*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
J22 - Unspecified acute lower respiratory infection - as a primary diagnosis code | J22 - Unspecified acute lower respiratory infection - as a primary or secondary diagnosis code | |
---|---|---|
OUTCOMES | ||
Avg. LOS | 6.35 | |
Readmission Rate (%) | 21.8 | |
Unplanned Readmission Rate (%) | 9.12 | |
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 206: OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 205: OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|---|
Total Hospitalizations at DRG | 35,500 | ||
Total Hospitalizations with ICD J22 - Unspecified acute lower respiratory infection | 901 | ||
DRG Share of Total Hospitalizations | 0.11 | ||
% of Total ICD J22 - Unspecified acute lower respiratory infection in DRG | 78.48 | ||
Avg LOS at DRG | 2.98 | ||
Avg LOS with ICD J22 - Unspecified acute lower respiratory infection | 3.27 | ||
Readmission Rate at DRG | 18.12 | ||
Readmission Rate with ICD J22 - Unspecified acute lower respiratory infection | 11.32 | ||
Unplanned Readmission Rate at DRG | 12.31 | ||
Unplanned Readmission Rate with ICD J22 - Unspecified acute lower respiratory infection | 7.27 | ||
Total Medicare payments at DRG | $186,659,137 | ||
Total Medicare payments with ICD J22 - Unspecified acute lower respiratory infection | $4,921,127 | ||
Total Medicare payment per Day at DRG | $1,763 | ||
Total Medicare payment per Day with ICD J22 - Unspecified acute lower respiratory infection | $1,673 | ||
Total Medicare payment per Hospitalization at DRG | $5,258 | ||
Total Medicare payment per Hospitalization with ICD J22 - Unspecified acute lower respiratory infection | $5,462 | ||
Total Medicare Charges at DRG | $1,018,696,754 | ||
Total Medicare Charges with ICD J22 - Unspecified acute lower respiratory infection | $17,418,310 | ||
Avg Charges at DRG | $28,696 | ||
Avg Charges with ICD J22 - Unspecified acute lower respiratory infection | $19,332 | ||
Mortality Rate at DRG | 0.69 | ||
Mortality Rate with ICD J22 - Unspecified acute lower respiratory infection | NA | ||
SNF Discharge Rate at DRG | 17.76 | ||
SNF Discharge Rate with ICD J22 - Unspecified acute lower respiratory infection | 13.87 | ||
Home Discharge Rate at DRG | 54.9 | ||
Home Discharge Rate with ICD J22 - Unspecified acute lower respiratory infection | 59.49 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
GUTHRIE COUNTY HOSPITAL | 710 N 12TH ST | GUTHRIE CENTER | IA | 50115 | 58 |
HARLAN ARH HOSPITAL | 81 BALL PARK RD | HARLAN | KY | 40831 | 30 |
PERRY COMMUNITY HOSPITAL | 805 SQUIRREL HOLLOW DR | LINDEN | TN | 37096 | 23 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. STEVEN R BASCOM | 502 MAIN ST | GUTHRIE CENTER | IA | 50115 | 36 |
Dr. ABDULKADER DAHHAN | 120 PROFESSIONAL LN | HARLAN | KY | 40831 | 27 |
Dr. DAVID R AHRENS | 502 MAIN | GUTHRIE CENTER | IA | 50115 | 17 |
*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 206: OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 535,322 | ||||
Total Hospitalizations with ICD J22 - Unspecified acute lower respiratory infection | 1,073 | ||||
DRG Share of Total Hospitalizations | 1.63 | ||||
% of Total ICD J22 - Unspecified acute lower respiratory infection in DRG | 9.63 | ||||
Avg LOS at DRG | 4.68 | ||||
Avg LOS with ICD J22 - Unspecified acute lower respiratory infection | 5.04 | ||||
Readmission Rate at DRG | 23.65 | ||||
Readmission Rate with ICD J22 - Unspecified acute lower respiratory infection | 21.74 | ||||
Unplanned Readmission Rate at DRG | 18.66 | ||||
Unplanned Readmission Rate with ICD J22 - Unspecified acute lower respiratory infection | 16.55 | ||||
Total Medicare payments at DRG | $3,844,806,408 | ||||
Total Medicare payments with ICD J22 - Unspecified acute lower respiratory infection | $7,719,855 | ||||
Total Medicare payment per Day at DRG | $1,536 | ||||
