*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| T368X5A - Adverse effect of other systemic antibiotics, initial encounter - as a primary diagnosis code | T368X5A - Adverse effect of other systemic antibiotics, initial encounter - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.33 | |
| Readmission Rate (%) | 24.92 | |
| Unplanned Readmission Rate (%) | 14.75 | |
| 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 918: POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 917: POISONING AND TOXIC EFFECTS OF DRUGS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 71,748 | |
| Total Hospitalizations with ICD T368X5A - Adverse effect of other systemic antibiotics, initial encounter | 104 | |
| DRG Share of Total Hospitalizations | 0.22 | |
| % of Total ICD T368X5A - Adverse effect of other systemic antibiotics, initial encounter in DRG | 55.91 | |
| Avg LOS at DRG | 2.93 | |
| Avg LOS with ICD T368X5A - Adverse effect of other systemic antibiotics, initial encounter | 3.38 | |
| Readmission Rate at DRG | 33.86 | |
| Readmission Rate with ICD T368X5A - Adverse effect of other systemic antibiotics, initial encounter | 25.96 | |
| Unplanned Readmission Rate at DRG | 10.34 | |
| Unplanned Readmission Rate with ICD T368X5A - Adverse effect of other systemic antibiotics, initial encounter | 13.46 | |
| Total Medicare payments at DRG | $313,351,773 | |
| Total Medicare payments with ICD T368X5A - Adverse effect of other systemic antibiotics, initial encounter | $455,011 | |
| Total Medicare payment per Day at DRG | $1,489 | |
| Total Medicare payment per Day with ICD T368X5A - Adverse effect of other systemic antibiotics, initial encounter | $1,296 | |
| Total Medicare payment per Hospitalization at DRG | $4,367 | |
| Total Medicare payment per Hospitalization with ICD T368X5A - Adverse effect of other systemic antibiotics, initial encounter | $4,375 | |
| Total Medicare Charges at DRG | $1,750,048,705 | |
| Total Medicare Charges with ICD T368X5A - Adverse effect of other systemic antibiotics, initial encounter | $2,374,971 | |
| Avg Charges at DRG | $24,392 | |
| Avg Charges with ICD T368X5A - Adverse effect of other systemic antibiotics, initial encounter | $22,836 | |
| Mortality Rate at DRG | 0.22 | |
| Mortality Rate with ICD T368X5A - Adverse effect of other systemic antibiotics, initial encounter | NA | |
| SNF Discharge Rate at DRG | 7.61 | |
| SNF Discharge Rate with ICD T368X5A - Adverse effect of other systemic antibiotics, initial encounter | 17.31 | |
| Home Discharge Rate at DRG | 51.88 | |
| Home Discharge Rate with ICD T368X5A - Adverse effect of other systemic antibiotics, initial encounter | 50.96 |
*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 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD T368X5A - Adverse effect of other systemic antibiotics, initial encounter | 5,074 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD T368X5A - Adverse effect of other systemic antibiotics, initial encounter in DRG | 9.62 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD T368X5A - Adverse effect of other systemic antibiotics, initial encounter | 9.07 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD T368X5A - Adverse effect of other systemic antibiotics, initial encounter | 27.93 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD T368X5A - Adverse effect of other systemic antibiotics, initial encounter | 18.35 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD T368X5A - Adverse effect of other systemic antibiotics, initial encounter | $65,278,053 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD T368X5A - Adverse effect of other systemic antibiotics, initial encounter | $1,419 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD T368X5A - Adverse effect of other systemic antibiotics, initial encounter | $12,865 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD T368X5A - Adverse effect of other systemic antibiotics, initial encounter | $379,569,294 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD T368X5A - Adverse effect of other systemic antibiotics, initial encounter | $74,807 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD T368X5A - Adverse effect of other systemic antibiotics, initial encounter | 4.85 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD T368X5A - Adverse effect of other systemic antibiotics, initial encounter | 30.27 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD T368X5A - Adverse effect of other systemic antibiotics, initial encounter | 27.55 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 607: MINOR SKIN DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD T368X5A - Adverse effect of other systemic antibiotics, initial encounter | 1,210 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD T368X5A - Adverse effect of other systemic antibiotics, initial encounter in DRG | 2.29 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD T368X5A - Adverse effect of other systemic antibiotics, initial encounter | 3.67 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD T368X5A - Adverse effect of other systemic antibiotics, initial encounter | 12.93 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD T368X5A - Adverse effect of other systemic antibiotics, initial encounter | 10.09 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD T368X5A - Adverse effect of other systemic antibiotics, initial encounter | $5,295,942 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD T368X5A - Adverse effect of other systemic antibiotics, initial