*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| J14 - Pneumonia due to Hemophilus influenzae - as a primary diagnosis code | J14 - Pneumonia due to Hemophilus influenzae - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 10.43 | |
| Readmission Rate (%) | 25.67 | |
| Unplanned Readmission Rate (%) | 9.63 | |
| 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 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 195: SIMPLE PNEUMONIA AND PLEURISY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD J14 - Pneumonia due to Hemophilus influenzae | 1,567 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD J14 - Pneumonia due to Hemophilus influenzae in DRG | 45.0 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD J14 - Pneumonia due to Hemophilus influenzae | 6.04 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD J14 - Pneumonia due to Hemophilus influenzae | 16.84 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD J14 - Pneumonia due to Hemophilus influenzae | 10.71 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD J14 - Pneumonia due to Hemophilus influenzae | $13,943,596 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD J14 - Pneumonia due to Hemophilus influenzae | $1,473 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD J14 - Pneumonia due to Hemophilus influenzae | $8,898 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD J14 - Pneumonia due to Hemophilus influenzae | $63,806,055 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD J14 - Pneumonia due to Hemophilus influenzae | $40,719 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD J14 - Pneumonia due to Hemophilus influenzae | 1.72 | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD J14 - Pneumonia due to Hemophilus influenzae | 21.51 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD J14 - Pneumonia due to Hemophilus influenzae | 45.18 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 975: HIV WITH MAJOR RELATED CONDITION WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 99,136 | ||||
| Total Hospitalizations with ICD J14 - Pneumonia due to Hemophilus influenzae | 76 | ||||
| DRG Share of Total Hospitalizations | 0.3 | ||||
| % of Total ICD J14 - Pneumonia due to Hemophilus influenzae in DRG | 2.18 | ||||
| Avg LOS at DRG | 22.0 | ||||
| Avg LOS with ICD J14 - Pneumonia due to Hemophilus influenzae | 14.75 | ||||
| Readmission Rate at DRG | 40.67 | ||||
| Readmission Rate with ICD J14 - Pneumonia due to Hemophilus influenzae | 22.81 | ||||
| Unplanned Readmission Rate at DRG | 20.54 | ||||
| Unplanned Readmission Rate with ICD J14 - Pneumonia due to Hemophilus influenzae | NA | ||||
| Total Medicare payments at DRG | $4,616,563,352 | ||||
| Total Medicare payments with ICD J14 - Pneumonia due to Hemophilus influenzae | $2,792,740 | ||||
| Total Medicare payment per Day at DRG | $2,116 | ||||
| Total Medicare payment per Day with ICD J14 - Pneumonia due to Hemophilus influenzae | $2,491 | ||||
| Total Medicare payment per Hospitalization at DRG | $46,568 | ||||
| Total Medicare payment per Hospitalization with ICD J14 - Pneumonia due to Hemophilus influenzae | $36,747 | ||||
| Total Medicare Charges at DRG | $21,375,486,291 | ||||
| Total Medicare Charges with ICD J14 - Pneumonia due to Hemophilus influenzae | $12,994,197 | ||||
| Avg Charges at DRG | $215,618 | ||||
| Avg Charges with ICD J14 - Pneumonia due to Hemophilus influenzae | $170,976 | ||||
| Mortality Rate at DRG | 28.16 | ||||
| Mortality Rate with ICD J14 - Pneumonia due to Hemophilus influenzae | 22.37 | ||||
| SNF Discharge Rate at DRG | 30.65 | ||||
| SNF Discharge Rate with ICD J14 - Pneumonia due to Hemophilus influenzae | 36.84 | ||||
| Home Discharge Rate at DRG | 5.17 | ||||
| Home Discharge Rate with ICD J14 - Pneumonia due to Hemophilus influenzae | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| NORTHERN LIGHT EASTERN MAINE MEDICAL CENTER | 489 STATE ST | BANGOR | ME | 04401 | 24 |
| ST. JOSEPH'S HOSPITAL HEALTH CENTER | 301 PROSPECT AVE | SYRACUSE | NY | 13203 | 19 |
