| 04112 - Methicillin resistant Staphylococcus aureus in conditions classified elsewhere and of unspecified site - as a primary diagnosis code | 04112 - Methicillin resistant Staphylococcus aureus in conditions classified elsewhere and of unspecified site - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 9.78 | |
| Readmission Rate (%) | 28.69 | |
| Unplanned Readmission Rate (%) | 11.02 | |
| 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) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 4,905 | ||||
| Total Hospitalizations with ICD 04112 - Methicillin resistant Staphylococcus aureus in conditions classified elsewhere and of unspecified site | 105 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD 04112 - Methicillin resistant Staphylococcus aureus in conditions classified elsewhere and of unspecified site in DRG | 37.37 | ||||
| Avg LOS at DRG | 5.12 | ||||
| Avg LOS with ICD 04112 - Methicillin resistant Staphylococcus aureus in conditions classified elsewhere and of unspecified site | 7.1 | ||||
| Readmission Rate at DRG | 16.43 | ||||
| Readmission Rate with ICD 04112 - Methicillin resistant Staphylococcus aureus in conditions classified elsewhere and of unspecified site | 23.08 | ||||
| Unplanned Readmission Rate at DRG | 9.96 | ||||
| Unplanned Readmission Rate with ICD 04112 - Methicillin resistant Staphylococcus aureus in conditions classified elsewhere and of unspecified site | NA | ||||
| Total Medicare payments at DRG | $35,776,822 | ||||
| Total Medicare payments with ICD 04112 - Methicillin resistant Staphylococcus aureus in conditions classified elsewhere and of unspecified site | $1,047,487 | ||||
| Total Medicare payment per Day at DRG | $1,425 | ||||
| Total Medicare payment per Day with ICD 04112 - Methicillin resistant Staphylococcus aureus in conditions classified elsewhere and of unspecified site | $1,404 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,294 | ||||
| Total Medicare payment per Hospitalization with ICD 04112 - Methicillin resistant Staphylococcus aureus in conditions classified elsewhere and of unspecified site | $9,976 | ||||
| Total Medicare Charges at DRG | $155,049,995 | ||||
| Total Medicare Charges with ICD 04112 - Methicillin resistant Staphylococcus aureus in conditions classified elsewhere and of unspecified site | $3,640,407 | ||||
| Avg Charges at DRG | $31,611 | ||||
| Avg Charges with ICD 04112 - Methicillin resistant Staphylococcus aureus in conditions classified elsewhere and of unspecified site | $34,671 | ||||
| Mortality Rate at DRG | 0.53 | ||||
| Mortality Rate with ICD 04112 - Methicillin resistant Staphylococcus aureus in conditions classified elsewhere and of unspecified site | NA | ||||
| SNF Discharge Rate at DRG | 12.01 | ||||
| SNF Discharge Rate with ICD 04112 - Methicillin resistant Staphylococcus aureus in conditions classified elsewhere and of unspecified site | 24.76 | ||||
| Home Discharge Rate at DRG | 61.65 | ||||
| Home Discharge Rate with ICD 04112 - Methicillin resistant Staphylococcus aureus in conditions classified elsewhere and of unspecified site | 25.71 |
| 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 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 602: CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 863: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 285,340 | ||||
| Total Hospitalizations with ICD 04112 - Methicillin resistant Staphylococcus aureus in conditions classified elsewhere and of unspecified site | 23,319 | ||||
| DRG Share of Total Hospitalizations | 1.25 | ||||
| % of Total ICD 04112 - Methicillin resistant Staphylococcus aureus in conditions classified elsewhere and of unspecified site in DRG | 10.27 | ||||
| Avg LOS at DRG | 4.24 | ||||
