*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z792 - Long term (current) use of antibiotics - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 15.1 | |
| 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 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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD Z792 - Long term (current) use of antibiotics | 11,030 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Z792 - Long term (current) use of antibiotics in DRG | 7.1 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Z792 - Long term (current) use of antibiotics | 7.19 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Z792 - Long term (current) use of antibiotics | 25.47 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Z792 - Long term (current) use of antibiotics | 17.36 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Z792 - Long term (current) use of antibiotics | $138,494,975 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Z792 - Long term (current) use of antibiotics | $1,747 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Z792 - Long term (current) use of antibiotics | $12,556 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Z792 - Long term (current) use of antibiotics | $706,513,063 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Z792 - Long term (current) use of antibiotics | $64,054 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Z792 - Long term (current) use of antibiotics | 8.38 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Z792 - Long term (current) use of antibiotics | 26.34 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Z792 - Long term (current) use of antibiotics | 27.94 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD Z792 - Long term (current) use of antibiotics | 3,431 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD Z792 - Long term (current) use of antibiotics in DRG | 2.21 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD Z792 - Long term (current) use of antibiotics | 4.02 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD Z792 - Long term (current) use of antibiotics | 18.34 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD Z792 - Long term (current) use of antibiotics | 13.2 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD Z792 - Long term (current) use of antibiotics | $18,050,108 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD Z792 - Long term (current) use of antibiotics | $1,308 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD Z792 - Long term (current) use of antibiotics | $5,261 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD Z792 - Long term (current) use of antibiotics | $94,259,761 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD Z792 - Long term (current) use of antibiotics | $27,473 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD Z792 - Long term (current) use of antibiotics | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD Z792 - Long term (current) use of antibiotics | 22.06 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD Z792 - Long term (current) use of antibiotics | 46.43 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD Z792 - Long term (current) use of antibiotics | 2,440 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD Z792 - Long term (current) use of antibiotics in DRG | 1.57 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD Z792 - Long term (current) use of antibiotics | 4.34 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD Z792 - Long term (current) use of antibiotics | 18.14 | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD Z792 - Long term (current) use of antibiotics | 13.05 | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD Z792 - Long term (current) use of antibiotics | $16,158,101 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD Z792 - Long term (current) use of antibiotics | $1,525 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD Z792 - Long term (current) use of antibiotics | $6,622 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD Z792 - Long term (current) use of antibiotics | $75,370,296 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD Z792 - Long term (current) use of antibiotics | $30,889 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD Z792 - Long term (current) use of antibiotics | NA | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD Z792 - Long term (current) use of antibiotics | 15.37 | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD Z792 - Long term (current) use of antibiotics | 54.88 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD Z792 - Long term (current) use of antibiotics | 1,669 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD Z792 - Long term (current) use of antibiotics in DRG | 1.07 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD Z792 - Long term (current) use of antibiotics | 6.0 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD Z792 - Long term (current) use of antibiotics | 28.47 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD Z792 - Long term (current) use of antibiotics | 20.84 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD Z792 - Long term (current) use of antibiotics | $16,519,148 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD Z792 - Long term (current) use of antibiotics | $1,650 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD Z792 - Long term (current) use of antibiotics | $9,898 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD Z792 - Long term (current) use of antibiotics | $76,075,562 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD Z792 - Long term (current) use of antibiotics | $45,582 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD Z792 - Long term (current) use of antibiotics | 3.06 | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD Z792 - Long term (current) use of antibiotics | 28.7 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD Z792 - Long term (current) use of antibiotics | 31.16 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| PAM REHABILITATION HOSPITAL OF SAN ANTONIO | 5101 MEDICAL DR | SAN ANTONIO | TX | 78229 | 1,508 |
| NORTH SHORE UNIVERSITY HOSPITAL | 300 COMMUNITY DRIVE | MANHASSET | NY | 11030 | 1,050 |
| NCH BAKER HOSPITAL DOWNTOWN | 350 7TH ST N | NAPLES | FL | 34102 | 1,023 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. AUSTON JEROD MYERS | 8700 BEVERLY BLVD | WEST HOLLYWOOD | CA | 90048 | 313 |
| Dr. WILLIAM WARREN JANES | 5101 MEDICAL DR | SAN ANTONIO | TX | 78229 | 296 |
| Dr. JOSEPH P. CAMERO | 1710 E SAUNDERS ST | LAREDO | TX | 78041 | 258 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. AUSTON JEROD MYERS | 8700 BEVERLY BLVD | WEST HOLLYWOOD | CA | 90048 | 336 |
| Dr. JOSEPH P. CAMERO | 1710 E SAUNDERS ST | LAREDO | TX | 78041 | 321 |
| Dr. WILLIAM WARREN JANES | 5101 MEDICAL DR | SAN ANTONIO | TX | 78229 | 300 |