| 99859 - Other postoperative infection - as a primary diagnosis code | 99859 - Other postoperative infection - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 11.79 | |
| Readmission Rate (%) | 29.49 | |
| Unplanned Readmission Rate (%) | 12.1 | |
| 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 863: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 862: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 857: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 856: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 858: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 36,885 | ||||
| Total Hospitalizations with ICD 99859 - Other postoperative infection | 33,992 | ||||
| DRG Share of Total Hospitalizations | 0.16 | ||||
| % of Total ICD 99859 - Other postoperative infection in DRG | 37.15 | ||||
| Avg LOS at DRG | 5.33 | ||||
| Avg LOS with ICD 99859 - Other postoperative infection | 5.36 | ||||
| Readmission Rate at DRG | 19.57 | ||||
| Readmission Rate with ICD 99859 - Other postoperative infection | 19.7 | ||||
| Unplanned Readmission Rate at DRG | 9.98 | ||||
| Unplanned Readmission Rate with ICD 99859 - Other postoperative infection | 10.06 | ||||
| Total Medicare payments at DRG | $263,915,838 | ||||
| Total Medicare payments with ICD 99859 - Other postoperative infection | $244,505,364 | ||||
| Total Medicare payment per Day at DRG | $1,342 | ||||
| Total Medicare payment per Day with ICD 99859 - Other postoperative infection | $1,342 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,155 | ||||
| Total Medicare payment per Hospitalization with ICD 99859 - Other postoperative infection | $7,193 | ||||
| Total Medicare Charges at DRG | $1,114,113,707 | ||||
| Total Medicare Charges with ICD 99859 - Other postoperative infection | $1,028,554,922 | ||||
| Avg Charges at DRG | $30,205 | ||||
| Avg Charges with ICD 99859 - Other postoperative infection | $30,259 | ||||
| Mortality Rate at DRG | 0.1 | ||||
| Mortality Rate with ICD 99859 - Other postoperative infection | 0.11 | ||||
| SNF Discharge Rate at DRG | 16.13 | ||||
| SNF Discharge Rate with ICD 99859 - Other postoperative infection | 16.36 | ||||
| Home Discharge Rate at DRG | 39.69 | ||||
| Home Discharge Rate with ICD 99859 - Other postoperative infection | 39.57 |
| DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | |
|---|---|---|
| Total Hospitalizations at DRG | 34,870 | |
| Total Hospitalizations with ICD 99859 - Other postoperative infection | 212 | |
| DRG Share of Total Hospitalizations | 0.15 | |
| % of Total ICD 99859 - Other postoperative infection in DRG | 0.23 | |
| Avg LOS at DRG | 32.29 | |
| Avg LOS with ICD 99859 - Other postoperative infection | 41.6 | |
| Readmission Rate at DRG | 77.59 | |
| Readmission Rate with ICD 99859 - Other postoperative infection | 76.05 | |
| Unplanned Readmission Rate at DRG | 6.64 | |
| Unplanned Readmission Rate with ICD 99859 - Other postoperative infection | NA | |
| Total Medicare payments at DRG | $4,332,531,897 | |
| Total Medicare payments with ICD 99859 - Other postoperative infection | $29,423,579 | |
| Total Medicare payment per Day at DRG | $3,848 | |
| Total Medicare payment per Day with ICD 99859 - Other postoperative infection | $3,336 | |
| Total Medicare payment per Hospitalization at DRG | $124,248 | |
| Total Medicare payment per Hospitalization with ICD 99859 - Other postoperative infection | $138,790 | |
| Total Medicare Charges at DRG | $18,041,668,887 | |
| Total Medicare Charges with ICD 99859 - Other postoperative infection | $119,747,411 | |
| Avg Charges at DRG | $517,398 | |
| Avg Charges with ICD 99859 - Other postoperative infection | $564,846 | |
| Mortality Rate at DRG | 19.09 | |
| Mortality Rate with ICD 99859 - Other postoperative infection | 18.4 | |
| SNF Discharge Rate at DRG | 14.38 | |
| SNF Discharge Rate with ICD 99859 - Other postoperative infection | 12.74 | |
| Home Discharge Rate at DRG | 1.86 | |
| Home Discharge Rate with ICD 99859 - Other postoperative infection | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 457 |
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 334 |
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 316 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. KIRK R ANDERSON | 306 RIVER BEND LN | PROVO | UT | 84604 | 34 |
| Dr. QUYEN NGOC LUU | 458 HEMLOCK ST | MACON | GA | 31201 | 33 |