| Avg LOS with ICD 04112 - Methicillin resistant Staphylococcus aureus in conditions classified elsewhere and of unspecified site | 5.1 | ||||
| Readmission Rate at DRG | 16.32 | ||||
| Readmission Rate with ICD 04112 - Methicillin resistant Staphylococcus aureus in conditions classified elsewhere and of unspecified site | 15.58 | ||||
| Unplanned Readmission Rate at DRG | 10.58 | ||||
| Unplanned Readmission Rate with ICD 04112 - Methicillin resistant Staphylococcus aureus in conditions classified elsewhere and of unspecified site | 9.57 | ||||
| Total Medicare payments at DRG | $1,475,002,556 | ||||
| Total Medicare payments with ICD 04112 - Methicillin resistant Staphylococcus aureus in conditions classified elsewhere and of unspecified site | $124,588,916 | ||||
| Total Medicare payment per Day at DRG | $1,218 | ||||
| Total Medicare payment per Day with ICD 04112 - Methicillin resistant Staphylococcus aureus in conditions classified elsewhere and of unspecified site | $1,047 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,169 | ||||
| Total Medicare payment per Hospitalization with ICD 04112 - Methicillin resistant Staphylococcus aureus in conditions classified elsewhere and of unspecified site | $5,343 | ||||
| Total Medicare Charges at DRG | $6,348,002,652 | ||||
| Total Medicare Charges with ICD 04112 - Methicillin resistant Staphylococcus aureus in conditions classified elsewhere and of unspecified site | $618,866,829 | ||||
| Avg Charges at DRG | $22,247 | ||||
| Avg Charges with ICD 04112 - Methicillin resistant Staphylococcus aureus in conditions classified elsewhere and of unspecified site | $26,539 | ||||
| Mortality Rate at DRG | 0.12 | ||||
| Mortality Rate with ICD 04112 - Methicillin resistant Staphylococcus aureus in conditions classified elsewhere and of unspecified site | 0.11 | ||||
| SNF Discharge Rate at DRG | 15.9 | ||||
| SNF Discharge Rate with ICD 04112 - Methicillin resistant Staphylococcus aureus in conditions classified elsewhere and of unspecified site | 18.75 | ||||
| Home Discharge Rate at DRG | 54.0 | ||||
| Home Discharge Rate with ICD 04112 - Methicillin resistant Staphylococcus aureus in conditions classified elsewhere and of unspecified site | 45.91 |
| DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 368,382 | ||||
| Total Hospitalizations with ICD 04112 - Methicillin resistant Staphylococcus aureus in conditions classified elsewhere and of unspecified site | 4,511 | ||||
| DRG Share of Total Hospitalizations | 1.61 | ||||
| % of Total ICD 04112 - Methicillin resistant Staphylococcus aureus in conditions classified elsewhere and of unspecified site in DRG | 1.99 | ||||
| Avg LOS at DRG | 3.76 | ||||
| Avg LOS with ICD 04112 - Methicillin resistant Staphylococcus aureus in conditions classified elsewhere and of unspecified site | 5.23 | ||||
| Readmission Rate at DRG | 18.51 | ||||
| Readmission Rate with ICD 04112 - Methicillin resistant Staphylococcus aureus in conditions classified elsewhere and of unspecified site | 23.55 | ||||
| Unplanned Readmission Rate at DRG | 12.91 | ||||
| Unplanned Readmission Rate with ICD 04112 - Methicillin resistant Staphylococcus aureus in conditions classified elsewhere and of unspecified site | 16.55 | ||||
| Total Medicare payments at DRG | $1,761,365,865 | ||||
| Total Medicare payments with ICD 04112 - Methicillin resistant Staphylococcus aureus in conditions classified elsewhere and of unspecified site | $24,092,552 | ||||
| Total Medicare payment per Day at DRG | $1,270 | ||||
| Total Medicare payment per Day with ICD 04112 - Methicillin resistant Staphylococcus aureus in conditions classified elsewhere and of unspecified site | $1,020 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,781 | ||||
