| 486 - Pneumonia, organism unspecified - as a primary diagnosis code | 486 - Pneumonia, organism unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.22 | |
| Readmission Rate (%) | 24.63 | |
| Unplanned Readmission Rate (%) | 13.73 | |
| 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 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 195: SIMPLE PNEUMONIA AND PLEURISY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 368,552 | ||||
| Total Hospitalizations with ICD 486 - Pneumonia, organism unspecified | 323,777 | ||||
| DRG Share of Total Hospitalizations | 1.61 | ||||
| % of Total ICD 486 - Pneumonia, organism unspecified in DRG | 42.71 | ||||
| Avg LOS at DRG | 4.42 | ||||
| Avg LOS with ICD 486 - Pneumonia, organism unspecified | 4.4 | ||||
| Readmission Rate at DRG | 18.07 | ||||
| Readmission Rate with ICD 486 - Pneumonia, organism unspecified | 18.46 | ||||
| Unplanned Readmission Rate at DRG | 12.45 | ||||
| Unplanned Readmission Rate with ICD 486 - Pneumonia, organism unspecified | 12.71 | ||||
| Total Medicare payments at DRG | $2,243,342,846 | ||||
| Total Medicare payments with ICD 486 - Pneumonia, organism unspecified | $1,971,218,175 | ||||
| Total Medicare payment per Day at DRG | $1,376 | ||||
| Total Medicare payment per Day with ICD 486 - Pneumonia, organism unspecified | $1,385 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,087 | ||||
| Total Medicare payment per Hospitalization with ICD 486 - Pneumonia, organism unspecified | $6,088 | ||||
| Total Medicare Charges at DRG | $9,706,587,516 | ||||
| Total Medicare Charges with ICD 486 - Pneumonia, organism unspecified | $8,496,995,980 | ||||
| Avg Charges at DRG | $26,337 | ||||
| Avg Charges with ICD 486 - Pneumonia, organism unspecified | $26,243 | ||||
| Mortality Rate at DRG | 1.44 | ||||
| Mortality Rate with ICD 486 - Pneumonia, organism unspecified | 1.52 | ||||
| SNF Discharge Rate at DRG | 19.19 | ||||
| SNF Discharge Rate with ICD 486 - Pneumonia, organism unspecified | 19.44 | ||||
| Home Discharge Rate at DRG | 50.54 | ||||
| Home Discharge Rate with ICD 486 - Pneumonia, organism unspecified | 49.84 |
| DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 42,015 | ||||
| Total Hospitalizations with ICD 486 - Pneumonia, organism unspecified | 4,564 | ||||
| DRG Share of Total Hospitalizations | 0.18 | ||||
| % of Total ICD 486 - Pneumonia, organism unspecified in DRG | 0.6 | ||||
| Avg LOS at DRG | 13.94 | ||||
| Avg LOS with ICD 486 - Pneumonia, organism unspecified | 12.06 | ||||
| Readmission Rate at DRG | 33.47 | ||||
| Readmission Rate with ICD 486 - Pneumonia, organism unspecified | 33.36 | ||||
| Unplanned Readmission Rate at DRG | 20.71 | ||||
| Unplanned Readmission Rate with ICD 486 - Pneumonia, organism unspecified | 21.49 | ||||
| Total Medicare payments at DRG | $1,233,602,792 | ||||
| Total Medicare payments with ICD 486 - Pneumonia, organism unspecified | $115,852,679 | ||||
| Total Medicare payment per Day at DRG | $2,106 | ||||
| Total Medicare payment per Day with ICD 486 - Pneumonia, organism unspecified | $2,105 | ||||
| Total Medicare payment per Hospitalization at DRG | $29,361 | ||||
| Total Medicare payment per Hospitalization with ICD 486 - Pneumonia, organism unspecified | $25,384 | ||||
| Total Medicare Charges at DRG | $5,177,106,393 | ||||
