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J154 - ICD 10 Diagnosis Code - Pneumonia due to other streptococci - Market Size, Prevalence, Incidence, Quality Outcomes, Top Hospitals & Physicians


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Key Statistics Related to J154 - Pneumonia due to other streptococci

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

J154 - Pneumonia due to other streptococci - as a primary diagnosis code J154 - Pneumonia due to other streptococci - as a primary or secondary diagnosis code
OUTCOMES
Avg. LOS 8.97
Readmission Rate (%) 23.93
Unplanned Readmission Rate (%) 11.47
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

Top DRGs Associated With J154 - Pneumonia due to other streptococci - as a primary diagnosis code

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Top 1 to 5 DRGs - Oct 2015 to Sep 2018

*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 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS
Total Hospitalizations at DRG 443,386
Total Hospitalizations with ICD J154 - Pneumonia due to other streptococci 2,343
DRG Share of Total Hospitalizations 1.35
% of Total ICD J154 - Pneumonia due to other streptococci in DRG 46.37
Avg LOS at DRG 5.27
Avg LOS with ICD J154 - Pneumonia due to other streptococci 5.83
Readmission Rate at DRG 21.6
Readmission Rate with ICD J154 - Pneumonia due to other streptococci 19.63
Unplanned Readmission Rate at DRG 15.91
Unplanned Readmission Rate with ICD J154 - Pneumonia due to other streptococci 14.25
Total Medicare payments at DRG $3,812,834,208
Total Medicare payments with ICD J154 - Pneumonia due to other streptococci $20,504,862
Total Medicare payment per Day at DRG $1,632
Total Medicare payment per Day with ICD J154 - Pneumonia due to other streptococci $1,502
Total Medicare payment per Hospitalization at DRG $8,599
Total Medicare payment per Hospitalization with ICD J154 - Pneumonia due to other streptococci $8,752
Total Medicare Charges at DRG $18,110,468,211
Total Medicare Charges with ICD J154 - Pneumonia due to other streptococci $97,624,579
Avg Charges at DRG $40,846
Avg Charges with ICD J154 - Pneumonia due to other streptococci $41,666
Mortality Rate at DRG 3.59
Mortality Rate with ICD J154 - Pneumonia due to other streptococci 2.05
SNF Discharge Rate at DRG 22.57
SNF Discharge Rate with ICD J154 - Pneumonia due to other streptococci 19.12
Home Discharge Rate at DRG 40.95
Home Discharge Rate with ICD J154 - Pneumonia due to other streptococci 45.41

Top 5 to 10 DRGs - Oct 2015 to Sep 2018

*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 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 975: HIV WITH MAJOR RELATED CONDITION WITH COMPLICATION OR COMORBIDITY (CC)
Total Hospitalizations at DRG 82,335
Total Hospitalizations with ICD J154 - Pneumonia due to other streptococci 83
DRG Share of Total Hospitalizations 0.25
% of Total ICD J154 - Pneumonia due to other streptococci in DRG 1.64
Avg LOS at DRG 12.91
Avg LOS with ICD J154 - Pneumonia due to other streptococci 10.28
Readmission Rate at DRG 32.17
Readmission Rate with ICD J154 - Pneumonia due to other streptococci 19.48
Unplanned Readmission Rate at DRG 19.76
Unplanned Readmission Rate with ICD J154 - Pneumonia due to other streptococci NA
Total Medicare payments at DRG $2,324,349,241
Total Medicare payments with ICD J154 - Pneumonia due to other streptococci $1,883,141
Total Medicare payment per Day at DRG $2,187
Total Medicare payment per Day with ICD J154 - Pneumonia due to other streptococci $2,208
Total Medicare payment per Hospitalization at DRG $28,230
Total Medicare payment per Hospitalization with ICD J154 - Pneumonia due to other streptococci $22,688
Total Medicare Charges at DRG $11,401,334,817
Total Medicare Charges with ICD J154 - Pneumonia due to other streptococci $7,738,684
Avg Charges at DRG $138,475
Avg Charges with ICD J154 - Pneumonia due to other streptococci $93,237
Mortality Rate at DRG 10.6
Mortality Rate with ICD J154 - Pneumonia due to other streptococci NA
SNF Discharge Rate at DRG 21.62
SNF Discharge Rate with ICD J154 - Pneumonia due to other streptococci 19.28
Home Discharge Rate at DRG 30.12
Home Discharge Rate with ICD J154 - Pneumonia due to other streptococci 43.37

