| 0419 - Bacterial infection, unspecified, in conditions classified elsewhere and of unspecified site - as a primary diagnosis code | 0419 - Bacterial infection, unspecified, in conditions classified elsewhere and of unspecified site - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.22 | |
| Readmission Rate (%) | 22.59 | |
| Unplanned Readmission Rate (%) | 16.67 | |
| 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 0419 - Bacterial infection, unspecified, in conditions classified elsewhere and of unspecified site | 45 | ||
| DRG Share of Total Hospitalizations | 0.02 | ||
| % of Total ICD 0419 - Bacterial infection, unspecified, in conditions classified elsewhere and of unspecified site in DRG | 49.45 | ||
| Avg LOS at DRG | 5.12 | ||
| Avg LOS with ICD 0419 - Bacterial infection, unspecified, in conditions classified elsewhere and of unspecified site | 4.13 | ||
| Readmission Rate at DRG | 16.43 | ||
| Readmission Rate with ICD 0419 - Bacterial infection, unspecified, in conditions classified elsewhere and of unspecified site | 29.55 | ||
| Unplanned Readmission Rate at DRG | 9.96 | ||
| Unplanned Readmission Rate with ICD 0419 - Bacterial infection, unspecified, in conditions classified elsewhere and of unspecified site | NA | ||
| Total Medicare payments at DRG | $35,776,822 | ||
| Total Medicare payments with ICD 0419 - Bacterial infection, unspecified, in conditions classified elsewhere and of unspecified site | $341,980 | ||
| Total Medicare payment per Day at DRG | $1,425 | ||
| Total Medicare payment per Day with ICD 0419 - Bacterial infection, unspecified, in conditions classified elsewhere and of unspecified site | $1,839 | ||
| Total Medicare payment per Hospitalization at DRG | $7,294 | ||
| Total Medicare payment per Hospitalization with ICD 0419 - Bacterial infection, unspecified, in conditions classified elsewhere and of unspecified site | $7,600 | ||
| Total Medicare Charges at DRG | $155,049,995 | ||
| Total Medicare Charges with ICD 0419 - Bacterial infection, unspecified, in conditions classified elsewhere and of unspecified site | $1,508,474 | ||
| Avg Charges at DRG | $31,611 | ||
| Avg Charges with ICD 0419 - Bacterial infection, unspecified, in conditions classified elsewhere and of unspecified site | $33,522 | ||
| Mortality Rate at DRG | 0.53 | ||
| Mortality Rate with ICD 0419 - Bacterial infection, unspecified, in conditions classified elsewhere and of unspecified site | NA | ||
| SNF Discharge Rate at DRG | 12.01 | ||
| SNF Discharge Rate with ICD 0419 - Bacterial infection, unspecified, in conditions classified elsewhere and of unspecified site | 24.44 | ||
| Home Discharge Rate at DRG | 61.65 | ||
| Home Discharge Rate with ICD 0419 - Bacterial infection, unspecified, in conditions classified elsewhere and of unspecified site | 55.56 |
| DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 602,372 | ||||
| Total Hospitalizations with ICD 0419 - Bacterial infection, unspecified, in conditions classified elsewhere and of unspecified site | 1,109 | ||||
| DRG Share of Total Hospitalizations | 2.64 | ||||
| % of Total ICD 0419 - Bacterial infection, unspecified, in conditions classified elsewhere and of unspecified site in DRG | 9.54 | ||||
| Avg LOS at DRG | 13.11 | ||||
| Avg LOS with ICD 0419 - Bacterial infection, unspecified, in conditions classified elsewhere and of unspecified site | 14.2 | ||||
| Readmission Rate at DRG | 15.99 | ||||
| Readmission Rate with ICD 0419 - Bacterial infection, unspecified, in conditions classified elsewhere and of unspecified site | 14.47 | ||||
| Unplanned Readmission Rate at DRG | 12.22 | ||||
| Unplanned Readmission Rate with ICD 0419 - Bacterial infection, unspecified, in conditions classified elsewhere and of unspecified site | 11.69 | ||||
| Total Medicare payments at DRG | $11,047,686,856 | ||||
| Total Medicare payments with ICD 0419 - Bacterial infection, unspecified, in conditions classified elsewhere and of unspecified site | $21,045,420 | ||||
| Total Medicare payment per Day at DRG | $1,399 | ||||
| Total Medicare payment per Day with ICD 0419 - Bacterial infection, unspecified, in conditions classified elsewhere and of unspecified site | $1,336 | ||||
| Total Medicare payment per Hospitalization at DRG | $18,340 | ||||
| Total Medicare payment per Hospitalization with ICD 0419 - Bacterial infection, unspecified, in conditions classified elsewhere and of unspecified site | $18,977 | ||||
| Total Medicare Charges at DRG | $25,171,736,043 | ||||
| Total Medicare Charges with ICD 0419 - Bacterial infection, unspecified, in conditions classified elsewhere and of unspecified site | $39,497,293 | ||||
