*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| B9689 - Other specified bacterial agents as the cause of diseases classified elsewhere - as a primary diagnosis code | B9689 - Other specified bacterial agents as the cause of diseases classified elsewhere - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.44 | |
| Readmission Rate (%) | 26.06 | |
| Unplanned Readmission Rate (%) | 16.19 | |
| 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 B9689 - Other specified bacterial agents as the cause of diseases classified elsewhere | 104 | ||
| DRG Share of Total Hospitalizations | 0.02 | ||
| % of Total ICD B9689 - Other specified bacterial agents as the cause of diseases classified elsewhere in DRG | 46.64 | ||
| Avg LOS at DRG | 4.83 | ||
| Avg LOS with ICD B9689 - Other specified bacterial agents as the cause of diseases classified elsewhere | 4.87 | ||
| Readmission Rate at DRG | 15.74 | ||
| Readmission Rate with ICD B9689 - Other specified bacterial agents as the cause of diseases classified elsewhere | 21.0 | ||
| Unplanned Readmission Rate at DRG | 9.56 | ||
| Unplanned Readmission Rate with ICD B9689 - Other specified bacterial agents as the cause of diseases classified elsewhere | 13.0 | ||
| Total Medicare payments at DRG | $54,235,213 | ||
| Total Medicare payments with ICD B9689 - Other specified bacterial agents as the cause of diseases classified elsewhere | $771,045 | ||
| Total Medicare payment per Day at DRG | $1,515 | ||
| Total Medicare payment per Day with ICD B9689 - Other specified bacterial agents as the cause of diseases classified elsewhere | $1,524 | ||
| Total Medicare payment per Hospitalization at DRG | $7,315 | ||
| Total Medicare payment per Hospitalization with ICD B9689 - Other specified bacterial agents as the cause of diseases classified elsewhere | $7,414 | ||
| Total Medicare Charges at DRG | $260,425,297 | ||
| Total Medicare Charges with ICD B9689 - Other specified bacterial agents as the cause of diseases classified elsewhere | $3,075,262 | ||
| Avg Charges at DRG | $35,126 | ||
| Avg Charges with ICD B9689 - Other specified bacterial agents as the cause of diseases classified elsewhere | $29,570 | ||
| Mortality Rate at DRG | 0.4 | ||
| Mortality Rate with ICD B9689 - Other specified bacterial agents as the cause of diseases classified elsewhere | NA | ||
| SNF Discharge Rate at DRG | 11.65 | ||
| SNF Discharge Rate with ICD B9689 - Other specified bacterial agents as the cause of diseases classified elsewhere | 18.27 | ||
| Home Discharge Rate at DRG | 60.94 | ||
| Home Discharge Rate with ICD B9689 - Other specified bacterial agents as the cause of diseases classified elsewhere | 49.04 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 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 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD B9689 - Other specified bacterial agents as the cause of diseases classified elsewhere | 31,069 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD B9689 - Other specified bacterial agents as the cause of diseases classified elsewhere in DRG | 9.74 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD B9689 - Other specified bacterial agents as the cause of diseases classified elsewhere | 7.18 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD B9689 - Other specified bacterial agents as the cause of diseases classified elsewhere | 26.9 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD B9689 - Other specified bacterial agents as the cause of diseases classified elsewhere | 18.14 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD B9689 - Other specified bacterial agents as the cause of diseases classified elsewhere | $376,605,461 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD B9689 - Other specified bacterial agents as the cause of diseases classified elsewhere | $1,688 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD B9689 - Other specified bacterial agents as the cause of diseases classified elsewhere | $12,122 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD B9689 - Other specified bacterial agents as the cause of diseases classified elsewhere | $1,935,723,715 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD B9689 - Other specified bacterial agents as the cause of diseases classified elsewhere | $62,304 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD B9689 - Other specified bacterial agents as the cause of diseases classified elsewhere | 8.6 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD B9689 - Other specified bacterial agents as the cause of diseases classified elsewhere | 33.35 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD B9689 - Other specified bacterial agents as the cause of diseases classified elsewhere | 20.76 |
*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 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 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 699: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 364,421 | ||||
| Total Hospitalizations with ICD B9689 - Other specified bacterial agents as the cause of diseases classified elsewhere | 7,996 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD B9689 - Other specified bacterial agents as the cause of diseases classified elsewhere in DRG | 2.51 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD B9689 - Other specified bacterial agents as the cause of diseases classified elsewhere | 4.98 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD B9689 - Other specified bacterial agents as the cause of diseases classified elsewhere | 17.89 | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD B9689 - Other specified bacterial agents as the cause of diseases classified elsewhere | 10.77 | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD B9689 - Other specified bacterial agents as the cause of diseases classified elsewhere | $45,842,974 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD B9689 - Other specified bacterial agents as the cause of diseases classified elsewhere | $1,152 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD B9689 - Other specified bacterial agents as the cause of diseases classified elsewhere | $5,733 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD B9689 - Other specified bacterial agents as the cause of diseases classified elsewhere | $228,482,508 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD B9689 - Other specified bacterial agents as the cause of diseases classified elsewhere | $28,575 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD B9689 - Other specified bacterial agents as the cause of diseases classified elsewhere | NA | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD B9689 - Other specified bacterial agents as the cause of diseases classified elsewhere | 19.73 | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD B9689 - Other specified bacterial agents as the cause of diseases classified elsewhere | 44.48 |
*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 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD B9689 - Other specified bacterial agents as the cause of diseases classified elsewhere | 4,129 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD B9689 - Other specified bacterial agents as the cause of diseases classified elsewhere in DRG | 1.29 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD B9689 - Other specified bacterial agents as the cause of diseases classified elsewhere | 7.57 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD B9689 - Other specified bacterial agents as the cause of diseases classified elsewhere | 27.57 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD B9689 - Other specified bacterial agents as the cause of diseases classified elsewhere | 19.19 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD B9689 - Other specified bacterial agents as the cause of diseases classified elsewhere | $43,338,679 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD B9689 - Other specified bacterial agents as the cause of diseases classified elsewhere | $1,387 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD B9689 - Other specified bacterial agents as the cause of diseases classified elsewhere | $10,496 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD B9689 - Other specified bacterial agents as the cause of diseases classified elsewhere | $221,237,266 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD B9689 - Other specified bacterial agents as the cause of diseases classified elsewhere | $53,581 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD B9689 - Other specified bacterial agents as the cause of diseases classified elsewhere | 4.6 | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD B9689 - Other specified bacterial agents as the cause of diseases classified elsewhere | 38.94 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD B9689 - Other specified bacterial agents as the cause of diseases classified elsewhere | 20.03 |
*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 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 359,935 | ||||
| Total Hospitalizations with ICD B9689 - Other specified bacterial agents as the cause of diseases classified elsewhere | 2,720 | ||||
| DRG Share of Total Hospitalizations | 1.1 | ||||
| % of Total ICD B9689 - Other specified bacterial agents as the cause of diseases classified elsewhere in DRG | 0.85 | ||||
| Avg LOS at DRG | 12.3 | ||||
| Avg LOS with ICD B9689 - Other specified bacterial agents as the cause of diseases classified elsewhere | 15.77 | ||||
| Readmission Rate at DRG | 16.01 | ||||
| Readmission Rate with ICD B9689 - Other specified bacterial agents as the cause of diseases classified elsewhere | 14.97 | ||||
| Unplanned Readmission Rate at DRG | 9.86 | ||||
| Unplanned Readmission Rate with ICD B9689 - Other specified bacterial agents as the cause of diseases classified elsewhere | 10.23 | ||||
| Total Medicare payments at DRG | $5,883,826,653 | ||||
| Total Medicare payments with ICD B9689 - Other specified bacterial agents as the cause of diseases classified elsewhere | $56,706,394 | ||||
| Total Medicare payment per Day at DRG | $1,329 | ||||
| Total Medicare payment per Day with ICD B9689 - Other specified bacterial agents as the cause of diseases classified elsewhere | $1,322 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
| Total Medicare payment per Hospitalization with ICD B9689 - Other specified bacterial agents as the cause of diseases classified elsewhere | $20,848 | ||||
| Total Medicare Charges at DRG | $15,374,824,749 | ||||
| Total Medicare Charges with ICD B9689 - Other specified bacterial agents as the cause of diseases classified elsewhere | $141,845,846 | ||||
| Avg Charges at DRG | $42,716 | ||||
| Avg Charges with ICD B9689 - Other specified bacterial agents as the cause of diseases classified elsewhere | $52,149 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD B9689 - Other specified bacterial agents as the cause of diseases classified elsewhere | NA | ||||
| SNF Discharge Rate at DRG | 27.95 | ||||
| SNF Discharge Rate with ICD B9689 - Other specified bacterial agents as the cause of diseases classified elsewhere | 36.4 | ||||
| Home Discharge Rate at DRG | 26.85 | ||||
| Home Discharge Rate with ICD B9689 - Other specified bacterial agents as the cause of diseases classified elsewhere | 16.99 |
| 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 | 1,120 |
| AURORA ST. LUKE'S MEDICAL CENTER | 2900 W OKLAHOMA AVE | MILWAUKEE | WI | 53215 | 907 |
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 782 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. GLENN ERIC HERRMANN | 130 OLD LARAMIE TRL E BLDG 4 | LAFAYETTE | CO | 80026 | 67 |
| Dr. DANIEL LIND CROCKER | 1041 NOELL LN | ROCKY MOUNT | NC | 27804 | 64 |
| Dr. KEVIN J RAINSFORD | 2801 EUREKA WAY | REDDING | CA | 96001 | 49 |
| 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 | 157 |
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 154 |
| Dr. FAISAL WASI | 905 NW 5TH ST | STIGLER | OK | 74462 | 139 |