| Total Medicare Charges with ICD 486 - Pneumonia, organism unspecified | $485,311,151 | ||||
| Avg Charges at DRG | $123,220 | ||||
| Avg Charges with ICD 486 - Pneumonia, organism unspecified | $106,335 | ||||
| Mortality Rate at DRG | 9.78 | ||||
| Mortality Rate with ICD 486 - Pneumonia, organism unspecified | 8.87 | ||||
| SNF Discharge Rate at DRG | 24.4 | ||||
| SNF Discharge Rate with ICD 486 - Pneumonia, organism unspecified | 26.03 | ||||
| Home Discharge Rate at DRG | 28.01 | ||||
| Home Discharge Rate with ICD 486 - Pneumonia, organism unspecified | 28.99 |
| DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | DRG 975: HIV WITH MAJOR RELATED CONDITION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 974: HIV WITH MAJOR RELATED CONDITION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 987: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 168: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 40,825 | ||||
| Total Hospitalizations with ICD 486 - Pneumonia, organism unspecified | 976 | ||||
| DRG Share of Total Hospitalizations | 0.18 | ||||
| % of Total ICD 486 - Pneumonia, organism unspecified in DRG | 0.13 | ||||
| Avg LOS at DRG | 26.33 | ||||
| Avg LOS with ICD 486 - Pneumonia, organism unspecified | 25.39 | ||||
| Readmission Rate at DRG | 74.89 | ||||
| Readmission Rate with ICD 486 - Pneumonia, organism unspecified | 77.22 | ||||
| Unplanned Readmission Rate at DRG | 8.96 | ||||
| Unplanned Readmission Rate with ICD 486 - Pneumonia, organism unspecified | 7.01 | ||||
| Total Medicare payments at DRG | $3,043,515,432 | ||||
| Total Medicare payments with ICD 486 - Pneumonia, organism unspecified | $70,555,609 | ||||
| Total Medicare payment per Day at DRG | $2,831 | ||||
| Total Medicare payment per Day with ICD 486 - Pneumonia, organism unspecified | $2,847 | ||||
| Total Medicare payment per Hospitalization at DRG | $74,550 | ||||
| Total Medicare payment per Hospitalization with ICD 486 - Pneumonia, organism unspecified | $72,291 | ||||
| Total Medicare Charges at DRG | $12,546,632,655 | ||||
| Total Medicare Charges with ICD 486 - Pneumonia, organism unspecified | $291,745,454 | ||||
| Avg Charges at DRG | $307,327 | ||||
| Avg Charges with ICD 486 - Pneumonia, organism unspecified | $298,920 | ||||
| Mortality Rate at DRG | 15.32 | ||||
| Mortality Rate with ICD 486 - Pneumonia, organism unspecified | 18.85 | ||||
| SNF Discharge Rate at DRG | 18.25 | ||||
| SNF Discharge Rate with ICD 486 - Pneumonia, organism unspecified | 13.63 | ||||
| Home Discharge Rate at DRG | 2.06 | ||||
| Home Discharge Rate with ICD 486 - Pneumonia, organism unspecified | 1.23 |
| DRG 988: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 976: HIV WITH MAJOR RELATED CONDITION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 164: MAJOR CHEST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 983: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 16,167 | ||||
| Total Hospitalizations with ICD 486 - Pneumonia, organism unspecified | 441 | ||||
| DRG Share of Total Hospitalizations | 0.07 | ||||
| % of Total ICD 486 - Pneumonia, organism unspecified in DRG | 0.06 | ||||
| Avg LOS at DRG | 6.55 | ||||
| Avg LOS with ICD 486 - Pneumonia, organism unspecified | 7.44 | ||||
| Readmission Rate at DRG | 23.81 | ||||
