| 04111 - Methicillin susceptible Staphylococcus aureus in conditions classified elsewhere and of unspecified site - as a primary diagnosis code | 04111 - Methicillin susceptible Staphylococcus aureus in conditions classified elsewhere and of unspecified site - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 9.05 | |
| Readmission Rate (%) | 26.17 | |
| 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) | DRG 867: OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 869: OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 4,905 | ||
| Total Hospitalizations with ICD 04111 - Methicillin susceptible Staphylococcus aureus in conditions classified elsewhere and of unspecified site | 18 | ||
| DRG Share of Total Hospitalizations | 0.02 | ||
| % of Total ICD 04111 - Methicillin susceptible Staphylococcus aureus in conditions classified elsewhere and of unspecified site in DRG | 30.51 | ||
| Avg LOS at DRG | 5.12 | ||
| Avg LOS with ICD 04111 - Methicillin susceptible Staphylococcus aureus in conditions classified elsewhere and of unspecified site | 6.94 | ||
| Readmission Rate at DRG | 16.43 | ||
| Readmission Rate with ICD 04111 - Methicillin susceptible Staphylococcus aureus in conditions classified elsewhere and of unspecified site | NA | ||
| Unplanned Readmission Rate at DRG | 9.96 | ||
| Unplanned Readmission Rate with ICD 04111 - Methicillin susceptible Staphylococcus aureus in conditions classified elsewhere and of unspecified site | NA | ||
| Total Medicare payments at DRG | $35,776,822 | ||
| Total Medicare payments with ICD 04111 - Methicillin susceptible Staphylococcus aureus in conditions classified elsewhere and of unspecified site | $147,299 | ||
| Total Medicare payment per Day at DRG | $1,425 | ||
| Total Medicare payment per Day with ICD 04111 - Methicillin susceptible Staphylococcus aureus in conditions classified elsewhere and of unspecified site | $1,178 | ||
| Total Medicare payment per Hospitalization at DRG | $7,294 | ||
| Total Medicare payment per Hospitalization with ICD 04111 - Methicillin susceptible Staphylococcus aureus in conditions classified elsewhere and of unspecified site | $8,183 | ||
| Total Medicare Charges at DRG | $155,049,995 | ||
| Total Medicare Charges with ICD 04111 - Methicillin susceptible Staphylococcus aureus in conditions classified elsewhere and of unspecified site | $506,164 | ||
| Avg Charges at DRG | $31,611 | ||
| Avg Charges with ICD 04111 - Methicillin susceptible Staphylococcus aureus in conditions classified elsewhere and of unspecified site | $28,120 | ||
| Mortality Rate at DRG | 0.53 | ||
| Mortality Rate with ICD 04111 - Methicillin susceptible Staphylococcus aureus in conditions classified elsewhere and of unspecified site | NA | ||
| SNF Discharge Rate at DRG | 12.01 | ||
| SNF Discharge Rate with ICD 04111 - Methicillin susceptible Staphylococcus aureus in conditions classified elsewhere and of unspecified site | NA | ||
| Home Discharge Rate at DRG | 61.65 | ||
| Home Discharge Rate with ICD 04111 - Methicillin susceptible Staphylococcus aureus in conditions classified elsewhere and of unspecified site | 66.67 |
| DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 863: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 857: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 285,340 | ||||
| Total Hospitalizations with ICD 04111 - Methicillin susceptible Staphylococcus aureus in conditions classified elsewhere and of unspecified site | 12,276 | ||||
| DRG Share of Total Hospitalizations | 1.25 | ||||
| % of Total ICD 04111 - Methicillin susceptible Staphylococcus aureus in conditions classified elsewhere and of unspecified site in DRG | 9.59 | ||||
| Avg LOS at DRG | 4.24 | ||||
| Avg LOS with ICD 04111 - Methicillin susceptible Staphylococcus aureus in conditions classified elsewhere and of unspecified site | 4.92 | ||||
