| 03849 - Other septicemia due to gram-negative organisms - as a primary diagnosis code | 03849 - Other septicemia due to gram-negative organisms - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 11.33 | |
| Readmission Rate (%) | 29.56 | |
| Unplanned Readmission Rate (%) | 16.82 | |
| 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 | ||
| 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 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 901,552 | ||||
| Total Hospitalizations with ICD 03849 - Other septicemia due to gram-negative organisms | 30,394 | ||||
| DRG Share of Total Hospitalizations | 3.95 | ||||
| % of Total ICD 03849 - Other septicemia due to gram-negative organisms in DRG | 54.96 | ||||
| Avg LOS at DRG | 6.79 | ||||
| Avg LOS with ICD 03849 - Other septicemia due to gram-negative organisms | 8.17 | ||||
| Readmission Rate at DRG | 25.38 | ||||
| Readmission Rate with ICD 03849 - Other septicemia due to gram-negative organisms | 27.51 | ||||
| Unplanned Readmission Rate at DRG | 17.1 | ||||
| Unplanned Readmission Rate with ICD 03849 - Other septicemia due to gram-negative organisms | 17.94 | ||||
| Total Medicare payments at DRG | $11,142,976,193 | ||||
| Total Medicare payments with ICD 03849 - Other septicemia due to gram-negative organisms | $395,975,685 | ||||
| Total Medicare payment per Day at DRG | $1,821 | ||||
| Total Medicare payment per Day with ICD 03849 - Other septicemia due to gram-negative organisms | $1,594 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,360 | ||||
| Total Medicare payment per Hospitalization with ICD 03849 - Other septicemia due to gram-negative organisms | $13,028 | ||||
| Total Medicare Charges at DRG | $48,288,426,708 | ||||
| Total Medicare Charges with ICD 03849 - Other septicemia due to gram-negative organisms | $1,948,219,724 | ||||
| Avg Charges at DRG | $53,561 | ||||
| Avg Charges with ICD 03849 - Other septicemia due to gram-negative organisms | $64,099 | ||||
| Mortality Rate at DRG | 15.16 | ||||
| Mortality Rate with ICD 03849 - Other septicemia due to gram-negative organisms | 10.22 | ||||
| SNF Discharge Rate at DRG | 28.41 | ||||
| SNF Discharge Rate with ICD 03849 - Other septicemia due to gram-negative organisms | 35.37 | ||||
| Home Discharge Rate at DRG | 23.21 | ||||
| Home Discharge Rate with ICD 03849 - Other septicemia due to gram-negative organisms | 19.35 |
| DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 974: HIV WITH MAJOR RELATED CONDITION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 975: HIV WITH MAJOR RELATED CONDITION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 969: HIV WITH EXTENSIVE O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 40,825 | ||||
| Total Hospitalizations with ICD 03849 - Other septicemia due to gram-negative organisms | 406 | ||||
| DRG Share of Total Hospitalizations | 0.18 | ||||
| % of Total ICD 03849 - Other septicemia due to gram-negative organisms in DRG | 0.73 | ||||
| Avg LOS at DRG | 26.33 | ||||
| Avg LOS with ICD 03849 - Other septicemia due to gram-negative organisms | 30.32 | ||||
| Readmission Rate at DRG | 74.89 | ||||
| Readmission Rate with ICD 03849 - Other septicemia due to gram-negative organisms | 76.54 | ||||
| Unplanned Readmission Rate at DRG | 8.96 | ||||
| Unplanned Readmission Rate with ICD 03849 - Other septicemia due to gram-negative organisms | 11.42 | ||||
| Total Medicare payments at DRG | $3,043,515,432 | ||||
| Total Medicare payments with ICD 03849 - Other septicemia due to gram-negative organisms | $34,751,957 | ||||
| Total Medicare payment per Day at DRG | $2,831 | ||||
