DRG 866: VIRAL ILLNESS WITHOUT 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 866: VIRAL ILLNESS WITHOUT 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 (%) |
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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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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DEMOGRAPHIC DETAILS OF DRG 866: VIRAL ILLNESS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
Race |
Total Hospitalization Volume - Jan 2013 to Dec 2017 |
% of DRG Volume |
White |
28,340 |
81.62 |
Black |
3,591 |
10.34 |
Hispanic |
1,014 |
2.92 |
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Age Group ( Years ) |
Total Hospitalization Volume - Jan 2013 to Dec 2017 |
% of DRG Volume |
Less than 65 |
7,842 |
22.59 |
Greater than 84 |
6,474 |
18.65 |
65 to 69 |
5,609 |
16.15 |
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TOP ICD DIAGNOSIS CODES FOR DRG 866: VIRAL ILLNESS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
TOP ICD PROCEDURE CODES FOR DRG 866: VIRAL ILLNESS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
TOP HOSPITALS ASSOCIATED WITH DRG 866: VIRAL ILLNESS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 866: VIRAL ILLNESS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
DRG 866: VIRAL ILLNESS WITHOUT 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 |
11,131 |
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General Medicine |
Viral Illness |
Viral Illness |
B349 |
Viral infection, unspecified |
25,185 |
9,827 |
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General Medicine |
Viral Illness |
Viral Illness |
4019 |
Unspecified essential hypertension |
NA |
9,353 |
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General Medicine |
Viral Illness |
Viral Illness |
I10 |
Essential (primary) hypertension |
9,583 |
8,547 |
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General Medicine |
Viral Illness |
Viral Illness |
2724 |
Other and unspecified hyperlipidemia |
NA |
6,656 |
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General Medicine |
Viral Illness |
Viral Illness |
E785 |
Hyperlipidemia, unspecified |
5,903 |
6,639 |
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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 |
4,199 |
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General Medicine |
Viral Illness |
Viral Illness |
K219 |
Gastro-esophageal reflux disease without esophagitis |
4,462 |
4,154 |
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General Medicine |
Viral Illness |
Viral Illness |
53081 |
Esophageal reflux |
NA |
4,013 |
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General Medicine |
Viral Illness |
Viral Illness |
Z87891 |
Personal history of nicotine dependence |
3,187 |
3,980 |
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