| Dr. PIYUSH MITTAL | 3801 50TH ST | LUBBOCK | TX | 79413 | 31 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. PIYUSH MITTAL | 3801 50TH ST | LUBBOCK | TX | 79413 | 49 |
| Dr. UYEN NGUYEN CARO | 3801 NORTH BLVD | BATON ROUGE | LA | 70806 | 37 |
| Dr. KIRK R ANDERSON | 306 RIVER BEND LN | PROVO | UT | 84604 | 34 |
| DRG 863: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 862: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 857: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 856: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 36,885 | ||||
| Total Hospitalizations with ICD 99859 - Other postoperative infection | 34,102 | ||||
| DRG Share of Total Hospitalizations | 0.16 | ||||
| % of Total ICD 99859 - Other postoperative infection in DRG | 20.57 | ||||
| Avg LOS at DRG | 5.33 | ||||
| Avg LOS with ICD 99859 - Other postoperative infection | 5.36 | ||||
| Readmission Rate at DRG | 19.57 | ||||
| Readmission Rate with ICD 99859 - Other postoperative infection | 19.7 | ||||
| Unplanned Readmission Rate at DRG | 9.98 | ||||
| Unplanned Readmission Rate with ICD 99859 - Other postoperative infection | 10.05 | ||||
| Total Medicare payments at DRG | $263,915,838 | ||||
| Total Medicare payments with ICD 99859 - Other postoperative infection | $245,270,791 | ||||
| Total Medicare payment per Day at DRG | $1,342 | ||||
| Total Medicare payment per Day with ICD 99859 - Other postoperative infection | $1,342 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,155 | ||||
| Total Medicare payment per Hospitalization with ICD 99859 - Other postoperative infection | $7,192 | ||||
| Total Medicare Charges at DRG | $1,114,113,707 | ||||
| Total Medicare Charges with ICD 99859 - Other postoperative infection | $1,031,760,598 | ||||
| Avg Charges at DRG | $30,205 | ||||
| Avg Charges with ICD 99859 - Other postoperative infection | $30,255 | ||||
| Mortality Rate at DRG | 0.1 | ||||
| Mortality Rate with ICD 99859 - Other postoperative infection | 0.11 | ||||
| SNF Discharge Rate at DRG | 16.13 | ||||
| SNF Discharge Rate with ICD 99859 - Other postoperative infection | 16.34 | ||||
| Home Discharge Rate at DRG | 39.69 | ||||
| Home Discharge Rate with ICD 99859 - Other postoperative infection | 39.56 |
| DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 858: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS 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 | 80,086 | ||||
| Total Hospitalizations with ICD 99859 - Other postoperative infection | 6,888 | ||||
| DRG Share of Total Hospitalizations | 0.35 | ||||
| % of Total ICD 99859 - Other postoperative infection in DRG | 4.15 | ||||
| Avg LOS at DRG | 14.11 | ||||
| Avg LOS with ICD 99859 - Other postoperative infection | 21.67 | ||||
| Readmission Rate at DRG | 31.0 | ||||
| Readmission Rate with ICD 99859 - Other postoperative infection | 39.37 | ||||
| Unplanned Readmission Rate at DRG | 15.31 | ||||
| Unplanned Readmission Rate with ICD 99859 - Other postoperative infection | 15.32 | ||||
| Total Medicare payments at DRG | $2,732,223,351 | ||||
| Total Medicare payments with ICD 99859 - Other postoperative infection | $296,956,850 | ||||
| Total Medicare payment per Day at DRG | $2,417 | ||||
| Total Medicare payment per Day with ICD 99859 - Other postoperative infection | $1,989 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,116 | ||||
| Total Medicare payment per Hospitalization with ICD 99859 - Other postoperative infection | $43,112 | ||||
| Total Medicare Charges at DRG | $11,473,909,298 | ||||
| Total Medicare Charges with ICD 99859 - Other postoperative infection | $1,502,484,230 | ||||
| Avg Charges at DRG | $143,270 | ||||
| Avg Charges with ICD 99859 - Other postoperative infection | $218,131 | ||||
| Mortality Rate at DRG | 10.85 | ||||
| Mortality Rate with ICD 99859 - Other postoperative infection | 9.31 | ||||
| SNF Discharge Rate at DRG | 29.09 | ||||
| SNF Discharge Rate with ICD 99859 - Other postoperative infection | 30.81 | ||||
| Home Discharge Rate at DRG | 20.21 | ||||
| Home Discharge Rate with ICD 99859 - Other postoperative infection | 9.79 |
| DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 920: COMPLICATIONS OF TREATMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 919: COMPLICATIONS OF TREATMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 907: OTHER O.R. PROCEDURES FOR INJURIES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 908: OTHER O.R. PROCEDURES FOR INJURIES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 34,870 | ||||
