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J95851 - ICD 10 Diagnosis Code - Ventilator associated pneumonia - Market Size, Prevalence, Incidence, Quality Outcomes, Top Hospitals & Physicians


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Key Statistics Related to J95851 - Ventilator associated pneumonia

*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

Top DRGs Associated With J95851 - Ventilator associated pneumonia - 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 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

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 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

Top Hospitals Associated With J95851 - Ventilator associated pneumonia - as a primary diagnosis code

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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

Top Operating Physicians Associated With J95851 - Ventilator associated pneumonia - as a primary diagnosis code

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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

Top Attending Physicians Associated With J95851 - Ventilator associated pneumonia - as a primary diagnosis code

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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

Top DRGs Associated With J95851 - Ventilator associated pneumonia - 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 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

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 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

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 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

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 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

Top Hospitals Associated With J95851 - Ventilator associated pneumonia - 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 )
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

Top Operating Physicians Associated With J95851 - Ventilator associated pneumonia - 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. 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

Top Attending Physicians Associated With J95851 - Ventilator associated pneumonia - 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. 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

AI Identified Top 50 Most Common Comorbid Conditions Associated With J95851 - Ventilator associated pneumonia   |  Back to Top


No ICD Diagnosis Code Description
1 Z930 Tracheostomy status
2 G1221 Amyotrophic lateral sclerosis
3 G8250 Quadriplegia, unspecified
4 Z9911 Dependence on respirator [ventilator] status
5 B965 Pseudomonas (aeruginosa) (mallei) (pseudomallei) as the cause of diseases classified elsewhere
6 L89154 Pressure ulcer of sacral region, stage 4
7 R532 Functional quadriplegia
8 K9423 Gastrostomy malfunction
9 J9620 Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia
10 R6520 Severe sepsis without septic shock
11 Z931 Gastrostomy status
12 Z7401 Bed confinement status
13 B9689 Other specified bacterial agents as the cause of diseases classified elsewhere
14 J9622 Acute and chronic respiratory failure with hypercapnia
15 J9610 Chronic respiratory failure, unspecified whether with hypoxia or hypercapnia
16 R6521 Severe sepsis with septic shock
17 J151 Pneumonia due to Pseudomonas
18 A419 Sepsis, unspecified organism
19 J9621 Acute and chronic respiratory failure with hypoxia
20 J156 Pneumonia due to other aerobic Gram-negative bacteria
21 G931 Anoxic brain damage, not elsewhere classified
22 L89152 Pressure ulcer of sacral region, stage 2
23 E870 Hyperosmolality and hypernatremia
24 E873 Alkalosis
25 J440 Chronic obstructive pulmonary disease with acute lower respiratory infection
26 Z431 Encounter for attention to gastrostomy
27 J9611 Chronic respiratory failure with hypoxia
28 G40909 Epilepsy, unspecified, not intractable, without status epilepticus
29 R1310 Dysphagia, unspecified
30 Z8701 Personal history of pneumonia (recurrent)
31 Z430 Encounter for attention to tracheostomy
32 J690 Pneumonitis due to inhalation of food and vomit
33 D638 Anemia in other chronic diseases classified elsewhere
34 N390 Urinary tract infection, site not specified
35 G9341 Metabolic encephalopathy
36 N170 Acute kidney failure with tubular necrosis
37 G9340 Encephalopathy, unspecified
38 E43 Unspecified severe protein-calorie malnutrition
39 E46 Unspecified protein-calorie malnutrition
40 J9811 Atelectasis
41 Z515 Encounter for palliative care
42 E872 Acidosis
43 Z681 Body mass index (BMI) 19 or less, adult
44 J90 Pleural effusion, not elsewhere classified
45 D509 Iron deficiency anemia, unspecified
46 Z66 Do not resuscitate
47 D649 Anemia, unspecified
48 J441 Chronic obstructive pulmonary disease with (acute) exacerbation
49 E871 Hypo-osmolality and hyponatremia
50 E875 Hyperkalemia