*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| A86 - Unspecified viral encephalitis - as a primary diagnosis code | A86 - Unspecified viral encephalitis - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 10.41 | |
| Readmission Rate (%) | 30.81 | |
| Unplanned Readmission Rate (%) | 10.26 | |
| 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 097: NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 098: NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 099: NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 7,550 | |||
| Total Hospitalizations with ICD A86 - Unspecified viral encephalitis | 1,054 | |||
| DRG Share of Total Hospitalizations | 0.02 | |||
| % of Total ICD A86 - Unspecified viral encephalitis in DRG | 59.95 | |||
| Avg LOS at DRG | 11.31 | |||
| Avg LOS with ICD A86 - Unspecified viral encephalitis | 9.5 | |||
| Readmission Rate at DRG | 34.29 | |||
| Readmission Rate with ICD A86 - Unspecified viral encephalitis | 31.1 | |||
| Unplanned Readmission Rate at DRG | 13.77 | |||
| Unplanned Readmission Rate with ICD A86 - Unspecified viral encephalitis | 10.18 | |||
| Total Medicare payments at DRG | $182,598,426 | |||
| Total Medicare payments with ICD A86 - Unspecified viral encephalitis | $22,753,842 | |||
| Total Medicare payment per Day at DRG | $2,138 | |||
| Total Medicare payment per Day with ICD A86 - Unspecified viral encephalitis | $2,272 | |||
| Total Medicare payment per Hospitalization at DRG | $24,185 | |||
| Total Medicare payment per Hospitalization with ICD A86 - Unspecified viral encephalitis | $21,588 | |||
| Total Medicare Charges at DRG | $852,333,630 | |||
| Total Medicare Charges with ICD A86 - Unspecified viral encephalitis | $101,448,785 | |||
| Avg Charges at DRG | $112,892 | |||
| Avg Charges with ICD A86 - Unspecified viral encephalitis | $96,251 | |||
| Mortality Rate at DRG | 6.5 | |||
| Mortality Rate with ICD A86 - Unspecified viral encephalitis | 4.74 | |||
| SNF Discharge Rate at DRG | 26.53 | |||
| SNF Discharge Rate with ICD A86 - Unspecified viral encephalitis | 27.7 | |||
| Home Discharge Rate at DRG | 21.28 | |||
| Home Discharge Rate with ICD A86 - Unspecified viral encephalitis | 23.53 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 097: NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 098: NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 099: NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 7,550 | ||||
| Total Hospitalizations with ICD A86 - Unspecified viral encephalitis | 1,120 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD A86 - Unspecified viral encephalitis in DRG | 31.75 | ||||
| Avg LOS at DRG | 11.31 | ||||
| Avg LOS with ICD A86 - Unspecified viral encephalitis | 9.61 | ||||
| Readmission Rate at DRG | 34.29 | ||||
| Readmission Rate with ICD A86 - Unspecified viral encephalitis | 31.04 | ||||
| Unplanned Readmission Rate at DRG | 13.77 | ||||
| Unplanned Readmission Rate with ICD A86 - Unspecified viral encephalitis | 10.28 | ||||
| Total Medicare payments at DRG | $182,598,426 | ||||
| Total Medicare payments with ICD A86 - Unspecified viral encephalitis | $24,301,919 | ||||
| Total Medicare payment per Day at DRG | $2,138 | ||||
| Total Medicare payment per Day with ICD A86 - Unspecified viral encephalitis | $2,259 | ||||
| Total Medicare payment per Hospitalization at DRG | $24,185 | ||||
| Total Medicare payment per Hospitalization with ICD A86 - Unspecified viral encephalitis | $21,698 | ||||
| Total Medicare Charges at DRG | $852,333,630 | ||||
| Total Medicare Charges with ICD A86 - Unspecified viral encephalitis | $108,665,306 | ||||
| Avg Charges at DRG | $112,892 | ||||
| Avg Charges with ICD A86 - Unspecified viral encephalitis | $97,023 | ||||
| Mortality Rate at DRG | 6.5 | ||||
| Mortality Rate with ICD A86 - Unspecified viral encephalitis | 5.0 | ||||
| SNF Discharge Rate at DRG | 26.53 | ||||
| SNF Discharge Rate with ICD A86 - Unspecified viral encephalitis | 27.41 | ||||
| Home Discharge Rate at DRG | 21.28 | ||||
| Home Discharge Rate with ICD A86 - Unspecified viral encephalitis | 23.13 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 070: NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 075: VIRAL MENINGITIS WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 100: SEIZURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 62,680 | ||||
| Total Hospitalizations with ICD A86 - Unspecified viral encephalitis | 54 | ||||