| Readmission Rate with ICD 486 - Pneumonia, organism unspecified | 24.59 | ||||
| Unplanned Readmission Rate at DRG | 13.97 | ||||
| Unplanned Readmission Rate with ICD 486 - Pneumonia, organism unspecified | 17.4 | ||||
| Total Medicare payments at DRG | $187,084,831 | ||||
| Total Medicare payments with ICD 486 - Pneumonia, organism unspecified | $4,975,013 | ||||
| Total Medicare payment per Day at DRG | $1,768 | ||||
| Total Medicare payment per Day with ICD 486 - Pneumonia, organism unspecified | $1,517 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,572 | ||||
| Total Medicare payment per Hospitalization with ICD 486 - Pneumonia, organism unspecified | $11,281 | ||||
| Total Medicare Charges at DRG | $860,709,473 | ||||
| Total Medicare Charges with ICD 486 - Pneumonia, organism unspecified | $24,720,121 | ||||
| Avg Charges at DRG | $53,239 | ||||
| Avg Charges with ICD 486 - Pneumonia, organism unspecified | $56,055 | ||||
| Mortality Rate at DRG | 0.52 | ||||
| Mortality Rate with ICD 486 - Pneumonia, organism unspecified | NA | ||||
| SNF Discharge Rate at DRG | 20.32 | ||||
| SNF Discharge Rate with ICD 486 - Pneumonia, organism unspecified | 23.58 | ||||
| Home Discharge Rate at DRG | 47.69 | ||||
| Home Discharge Rate with ICD 486 - Pneumonia, organism unspecified | 47.17 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 1,810 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 1,439 |
| METHODIST HOSPITAL | 7700 FLOYD CURL DRIVE | SAN ANTONIO | TX | 78229 | 1,322 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. MALLAPPA NEELAPPA | 2275 S ELKS LANE | YUMA | AZ | 85364 | 119 |
| Dr. DENNIS J CARTER | 1013 DEWEY AVE | POTEAU | OK | 74953 | 97 |
| Dr. DAVID G CHASE | 100 HOSPITAL ST | BOONEVILLE | MS | 38829 | 87 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. VENKATAPURAM RAMESH REDDY | 42320 HIGHWAY 195 | HALEYVILLE | AL | 35565 | 270 |
| Dr. DINESH VERMA | 130 INDEPENDENCE CIR | CHICO | CA | 95973 | 179 |
| Dr. TIMOTHY M SIMON | 906 ROBERTS DR | MONTICELLO | AR | 71655 | 176 |
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 195: SIMPLE PNEUMONIA AND PLEURISY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 901,552 | ||||
| Total Hospitalizations with ICD 486 - Pneumonia, organism unspecified | 340,859 | ||||
| DRG Share of Total Hospitalizations | 3.95 | ||||
| % of Total ICD 486 - Pneumonia, organism unspecified in DRG | 15.51 | ||||
| Avg LOS at DRG | 6.79 | ||||
| Avg LOS with ICD 486 - Pneumonia, organism unspecified | 6.3 | ||||
| Readmission Rate at DRG | 25.38 | ||||
| Readmission Rate with ICD 486 - Pneumonia, organism unspecified | 23.3 | ||||
| Unplanned Readmission Rate at DRG | 17.1 | ||||
| Unplanned Readmission Rate with ICD 486 - Pneumonia, organism unspecified | 16.01 | ||||
| Total Medicare payments at DRG | $11,142,976,193 | ||||
| Total Medicare payments with ICD 486 - Pneumonia, organism unspecified | $4,123,203,288 | ||||
| Total Medicare payment per Day at DRG | $1,821 | ||||
| Total Medicare payment per Day with ICD 486 - Pneumonia, organism unspecified | $1,921 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,360 | ||||
| Total Medicare payment per Hospitalization with ICD 486 - Pneumonia, organism unspecified | $12,097 | ||||
| Total Medicare Charges at DRG | $48,288,426,708 | ||||