| Readmission Rate at DRG | 16.32 | ||||
| Readmission Rate with ICD 04111 - Methicillin susceptible Staphylococcus aureus in conditions classified elsewhere and of unspecified site | 14.56 | ||||
| Unplanned Readmission Rate at DRG | 10.58 | ||||
| Unplanned Readmission Rate with ICD 04111 - Methicillin susceptible Staphylococcus aureus in conditions classified elsewhere and of unspecified site | 8.77 | ||||
| Total Medicare payments at DRG | $1,475,002,556 | ||||
| Total Medicare payments with ICD 04111 - Methicillin susceptible Staphylococcus aureus in conditions classified elsewhere and of unspecified site | $64,945,758 | ||||
| Total Medicare payment per Day at DRG | $1,218 | ||||
| Total Medicare payment per Day with ICD 04111 - Methicillin susceptible Staphylococcus aureus in conditions classified elsewhere and of unspecified site | $1,075 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,169 | ||||
| Total Medicare payment per Hospitalization with ICD 04111 - Methicillin susceptible Staphylococcus aureus in conditions classified elsewhere and of unspecified site | $5,290 | ||||
| Total Medicare Charges at DRG | $6,348,002,652 | ||||
| Total Medicare Charges with ICD 04111 - Methicillin susceptible Staphylococcus aureus in conditions classified elsewhere and of unspecified site | $314,171,677 | ||||
| Avg Charges at DRG | $22,247 | ||||
| Avg Charges with ICD 04111 - Methicillin susceptible Staphylococcus aureus in conditions classified elsewhere and of unspecified site | $25,592 | ||||
| Mortality Rate at DRG | 0.12 | ||||
| Mortality Rate with ICD 04111 - Methicillin susceptible Staphylococcus aureus in conditions classified elsewhere and of unspecified site | NA | ||||
| SNF Discharge Rate at DRG | 15.9 | ||||
| SNF Discharge Rate with ICD 04111 - Methicillin susceptible Staphylococcus aureus in conditions classified elsewhere and of unspecified site | 15.74 | ||||
| Home Discharge Rate at DRG | 54.0 | ||||
| Home Discharge Rate with ICD 04111 - Methicillin susceptible Staphylococcus aureus in conditions classified elsewhere and of unspecified site | 48.79 |
| DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 602: CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 617: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 102,753 | ||||
| Total Hospitalizations with ICD 04111 - Methicillin susceptible Staphylococcus aureus in conditions classified elsewhere and of unspecified site | 2,628 | ||||
| DRG Share of Total Hospitalizations | 0.45 | ||||
| % of Total ICD 04111 - Methicillin susceptible Staphylococcus aureus in conditions classified elsewhere and of unspecified site in DRG | 2.05 | ||||
| Avg LOS at DRG | 7.33 | ||||
| Avg LOS with ICD 04111 - Methicillin susceptible Staphylococcus aureus in conditions classified elsewhere and of unspecified site | 9.17 | ||||
| Readmission Rate at DRG | 32.63 | ||||
| Readmission Rate with ICD 04111 - Methicillin susceptible Staphylococcus aureus in conditions classified elsewhere and of unspecified site | 30.34 | ||||
| Unplanned Readmission Rate at DRG | 22.44 | ||||
| Unplanned Readmission Rate with ICD 04111 - Methicillin susceptible Staphylococcus aureus in conditions classified elsewhere and of unspecified site | 19.57 | ||||
| Total Medicare payments at DRG | $1,376,213,228 | ||||
| Total Medicare payments with ICD 04111 - Methicillin susceptible Staphylococcus aureus in conditions classified elsewhere and of unspecified site | $38,416,222 | ||||
| Total Medicare payment per Day at DRG | $1,828 | ||||
| Total Medicare payment per Day with ICD 04111 - Methicillin susceptible Staphylococcus aureus in conditions classified elsewhere and of unspecified site | $1,594 | ||||
