*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
J95851 - Ventilator associated pneumonia - as a primary diagnosis code | J95851 - Ventilator associated pneumonia - as a primary or secondary diagnosis code | |
---|---|---|
OUTCOMES | ||
Avg. LOS | 25.43 | |
Readmission Rate (%) | 52.67 | |
Unplanned Readmission Rate (%) | 28.34 | |
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 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 205: OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 206: OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 99,136 | ||||
Total Hospitalizations with ICD J95851 - Ventilator associated pneumonia | 1,036 | ||||
DRG Share of Total Hospitalizations | 0.3 | ||||
% of Total ICD J95851 - Ventilator associated pneumonia in DRG | 57.84 | ||||
Avg LOS at DRG | 22.0 | ||||
Avg LOS with ICD J95851 - Ventilator associated pneumonia | 12.33 | ||||
Readmission Rate at DRG | 40.67 | ||||
Readmission Rate with ICD J95851 - Ventilator associated pneumonia | 43.04 | ||||
Unplanned Readmission Rate at DRG | 20.54 | ||||
Unplanned Readmission Rate with ICD J95851 - Ventilator associated pneumonia | 29.99 | ||||
Total Medicare payments at DRG | $4,616,563,352 | ||||
Total Medicare payments with ICD J95851 - Ventilator associated pneumonia | $35,155,765 | ||||
Total Medicare payment per Day at DRG | $2,116 | ||||
Total Medicare payment per Day with ICD J95851 - Ventilator associated pneumonia | $2,751 | ||||
Total Medicare payment per Hospitalization at DRG | $46,568 | ||||
Total Medicare payment per Hospitalization with ICD J95851 - Ventilator associated pneumonia | $33,934 | ||||
Total Medicare Charges at DRG | $21,375,486,291 | ||||
Total Medicare Charges with ICD J95851 - Ventilator associated pneumonia | $138,988,060 | ||||
Avg Charges at DRG | $215,618 | ||||
Avg Charges with ICD J95851 - Ventilator associated pneumonia | $134,158 | ||||
Mortality Rate at DRG | 28.16 | ||||
Mortality Rate with ICD J95851 - Ventilator associated pneumonia | 7.92 | ||||
SNF Discharge Rate at DRG | 30.65 | ||||
SNF Discharge Rate with ICD J95851 - Ventilator associated pneumonia | 48.94 | ||||
Home Discharge Rate at DRG | 5.17 | ||||
Home Discharge Rate with ICD J95851 - Ventilator associated pneumonia | 8.01 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
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) | |
---|---|---|
Total Hospitalizations at DRG | 109,018 | |
Total Hospitalizations with ICD J95851 - Ventilator associated pneumonia | 31 | |
DRG Share of Total Hospitalizations | 0.33 | |
% of Total ICD J95851 - Ventilator associated pneumonia in DRG | 1.73 | |
Avg LOS at DRG | 12.66 | |
Avg LOS with ICD J95851 - Ventilator associated pneumonia | 13.74 | |
Readmission Rate at DRG | 35.31 | |
Readmission Rate with ICD J95851 - Ventilator associated pneumonia | 56.0 | |
Unplanned Readmission Rate at DRG | 20.73 | |
Unplanned Readmission Rate with ICD J95851 - Ventilator associated pneumonia | NA | |
Total Medicare payments at DRG | $3,554,922,428 | |
Total Medicare payments with ICD J95851 - Ventilator associated pneumonia | $984,423 | |
Total Medicare payment per Day at DRG | $2,575 | |
Total Medicare payment per Day with ICD J95851 - Ventilator associated pneumonia | $2,311 | |
Total Medicare payment per Hospitalization at DRG | $32,609 | |
