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J188 - ICD 10 Diagnosis Code - Other pneumonia, unspecified organism - Market Size, Prevalence, Incidence, Quality Outcomes, Top Hospitals & Physicians


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Key Statistics Related to J188 - Other pneumonia, unspecified organism

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

J188 - Other pneumonia, unspecified organism - as a primary diagnosis code J188 - Other pneumonia, unspecified organism - as a primary or secondary diagnosis code
OUTCOMES
Avg. LOS 7.03
Readmission Rate (%) 22.81
Unplanned Readmission Rate (%) 12.39
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 J188 - Other pneumonia, unspecified organism - 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 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 195: SIMPLE PNEUMONIA AND PLEURISY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 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)
Total Hospitalizations at DRG 417,755
Total Hospitalizations with ICD J188 - Other pneumonia, unspecified organism 3,987
DRG Share of Total Hospitalizations 1.27
% of Total ICD J188 - Other pneumonia, unspecified organism in DRG 42.65
Avg LOS at DRG 3.9
Avg LOS with ICD J188 - Other pneumonia, unspecified organism 4.15
Readmission Rate at DRG 16.53
Readmission Rate with ICD J188 - Other pneumonia, unspecified organism 17.45
Unplanned Readmission Rate at DRG 11.52
Unplanned Readmission Rate with ICD J188 - Other pneumonia, unspecified organism 11.03
Total Medicare payments at DRG $2,493,587,688
Total Medicare payments with ICD J188 - Other pneumonia, unspecified organism $27,367,488
Total Medicare payment per Day at DRG $1,529
Total Medicare payment per Day with ICD J188 - Other pneumonia, unspecified organism $1,655
Total Medicare payment per Hospitalization at DRG $5,969
Total Medicare payment per Hospitalization with ICD J188 - Other pneumonia, unspecified organism $6,864
Total Medicare Charges at DRG $11,318,800,289
Total Medicare Charges with ICD J188 - Other pneumonia, unspecified organism $100,387,421
Avg Charges at DRG $27,094
Avg Charges with ICD J188 - Other pneumonia, unspecified organism $25,179
Mortality Rate at DRG 0.87
Mortality Rate with ICD J188 - Other pneumonia, unspecified organism 1.53
SNF Discharge Rate at DRG 17.03
SNF Discharge Rate with ICD J188 - Other pneumonia, unspecified organism 14.47
Home Discharge Rate at DRG 53.31
Home Discharge Rate with ICD J188 - Other pneumonia, unspecified organism 52.97

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 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS 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 164: MAJOR CHEST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)
Total Hospitalizations at DRG 181,637
Total Hospitalizations with ICD J188 - Other pneumonia, unspecified organism 106
DRG Share of Total Hospitalizations 0.55
% of Total ICD J188 - Other pneumonia, unspecified organism in DRG 1.13
Avg LOS at DRG 7.0
Avg LOS with ICD J188 - Other pneumonia, unspecified organism 7.65
Readmission Rate at DRG 32.53
Readmission Rate with ICD J188 - Other pneumonia, unspecified organism 36.73
Unplanned Readmission Rate at DRG 19.84
Unplanned Readmission Rate with ICD J188 - Other pneumonia, unspecified organism NA
Total Medicare payments at DRG $2,845,609,163
Total Medicare payments with ICD J188 - Other pneumonia, unspecified organism $1,777,423
Total Medicare payment per Day at DRG $2,237
Total Medicare payment per Day with ICD J188 - Other pneumonia, unspecified organism $2,192
Total Medicare payment per Hospitalization at DRG $15,666
Total Medicare payment per Hospitalization with ICD J188 - Other pneumonia, unspecified organism $16,768
Total Medicare Charges at DRG $14,794,146,746
Total Medicare Charges with ICD J188 - Other pneumonia, unspecified organism $8,324,266
Avg Charges at DRG $81,449
Avg Charges with ICD J188 - Other pneumonia, unspecified organism $78,531
Mortality Rate at DRG 25.14
Mortality Rate with ICD J188 - Other pneumonia, unspecified organism 39.62
SNF Discharge Rate at DRG 19.06
SNF Discharge Rate with ICD J188 - Other pneumonia, unspecified organism 15.09
Home Discharge Rate at DRG 20.69
Home Discharge Rate with ICD J188 - Other pneumonia, unspecified organism NA