Total Medicare payment per Day with ICD J22 - Unspecified acute lower respiratory infection | $1,428 | ||||
Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
Total Medicare payment per Hospitalization with ICD J22 - Unspecified acute lower respiratory infection | $7,195 | ||||
Total Medicare Charges at DRG | $19,258,468,078 | ||||
Total Medicare Charges with ICD J22 - Unspecified acute lower respiratory infection | $41,433,340 | ||||
Avg Charges at DRG | $35,975 | ||||
Avg Charges with ICD J22 - Unspecified acute lower respiratory infection | $38,614 | ||||
Mortality Rate at DRG | 1.27 | ||||
Mortality Rate with ICD J22 - Unspecified acute lower respiratory infection | 1.58 | ||||
SNF Discharge Rate at DRG | 14.61 | ||||
SNF Discharge Rate with ICD J22 - Unspecified acute lower respiratory infection | 13.79 | ||||
Home Discharge Rate at DRG | 52.12 | ||||
Home Discharge Rate with ICD J22 - Unspecified acute lower respiratory infection | 55.08 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
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 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 1,013,774 | ||||
Total Hospitalizations with ICD J22 - Unspecified acute lower respiratory infection | 485 | ||||
DRG Share of Total Hospitalizations | 3.08 | ||||
% of Total ICD J22 - Unspecified acute lower respiratory infection in DRG | 4.35 | ||||
Avg LOS at DRG | 5.34 | ||||
Avg LOS with ICD J22 - Unspecified acute lower respiratory infection | 5.42 | ||||
Readmission Rate at DRG | 28.25 | ||||
Readmission Rate with ICD J22 - Unspecified acute lower respiratory infection | 26.81 | ||||
Unplanned Readmission Rate at DRG | 21.93 | ||||
Unplanned Readmission Rate with ICD J22 - Unspecified acute lower respiratory infection | 21.32 | ||||
Total Medicare payments at DRG | $9,469,067,156 | ||||
Total Medicare payments with ICD J22 - Unspecified acute lower respiratory infection | $4,420,242 | ||||
Total Medicare payment per Day at DRG | $1,751 | ||||
Total Medicare payment per Day with ICD J22 - Unspecified acute lower respiratory infection | $1,683 | ||||
Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
Total Medicare payment per Hospitalization with ICD J22 - Unspecified acute lower respiratory infection | $9,114 | ||||
Total Medicare Charges at DRG | $43,343,716,813 | ||||
Total Medicare Charges with ICD J22 - Unspecified acute lower respiratory infection | $21,740,910 | ||||
Avg Charges at DRG | $42,755 | ||||
Avg Charges with ICD J22 - Unspecified acute lower respiratory infection | $44,827 | ||||
Mortality Rate at DRG | 3.72 | ||||
Mortality Rate with ICD J22 - Unspecified acute lower respiratory infection | NA | ||||
SNF Discharge Rate at DRG | 20.84 | ||||
SNF Discharge Rate with ICD J22 - Unspecified acute lower respiratory infection | 24.74 | ||||
Home Discharge Rate at DRG | 37.68 | ||||
Home Discharge Rate with ICD J22 - Unspecified acute lower respiratory infection | 35.46 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 205: OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 885: PSYCHOSES | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 25,762 | ||||
Total Hospitalizations with ICD J22 - Unspecified acute lower respiratory infection | 236 | ||||
DRG Share of Total Hospitalizations | 0.08 | ||||
% of Total ICD J22 - Unspecified acute lower respiratory infection in DRG | 2.12 | ||||
Avg LOS at DRG | 5.4 | ||||
Avg LOS with ICD J22 - Unspecified acute lower respiratory infection | 5.15 | ||||
Readmission Rate at DRG | 26.53 | ||||
Readmission Rate with ICD J22 - Unspecified acute lower respiratory infection | 20.81 | ||||
Unplanned Readmission Rate at DRG | 17.68 | ||||
Unplanned Readmission Rate with ICD J22 - Unspecified acute lower respiratory infection | 14.93 | ||||
Total Medicare payments at DRG | $258,625,689 | ||||
Total Medicare payments with ICD J22 - Unspecified acute lower respiratory infection | $2,131,744 | ||||
