*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| J189 - Pneumonia, unspecified organism - as a primary diagnosis code | J189 - Pneumonia, unspecified organism - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.81 | |
| Readmission Rate (%) | 24.37 | |
| Unplanned Readmission Rate (%) | 13.56 | |
| 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 J189 - Pneumonia, unspecified organism | 320,384 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD J189 - Pneumonia, unspecified organism in DRG | 41.59 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD J189 - Pneumonia, unspecified organism | 5.26 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD J189 - Pneumonia, unspecified organism | 22.67 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD J189 - Pneumonia, unspecified organism | 16.73 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD J189 - Pneumonia, unspecified organism | $2,751,972,704 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD J189 - Pneumonia, unspecified organism | $1,635 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD J189 - Pneumonia, unspecified organism | $8,590 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD J189 - Pneumonia, unspecified organism | $13,130,917,514 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD J189 - Pneumonia, unspecified organism | $40,985 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD J189 - Pneumonia, unspecified organism | 3.89 | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD J189 - Pneumonia, unspecified organism | 22.84 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD J189 - Pneumonia, unspecified organism | 39.66 |
*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 J189 - Pneumonia, unspecified organism | 4,000 | ||||
| DRG Share of Total Hospitalizations | 0.11 | ||||
| % of Total ICD J189 - Pneumonia, unspecified organism in DRG | 0.52 | ||||
| Avg LOS at DRG | 5.73 | ||||
| Avg LOS with ICD J189 - Pneumonia, unspecified organism | 6.3 | ||||
| Readmission Rate at DRG | 21.72 | ||||
| Readmission Rate with ICD J189 - Pneumonia, unspecified organism | 20.01 | ||||
| Unplanned Readmission Rate at DRG | 14.08 | ||||
| Unplanned Readmission Rate with ICD J189 - Pneumonia, unspecified organism | 12.38 | ||||
| Total Medicare payments at DRG | $448,734,039 | ||||
| Total Medicare payments with ICD J189 - Pneumonia, unspecified organism | $47,057,134 | ||||
| Total Medicare payment per Day at DRG | $2,137 | ||||
| Total Medicare payment per Day with ICD J189 - Pneumonia, unspecified organism | $1,867 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,248 | ||||
| Total Medicare payment per Hospitalization with ICD J189 - Pneumonia, unspecified organism | $11,764 | ||||
| Total Medicare Charges at DRG | $2,388,208,589 | ||||
| Total Medicare Charges with ICD J189 - Pneumonia, unspecified organism | $241,568,132 | ||||
| Avg Charges at DRG | $65,187 | ||||
| Avg Charges with ICD J189 - Pneumonia, unspecified organism | $60,392 | ||||
| Mortality Rate at DRG | 0.77 | ||||
| Mortality Rate with ICD J189 - Pneumonia, unspecified organism | 0.57 | ||||
| SNF Discharge Rate at DRG | 10.73 | ||||
| SNF Discharge Rate with ICD J189 - Pneumonia, unspecified organism | 10.53 | ||||
| Home Discharge Rate at DRG | 59.85 | ||||
| Home Discharge Rate with ICD J189 - Pneumonia, unspecified organism | 65.15 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 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 988: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | 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 J189 - Pneumonia, unspecified organism | 1,049 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD J189 - Pneumonia, unspecified organism in DRG | 0.14 | ||||
| Avg LOS at DRG | 5.69 | ||||
| Avg LOS with ICD J189 - Pneumonia, unspecified organism | 4.07 | ||||
| Readmission Rate at DRG | 24.62 | ||||
| Readmission Rate with ICD J189 - Pneumonia, unspecified organism | 24.56 | ||||
| Unplanned Readmission Rate at DRG | 18.39 | ||||
| Unplanned Readmission Rate with ICD J189 - Pneumonia, unspecified organism | 18.67 | ||||
| Total Medicare payments at DRG | $84,258,426 | ||||
| Total Medicare payments with ICD J189 - Pneumonia, unspecified organism | $10,306,187 | ||||
| Total Medicare payment per Day at DRG | $1,812 | ||||
| Total Medicare payment per Day with ICD J189 - Pneumonia, unspecified organism | $2,411 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,309 | ||||
| Total Medicare payment per Hospitalization with ICD J189 - Pneumonia, unspecified organism | $9,825 | ||||
| Total Medicare Charges at DRG | $389,028,447 | ||||
| Total Medicare Charges with ICD J189 - Pneumonia, unspecified organism | $37,881,704 | ||||
| Avg Charges at DRG | $47,599 | ||||
| Avg Charges with ICD J189 - Pneumonia, unspecified organism | $36,112 | ||||
| Mortality Rate at DRG | 0.71 | ||||
| Mortality Rate with ICD J189 - Pneumonia, unspecified organism | NA | ||||
| SNF Discharge Rate at DRG | 11.31 | ||||