| Total Medicare payment per Hospitalization with ICD 04112 - Methicillin resistant Staphylococcus aureus in conditions classified elsewhere and of unspecified site | $5,341 | ||||
| Total Medicare Charges at DRG | $7,996,276,956 | ||||
| Total Medicare Charges with ICD 04112 - Methicillin resistant Staphylococcus aureus in conditions classified elsewhere and of unspecified site | $125,565,003 | ||||
| Avg Charges at DRG | $21,706 | ||||
| Avg Charges with ICD 04112 - Methicillin resistant Staphylococcus aureus in conditions classified elsewhere and of unspecified site | $27,835 | ||||
| Mortality Rate at DRG | 0.32 | ||||
| Mortality Rate with ICD 04112 - Methicillin resistant Staphylococcus aureus in conditions classified elsewhere and of unspecified site | 0.42 | ||||
| SNF Discharge Rate at DRG | 27.88 | ||||
| SNF Discharge Rate with ICD 04112 - Methicillin resistant Staphylococcus aureus in conditions classified elsewhere and of unspecified site | 36.11 | ||||
| Home Discharge Rate at DRG | 42.37 | ||||
| Home Discharge Rate with ICD 04112 - Methicillin resistant Staphylococcus aureus in conditions classified elsewhere and of unspecified site | 27.51 |
| DRG 857: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 617: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | 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 | 18,159 | ||||
| Total Hospitalizations with ICD 04112 - Methicillin resistant Staphylococcus aureus in conditions classified elsewhere and of unspecified site | 2,957 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD 04112 - Methicillin resistant Staphylococcus aureus in conditions classified elsewhere and of unspecified site in DRG | 1.3 | ||||
| Avg LOS at DRG | 7.35 | ||||
| Avg LOS with ICD 04112 - Methicillin resistant Staphylococcus aureus in conditions classified elsewhere and of unspecified site | 8.52 | ||||
| Readmission Rate at DRG | 24.36 | ||||
| Readmission Rate with ICD 04112 - Methicillin resistant Staphylococcus aureus in conditions classified elsewhere and of unspecified site | 28.54 | ||||
| Unplanned Readmission Rate at DRG | 10.03 | ||||
| Unplanned Readmission Rate with ICD 04112 - Methicillin resistant Staphylococcus aureus in conditions classified elsewhere and of unspecified site | 12.14 | ||||
| Total Medicare payments at DRG | $246,549,919 | ||||
| Total Medicare payments with ICD 04112 - Methicillin resistant Staphylococcus aureus in conditions classified elsewhere and of unspecified site | $41,868,849 | ||||
| Total Medicare payment per Day at DRG | $1,848 | ||||
| Total Medicare payment per Day with ICD 04112 - Methicillin resistant Staphylococcus aureus in conditions classified elsewhere and of unspecified site | $1,661 | ||||
| Total Medicare payment per Hospitalization at DRG | $13,577 | ||||
| Total Medicare payment per Hospitalization with ICD 04112 - Methicillin resistant Staphylococcus aureus in conditions classified elsewhere and of unspecified site | $14,159 | ||||
| Total Medicare Charges at DRG | $1,070,200,665 | ||||
| Total Medicare Charges with ICD 04112 - Methicillin resistant Staphylococcus aureus in conditions classified elsewhere and of unspecified site | $196,859,471 | ||||
| Avg Charges at DRG | $58,935 | ||||
| Avg Charges with ICD 04112 - Methicillin resistant Staphylococcus aureus in conditions classified elsewhere and of unspecified site | $66,574 | ||||
| Mortality Rate at DRG | 0.13 | ||||
| Mortality Rate with ICD 04112 - Methicillin resistant Staphylococcus aureus in conditions classified elsewhere and of unspecified site | NA | ||||
| SNF Discharge Rate at DRG | 24.52 | ||||
| SNF Discharge Rate with ICD 04112 - Methicillin resistant Staphylococcus aureus in conditions classified elsewhere and of unspecified site | 32.6 | ||||