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 168: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 974: HIV WITH MAJOR RELATED CONDITION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) DRG 987: NON-EXTENSIVE O.R. PROC 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 10,403
Total Hospitalizations with ICD J188 - Other pneumonia, unspecified organism 17
DRG Share of Total Hospitalizations 0.03
% of Total ICD J188 - Other pneumonia, unspecified organism in DRG 0.18
Avg LOS at DRG 3.0
Avg LOS with ICD J188 - Other pneumonia, unspecified organism 4.59
Readmission Rate at DRG 11.25
Readmission Rate with ICD J188 - Other pneumonia, unspecified organism NA
Unplanned Readmission Rate at DRG 6.64
Unplanned Readmission Rate with ICD J188 - Other pneumonia, unspecified organism NA
Total Medicare payments at DRG $81,324,379
Total Medicare payments with ICD J188 - Other pneumonia, unspecified organism $142,672
Total Medicare payment per Day at DRG $2,602
Total Medicare payment per Day with ICD J188 - Other pneumonia, unspecified organism $1,829
Total Medicare payment per Hospitalization at DRG $7,817
Total Medicare payment per Hospitalization with ICD J188 - Other pneumonia, unspecified organism $8,392
Total Medicare Charges at DRG $497,200,815
Total Medicare Charges with ICD J188 - Other pneumonia, unspecified organism $546,782
Avg Charges at DRG $47,794
Avg Charges with ICD J188 - Other pneumonia, unspecified organism $32,164
Mortality Rate at DRG NA
Mortality Rate with ICD J188 - Other pneumonia, unspecified organism NA
SNF Discharge Rate at DRG 3.03
SNF Discharge Rate with ICD J188 - Other pneumonia, unspecified organism NA
Home Discharge Rate at DRG 80.29
Home Discharge Rate with ICD J188 - Other pneumonia, unspecified organism NA

Top Hospitals Associated With J188 - Other pneumonia, unspecified organism - as a primary diagnosis code

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Hospital Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
DAVIS MEDICAL CENTER 812 GORMAN AVE ELKINS WV 26241 115
GUTHRIE ROBERT PACKER HOSPITAL 1 GUTHRIE SQ SAYRE PA 18840 113
PANA COMMUNITY HOSPITAL 101 E 9TH ST PANA IL 62557 112

Top Operating Physicians Associated With J188 - Other pneumonia, unspecified organism - as a primary diagnosis code

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Physician Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
Dr. CLIFTON WALES SALMON 104 MORRIS CIR HOMER LA 71040 21
Dr. DONALD SCOTT HAYNES 912 W MAIN ST HOMER LA 71040 14

Top Attending Physicians Associated With J188 - Other pneumonia, unspecified organism - as a primary diagnosis code

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Physician Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
Dr. DEMOSTHENES ASUNCION 15 SENECA TRL PANA IL 62557 74
Dr. JEFFREY DEAN VOREIS 41 CAMBRIDGE CT WETUMPKA AL 36093 51
Dr. PAUL DAVID KAUFFMAN 679 N MAIN ST SALEM AR 72576 48

