*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 |
*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 |
*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 |
*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 |
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 |
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 |
*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 |
*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 |
*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 |
*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 |
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 |
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 |
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 |