*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| J159 - Unspecified bacterial pneumonia - as a primary diagnosis code | J159 - Unspecified bacterial pneumonia - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.6 | |
| Readmission Rate (%) | 22.79 | |
| Unplanned Readmission Rate (%) | 13.77 | |
| 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 J159 - Unspecified bacterial pneumonia | 28,190 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD J159 - Unspecified bacterial pneumonia in DRG | 47.87 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD J159 - Unspecified bacterial pneumonia | 5.41 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD J159 - Unspecified bacterial pneumonia | 21.84 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD J159 - Unspecified bacterial pneumonia | 16.06 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD J159 - Unspecified bacterial pneumonia | $241,234,658 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD J159 - Unspecified bacterial pneumonia | $1,583 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD J159 - Unspecified bacterial pneumonia | $8,557 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD J159 - Unspecified bacterial pneumonia | $1,096,995,854 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD J159 - Unspecified bacterial pneumonia | $38,914 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD J159 - Unspecified bacterial pneumonia | 3.46 | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD J159 - Unspecified bacterial pneumonia | 23.0 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD J159 - Unspecified bacterial pneumonia | 40.88 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| 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 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 974: HIV WITH MAJOR RELATED CONDITION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 36,636 | ||||
| Total Hospitalizations with ICD J159 - Unspecified bacterial pneumonia | 332 | ||||
| DRG Share of Total Hospitalizations | 0.11 | ||||
| % of Total ICD J159 - Unspecified bacterial pneumonia in DRG | 0.56 | ||||
| Avg LOS at DRG | 5.73 | ||||
| Avg LOS with ICD J159 - Unspecified bacterial pneumonia | 6.61 | ||||
| Readmission Rate at DRG | 21.72 | ||||
| Readmission Rate with ICD J159 - Unspecified bacterial pneumonia | 23.1 | ||||
| Unplanned Readmission Rate at DRG | 14.08 | ||||
| Unplanned Readmission Rate with ICD J159 - Unspecified bacterial pneumonia | 15.51 | ||||
| Total Medicare payments at DRG | $448,734,039 | ||||
| Total Medicare payments with ICD J159 - Unspecified bacterial pneumonia | $4,262,903 | ||||
| Total Medicare payment per Day at DRG | $2,137 | ||||
| Total Medicare payment per Day with ICD J159 - Unspecified bacterial pneumonia | $1,944 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,248 | ||||
| Total Medicare payment per Hospitalization with ICD J159 - Unspecified bacterial pneumonia | $12,840 | ||||
| Total Medicare Charges at DRG | $2,388,208,589 | ||||
| Total Medicare Charges with ICD J159 - Unspecified bacterial pneumonia | $19,955,965 | ||||
| Avg Charges at DRG | $65,187 | ||||
| Avg Charges with ICD J159 - Unspecified bacterial pneumonia | $60,108 | ||||
| Mortality Rate at DRG | 0.77 | ||||
| Mortality Rate with ICD J159 - Unspecified bacterial pneumonia | NA | ||||
| SNF Discharge Rate at DRG | 10.73 | ||||
| SNF Discharge Rate with ICD J159 - Unspecified bacterial pneumonia | 13.55 | ||||
| Home Discharge Rate at DRG | 59.85 | ||||
| Home Discharge Rate with ICD J159 - Unspecified bacterial pneumonia | 57.83 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 975: HIV WITH MAJOR RELATED CONDITION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 987: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | DRG 168: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 8,173 | ||||
| Total Hospitalizations with ICD J159 - Unspecified bacterial pneumonia | 100 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD J159 - Unspecified bacterial pneumonia in DRG | 0.17 | ||||
