*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| T3695XA - Adverse effect of unspecified systemic antibiotic, initial encounter - as a primary diagnosis code | T3695XA - Adverse effect of unspecified systemic antibiotic, initial encounter - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.31 | |
| Readmission Rate (%) | 23.91 | |
| Unplanned Readmission Rate (%) | 22.92 | |
| 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 T3695XA - Adverse effect of unspecified systemic antibiotic, initial encounter | 31 | |
| DRG Share of Total Hospitalizations | 0.22 | |
| % of Total ICD T3695XA - Adverse effect of unspecified systemic antibiotic, initial encounter in DRG | 64.58 | |
| Avg LOS at DRG | 2.93 | |
| Avg LOS with ICD T3695XA - Adverse effect of unspecified systemic antibiotic, initial encounter | 3.61 | |
| Readmission Rate at DRG | 33.86 | |
| Readmission Rate with ICD T3695XA - Adverse effect of unspecified systemic antibiotic, initial encounter | NA | |
| Unplanned Readmission Rate at DRG | 10.34 | |
| Unplanned Readmission Rate with ICD T3695XA - Adverse effect of unspecified systemic antibiotic, initial encounter | NA | |
| Total Medicare payments at DRG | $313,351,773 | |
| Total Medicare payments with ICD T3695XA - Adverse effect of unspecified systemic antibiotic, initial encounter | $164,487 | |
| Total Medicare payment per Day at DRG | $1,489 | |
| Total Medicare payment per Day with ICD T3695XA - Adverse effect of unspecified systemic antibiotic, initial encounter | $1,469 | |
| Total Medicare payment per Hospitalization at DRG | $4,367 | |
| Total Medicare payment per Hospitalization with ICD T3695XA - Adverse effect of unspecified systemic antibiotic, initial encounter | $5,306 | |
| Total Medicare Charges at DRG | $1,750,048,705 | |
| Total Medicare Charges with ICD T3695XA - Adverse effect of unspecified systemic antibiotic, initial encounter | $681,221 | |
| Avg Charges at DRG | $24,392 | |
| Avg Charges with ICD T3695XA - Adverse effect of unspecified systemic antibiotic, initial encounter | $21,975 | |
| Mortality Rate at DRG | 0.22 | |
| Mortality Rate with ICD T3695XA - Adverse effect of unspecified systemic antibiotic, initial encounter | NA | |
| SNF Discharge Rate at DRG | 7.61 | |
| SNF Discharge Rate with ICD T3695XA - Adverse effect of unspecified systemic antibiotic, initial encounter | NA | |
| Home Discharge Rate at DRG | 51.88 | |
| Home Discharge Rate with ICD T3695XA - Adverse effect of unspecified systemic antibiotic, initial encounter | 54.84 |
*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 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD T3695XA - Adverse effect of unspecified systemic antibiotic, initial encounter | 5,046 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD T3695XA - Adverse effect of unspecified systemic antibiotic, initial encounter in DRG | 14.28 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD T3695XA - Adverse effect of unspecified systemic antibiotic, initial encounter | 7.62 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD T3695XA - Adverse effect of unspecified systemic antibiotic, initial encounter | 23.55 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD T3695XA - Adverse effect of unspecified systemic antibiotic, initial encounter | 16.12 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD T3695XA - Adverse effect of unspecified systemic antibiotic, initial encounter | $60,037,002 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD T3695XA - Adverse effect of unspecified systemic antibiotic, initial encounter | $1,562 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD T3695XA - Adverse effect of unspecified systemic antibiotic, initial encounter | $11,898 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD T3695XA - Adverse effect of unspecified systemic antibiotic, initial encounter | $311,379,449 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD T3695XA - Adverse effect of unspecified systemic antibiotic, initial encounter | $61,708 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD T3695XA - Adverse effect of unspecified systemic antibiotic, initial encounter | 2.72 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD T3695XA - Adverse effect of unspecified systemic antibiotic, initial encounter | 30.86 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD T3695XA - Adverse effect of unspecified systemic antibiotic, initial encounter | 31.97 |
*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 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD T3695XA - Adverse effect of unspecified systemic antibiotic, initial encounter | 1,035 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD T3695XA - Adverse effect of unspecified systemic antibiotic, initial encounter in DRG | 2.93 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD T3695XA - Adverse effect of unspecified systemic antibiotic, initial encounter | 4.1 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD T3695XA - Adverse effect of unspecified systemic antibiotic, initial encounter | 19.16 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD T3695XA - Adverse effect of unspecified systemic antibiotic, initial encounter | 13.87 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD T3695XA - Adverse effect of unspecified systemic antibiotic, initial encounter | $4,825,532 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD T3695XA - Adverse effect of unspecified systemic antibiotic, initial encounter | $1,138 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD T3695XA - Adverse effect of unspecified systemic antibiotic, initial encounter | $4,662 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD T3695XA - Adverse effect of unspecified systemic antibiotic, initial encounter | $30,978,158 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD T3695XA - Adverse effect of unspecified systemic antibiotic, initial encounter | $29,931 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD T3695XA - Adverse effect of unspecified systemic antibiotic, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD T3695XA - Adverse effect of unspecified systemic antibiotic, initial encounter | 11.3 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD T3695XA - Adverse effect of unspecified systemic antibiotic, initial encounter | 67.92 |
