*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| T814XXA - Infection following a procedure, initial encounter - as a primary diagnosis code | T814XXA - Infection following a procedure, initial encounter - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 10.56 | |
| Readmission Rate (%) | 28.37 | |
| Unplanned Readmission Rate (%) | 12.72 | |
| 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 862: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 863: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 857: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 856: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 858: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 38,827 | ||||
| Total Hospitalizations with ICD T814XXA - Infection following a procedure, initial encounter | 38,334 | ||||
| DRG Share of Total Hospitalizations | 0.12 | ||||
| % of Total ICD T814XXA - Infection following a procedure, initial encounter in DRG | 28.91 | ||||
| Avg LOS at DRG | 8.58 | ||||
| Avg LOS with ICD T814XXA - Infection following a procedure, initial encounter | 8.55 | ||||
| Readmission Rate at DRG | 27.62 | ||||
| Readmission Rate with ICD T814XXA - Infection following a procedure, initial encounter | 27.59 | ||||
| Unplanned Readmission Rate at DRG | 15.85 | ||||
| Unplanned Readmission Rate with ICD T814XXA - Infection following a procedure, initial encounter | 15.85 | ||||
| Total Medicare payments at DRG | $555,779,802 | ||||
| Total Medicare payments with ICD T814XXA - Infection following a procedure, initial encounter | $547,823,767 | ||||
| Total Medicare payment per Day at DRG | $1,668 | ||||
| Total Medicare payment per Day with ICD T814XXA - Infection following a procedure, initial encounter | $1,672 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,314 | ||||
| Total Medicare payment per Hospitalization with ICD T814XXA - Infection following a procedure, initial encounter | $14,291 | ||||
| Total Medicare Charges at DRG | $2,652,789,227 | ||||
| Total Medicare Charges with ICD T814XXA - Infection following a procedure, initial encounter | $2,608,920,818 | ||||
| Avg Charges at DRG | $68,323 | ||||
| Avg Charges with ICD T814XXA - Infection following a procedure, initial encounter | $68,058 | ||||
| Mortality Rate at DRG | 3.06 | ||||
| Mortality Rate with ICD T814XXA - Infection following a procedure, initial encounter | 3.05 | ||||
| SNF Discharge Rate at DRG | 20.78 | ||||
| SNF Discharge Rate with ICD T814XXA - Infection following a procedure, initial encounter | 20.75 | ||||
| Home Discharge Rate at DRG | 32.02 | ||||
| Home Discharge Rate with ICD T814XXA - Infection following a procedure, initial encounter | 32.13 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | |
|---|---|---|
| Total Hospitalizations at DRG | 48,449 | |
| Total Hospitalizations with ICD T814XXA - Infection following a procedure, initial encounter | 314 | |
| DRG Share of Total Hospitalizations | 0.15 | |
| % of Total ICD T814XXA - Infection following a procedure, initial encounter in DRG | 0.24 | |
| Avg LOS at DRG | 29.97 | |
| Avg LOS with ICD T814XXA - Infection following a procedure, initial encounter | 38.29 | |
| Readmission Rate at DRG | 76.3 | |
| Readmission Rate with ICD T814XXA - Infection following a procedure, initial encounter | 69.46 | |
| Unplanned Readmission Rate at DRG | 6.46 | |
| Unplanned Readmission Rate with ICD T814XXA - Infection following a procedure, initial encounter | 5.44 | |
| Total Medicare payments at DRG | $6,190,071,785 | |
| Total Medicare payments with ICD T814XXA - Infection following a procedure, initial encounter | $42,135,761 | |
| Total Medicare payment per Day at DRG | $4,263 | |
| Total Medicare payment per Day with ICD T814XXA - Infection following a procedure, initial encounter | $3,504 | |
| Total Medicare payment per Hospitalization at DRG | $127,765 | |
| Total Medicare payment per Hospitalization with ICD T814XXA - Infection following a procedure, initial encounter | $134,190 | |
| Total Medicare Charges at DRG | $28,754,600,069 | |
| Total Medicare Charges with ICD T814XXA - Infection following a procedure, initial encounter | $211,224,877 | |
| Avg Charges at DRG | $593,502 | |
| Avg Charges with ICD T814XXA - Infection following a procedure, initial encounter | $672,691 | |
| Mortality Rate at DRG | 20.61 | |
| Mortality Rate with ICD T814XXA - Infection following a procedure, initial encounter | 18.15 | |
| SNF Discharge Rate at DRG | 12.46 | |
| SNF Discharge Rate with ICD T814XXA - Infection following a procedure, initial encounter | 13.69 | |
| Home Discharge Rate at DRG | 2.36 | |
| Home Discharge Rate with ICD T814XXA - Infection following a procedure, initial encounter | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 591 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 565 |
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 506 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. KEVIN J RAINSFORD | 2801 EUREKA WAY | REDDING | CA | 96001 | 39 |