Top 10 to 15 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 974: HIV WITH MAJOR RELATED CONDITION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 15,066
Total Hospitalizations with ICD J154 - Pneumonia due to other streptococci 13
DRG Share of Total Hospitalizations 0.05
% of Total ICD J154 - Pneumonia due to other streptococci in DRG 0.26
Avg LOS at DRG 9.3
Avg LOS with ICD J154 - Pneumonia due to other streptococci 7.69
Readmission Rate at DRG 35.25
Readmission Rate with ICD J154 - Pneumonia due to other streptococci NA
Unplanned Readmission Rate at DRG 25.91
Unplanned Readmission Rate with ICD J154 - Pneumonia due to other streptococci NA
Total Medicare payments at DRG $327,897,431
Total Medicare payments with ICD J154 - Pneumonia due to other streptococci $302,196
Total Medicare payment per Day at DRG $2,341
Total Medicare payment per Day with ICD J154 - Pneumonia due to other streptococci $3,022
Total Medicare payment per Hospitalization at DRG $21,764
Total Medicare payment per Hospitalization with ICD J154 - Pneumonia due to other streptococci $23,246
Total Medicare Charges at DRG $1,464,361,630
Total Medicare Charges with ICD J154 - Pneumonia due to other streptococci $836,171
Avg Charges at DRG $97,196
Avg Charges with ICD J154 - Pneumonia due to other streptococci $64,321
Mortality Rate at DRG 10.49
Mortality Rate with ICD J154 - Pneumonia due to other streptococci NA
SNF Discharge Rate at DRG 17.66
SNF Discharge Rate with ICD J154 - Pneumonia due to other streptococci NA
Home Discharge Rate at DRG 40.16
Home Discharge Rate with ICD J154 - Pneumonia due to other streptococci 84.62

Top Hospitals Associated With J154 - Pneumonia due to other streptococci - as a primary diagnosis code

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Hospital Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
SARAH BUSH LINCOLN HEALTH CENTER 1000 HEALTH CENTER DR MATTOON IL 61938 79
TRINITY HEALTH OF NEW ENGLAND - SAINT FRANCIS HOSPITAL AND MEDICAL CENTER 114 WOODLAND ST HARTFORD CT 06105 61
NORTHERN LIGHT EASTERN MAINE MEDICAL CENTER 489 STATE ST BANGOR ME 04401 56

Top Attending Physicians Associated With J154 - Pneumonia due to other streptococci - as a primary diagnosis code

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Physician Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
Dr. SERGIO M. RODRIGUEZ 1000 HEALTH CENTER DRIVE MATTOON IL 61938 19
Dr. SURESH NANJE GOWDA BELAME 2390 W CONGRESS ST LAFAYETTE LA 70506 17
Dr. AYODELE ADELEKE OLUSANYA 120 DAVY CROCKETT MALL TRENTON TN 38382 15

Top DRGs Associated With J154 - Pneumonia due to other streptococci - as a primary or secondary diagnosis code

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Top 1 to 5 DRGs - Oct 2015 to Sep 2018

