| V0251 - Carrier or suspected carrier of group B streptococcus - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 3.25 | |
| 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 775: VAGINAL DELIVERY WITHOUT COMPLICATING DIAGNOSES | DRG 765: CESAREAN SECTION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 774: VAGINAL DELIVERY WITH COMPLICATING DIAGNOSES | DRG 766: CESAREAN SECTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 781: OTHER ANTEPARTUM DIAGNOSES WITH MEDICAL COMPLICATIONS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 12,990 | ||||
| Total Hospitalizations with ICD V0251 - Carrier or suspected carrier of group B streptococcus | 2,528 | ||||
| DRG Share of Total Hospitalizations | 0.06 | ||||
| % of Total ICD V0251 - Carrier or suspected carrier of group B streptococcus in DRG | 41.61 | ||||
| Avg LOS at DRG | 2.27 | ||||
| Avg LOS with ICD V0251 - Carrier or suspected carrier of group B streptococcus | 2.33 | ||||
| Readmission Rate at DRG | 2.38 | ||||
| Readmission Rate with ICD V0251 - Carrier or suspected carrier of group B streptococcus | 2.02 | ||||
| Unplanned Readmission Rate at DRG | 1.44 | ||||
| Unplanned Readmission Rate with ICD V0251 - Carrier or suspected carrier of group B streptococcus | 1.35 | ||||
| Total Medicare payments at DRG | $45,974,247 | ||||
| Total Medicare payments with ICD V0251 - Carrier or suspected carrier of group B streptococcus | $9,293,382 | ||||
| Total Medicare payment per Day at DRG | $1,560 | ||||
| Total Medicare payment per Day with ICD V0251 - Carrier or suspected carrier of group B streptococcus | $1,575 | ||||
| Total Medicare payment per Hospitalization at DRG | $3,539 | ||||
| Total Medicare payment per Hospitalization with ICD V0251 - Carrier or suspected carrier of group B streptococcus | $3,676 | ||||
| Total Medicare Charges at DRG | $166,314,796 | ||||
| Total Medicare Charges with ICD V0251 - Carrier or suspected carrier of group B streptococcus | $32,543,385 | ||||
| Avg Charges at DRG | $12,803 | ||||
| Avg Charges with ICD V0251 - Carrier or suspected carrier of group B streptococcus | $12,873 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD V0251 - Carrier or suspected carrier of group B streptococcus | NA | ||||
| SNF Discharge Rate at DRG | NA | ||||
| SNF Discharge Rate with ICD V0251 - Carrier or suspected carrier of group B streptococcus | NA | ||||
| Home Discharge Rate at DRG | 96.52 | ||||
| Home Discharge Rate with ICD V0251 - Carrier or suspected carrier of group B streptococcus | 96.95 |
| DRG 778: THREATENED ABORTION | DRG 767: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 776: POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURE | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 778 | ||||
| Total Hospitalizations with ICD V0251 - Carrier or suspected carrier of group B streptococcus | 80 | ||||
| DRG Share of Total Hospitalizations | 0.0 | ||||
| % of Total ICD V0251 - Carrier or suspected carrier of group B streptococcus in DRG | 1.32 | ||||
| Avg LOS at DRG | 3.01 | ||||
| Avg LOS with ICD V0251 - Carrier or suspected carrier of group B streptococcus | 3.81 | ||||
| Readmission Rate at DRG | 56.98 | ||||
| Readmission Rate with ICD V0251 - Carrier or suspected carrier of group B streptococcus | 61.76 | ||||
| Unplanned Readmission Rate at DRG | 7.05 | ||||
| Unplanned Readmission Rate with ICD V0251 - Carrier or suspected carrier of group B streptococcus | NA | ||||
| Total Medicare payments at DRG | $3,120,512 | ||||
| Total Medicare payments with ICD V0251 - Carrier or suspected carrier of group B streptococcus | $396,073 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD V0251 - Carrier or suspected carrier of group B streptococcus | $1,299 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,011 | ||||
| Total Medicare payment per Hospitalization with ICD V0251 - Carrier or suspected carrier of group B streptococcus | $4,951 | ||||
| Total Medicare Charges at DRG | $10,140,657 | ||||
| Total Medicare Charges with ICD V0251 - Carrier or suspected carrier of group B streptococcus | $1,138,737 | ||||
| Avg Charges at DRG | $13,034 | ||||
| Avg Charges with ICD V0251 - Carrier or suspected carrier of group B streptococcus | $14,234 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD V0251 - Carrier or suspected carrier of group B streptococcus | NA | ||||
| SNF Discharge Rate at DRG | NA | ||||
| SNF Discharge Rate with ICD V0251 - Carrier or suspected carrier of group B streptococcus | NA | ||||
| Home Discharge Rate at DRG | 86.89 | ||||
| Home Discharge Rate with ICD V0251 - Carrier or suspected carrier of group B streptococcus | 85.0 |
| DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 602,372 | |
| Total Hospitalizations with ICD V0251 - Carrier or suspected carrier of group B streptococcus | 12 | |
| DRG Share of Total Hospitalizations | 2.64 | |
| % of Total ICD V0251 - Carrier or suspected carrier of group B streptococcus in DRG | 0.2 | |
| Avg LOS at DRG | 13.11 | |
| Avg LOS with ICD V0251 - Carrier or suspected carrier of group B streptococcus | 13.42 | |
| Readmission Rate at DRG | 15.99 | |
| Readmission Rate with ICD V0251 - Carrier or suspected carrier of group B streptococcus | NA | |
| Unplanned Readmission Rate at DRG | 12.22 | |
| Unplanned Readmission Rate with ICD V0251 - Carrier or suspected carrier of group B streptococcus | NA | |
| Total Medicare payments at DRG | $11,047,686,856 | |
| Total Medicare payments with ICD V0251 - Carrier or suspected carrier of group B streptococcus | $252,669 | |
| Total Medicare payment per Day at DRG | $1,399 | |
| Total Medicare payment per Day with ICD V0251 - Carrier or suspected carrier of group B streptococcus | $1,569 | |
| Total Medicare payment per Hospitalization at DRG | $18,340 | |
| Total Medicare payment per Hospitalization with ICD V0251 - Carrier or suspected carrier of group B streptococcus | $21,056 | |
| Total Medicare Charges at DRG | $25,171,736,043 | |
| Total Medicare Charges with ICD V0251 - Carrier or suspected carrier of group B streptococcus | $657,141 | |
| Avg Charges at DRG | $41,788 | |
| Avg Charges with ICD V0251 - Carrier or suspected carrier of group B streptococcus | $54,762 | |
| Mortality Rate at DRG | 0.21 | |
| Mortality Rate with ICD V0251 - Carrier or suspected carrier of group B streptococcus | NA | |
| SNF Discharge Rate at DRG | 17.37 | |
| SNF Discharge Rate with ICD V0251 - Carrier or suspected carrier of group B streptococcus | NA | |
| Home Discharge Rate at DRG | 21.02 | |
| Home Discharge Rate with ICD V0251 - Carrier or suspected carrier of group B streptococcus | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| BAYSTATE MEDICAL CENTER | 759 CHESTNUT ST | SPRINGFIELD | MA | 01199 | 37 |
| UPMC MAGEE - WOMENS HOSPITAL | 300 HALKET ST | PITTSBURGH | PA | 15213 | 30 |
| BRIGHAM AND WOMEN'S HOSPITAL | 75 FRANCIS ST | BOSTON | MA | 02115 | 29 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. STEVEN DONALD JOHNSON | 10498 MONTGOMERY RD. | CINCINNATI | OH | 45242 | 17 |