Total Medicare payment per Day at DRG | $1,859 | ||||
Total Medicare payment per Day with ICD J22 - Unspecified acute lower respiratory infection | $1,755 | ||||
Total Medicare payment per Hospitalization at DRG | $10,039 | ||||
Total Medicare payment per Hospitalization with ICD J22 - Unspecified acute lower respiratory infection | $9,033 | ||||
Total Medicare Charges at DRG | $1,285,891,031 | ||||
Total Medicare Charges with ICD J22 - Unspecified acute lower respiratory infection | $9,316,627 | ||||
Avg Charges at DRG | $49,914 | ||||
Avg Charges with ICD J22 - Unspecified acute lower respiratory infection | $39,477 | ||||
Mortality Rate at DRG | 3.49 | ||||
Mortality Rate with ICD J22 - Unspecified acute lower respiratory infection | NA | ||||
SNF Discharge Rate at DRG | 21.29 | ||||
SNF Discharge Rate with ICD J22 - Unspecified acute lower respiratory infection | 20.34 | ||||
Home Discharge Rate at DRG | 40.23 | ||||
Home Discharge Rate with ICD J22 - Unspecified acute lower respiratory infection | 49.58 |
*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 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 195: SIMPLE PNEUMONIA AND PLEURISY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 120,026 | ||||
Total Hospitalizations with ICD J22 - Unspecified acute lower respiratory infection | 167 | ||||
DRG Share of Total Hospitalizations | 0.37 | ||||
% of Total ICD J22 - Unspecified acute lower respiratory infection in DRG | 1.5 | ||||
Avg LOS at DRG | 3.68 | ||||
Avg LOS with ICD J22 - Unspecified acute lower respiratory infection | 4.43 | ||||
Readmission Rate at DRG | 16.52 | ||||
Readmission Rate with ICD J22 - Unspecified acute lower respiratory infection | 13.04 | ||||
Unplanned Readmission Rate at DRG | 13.07 | ||||
Unplanned Readmission Rate with ICD J22 - Unspecified acute lower respiratory infection | 9.32 | ||||
Total Medicare payments at DRG | $659,875,657 | ||||
Total Medicare payments with ICD J22 - Unspecified acute lower respiratory infection | $907,895 | ||||
Total Medicare payment per Day at DRG | $1,493 | ||||
Total Medicare payment per Day with ICD J22 - Unspecified acute lower respiratory infection | $1,227 | ||||
Total Medicare payment per Hospitalization at DRG | $5,498 | ||||
Total Medicare payment per Hospitalization with ICD J22 - Unspecified acute lower respiratory infection | $5,436 | ||||
Total Medicare Charges at DRG | $3,598,009,636 | ||||
Total Medicare Charges with ICD J22 - Unspecified acute lower respiratory infection | $5,523,552 | ||||
Avg Charges at DRG | $29,977 | ||||
Avg Charges with ICD J22 - Unspecified acute lower respiratory infection | $33,075 | ||||
Mortality Rate at DRG | 0.22 | ||||
Mortality Rate with ICD J22 - Unspecified acute lower respiratory infection | NA | ||||
SNF Discharge Rate at DRG | 10.98 | ||||
SNF Discharge Rate with ICD J22 - Unspecified acute lower respiratory infection | 8.98 | ||||
Home Discharge Rate at DRG | 64.98 | ||||
Home Discharge Rate with ICD J22 - Unspecified acute lower respiratory infection | 66.47 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
MEADOWS REGIONAL MEDICAL CENTER | ONE MEADOWS PARKWAY | VIDALIA | GA | 30474 | 165 |
MORRISTOWN MEDICAL CENTER | 100 MADISON AVE | MORRISTOWN | NJ | 07960 | 126 |
MCLAREN BAY REGION | 1900 COLUMBUS AVE | BAY CITY | MI | 48708 | 126 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. JOHN G SOUTHARD | 1 EDMUNDSON PL | COUNCIL BLUFFS | IA | 51503 | 19 |
Dr. SHWE WIN | 2209 GENESEE ST | UTICA | NY | 13501 | 12 |
Dr. LEWIS W NEESE | 415 S 28TH AVE | HATTIESBURG | MS | 39401 | 11 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. ABDULKADER DAHHAN | 120 PROFESSIONAL LN | HARLAN | KY | 40831 | 105 |
Dr. BRICK ACOSTA | 1 MEADOWS PKWY | VIDALIA | GA | 30474 | 49 |
Dr. STEVEN R BASCOM | 502 MAIN ST | GUTHRIE CENTER | IA | 50115 | 48 |