| Dr. ROBERT F GARZA | 4322 HARDING RD | NASHVILLE | TN | 37205 | 35 |
| Dr. VINEET MEHAN | 2755 HARTLAND RD | FALLS CHURCH | VA | 22043 | 32 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 71 |
| Dr. RAJENDRA N. SAJJAN | 120 E BEAUREGARD AVE | SAN ANGELO | TX | 76903 | 62 |
| Dr. MICHAEL H ANNABI | 4930 OSBORNE | EL PASO | TX | 79922 | 48 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 862: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 863: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 857: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 856: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 38,827 | ||||
| Total Hospitalizations with ICD T814XXA - Infection following a procedure, initial encounter | 38,364 | ||||
| DRG Share of Total Hospitalizations | 0.12 | ||||
| % of Total ICD T814XXA - Infection following a procedure, initial encounter in DRG | 18.36 | ||||
| Avg LOS at DRG | 8.58 | ||||
| Avg LOS with ICD T814XXA - Infection following a procedure, initial encounter | 8.55 | ||||
| Readmission Rate at DRG | 27.62 | ||||
| Readmission Rate with ICD T814XXA - Infection following a procedure, initial encounter | 27.59 | ||||
| Unplanned Readmission Rate at DRG | 15.85 | ||||
| Unplanned Readmission Rate with ICD T814XXA - Infection following a procedure, initial encounter | 15.85 | ||||
| Total Medicare payments at DRG | $555,779,802 | ||||
| Total Medicare payments with ICD T814XXA - Infection following a procedure, initial encounter | $548,274,962 | ||||
| Total Medicare payment per Day at DRG | $1,668 | ||||
| Total Medicare payment per Day with ICD T814XXA - Infection following a procedure, initial encounter | $1,672 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,314 | ||||
| Total Medicare payment per Hospitalization with ICD T814XXA - Infection following a procedure, initial encounter | $14,291 | ||||
| Total Medicare Charges at DRG | $2,652,789,227 | ||||
| Total Medicare Charges with ICD T814XXA - Infection following a procedure, initial encounter | $2,610,755,273 | ||||
| Avg Charges at DRG | $68,323 | ||||
| Avg Charges with ICD T814XXA - Infection following a procedure, initial encounter | $68,052 | ||||
| Mortality Rate at DRG | 3.06 | ||||
| Mortality Rate with ICD T814XXA - Infection following a procedure, initial encounter | 3.05 | ||||
| SNF Discharge Rate at DRG | 20.78 | ||||
| SNF Discharge Rate with ICD T814XXA - Infection following a procedure, initial encounter | 20.75 | ||||
| Home Discharge Rate at DRG | 32.02 | ||||
| Home Discharge Rate with ICD T814XXA - Infection following a procedure, initial encounter | 32.12 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 858: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 908: OTHER O.R. PROCEDURES FOR INJURIES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 3,982 | ||||
| Total Hospitalizations with ICD T814XXA - Infection following a procedure, initial encounter | 3,925 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD T814XXA - Infection following a procedure, initial encounter in DRG | 1.88 | ||||
| Avg LOS at DRG | 4.41 | ||||
| Avg LOS with ICD T814XXA - Infection following a procedure, initial encounter | 4.41 | ||||
| Readmission Rate at DRG | 14.94 | ||||
| Readmission Rate with ICD T814XXA - Infection following a procedure, initial encounter | 14.84 | ||||
| Unplanned Readmission Rate at DRG | 7.13 | ||||
| Unplanned Readmission Rate with ICD T814XXA - Infection following a procedure, initial encounter | 7.13 | ||||
| Total Medicare payments at DRG | $34,679,939 | ||||
| Total Medicare payments with ICD T814XXA - Infection following a procedure, initial encounter | $34,145,487 | ||||
| Total Medicare payment per Day at DRG | $1,974 | ||||
| Total Medicare payment per Day with ICD T814XXA - Infection following a procedure, initial encounter | $1,973 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,709 | ||||
| Total Medicare payment per Hospitalization with ICD T814XXA - Infection following a procedure, initial encounter | $8,699 | ||||
| Total Medicare Charges at DRG | $175,897,584 | ||||
| Total Medicare Charges with ICD T814XXA - Infection following a procedure, initial encounter | $173,316,179 | ||||
| Avg Charges at DRG | $44,173 | ||||
| Avg Charges with ICD T814XXA - Infection following a procedure, initial encounter | $44,157 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD T814XXA - Infection following a procedure, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 13.79 | ||||
| SNF Discharge Rate with ICD T814XXA - Infection following a procedure, initial encounter | 13.83 | ||||
| Home Discharge Rate at DRG | 39.7 | ||||
| Home Discharge Rate with ICD T814XXA - Infection following a procedure, initial encounter | 39.49 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 920: COMPLICATIONS OF TREATMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 919: COMPLICATIONS OF TREATMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 42,814 | ||||
