*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| J153 - Pneumonia due to streptococcus, group B - as a primary diagnosis code | J153 - Pneumonia due to streptococcus, group B - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 10.3 | |
| Readmission Rate (%) | 27.66 | |
| Unplanned Readmission Rate (%) | 12.15 | |
| 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 J153 - Pneumonia due to streptococcus, group B | 208 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD J153 - Pneumonia due to streptococcus, group B in DRG | 42.89 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD J153 - Pneumonia due to streptococcus, group B | 6.71 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD J153 - Pneumonia due to streptococcus, group B | 19.8 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD J153 - Pneumonia due to streptococcus, group B | 15.23 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD J153 - Pneumonia due to streptococcus, group B | $2,130,171 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD J153 - Pneumonia due to streptococcus, group B | $1,527 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD J153 - Pneumonia due to streptococcus, group B | $10,241 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD J153 - Pneumonia due to streptococcus, group B | $8,643,294 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD J153 - Pneumonia due to streptococcus, group B | $41,554 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD J153 - Pneumonia due to streptococcus, group B | NA | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD J153 - Pneumonia due to streptococcus, group B | 22.6 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD J153 - Pneumonia due to streptococcus, group B | 44.71 |
*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 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD J153 - Pneumonia due to streptococcus, group B | 882 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD J153 - Pneumonia due to streptococcus, group B in DRG | 30.33 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD J153 - Pneumonia due to streptococcus, group B | 7.3 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD J153 - Pneumonia due to streptococcus, group B | 20.44 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD J153 - Pneumonia due to streptococcus, group B | 13.32 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD J153 - Pneumonia due to streptococcus, group B | $10,851,472 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD J153 - Pneumonia due to streptococcus, group B | $1,685 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD J153 - Pneumonia due to streptococcus, group B | $12,303 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD J153 - Pneumonia due to streptococcus, group B | $57,336,146 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD J153 - Pneumonia due to streptococcus, group B | $65,007 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD J153 - Pneumonia due to streptococcus, group B | 8.84 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD J153 - Pneumonia due to streptococcus, group B | 27.21 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD J153 - Pneumonia due to streptococcus, group B | 30.5 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE 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 | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD J153 - Pneumonia due to streptococcus, group B | 106 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD J153 - Pneumonia due to streptococcus, group B in DRG | 3.65 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD J153 - Pneumonia due to streptococcus, group B | 5.05 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD J153 - Pneumonia due to streptococcus, group B | 17.35 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD J153 - Pneumonia due to streptococcus, group B | 14.29 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD J153 - Pneumonia due to streptococcus, group B | $790,417 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD J153 - Pneumonia due to streptococcus, group B | $1,477 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD J153 - Pneumonia due to streptococcus, group B | $7,457 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD J153 - Pneumonia due to streptococcus, group B | $3,323,998 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD J153 - Pneumonia due to streptococcus, group B | $31,358 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD J153 - Pneumonia due to streptococcus, group B | NA | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD J153 - Pneumonia due to streptococcus, group B | 10.38 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD J153 - Pneumonia due to streptococcus, group B | 56.6 |
*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 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 195: SIMPLE PNEUMONIA AND PLEURISY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD J153 - Pneumonia due to streptococcus, group B | 66 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD J153 - Pneumonia due to streptococcus, group B in DRG | 2.27 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD J153 - Pneumonia due to streptococcus, group B | 6.06 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD J153 - Pneumonia due to streptococcus, group B | 29.31 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD J153 - Pneumonia due to streptococcus, group B | 24.14 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD J153 - Pneumonia due to streptococcus, group B | $656,142 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD J153 - Pneumonia due to streptococcus, group B | $1,640 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD J153 - Pneumonia due to streptococcus, group B | $9,942 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD J153 - Pneumonia due to streptococcus, group B | $2,886,742 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD J153 - Pneumonia due to streptococcus, group B | $43,739 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD J153 - Pneumonia due to streptococcus, group B | NA | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD J153 - Pneumonia due to streptococcus, group B | 19.7 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD J153 - Pneumonia due to streptococcus, group B | 25.76 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 917: POISONING AND TOXIC EFFECTS OF DRUGS 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) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 101,548 | ||||
| Total Hospitalizations with ICD J153 - Pneumonia due to streptococcus, group B | 36 | ||||
| DRG Share of Total Hospitalizations | 0.31 | ||||
| % of Total ICD J153 - Pneumonia due to streptococcus, group B in DRG | 1.24 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD J153 - Pneumonia due to streptococcus, group B | 10.39 | ||||
| Readmission Rate at DRG | 32.74 | ||||
| Readmission Rate with ICD J153 - Pneumonia due to streptococcus, group B | 46.88 | ||||
| Unplanned Readmission Rate at DRG | 13.79 | ||||
| Unplanned Readmission Rate with ICD J153 - Pneumonia due to streptococcus, group B | NA | ||||
| Total Medicare payments at DRG | $922,969,291 | ||||
| Total Medicare payments with ICD J153 - Pneumonia due to streptococcus, group B | $529,378 | ||||
| Total Medicare payment per Day at DRG | $1,941 | ||||
| Total Medicare payment per Day with ICD J153 - Pneumonia due to streptococcus, group B | $1,415 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,089 | ||||
| Total Medicare payment per Hospitalization with ICD J153 - Pneumonia due to streptococcus, group B | $14,705 | ||||
| Total Medicare Charges at DRG | $4,727,523,206 | ||||
| Total Medicare Charges with ICD J153 - Pneumonia due to streptococcus, group B | $5,575,257 | ||||
| Avg Charges at DRG | $46,555 | ||||
| Avg Charges with ICD J153 - Pneumonia due to streptococcus, group B | $154,868 | ||||
| Mortality Rate at DRG | 2.95 | ||||
| Mortality Rate with ICD J153 - Pneumonia due to streptococcus, group B | NA | ||||
| SNF Discharge Rate at DRG | 13.87 | ||||
| SNF Discharge Rate with ICD J153 - Pneumonia due to streptococcus, group B | NA | ||||
| Home Discharge Rate at DRG | 43.04 | ||||
| Home Discharge Rate with ICD J153 - Pneumonia due to streptococcus, group B | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| NORTH MISSISSIPPI HEALTH SERVICES | 830 S GLOSTER ST | TUPELO | MS | 38801 | 32 |
| NOVANT HEALTH BRUNSWICK MEDICAL CENTER | 240 HOSPITAL DR NE | BOLIVIA | NC | 28422 | 20 |
| MERCY HOSPITAL ARDMORE | 1011 14TH AVE NW | ARDMORE | OK | 73401 | 19 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SIMBISO RANGA | 68 HOSPITAL RD | SYLVA | NC | 28779 | 21 |