Total Medicare payment per Hospitalization with ICD J95851 - Ventilator associated pneumonia | $31,756 | |
Total Medicare Charges at DRG | $15,445,232,132 | |
Total Medicare Charges with ICD J95851 - Ventilator associated pneumonia | $4,921,002 | |
Avg Charges at DRG | $141,676 | |
Avg Charges with ICD J95851 - Ventilator associated pneumonia | $158,742 | |
Mortality Rate at DRG | 8.99 | |
Mortality Rate with ICD J95851 - Ventilator associated pneumonia | NA | |
SNF Discharge Rate at DRG | 27.26 | |
SNF Discharge Rate with ICD J95851 - Ventilator associated pneumonia | 38.71 | |
Home Discharge Rate at DRG | 27.78 | |
Home Discharge Rate with ICD J95851 - Ventilator associated pneumonia | NA |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
NEW YORK - PRESBYTERIAN/QUEENS | 56-45 MAIN STREET | NEW YORK | NY | 11355 | 87 |
RICHMOND UNIVERSITY MEDICAL CENTER | 355 BARD AVE | STATEN ISLAND | NY | 10310 | 61 |
NEWYORK PRESBYTERIAN - COLUMBIA UNIVERSITY MEDICAL CENTER | 622 W 168TH ST | NEW YORK | NY | 10032 | 44 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. NECHEMIA B PELEG | 4955 VAN NUYS BLVD | SHERMAN OAKS | CA | 91403 | 26 |
Dr. JULIA DAVID | 14445 87TH AVE | BRIARWOOD | NY | 11435 | 25 |
Dr. MAHER AL-KOUBAYTARI | 5025 N PAULINA ST | CHICAGO | IL | 60640 | 11 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. JULIA DAVID | 14445 87TH AVE | BRIARWOOD | NY | 11435 | 26 |
Dr. MAHER AL-KOUBAYTARI | 5025 N PAULINA ST | CHICAGO | IL | 60640 | 14 |
Dr. SEEMA J PATEL | 7846 PARSONS BLVD | FLUSHING | NY | 11366 | 13 |
*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 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 99,136 | ||||
Total Hospitalizations with ICD J95851 - Ventilator associated pneumonia | 4,477 | ||||
DRG Share of Total Hospitalizations | 0.3 | ||||
% of Total ICD J95851 - Ventilator associated pneumonia in DRG | 18.49 | ||||
Avg LOS at DRG | 22.0 | ||||
Avg LOS with ICD J95851 - Ventilator associated pneumonia | 27.46 | ||||
Readmission Rate at DRG | 40.67 | ||||
Readmission Rate with ICD J95851 - Ventilator associated pneumonia | 43.12 | ||||
Unplanned Readmission Rate at DRG | 20.54 | ||||
Unplanned Readmission Rate with ICD J95851 - Ventilator associated pneumonia | 26.69 | ||||
Total Medicare payments at DRG | $4,616,563,352 | ||||
Total Medicare payments with ICD J95851 - Ventilator associated pneumonia | $242,156,174 | ||||
Total Medicare payment per Day at DRG | $2,116 | ||||
Total Medicare payment per Day with ICD J95851 - Ventilator associated pneumonia | $1,970 | ||||
Total Medicare payment per Hospitalization at DRG | $46,568 | ||||
Total Medicare payment per Hospitalization with ICD J95851 - Ventilator associated pneumonia | $54,089 | ||||
Total Medicare Charges at DRG | $21,375,486,291 | ||||
Total Medicare Charges with ICD J95851 - Ventilator associated pneumonia | $1,172,072,424 | ||||
Avg Charges at DRG | $215,618 | ||||
Avg Charges with ICD J95851 - Ventilator associated pneumonia | $261,799 | ||||
Mortality Rate at DRG | 28.16 | ||||
Mortality Rate with ICD J95851 - Ventilator associated pneumonia | 21.8 | ||||
SNF Discharge Rate at DRG | 30.65 | ||||
SNF Discharge Rate with ICD J95851 - Ventilator associated pneumonia | 39.29 | ||||
Home Discharge Rate at DRG | 5.17 | ||||
Home Discharge Rate with ICD J95851 - Ventilator associated pneumonia | 4.38 |
