| 04119 - Staphylococcus infection in conditions classified elsewhere and of unspecified site, other staphylococcus - as a primary diagnosis code | 04119 - Staphylococcus infection in conditions classified elsewhere and of unspecified site, other staphylococcus - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 9.39 | |
| Readmission Rate (%) | 28.32 | |
| 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 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 368,382 | ||||
| Total Hospitalizations with ICD 04119 - Staphylococcus infection in conditions classified elsewhere and of unspecified site, other staphylococcus | 2,503 | ||||
| DRG Share of Total Hospitalizations | 1.61 | ||||
| % of Total ICD 04119 - Staphylococcus infection in conditions classified elsewhere and of unspecified site, other staphylococcus in DRG | 4.58 | ||||
| Avg LOS at DRG | 3.76 | ||||
| Avg LOS with ICD 04119 - Staphylococcus infection in conditions classified elsewhere and of unspecified site, other staphylococcus | 4.46 | ||||
| Readmission Rate at DRG | 18.51 | ||||
| Readmission Rate with ICD 04119 - Staphylococcus infection in conditions classified elsewhere and of unspecified site, other staphylococcus | 20.73 | ||||
| Unplanned Readmission Rate at DRG | 12.91 | ||||
| Unplanned Readmission Rate with ICD 04119 - Staphylococcus infection in conditions classified elsewhere and of unspecified site, other staphylococcus | 13.93 | ||||
| Total Medicare payments at DRG | $1,761,365,865 | ||||
| Total Medicare payments with ICD 04119 - Staphylococcus infection in conditions classified elsewhere and of unspecified site, other staphylococcus | $12,787,909 | ||||
| Total Medicare payment per Day at DRG | $1,270 | ||||
| Total Medicare payment per Day with ICD 04119 - Staphylococcus infection in conditions classified elsewhere and of unspecified site, other staphylococcus | $1,146 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,781 | ||||
| Total Medicare payment per Hospitalization with ICD 04119 - Staphylococcus infection in conditions classified elsewhere and of unspecified site, other staphylococcus | $5,109 | ||||
| Total Medicare Charges at DRG | $7,996,276,956 | ||||
| Total Medicare Charges with ICD 04119 - Staphylococcus infection in conditions classified elsewhere and of unspecified site, other staphylococcus | $57,688,972 | ||||
| Avg Charges at DRG | $21,706 | ||||
| Avg Charges with ICD 04119 - Staphylococcus infection in conditions classified elsewhere and of unspecified site, other staphylococcus | $23,048 | ||||
| Mortality Rate at DRG | 0.32 | ||||
| Mortality Rate with ICD 04119 - Staphylococcus infection in conditions classified elsewhere and of unspecified site, other staphylococcus | NA | ||||
| SNF Discharge Rate at DRG | 27.88 | ||||
| SNF Discharge Rate with ICD 04119 - Staphylococcus infection in conditions classified elsewhere and of unspecified site, other staphylococcus | 30.88 | ||||
| Home Discharge Rate at DRG | 42.37 | ||||
| Home Discharge Rate with ICD 04119 - Staphylococcus infection in conditions classified elsewhere and of unspecified site, other staphylococcus | 37.95 |
| DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 315: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY 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 | 285,530 | ||||
| Total Hospitalizations with ICD 04119 - Staphylococcus infection in conditions classified elsewhere and of unspecified site, other staphylococcus | 1,288 | ||||
| DRG Share of Total Hospitalizations | 1.25 | ||||
| % of Total ICD 04119 - Staphylococcus infection in conditions classified elsewhere and of unspecified site, other staphylococcus in DRG | 2.36 | ||||
| Avg LOS at DRG | 4.72 | ||||
| Avg LOS with ICD 04119 - Staphylococcus infection in conditions classified elsewhere and of unspecified site, other staphylococcus | 5.49 | ||||
| Readmission Rate at DRG | 18.55 | ||||
| Readmission Rate with ICD 04119 - Staphylococcus infection in conditions classified elsewhere and of unspecified site, other staphylococcus | 22.52 | ||||
