*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus - as a primary diagnosis code | J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 15.43 | |
| Readmission Rate (%) | 38.18 | |
| Unplanned Readmission Rate (%) | 20.33 | |
| 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 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 231,410 | ||||
| Total Hospitalizations with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | 8,375 | ||||
| DRG Share of Total Hospitalizations | 0.7 | ||||
| % of Total ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus in DRG | 56.06 | ||||
| Avg LOS at DRG | 7.29 | ||||
| Avg LOS with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | 9.4 | ||||
| Readmission Rate at DRG | 25.54 | ||||
| Readmission Rate with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | 31.36 | ||||
| Unplanned Readmission Rate at DRG | 18.36 | ||||
| Unplanned Readmission Rate with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | 21.7 | ||||
| Total Medicare payments at DRG | $2,801,759,007 | ||||
| Total Medicare payments with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | $109,124,201 | ||||
| Total Medicare payment per Day at DRG | $1,661 | ||||
| Total Medicare payment per Day with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | $1,387 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,107 | ||||
| Total Medicare payment per Hospitalization with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | $13,030 | ||||
| Total Medicare Charges at DRG | $13,366,030,360 | ||||
| Total Medicare Charges with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | $601,997,004 | ||||
| Avg Charges at DRG | $57,759 | ||||
| Avg Charges with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | $71,880 | ||||
| Mortality Rate at DRG | 7.21 | ||||
| Mortality Rate with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | 5.66 | ||||
| SNF Discharge Rate at DRG | 32.47 | ||||
| SNF Discharge Rate with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | 35.14 | ||||
| Home Discharge Rate at DRG | 20.84 | ||||
| Home Discharge Rate with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | 21.73 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 179: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 24,710 | ||||
| Total Hospitalizations with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | 479 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus in DRG | 3.21 | ||||
| Avg LOS at DRG | 3.98 | ||||
| Avg LOS with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | 5.95 | ||||
| Readmission Rate at DRG | 15.14 | ||||
| Readmission Rate with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | 18.14 | ||||
| Unplanned Readmission Rate at DRG | 10.39 | ||||
| Unplanned Readmission Rate with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | 12.31 | ||||
| Total Medicare payments at DRG | $148,749,064 | ||||
| Total Medicare payments with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | $3,230,062 | ||||
| Total Medicare payment per Day at DRG | $1,511 | ||||
| Total Medicare payment per Day with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | $1,133 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,020 | ||||
| Total Medicare payment per Hospitalization with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | $6,743 | ||||
| Total Medicare Charges at DRG | $656,049,815 | ||||
| Total Medicare Charges with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | $15,034,052 | ||||
| Avg Charges at DRG | $26,550 | ||||
| Avg Charges with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | $31,386 | ||||
| Mortality Rate at DRG | 1.58 | ||||
| Mortality Rate with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | NA | ||||
| SNF Discharge Rate at DRG | 22.54 | ||||
| SNF Discharge Rate with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | 22.13 | ||||
| Home Discharge Rate at DRG | 43.47 | ||||
| Home Discharge Rate with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | 43.63 |
*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 987: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 974: HIV WITH MAJOR RELATED CONDITION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 164: MAJOR CHEST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 975: HIV WITH MAJOR RELATED CONDITION WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 48,449 | ||||
| Total Hospitalizations with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | 34 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus in DRG | 0.23 | ||||
| Avg LOS at DRG | 29.97 | ||||
| Avg LOS with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | 30.65 | ||||
| Readmission Rate at DRG | 76.3 | ||||
| Readmission Rate with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | 72.73 | ||||
| Unplanned Readmission Rate at DRG | 6.46 | ||||
| Unplanned Readmission Rate with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | NA | ||||
| Total Medicare payments at DRG | $6,190,071,785 | ||||