| Total Medicare payment per Day with ICD 03849 - Other septicemia due to gram-negative organisms | $2,823 | ||||
| Total Medicare payment per Hospitalization at DRG | $74,550 | ||||
| Total Medicare payment per Hospitalization with ICD 03849 - Other septicemia due to gram-negative organisms | $85,596 | ||||
| Total Medicare Charges at DRG | $12,546,632,655 | ||||
| Total Medicare Charges with ICD 03849 - Other septicemia due to gram-negative organisms | $146,020,257 | ||||
| Avg Charges at DRG | $307,327 | ||||
| Avg Charges with ICD 03849 - Other septicemia due to gram-negative organisms | $359,656 | ||||
| Mortality Rate at DRG | 15.32 | ||||
| Mortality Rate with ICD 03849 - Other septicemia due to gram-negative organisms | 16.01 | ||||
| SNF Discharge Rate at DRG | 18.25 | ||||
| SNF Discharge Rate with ICD 03849 - Other septicemia due to gram-negative organisms | 20.69 | ||||
| Home Discharge Rate at DRG | 2.06 | ||||
| Home Discharge Rate with ICD 03849 - Other septicemia due to gram-negative organisms | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| MONTEFIORE MEDICAL CENTER | 111 E 210TH ST | BRONX | NY | 10467 | 183 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE | 2401 S 31ST ST | TEMPLE | TX | 76508 | 149 |
| OHIO STATE UNIVERSITY HOSPITAL | 410 W 10TH AVE | COLUMBUS | OH | 43210 | 146 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. BORIS KHORETS | 2912 AVENUE X | BROOKLYN | NY | 11235 | 28 |
| Dr. JOHN HUNTER SAMIES | 2850 JACKSON DR. | ORANGEBURG | SC | 29118 | 25 |
| Dr. ZERGABACHEW ASFAW | 3965 SEDGWICK AVE | BRONX | NY | 10463 | 15 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. RAJA S TALLURI | 22080 LA HWY 20 | VACHERIE | LA | 70090 | 35 |
| Dr. BORIS KHORETS | 2912 AVENUE X | BROOKLYN | NY | 11235 | 34 |
| Dr. SHRIKANT TAMHANE | 23517 MAIN ST STE 103 | CARSON | CA | 90745 | 33 |
| 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 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) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 901,552 | ||||
| Total Hospitalizations with ICD 03849 - Other septicemia due to gram-negative organisms | 32,965 | ||||
| DRG Share of Total Hospitalizations | 3.95 | ||||
| % of Total ICD 03849 - Other septicemia due to gram-negative organisms in DRG | 39.58 | ||||
| Avg LOS at DRG | 6.79 | ||||
| Avg LOS with ICD 03849 - Other septicemia due to gram-negative organisms | 8.28 | ||||
| Readmission Rate at DRG | 25.38 | ||||
| Readmission Rate with ICD 03849 - Other septicemia due to gram-negative organisms | 27.8 | ||||
| Unplanned Readmission Rate at DRG | 17.1 | ||||
| Unplanned Readmission Rate with ICD 03849 - Other septicemia due to gram-negative organisms | 17.99 | ||||
| Total Medicare payments at DRG | $11,142,976,193 | ||||
| Total Medicare payments with ICD 03849 - Other septicemia due to gram-negative organisms | $431,790,443 | ||||
| Total Medicare payment per Day at DRG | $1,821 | ||||
| Total Medicare payment per Day with ICD 03849 - Other septicemia due to gram-negative organisms | $1,581 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,360 | ||||
| Total Medicare payment per Hospitalization with ICD 03849 - Other septicemia due to gram-negative organisms | $13,098 | ||||
| Total Medicare Charges at DRG | $48,288,426,708 | ||||
| Total Medicare Charges with ICD 03849 - Other septicemia due to gram-negative organisms | $2,138,882,575 | ||||
| Avg Charges at DRG | $53,561 | ||||
| Avg Charges with ICD 03849 - Other septicemia due to gram-negative organisms | $64,883 | ||||
| Mortality Rate at DRG | 15.16 | ||||
| Mortality Rate with ICD 03849 - Other septicemia due to gram-negative organisms | 10.27 | ||||