| Unplanned Readmission Rate at DRG | 12.87 | ||||
| Unplanned Readmission Rate with ICD 04119 - Staphylococcus infection in conditions classified elsewhere and of unspecified site, other staphylococcus | 14.26 | ||||
| Total Medicare payments at DRG | $1,922,582,097 | ||||
| Total Medicare payments with ICD 04119 - Staphylococcus infection in conditions classified elsewhere and of unspecified site, other staphylococcus | $9,186,477 | ||||
| Total Medicare payment per Day at DRG | $1,427 | ||||
| Total Medicare payment per Day with ICD 04119 - Staphylococcus infection in conditions classified elsewhere and of unspecified site, other staphylococcus | $1,300 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,733 | ||||
| Total Medicare payment per Hospitalization with ICD 04119 - Staphylococcus infection in conditions classified elsewhere and of unspecified site, other staphylococcus | $7,132 | ||||
| Total Medicare Charges at DRG | $8,696,353,387 | ||||
| Total Medicare Charges with ICD 04119 - Staphylococcus infection in conditions classified elsewhere and of unspecified site, other staphylococcus | $43,456,929 | ||||
| Avg Charges at DRG | $30,457 | ||||
| Avg Charges with ICD 04119 - Staphylococcus infection in conditions classified elsewhere and of unspecified site, other staphylococcus | $33,740 | ||||
| Mortality Rate at DRG | 2.4 | ||||
| Mortality Rate with ICD 04119 - Staphylococcus infection in conditions classified elsewhere and of unspecified site, other staphylococcus | NA | ||||
| SNF Discharge Rate at DRG | 23.54 | ||||
| SNF Discharge Rate with ICD 04119 - Staphylococcus infection in conditions classified elsewhere and of unspecified site, other staphylococcus | 25.7 | ||||
| Home Discharge Rate at DRG | 44.6 | ||||
| Home Discharge Rate with ICD 04119 - Staphylococcus infection in conditions classified elsewhere and of unspecified site, other staphylococcus | 39.13 |
| DRG 863: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 857: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 36,885 | ||||
| Total Hospitalizations with ICD 04119 - Staphylococcus infection in conditions classified elsewhere and of unspecified site, other staphylococcus | 794 | ||||
| DRG Share of Total Hospitalizations | 0.16 | ||||
| % of Total ICD 04119 - Staphylococcus infection in conditions classified elsewhere and of unspecified site, other staphylococcus in DRG | 1.45 | ||||
| Avg LOS at DRG | 5.33 | ||||
| Avg LOS with ICD 04119 - Staphylococcus infection in conditions classified elsewhere and of unspecified site, other staphylococcus | 7.05 | ||||
| Readmission Rate at DRG | 19.57 | ||||
| Readmission Rate with ICD 04119 - Staphylococcus infection in conditions classified elsewhere and of unspecified site, other staphylococcus | 21.9 | ||||
| Unplanned Readmission Rate at DRG | 9.98 | ||||
| Unplanned Readmission Rate with ICD 04119 - Staphylococcus infection in conditions classified elsewhere and of unspecified site, other staphylococcus | 10.95 | ||||
| Total Medicare payments at DRG | $263,915,838 | ||||
| Total Medicare payments with ICD 04119 - Staphylococcus infection in conditions classified elsewhere and of unspecified site, other staphylococcus | $6,626,125 | ||||
| Total Medicare payment per Day at DRG | $1,342 | ||||
| Total Medicare payment per Day with ICD 04119 - Staphylococcus infection in conditions classified elsewhere and of unspecified site, other staphylococcus | $1,184 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,155 | ||||
| Total Medicare payment per Hospitalization with ICD 04119 - Staphylococcus infection in conditions classified elsewhere and of unspecified site, other staphylococcus | $8,345 | ||||
| Total Medicare Charges at DRG | $1,114,113,707 | ||||
| Total Medicare Charges with ICD 04119 - Staphylococcus infection in conditions classified elsewhere and of unspecified site, other staphylococcus | $31,406,764 | ||||
| Avg Charges at DRG | $30,205 | ||||
| Avg Charges with ICD 04119 - Staphylococcus infection in conditions classified elsewhere and of unspecified site, other staphylococcus | $39,555 | ||||
