.32 | ||||
| Avg LOS at DRG | 4.84 | ||||
| Avg LOS with ICD B954 - Other streptococcus as the cause of diseases classified elsewhere | 5.12 | ||||
| Readmission Rate at DRG | 22.35 | ||||
| Readmission Rate with ICD B954 - Other streptococcus as the cause of diseases classified elsewhere | 19.89 | ||||
| Unplanned Readmission Rate at DRG | 16.33 | ||||
| Unplanned Readmission Rate with ICD B954 - Other streptococcus as the cause of diseases classified elsewhere | 14.2 | ||||
| Total Medicare payments at DRG | $1,824,333,389 | ||||
| Total Medicare payments with ICD B954 - Other streptococcus as the cause of diseases classified elsewhere | $10,056,740 | ||||
| Total Medicare payment per Day at DRG | $1,395 | ||||
| Total Medicare payment per Day with ICD B954 - Other streptococcus as the cause of diseases classified elsewhere | $1,324 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,752 | ||||
| Total Medicare payment per Hospitalization with ICD B954 - Other streptococcus as the cause of diseases classified elsewhere | $6,781 | ||||
| Total Medicare Charges at DRG | $9,128,673,695 | ||||
| Total Medicare Charges with ICD B954 - Other streptococcus as the cause of diseases classified elsewhere | $50,981,188 | ||||
| Avg Charges at DRG | $33,784 | ||||
| Avg Charges with ICD B954 - Other streptococcus as the cause of diseases classified elsewhere | $34,377 | ||||
| Mortality Rate at DRG | 1.32 | ||||
| Mortality Rate with ICD B954 - Other streptococcus as the cause of diseases classified elsewhere | 0.94 | ||||
| SNF Discharge Rate at DRG | 39.0 | ||||
| SNF Discharge Rate with ICD B954 - Other streptococcus as the cause of diseases classified elsewhere | 44.17 | ||||
| Home Discharge Rate at DRG | 24.73 | ||||
| Home Discharge Rate with ICD B954 - Other streptococcus as the cause of diseases classified elsewhere | 20.16 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 464: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 602: CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD B954 - Other streptococcus as the cause of diseases classified elsewhere | 779 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD B954 - Other streptococcus as the cause of diseases classified elsewhere in DRG | 1.22 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD B954 - Other streptococcus as the cause of diseases classified elsewhere | 7.17 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD B954 - Other streptococcus as the cause of diseases classified elsewhere | 27.02 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD B954 - Other streptococcus as the cause of diseases classified elsewhere | 19.94 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD B954 - Other streptococcus as the cause of diseases classified elsewhere | $7,697,510 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD B954 - Other streptococcus as the cause of diseases classified elsewhere | $1,378 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD B954 - Other streptococcus as the cause of diseases classified elsewhere | $9,881 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD B954 - Other streptococcus as the cause of diseases classified elsewhere | $43,878,137 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD B954 - Other streptococcus as the cause of diseases classified elsewhere | $56,326 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD B954 - Other streptococcus as the cause of diseases classified elsewhere | 3.98 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD B954 - Other streptococcus as the cause of diseases classified elsewhere | 34.27 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD B954 - Other streptococcus as the cause of diseases classified elsewhere | 22.34 |
*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 862: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 580: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD B954 - Other streptococcus as the cause of diseases classified elsewhere | 574 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD B954 - Other streptococcus as the cause of diseases classified elsewhere in DRG | 0.9 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD B954 - Other streptococcus as the cause of diseases classified elsewhere | 7.13 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD B954 - Other streptococcus as the cause of diseases classified elsewhere | 17.11 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD B954 - Other streptococcus as the cause of diseases classified elsewhere | 11.79 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD B954 - Other streptococcus as the cause of diseases classified elsewhere | $5,334,770 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD B954 - Other streptococcus as the cause of diseases classified elsewhere | $1,303 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD B954 - Other streptococcus as the cause of diseases classified elsewhere | $9,294 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD B954 - Other streptococcus as the cause of diseases classified elsewhere | $28,945,895 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD B954 - Other streptococcus as the cause of diseases classified elsewhere | $50,428 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD B954 - Other streptococcus as the cause of diseases classified elsewhere | 2.96 | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD B954 - Other streptococcus as the cause of diseases classified elsewhere | 29.79 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD B954 - Other streptococcus as the cause of diseases classified elsewhere | 32.23 |
| 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 | 231 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 225 |
| RENOWN REGIONAL MEDICAL CENTER | 1155 MILL STREET | RENO | NV | 89502 | 181 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SIDNEY P REGALADO | 5841 S. MARYLAND AVENUE | CHICAGO | IL | 60637 | 12 |
| Dr. NIR BINUR | 8640 CENTRAL MALL DR | PORT ARTHUR | TX | 77642 | 12 |
| Dr. MICHAEL LLOYD MCMAHON | 2501 JIMMY JOHNSON BLVD | PORT ARTHUR | TX | 77640 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 45 |
| Dr. DANIEL LIND CROCKER | 1041 NOELL LN | ROCKY MOUNT | NC | 27804 | 20 |
| Dr. MICHAEL LLOYD MCMAHON | 2501 JIMMY JOHNSON BLVD | PORT ARTHUR | TX | 77640 | 19 |