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

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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
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

DEMOGRAPHIC DETAILS OF DRG 866: VIRAL ILLNESS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)

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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
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

TOP ICD DIAGNOSIS CODES FOR DRG 866: VIRAL ILLNESS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)

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ICD Code ICD Description Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
07999 Unspecified viral infection 11,131 32.06
B349 Viral infection, unspecified 9,827 28.3
4019 Unspecified essential hypertension 9,353 26.94

TOP ICD PROCEDURE CODES FOR DRG 866: VIRAL ILLNESS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)

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ICD Code ICD Description Total Procedure ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
0331 Spinal Tap 1,011 2.91
009U3ZX Drainage of Spinal Canal, Percutaneous Approach, Diagnostic 788 2.27
4516 Esophagogastroduodenoscopy [Egd] With Closed Biopsy 406 1.17

TOP HOSPITALS ASSOCIATED WITH DRG 866: VIRAL ILLNESS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Hospital Name Address City State Zip Code Total Hospital & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
AdventHealth Orlando 601 E ROLLINS ST Orlando FL 32803 176 0.51
Yale New Haven Hospital 20 YORK ST New Haven CT 06504 158 0.46
NewYork Presbyterian - Weill Cornell Medical Center 525 E 68TH ST New York NY 10021 134 0.39

TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 866: VIRAL ILLNESS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Physician Name Address City State Zip Code Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
DR. OLENA GUZHVA 200 BOUNDARY AVE MASSAPEQUA NY 11758 17 0.05
DR. BARBARA A BROWN APPLEGATE 128 S. 5TH OSBORNE KS 67473 14 0.04
DR. AFSHIN ADILI KHAMS 32026 LONG NECK RD MILLSBORO DE 19966 12 0.03

DRG 866: VIRAL ILLNESS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) SUMMARY TABLE

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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
General Medicine Viral Illness Viral Illness B349 Viral infection, unspecified 25,185 9,827
General Medicine Viral Illness Viral Illness 4019 Unspecified essential hypertension NA 9,353
General Medicine Viral Illness Viral Illness I10 Essential (primary) hypertension 9,583 8,547
General Medicine Viral Illness Viral Illness 2724 Other and unspecified hyperlipidemia NA 6,656
General Medicine Viral Illness Viral Illness E785 Hyperlipidemia, unspecified 5,903 6,639
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
General Medicine Viral Illness Viral Illness K219 Gastro-esophageal reflux disease without esophagitis 4,462 4,154
General Medicine Viral Illness Viral Illness 53081 Esophageal reflux NA 4,013
General Medicine Viral Illness Viral Illness Z87891 Personal history of nicotine dependence 3,187 3,980