*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| J020 - Streptococcal pharyngitis - as a primary diagnosis code | J020 - Streptococcal pharyngitis - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.04 | |
| Readmission Rate (%) | 17.93 | |
| Unplanned Readmission Rate (%) | 8.96 | |
| 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 153: OTITIS MEDIA AND URI WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 152: OTITIS MEDIA AND URI WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 34,349 | |
| Total Hospitalizations with ICD J020 - Streptococcal pharyngitis | 928 | |
| DRG Share of Total Hospitalizations | 0.1 | |
| % of Total ICD J020 - Streptococcal pharyngitis in DRG | 73.36 | |
| Avg LOS at DRG | 2.84 | |
| Avg LOS with ICD J020 - Streptococcal pharyngitis | 2.61 | |
| Readmission Rate at DRG | 12.37 | |
| Readmission Rate with ICD J020 - Streptococcal pharyngitis | 13.03 | |
| Unplanned Readmission Rate at DRG | 8.55 | |
| Unplanned Readmission Rate with ICD J020 - Streptococcal pharyngitis | 8.13 | |
| Total Medicare payments at DRG | $148,412,791 | |
| Total Medicare payments with ICD J020 - Streptococcal pharyngitis | $3,642,798 | |
| Total Medicare payment per Day at DRG | $1,521 | |
| Total Medicare payment per Day with ICD J020 - Streptococcal pharyngitis | $1,502 | |
| Total Medicare payment per Hospitalization at DRG | $4,321 | |
| Total Medicare payment per Hospitalization with ICD J020 - Streptococcal pharyngitis | $3,925 | |
| Total Medicare Charges at DRG | $793,754,980 | |
| Total Medicare Charges with ICD J020 - Streptococcal pharyngitis | $18,267,721 | |
| Avg Charges at DRG | $23,109 | |
| Avg Charges with ICD J020 - Streptococcal pharyngitis | $19,685 | |
| Mortality Rate at DRG | 0.16 | |
| Mortality Rate with ICD J020 - Streptococcal pharyngitis | NA | |
| SNF Discharge Rate at DRG | 10.8 | |
| SNF Discharge Rate with ICD J020 - Streptococcal pharyngitis | 7.65 | |
| Home Discharge Rate at DRG | 68.54 | |
| Home Discharge Rate with ICD J020 - Streptococcal pharyngitis | 74.35 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| PRESENCE SAINT JOSEPH MEDICAL CENTER | 333 N. MADISON ST. | JOLIET | IL | 60435 | 14 |
| NESHOBA COUNTY GENERAL HOSPITAL | 1001 HOLLAND AVE | PHILADELPHIA | MS | 39350 | 12 |
*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 153: OTITIS MEDIA AND URI WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 152: OTITIS MEDIA AND URI WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD J020 - Streptococcal pharyngitis | 1,631 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD J020 - Streptococcal pharyngitis in DRG | 13.91 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD J020 - Streptococcal pharyngitis | 5.39 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD J020 - Streptococcal pharyngitis | 18.29 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD J020 - Streptococcal pharyngitis | 11.35 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD J020 - Streptococcal pharyngitis | $16,768,343 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD J020 - Streptococcal pharyngitis | $1,906 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD J020 - Streptococcal pharyngitis | $10,281 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD J020 - Streptococcal pharyngitis | $75,271,556 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD J020 - Streptococcal pharyngitis | $46,151 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD J020 - Streptococcal pharyngitis | 3.07 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD J020 - Streptococcal pharyngitis | 15.63 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD J020 - Streptococcal pharyngitis | 50.64 |
*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 195: SIMPLE PNEUMONIA AND PLEURISY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD J020 - Streptococcal pharyngitis | 346 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD J020 - Streptococcal pharyngitis in DRG | 2.95 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD J020 - Streptococcal pharyngitis | 5.13 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD J020 - Streptococcal pharyngitis | 13.98 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD J020 - Streptococcal pharyngitis | 9.01 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD J020 - Streptococcal pharyngitis | $2,821,390 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD J020 - Streptococcal pharyngitis | $1,590 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD J020 - Streptococcal pharyngitis | $8,154 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD J020 - Streptococcal pharyngitis | $13,088,015 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD J020 - Streptococcal pharyngitis | $37,827 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD J020 - Streptococcal pharyngitis | NA | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD J020 - Streptococcal pharyngitis | 17.63 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD J020 - Streptococcal pharyngitis | 56.36 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD J020 - Streptococcal pharyngitis | 214 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD J020 - Streptococcal pharyngitis in DRG | 1.83 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD J020 - Streptococcal pharyngitis | 5.06 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD J020 - Streptococcal pharyngitis | 21.29 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD J020 - Streptococcal pharyngitis | 13.86 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD J020 - Streptococcal pharyngitis | $1,777,436 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD J020 - Streptococcal pharyngitis | $1,643 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD J020 - Streptococcal pharyngitis | $8,306 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD J020 - Streptococcal pharyngitis | $7,911,907 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD J020 - Streptococcal pharyngitis | $36,972 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD J020 - Streptococcal pharyngitis | NA | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD J020 - Streptococcal pharyngitis | 16.36 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD J020 - Streptococcal pharyngitis | 45.79 |
*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 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 202: BRONCHITIS AND ASTHMA WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD J020 - Streptococcal pharyngitis | 153 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD J020 - Streptococcal pharyngitis in DRG | 1.3 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD J020 - Streptococcal pharyngitis | 4.01 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD J020 - Streptococcal pharyngitis | 17.12 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD J020 - Streptococcal pharyngitis | 13.7 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD J020 - Streptococcal pharyngitis | $835,004 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD J020 - Streptococcal pharyngitis | $1,360 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD J020 - Streptococcal pharyngitis | $5,458 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD J020 - Streptococcal pharyngitis | $3,964,435 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD J020 - Streptococcal pharyngitis | $25,911 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD J020 - Streptococcal pharyngitis | NA | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD J020 - Streptococcal pharyngitis | 11.76 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD J020 - Streptococcal pharyngitis | 66.01 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| HAZARD ARH REGIONAL MEDICAL CENTER | 100 MEDICAL CENTER DR | HAZARD | KY | 41701 | 142 |
| NESHOBA COUNTY GENERAL HOSPITAL | 1001 HOLLAND AVE | PHILADELPHIA | MS | 39350 | 96 |
| ST. FRANCIS MEDICAL CENTER | 309 JACKSON ST | MONROE | LA | 71201 | 86 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JEFFERY TODD WILLIS | 14365 HIGHWAY 16 W | DE KALB | MS | 39328 | 45 |
| Dr. SUNIL KUMAR | 921 W BEACON ST | PHILADELPHIA | MS | 39350 | 29 |
| Dr. JEFFREY CHASE CORNETT | 100 15TH ST NW | NORTON | VA | 24273 | 26 |