| 04104 - Streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group D [Enterococcus] - as a primary diagnosis code | 04104 - Streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group D [Enterococcus] - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 9.97 | |
| Readmission Rate (%) | 30.13 | |
| Unplanned Readmission Rate (%) | NA | |
| 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 868: OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|
| Total Hospitalizations at DRG | 4,905 |
| Total Hospitalizations with ICD 04104 - Streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group D [Enterococcus] | 15 |
| DRG Share of Total Hospitalizations | 0.02 |
| % of Total ICD 04104 - Streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group D [Enterococcus] in DRG | 44.12 |
| Avg LOS at DRG | 5.12 |
| Avg LOS with ICD 04104 - Streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group D [Enterococcus] | 5.67 |
| Readmission Rate at DRG | 16.43 |
| Readmission Rate with ICD 04104 - Streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group D [Enterococcus] | NA |
| Unplanned Readmission Rate at DRG | 9.96 |
| Unplanned Readmission Rate with ICD 04104 - Streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group D [Enterococcus] | NA |
| Total Medicare payments at DRG | $35,776,822 |
| Total Medicare payments with ICD 04104 - Streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group D [Enterococcus] | $113,697 |
| Total Medicare payment per Day at DRG | $1,425 |
| Total Medicare payment per Day with ICD 04104 - Streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group D [Enterococcus] | $1,338 |
| Total Medicare payment per Hospitalization at DRG | $7,294 |
| Total Medicare payment per Hospitalization with ICD 04104 - Streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group D [Enterococcus] | $7,580 |
| Total Medicare Charges at DRG | $155,049,995 |
| Total Medicare Charges with ICD 04104 - Streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group D [Enterococcus] | $214,756 |
| Avg Charges at DRG | $31,611 |
| Avg Charges with ICD 04104 - Streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group D [Enterococcus] | $14,317 |
| Mortality Rate at DRG | 0.53 |
| Mortality Rate with ICD 04104 - Streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group D [Enterococcus] | NA |
| SNF Discharge Rate at DRG | 12.01 |
| SNF Discharge Rate with ICD 04104 - Streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group D [Enterococcus] | NA |
| Home Discharge Rate at DRG | 61.65 |
| Home Discharge Rate with ICD 04104 - Streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group D [Enterococcus] | NA |
| DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 368,382 | ||||
| Total Hospitalizations with ICD 04104 - Streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group D [Enterococcus] | 18,592 | ||||
| DRG Share of Total Hospitalizations | 1.61 | ||||
| % of Total ICD 04104 - Streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group D [Enterococcus] in DRG | 8.49 | ||||
| Avg LOS at DRG | 3.76 | ||||
| Avg LOS with ICD 04104 - Streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group D [Enterococcus] | 4.75 | ||||
| Readmission Rate at DRG | 18.51 | ||||
| Readmission Rate with ICD 04104 - Streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group D [Enterococcus] | 23.16 | ||||
| Unplanned Readmission Rate at DRG | 12.91 | ||||
| Unplanned Readmission Rate with ICD 04104 - Streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group D [Enterococcus] | 16.59 | ||||
| Total Medicare payments at DRG | $1,761,365,865 | ||||
| Total Medicare payments with ICD 04104 - Streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group D [Enterococcus] | $96,265,270 | ||||
| Total Medicare payment per Day at DRG | $1,270 | ||||
| Total Medicare payment per Day with ICD 04104 - Streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group D [Enterococcus] | $1,090 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,781 | ||||
| Total Medicare payment per Hospitalization with ICD 04104 - Streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group D [Enterococcus] | $5,178 | ||||
| Total Medicare Charges at DRG | $7,996,276,956 | ||||
| Total Medicare Charges with ICD 04104 - Streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group D [Enterococcus] | $480,822,842 | ||||