*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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD T3695XA - Adverse effect of unspecified systemic antibiotic, initial encounter | 696 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD T3695XA - Adverse effect of unspecified systemic antibiotic, initial encounter in DRG | 1.97 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD T3695XA - Adverse effect of unspecified systemic antibiotic, initial encounter | 6.63 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD T3695XA - Adverse effect of unspecified systemic antibiotic, initial encounter | 24.07 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD T3695XA - Adverse effect of unspecified systemic antibiotic, initial encounter | 17.83 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD T3695XA - Adverse effect of unspecified systemic antibiotic, initial encounter | $5,417,151 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD T3695XA - Adverse effect of unspecified systemic antibiotic, initial encounter | $1,174 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD T3695XA - Adverse effect of unspecified systemic antibiotic, initial encounter | $7,783 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD T3695XA - Adverse effect of unspecified systemic antibiotic, initial encounter | $32,835,686 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD T3695XA - Adverse effect of unspecified systemic antibiotic, initial encounter | $47,178 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD T3695XA - Adverse effect of unspecified systemic antibiotic, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD T3695XA - Adverse effect of unspecified systemic antibiotic, initial encounter | 18.39 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD T3695XA - Adverse effect of unspecified systemic antibiotic, initial encounter | 46.12 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 372: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 270,209 | ||||
| Total Hospitalizations with ICD T3695XA - Adverse effect of unspecified systemic antibiotic, initial encounter | 460 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD T3695XA - Adverse effect of unspecified systemic antibiotic, initial encounter in DRG | 1.3 | ||||
| Avg LOS at DRG | 4.84 | ||||
| Avg LOS with ICD T3695XA - Adverse effect of unspecified systemic antibiotic, initial encounter | 5.93 | ||||
| Readmission Rate at DRG | 22.35 | ||||
| Readmission Rate with ICD T3695XA - Adverse effect of unspecified systemic antibiotic, initial encounter | 25.57 | ||||
| Unplanned Readmission Rate at DRG | 16.33 | ||||
| Unplanned Readmission Rate with ICD T3695XA - Adverse effect of unspecified systemic antibiotic, initial encounter | 20.78 | ||||
| Total Medicare payments at DRG | $1,824,333,389 | ||||
| Total Medicare payments with ICD T3695XA - Adverse effect of unspecified systemic antibiotic, initial encounter | $3,222,866 | ||||
| Total Medicare payment per Day at DRG | $1,395 | ||||
| Total Medicare payment per Day with ICD T3695XA - Adverse effect of unspecified systemic antibiotic, initial encounter | $1,181 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,752 | ||||
| Total Medicare payment per Hospitalization with ICD T3695XA - Adverse effect of unspecified systemic antibiotic, initial encounter | $7,006 | ||||
| Total Medicare Charges at DRG | $9,128,673,695 | ||||
| Total Medicare Charges with ICD T3695XA - Adverse effect of unspecified systemic antibiotic, initial encounter | $17,612,231 | ||||
| Avg Charges at DRG | $33,784 | ||||
| Avg Charges with ICD T3695XA - Adverse effect of unspecified systemic antibiotic, initial encounter | $38,287 | ||||
| Mortality Rate at DRG | 1.32 | ||||
| Mortality Rate with ICD T3695XA - Adverse effect of unspecified systemic antibiotic, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 39.0 | ||||
| SNF Discharge Rate with ICD T3695XA - Adverse effect of unspecified systemic antibiotic, initial encounter | 36.52 | ||||
| Home Discharge Rate at DRG | 24.73 | ||||
| Home Discharge Rate with ICD T3695XA - Adverse effect of unspecified systemic antibiotic, initial encounter | 27.83 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 162 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 145 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 132 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. EUGENE B FERRIS | 2100 HIGHWAY 61 N | VICKSBURG | MS | 39183 | 19 |
| Dr. JEFFREY A AHEARN | 160 ALLEN ST | RUTLAND | VT | 05701 | 11 |
| Dr. MICHAEL T SERLE | 30 MEMORIAL DR | PINEHURST | NC | 28374 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 19 |
| Dr. SREENU ADA | 1390 HIGHWAY 61 STE 3200 | FESTUS | MO | 63028 | 17 |
| Dr. JAMES RICHARD DISMUKES | 6263 POPLAR AVE | MEMPHIS | TN | 38119 | 16 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | K521 | Toxic gastroenteritis and colitis |
| 2 | N179 | Acute kidney failure, unspecified |
| 3 | E785 | Hyperlipidemia, unspecified |
| 4 | I10 | Essential (primary) hypertension |