| SNF Discharge Rate with ICD J189 - Pneumonia, unspecified organism | 7.82 | ||||
| Home Discharge Rate at DRG | 62.14 | ||||
| Home Discharge Rate with ICD J189 - Pneumonia, unspecified organism | 68.45 |
*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 164: MAJOR CHEST PROCEDURES 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 | DRG 983: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 45,478 | ||||
| Total Hospitalizations with ICD J189 - Pneumonia, unspecified organism | 501 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD J189 - Pneumonia, unspecified organism in DRG | 0.07 | ||||
| Avg LOS at DRG | 25.29 | ||||
| Avg LOS with ICD J189 - Pneumonia, unspecified organism | 24.97 | ||||
| Readmission Rate at DRG | 74.5 | ||||
| Readmission Rate with ICD J189 - Pneumonia, unspecified organism | 82.43 | ||||
| Unplanned Readmission Rate at DRG | 8.79 | ||||
| Unplanned Readmission Rate with ICD J189 - Pneumonia, unspecified organism | 9.3 | ||||
| Total Medicare payments at DRG | $3,386,848,549 | ||||
| Total Medicare payments with ICD J189 - Pneumonia, unspecified organism | $37,047,142 | ||||
| Total Medicare payment per Day at DRG | $2,945 | ||||
| Total Medicare payment per Day with ICD J189 - Pneumonia, unspecified organism | $2,962 | ||||
| Total Medicare payment per Hospitalization at DRG | $74,472 | ||||
| Total Medicare payment per Hospitalization with ICD J189 - Pneumonia, unspecified organism | $73,946 | ||||
| Total Medicare Charges at DRG | $15,882,518,852 | ||||
| Total Medicare Charges with ICD J189 - Pneumonia, unspecified organism | $177,807,074 | ||||
| Avg Charges at DRG | $349,235 | ||||
| Avg Charges with ICD J189 - Pneumonia, unspecified organism | $354,904 | ||||
| Mortality Rate at DRG | 13.7 | ||||
| Mortality Rate with ICD J189 - Pneumonia, unspecified organism | 16.57 | ||||
| SNF Discharge Rate at DRG | 17.77 | ||||
| SNF Discharge Rate with ICD J189 - Pneumonia, unspecified organism | 13.77 | ||||
| Home Discharge Rate at DRG | 1.95 | ||||
| Home Discharge Rate with ICD J189 - Pneumonia, unspecified organism | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 1,902 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 1,885 |
| METHODIST HOSPITAL | 7700 FLOYD CURL DRIVE | SAN ANTONIO | TX | 78229 | 1,388 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MALLAPPA NEELAPPA | 2275 S ELKS LANE | YUMA | AZ | 85364 | 146 |
| Dr. DAVID G CHASE | 100 HOSPITAL ST | BOONEVILLE | MS | 38829 | 120 |
| Dr. BRODIE WAYNE MCALPIN | 209 N HARPER RD | CORINTH | MS | 38834 | 115 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. VENKATAPURAM RAMESH REDDY | 42320 HIGHWAY 195 | HALEYVILLE | AL | 35565 | 477 |
| Dr. DINESH VERMA | 130 INDEPENDENCE CIR | CHICO | CA | 95973 | 231 |
| Dr. JOSEPH L PRATT | 121 PRATT DR | CORINTH | MS | 38834 | 225 |
*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 J189 - Pneumonia, unspecified organism | 635,453 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD J189 - Pneumonia, unspecified organism in DRG | 22.25 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD J189 - Pneumonia, unspecified organism | 5.82 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD J189 - Pneumonia, unspecified organism | 22.51 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD J189 - Pneumonia, unspecified organism | 15.84 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD J189 - Pneumonia, unspecified organism | $7,281,410,738 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD J189 - Pneumonia, unspecified organism | $1,969 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD J189 - Pneumonia, unspecified organism | $11,459 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD J189 - Pneumonia, unspecified organism | $35,017,181,694 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD J189 - Pneumonia, unspecified organism | $55,106 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD J189 - Pneumonia, unspecified organism | 11.92 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD J189 - Pneumonia, unspecified organism | 23.87 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD J189 - Pneumonia, unspecified organism | 30.75 |
*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 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 | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 147,017 | ||||
| Total Hospitalizations with ICD J189 - Pneumonia, unspecified organism | 110,386 | ||||
| DRG Share of Total Hospitalizations | 0.45 | ||||
| % of Total ICD J189 - Pneumonia, unspecified organism in DRG | 3.86 | ||||
| Avg LOS at DRG | 3.12 | ||||
| Avg LOS with ICD J189 - Pneumonia, unspecified organism | 3.13 | ||||
| Readmission Rate at DRG | 11.06 | ||||
| Readmission Rate with ICD J189 - Pneumonia, unspecified organism | 11.7 | ||||
| Unplanned Readmission Rate at DRG | 7.05 | ||||
| Unplanned Readmission Rate with ICD J189 - Pneumonia, unspecified organism | 7.47 | ||||
| Total Medicare payments at DRG | $662,922,575 | ||||