| Avg Charges at DRG | $41,788 | ||||
| Avg Charges with ICD 0419 - Bacterial infection, unspecified, in conditions classified elsewhere and of unspecified site | $35,615 | ||||
| Mortality Rate at DRG | 0.21 | ||||
| Mortality Rate with ICD 0419 - Bacterial infection, unspecified, in conditions classified elsewhere and of unspecified site | NA | ||||
| SNF Discharge Rate at DRG | 17.37 | ||||
| SNF Discharge Rate with ICD 0419 - Bacterial infection, unspecified, in conditions classified elsewhere and of unspecified site | 25.25 | ||||
| Home Discharge Rate at DRG | 21.02 | ||||
| Home Discharge Rate with ICD 0419 - Bacterial infection, unspecified, in conditions classified elsewhere and of unspecified site | 14.7 |
| 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) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 202: BRONCHITIS AND ASTHMA WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 160,983 | ||||
| Total Hospitalizations with ICD 0419 - Bacterial infection, unspecified, in conditions classified elsewhere and of unspecified site | 277 | ||||
| DRG Share of Total Hospitalizations | 0.7 | ||||
| % of Total ICD 0419 - Bacterial infection, unspecified, in conditions classified elsewhere and of unspecified site in DRG | 2.38 | ||||
| Avg LOS at DRG | 5.25 | ||||
| Avg LOS with ICD 0419 - Bacterial infection, unspecified, in conditions classified elsewhere and of unspecified site | 4.66 | ||||
| Readmission Rate at DRG | 23.18 | ||||
| Readmission Rate with ICD 0419 - Bacterial infection, unspecified, in conditions classified elsewhere and of unspecified site | 26.69 | ||||
| Unplanned Readmission Rate at DRG | 16.92 | ||||
| Unplanned Readmission Rate with ICD 0419 - Bacterial infection, unspecified, in conditions classified elsewhere and of unspecified site | 18.05 | ||||
| Total Medicare payments at DRG | $1,156,626,896 | ||||
| Total Medicare payments with ICD 0419 - Bacterial infection, unspecified, in conditions classified elsewhere and of unspecified site | $1,999,116 | ||||
| Total Medicare payment per Day at DRG | $1,369 | ||||
| Total Medicare payment per Day with ICD 0419 - Bacterial infection, unspecified, in conditions classified elsewhere and of unspecified site | $1,547 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,185 | ||||
| Total Medicare payment per Hospitalization with ICD 0419 - Bacterial infection, unspecified, in conditions classified elsewhere and of unspecified site | $7,217 | ||||
| Total Medicare Charges at DRG | $4,987,639,842 | ||||
| Total Medicare Charges with ICD 0419 - Bacterial infection, unspecified, in conditions classified elsewhere and of unspecified site | $7,846,909 | ||||
| Avg Charges at DRG | $30,982 | ||||
| Avg Charges with ICD 0419 - Bacterial infection, unspecified, in conditions classified elsewhere and of unspecified site | $28,328 | ||||
| Mortality Rate at DRG | 1.79 | ||||
| Mortality Rate with ICD 0419 - Bacterial infection, unspecified, in conditions classified elsewhere and of unspecified site | NA | ||||
| SNF Discharge Rate at DRG | 39.38 | ||||
| SNF Discharge Rate with ICD 0419 - Bacterial infection, unspecified, in conditions classified elsewhere and of unspecified site | 30.69 | ||||
| Home Discharge Rate at DRG | 25.49 | ||||
| Home Discharge Rate with ICD 0419 - Bacterial infection, unspecified, in conditions classified elsewhere and of unspecified site | 33.21 |
| DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 699: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 76,393 | ||||
| Total Hospitalizations with ICD 0419 - Bacterial infection, unspecified, in conditions classified elsewhere and of unspecified site | 165 | ||||
| DRG Share of Total Hospitalizations | 0.33 | ||||
| % of Total ICD 0419 - Bacterial infection, unspecified, in conditions classified elsewhere and of unspecified site in DRG | 1.42 | ||||
| Avg LOS at DRG | 6.52 | ||||
| Avg LOS with ICD 0419 - Bacterial infection, unspecified, in conditions classified elsewhere and of unspecified site | 5.81 | ||||
| Readmission Rate at DRG | 27.8 | ||||
| Readmission Rate with ICD 0419 - Bacterial infection, unspecified, in conditions classified elsewhere and of unspecified site | 28.48 | ||||
| Unplanned Readmission Rate at DRG | 20.05 | ||||
| Unplanned Readmission Rate with ICD 0419 - Bacterial infection, unspecified, in conditions classified elsewhere and of unspecified site | 24.68 | ||||
| Total Medicare payments at DRG | $810,198,003 | ||||
| Total Medicare payments with ICD 0419 - Bacterial infection, unspecified, in conditions classified elsewhere and of unspecified site | $1,548,622 | ||||