*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 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 J154 - Pneumonia due to other streptococci 7,785
DRG Share of Total Hospitalizations 5.5
% of Total ICD J154 - Pneumonia due to other streptococci in DRG 32.06
Avg LOS at DRG 6.34
Avg LOS with ICD J154 - Pneumonia due to other streptococci 6.76
Readmission Rate at DRG 24.2
Readmission Rate with ICD J154 - Pneumonia due to other streptococci 19.81
Unplanned Readmission Rate at DRG 16.78
Unplanned Readmission Rate with ICD J154 - Pneumonia due to other streptococci 12.87
Total Medicare payments at DRG $21,288,214,047
Total Medicare payments with ICD J154 - Pneumonia due to other streptococci $90,868,179
Total Medicare payment per Day at DRG $1,857
Total Medicare payment per Day with ICD J154 - Pneumonia due to other streptococci $1,727
Total Medicare payment per Hospitalization at DRG $11,772
Total Medicare payment per Hospitalization with ICD J154 - Pneumonia due to other streptococci $11,672
Total Medicare Charges at DRG $107,155,481,388
Total Medicare Charges with ICD J154 - Pneumonia due to other streptococci $468,474,084
Avg Charges at DRG $59,254
Avg Charges with ICD J154 - Pneumonia due to other streptococci $60,177
Mortality Rate at DRG 12.11
Mortality Rate with ICD J154 - Pneumonia due to other streptococci 6.78
SNF Discharge Rate at DRG 27.18
SNF Discharge Rate with ICD J154 - Pneumonia due to other streptococci 21.59
Home Discharge Rate at DRG 25.81
Home Discharge Rate with ICD J154 - Pneumonia due to other streptococci 38.07

Top 5 to 10 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS 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 99,217
Total Hospitalizations with ICD J154 - Pneumonia due to other streptococci 867
DRG Share of Total Hospitalizations 0.3
% of Total ICD J154 - Pneumonia due to other streptococci in DRG 3.57
Avg LOS at DRG 14.88
Avg LOS with ICD J154 - Pneumonia due to other streptococci 15.49
Readmission Rate at DRG 41.65
Readmission Rate with ICD J154 - Pneumonia due to other streptococci 39.72
Unplanned Readmission Rate at DRG 18.54
Unplanned Readmission Rate with ICD J154 - Pneumonia due to other streptococci 13.48
Total Medicare payments at DRG $4,073,197,631
Total Medicare payments with ICD J154 - Pneumonia due to other streptococci $35,642,346
Total Medicare payment per Day at DRG $2,758
Total Medicare payment per Day with ICD J154 - Pneumonia due to other streptococci $2,654
Total Medicare payment per Hospitalization at DRG $41,053
Total Medicare payment per Hospitalization with ICD J154 - Pneumonia due to other streptococci $41,110
Total Medicare Charges at DRG $20,258,140,795
Total Medicare Charges with ICD J154 - Pneumonia due to other streptococci $179,430,090
Avg Charges at DRG $204,180
Avg Charges with ICD J154 - Pneumonia due to other streptococci $206,955
Mortality Rate at DRG 35.07
Mortality Rate with ICD J154 - Pneumonia due to other streptococci 29.99
SNF Discharge Rate at DRG 25.76
SNF Discharge Rate with ICD J154 - Pneumonia due to other streptococci 26.3
Home Discharge Rate at DRG 4.34
Home Discharge Rate with ICD J154 - Pneumonia due to other streptococci 6.34

Top 10 to 15 DRGs - Oct 2015 to Sep 2018

*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 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 163: MAJOR CHEST 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
Total Hospitalizations at DRG 99,136
Total Hospitalizations with ICD J154 - Pneumonia due to other streptococci 534
DRG Share of Total Hospitalizations 0.3
% of Total ICD J154 - Pneumonia due to other streptococci in DRG 2.2
Avg LOS at DRG 22.0
Avg LOS with ICD J154 - Pneumonia due to other streptococci 24.13
Readmission Rate at DRG 40.67
Readmission Rate with ICD J154 - Pneumonia due to other streptococci 39.34
Unplanned Readmission Rate at DRG 20.54
Unplanned Readmission Rate with ICD J154 - Pneumonia due to other streptococci 15.85
Total Medicare payments at DRG $4,616,563,352
Total Medicare payments with ICD J154 - Pneumonia due to other streptococci $27,041,141
Total Medicare payment per Day at DRG $2,116
Total Medicare payment per Day with ICD J154 - Pneumonia due to other streptococci $2,099
Total Medicare payment per Hospitalization at DRG $46,568
Total Medicare payment per Hospitalization with ICD J154 - Pneumonia due to other streptococci $50,639
Total Medicare Charges at DRG $21,375,486,291
Total Medicare Charges with ICD J154 - Pneumonia due to other streptococci $121,853,041
Avg Charges at DRG $215,618
Avg Charges with ICD J154 - Pneumonia due to other streptococci $228,189
Mortality Rate at DRG 28.16
Mortality Rate with ICD J154 - Pneumonia due to other streptococci 24.34
SNF Discharge Rate at DRG 30.65
SNF Discharge Rate with ICD J154 - Pneumonia due to other streptococci 33.9
Home Discharge Rate at DRG 5.17
Home Discharge Rate with ICD J154 - Pneumonia due to other streptococci 6.74