| Home Discharge Rate at DRG | 24.32 | ||||
| Home Discharge Rate with ICD 04112 - Methicillin resistant Staphylococcus aureus in conditions classified elsewhere and of unspecified site | 18.26 |
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 592: SKIN ULCERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 311,763 | ||||
| Total Hospitalizations with ICD 04112 - Methicillin resistant Staphylococcus aureus in conditions classified elsewhere and of unspecified site | 2,200 | ||||
| DRG Share of Total Hospitalizations | 1.36 | ||||
| % of Total ICD 04112 - Methicillin resistant Staphylococcus aureus in conditions classified elsewhere and of unspecified site in DRG | 0.97 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD 04112 - Methicillin resistant Staphylococcus aureus in conditions classified elsewhere and of unspecified site | 6.11 | ||||
| Readmission Rate at DRG | 23.41 | ||||
| Readmission Rate with ICD 04112 - Methicillin resistant Staphylococcus aureus in conditions classified elsewhere and of unspecified site | 27.2 | ||||
| Unplanned Readmission Rate at DRG | 16.67 | ||||
| Unplanned Readmission Rate with ICD 04112 - Methicillin resistant Staphylococcus aureus in conditions classified elsewhere and of unspecified site | 17.99 | ||||
| Total Medicare payments at DRG | $1,867,955,174 | ||||
| Total Medicare payments with ICD 04112 - Methicillin resistant Staphylococcus aureus in conditions classified elsewhere and of unspecified site | $14,235,031 | ||||
| Total Medicare payment per Day at DRG | $1,382 | ||||
| Total Medicare payment per Day with ICD 04112 - Methicillin resistant Staphylococcus aureus in conditions classified elsewhere and of unspecified site | $1,059 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,992 | ||||
| Total Medicare payment per Hospitalization with ICD 04112 - Methicillin resistant Staphylococcus aureus in conditions classified elsewhere and of unspecified site | $6,470 | ||||
| Total Medicare Charges at DRG | $8,358,483,119 | ||||
| Total Medicare Charges with ICD 04112 - Methicillin resistant Staphylococcus aureus in conditions classified elsewhere and of unspecified site | $77,982,849 | ||||
| Avg Charges at DRG | $26,810 | ||||
| Avg Charges with ICD 04112 - Methicillin resistant Staphylococcus aureus in conditions classified elsewhere and of unspecified site | $35,447 | ||||
| Mortality Rate at DRG | 1.37 | ||||
| Mortality Rate with ICD 04112 - Methicillin resistant Staphylococcus aureus in conditions classified elsewhere and of unspecified site | 1.05 | ||||
| SNF Discharge Rate at DRG | 23.3 | ||||
| SNF Discharge Rate with ICD 04112 - Methicillin resistant Staphylococcus aureus in conditions classified elsewhere and of unspecified site | 36.05 | ||||
| Home Discharge Rate at DRG | 45.55 | ||||
| Home Discharge Rate with ICD 04112 - Methicillin resistant Staphylococcus aureus in conditions classified elsewhere and of unspecified site | 27.41 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 683 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 560 |
| ORLANDO HEALTH ORLANDO REGIONAL MEDICAL CENTER | 1414 KUHL AVE | ORLANDO | FL | 32806 | 483 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. QUYEN NGOC LUU | 458 HEMLOCK ST | MACON | GA | 31201 | 91 |
| Dr. HANY M HABASHY | 1325 EASTMORELAND AVE | MEMPHIS | TN | 38104 | 83 |
| Dr. NATHAN A WATSON | 600 N HIGHLAND AVE | SHERMAN | TX | 75092 | 56 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. HANY M HABASHY | 1325 EASTMORELAND AVE | MEMPHIS | TN | 38104 | 83 |
| Dr. FARHAN SIDDIQUI | 535 COLISEUM DR | MACON | GA | 31217 | 72 |
| Dr. SHAUN ROBERT CARPENTER | 46 LOUIS PRIMA DR | COVINGTON | LA | 70433 | 71 |