| Total Medicare payments with ICD J189 - Pneumonia, unspecified organism | $498,989,506 | ||||
| Total Medicare payment per Day at DRG | $1,445 | ||||
| Total Medicare payment per Day with ICD J189 - Pneumonia, unspecified organism | $1,446 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,509 | ||||
| Total Medicare payment per Hospitalization with ICD J189 - Pneumonia, unspecified organism | $4,520 | ||||
| Total Medicare Charges at DRG | $2,893,146,238 | ||||
| Total Medicare Charges with ICD J189 - Pneumonia, unspecified organism | $2,171,437,306 | ||||
| Avg Charges at DRG | $19,679 | ||||
| Avg Charges with ICD J189 - Pneumonia, unspecified organism | $19,671 | ||||
| Mortality Rate at DRG | 0.67 | ||||
| Mortality Rate with ICD J189 - Pneumonia, unspecified organism | 0.77 | ||||
| SNF Discharge Rate at DRG | 13.03 | ||||
| SNF Discharge Rate with ICD J189 - Pneumonia, unspecified organism | 13.06 | ||||
| Home Discharge Rate at DRG | 62.41 | ||||
| Home Discharge Rate with ICD J189 - Pneumonia, unspecified organism | 61.72 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD J189 - Pneumonia, unspecified organism | 39,811 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD J189 - Pneumonia, unspecified organism in DRG | 1.39 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD J189 - Pneumonia, unspecified organism | 7.08 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD J189 - Pneumonia, unspecified organism | 27.0 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD J189 - Pneumonia, unspecified organism | 18.96 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD J189 - Pneumonia, unspecified organism | $408,230,513 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD J189 - Pneumonia, unspecified organism | $1,448 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD J189 - Pneumonia, unspecified organism | $10,254 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD J189 - Pneumonia, unspecified organism | $2,263,528,151 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD J189 - Pneumonia, unspecified organism | $56,857 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD J189 - Pneumonia, unspecified organism | 7.48 | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD J189 - Pneumonia, unspecified organism | 29.08 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD J189 - Pneumonia, unspecified organism | 28.1 |
*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 180: RESPIRATORY NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 175: PULMONARY EMBOLISM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 99,136 | ||||
| Total Hospitalizations with ICD J189 - Pneumonia, unspecified organism | 23,858 | ||||
| DRG Share of Total Hospitalizations | 0.3 | ||||
| % of Total ICD J189 - Pneumonia, unspecified organism in DRG | 0.84 | ||||
| Avg LOS at DRG | 22.0 | ||||
| Avg LOS with ICD J189 - Pneumonia, unspecified organism | 19.8 | ||||
| Readmission Rate at DRG | 40.67 | ||||
| Readmission Rate with ICD J189 - Pneumonia, unspecified organism | 41.19 | ||||
| Unplanned Readmission Rate at DRG | 20.54 | ||||
| Unplanned Readmission Rate with ICD J189 - Pneumonia, unspecified organism | 19.67 | ||||
| Total Medicare payments at DRG | $4,616,563,352 | ||||
| Total Medicare payments with ICD J189 - Pneumonia, unspecified organism | $1,027,867,558 | ||||
| Total Medicare payment per Day at DRG | $2,116 | ||||
| Total Medicare payment per Day with ICD J189 - Pneumonia, unspecified organism | $2,176 | ||||
| Total Medicare payment per Hospitalization at DRG | $46,568 | ||||
| Total Medicare payment per Hospitalization with ICD J189 - Pneumonia, unspecified organism | $43,083 | ||||
| Total Medicare Charges at DRG | $21,375,486,291 | ||||
| Total Medicare Charges with ICD J189 - Pneumonia, unspecified organism | $4,967,710,193 | ||||
| Avg Charges at DRG | $215,618 | ||||
| Avg Charges with ICD J189 - Pneumonia, unspecified organism | $208,220 | ||||
| Mortality Rate at DRG | 28.16 | ||||
| Mortality Rate with ICD J189 - Pneumonia, unspecified organism | 31.61 | ||||
| SNF Discharge Rate at DRG | 30.65 | ||||
| SNF Discharge Rate with ICD J189 - Pneumonia, unspecified organism | 28.0 | ||||
| Home Discharge Rate at DRG | 5.17 | ||||
| Home Discharge Rate with ICD J189 - Pneumonia, unspecified organism | 5.32 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 8,165 |
| METHODIST HOSPITAL | 7700 FLOYD CURL DRIVE | SAN ANTONIO | TX | 78229 | 5,506 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 4,815 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MALLAPPA NEELAPPA | 2275 S ELKS LANE | YUMA | AZ | 85364 | 487 |
| Dr. EDITH NEBUWA ANIEDOBE | 1500 FOREST GLEN RD | SILVER SPRING | MD | 20910 | 308 |
| Dr. DAVID G CHASE | 100 HOSPITAL ST | BOONEVILLE | MS | 38829 | 278 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 1,179 |
| Dr. FAISAL WASI | 905 NW 5TH ST | STIGLER | OK | 74462 | 919 |
| Dr. VENKATAPURAM RAMESH REDDY | 42320 HIGHWAY 195 | HALEYVILLE | AL | 35565 | 803 |