Top DRGs Associated With J188 - Other pneumonia, unspecified organism - 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 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 180: RESPIRATORY NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 1,808,415
Total Hospitalizations with ICD J188 - Other pneumonia, unspecified organism 5,274
DRG Share of Total Hospitalizations 5.5
% of Total ICD J188 - Other pneumonia, unspecified organism in DRG 16.78
Avg LOS at DRG 6.34
Avg LOS with ICD J188 - Other pneumonia, unspecified organism 6.09
Readmission Rate at DRG 24.2
Readmission Rate with ICD J188 - Other pneumonia, unspecified organism 21.84
Unplanned Readmission Rate at DRG 16.78
Unplanned Readmission Rate with ICD J188 - Other pneumonia, unspecified organism 15.02
Total Medicare payments at DRG $21,288,214,047
Total Medicare payments with ICD J188 - Other pneumonia, unspecified organism $64,451,977
Total Medicare payment per Day at DRG $1,857
Total Medicare payment per Day with ICD J188 - Other pneumonia, unspecified organism $2,006
Total Medicare payment per Hospitalization at DRG $11,772
Total Medicare payment per Hospitalization with ICD J188 - Other pneumonia, unspecified organism $12,221
Total Medicare Charges at DRG $107,155,481,388
Total Medicare Charges with ICD J188 - Other pneumonia, unspecified organism $299,412,086
Avg Charges at DRG $59,254
Avg Charges with ICD J188 - Other pneumonia, unspecified organism $56,771
Mortality Rate at DRG 12.11
Mortality Rate with ICD J188 - Other pneumonia, unspecified organism 12.78
SNF Discharge Rate at DRG 27.18
SNF Discharge Rate with ICD J188 - Other pneumonia, unspecified organism 19.91
Home Discharge Rate at DRG 25.81
Home Discharge Rate with ICD J188 - Other pneumonia, unspecified organism 33.41

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 195: SIMPLE PNEUMONIA AND PLEURISY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES 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 J188 - Other pneumonia, unspecified organism 1,603
DRG Share of Total Hospitalizations 0.45
% of Total ICD J188 - Other pneumonia, unspecified organism in DRG 5.1
Avg LOS at DRG 3.12
Avg LOS with ICD J188 - Other pneumonia, unspecified organism 3.48
Readmission Rate at DRG 11.06
Readmission Rate with ICD J188 - Other pneumonia, unspecified organism 9.87
Unplanned Readmission Rate at DRG 7.05
Unplanned Readmission Rate with ICD J188 - Other pneumonia, unspecified organism 5.31
Total Medicare payments at DRG $662,922,575
Total Medicare payments with ICD J188 - Other pneumonia, unspecified organism $8,740,546
Total Medicare payment per Day at DRG $1,445
Total Medicare payment per Day with ICD J188 - Other pneumonia, unspecified organism $1,565
Total Medicare payment per Hospitalization at DRG $4,509
Total Medicare payment per Hospitalization with ICD J188 - Other pneumonia, unspecified organism $5,453
Total Medicare Charges at DRG $2,893,146,238
Total Medicare Charges with ICD J188 - Other pneumonia, unspecified organism $27,241,337
Avg Charges at DRG $19,679
Avg Charges with ICD J188 - Other pneumonia, unspecified organism $16,994
Mortality Rate at DRG 0.67
Mortality Rate with ICD J188 - Other pneumonia, unspecified organism 0.94
SNF Discharge Rate at DRG 13.03
SNF Discharge Rate with ICD J188 - Other pneumonia, unspecified organism 13.1
Home Discharge Rate at DRG 62.41
Home Discharge Rate with ICD J188 - Other pneumonia, unspecified organism 62.07