Top 15 to 20 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 45,478
Total Hospitalizations with ICD J154 - Pneumonia due to other streptococci 298
DRG Share of Total Hospitalizations 0.14
% of Total ICD J154 - Pneumonia due to other streptococci in DRG 1.23
Avg LOS at DRG 25.29
Avg LOS with ICD J154 - Pneumonia due to other streptococci 24.9
Readmission Rate at DRG 74.5
Readmission Rate with ICD J154 - Pneumonia due to other streptococci 78.43
Unplanned Readmission Rate at DRG 8.79
Unplanned Readmission Rate with ICD J154 - Pneumonia due to other streptococci 8.63
Total Medicare payments at DRG $3,386,848,549
Total Medicare payments with ICD J154 - Pneumonia due to other streptococci $22,009,686
Total Medicare payment per Day at DRG $2,945
Total Medicare payment per Day with ICD J154 - Pneumonia due to other streptococci $2,967
Total Medicare payment per Hospitalization at DRG $74,472
Total Medicare payment per Hospitalization with ICD J154 - Pneumonia due to other streptococci $73,858
Total Medicare Charges at DRG $15,882,518,852
Total Medicare Charges with ICD J154 - Pneumonia due to other streptococci $103,592,743
Avg Charges at DRG $349,235
Avg Charges with ICD J154 - Pneumonia due to other streptococci $347,627
Mortality Rate at DRG 13.7
Mortality Rate with ICD J154 - Pneumonia due to other streptococci 10.07
SNF Discharge Rate at DRG 17.77
SNF Discharge Rate with ICD J154 - Pneumonia due to other streptococci 14.77
Home Discharge Rate at DRG 1.95
Home Discharge Rate with ICD J154 - Pneumonia due to other streptococci NA

Top Hospitals Associated With J154 - Pneumonia due to other streptococci - as a primary or secondary diagnosis code

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Hospital Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
SOUTHEAST GEORGIA HEALTH SYSTEM - BRUNSWICK CAMPUS 2415 PARKWOOD DR BRUNSWICK GA 31520 276
NORTHERN LIGHT EASTERN MAINE MEDICAL CENTER 489 STATE ST BANGOR ME 04401 260
SARAH BUSH LINCOLN HEALTH CENTER 1000 HEALTH CENTER DR MATTOON IL 61938 221

Top Operating Physicians Associated With J154 - Pneumonia due to other streptococci - as a primary or secondary diagnosis code

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Physician Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
Dr. MUHAMMAD WAJIH RAQEEM 1800 E LAKE SHORE DR DECATUR IL 62521 24
Dr. LARRY W CARRUTH 96 PHYSICIANS DR JACKSON TN 38305 15
Dr. BILLY JACOB BLACKMON 2041 GLENNFIELD LN AUGUSTA GA 30909 13

Top Attending Physicians Associated With J154 - Pneumonia due to other streptococci - as a primary or secondary diagnosis code

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Physician Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
Dr. MUHAMMAD WAJIH RAQEEM 1800 E LAKE SHORE DR DECATUR IL 62521 68
Dr. BABATUNDE OBAFEMI ALAO 1000 HEALTH CENTER DR MATTOON IL 61938 51
Dr. AYODELE ADELEKE OLUSANYA 120 DAVY CROCKETT MALL TRENTON TN 38382 38