| Avg LOS at DRG | 5.69 | ||||
| Avg LOS with ICD J159 - Unspecified bacterial pneumonia | 4.02 | ||||
| Readmission Rate at DRG | 24.62 | ||||
| Readmission Rate with ICD J159 - Unspecified bacterial pneumonia | 19.32 | ||||
| Unplanned Readmission Rate at DRG | 18.39 | ||||
| Unplanned Readmission Rate with ICD J159 - Unspecified bacterial pneumonia | 15.91 | ||||
| Total Medicare payments at DRG | $84,258,426 | ||||
| Total Medicare payments with ICD J159 - Unspecified bacterial pneumonia | $1,006,881 | ||||
| Total Medicare payment per Day at DRG | $1,812 | ||||
| Total Medicare payment per Day with ICD J159 - Unspecified bacterial pneumonia | $2,505 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,309 | ||||
| Total Medicare payment per Hospitalization with ICD J159 - Unspecified bacterial pneumonia | $10,069 | ||||
| Total Medicare Charges at DRG | $389,028,447 | ||||
| Total Medicare Charges with ICD J159 - Unspecified bacterial pneumonia | $3,101,086 | ||||
| Avg Charges at DRG | $47,599 | ||||
| Avg Charges with ICD J159 - Unspecified bacterial pneumonia | $31,011 | ||||
| Mortality Rate at DRG | 0.71 | ||||
| Mortality Rate with ICD J159 - Unspecified bacterial pneumonia | NA | ||||
| SNF Discharge Rate at DRG | 11.31 | ||||
| SNF Discharge Rate with ICD J159 - Unspecified bacterial pneumonia | NA | ||||
| Home Discharge Rate at DRG | 62.14 | ||||
| Home Discharge Rate with ICD J159 - Unspecified bacterial pneumonia | 74.0 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 164: MAJOR CHEST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 988: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 976: HIV WITH MAJOR RELATED CONDITION WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 | 49,331 | |||
| Total Hospitalizations with ICD J159 - Unspecified bacterial pneumonia | 28 | |||
| DRG Share of Total Hospitalizations | 0.15 | |||
| % of Total ICD J159 - Unspecified bacterial pneumonia in DRG | 0.05 | |||
| Avg LOS at DRG | 5.76 | |||
| Avg LOS with ICD J159 - Unspecified bacterial pneumonia | 7.71 | |||
| Readmission Rate at DRG | 13.39 | |||
| Readmission Rate with ICD J159 - Unspecified bacterial pneumonia | NA | |||
| Unplanned Readmission Rate at DRG | 8.11 | |||
| Unplanned Readmission Rate with ICD J159 - Unspecified bacterial pneumonia | NA | |||
| Total Medicare payments at DRG | $830,506,314 | |||
| Total Medicare payments with ICD J159 - Unspecified bacterial pneumonia | $434,437 | |||
| Total Medicare payment per Day at DRG | $2,922 | |||
| Total Medicare payment per Day with ICD J159 - Unspecified bacterial pneumonia | $2,011 | |||
| Total Medicare payment per Hospitalization at DRG | $16,835 | |||
| Total Medicare payment per Hospitalization with ICD J159 - Unspecified bacterial pneumonia | $15,516 | |||
| Total Medicare Charges at DRG | $4,394,247,481 | |||
| Total Medicare Charges with ICD J159 - Unspecified bacterial pneumonia | $2,029,899 | |||
| Avg Charges at DRG | $89,077 | |||
| Avg Charges with ICD J159 - Unspecified bacterial pneumonia | $72,496 | |||
| Mortality Rate at DRG | 0.32 | |||
| Mortality Rate with ICD J159 - Unspecified bacterial pneumonia | NA | |||
| SNF Discharge Rate at DRG | 6.7 | |||
| SNF Discharge Rate with ICD J159 - Unspecified bacterial pneumonia | NA | |||
| Home Discharge Rate at DRG | 62.23 | |||
| Home Discharge Rate with ICD J159 - Unspecified bacterial pneumonia | 60.71 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UNIVERSITY HEALTH CARE SYSTEM | 1350 WALTON WAY | AUGUSTA | GA | 30901 | 578 |
| SOUTH SHORE HOSPITAL | 55 FOGG ROAD | SOUTH WEYMOUTH | MA | 02190 | 560 |
| MISSISSIPPI BAPTIST MEDICAL CENTER | 1225 N STATE ST | JACKSON | MS | 39202 | 364 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. KENNETH LEROY LOPER | 213 E KIMBALL ST | CALLAWAY | NE | 68825 | 44 |
| Dr. MALLAPPA NEELAPPA | 2275 S ELKS LANE | YUMA | AZ | 85364 | 41 |