| Total Medicare payment per Hospitalization at DRG | $13,393 | ||||
| Total Medicare payment per Hospitalization with ICD 04111 - Methicillin susceptible Staphylococcus aureus in conditions classified elsewhere and of unspecified site | $14,618 | ||||
| Total Medicare Charges at DRG | $5,899,767,418 | ||||
| Total Medicare Charges with ICD 04111 - Methicillin susceptible Staphylococcus aureus in conditions classified elsewhere and of unspecified site | $165,611,629 | ||||
| Avg Charges at DRG | $57,417 | ||||
| Avg Charges with ICD 04111 - Methicillin susceptible Staphylococcus aureus in conditions classified elsewhere and of unspecified site | $63,018 | ||||
| Mortality Rate at DRG | 5.59 | ||||
| Mortality Rate with ICD 04111 - Methicillin susceptible Staphylococcus aureus in conditions classified elsewhere and of unspecified site | 2.63 | ||||
| SNF Discharge Rate at DRG | 19.0 | ||||
| SNF Discharge Rate with ICD 04111 - Methicillin susceptible Staphylococcus aureus in conditions classified elsewhere and of unspecified site | 16.06 | ||||
| Home Discharge Rate at DRG | 40.54 | ||||
| Home Discharge Rate with ICD 04111 - Methicillin susceptible Staphylococcus aureus in conditions classified elsewhere and of unspecified site | 44.86 |
| DRG 464: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 496: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH COMPLICATION OR COMORBIDITY (CC) | DRG 264: OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 17,941 | ||||
| Total Hospitalizations with ICD 04111 - Methicillin susceptible Staphylococcus aureus in conditions classified elsewhere and of unspecified site | 2,118 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD 04111 - Methicillin susceptible Staphylococcus aureus in conditions classified elsewhere and of unspecified site in DRG | 1.65 | ||||
| Avg LOS at DRG | 8.8 | ||||
| Avg LOS with ICD 04111 - Methicillin susceptible Staphylococcus aureus in conditions classified elsewhere and of unspecified site | 8.91 | ||||
| Readmission Rate at DRG | 27.88 | ||||
| Readmission Rate with ICD 04111 - Methicillin susceptible Staphylococcus aureus in conditions classified elsewhere and of unspecified site | 26.47 | ||||
| Unplanned Readmission Rate at DRG | 9.55 | ||||
| Unplanned Readmission Rate with ICD 04111 - Methicillin susceptible Staphylococcus aureus in conditions classified elsewhere and of unspecified site | 8.27 | ||||
| Total Medicare payments at DRG | $353,940,537 | ||||
| Total Medicare payments with ICD 04111 - Methicillin susceptible Staphylococcus aureus in conditions classified elsewhere and of unspecified site | $41,414,052 | ||||
| Total Medicare payment per Day at DRG | $2,242 | ||||
| Total Medicare payment per Day with ICD 04111 - Methicillin susceptible Staphylococcus aureus in conditions classified elsewhere and of unspecified site | $2,194 | ||||
| Total Medicare payment per Hospitalization at DRG | $19,728 | ||||
| Total Medicare payment per Hospitalization with ICD 04111 - Methicillin susceptible Staphylococcus aureus in conditions classified elsewhere and of unspecified site | $19,553 | ||||
| Total Medicare Charges at DRG | $1,551,556,908 | ||||
| Total Medicare Charges with ICD 04111 - Methicillin susceptible Staphylococcus aureus in conditions classified elsewhere and of unspecified site | $176,385,145 | ||||
| Avg Charges at DRG | $86,481 | ||||
| Avg Charges with ICD 04111 - Methicillin susceptible Staphylococcus aureus in conditions classified elsewhere and of unspecified site | $83,279 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD 04111 - Methicillin susceptible Staphylococcus aureus in conditions classified elsewhere and of unspecified site | NA | ||||
| SNF Discharge Rate at DRG | 42.08 | ||||