| Total Medicare Charges with ICD 486 - Pneumonia, organism unspecified | $16,946,967,853 | ||||
| Avg Charges at DRG | $53,561 | ||||
| Avg Charges with ICD 486 - Pneumonia, organism unspecified | $49,718 | ||||
| Mortality Rate at DRG | 15.16 | ||||
| Mortality Rate with ICD 486 - Pneumonia, organism unspecified | 15.02 | ||||
| SNF Discharge Rate at DRG | 28.41 | ||||
| SNF Discharge Rate with ICD 486 - Pneumonia, organism unspecified | 25.53 | ||||
| Home Discharge Rate at DRG | 23.21 | ||||
| Home Discharge Rate with ICD 486 - Pneumonia, organism unspecified | 27.55 |
| DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 305,326 | ||||
| Total Hospitalizations with ICD 486 - Pneumonia, organism unspecified | 128,125 | ||||
| DRG Share of Total Hospitalizations | 1.34 | ||||
| % of Total ICD 486 - Pneumonia, organism unspecified in DRG | 5.83 | ||||
| Avg LOS at DRG | 5.11 | ||||
| Avg LOS with ICD 486 - Pneumonia, organism unspecified | 5.06 | ||||
| Readmission Rate at DRG | 24.58 | ||||
| Readmission Rate with ICD 486 - Pneumonia, organism unspecified | 21.99 | ||||
| Unplanned Readmission Rate at DRG | 18.98 | ||||
| Unplanned Readmission Rate with ICD 486 - Pneumonia, organism unspecified | 16.33 | ||||
| Total Medicare payments at DRG | $2,231,748,038 | ||||
| Total Medicare payments with ICD 486 - Pneumonia, organism unspecified | $936,953,076 | ||||
| Total Medicare payment per Day at DRG | $1,430 | ||||
| Total Medicare payment per Day with ICD 486 - Pneumonia, organism unspecified | $1,445 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,309 | ||||
| Total Medicare payment per Hospitalization with ICD 486 - Pneumonia, organism unspecified | $7,313 | ||||
| Total Medicare Charges at DRG | $10,098,826,638 | ||||
| Total Medicare Charges with ICD 486 - Pneumonia, organism unspecified | $4,131,506,144 | ||||
| Avg Charges at DRG | $33,076 | ||||
| Avg Charges with ICD 486 - Pneumonia, organism unspecified | $32,246 | ||||
| Mortality Rate at DRG | 1.47 | ||||
| Mortality Rate with ICD 486 - Pneumonia, organism unspecified | 1.22 | ||||
| SNF Discharge Rate at DRG | 14.55 | ||||
| SNF Discharge Rate with ICD 486 - Pneumonia, organism unspecified | 13.8 | ||||
| Home Discharge Rate at DRG | 53.12 | ||||
| Home Discharge Rate with ICD 486 - Pneumonia, organism unspecified | 56.2 |
| DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 136,004 | ||||
| Total Hospitalizations with ICD 486 - Pneumonia, organism unspecified | 30,491 | ||||
| DRG Share of Total Hospitalizations | 0.6 | ||||
| % of Total ICD 486 - Pneumonia, organism unspecified in DRG | 1.39 | ||||
| Avg LOS at DRG | 5.84 | ||||
| Avg LOS with ICD 486 - Pneumonia, organism unspecified | 6.49 | ||||
| Readmission Rate at DRG | 28.01 | ||||
| Readmission Rate with ICD 486 - Pneumonia, organism unspecified | 26.89 | ||||
| Unplanned Readmission Rate at DRG | 19.71 | ||||
| Unplanned Readmission Rate with ICD 486 - Pneumonia, organism unspecified | 18.13 | ||||
| Total Medicare payments at DRG | $1,493,796,897 | ||||
| Total Medicare payments with ICD 486 - Pneumonia, organism unspecified | $336,017,392 | ||||
| Total Medicare payment per Day at DRG | $1,882 | ||||
| Total Medicare payment per Day with ICD 486 - Pneumonia, organism unspecified | $1,698 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,983 | ||||