encounter | $1,191 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD T368X5A - Adverse effect of other systemic antibiotics, initial encounter | $4,377 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD T368X5A - Adverse effect of other systemic antibiotics, initial encounter | $31,486,573 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD T368X5A - Adverse effect of other systemic antibiotics, initial encounter | $26,022 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD T368X5A - Adverse effect of other systemic antibiotics, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD T368X5A - Adverse effect of other systemic antibiotics, initial encounter | 7.77 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD T368X5A - Adverse effect of other systemic antibiotics, initial encounter | 74.3 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 602: CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 89,541 | ||||
| Total Hospitalizations with ICD T368X5A - Adverse effect of other systemic antibiotics, initial encounter | 868 | ||||
| DRG Share of Total Hospitalizations | 0.27 | ||||
| % of Total ICD T368X5A - Adverse effect of other systemic antibiotics, initial encounter in DRG | 1.65 | ||||
| Avg LOS at DRG | 6.24 | ||||
| Avg LOS with ICD T368X5A - Adverse effect of other systemic antibiotics, initial encounter | 8.43 | ||||
| Readmission Rate at DRG | 26.67 | ||||
| Readmission Rate with ICD T368X5A - Adverse effect of other systemic antibiotics, initial encounter | 24.3 | ||||
| Unplanned Readmission Rate at DRG | 18.76 | ||||
| Unplanned Readmission Rate with ICD T368X5A - Adverse effect of other systemic antibiotics, initial encounter | 14.94 | ||||
| Total Medicare payments at DRG | $856,155,421 | ||||
| Total Medicare payments with ICD T368X5A - Adverse effect of other systemic antibiotics, initial encounter | $8,913,142 | ||||
| Total Medicare payment per Day at DRG | $1,533 | ||||
| Total Medicare payment per Day with ICD T368X5A - Adverse effect of other systemic antibiotics, initial encounter | $1,219 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,562 | ||||
| Total Medicare payment per Hospitalization with ICD T368X5A - Adverse effect of other systemic antibiotics, initial encounter | $10,269 | ||||
| Total Medicare Charges at DRG | $3,903,111,040 | ||||
| Total Medicare Charges with ICD T368X5A - Adverse effect of other systemic antibiotics, initial encounter | $46,560,906 | ||||
| Avg Charges at DRG | $43,590 | ||||
| Avg Charges with ICD T368X5A - Adverse effect of other systemic antibiotics, initial encounter | $53,642 | ||||
| Mortality Rate at DRG | 1.89 | ||||
| Mortality Rate with ICD T368X5A - Adverse effect of other systemic antibiotics, initial encounter | 1.61 | ||||
| SNF Discharge Rate at DRG | 27.48 | ||||
| SNF Discharge Rate with ICD T368X5A - Adverse effect of other systemic antibiotics, initial encounter | 26.61 | ||||
| Home Discharge Rate at DRG | 33.49 | ||||
| Home Discharge Rate with ICD T368X5A - Adverse effect of other systemic antibiotics, initial encounter | 31.8 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD T368X5A - Adverse effect of other systemic antibiotics, initial encounter | 539 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD T368X5A - Adverse effect of other systemic antibiotics, initial encounter in DRG | 1.02 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD T368X5A - Adverse effect of other systemic antibiotics, initial encounter | 10.1 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD T368X5A - Adverse effect of other systemic antibiotics, initial encounter | 28.21 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD T368X5A - Adverse effect of other systemic antibiotics, initial encounter | 18.95 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD T368X5A - Adverse effect of other systemic antibiotics, initial encounter | $7,024,345 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD T368X5A - Adverse effect of other systemic antibiotics, initial encounter | $1,290 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD T368X5A - Adverse effect of other systemic antibiotics, initial encounter | $13,032 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD T368X5A - Adverse effect of other systemic antibiotics, initial encounter | $38,183,251 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD T368X5A - Adverse effect of other systemic antibiotics, initial encounter | $70,841 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD T368X5A - Adverse effect of other systemic antibiotics, initial encounter | 6.12 | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD T368X5A - Adverse effect of other systemic antibiotics, initial encounter | 24.3 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD T368X5A - Adverse effect of other systemic antibiotics, initial encounter | 30.98 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 221 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 208 |
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 199 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. FAISAL WASI | 905 NW 5TH ST | STIGLER | OK | 74462 | 12 |
| Dr. ALEKSANDRA VIDACIC | 120 E HARRIS AVE | SAN ANGELO | TX | 76903 | 11 |
| Dr. CYRUS ERIK ABBASCHIAN | 12230 COIT RD | DALLAS | TX | 75251 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. FAISAL WASI | 905 NW 5TH ST | STIGLER | OK | 74462 | 34 |
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 26 |
| Dr. NURUDEEN SHEKONI | 5160 GALAXIE DR | JACKSON | MS | 39206 | 17 |