*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| A084 - Viral intestinal infection, unspecified - as a primary diagnosis code | A084 - Viral intestinal infection, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 3.57 | |
| Readmission Rate (%) | 17.75 | |
| Unplanned Readmission Rate (%) | 12.95 | |
| 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 | ||
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 356: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 357: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD A084 - Viral intestinal infection, unspecified | 34,779 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD A084 - Viral intestinal infection, unspecified in DRG | 76.88 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD A084 - Viral intestinal infection, unspecified | 2.55 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD A084 - Viral intestinal infection, unspecified | 14.32 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD A084 - Viral intestinal infection, unspecified | 11.23 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD A084 - Viral intestinal infection, unspecified | $146,362,728 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD A084 - Viral intestinal infection, unspecified | $1,650 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD A084 - Viral intestinal infection, unspecified | $4,208 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD A084 - Viral intestinal infection, unspecified | $761,709,181 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD A084 - Viral intestinal infection, unspecified | $21,901 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD A084 - Viral intestinal infection, unspecified | 0.06 | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD A084 - Viral intestinal infection, unspecified | 9.27 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD A084 - Viral intestinal infection, unspecified | 72.2 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 988: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 987: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 358: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 52,726 | ||||
| Total Hospitalizations with ICD A084 - Viral intestinal infection, unspecified | 48 | ||||
| DRG Share of Total Hospitalizations | 0.16 | ||||
| % of Total ICD A084 - Viral intestinal infection, unspecified in DRG | 0.11 | ||||
| Avg LOS at DRG | 6.68 | ||||
| Avg LOS with ICD A084 - Viral intestinal infection, unspecified | 6.52 | ||||
| Readmission Rate at DRG | 24.76 | ||||
| Readmission Rate with ICD A084 - Viral intestinal infection, unspecified | 27.66 | ||||
| Unplanned Readmission Rate at DRG | 14.45 | ||||
| Unplanned Readmission Rate with ICD A084 - Viral intestinal infection, unspecified | NA | ||||
| Total Medicare payments at DRG | $902,862,104 | ||||
| Total Medicare payments with ICD A084 - Viral intestinal infection, unspecified | $713,896 | ||||
| Total Medicare payment per Day at DRG | $2,565 | ||||
| Total Medicare payment per Day with ICD A084 - Viral intestinal infection, unspecified | $2,281 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,124 | ||||
| Total Medicare payment per Hospitalization with ICD A084 - Viral intestinal infection, unspecified | $14,873 | ||||
| Total Medicare Charges at DRG | $4,216,562,728 | ||||
| Total Medicare Charges with ICD A084 - Viral intestinal infection, unspecified | $4,363,697 | ||||
| Avg Charges at DRG | $79,971 | ||||
| Avg Charges with ICD A084 - Viral intestinal infection, unspecified | $90,910 | ||||
| Mortality Rate at DRG | 0.83 | ||||
| Mortality Rate with ICD A084 - Viral intestinal infection, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 22.41 | ||||
| SNF Discharge Rate with ICD A084 - Viral intestinal infection, unspecified | NA | ||||
| Home Discharge Rate at DRG | 43.51 | ||||
| Home Discharge Rate with ICD A084 - Viral intestinal infection, unspecified | 50.0 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 241 |
| SOUTH SHORE HOSPITAL | 55 FOGG ROAD | SOUTH WEYMOUTH | MA | 02190 | 184 |
| YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 170 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 30 |
| Dr. CARLOS SAMUEL MARTINEZ | 4214 BEVERLY BLVD STE 212 | LOS ANGELES | CA | 90004 | 23 |
| Dr. DOUGLAS G KELLING | 200 MEDICAL PARK DR | CONCORD | NC | 28025 | 22 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD A084 - Viral intestinal infection, unspecified | 36,414 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD A084 - Viral intestinal infection, unspecified in DRG | 34.02 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD A084 - Viral intestinal infection, unspecified | 2.58 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD A084 - Viral intestinal infection, unspecified | 14.39 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD A084 - Viral intestinal infection, unspecified | 11.28 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD A084 - Viral intestinal infection, unspecified | $153,586,987 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD A084 - Viral intestinal infection, unspecified | $1,638 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD A084 - Viral intestinal infection, unspecified | $4,218 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD A084 - Viral intestinal infection, unspecified | $806,007,564 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD A084 - Viral intestinal infection, unspecified | $22,135 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD A084 - Viral intestinal infection, unspecified | 0.06 | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD A084 - Viral intestinal infection, unspecified | 9.18 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD A084 - Viral intestinal infection, unspecified | 72.32 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 684: RENAL FAILURE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD A084 - Viral intestinal infection, unspecified | 4,085 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD A084 - Viral intestinal infection, unspecified in DRG | 3.82 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD A084 - Viral intestinal infection, unspecified | 3.24 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD A084 - Viral intestinal infection, unspecified | 12.85 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD A084 - Viral intestinal infection, unspecified | 9.58 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD A084 - Viral intestinal infection, unspecified | $24,972,438 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD A084 - Viral intestinal infection, unspecified | $1,890 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD A084 - Viral intestinal infection, unspecified | $6,113 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD A084 - Viral intestinal infection, unspecified | $115,862,802 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD A084 - Viral intestinal infection, unspecified | $28,363 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD A084 - Viral intestinal infection, unspecified | 0.32 | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD A084 - Viral intestinal infection, unspecified | 9.99 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD A084 - Viral intestinal infection, unspecified | 68.13 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 292,335 | ||||
| Total Hospitalizations with ICD A084 - Viral intestinal infection, unspecified | 1,119 | ||||
| DRG Share of Total Hospitalizations | 0.89 | ||||
| % of Total ICD A084 - Viral intestinal infection, unspecified in DRG | 1.05 | ||||
| Avg LOS at DRG | 2.96 | ||||
| Avg LOS with ICD A084 - Viral intestinal infection, unspecified | 3.11 | ||||
| Readmission Rate at DRG | 19.18 | ||||
| Readmission Rate with ICD A084 - Viral intestinal infection, unspecified | 17.55 | ||||
| Unplanned Readmission Rate at DRG | 13.96 | ||||
| Unplanned Readmission Rate with ICD A084 - Viral intestinal infection, unspecified | 13.82 | ||||
| Total Medicare payments at DRG | $1,347,436,356 | ||||
| Total Medicare payments with ICD A084 - Viral intestinal infection, unspecified | $5,028,523 | ||||
| Total Medicare payment per Day at DRG | $1,557 | ||||
| Total Medicare payment per Day with ICD A084 - Viral intestinal infection, unspecified | $1,445 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,609 | ||||
| Total Medicare payment per Hospitalization with ICD A084 - Viral intestinal infection, unspecified | $4,494 | ||||
| Total Medicare Charges at DRG | $7,385,462,160 | ||||
| Total Medicare Charges with ICD A084 - Viral intestinal infection, unspecified | $29,681,963 | ||||
| Avg Charges at DRG | $25,264 | ||||
| Avg Charges with ICD A084 - Viral intestinal infection, unspecified | $26,525 | ||||
| Mortality Rate at DRG | 0.57 | ||||
| Mortality Rate with ICD A084 - Viral intestinal infection, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 11.55 | ||||
| SNF Discharge Rate with ICD A084 - Viral intestinal infection, unspecified | 10.9 | ||||
| Home Discharge Rate at DRG | 63.79 | ||||
| Home Discharge Rate with ICD A084 - Viral intestinal infection, unspecified | 66.76 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 312: SYNCOPE AND COLLAPSE | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 243,742 | ||||
| Total Hospitalizations with ICD A084 - Viral intestinal infection, unspecified | 688 | ||||
| DRG Share of Total Hospitalizations | 0.74 | ||||
| % of Total ICD A084 - Viral intestinal infection, unspecified in DRG | 0.64 | ||||
| Avg LOS at DRG | 2.84 | ||||
| Avg LOS with ICD A084 - Viral intestinal infection, unspecified | 2.64 | ||||
| Readmission Rate at DRG | 16.31 | ||||
| Readmission Rate with ICD A084 - Viral intestinal infection, unspecified | 12.76 | ||||
| Unplanned Readmission Rate at DRG | 11.3 | ||||
| Unplanned Readmission Rate with ICD A084 - Viral intestinal infection, unspecified | 9.01 | ||||
| Total Medicare payments at DRG | $1,150,233,161 | ||||
| Total Medicare payments with ICD A084 - Viral intestinal infection, unspecified | $3,108,884 | ||||
| Total Medicare payment per Day at DRG | $1,663 | ||||
| Total Medicare payment per Day with ICD A084 - Viral intestinal infection, unspecified | $1,709 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,719 | ||||
| Total Medicare payment per Hospitalization with ICD A084 - Viral intestinal infection, unspecified | $4,519 | ||||
| Total Medicare Charges at DRG | $6,931,408,244 | ||||
| Total Medicare Charges with ICD A084 - Viral intestinal infection, unspecified | $17,615,983 | ||||
| Avg Charges at DRG | $28,437 | ||||
| Avg Charges with ICD A084 - Viral intestinal infection, unspecified | $25,605 | ||||
| Mortality Rate at DRG | 0.31 | ||||
| Mortality Rate with ICD A084 - Viral intestinal infection, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 18.06 | ||||
| SNF Discharge Rate with ICD A084 - Viral intestinal infection, unspecified | 13.37 | ||||
| Home Discharge Rate at DRG | 53.49 | ||||
| Home Discharge Rate with ICD A084 - Viral intestinal infection, unspecified | 61.19 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 478 |
| SOUTH SHORE HOSPITAL | 55 FOGG ROAD | SOUTH WEYMOUTH | MA | 02190 | 397 |
| YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 349 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. NHIA KASH VANG | 2767 OLIVE HWY | OROVILLE | CA | 95966 | 19 |
| Dr. MSONTHI B LEVINE | 3560 DELAWARE ST | BEAUMONT | TX | 77706 | 17 |
| Dr. CARLOS SAMUEL MARTINEZ | 4214 BEVERLY BLVD STE 212 | LOS ANGELES | CA | 90004 | 16 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CARLOS SAMUEL MARTINEZ | 4214 BEVERLY BLVD STE 212 | LOS ANGELES | CA | 90004 | 77 |
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 64 |
| Dr. MORAD L EL-RAHEB | 1145 S UTICA AVE | TULSA | OK | 74104 | 35 |