| SNF Discharge Rate at DRG | 28.41 | ||||
| SNF Discharge Rate with ICD 03849 - Other septicemia due to gram-negative organisms | 35.46 | ||||
| Home Discharge Rate at DRG | 23.21 | ||||
| Home Discharge Rate with ICD 03849 - Other septicemia due to gram-negative organisms | 19.01 |
| DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE 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 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 72,734 | ||||
| Total Hospitalizations with ICD 03849 - Other septicemia due to gram-negative organisms | 3,384 | ||||
| DRG Share of Total Hospitalizations | 0.32 | ||||
| % of Total ICD 03849 - Other septicemia due to gram-negative organisms in DRG | 4.06 | ||||
| Avg LOS at DRG | 15.55 | ||||
| Avg LOS with ICD 03849 - Other septicemia due to gram-negative organisms | 17.15 | ||||
| Readmission Rate at DRG | 41.51 | ||||
| Readmission Rate with ICD 03849 - Other septicemia due to gram-negative organisms | 43.17 | ||||
| Unplanned Readmission Rate at DRG | 18.87 | ||||
| Unplanned Readmission Rate with ICD 03849 - Other septicemia due to gram-negative organisms | 22.14 | ||||
| Total Medicare payments at DRG | $3,073,561,577 | ||||
| Total Medicare payments with ICD 03849 - Other septicemia due to gram-negative organisms | $150,356,680 | ||||
| Total Medicare payment per Day at DRG | $2,717 | ||||
| Total Medicare payment per Day with ICD 03849 - Other septicemia due to gram-negative organisms | $2,590 | ||||
| Total Medicare payment per Hospitalization at DRG | $42,258 | ||||
| Total Medicare payment per Hospitalization with ICD 03849 - Other septicemia due to gram-negative organisms | $44,432 | ||||
| Total Medicare Charges at DRG | $13,191,940,014 | ||||
| Total Medicare Charges with ICD 03849 - Other septicemia due to gram-negative organisms | $675,086,637 | ||||
| Avg Charges at DRG | $181,372 | ||||
| Avg Charges with ICD 03849 - Other septicemia due to gram-negative organisms | $199,494 | ||||
| Mortality Rate at DRG | 36.0 | ||||
| Mortality Rate with ICD 03849 - Other septicemia due to gram-negative organisms | 33.19 | ||||
| SNF Discharge Rate at DRG | 25.65 | ||||
| SNF Discharge Rate with ICD 03849 - Other septicemia due to gram-negative organisms | 30.56 | ||||
| Home Discharge Rate at DRG | 5.1 | ||||
| Home Discharge Rate with ICD 03849 - Other septicemia due to gram-negative organisms | 4.34 |
| DRG 919: COMPLICATIONS OF TREATMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 862: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 29,886 | ||||
| Total Hospitalizations with ICD 03849 - Other septicemia due to gram-negative organisms | 531 | ||||
| DRG Share of Total Hospitalizations | 0.13 | ||||
| % of Total ICD 03849 - Other septicemia due to gram-negative organisms in DRG | 0.64 | ||||
| Avg LOS at DRG | 9.67 | ||||
| Avg LOS with ICD 03849 - Other septicemia due to gram-negative organisms | 12.16 | ||||
| Readmission Rate at DRG | 30.8 | ||||
| Readmission Rate with ICD 03849 - Other septicemia due to gram-negative organisms | 31.6 | ||||
| Unplanned Readmission Rate at DRG | 19.66 | ||||
| Unplanned Readmission Rate with ICD 03849 - Other septicemia due to gram-negative organisms | 19.91 | ||||
| Total Medicare payments at DRG | $474,487,275 | ||||
| Total Medicare payments with ICD 03849 - Other septicemia due to gram-negative organisms | $9,489,608 | ||||
| Total Medicare payment per Day at DRG | $1,642 | ||||
| Total Medicare payment per Day with ICD 03849 - Other septicemia due to gram-negative organisms | $1,469 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,877 | ||||
