*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| J182 - Hypostatic pneumonia, unspecified organism - as a primary diagnosis code | J182 - Hypostatic pneumonia, unspecified organism - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 9.42 | |
| Readmission Rate (%) | 30.27 | |
| Unplanned Readmission Rate (%) | NA | |
| 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 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|
| Total Hospitalizations at DRG | 539,642 |
| Total Hospitalizations with ICD J182 - Hypostatic pneumonia, unspecified organism | 57 |
| DRG Share of Total Hospitalizations | 1.64 |
| % of Total ICD J182 - Hypostatic pneumonia, unspecified organism in DRG | 89.06 |
| Avg LOS at DRG | 6.42 |
| Avg LOS with ICD J182 - Hypostatic pneumonia, unspecified organism | 4.65 |
| Readmission Rate at DRG | 26.55 |
| Readmission Rate with ICD J182 - Hypostatic pneumonia, unspecified organism | 24.53 |
| Unplanned Readmission Rate at DRG | 20.01 |
| Unplanned Readmission Rate with ICD J182 - Hypostatic pneumonia, unspecified organism | NA |
| Total Medicare payments at DRG | $5,267,842,463 |
| Total Medicare payments with ICD J182 - Hypostatic pneumonia, unspecified organism | $393,793 |
| Total Medicare payment per Day at DRG | $1,520 |
| Total Medicare payment per Day with ICD J182 - Hypostatic pneumonia, unspecified organism | $1,486 |
| Total Medicare payment per Hospitalization at DRG | $9,762 |
| Total Medicare payment per Hospitalization with ICD J182 - Hypostatic pneumonia, unspecified organism | $6,909 |
| Total Medicare Charges at DRG | $25,503,568,329 |
| Total Medicare Charges with ICD J182 - Hypostatic pneumonia, unspecified organism | $1,714,159 |
| Avg Charges at DRG | $47,260 |
| Avg Charges with ICD J182 - Hypostatic pneumonia, unspecified organism | $30,073 |
| Mortality Rate at DRG | 5.62 |
| Mortality Rate with ICD J182 - Hypostatic pneumonia, unspecified organism | NA |
| SNF Discharge Rate at DRG | 19.26 |
| SNF Discharge Rate with ICD J182 - Hypostatic pneumonia, unspecified organism | 29.82 |
| Home Discharge Rate at DRG | 39.65 |
| Home Discharge Rate with ICD J182 - Hypostatic pneumonia, unspecified organism | 28.07 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||
| Total Hospitalizations with ICD J182 - Hypostatic pneumonia, unspecified organism | 65 | ||
| DRG Share of Total Hospitalizations | 1.64 | ||
| % of Total ICD J182 - Hypostatic pneumonia, unspecified organism in DRG | 16.88 | ||
| Avg LOS at DRG | 6.42 | ||
| Avg LOS with ICD J182 - Hypostatic pneumonia, unspecified organism | 4.6 | ||
| Readmission Rate at DRG | 26.55 | ||
| Readmission Rate with ICD J182 - Hypostatic pneumonia, unspecified organism | 21.67 | ||
| Unplanned Readmission Rate at DRG | 20.01 | ||
| Unplanned Readmission Rate with ICD J182 - Hypostatic pneumonia, unspecified organism | NA | ||
| Total Medicare payments at DRG | $5,267,842,463 | ||
| Total Medicare payments with ICD J182 - Hypostatic pneumonia, unspecified organism | $451,554 | ||
| Total Medicare payment per Day at DRG | $1,520 | ||
| Total Medicare payment per Day with ICD J182 - Hypostatic pneumonia, unspecified organism | $1,510 | ||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||
| Total Medicare payment per Hospitalization with ICD J182 - Hypostatic pneumonia, unspecified organism | $6,947 | ||
| Total Medicare Charges at DRG | $25,503,568,329 | ||
| Total Medicare Charges with ICD J182 - Hypostatic pneumonia, unspecified organism | $1,980,342 | ||
| Avg Charges at DRG | $47,260 | ||
| Avg Charges with ICD J182 - Hypostatic pneumonia, unspecified organism | $30,467 | ||
| Mortality Rate at DRG | 5.62 | ||
| Mortality Rate with ICD J182 - Hypostatic pneumonia, unspecified organism | NA | ||
| SNF Discharge Rate at DRG | 19.26 | ||
| SNF Discharge Rate with ICD J182 - Hypostatic pneumonia, unspecified organism | 29.23 | ||
| Home Discharge Rate at DRG | 39.65 | ||
| Home Discharge Rate with ICD J182 - Hypostatic pneumonia, unspecified organism | 27.69 |