*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| J201 - Acute bronchitis due to Hemophilus influenzae - as a primary diagnosis code | J201 - Acute bronchitis due to Hemophilus influenzae - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.59 | |
| Readmission Rate (%) | 19.53 | |
| Unplanned Readmission Rate (%) | 12.24 | |
| 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 202: BRONCHITIS AND ASTHMA WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 203: BRONCHITIS AND ASTHMA WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 120,026 | |
| Total Hospitalizations with ICD J201 - Acute bronchitis due to Hemophilus influenzae | 125 | |
| DRG Share of Total Hospitalizations | 0.37 | |
| % of Total ICD J201 - Acute bronchitis due to Hemophilus influenzae in DRG | 82.78 | |
| Avg LOS at DRG | 3.68 | |
| Avg LOS with ICD J201 - Acute bronchitis due to Hemophilus influenzae | 4.54 | |
| Readmission Rate at DRG | 16.52 | |
| Readmission Rate with ICD J201 - Acute bronchitis due to Hemophilus influenzae | 17.07 | |
| Unplanned Readmission Rate at DRG | 13.07 | |
| Unplanned Readmission Rate with ICD J201 - Acute bronchitis due to Hemophilus influenzae | 13.01 | |
| Total Medicare payments at DRG | $659,875,657 | |
| Total Medicare payments with ICD J201 - Acute bronchitis due to Hemophilus influenzae | $689,075 | |
| Total Medicare payment per Day at DRG | $1,493 | |
| Total Medicare payment per Day with ICD J201 - Acute bronchitis due to Hemophilus influenzae | $1,215 | |
| Total Medicare payment per Hospitalization at DRG | $5,498 | |
| Total Medicare payment per Hospitalization with ICD J201 - Acute bronchitis due to Hemophilus influenzae | $5,513 | |
| Total Medicare Charges at DRG | $3,598,009,636 | |
| Total Medicare Charges with ICD J201 - Acute bronchitis due to Hemophilus influenzae | $4,035,446 | |
| Avg Charges at DRG | $29,977 | |
| Avg Charges with ICD J201 - Acute bronchitis due to Hemophilus influenzae | $32,284 | |
| Mortality Rate at DRG | 0.22 | |
| Mortality Rate with ICD J201 - Acute bronchitis due to Hemophilus influenzae | NA | |
| SNF Discharge Rate at DRG | 10.98 | |
| SNF Discharge Rate with ICD J201 - Acute bronchitis due to Hemophilus influenzae | 12.8 | |
| Home Discharge Rate at DRG | 64.98 | |
| Home Discharge Rate with ICD J201 - Acute bronchitis due to Hemophilus influenzae | 63.2 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 202: BRONCHITIS AND ASTHMA WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD J201 - Acute bronchitis due to Hemophilus influenzae | 227 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD J201 - Acute bronchitis due to Hemophilus influenzae in DRG | 15.42 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD J201 - Acute bronchitis due to Hemophilus influenzae | 5.43 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD J201 - Acute bronchitis due to Hemophilus influenzae | 13.3 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD J201 - Acute bronchitis due to Hemophilus influenzae | 11.93 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD J201 - Acute bronchitis due to Hemophilus influenzae | $1,615,104 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD J201 - Acute bronchitis due to Hemophilus influenzae | $1,311 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD J201 - Acute bronchitis due to Hemophilus influenzae | $7,115 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD J201 - Acute bronchitis due to Hemophilus influenzae | $8,624,624 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD J201 - Acute bronchitis due to Hemophilus influenzae | $37,994 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD J201 - Acute bronchitis due to Hemophilus influenzae | NA | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD J201 - Acute bronchitis due to Hemophilus influenzae | 15.42 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD J201 - Acute bronchitis due to Hemophilus influenzae | 56.83 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 192: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 181,637 | ||||
| Total Hospitalizations with ICD J201 - Acute bronchitis due to Hemophilus influenzae | 69 | ||||
| DRG Share of Total Hospitalizations | 0.55 | ||||
| % of Total ICD J201 - Acute bronchitis due to Hemophilus influenzae in DRG | 4.69 | ||||
| Avg LOS at DRG | 7.0 | ||||
| Avg LOS with ICD J201 - Acute bronchitis due to Hemophilus influenzae | 7.71 | ||||
| Readmission Rate at DRG | 32.53 | ||||
| Readmission Rate with ICD J201 - Acute bronchitis due to Hemophilus influenzae | 26.98 | ||||
| Unplanned Readmission Rate at DRG | 19.84 | ||||
| Unplanned Readmission Rate with ICD J201 - Acute bronchitis due to Hemophilus influenzae | 19.05 | ||||
| Total Medicare payments at DRG | $2,845,609,163 | ||||
| Total Medicare payments with ICD J201 - Acute bronchitis due to Hemophilus influenzae | $962,656 | ||||