| ONSLOW MEMORIAL HOSPITAL | 317 WESTERN BLVD | JACKSONVILLE | NC | 28546 | 17 |
*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 193: SIMPLE PNEUMONIA AND PLEURISY WITH 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 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD J14 - Pneumonia due to Hemophilus influenzae | 4,464 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD J14 - Pneumonia due to Hemophilus influenzae in DRG | 23.29 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD J14 - Pneumonia due to Hemophilus influenzae | 7.22 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD J14 - Pneumonia due to Hemophilus influenzae | 19.96 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD J14 - Pneumonia due to Hemophilus influenzae | 12.77 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD J14 - Pneumonia due to Hemophilus influenzae | $53,008,472 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD J14 - Pneumonia due to Hemophilus influenzae | $1,644 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD J14 - Pneumonia due to Hemophilus influenzae | $11,875 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD J14 - Pneumonia due to Hemophilus influenzae | $287,590,921 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD J14 - Pneumonia due to Hemophilus influenzae | $64,424 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD J14 - Pneumonia due to Hemophilus influenzae | 6.41 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD J14 - Pneumonia due to Hemophilus influenzae | 25.45 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD J14 - Pneumonia due to Hemophilus influenzae | 35.22 |
*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 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 181,637 | ||||
| Total Hospitalizations with ICD J14 - Pneumonia due to Hemophilus influenzae | 920 | ||||
| DRG Share of Total Hospitalizations | 0.55 | ||||
| % of Total ICD J14 - Pneumonia due to Hemophilus influenzae in DRG | 4.8 | ||||
| Avg LOS at DRG | 7.0 | ||||
| Avg LOS with ICD J14 - Pneumonia due to Hemophilus influenzae | 9.55 | ||||
| Readmission Rate at DRG | 32.53 | ||||
| Readmission Rate with ICD J14 - Pneumonia due to Hemophilus influenzae | 28.52 | ||||
| Unplanned Readmission Rate at DRG | 19.84 | ||||
| Unplanned Readmission Rate with ICD J14 - Pneumonia due to Hemophilus influenzae | 15.07 | ||||
| Total Medicare payments at DRG | $2,845,609,163 | ||||
| Total Medicare payments with ICD J14 - Pneumonia due to Hemophilus influenzae | $15,031,551 | ||||
| Total Medicare payment per Day at DRG | $2,237 | ||||
| Total Medicare payment per Day with ICD J14 - Pneumonia due to Hemophilus influenzae | $1,710 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,666 | ||||
| Total Medicare payment per Hospitalization with ICD J14 - Pneumonia due to Hemophilus influenzae | $16,339 | ||||
| Total Medicare Charges at DRG | $14,794,146,746 | ||||
| Total Medicare Charges with ICD J14 - Pneumonia due to Hemophilus influenzae | $88,840,729 | ||||
| Avg Charges at DRG | $81,449 | ||||
| Avg Charges with ICD J14 - Pneumonia due to Hemophilus influenzae | $96,566 | ||||
| Mortality Rate at DRG | 25.14 | ||||
| Mortality Rate with ICD J14 - Pneumonia due to Hemophilus influenzae | 7.07 | ||||
| SNF Discharge Rate at DRG | 19.06 | ||||
| SNF Discharge Rate with ICD J14 - Pneumonia due to Hemophilus influenzae | 28.04 | ||||
| Home Discharge Rate at DRG | 20.69 | ||||
| Home Discharge Rate with ICD J14 - Pneumonia due to Hemophilus influenzae | 27.61 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | DRG 195: SIMPLE PNEUMONIA AND PLEURISY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 48,449 | ||||
| Total Hospitalizations with ICD J14 - Pneumonia due to Hemophilus influenzae | 533 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD J14 - Pneumonia due to Hemophilus influenzae in DRG | 2.78 | ||||
| Avg LOS at DRG | 29.97 | ||||
| Avg LOS with ICD J14 - Pneumonia due to Hemophilus influenzae | 29.15 | ||||