| Total Medicare payment per Day at DRG | $1,627 | ||||
| Total Medicare payment per Day with ICD 0419 - Bacterial infection, unspecified, in conditions classified elsewhere and of unspecified site | $1,615 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,606 | ||||
| Total Medicare payment per Hospitalization with ICD 0419 - Bacterial infection, unspecified, in conditions classified elsewhere and of unspecified site | $9,386 | ||||
| Total Medicare Charges at DRG | $3,422,113,136 | ||||
| Total Medicare Charges with ICD 0419 - Bacterial infection, unspecified, in conditions classified elsewhere and of unspecified site | $5,783,837 | ||||
| Avg Charges at DRG | $44,796 | ||||
| Avg Charges with ICD 0419 - Bacterial infection, unspecified, in conditions classified elsewhere and of unspecified site | $35,054 | ||||
| Mortality Rate at DRG | 3.2 | ||||
| Mortality Rate with ICD 0419 - Bacterial infection, unspecified, in conditions classified elsewhere and of unspecified site | NA | ||||
| SNF Discharge Rate at DRG | 32.3 | ||||
| SNF Discharge Rate with ICD 0419 - Bacterial infection, unspecified, in conditions classified elsewhere and of unspecified site | 35.76 | ||||
| Home Discharge Rate at DRG | 28.25 | ||||
| Home Discharge Rate with ICD 0419 - Bacterial infection, unspecified, in conditions classified elsewhere and of unspecified site | 20.0 |
| DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,595 | ||||
| Total Hospitalizations with ICD 0419 - Bacterial infection, unspecified, in conditions classified elsewhere and of unspecified site | 147 | ||||
| DRG Share of Total Hospitalizations | 1.83 | ||||
| % of Total ICD 0419 - Bacterial infection, unspecified, in conditions classified elsewhere and of unspecified site in DRG | 1.26 | ||||
| Avg LOS at DRG | 3.34 | ||||
| Avg LOS with ICD 0419 - Bacterial infection, unspecified, in conditions classified elsewhere and of unspecified site | 3.48 | ||||
| Readmission Rate at DRG | 17.47 | ||||
| Readmission Rate with ICD 0419 - Bacterial infection, unspecified, in conditions classified elsewhere and of unspecified site | 21.68 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD 0419 - Bacterial infection, unspecified, in conditions classified elsewhere and of unspecified site | 16.78 | ||||
| Total Medicare payments at DRG | $1,834,433,235 | ||||
| Total Medicare payments with ICD 0419 - Bacterial infection, unspecified, in conditions classified elsewhere and of unspecified site | $685,037 | ||||
| Total Medicare payment per Day at DRG | $1,317 | ||||
| Total Medicare payment per Day with ICD 0419 - Bacterial infection, unspecified, in conditions classified elsewhere and of unspecified site | $1,338 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,393 | ||||
| Total Medicare payment per Hospitalization with ICD 0419 - Bacterial infection, unspecified, in conditions classified elsewhere and of unspecified site | $4,660 | ||||
| Total Medicare Charges at DRG | $9,558,780,965 | ||||
| Total Medicare Charges with ICD 0419 - Bacterial infection, unspecified, in conditions classified elsewhere and of unspecified site | $3,458,581 | ||||
| Avg Charges at DRG | $22,890 | ||||
| Avg Charges with ICD 0419 - Bacterial infection, unspecified, in conditions classified elsewhere and of unspecified site | $23,528 | ||||
| Mortality Rate at DRG | 0.23 | ||||
| Mortality Rate with ICD 0419 - Bacterial infection, unspecified, in conditions classified elsewhere and of unspecified site | NA | ||||
| SNF Discharge Rate at DRG | 8.82 | ||||
| SNF Discharge Rate with ICD 0419 - Bacterial infection, unspecified, in conditions classified elsewhere and of unspecified site | 8.16 | ||||
| Home Discharge Rate at DRG | 73.03 | ||||
| Home Discharge Rate with ICD 0419 - Bacterial infection, unspecified, in conditions classified elsewhere and of unspecified site | 71.43 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| SOUTHERN KENTUCKY REHABILITATION HOSPITAL | 1300 CAMPBELL LN | BOWLING GREEN | KY | 42104 | 179 |
| MEADOWS REGIONAL MEDICAL CENTER | ONE MEADOWS PARKWAY | VIDALIA | GA | 30474 | 161 |
| ALLIED REHAB HOSPITAL | 475 MORGAN HWY | SCRANTON | PA | 18508 | 158 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. NATHAN A WATSON | 600 N HIGHLAND AVE | SHERMAN | TX | 75092 | 27 |
| Dr. EDWIDGE L RAOUL | 3512 S ATLANTIC AVE | DAYTONA BEACH SHORES | FL | 32118 | 12 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. LUCIAN P. BEDNARZ | 5 MORGAN HWY | SCRANTON | PA | 18508 | 84 |
| Dr. MUHAMMAD SALMANULLAH | 254 PLEASANT ST | CONCORD | NH | 03301 | 69 |
| Dr. ROBERT WOOD BYRD | 1725 MCINTOSH ST | BOWLING GREEN | KY | 42104 | 64 |