| Avg Charges at DRG | $21,706 | ||||
| Avg Charges with ICD 04104 - Streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group D [Enterococcus] | $25,862 | ||||
| Mortality Rate at DRG | 0.32 | ||||
| Mortality Rate with ICD 04104 - Streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group D [Enterococcus] | 0.32 | ||||
| SNF Discharge Rate at DRG | 27.88 | ||||
| SNF Discharge Rate with ICD 04104 - Streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group D [Enterococcus] | 33.71 | ||||
| Home Discharge Rate at DRG | 42.37 | ||||
| Home Discharge Rate with ICD 04104 - Streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group D [Enterococcus] | 32.47 |
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 699: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 311,763 | ||||
| Total Hospitalizations with ICD 04104 - Streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group D [Enterococcus] | 4,651 | ||||
| DRG Share of Total Hospitalizations | 1.36 | ||||
| % of Total ICD 04104 - Streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group D [Enterococcus] in DRG | 2.12 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD 04104 - Streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group D [Enterococcus] | 6.05 | ||||
| Readmission Rate at DRG | 23.41 | ||||
| Readmission Rate with ICD 04104 - Streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group D [Enterococcus] | 27.89 | ||||
| Unplanned Readmission Rate at DRG | 16.67 | ||||
| Unplanned Readmission Rate with ICD 04104 - Streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group D [Enterococcus] | 20.41 | ||||
| Total Medicare payments at DRG | $1,867,955,174 | ||||
| Total Medicare payments with ICD 04104 - Streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group D [Enterococcus] | $29,765,635 | ||||
| Total Medicare payment per Day at DRG | $1,382 | ||||
| Total Medicare payment per Day with ICD 04104 - Streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group D [Enterococcus] | $1,057 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,992 | ||||
| Total Medicare payment per Hospitalization with ICD 04104 - Streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group D [Enterococcus] | $6,400 | ||||
| Total Medicare Charges at DRG | $8,358,483,119 | ||||
| Total Medicare Charges with ICD 04104 - Streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group D [Enterococcus] | $161,960,925 | ||||
| Avg Charges at DRG | $26,810 | ||||
| Avg Charges with ICD 04104 - Streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group D [Enterococcus] | $34,823 | ||||
| Mortality Rate at DRG | 1.37 | ||||
| Mortality Rate with ICD 04104 - Streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group D [Enterococcus] | 0.9 | ||||
| SNF Discharge Rate at DRG | 23.3 | ||||
| SNF Discharge Rate with ICD 04104 - Streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group D [Enterococcus] | 36.81 | ||||
| Home Discharge Rate at DRG | 45.55 | ||||
| Home Discharge Rate with ICD 04104 - Streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group D [Enterococcus] | 27.76 |
| DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 285,340 | ||||
| Total Hospitalizations with ICD 04104 - Streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group D [Enterococcus] | 3,145 | ||||
| DRG Share of Total Hospitalizations | 1.25 | ||||
| % of Total ICD 04104 - Streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group D [Enterococcus] in DRG | 1.44 | ||||
| Avg LOS at DRG | 4.24 | ||||
| Avg LOS with ICD 04104 - Streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group D [Enterococcus] | 6.13 | ||||
| Readmission Rate at DRG | 16.32 | ||||
| Readmission Rate with ICD 04104 - Streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group D [Enterococcus] | 23.09 | ||||
| Unplanned Readmission Rate at DRG | 10.58 | ||||
| Unplanned Readmission Rate with ICD 04104 - Streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group D [Enterococcus] | 13.77 | ||||
| Total Medicare payments at DRG | $1,475,002,556 | ||||
| Total Medicare payments with ICD 04104 - Streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group D [Enterococcus] | $18,329,734 | ||||
| Total Medicare payment per Day at DRG | $1,218 | ||||