| Dr. CHARLES CORNELIUS EGBERT | 71 ALLEN ST | RUTLAND | VT | 05701 | 31 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. NIMESH K VESUWALA | 82 TUNNEL RD | POTTSVILLE | PA | 17901 | 93 |
| Dr. SHUJAUDDIN SYED | 50 N PERRY ST | PONTIAC | MI | 48342 | 89 |
| Dr. ANN MARIE SWANN | 100 HOSPITAL DR | BENNINGTON | VT | 05201 | 83 |
*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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD J159 - Unspecified bacterial pneumonia | 55,411 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD J159 - Unspecified bacterial pneumonia in DRG | 27.2 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD J159 - Unspecified bacterial pneumonia | 5.92 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD J159 - Unspecified bacterial pneumonia | 20.84 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD J159 - Unspecified bacterial pneumonia | 14.81 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD J159 - Unspecified bacterial pneumonia | $631,144,775 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD J159 - Unspecified bacterial pneumonia | $1,924 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD J159 - Unspecified bacterial pneumonia | $11,390 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD J159 - Unspecified bacterial pneumonia | $2,842,231,717 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD J159 - Unspecified bacterial pneumonia | $51,294 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD J159 - Unspecified bacterial pneumonia | 8.89 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD J159 - Unspecified bacterial pneumonia | 23.29 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD J159 - Unspecified bacterial pneumonia | 34.63 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 195: SIMPLE PNEUMONIA AND PLEURISY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 147,017 | ||||
| Total Hospitalizations with ICD J159 - Unspecified bacterial pneumonia | 7,195 | ||||
| DRG Share of Total Hospitalizations | 0.45 | ||||
| % of Total ICD J159 - Unspecified bacterial pneumonia in DRG | 3.53 | ||||
| Avg LOS at DRG | 3.12 | ||||
| Avg LOS with ICD J159 - Unspecified bacterial pneumonia | 3.15 | ||||
| Readmission Rate at DRG | 11.06 | ||||
| Readmission Rate with ICD J159 - Unspecified bacterial pneumonia | 10.81 | ||||
| Unplanned Readmission Rate at DRG | 7.05 | ||||
| Unplanned Readmission Rate with ICD J159 - Unspecified bacterial pneumonia | 7.37 | ||||
| Total Medicare payments at DRG | $662,922,575 | ||||
| Total Medicare payments with ICD J159 - Unspecified bacterial pneumonia | $31,269,838 | ||||
| Total Medicare payment per Day at DRG | $1,445 | ||||
| Total Medicare payment per Day with ICD J159 - Unspecified bacterial pneumonia | $1,381 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,509 | ||||
| Total Medicare payment per Hospitalization with ICD J159 - Unspecified bacterial pneumonia | $4,346 | ||||
| Total Medicare Charges at DRG | $2,893,146,238 | ||||
| Total Medicare Charges with ICD J159 - Unspecified bacterial pneumonia | $143,937,473 | ||||
| Avg Charges at DRG | $19,679 | ||||
| Avg Charges with ICD J159 - Unspecified bacterial pneumonia | $20,005 | ||||
| Mortality Rate at DRG | 0.67 | ||||
| Mortality Rate with ICD J159 - Unspecified bacterial pneumonia | 0.39 | ||||
| SNF Discharge Rate at DRG | 13.03 | ||||
| SNF Discharge Rate with ICD J159 - Unspecified bacterial pneumonia | 13.36 | ||||
| Home Discharge Rate at DRG | 62.41 | ||||
| Home Discharge Rate with ICD J159 - Unspecified bacterial pneumonia | 63.35 |
*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 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 99,217 | ||||
| Total Hospitalizations with ICD J159 - Unspecified bacterial pneumonia | 2,511 | ||||
| DRG Share of Total Hospitalizations | 0.3 | ||||
| % of Total ICD J159 - Unspecified bacterial pneumonia in DRG | 1.23 | ||||
| Avg LOS at DRG | 14.88 | ||||
| Avg LOS with ICD J159 - Unspecified bacterial pneumonia | 14.91 | ||||
| Readmission Rate at DRG | 41.65 | ||||
