*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| B955 - Unspecified streptococcus as the cause of diseases classified elsewhere - as a primary diagnosis code | B955 - Unspecified streptococcus as the cause of diseases classified elsewhere - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.97 | |
| Readmission Rate (%) | 23.01 | |
| 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 B955 - Unspecified streptococcus as the cause of diseases classified elsewhere | 17 | |
| DRG Share of Total Hospitalizations | 0.02 | |
| % of Total ICD B955 - Unspecified streptococcus as the cause of diseases classified elsewhere in DRG | 53.13 | |
| Avg LOS at DRG | 4.83 | |
| Avg LOS with ICD B955 - Unspecified streptococcus as the cause of diseases classified elsewhere | 5.24 | |
| Readmission Rate at DRG | 15.74 | |
| Readmission Rate with ICD B955 - Unspecified streptococcus as the cause of diseases classified elsewhere | NA | |
| Unplanned Readmission Rate at DRG | 9.56 | |
| Unplanned Readmission Rate with ICD B955 - Unspecified streptococcus as the cause of diseases classified elsewhere | NA | |
| Total Medicare payments at DRG | $54,235,213 | |
| Total Medicare payments with ICD B955 - Unspecified streptococcus as the cause of diseases classified elsewhere | $165,952 | |
| Total Medicare payment per Day at DRG | $1,515 | |
| Total Medicare payment per Day with ICD B955 - Unspecified streptococcus as the cause of diseases classified elsewhere | $1,865 | |
| Total Medicare payment per Hospitalization at DRG | $7,315 | |
| Total Medicare payment per Hospitalization with ICD B955 - Unspecified streptococcus as the cause of diseases classified elsewhere | $9,762 | |
| Total Medicare Charges at DRG | $260,425,297 | |
| Total Medicare Charges with ICD B955 - Unspecified streptococcus as the cause of diseases classified elsewhere | $691,519 | |
| Avg Charges at DRG | $35,126 | |
| Avg Charges with ICD B955 - Unspecified streptococcus as the cause of diseases classified elsewhere | $40,678 | |
| Mortality Rate at DRG | 0.4 | |
| Mortality Rate with ICD B955 - Unspecified streptococcus as the cause of diseases classified elsewhere | NA | |
| SNF Discharge Rate at DRG | 11.65 | |
| SNF Discharge Rate with ICD B955 - Unspecified streptococcus as the cause of diseases classified elsewhere | NA | |
| Home Discharge Rate at DRG | 60.94 | |
| Home Discharge Rate with ICD B955 - Unspecified streptococcus 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 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 364,421 | ||||
| Total Hospitalizations with ICD B955 - Unspecified streptococcus as the cause of diseases classified elsewhere | 3,645 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD B955 - Unspecified streptococcus as the cause of diseases classified elsewhere in DRG | 12.03 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD B955 - Unspecified streptococcus as the cause of diseases classified elsewhere | 4.23 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD B955 - Unspecified streptococcus as the cause of diseases classified elsewhere | 14.69 | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD B955 - Unspecified streptococcus as the cause of diseases classified elsewhere | 10.39 | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD B955 - Unspecified streptococcus as the cause of diseases classified elsewhere | $18,924,669 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD B955 - Unspecified streptococcus as the cause of diseases classified elsewhere | $1,227 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD B955 - Unspecified streptococcus as the cause of diseases classified elsewhere | $5,192 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD B955 - Unspecified streptococcus as the cause of diseases classified elsewhere | $92,994,404 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD B955 - Unspecified streptococcus as the cause of diseases classified elsewhere | $25,513 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD B955 - Unspecified streptococcus as the cause of diseases classified elsewhere | NA | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD B955 - Unspecified streptococcus as the cause of diseases classified elsewhere | 12.67 | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD B955 - Unspecified streptococcus as the cause of diseases classified elsewhere | 60.14 |
*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 602: CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 270,209 | ||||
| Total Hospitalizations with ICD B955 - Unspecified streptococcus as the cause of diseases classified elsewhere | 738 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD B955 - Unspecified streptococcus as the cause of diseases classified elsewhere in DRG | 2.44 | ||||
| Avg LOS at DRG | 4.84 | ||||
| Avg LOS with ICD B955 - Unspecified streptococcus as the cause of diseases classified elsewhere | 5.57 | ||||
| Readmission Rate at DRG | 22.35 | ||||
| Readmission Rate with ICD B955 - Unspecified streptococcus as the cause of diseases classified elsewhere | 22.99 | ||||
| Unplanned Readmission Rate at DRG | 16.33 | ||||
| Unplanned Readmission Rate with ICD B955 - Unspecified streptococcus as the cause of diseases classified elsewhere | 16.78 | ||||
| Total Medicare payments at DRG | $1,824,333,389 | ||||
| Total Medicare payments with ICD B955 - Unspecified streptococcus as the cause of diseases classified elsewhere | $5,238,114 | ||||
| Total Medicare payment per Day at DRG | $1,395 | ||||
| Total Medicare payment per Day with ICD B955 - Unspecified streptococcus as the cause of diseases classified elsewhere | $1,274 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,752 | ||||
| Total Medicare payment per Hospitalization with ICD B955 - Unspecified streptococcus as the cause of diseases classified elsewhere | $7,098 | ||||