| SNF Discharge Rate with ICD 04111 - Methicillin susceptible Staphylococcus aureus in conditions classified elsewhere and of unspecified site | 42.59 | ||||
| Home Discharge Rate at DRG | 14.3 | ||||
| Home Discharge Rate with ICD 04111 - Methicillin susceptible Staphylococcus aureus in conditions classified elsewhere and of unspecified site | 12.8 |
| DRG 862: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 629: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 580: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 25,340 | ||||
| Total Hospitalizations with ICD 04111 - Methicillin susceptible Staphylococcus aureus in conditions classified elsewhere and of unspecified site | 1,161 | ||||
| DRG Share of Total Hospitalizations | 0.11 | ||||
| % of Total ICD 04111 - Methicillin susceptible Staphylococcus aureus in conditions classified elsewhere and of unspecified site in DRG | 0.91 | ||||
| Avg LOS at DRG | 10.04 | ||||
| Avg LOS with ICD 04111 - Methicillin susceptible Staphylococcus aureus in conditions classified elsewhere and of unspecified site | 11.19 | ||||
| Readmission Rate at DRG | 29.7 | ||||
| Readmission Rate with ICD 04111 - Methicillin susceptible Staphylococcus aureus in conditions classified elsewhere and of unspecified site | 30.09 | ||||
| Unplanned Readmission Rate at DRG | 15.88 | ||||
| Unplanned Readmission Rate with ICD 04111 - Methicillin susceptible Staphylococcus aureus in conditions classified elsewhere and of unspecified site | 15.14 | ||||
| Total Medicare payments at DRG | $402,951,135 | ||||
| Total Medicare payments with ICD 04111 - Methicillin susceptible Staphylococcus aureus in conditions classified elsewhere and of unspecified site | $18,888,317 | ||||
| Total Medicare payment per Day at DRG | $1,584 | ||||
| Total Medicare payment per Day with ICD 04111 - Methicillin susceptible Staphylococcus aureus in conditions classified elsewhere and of unspecified site | $1,454 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,902 | ||||
| Total Medicare payment per Hospitalization with ICD 04111 - Methicillin susceptible Staphylococcus aureus in conditions classified elsewhere and of unspecified site | $16,269 | ||||
| Total Medicare Charges at DRG | $1,623,700,659 | ||||
| Total Medicare Charges with ICD 04111 - Methicillin susceptible Staphylococcus aureus in conditions classified elsewhere and of unspecified site | $74,845,735 | ||||
| Avg Charges at DRG | $64,077 | ||||
| Avg Charges with ICD 04111 - Methicillin susceptible Staphylococcus aureus in conditions classified elsewhere and of unspecified site | $64,467 | ||||
| Mortality Rate at DRG | 3.24 | ||||
| Mortality Rate with ICD 04111 - Methicillin susceptible Staphylococcus aureus in conditions classified elsewhere and of unspecified site | 2.5 | ||||
| SNF Discharge Rate at DRG | 22.25 | ||||
| SNF Discharge Rate with ICD 04111 - Methicillin susceptible Staphylococcus aureus in conditions classified elsewhere and of unspecified site | 25.67 | ||||
| Home Discharge Rate at DRG | 28.99 | ||||
| Home Discharge Rate with ICD 04111 - Methicillin susceptible Staphylococcus aureus in conditions classified elsewhere and of unspecified site | 24.29 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 369 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 366 |
| YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 350 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. GRACIA ETIENNE | 1855 POWDER MILL RD | YORK | PA | 17402 | 73 |
| Dr. QUYEN NGOC LUU | 458 HEMLOCK ST | MACON | GA | 31201 | 56 |
| Dr. KIRK R ANDERSON | 306 RIVER BEND LN | PROVO | UT | 84604 | 33 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. GRACIA ETIENNE | 1855 POWDER MILL RD | YORK | PA | 17402 | 74 |
| Dr. FARHAN SIDDIQUI | 535 COLISEUM DR | MACON | GA | 31217 | 59 |
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 43 |