| V066 - Need for prophylactic vaccination and inoculation against streptococcus pneumoniae [pneumococcus] and influenza - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 11.53 | |
| 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 885: PSYCHOSES | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 901,552 | ||||
| Total Hospitalizations with ICD V066 - Need for prophylactic vaccination and inoculation against streptococcus pneumoniae [pneumococcus] and influenza | 6,042 | ||||
| DRG Share of Total Hospitalizations | 3.95 | ||||
| % of Total ICD V066 - Need for prophylactic vaccination and inoculation against streptococcus pneumoniae [pneumococcus] and influenza in DRG | 4.66 | ||||
| Avg LOS at DRG | 6.79 | ||||
| Avg LOS with ICD V066 - Need for prophylactic vaccination and inoculation against streptococcus pneumoniae [pneumococcus] and influenza | 6.83 | ||||
| Readmission Rate at DRG | 25.38 | ||||
| Readmission Rate with ICD V066 - Need for prophylactic vaccination and inoculation against streptococcus pneumoniae [pneumococcus] and influenza | 23.37 | ||||
| Unplanned Readmission Rate at DRG | 17.1 | ||||
| Unplanned Readmission Rate with ICD V066 - Need for prophylactic vaccination and inoculation against streptococcus pneumoniae [pneumococcus] and influenza | 14.37 | ||||
| Total Medicare payments at DRG | $11,142,976,193 | ||||
| Total Medicare payments with ICD V066 - Need for prophylactic vaccination and inoculation against streptococcus pneumoniae [pneumococcus] and influenza | $70,898,743 | ||||
| Total Medicare payment per Day at DRG | $1,821 | ||||
| Total Medicare payment per Day with ICD V066 - Need for prophylactic vaccination and inoculation against streptococcus pneumoniae [pneumococcus] and influenza | $1,719 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,360 | ||||
| Total Medicare payment per Hospitalization with ICD V066 - Need for prophylactic vaccination and inoculation against streptococcus pneumoniae [pneumococcus] and influenza | $11,734 | ||||
| Total Medicare Charges at DRG | $48,288,426,708 | ||||
| Total Medicare Charges with ICD V066 - Need for prophylactic vaccination and inoculation against streptococcus pneumoniae [pneumococcus] and influenza | $341,029,929 | ||||
| Avg Charges at DRG | $53,561 | ||||
| Avg Charges with ICD V066 - Need for prophylactic vaccination and inoculation against streptococcus pneumoniae [pneumococcus] and influenza | $56,443 | ||||
| Mortality Rate at DRG | 15.16 | ||||
| Mortality Rate with ICD V066 - Need for prophylactic vaccination and inoculation against streptococcus pneumoniae [pneumococcus] and influenza | 5.1 | ||||
| SNF Discharge Rate at DRG | 28.41 | ||||
| SNF Discharge Rate with ICD V066 - Need for prophylactic vaccination and inoculation against streptococcus pneumoniae [pneumococcus] and influenza | 30.09 | ||||
| Home Discharge Rate at DRG | 23.21 | ||||
| Home Discharge Rate with ICD V066 - Need for prophylactic vaccination and inoculation against streptococcus pneumoniae [pneumococcus] and influenza | 32.84 |
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,322 | ||||
| Total Hospitalizations with ICD V066 - Need for prophylactic vaccination and inoculation against streptococcus pneumoniae [pneumococcus] and influenza | 2,300 | ||||
| DRG Share of Total Hospitalizations | 1.83 | ||||
| % of Total ICD V066 - Need for prophylactic vaccination and inoculation against streptococcus pneumoniae [pneumococcus] and influenza in DRG | 1.77 | ||||
| Avg LOS at DRG | 5.93 | ||||
| Avg LOS with ICD V066 - Need for prophylactic vaccination and inoculation against streptococcus pneumoniae [pneumococcus] and influenza | 5.8 | ||||
| Readmission Rate at DRG | 28.69 | ||||
| Readmission Rate with ICD V066 - Need for prophylactic vaccination and inoculation against streptococcus pneumoniae [pneumococcus] and influenza | 24.23 | ||||
| Unplanned Readmission Rate at DRG | 21.75 | ||||
| Unplanned Readmission Rate with ICD V066 - Need for prophylactic vaccination and inoculation against streptococcus pneumoniae [pneumococcus] and influenza | 18.35 | ||||