| Total Hospitalizations with ICD T814XXA - Infection following a procedure, initial encounter | 2,086 | ||||
| DRG Share of Total Hospitalizations | 0.13 | ||||
| % of Total ICD T814XXA - Infection following a procedure, initial encounter in DRG | 1.0 | ||||
| Avg LOS at DRG | 4.26 | ||||
| Avg LOS with ICD T814XXA - Infection following a procedure, initial encounter | 6.9 | ||||
| Readmission Rate at DRG | 21.39 | ||||
| Readmission Rate with ICD T814XXA - Infection following a procedure, initial encounter | 23.18 | ||||
| Unplanned Readmission Rate at DRG | 12.66 | ||||
| Unplanned Readmission Rate with ICD T814XXA - Infection following a procedure, initial encounter | 11.46 | ||||
| Total Medicare payments at DRG | $306,035,736 | ||||
| Total Medicare payments with ICD T814XXA - Infection following a procedure, initial encounter | $18,997,926 | ||||
| Total Medicare payment per Day at DRG | $1,677 | ||||
| Total Medicare payment per Day with ICD T814XXA - Infection following a procedure, initial encounter | $1,320 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,148 | ||||
| Total Medicare payment per Hospitalization with ICD T814XXA - Infection following a procedure, initial encounter | $9,107 | ||||
| Total Medicare Charges at DRG | $1,526,820,622 | ||||
| Total Medicare Charges with ICD T814XXA - Infection following a procedure, initial encounter | $96,318,382 | ||||
| Avg Charges at DRG | $35,662 | ||||
| Avg Charges with ICD T814XXA - Infection following a procedure, initial encounter | $46,174 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD T814XXA - Infection following a procedure, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 13.54 | ||||
| SNF Discharge Rate with ICD T814XXA - Infection following a procedure, initial encounter | 20.61 | ||||
| Home Discharge Rate at DRG | 56.63 | ||||
| Home Discharge Rate with ICD T814XXA - Infection following a procedure, initial encounter | 31.35 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 907: OTHER O.R. PROCEDURES FOR INJURIES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 326: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 902: WOUND DEBRIDEMENTS FOR INJURIES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 464: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 26,121 | ||||
| Total Hospitalizations with ICD T814XXA - Infection following a procedure, initial encounter | 1,446 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD T814XXA - Infection following a procedure, initial encounter in DRG | 0.69 | ||||
| Avg LOS at DRG | 10.36 | ||||
| Avg LOS with ICD T814XXA - Infection following a procedure, initial encounter | 15.6 | ||||
| Readmission Rate at DRG | 32.93 | ||||
| Readmission Rate with ICD T814XXA - Infection following a procedure, initial encounter | 38.08 | ||||
| Unplanned Readmission Rate at DRG | 16.39 | ||||
| Unplanned Readmission Rate with ICD T814XXA - Infection following a procedure, initial encounter | 16.15 | ||||
| Total Medicare payments at DRG | $736,047,335 | ||||
| Total Medicare payments with ICD T814XXA - Infection following a procedure, initial encounter | $48,191,175 | ||||
| Total Medicare payment per Day at DRG | $2,719 | ||||
| Total Medicare payment per Day with ICD T814XXA - Infection following a procedure, initial encounter | $2,136 | ||||
| Total Medicare payment per Hospitalization at DRG | $28,178 | ||||
| Total Medicare payment per Hospitalization with ICD T814XXA - Infection following a procedure, initial encounter | $33,327 | ||||
| Total Medicare Charges at DRG | $3,553,256,627 | ||||
| Total Medicare Charges with ICD T814XXA - Infection following a procedure, initial encounter | $250,847,793 | ||||
| Avg Charges at DRG | $136,031 | ||||
| Avg Charges with ICD T814XXA - Infection following a procedure, initial encounter | $173,477 | ||||
| Mortality Rate at DRG | 5.78 | ||||
| Mortality Rate with ICD T814XXA - Infection following a procedure, initial encounter | 5.95 | ||||
| SNF Discharge Rate at DRG | 22.6 | ||||
| SNF Discharge Rate with ICD T814XXA - Infection following a procedure, initial encounter | 27.52 | ||||
| Home Discharge Rate at DRG | 32.22 | ||||
| Home Discharge Rate with ICD T814XXA - Infection following a procedure, initial encounter | 16.67 |
| 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 | 1,080 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 845 |
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 766 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOSEPH A RACANELLI | 9 MADISON ST | MORRISTOWN | NJ | 07960 | 61 |
| Dr. KEVIN J RAINSFORD | 2801 EUREKA WAY | REDDING | CA | 96001 | 56 |
| Dr. WILLIAM M JACOBSEN | 2400 E ARIZONA BILTMORE CIR | PHOENIX | AZ | 85016 | 54 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MICHAEL W HENNIGAN | 1847 FLORIDA AVE | PANAMA CITY | FL | 32405 | 105 |
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 100 |
| Dr. RAJENDRA N. SAJJAN | 120 E BEAUREGARD AVE | SAN ANGELO | TX | 76903 | 75 |