| Readmission Rate at DRG | 76.3 | ||||
| Readmission Rate with ICD J14 - Pneumonia due to Hemophilus influenzae | 81.25 | ||||
| Unplanned Readmission Rate at DRG | 6.46 | ||||
| Unplanned Readmission Rate with ICD J14 - Pneumonia due to Hemophilus influenzae | 4.46 | ||||
| Total Medicare payments at DRG | $6,190,071,785 | ||||
| Total Medicare payments with ICD J14 - Pneumonia due to Hemophilus influenzae | $65,816,002 | ||||
| Total Medicare payment per Day at DRG | $4,263 | ||||
| Total Medicare payment per Day with ICD J14 - Pneumonia due to Hemophilus influenzae | $4,237 | ||||
| Total Medicare payment per Hospitalization at DRG | $127,765 | ||||
| Total Medicare payment per Hospitalization with ICD J14 - Pneumonia due to Hemophilus influenzae | $123,482 | ||||
| Total Medicare Charges at DRG | $28,754,600,069 | ||||
| Total Medicare Charges with ICD J14 - Pneumonia due to Hemophilus influenzae | $286,071,927 | ||||
| Avg Charges at DRG | $593,502 | ||||
| Avg Charges with ICD J14 - Pneumonia due to Hemophilus influenzae | $536,720 | ||||
| Mortality Rate at DRG | 20.61 | ||||
| Mortality Rate with ICD J14 - Pneumonia due to Hemophilus influenzae | 13.32 | ||||
| SNF Discharge Rate at DRG | 12.46 | ||||
| SNF Discharge Rate with ICD J14 - Pneumonia due to Hemophilus influenzae | 9.19 | ||||
| Home Discharge Rate at DRG | 2.36 | ||||
| Home Discharge Rate with ICD J14 - Pneumonia due to Hemophilus influenzae | 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 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 37,276 | ||||
| Total Hospitalizations with ICD J14 - Pneumonia due to Hemophilus influenzae | 165 | ||||
| DRG Share of Total Hospitalizations | 0.11 | ||||
| % of Total ICD J14 - Pneumonia due to Hemophilus influenzae in DRG | 0.86 | ||||
| Avg LOS at DRG | 12.15 | ||||
| Avg LOS with ICD J14 - Pneumonia due to Hemophilus influenzae | 14.75 | ||||
| Readmission Rate at DRG | 27.64 | ||||
| Readmission Rate with ICD J14 - Pneumonia due to Hemophilus influenzae | 22.82 | ||||
| Unplanned Readmission Rate at DRG | 14.04 | ||||
| Unplanned Readmission Rate with ICD J14 - Pneumonia due to Hemophilus influenzae | 9.4 | ||||
| Total Medicare payments at DRG | $1,238,611,931 | ||||
| Total Medicare payments with ICD J14 - Pneumonia due to Hemophilus influenzae | $6,115,897 | ||||
| Total Medicare payment per Day at DRG | $2,735 | ||||
| Total Medicare payment per Day with ICD J14 - Pneumonia due to Hemophilus influenzae | $2,514 | ||||
| Total Medicare payment per Hospitalization at DRG | $33,228 | ||||
| Total Medicare payment per Hospitalization with ICD J14 - Pneumonia due to Hemophilus influenzae | $37,066 | ||||
| Total Medicare Charges at DRG | $5,969,079,351 | ||||
| Total Medicare Charges with ICD J14 - Pneumonia due to Hemophilus influenzae | $29,762,746 | ||||
| Avg Charges at DRG | $160,132 | ||||
| Avg Charges with ICD J14 - Pneumonia due to Hemophilus influenzae | $180,380 | ||||
| Mortality Rate at DRG | 8.94 | ||||
| Mortality Rate with ICD J14 - Pneumonia due to Hemophilus influenzae | 6.67 | ||||
| SNF Discharge Rate at DRG | 17.97 | ||||
| SNF Discharge Rate with ICD J14 - Pneumonia due to Hemophilus influenzae | 16.97 | ||||
| Home Discharge Rate at DRG | 31.66 | ||||
| Home Discharge Rate with ICD J14 - Pneumonia due to Hemophilus influenzae | 32.73 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CHARLESTON AREA MEDICAL CENTER | 501 MORRIS ST | CHARLESTON | WV | 25301 | 111 |
| MERCY HOSPITAL NORTHWEST ARKANSAS | 2710 RIFE MEDICAL LN | ROGERS | AR | 72758 | 107 |
| NORTHERN LIGHT EASTERN MAINE MEDICAL CENTER | 489 STATE ST | BANGOR | ME | 04401 | 97 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. KEVIN J WILLIS | 2201 LEXINGTON AVE | ASHLAND | KY | 41101 | 14 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. LUIS H VIGIL | 430 N MONTE VISTA ST | ADA | OK | 74820 | 23 |
| Dr. JON MARK JOHNSON | 608 S HESTER ST | STILLWATER | OK | 74074 | 23 |
| Dr. BENJAMIN YUHICO ALBANO | 1400 US HIGHWAY 61 | CRYSTAL CITY | MO | 63019 | 20 |