DRG 865: VIRAL ILLNESS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) - MARKET SIZE, PREVALENCE, INCIDENCE, QUALITY OUTCOMES, TOP HOSPITALS & PHYSICIANS
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Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 865: VIRAL ILLNESS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) GROUP BASED ON MEDICARE | |
| DRG Code |
DRG Description |
Category |
Sub Category |
DRG Group |
Surgical Category |
Case Mix Level |
Total National Projected Hospitalizations - Annualized |
Total Medicare Hospitalizations - Jan 2017 to Dec 2017 |
Total Medicare Hospitalizations - Jan 2013 to Dec 2017 |
Total Medicare Hospitalizations After Exclusion |
Avg. LOS |
GMLOS |
All Cause Readmission Rate (%) |
Unplanned Readmission Rate (%) |
Total Medicare Payments |
Payment per Day |
Payment per Discharge |
Total Medicare Charges |
Avg. Charges |
Mortality Rate (%) |
SNF Discharge Rate (%) |
Home Discharge Rate (%) |
| 865 |
VIRAL ILLNESS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) |
General Medicine |
Viral Illness |
Viral Illness |
Non Surgical |
35.01 |
NA |
3,600 |
18,707 |
17,874 |
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| 866 |
VIRAL ILLNESS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) |
General Medicine |
Viral Illness |
Viral Illness |
Non Surgical |
64.99 |
NA |
7,722 |
34,720 |
34,257 |
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DEMOGRAPHIC DETAILS OF DRG 865: VIRAL ILLNESS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
| Race |
Total Hospitalization Volume - Jan 2013 to Dec 2017 |
% of DRG Volume |
|---|
| White |
14,106 |
75.4 |
| Black |
2,884 |
15.42 |
| Hispanic |
632 |
3.38 |
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| Age Group ( Years ) |
Total Hospitalization Volume - Jan 2013 to Dec 2017 |
% of DRG Volume |
|---|
| Less than 65 |
5,137 |
27.46 |
| Greater than 84 |
3,434 |
18.36 |
| 70 to 74 |
2,669 |
14.27 |
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TOP ICD DIAGNOSIS CODES FOR DRG 865: VIRAL ILLNESS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
TOP ICD PROCEDURE CODES FOR DRG 865: VIRAL ILLNESS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
TOP HOSPITALS ASSOCIATED WITH DRG 865: VIRAL ILLNESS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 865: VIRAL ILLNESS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
DRG 865: VIRAL ILLNESS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) SUMMARY TABLE | |
| Category |
Sub Category |
DRG Group |
ICD Codes |
ICD Description |
National Projected Hospitalizations (Present on Admission - All) Jan 2016 to Dec 2016 |
Medicare Hospitalizations (Present on Admission - All) Jan 2013 to Dec 2017 |
National Projected Hospitalizations(Present on Admission - Yes) Jan 2016 to Dec 2016 |
Medicare Hospitalizations (Present on Admission - Yes) Jan 2013 to Dec 2017 |
National Projected Hospitalizations (Present on Admission - Not Y) Jan 2016 to Dec 2016 |
Medicare Hospitalizations (Present on Admission - Not Y) Jan 2013 to Dec 2017 |
Total Discharges After Exclusion |
Avg. LOS |
GMLOS |
All Cause Readmission Rate (%) |
Unplanned Readmission Rate (%) |
Total Medicare Payments |
Payment per Day |
Payment per Discharge |
Total Medicare Charges |
Avg. Charges |
Mortality Rate (%) |
SNF Discharge Rate (%) |
Home Discharge Rate (%) |
| General Medicine |
Viral Illness |
Viral Illness |
07999 |
Unspecified viral infection |
NA |
6,079 |
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| General Medicine |
Viral Illness |
Viral Illness |
B349 |
Viral infection, unspecified |
4,165 |
4,413 |
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| General Medicine |
Viral Illness |
Viral Illness |
4019 |
Unspecified essential hypertension |
NA |
3,920 |
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| General Medicine |
Viral Illness |
Viral Illness |
2724 |
Other and unspecified hyperlipidemia |
NA |
3,891 |
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| General Medicine |
Viral Illness |
Viral Illness |
E785 |
Hyperlipidemia, unspecified |
1,950 |
3,282 |
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| General Medicine |
Viral Illness |
Viral Illness |
I10 |
Essential (primary) hypertension |
2,290 |
3,085 |
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| General Medicine |
Viral Illness |
Viral Illness |
99591 |
Sepsis |
NA |
2,523 |
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| General Medicine |
Viral Illness |
Viral Illness |
25000 |
Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled |
NA |
2,448 |
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| General Medicine |
Viral Illness |
Viral Illness |
53081 |
Esophageal reflux |
NA |
2,363 |
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| General Medicine |
Viral Illness |
Viral Illness |
I2510 |
Atherosclerotic heart disease of native coronary artery without angina pectoris |
1,236 |
2,234 |
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