| Total Medicare payments at DRG | $4,026,370,259 | ||||
| Total Medicare payments with ICD V066 - Need for prophylactic vaccination and inoculation against streptococcus pneumoniae [pneumococcus] and influenza | $21,322,529 | ||||
| Total Medicare payment per Day at DRG | $1,626 | ||||
| Total Medicare payment per Day with ICD V066 - Need for prophylactic vaccination and inoculation against streptococcus pneumoniae [pneumococcus] and influenza | $1,598 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,648 | ||||
| Total Medicare payment per Hospitalization with ICD V066 - Need for prophylactic vaccination and inoculation against streptococcus pneumoniae [pneumococcus] and influenza | $9,271 | ||||
| Total Medicare Charges at DRG | $17,296,169,702 | ||||
| Total Medicare Charges with ICD V066 - Need for prophylactic vaccination and inoculation against streptococcus pneumoniae [pneumococcus] and influenza | $104,073,580 | ||||
| Avg Charges at DRG | $41,446 | ||||
| Avg Charges with ICD V066 - Need for prophylactic vaccination and inoculation against streptococcus pneumoniae [pneumococcus] and influenza | $45,249 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD V066 - Need for prophylactic vaccination and inoculation against streptococcus pneumoniae [pneumococcus] and influenza | 2.0 | ||||
| SNF Discharge Rate at DRG | 23.05 | ||||
| SNF Discharge Rate with ICD V066 - Need for prophylactic vaccination and inoculation against streptococcus pneumoniae [pneumococcus] and influenza | 21.96 | ||||
| Home Discharge Rate at DRG | 34.75 | ||||
| Home Discharge Rate with ICD V066 - Need for prophylactic vaccination and inoculation against streptococcus pneumoniae [pneumococcus] and influenza | 41.57 |
| DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 603: CELLULITIS WITHOUT 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,595 | ||||
| Total Hospitalizations with ICD V066 - Need for prophylactic vaccination and inoculation against streptococcus pneumoniae [pneumococcus] and influenza | 2,051 | ||||
| DRG Share of Total Hospitalizations | 1.83 | ||||
| % of Total ICD V066 - Need for prophylactic vaccination and inoculation against streptococcus pneumoniae [pneumococcus] and influenza in DRG | 1.58 | ||||
| Avg LOS at DRG | 3.34 | ||||
| Avg LOS with ICD V066 - Need for prophylactic vaccination and inoculation against streptococcus pneumoniae [pneumococcus] and influenza | 3.39 | ||||
| Readmission Rate at DRG | 17.47 | ||||
| Readmission Rate with ICD V066 - Need for prophylactic vaccination and inoculation against streptococcus pneumoniae [pneumococcus] and influenza | 14.48 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD V066 - Need for prophylactic vaccination and inoculation against streptococcus pneumoniae [pneumococcus] and influenza | 10.73 | ||||
| Total Medicare payments at DRG | $1,834,433,235 | ||||
| Total Medicare payments with ICD V066 - Need for prophylactic vaccination and inoculation against streptococcus pneumoniae [pneumococcus] and influenza | $9,018,748 | ||||
| Total Medicare payment per Day at DRG | $1,317 | ||||
| Total Medicare payment per Day with ICD V066 - Need for prophylactic vaccination and inoculation against streptococcus pneumoniae [pneumococcus] and influenza | $1,299 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,393 | ||||
| Total Medicare payment per Hospitalization with ICD V066 - Need for prophylactic vaccination and inoculation against streptococcus pneumoniae [pneumococcus] and influenza | $4,397 | ||||
| Total Medicare Charges at DRG | $9,558,780,965 | ||||
| Total Medicare Charges with ICD V066 - Need for prophylactic vaccination and inoculation against streptococcus pneumoniae [pneumococcus] and influenza | $53,178,323 | ||||
| Avg Charges at DRG | $22,890 | ||||
| Avg Charges with ICD V066 - Need for prophylactic vaccination and inoculation against streptococcus pneumoniae [pneumococcus] and influenza | $25,928 | ||||
| Mortality Rate at DRG | 0.23 | ||||
| Mortality Rate with ICD V066 - Need for prophylactic vaccination and inoculation against streptococcus pneumoniae [pneumococcus] and influenza | NA | ||||