| Total Hospitalizations with ICD 99859 - Other postoperative infection | 1,934 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD 99859 - Other postoperative infection in DRG | 1.17 | ||||
| Avg LOS at DRG | 32.29 | ||||
| Avg LOS with ICD 99859 - Other postoperative infection | 44.45 | ||||
| Readmission Rate at DRG | 77.59 | ||||
| Readmission Rate with ICD 99859 - Other postoperative infection | 76.33 | ||||
| Unplanned Readmission Rate at DRG | 6.64 | ||||
| Unplanned Readmission Rate with ICD 99859 - Other postoperative infection | 5.45 | ||||
| Total Medicare payments at DRG | $4,332,531,897 | ||||
| Total Medicare payments with ICD 99859 - Other postoperative infection | $290,662,741 | ||||
| Total Medicare payment per Day at DRG | $3,848 | ||||
| Total Medicare payment per Day with ICD 99859 - Other postoperative infection | $3,381 | ||||
| Total Medicare payment per Hospitalization at DRG | $124,248 | ||||
| Total Medicare payment per Hospitalization with ICD 99859 - Other postoperative infection | $150,291 | ||||
| Total Medicare Charges at DRG | $18,041,668,887 | ||||
| Total Medicare Charges with ICD 99859 - Other postoperative infection | $1,322,303,179 | ||||
| Avg Charges at DRG | $517,398 | ||||
| Avg Charges with ICD 99859 - Other postoperative infection | $683,714 | ||||
| Mortality Rate at DRG | 19.09 | ||||
| Mortality Rate with ICD 99859 - Other postoperative infection | 21.61 | ||||
| SNF Discharge Rate at DRG | 14.38 | ||||
| SNF Discharge Rate with ICD 99859 - Other postoperative infection | 14.01 | ||||
| Home Discharge Rate at DRG | 1.86 | ||||
| Home Discharge Rate with ICD 99859 - Other postoperative infection | 1.4 |
| DRG 326: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 253: OTHER VASCULAR PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 405: PANCREAS, LIVER AND SHUNT PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 21,731 | ||||
| Total Hospitalizations with ICD 99859 - Other postoperative infection | 1,220 | ||||
| DRG Share of Total Hospitalizations | 0.1 | ||||
| % of Total ICD 99859 - Other postoperative infection in DRG | 0.74 | ||||
| Avg LOS at DRG | 14.25 | ||||
| Avg LOS with ICD 99859 - Other postoperative infection | 24.71 | ||||
| Readmission Rate at DRG | 31.08 | ||||
| Readmission Rate with ICD 99859 - Other postoperative infection | 41.3 | ||||
| Unplanned Readmission Rate at DRG | 15.03 | ||||
| Unplanned Readmission Rate with ICD 99859 - Other postoperative infection | 15.5 | ||||
| Total Medicare payments at DRG | $836,873,741 | ||||
| Total Medicare payments with ICD 99859 - Other postoperative infection | $64,244,868 | ||||
| Total Medicare payment per Day at DRG | $2,703 | ||||
| Total Medicare payment per Day with ICD 99859 - Other postoperative infection | $2,131 | ||||
| Total Medicare payment per Hospitalization at DRG | $38,511 | ||||
| Total Medicare payment per Hospitalization with ICD 99859 - Other postoperative infection | $52,660 | ||||
| Total Medicare Charges at DRG | $3,468,167,648 | ||||
| Total Medicare Charges with ICD 99859 - Other postoperative infection | $325,312,375 | ||||
| Avg Charges at DRG | $159,595 | ||||
| Avg Charges with ICD 99859 - Other postoperative infection | $266,649 | ||||
| Mortality Rate at DRG | 11.16 | ||||
| Mortality Rate with ICD 99859 - Other postoperative infection | 11.07 | ||||
| SNF Discharge Rate at DRG | 25.91 | ||||
| SNF Discharge Rate with ICD 99859 - Other postoperative infection | 29.26 | ||||
| Home Discharge Rate at DRG | 25.27 | ||||
| Home Discharge Rate with ICD 99859 - Other postoperative infection | 11.89 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 717 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 615 |
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 587 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. KIRK R ANDERSON | 306 RIVER BEND LN | PROVO | UT | 84604 | 89 |
| Dr. QUYEN NGOC LUU | 458 HEMLOCK ST | MACON | GA | 31201 | 54 |
| Dr. RICHARD DAVID HEEKIN | 2 SHIRCLIFF WAY | JACKSONVILLE | FL | 32204 | 52 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. KIRK R ANDERSON | 306 RIVER BEND LN | PROVO | UT | 84604 | 89 |
| Dr. PIYUSH MITTAL | 3801 50TH ST | LUBBOCK | TX | 79413 | 76 |
| Dr. UYEN NGUYEN CARO | 3801 NORTH BLVD | BATON ROUGE | LA | 70806 | 55 |