| Total Medicare payments with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | $3,989,995 | ||||
| Total Medicare payment per Day at DRG | $4,263 | ||||
| Total Medicare payment per Day with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | $3,829 | ||||
| Total Medicare payment per Hospitalization at DRG | $127,765 | ||||
| Total Medicare payment per Hospitalization with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | $117,353 | ||||
| Total Medicare Charges at DRG | $28,754,600,069 | ||||
| Total Medicare Charges with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | $15,167,996 | ||||
| Avg Charges at DRG | $593,502 | ||||
| Avg Charges with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | $446,118 | ||||
| Mortality Rate at DRG | 20.61 | ||||
| Mortality Rate with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | 32.35 | ||||
| SNF Discharge Rate at DRG | 12.46 | ||||
| SNF Discharge Rate with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | NA | ||||
| Home Discharge Rate at DRG | 2.36 | ||||
| Home Discharge Rate with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | 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 988: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|
| Total Hospitalizations at DRG | 28,142 | |
| Total Hospitalizations with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | 16 | |
| DRG Share of Total Hospitalizations | 0.09 | |
| % of Total ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus in DRG | 0.11 | |
| Avg LOS at DRG | 5.88 | |
| Avg LOS with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | 11.25 | |
| Readmission Rate at DRG | 23.6 | |
| Readmission Rate with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | NA | |
| Unplanned Readmission Rate at DRG | 15.33 | |
| Unplanned Readmission Rate with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | NA | |
| Total Medicare payments at DRG | $317,761,689 | |
| Total Medicare payments with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | $175,396 | |
| Total Medicare payment per Day at DRG | $1,919 | |
| Total Medicare payment per Day with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | $974 | |
| Total Medicare payment per Hospitalization at DRG | $11,291 | |
| Total Medicare payment per Hospitalization with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | $10,962 | |
| Total Medicare Charges at DRG | $1,612,718,515 | |
| Total Medicare Charges with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | $1,555,950 | |
| Avg Charges at DRG | $57,306 | |
| Avg Charges with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | $97,247 | |
| Mortality Rate at DRG | 0.56 | |
| Mortality Rate with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | NA | |
| SNF Discharge Rate at DRG | 18.42 | |
| SNF Discharge Rate with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | NA | |
| Home Discharge Rate at DRG | 50.45 | |
| Home Discharge Rate with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UPMC PINNACLE HARRISBURG | 111 S FRONT ST | HARRISBURG | PA | 17101 | 133 |
| SINGING RIVER HEALTH SYSTEM | 2809 DENNY AVE | PASCAGOULA | MS | 39581 | 67 |
| SSM HEALTH ST. ANTHONY HOSPITAL - OKLAHOMA CITY | 1000 N LEE AVE | OKLAHOMA CITY | OK | 73102 | 63 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CARLOS LUIS PEREZ | 921 TEXAS BLVD | TEXARKANA | TX | 75501 | 14 |
| Dr. MANISH K KAPADIA | 3014 TAMIAMI TRL | PORT CHARLOTTE | FL | 33952 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. PHILIP J. BENYO | 144 S OLD TURNPIKE RD | DRUMS | PA | 18222 | 24 |
| Dr. RAJASEKHAR TANIKELLA | 1605 MARTIN SPRINGS DRIVE | ROLLA | MO | 65401 | 15 |
| Dr. CARLOS LUIS PEREZ | 921 TEXAS BLVD | TEXARKANA | TX | 75501 | 15 |
*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 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | 19,365 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus in DRG | 22.97 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | 9.7 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | 32.71 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | 21.1 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | $261,322,995 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | $1,391 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | $13,495 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | $1,776,761,615 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | $91,751 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | 12.25 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | 35.48 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | 15.26 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | 4,293 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus in DRG | 5.09 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | 18.58 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | 42.32 | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | 19.09 | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | $175,598,399 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | $2,202 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | $40,903 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | $1,038,846,421 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | $241,986 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | 22.01 | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | 30.68 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | 7.62 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 82,335 | ||||