| SNF Discharge Rate at DRG | 8.82 | ||||
| SNF Discharge Rate with ICD V066 - Need for prophylactic vaccination and inoculation against streptococcus pneumoniae [pneumococcus] and influenza | 8.82 | ||||
| Home Discharge Rate at DRG | 73.03 | ||||
| Home Discharge Rate with ICD V066 - Need for prophylactic vaccination and inoculation against streptococcus pneumoniae [pneumococcus] and influenza | 76.45 |
| DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 192: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 247: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 293,121 | ||||
| Total Hospitalizations with ICD V066 - Need for prophylactic vaccination and inoculation against streptococcus pneumoniae [pneumococcus] and influenza | 1,698 | ||||
| DRG Share of Total Hospitalizations | 1.28 | ||||
| % of Total ICD V066 - Need for prophylactic vaccination and inoculation against streptococcus pneumoniae [pneumococcus] and influenza in DRG | 1.31 | ||||
| Avg LOS at DRG | 3.78 | ||||
| Avg LOS with ICD V066 - Need for prophylactic vaccination and inoculation against streptococcus pneumoniae [pneumococcus] and influenza | 3.84 | ||||
| Readmission Rate at DRG | 17.73 | ||||
| Readmission Rate with ICD V066 - Need for prophylactic vaccination and inoculation against streptococcus pneumoniae [pneumococcus] and influenza | 16.21 | ||||
| Unplanned Readmission Rate at DRG | 13.44 | ||||
| Unplanned Readmission Rate with ICD V066 - Need for prophylactic vaccination and inoculation against streptococcus pneumoniae [pneumococcus] and influenza | 11.82 | ||||
| Total Medicare payments at DRG | $1,776,508,891 | ||||
| Total Medicare payments with ICD V066 - Need for prophylactic vaccination and inoculation against streptococcus pneumoniae [pneumococcus] and influenza | $10,208,245 | ||||
| Total Medicare payment per Day at DRG | $1,604 | ||||
| Total Medicare payment per Day with ICD V066 - Need for prophylactic vaccination and inoculation against streptococcus pneumoniae [pneumococcus] and influenza | $1,564 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,061 | ||||
| Total Medicare payment per Hospitalization with ICD V066 - Need for prophylactic vaccination and inoculation against streptococcus pneumoniae [pneumococcus] and influenza | $6,012 | ||||
| Total Medicare Charges at DRG | $8,470,312,778 | ||||
| Total Medicare Charges with ICD V066 - Need for prophylactic vaccination and inoculation against streptococcus pneumoniae [pneumococcus] and influenza | $56,120,879 | ||||
| Avg Charges at DRG | $28,897 | ||||
| Avg Charges with ICD V066 - Need for prophylactic vaccination and inoculation against streptococcus pneumoniae [pneumococcus] and influenza | $33,051 | ||||
| Mortality Rate at DRG | 0.95 | ||||
| Mortality Rate with ICD V066 - Need for prophylactic vaccination and inoculation against streptococcus pneumoniae [pneumococcus] and influenza | NA | ||||
| SNF Discharge Rate at DRG | 14.94 | ||||
| SNF Discharge Rate with ICD V066 - Need for prophylactic vaccination and inoculation against streptococcus pneumoniae [pneumococcus] and influenza | 13.66 | ||||
| Home Discharge Rate at DRG | 62.44 | ||||
| Home Discharge Rate with ICD V066 - Need for prophylactic vaccination and inoculation against streptococcus pneumoniae [pneumococcus] and influenza | 67.02 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| NEWYORK PRESBYTERIAN - WEILL CORNELL MEDICAL CENTER | 525 E 68TH ST | NEW YORK | NY | 10021 | 1,981 |
| VENICE REGIONAL BAYFRONT HEALTH | 540 THE RIALTO | VENICE | FL | 34285 | 1,103 |
| MEMORIAL HERMANN HOSPITAL SYSTEM | 1635 NORTH LOOP W | HOUSTON | TX | 77008 | 980 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 91 |
| Dr. DEREK JASON CUFF | 836 SUNSET LAKE BLVD | VENICE | FL | 34292 | 53 |
| Dr. WILLIAM L MEHSERLE | 1525 TAMIAMI TRL S | VENICE | FL | 34285 | 43 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 189 |
| Dr. DEREK ARMANDO LAMBERT | 540 THE RIALTO | VENICE | FL | 34285 | 78 |
| Dr. MARK EDWIN MCKENZIE | 2010 GOLDRING AVE | LAS VEGAS | NV | 89106 | 66 |