*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 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 1,808,415 | ||||
Total Hospitalizations with ICD J95851 - Ventilator associated pneumonia | 941 | ||||
DRG Share of Total Hospitalizations | 5.5 | ||||
% of Total ICD J95851 - Ventilator associated pneumonia in DRG | 3.89 | ||||
Avg LOS at DRG | 6.34 | ||||
Avg LOS with ICD J95851 - Ventilator associated pneumonia | 8.41 | ||||
Readmission Rate at DRG | 24.2 | ||||
Readmission Rate with ICD J95851 - Ventilator associated pneumonia | 41.72 | ||||
Unplanned Readmission Rate at DRG | 16.78 | ||||
Unplanned Readmission Rate with ICD J95851 - Ventilator associated pneumonia | 23.77 | ||||
Total Medicare payments at DRG | $21,288,214,047 | ||||
Total Medicare payments with ICD J95851 - Ventilator associated pneumonia | $14,119,186 | ||||
Total Medicare payment per Day at DRG | $1,857 | ||||
Total Medicare payment per Day with ICD J95851 - Ventilator associated pneumonia | $1,783 | ||||
Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
Total Medicare payment per Hospitalization with ICD J95851 - Ventilator associated pneumonia | $15,004 | ||||
Total Medicare Charges at DRG | $107,155,481,388 | ||||
Total Medicare Charges with ICD J95851 - Ventilator associated pneumonia | $89,024,643 | ||||
Avg Charges at DRG | $59,254 | ||||
Avg Charges with ICD J95851 - Ventilator associated pneumonia | $94,606 | ||||
Mortality Rate at DRG | 12.11 | ||||
Mortality Rate with ICD J95851 - Ventilator associated pneumonia | 24.55 | ||||
SNF Discharge Rate at DRG | 27.18 | ||||
SNF Discharge Rate with ICD J95851 - Ventilator associated pneumonia | 32.31 | ||||
Home Discharge Rate at DRG | 25.81 | ||||
Home Discharge Rate with ICD J95851 - Ventilator associated pneumonia | 8.71 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 023: CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PDX WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR CHEMOTHERAPY IMPLANT | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 270: OTHER MAJOR CARDIOVASCULAR PROCEDURES W MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 219: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 025: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 28,461 | ||||
Total Hospitalizations with ICD J95851 - Ventilator associated pneumonia | 234 | ||||
DRG Share of Total Hospitalizations | 0.09 | ||||
% of Total ICD J95851 - Ventilator associated pneumonia in DRG | 0.97 | ||||
Avg LOS at DRG | 10.08 | ||||
Avg LOS with ICD J95851 - Ventilator associated pneumonia | 17.78 | ||||
Readmission Rate at DRG | 51.13 | ||||
Readmission Rate with ICD J95851 - Ventilator associated pneumonia | 47.2 | ||||
Unplanned Readmission Rate at DRG | 8.51 | ||||
Unplanned Readmission Rate with ICD J95851 - Ventilator associated pneumonia | 8.8 | ||||
Total Medicare payments at DRG | $1,065,644,894 | ||||
Total Medicare payments with ICD J95851 - Ventilator associated pneumonia | $12,860,782 | ||||
Total Medicare payment per Day at DRG | $3,715 | ||||
Total Medicare payment per Day with ICD J95851 - Ventilator associated pneumonia | $3,092 | ||||
Total Medicare payment per Hospitalization at DRG | $37,442 | ||||
Total Medicare payment per Hospitalization with ICD J95851 - Ventilator associated pneumonia | $54,961 | ||||