| Total Medicare payment per Day at DRG | $2,237 | ||||
| Total Medicare payment per Day with ICD J201 - Acute bronchitis due to Hemophilus influenzae | $1,810 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,666 | ||||
| Total Medicare payment per Hospitalization with ICD J201 - Acute bronchitis due to Hemophilus influenzae | $13,952 | ||||
| Total Medicare Charges at DRG | $14,794,146,746 | ||||
| Total Medicare Charges with ICD J201 - Acute bronchitis due to Hemophilus influenzae | $4,767,514 | ||||
| Avg Charges at DRG | $81,449 | ||||
| Avg Charges with ICD J201 - Acute bronchitis due to Hemophilus influenzae | $69,094 | ||||
| Mortality Rate at DRG | 25.14 | ||||
| Mortality Rate with ICD J201 - Acute bronchitis due to Hemophilus influenzae | NA | ||||
| SNF Discharge Rate at DRG | 19.06 | ||||
| SNF Discharge Rate with ICD J201 - Acute bronchitis due to Hemophilus influenzae | NA | ||||
| Home Discharge Rate at DRG | 20.69 | ||||
| Home Discharge Rate with ICD J201 - Acute bronchitis due to Hemophilus influenzae | 33.33 |
*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 203: BRONCHITIS AND ASTHMA WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD J201 - Acute bronchitis due to Hemophilus influenzae | 27 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD J201 - Acute bronchitis due to Hemophilus influenzae in DRG | 1.83 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD J201 - Acute bronchitis due to Hemophilus influenzae | 4.78 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD J201 - Acute bronchitis due to Hemophilus influenzae | NA | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD J201 - Acute bronchitis due to Hemophilus influenzae | NA | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD J201 - Acute bronchitis due to Hemophilus influenzae | $193,676 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD J201 - Acute bronchitis due to Hemophilus influenzae | $1,501 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD J201 - Acute bronchitis due to Hemophilus influenzae | $7,173 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD J201 - Acute bronchitis due to Hemophilus influenzae | $834,473 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD J201 - Acute bronchitis due to Hemophilus influenzae | $30,906 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD J201 - Acute bronchitis due to Hemophilus influenzae | NA | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD J201 - Acute bronchitis due to Hemophilus influenzae | NA | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD J201 - Acute bronchitis due to Hemophilus influenzae | 59.26 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 250,159 |
| Total Hospitalizations with ICD J201 - Acute bronchitis due to Hemophilus influenzae | 11 |
| DRG Share of Total Hospitalizations | 0.76 |
| % of Total ICD J201 - Acute bronchitis due to Hemophilus influenzae in DRG | 0.75 |
| Avg LOS at DRG | 5.47 |
| Avg LOS with ICD J201 - Acute bronchitis due to Hemophilus influenzae | 6.91 |
| Readmission Rate at DRG | 27.88 |
| Readmission Rate with ICD J201 - Acute bronchitis due to Hemophilus influenzae | NA |
| Unplanned Readmission Rate at DRG | 19.94 |
| Unplanned Readmission Rate with ICD J201 - Acute bronchitis due to Hemophilus influenzae | NA |
| Total Medicare payments at DRG | $2,661,443,545 |
| Total Medicare payments with ICD J201 - Acute bronchitis due to Hemophilus influenzae | $110,066 |
| Total Medicare payment per Day at DRG | $1,946 |
| Total Medicare payment per Day with ICD J201 - Acute bronchitis due to Hemophilus influenzae | $1,448 |
| Total Medicare payment per Hospitalization at DRG | $10,639 |
| Total Medicare payment per Hospitalization with ICD J201 - Acute bronchitis due to Hemophilus influenzae | $10,006 |
| Total Medicare Charges at DRG | $13,270,497,724 |
| Total Medicare Charges with ICD J201 - Acute bronchitis due to Hemophilus influenzae | $791,476 |
| Avg Charges at DRG | $53,048 |
| Avg Charges with ICD J201 - Acute bronchitis due to Hemophilus influenzae | $71,952 |
| Mortality Rate at DRG | NA |
| Mortality Rate with ICD J201 - Acute bronchitis due to Hemophilus influenzae | NA |
| SNF Discharge Rate at DRG | 21.63 |
| SNF Discharge Rate with ICD J201 - Acute bronchitis due to Hemophilus influenzae | NA |
| Home Discharge Rate at DRG | 34.87 |
| Home Discharge Rate with ICD J201 - Acute bronchitis due to Hemophilus influenzae | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MERCY HOSPITAL JEFFERSON | 1400 HIGHWAY 61 | FESTUS | MO | 63028 | 26 |
| MUNSON MEDICAL CENTER | 1105 6TH ST | TRAVERSE CITY | MI | 49684 | 26 |
| ROCHESTER GENERAL HOSPITAL | 1425 PORTLAND AVE | ROCHESTER | NY | 14621 | 13 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MAHMUD AL FURGANI | 1400 US HIGHWAY 61 | FESTUS | MO | 63028 | 12 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | I10 | Essential (primary) hypertension |