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 |
68.20 |
NA |
7,722 |
34,720 |
7,610 |
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| 865 |
VIRAL ILLNESS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) |
General Medicine |
Viral Illness |
Viral Illness |
Non Surgical |
31.80 |
NA |
3,600 |
18,707 |
3,468 |
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DEMOGRAPHIC DETAILS OF DRG 866: VIRAL ILLNESS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
| Race |
Total Hospitalization Volume - Jan 2017 to Dec 2017 |
% of DRG Volume |
|---|
| White |
6,294 |
81.51 |
| Black |
796 |
10.31 |
| Hispanic |
196 |
2.54 |
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| Age Group ( Years ) |
Total Hospitalization Volume - Jan 2017 to Dec 2017 |
% of DRG Volume |
|---|
| Less than 65 |
1,575 |
20.4 |
| Greater than 84 |
1,535 |
19.88 |
| 70 to 74 |
1,284 |
16.63 |
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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) | |
| Physician Name |
Address |
City |
State |
Zip Code |
Total Physician & DRG Hospitalization Volume - Jan 2017 to Dec 2017 |
% of DRG Volume |
| DR. OLENA GUZHVA |
200 BOUNDARY AVE |
MASSAPEQUA |
NY |
11758 |
NA |
NA |
| DR. DAVID JAMES CONTI |
47 NEW SCOTLAND AVE |
ALBANY |
NY |
12208 |
NA |
NA |
| DR. MUSHFEKA MOIZ GOLAWALA |
20384 HACIENDA CT |
BOCA RATON |
FL |
33498 |
NA |
NA |
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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 2017 to Dec 2017 |
National Projected Hospitalizations(Present on Admission - Yes) Jan 2016 to Dec 2016 |
Medicare Hospitalizations (Present on Admission - Yes) Jan 2017 to Dec 2017 |
National Projected Hospitalizations (Present on Admission - Not Y) Jan 2016 to Dec 2016 |
Medicare Hospitalizations (Present on Admission - Not Y) Jan 2017 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 |
B349 |
Viral infection, unspecified |
25,185 |
4,271 |
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| General Medicine |
Viral Illness |
Viral Illness |
I10 |
Essential (primary) hypertension |
9,583 |
3,784 |
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| General Medicine |
Viral Illness |
Viral Illness |
E785 |
Hyperlipidemia, unspecified |
5,903 |
3,153 |
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| General Medicine |
Viral Illness |
Viral Illness |
K219 |
Gastro-esophageal reflux disease without esophagitis |
4,462 |
1,967 |
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| General Medicine |
Viral Illness |
Viral Illness |
Z87891 |
Personal history of nicotine dependence |
3,187 |
1,926 |
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| General Medicine |
Viral Illness |
Viral Illness |
I2510 |
Atherosclerotic heart disease of native coronary artery without angina pectoris |
2,924 |
1,842 |
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| General Medicine |
Viral Illness |
Viral Illness |
E860 |
Dehydration |
9,260 |
1,787 |
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| General Medicine |
Viral Illness |
Viral Illness |
Z7982 |
Long term (current) use of aspirin |
1,861 |
1,548 |
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| General Medicine |
Viral Illness |
Viral Illness |
E039 |
Hypothyroidism, unspecified |
2,677 |
1,427 |
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| General Medicine |
Viral Illness |
Viral Illness |
Z79899 |
Other long term (current) drug therapy |
2,069 |
1,337 |
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