| Total Hospitalizations with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | 2,306 | ||||
| DRG Share of Total Hospitalizations | 0.25 | ||||
| % of Total ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus in DRG | 2.74 | ||||
| Avg LOS at DRG | 12.91 | ||||
| Avg LOS with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | 21.82 | ||||
| Readmission Rate at DRG | 32.17 | ||||
| Readmission Rate with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | 38.23 | ||||
| Unplanned Readmission Rate at DRG | 19.76 | ||||
| Unplanned Readmission Rate with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | 21.81 | ||||
| Total Medicare payments at DRG | $2,324,349,241 | ||||
| Total Medicare payments with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | $89,389,596 | ||||
| Total Medicare payment per Day at DRG | $2,187 | ||||
| Total Medicare payment per Day with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | $1,776 | ||||
| Total Medicare payment per Hospitalization at DRG | $28,230 | ||||
| Total Medicare payment per Hospitalization with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | $38,764 | ||||
| Total Medicare Charges at DRG | $11,401,334,817 | ||||
| Total Medicare Charges with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | $484,536,171 | ||||
| Avg Charges at DRG | $138,475 | ||||
| Avg Charges with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | $210,120 | ||||
| Mortality Rate at DRG | 10.6 | ||||
| Mortality Rate with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | 14.53 | ||||
| SNF Discharge Rate at DRG | 21.62 | ||||
| SNF Discharge Rate with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | 30.01 | ||||
| Home Discharge Rate at DRG | 30.12 | ||||
| Home Discharge Rate with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | 15.74 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 179: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 24,710 | ||||
| Total Hospitalizations with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | 573 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus in DRG | 0.68 | ||||
| Avg LOS at DRG | 3.98 | ||||
| Avg LOS with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | 5.7 | ||||
| Readmission Rate at DRG | 15.14 | ||||
| Readmission Rate with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | 18.05 | ||||
| Unplanned Readmission Rate at DRG | 10.39 | ||||
| Unplanned Readmission Rate with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | 12.27 | ||||
| Total Medicare payments at DRG | $148,749,064 | ||||
| Total Medicare payments with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | $3,818,220 | ||||
| Total Medicare payment per Day at DRG | $1,511 | ||||
| Total Medicare payment per Day with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | $1,169 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,020 | ||||
| Total Medicare payment per Hospitalization with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | $6,664 | ||||
| Total Medicare Charges at DRG | $656,049,815 | ||||
| Total Medicare Charges with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | $17,802,241 | ||||
| Avg Charges at DRG | $26,550 | ||||
| Avg Charges with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | $31,068 | ||||
| Mortality Rate at DRG | 1.58 | ||||
| Mortality Rate with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | NA | ||||
| SNF Discharge Rate at DRG | 22.54 | ||||
| SNF Discharge Rate with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | 23.91 | ||||
| Home Discharge Rate at DRG | 43.47 | ||||
| Home Discharge Rate with ICD J15212 - Pneumonia due to Methicillin resistant Staphylococcus aureus | 42.41 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UPMC PINNACLE HARRISBURG | 111 S FRONT ST | HARRISBURG | PA | 17101 | 902 |
| ST. LUKE'S HOSPITAL | 232 S WOODS MILL RD | CHESTERFIELD | MO | 63017 | 357 |
| SINGING RIVER HEALTH SYSTEM | 2809 DENNY AVE | PASCAGOULA | MS | 39581 | 330 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CARLOS LUIS PEREZ | 921 TEXAS BLVD | TEXARKANA | TX | 75501 | 61 |
| Dr. ELIAS N AMADOR | 5301 S CONGRESS AVE | ATLANTIS | FL | 33462 | 46 |
| Dr. BENSON YU HUANG | 1710 E SAUNDERS ST | LAREDO | TX | 78041 | 38 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID GU | 723 S GARFIELD AVE | ALHAMBRA | CA | 91801 | 65 |
| Dr. LUIS H VIGIL | 430 N MONTE VISTA ST | ADA | OK | 74820 | 58 |
| Dr. ELIAS N AMADOR | 5301 S CONGRESS AVE | ATLANTIS | FL | 33462 | 58 |