| Total Medicare payment per Hospitalization with ICD 486 - Pneumonia, organism unspecified | $11,020 | ||||
| Total Medicare Charges at DRG | $6,680,411,091 | ||||
| Total Medicare Charges with ICD 486 - Pneumonia, organism unspecified | $1,643,950,255 | ||||
| Avg Charges at DRG | $49,119 | ||||
| Avg Charges with ICD 486 - Pneumonia, organism unspecified | $53,916 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD 486 - Pneumonia, organism unspecified | NA | ||||
| SNF Discharge Rate at DRG | 24.26 | ||||
| SNF Discharge Rate with ICD 486 - Pneumonia, organism unspecified | 28.0 | ||||
| Home Discharge Rate at DRG | 31.8 | ||||
| Home Discharge Rate with ICD 486 - Pneumonia, organism unspecified | 26.43 |
| DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 180: RESPIRATORY NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 160,983 | ||||
| Total Hospitalizations with ICD 486 - Pneumonia, organism unspecified | 22,816 | ||||
| DRG Share of Total Hospitalizations | 0.7 | ||||
| % of Total ICD 486 - Pneumonia, organism unspecified in DRG | 1.04 | ||||
| Avg LOS at DRG | 5.25 | ||||
| Avg LOS with ICD 486 - Pneumonia, organism unspecified | 5.75 | ||||
| Readmission Rate at DRG | 23.18 | ||||
| Readmission Rate with ICD 486 - Pneumonia, organism unspecified | 21.17 | ||||
| Unplanned Readmission Rate at DRG | 16.92 | ||||
| Unplanned Readmission Rate with ICD 486 - Pneumonia, organism unspecified | 14.84 | ||||
| Total Medicare payments at DRG | $1,156,626,896 | ||||
| Total Medicare payments with ICD 486 - Pneumonia, organism unspecified | $169,751,956 | ||||
| Total Medicare payment per Day at DRG | $1,369 | ||||
| Total Medicare payment per Day with ICD 486 - Pneumonia, organism unspecified | $1,295 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,185 | ||||
| Total Medicare payment per Hospitalization with ICD 486 - Pneumonia, organism unspecified | $7,440 | ||||
| Total Medicare Charges at DRG | $4,987,639,842 | ||||
| Total Medicare Charges with ICD 486 - Pneumonia, organism unspecified | $758,017,056 | ||||
| Avg Charges at DRG | $30,982 | ||||
| Avg Charges with ICD 486 - Pneumonia, organism unspecified | $33,223 | ||||
| Mortality Rate at DRG | 1.79 | ||||
| Mortality Rate with ICD 486 - Pneumonia, organism unspecified | 2.71 | ||||
| SNF Discharge Rate at DRG | 39.38 | ||||
| SNF Discharge Rate with ICD 486 - Pneumonia, organism unspecified | 37.13 | ||||
| Home Discharge Rate at DRG | 25.49 | ||||
| Home Discharge Rate with ICD 486 - Pneumonia, organism unspecified | 26.81 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 5,700 |
| METHODIST HOSPITAL | 7700 FLOYD CURL DRIVE | SAN ANTONIO | TX | 78229 | 3,841 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 3,480 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. MALLAPPA NEELAPPA | 2275 S ELKS LANE | YUMA | AZ | 85364 | 278 |
| Dr. WILLIAM G WOLFF | 5645 MAIN ST | FLUSHING | NY | 11355 | 277 |
| Dr. ABDULKADIR HOURANI | 2051 W 25TH ST | YUMA | AZ | 85364 | 243 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. DINESH VERMA | 130 INDEPENDENCE CIR | CHICO | CA | 95973 | 579 |
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 579 |
| Dr. VENKATAPURAM RAMESH REDDY | 42320 HIGHWAY 195 | HALEYVILLE | AL | 35565 | 497 |