| Total Medicare payment per Hospitalization with ICD 03849 - Other septicemia due to gram-negative organisms | $17,871 | ||||
| Total Medicare Charges at DRG | $1,939,749,402 | ||||
| Total Medicare Charges with ICD 03849 - Other septicemia due to gram-negative organisms | $50,697,615 | ||||
| Avg Charges at DRG | $64,905 | ||||
| Avg Charges with ICD 03849 - Other septicemia due to gram-negative organisms | $95,476 | ||||
| Mortality Rate at DRG | 4.11 | ||||
| Mortality Rate with ICD 03849 - Other septicemia due to gram-negative organisms | 7.72 | ||||
| SNF Discharge Rate at DRG | 15.94 | ||||
| SNF Discharge Rate with ICD 03849 - Other septicemia due to gram-negative organisms | 16.95 | ||||
| Home Discharge Rate at DRG | 46.08 | ||||
| Home Discharge Rate with ICD 03849 - Other septicemia due to gram-negative organisms | 36.16 |
| DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 856: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 48,577 | ||||
| Total Hospitalizations with ICD 03849 - Other septicemia due to gram-negative organisms | 354 | ||||
| DRG Share of Total Hospitalizations | 0.21 | ||||
| % of Total ICD 03849 - Other septicemia due to gram-negative organisms in DRG | 0.42 | ||||
| Avg LOS at DRG | 14.65 | ||||
| Avg LOS with ICD 03849 - Other septicemia due to gram-negative organisms | 30.2 | ||||
| Readmission Rate at DRG | 37.54 | ||||
| Readmission Rate with ICD 03849 - Other septicemia due to gram-negative organisms | 40.88 | ||||
| Unplanned Readmission Rate at DRG | 20.58 | ||||
| Unplanned Readmission Rate with ICD 03849 - Other septicemia due to gram-negative organisms | 21.53 | ||||
| Total Medicare payments at DRG | $1,729,486,111 | ||||
| Total Medicare payments with ICD 03849 - Other septicemia due to gram-negative organisms | $18,510,821 | ||||
| Total Medicare payment per Day at DRG | $2,430 | ||||
| Total Medicare payment per Day with ICD 03849 - Other septicemia due to gram-negative organisms | $1,732 | ||||
| Total Medicare payment per Hospitalization at DRG | $35,603 | ||||
| Total Medicare payment per Hospitalization with ICD 03849 - Other septicemia due to gram-negative organisms | $52,290 | ||||
| Total Medicare Charges at DRG | $7,235,174,566 | ||||
| Total Medicare Charges with ICD 03849 - Other septicemia due to gram-negative organisms | $96,554,708 | ||||
| Avg Charges at DRG | $148,942 | ||||
| Avg Charges with ICD 03849 - Other septicemia due to gram-negative organisms | $272,753 | ||||
| Mortality Rate at DRG | 9.66 | ||||
| Mortality Rate with ICD 03849 - Other septicemia due to gram-negative organisms | 18.08 | ||||
| SNF Discharge Rate at DRG | 30.41 | ||||
| SNF Discharge Rate with ICD 03849 - Other septicemia due to gram-negative organisms | 36.44 | ||||
| Home Discharge Rate at DRG | 22.89 | ||||
| Home Discharge Rate with ICD 03849 - Other septicemia due to gram-negative organisms | 5.93 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| OHIO STATE UNIVERSITY HOSPITAL | 410 W 10TH AVE | COLUMBUS | OH | 43210 | 290 |
| MONTEFIORE MEDICAL CENTER | 111 E 210TH ST | BRONX | NY | 10467 | 264 |
| YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 211 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. JOHN HUNTER SAMIES | 2850 JACKSON DR. | ORANGEBURG | SC | 29118 | 34 |
| Dr. BORIS KHORETS | 2912 AVENUE X | BROOKLYN | NY | 11235 | 28 |
| Dr. NORMAN C. BAUTISTA | 1848 N ALVARADO ST | LOS ANGELES | CA | 90026 | 20 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. SHRIKANT TAMHANE | 23517 MAIN ST STE 103 | CARSON | CA | 90745 | 55 |
| Dr. RAJESH AGARWAL | 6770 MAYFIELD RD | MAYFIELD HEIGHTS | OH | 44124 | 46 |
| Dr. RAJA S TALLURI | 22080 LA HWY 20 | VACHERIE | LA | 70090 | 42 |