| Total Medicare Charges at DRG | $9,128,673,695 | ||||
| Total Medicare Charges with ICD B955 - Unspecified streptococcus as the cause of diseases classified elsewhere | $27,831,837 | ||||
| Avg Charges at DRG | $33,784 | ||||
| Avg Charges with ICD B955 - Unspecified streptococcus as the cause of diseases classified elsewhere | $37,713 | ||||
| Mortality Rate at DRG | 1.32 | ||||
| Mortality Rate with ICD B955 - Unspecified streptococcus as the cause of diseases classified elsewhere | NA | ||||
| SNF Discharge Rate at DRG | 39.0 | ||||
| SNF Discharge Rate with ICD B955 - Unspecified streptococcus as the cause of diseases classified elsewhere | 41.73 | ||||
| Home Discharge Rate at DRG | 24.73 | ||||
| Home Discharge Rate with ICD B955 - Unspecified streptococcus as the cause of diseases classified elsewhere | 23.04 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | 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 | 434,264 | ||||
| Total Hospitalizations with ICD B955 - Unspecified streptococcus as the cause of diseases classified elsewhere | 303 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD B955 - Unspecified streptococcus as the cause of diseases classified elsewhere in DRG | 1.0 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD B955 - Unspecified streptococcus as the cause of diseases classified elsewhere | 5.15 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD B955 - Unspecified streptococcus as the cause of diseases classified elsewhere | 24.74 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD B955 - Unspecified streptococcus as the cause of diseases classified elsewhere | 17.87 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD B955 - Unspecified streptococcus as the cause of diseases classified elsewhere | $1,752,815 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD B955 - Unspecified streptococcus as the cause of diseases classified elsewhere | $1,124 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD B955 - Unspecified streptococcus as the cause of diseases classified elsewhere | $5,785 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD B955 - Unspecified streptococcus as the cause of diseases classified elsewhere | $10,485,343 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD B955 - Unspecified streptococcus as the cause of diseases classified elsewhere | $34,605 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD B955 - Unspecified streptococcus as the cause of diseases classified elsewhere | NA | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD B955 - Unspecified streptococcus as the cause of diseases classified elsewhere | 30.03 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD B955 - Unspecified streptococcus as the cause of diseases classified elsewhere | 38.61 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 863: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 138,345 | ||||
| Total Hospitalizations with ICD B955 - Unspecified streptococcus as the cause of diseases classified elsewhere | 269 | ||||
| DRG Share of Total Hospitalizations | 0.42 | ||||
| % of Total ICD B955 - Unspecified streptococcus as the cause of diseases classified elsewhere in DRG | 0.89 | ||||
| Avg LOS at DRG | 6.92 | ||||
| Avg LOS with ICD B955 - Unspecified streptococcus as the cause of diseases classified elsewhere | 9.94 | ||||
| Readmission Rate at DRG | 32.2 | ||||
| Readmission Rate with ICD B955 - Unspecified streptococcus as the cause of diseases classified elsewhere | 27.48 | ||||
| Unplanned Readmission Rate at DRG | 22.95 | ||||
| Unplanned Readmission Rate with ICD B955 - Unspecified streptococcus as the cause of diseases classified elsewhere | 18.47 | ||||
| Total Medicare payments at DRG | $1,845,581,658 | ||||
| Total Medicare payments with ICD B955 - Unspecified streptococcus as the cause of diseases classified elsewhere | $3,981,284 | ||||
| Total Medicare payment per Day at DRG | $1,929 | ||||
| Total Medicare payment per Day with ICD B955 - Unspecified streptococcus as the cause of diseases classified elsewhere | $1,489 | ||||
| Total Medicare payment per Hospitalization at DRG | $13,340 | ||||
| Total Medicare payment per Hospitalization with ICD B955 - Unspecified streptococcus as the cause of diseases classified elsewhere | $14,800 | ||||
| Total Medicare Charges at DRG | $9,021,459,592 | ||||
| Total Medicare Charges with ICD B955 - Unspecified streptococcus as the cause of diseases classified elsewhere | $20,387,415 | ||||
| Avg Charges at DRG | $65,210 | ||||
| Avg Charges with ICD B955 - Unspecified streptococcus as the cause of diseases classified elsewhere | $75,790 | ||||
| Mortality Rate at DRG | 5.29 | ||||
| Mortality Rate with ICD B955 - Unspecified streptococcus as the cause of diseases classified elsewhere | 4.83 | ||||
| SNF Discharge Rate at DRG | 18.8 | ||||
| SNF Discharge Rate with ICD B955 - Unspecified streptococcus as the cause of diseases classified elsewhere | 20.82 | ||||
| Home Discharge Rate at DRG | 39.78 | ||||
| Home Discharge Rate with ICD B955 - Unspecified streptococcus as the cause of diseases classified elsewhere | 29.74 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 134 |
| AURORA ST. LUKE'S MEDICAL CENTER | 2900 W OKLAHOMA AVE | MILWAUKEE | WI | 53215 | 102 |
| UPMC PINNACLE HARRISBURG | 111 S FRONT ST | HARRISBURG | PA | 17101 | 99 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. PIYUSH MITTAL | 3801 50TH ST | LUBBOCK | TX | 79413 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. GHULAM MUSTAFA ANWAR | 10250 SE 167TH PLACE RD | SUMMERFIELD | FL | 34491 | 22 |
| Dr. WILLIAM J LIVESAY | 9181 MEDCOM ST | NORTH CHARLESTON | SC | 29406 | 20 |
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 19 |