| Mortality Rate at DRG | 0.1 | ||||
| Mortality Rate with ICD 04119 - Staphylococcus infection in conditions classified elsewhere and of unspecified site, other staphylococcus | NA | ||||
| SNF Discharge Rate at DRG | 16.13 | ||||
| SNF Discharge Rate with ICD 04119 - Staphylococcus infection in conditions classified elsewhere and of unspecified site, other staphylococcus | 15.11 | ||||
| Home Discharge Rate at DRG | 39.69 | ||||
| Home Discharge Rate with ICD 04119 - Staphylococcus infection in conditions classified elsewhere and of unspecified site, other staphylococcus | 36.15 |
| DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 602: CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 235,369 | ||||
| Total Hospitalizations with ICD 04119 - Staphylococcus infection in conditions classified elsewhere and of unspecified site, other staphylococcus | 595 | ||||
| DRG Share of Total Hospitalizations | 1.03 | ||||
| % of Total ICD 04119 - Staphylococcus infection in conditions classified elsewhere and of unspecified site, other staphylococcus in DRG | 1.09 | ||||
| Avg LOS at DRG | 6.39 | ||||
| Avg LOS with ICD 04119 - Staphylococcus infection in conditions classified elsewhere and of unspecified site, other staphylococcus | 9.38 | ||||
| Readmission Rate at DRG | 29.0 | ||||
| Readmission Rate with ICD 04119 - Staphylococcus infection in conditions classified elsewhere and of unspecified site, other staphylococcus | 34.06 | ||||
| Unplanned Readmission Rate at DRG | 21.04 | ||||
| Unplanned Readmission Rate with ICD 04119 - Staphylococcus infection in conditions classified elsewhere and of unspecified site, other staphylococcus | 24.64 | ||||
| Total Medicare payments at DRG | $2,435,030,298 | ||||
| Total Medicare payments with ICD 04119 - Staphylococcus infection in conditions classified elsewhere and of unspecified site, other staphylococcus | $6,843,853 | ||||
| Total Medicare payment per Day at DRG | $1,619 | ||||
| Total Medicare payment per Day with ICD 04119 - Staphylococcus infection in conditions classified elsewhere and of unspecified site, other staphylococcus | $1,226 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,346 | ||||
| Total Medicare payment per Hospitalization with ICD 04119 - Staphylococcus infection in conditions classified elsewhere and of unspecified site, other staphylococcus | $11,502 | ||||
| Total Medicare Charges at DRG | $10,227,015,588 | ||||
| Total Medicare Charges with ICD 04119 - Staphylococcus infection in conditions classified elsewhere and of unspecified site, other staphylococcus | $35,459,484 | ||||
| Avg Charges at DRG | $43,451 | ||||
| Avg Charges with ICD 04119 - Staphylococcus infection in conditions classified elsewhere and of unspecified site, other staphylococcus | $59,596 | ||||
| Mortality Rate at DRG | 5.93 | ||||
| Mortality Rate with ICD 04119 - Staphylococcus infection in conditions classified elsewhere and of unspecified site, other staphylococcus | 3.7 | ||||
| SNF Discharge Rate at DRG | 27.26 | ||||
| SNF Discharge Rate with ICD 04119 - Staphylococcus infection in conditions classified elsewhere and of unspecified site, other staphylococcus | 35.13 | ||||
| Home Discharge Rate at DRG | 34.42 | ||||
| Home Discharge Rate with ICD 04119 - Staphylococcus infection in conditions classified elsewhere and of unspecified site, other staphylococcus | 25.04 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 240 |
| UNIVERSITY OF ALABAMA HOSPITAL | 619 19TH ST S | BIRMINGHAM | AL | 35249 | 188 |
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 185 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. QUYEN NGOC LUU | 458 HEMLOCK ST | MACON | GA | 31201 | 53 |
| Dr. HANY M HABASHY | 1325 EASTMORELAND AVE | MEMPHIS | TN | 38104 | 41 |
| Dr. DENNIS J CARTER | 1013 DEWEY AVE | POTEAU | OK | 74953 | 21 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. FARHAN SIDDIQUI | 535 COLISEUM DR | MACON | GA | 31217 | 51 |
| Dr. HANY M HABASHY | 1325 EASTMORELAND AVE | MEMPHIS | TN | 38104 | 41 |
| Dr. ALEXANDER DEJESUS | 6400 EDGELAKE DR | SARASOTA | FL | 34240 | 24 |