| Total Medicare payment per Day with ICD 04104 - Streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group D [Enterococcus] | $951 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,169 | ||||
| Total Medicare payment per Hospitalization with ICD 04104 - Streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group D [Enterococcus] | $5,828 | ||||
| Total Medicare Charges at DRG | $6,348,002,652 | ||||
| Total Medicare Charges with ICD 04104 - Streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group D [Enterococcus] | $96,282,556 | ||||
| Avg Charges at DRG | $22,247 | ||||
| Avg Charges with ICD 04104 - Streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group D [Enterococcus] | $30,614 | ||||
| Mortality Rate at DRG | 0.12 | ||||
| Mortality Rate with ICD 04104 - Streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group D [Enterococcus] | NA | ||||
| SNF Discharge Rate at DRG | 15.9 | ||||
| SNF Discharge Rate with ICD 04104 - Streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group D [Enterococcus] | 27.06 | ||||
| Home Discharge Rate at DRG | 54.0 | ||||
| Home Discharge Rate with ICD 04104 - Streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group D [Enterococcus] | 33.45 |
| DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 151,975 | ||||
| Total Hospitalizations with ICD 04104 - Streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group D [Enterococcus] | 2,091 | ||||
| DRG Share of Total Hospitalizations | 0.67 | ||||
| % of Total ICD 04104 - Streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group D [Enterococcus] in DRG | 0.95 | ||||
| Avg LOS at DRG | 8.26 | ||||
| Avg LOS with ICD 04104 - Streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group D [Enterococcus] | 10.39 | ||||
| Readmission Rate at DRG | 27.23 | ||||
| Readmission Rate with ICD 04104 - Streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group D [Enterococcus] | 30.98 | ||||
| Unplanned Readmission Rate at DRG | 18.84 | ||||
| Unplanned Readmission Rate with ICD 04104 - Streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group D [Enterococcus] | 20.4 | ||||
| Total Medicare payments at DRG | $2,014,358,740 | ||||
| Total Medicare payments with ICD 04104 - Streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group D [Enterococcus] | $29,984,344 | ||||
| Total Medicare payment per Day at DRG | $1,605 | ||||
| Total Medicare payment per Day with ICD 04104 - Streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group D [Enterococcus] | $1,380 | ||||
| Total Medicare payment per Hospitalization at DRG | $13,255 | ||||
| Total Medicare payment per Hospitalization with ICD 04104 - Streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group D [Enterococcus] | $14,340 | ||||
| Total Medicare Charges at DRG | $8,492,043,787 | ||||
| Total Medicare Charges with ICD 04104 - Streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group D [Enterococcus] | $144,772,283 | ||||
| Avg Charges at DRG | $55,878 | ||||
| Avg Charges with ICD 04104 - Streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group D [Enterococcus] | $69,236 | ||||
| Mortality Rate at DRG | 9.63 | ||||
| Mortality Rate with ICD 04104 - Streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group D [Enterococcus] | 9.56 | ||||
| SNF Discharge Rate at DRG | 33.6 | ||||
| SNF Discharge Rate with ICD 04104 - Streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group D [Enterococcus] | 40.41 | ||||
| Home Discharge Rate at DRG | 18.52 | ||||
| Home Discharge Rate with ICD 04104 - Streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group D [Enterococcus] | 10.04 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 728 |
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 612 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 605 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. HANY M HABASHY | 1325 EASTMORELAND AVE | MEMPHIS | TN | 38104 | 78 |
| Dr. QUYEN NGOC LUU | 458 HEMLOCK ST | MACON | GA | 31201 | 73 |
| Dr. KEVIN J RAINSFORD | 2801 EUREKA WAY | REDDING | CA | 96001 | 62 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. HANY M HABASHY | 1325 EASTMORELAND AVE | MEMPHIS | TN | 38104 | 78 |
| Dr. SHAUN ROBERT CARPENTER | 46 LOUIS PRIMA DR | COVINGTON | LA | 70433 | 75 |
| Dr. WILLIAM R. PREBOLA | 150 MUNDY ST | WILKES BARRE | PA | 18702 | 75 |