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 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 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) DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 269,064
Total Hospitalizations with ICD J188 - Other pneumonia, unspecified organism 532
DRG Share of Total Hospitalizations 0.82
% of Total ICD J188 - Other pneumonia, unspecified organism in DRG 1.69
Avg LOS at DRG 13.18
Avg LOS with ICD J188 - Other pneumonia, unspecified organism 13.28
Readmission Rate at DRG 37.51
Readmission Rate with ICD J188 - Other pneumonia, unspecified organism 29.52
Unplanned Readmission Rate at DRG 18.15
Unplanned Readmission Rate with ICD J188 - Other pneumonia, unspecified organism 16.28
Total Medicare payments at DRG $9,344,186,034
Total Medicare payments with ICD J188 - Other pneumonia, unspecified organism $19,630,765
Total Medicare payment per Day at DRG $2,635
Total Medicare payment per Day with ICD J188 - Other pneumonia, unspecified organism $2,779
Total Medicare payment per Hospitalization at DRG $34,728
Total Medicare payment per Hospitalization with ICD J188 - Other pneumonia, unspecified organism $36,900
Total Medicare Charges at DRG $44,371,117,432
Total Medicare Charges with ICD J188 - Other pneumonia, unspecified organism $90,832,104
Avg Charges at DRG $164,909
Avg Charges with ICD J188 - Other pneumonia, unspecified organism $170,737
Mortality Rate at DRG 14.37
Mortality Rate with ICD J188 - Other pneumonia, unspecified organism 21.24
SNF Discharge Rate at DRG 31.8
SNF Discharge Rate with ICD J188 - Other pneumonia, unspecified organism 24.06
Home Discharge Rate at DRG 14.61
Home Discharge Rate with ICD J188 - Other pneumonia, unspecified organism 21.24

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 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 175: PULMONARY EMBOLISM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 99,217
Total Hospitalizations with ICD J188 - Other pneumonia, unspecified organism 281
DRG Share of Total Hospitalizations 0.3
% of Total ICD J188 - Other pneumonia, unspecified organism in DRG 0.89
Avg LOS at DRG 14.88
Avg LOS with ICD J188 - Other pneumonia, unspecified organism 14.76
Readmission Rate at DRG 41.65
Readmission Rate with ICD J188 - Other pneumonia, unspecified organism 39.46
Unplanned Readmission Rate at DRG 18.54
Unplanned Readmission Rate with ICD J188 - Other pneumonia, unspecified organism 17.69
Total Medicare payments at DRG $4,073,197,631
Total Medicare payments with ICD J188 - Other pneumonia, unspecified organism $12,146,187
Total Medicare payment per Day at DRG $2,758
Total Medicare payment per Day with ICD J188 - Other pneumonia, unspecified organism $2,928
Total Medicare payment per Hospitalization at DRG $41,053
Total Medicare payment per Hospitalization with ICD J188 - Other pneumonia, unspecified organism $43,225
Total Medicare Charges at DRG $20,258,140,795
Total Medicare Charges with ICD J188 - Other pneumonia, unspecified organism $57,920,657
Avg Charges at DRG $204,180
Avg Charges with ICD J188 - Other pneumonia, unspecified organism $206,123
Mortality Rate at DRG 35.07
Mortality Rate with ICD J188 - Other pneumonia, unspecified organism 43.77
SNF Discharge Rate at DRG 25.76
SNF Discharge Rate with ICD J188 - Other pneumonia, unspecified organism 23.49
Home Discharge Rate at DRG 4.34
Home Discharge Rate with ICD J188 - Other pneumonia, unspecified organism 6.76

Top Hospitals Associated With J188 - Other pneumonia, unspecified organism - 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 )
DAVIS MEDICAL CENTER 812 GORMAN AVE ELKINS WV 26241 303
GUTHRIE ROBERT PACKER HOSPITAL 1 GUTHRIE SQ SAYRE PA 18840 298
COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA 23625 WR HOLMAN HWY MONTEREY CA 93940 225

Top Operating Physicians Associated With J188 - Other pneumonia, unspecified organism - 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. CLIFTON WALES SALMON 104 MORRIS CIR HOMER LA 71040 27
Dr. GREGORY GOIKHBERG 2601 OCEAN PKWY BROOKLYN NY 11235 22
Dr. DONALD SCOTT HAYNES 912 W MAIN ST HOMER LA 71040 19

Top Attending Physicians Associated With J188 - Other pneumonia, unspecified organism - 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. DEMOSTHENES ASUNCION 15 SENECA TRL PANA IL 62557 132
Dr. JOEL THOMAS HUMMER 812 GORMAN AVE ELKINS WV 26241 74
Dr. JEFFREY DEAN VOREIS 41 CAMBRIDGE CT WETUMPKA AL 36093 59