Total Medicare Charges at DRG | $5,534,780,189 | ||||
Total Medicare Charges with ICD J95851 - Ventilator associated pneumonia | $70,685,796 | ||||
Avg Charges at DRG | $194,469 | ||||
Avg Charges with ICD J95851 - Ventilator associated pneumonia | $302,076 | ||||
Mortality Rate at DRG | 28.59 | ||||
Mortality Rate with ICD J95851 - Ventilator associated pneumonia | 43.16 | ||||
SNF Discharge Rate at DRG | 19.38 | ||||
SNF Discharge Rate with ICD J95851 - Ventilator associated pneumonia | 18.38 | ||||
Home Discharge Rate at DRG | 5.45 | ||||
Home Discharge Rate with ICD J95851 - Ventilator associated pneumonia | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 205: OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 001: HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 100: SEIZURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 106,782 | ||||
Total Hospitalizations with ICD J95851 - Ventilator associated pneumonia | 171 | ||||
DRG Share of Total Hospitalizations | 0.32 | ||||
% of Total ICD J95851 - Ventilator associated pneumonia in DRG | 0.71 | ||||
Avg LOS at DRG | 13.16 | ||||
Avg LOS with ICD J95851 - Ventilator associated pneumonia | 23.07 | ||||
Readmission Rate at DRG | 30.28 | ||||
Readmission Rate with ICD J95851 - Ventilator associated pneumonia | 48.65 | ||||
Unplanned Readmission Rate at DRG | 15.8 | ||||
Unplanned Readmission Rate with ICD J95851 - Ventilator associated pneumonia | 11.71 | ||||
Total Medicare payments at DRG | $3,545,118,598 | ||||
Total Medicare payments with ICD J95851 - Ventilator associated pneumonia | $10,904,760 | ||||
Total Medicare payment per Day at DRG | $2,523 | ||||
Total Medicare payment per Day with ICD J95851 - Ventilator associated pneumonia | $2,764 | ||||
Total Medicare payment per Hospitalization at DRG | $33,200 | ||||
Total Medicare payment per Hospitalization with ICD J95851 - Ventilator associated pneumonia | $63,771 | ||||
Total Medicare Charges at DRG | $16,714,197,313 | ||||
Total Medicare Charges with ICD J95851 - Ventilator associated pneumonia | $63,655,391 | ||||
Avg Charges at DRG | $156,526 | ||||
Avg Charges with ICD J95851 - Ventilator associated pneumonia | $372,254 | ||||
Mortality Rate at DRG | 9.42 | ||||
Mortality Rate with ICD J95851 - Ventilator associated pneumonia | 32.75 | ||||
SNF Discharge Rate at DRG | 28.14 | ||||
SNF Discharge Rate with ICD J95851 - Ventilator associated pneumonia | 24.56 | ||||
Home Discharge Rate at DRG | 22.53 | ||||
Home Discharge Rate with ICD J95851 - Ventilator associated pneumonia | NA |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
MEDSTAR WASHINGTON HOSPITAL CENTER | 110 IRVING ST NW | WASHINGTON | DC | 20010 | 288 |
YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 235 |
NEWYORK PRESBYTERIAN - COLUMBIA UNIVERSITY MEDICAL CENTER | 622 W 168TH ST | NEW YORK | NY | 10032 | 216 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. BORIS KHORETS | 2912 AVENUE X | BROOKLYN | NY | 11235 | 94 |
Dr. NECHEMIA B PELEG | 4955 VAN NUYS BLVD | SHERMAN OAKS | CA | 91403 | 51 |
Dr. LOUIS V EBERLE | 6263 POPLAR AVE | MEMPHIS | TN | 38119 | 46 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. BORIS KHORETS | 2912 AVENUE X | BROOKLYN | NY | 11235 | 115 |
Dr. LOUIS V EBERLE | 6263 POPLAR AVE | MEMPHIS | TN | 38119 | 53 |
Dr. JULIA DAVID | 14445 87TH AVE | BRIARWOOD | NY | 11435 | 45 |