| Readmission Rate with ICD J159 - Unspecified bacterial pneumonia | 40.17 | ||||
| Unplanned Readmission Rate at DRG | 18.54 | ||||
| Unplanned Readmission Rate with ICD J159 - Unspecified bacterial pneumonia | 17.47 | ||||
| Total Medicare payments at DRG | $4,073,197,631 | ||||
| Total Medicare payments with ICD J159 - Unspecified bacterial pneumonia | $102,589,872 | ||||
| Total Medicare payment per Day at DRG | $2,758 | ||||
| Total Medicare payment per Day with ICD J159 - Unspecified bacterial pneumonia | $2,740 | ||||
| Total Medicare payment per Hospitalization at DRG | $41,053 | ||||
| Total Medicare payment per Hospitalization with ICD J159 - Unspecified bacterial pneumonia | $40,856 | ||||
| Total Medicare Charges at DRG | $20,258,140,795 | ||||
| Total Medicare Charges with ICD J159 - Unspecified bacterial pneumonia | $488,513,204 | ||||
| Avg Charges at DRG | $204,180 | ||||
| Avg Charges with ICD J159 - Unspecified bacterial pneumonia | $194,549 | ||||
| Mortality Rate at DRG | 35.07 | ||||
| Mortality Rate with ICD J159 - Unspecified bacterial pneumonia | 35.76 | ||||
| SNF Discharge Rate at DRG | 25.76 | ||||
| SNF Discharge Rate with ICD J159 - Unspecified bacterial pneumonia | 24.33 | ||||
| Home Discharge Rate at DRG | 4.34 | ||||
| Home Discharge Rate with ICD J159 - Unspecified bacterial pneumonia | 5.26 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 175: PULMONARY EMBOLISM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 227,705 | ||||
| Total Hospitalizations with ICD J159 - Unspecified bacterial pneumonia | 1,509 | ||||
| DRG Share of Total Hospitalizations | 0.69 | ||||
| % of Total ICD J159 - Unspecified bacterial pneumonia in DRG | 0.74 | ||||
| Avg LOS at DRG | 4.51 | ||||
| Avg LOS with ICD J159 - Unspecified bacterial pneumonia | 5.55 | ||||
| Readmission Rate at DRG | 24.66 | ||||
| Readmission Rate with ICD J159 - Unspecified bacterial pneumonia | 23.79 | ||||
| Unplanned Readmission Rate at DRG | 18.32 | ||||
| Unplanned Readmission Rate with ICD J159 - Unspecified bacterial pneumonia | 16.52 | ||||
| Total Medicare payments at DRG | $1,725,174,811 | ||||
| Total Medicare payments with ICD J159 - Unspecified bacterial pneumonia | $11,688,202 | ||||
| Total Medicare payment per Day at DRG | $1,678 | ||||
| Total Medicare payment per Day with ICD J159 - Unspecified bacterial pneumonia | $1,396 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,576 | ||||
| Total Medicare payment per Hospitalization with ICD J159 - Unspecified bacterial pneumonia | $7,746 | ||||
| Total Medicare Charges at DRG | $8,683,995,141 | ||||
| Total Medicare Charges with ICD J159 - Unspecified bacterial pneumonia | $64,626,651 | ||||
| Avg Charges at DRG | $38,137 | ||||
| Avg Charges with ICD J159 - Unspecified bacterial pneumonia | $42,827 | ||||
| Mortality Rate at DRG | 4.12 | ||||
| Mortality Rate with ICD J159 - Unspecified bacterial pneumonia | 4.04 | ||||
| SNF Discharge Rate at DRG | 17.01 | ||||
| SNF Discharge Rate with ICD J159 - Unspecified bacterial pneumonia | 19.09 | ||||
| Home Discharge Rate at DRG | 48.19 | ||||
| Home Discharge Rate with ICD J159 - Unspecified bacterial pneumonia | 44.53 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| SOUTH SHORE HOSPITAL | 55 FOGG ROAD | SOUTH WEYMOUTH | MA | 02190 | 1,715 |
| UNIVERSITY HEALTH CARE SYSTEM | 1350 WALTON WAY | AUGUSTA | GA | 30901 | 1,562 |
| CAPE FEAR VALLEY MEDICAL CENTER | 1638 OWEN DR | FAYETTEVILLE | NC | 28304 | 1,555 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MALLAPPA NEELAPPA | 2275 S ELKS LANE | YUMA | AZ | 85364 | 101 |
| Dr. AMY E SUESSLE | 349 MEETING HOUSE LN | SOUTHAMPTON | NY | 11968 | 85 |
| Dr. FAISAL WASI | 905 NW 5TH ST | STIGLER | OK | 74462 | 83 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. NIMESH K VESUWALA | 82 TUNNEL RD | POTTSVILLE | PA | 17901 | 327 |
| Dr. BESHIR MOHAMED | 16000 JOHNSTON MEMORIAL DR | ABINGDON | VA | 24211 | 211 |
| Dr. MOSBAH A CHEHAB | 9700 SW 114TH ST | MIAMI | FL | 33176 | 208 |