| DRG Share of Total Hospitalizations | 0.19 | ||||
| % of Total ICD A86 - Unspecified viral encephalitis in DRG | 1.53 | ||||
| Avg LOS at DRG | 7.42 | ||||
| Avg LOS with ICD A86 - Unspecified viral encephalitis | 11.17 | ||||
| Readmission Rate at DRG | 28.38 | ||||
| Readmission Rate with ICD A86 - Unspecified viral encephalitis | NA | ||||
| Unplanned Readmission Rate at DRG | 19.73 | ||||
| Unplanned Readmission Rate with ICD A86 - Unspecified viral encephalitis | NA | ||||
| Total Medicare payments at DRG | $784,253,159 | ||||
| Total Medicare payments with ICD A86 - Unspecified viral encephalitis | $944,311 | ||||
| Total Medicare payment per Day at DRG | $1,686 | ||||
| Total Medicare payment per Day with ICD A86 - Unspecified viral encephalitis | $1,566 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,512 | ||||
| Total Medicare payment per Hospitalization with ICD A86 - Unspecified viral encephalitis | $17,487 | ||||
| Total Medicare Charges at DRG | $3,210,257,310 | ||||
| Total Medicare Charges with ICD A86 - Unspecified viral encephalitis | $5,512,986 | ||||
| Avg Charges at DRG | $51,217 | ||||
| Avg Charges with ICD A86 - Unspecified viral encephalitis | $102,092 | ||||
| Mortality Rate at DRG | 4.21 | ||||
| Mortality Rate with ICD A86 - Unspecified viral encephalitis | NA | ||||
| SNF Discharge Rate at DRG | 30.71 | ||||
| SNF Discharge Rate with ICD A86 - Unspecified viral encephalitis | NA | ||||
| Home Discharge Rate at DRG | 21.91 | ||||
| Home Discharge Rate with ICD A86 - Unspecified viral encephalitis | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | DRG 071: NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 249,842 | ||||
| Total Hospitalizations with ICD A86 - Unspecified viral encephalitis | 45 | ||||
| DRG Share of Total Hospitalizations | 0.76 | ||||
| % of Total ICD A86 - Unspecified viral encephalitis in DRG | 1.28 | ||||
| Avg LOS at DRG | 6.05 | ||||
| Avg LOS with ICD A86 - Unspecified viral encephalitis | 9.44 | ||||
| Readmission Rate at DRG | 35.06 | ||||
| Readmission Rate with ICD A86 - Unspecified viral encephalitis | 37.93 | ||||
| Unplanned Readmission Rate at DRG | 11.16 | ||||
| Unplanned Readmission Rate with ICD A86 - Unspecified viral encephalitis | NA | ||||
| Total Medicare payments at DRG | $2,933,944,169 | ||||
| Total Medicare payments with ICD A86 - Unspecified viral encephalitis | $534,861 | ||||
| Total Medicare payment per Day at DRG | $1,941 | ||||
| Total Medicare payment per Day with ICD A86 - Unspecified viral encephalitis | $1,258 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,743 | ||||
| Total Medicare payment per Hospitalization with ICD A86 - Unspecified viral encephalitis | $11,886 | ||||
| Total Medicare Charges at DRG | $15,164,864,310 | ||||
| Total Medicare Charges with ICD A86 - Unspecified viral encephalitis | $3,852,742 | ||||
| Avg Charges at DRG | $60,698 | ||||
| Avg Charges with ICD A86 - Unspecified viral encephalitis | $85,616 | ||||
| Mortality Rate at DRG | 15.95 | ||||
| Mortality Rate with ICD A86 - Unspecified viral encephalitis | NA | ||||
| SNF Discharge Rate at DRG | 27.24 | ||||
| SNF Discharge Rate with ICD A86 - Unspecified viral encephalitis | NA | ||||
| Home Discharge Rate at DRG | 12.21 | ||||
| Home Discharge Rate with ICD A86 - Unspecified viral encephalitis | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 094: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 974: HIV WITH MAJOR RELATED CONDITION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 6,134 | ||||
| Total Hospitalizations with ICD A86 - Unspecified viral encephalitis | 30 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD A86 - Unspecified viral encephalitis in DRG | 0.85 | ||||
| Avg LOS at DRG | 13.69 | ||||
| Avg LOS with ICD A86 - Unspecified viral encephalitis | 11.3 | ||||
| Readmission Rate at DRG | 38.81 | ||||
| Readmission Rate with ICD A86 - Unspecified viral encephalitis | NA | ||||
| Unplanned Readmission Rate at DRG | 12.75 | ||||
| Unplanned Readmission Rate with ICD A86 - Unspecified viral encephalitis | NA | ||||
| Total Medicare payments at DRG | $160,221,769 | ||||
| Total Medicare payments with ICD A86 - Unspecified viral encephalitis | $691,773 | ||||
| Total Medicare payment per Day at DRG | $1,908 | ||||
| Total Medicare payment per Day with ICD A86 - Unspecified viral encephalitis | $2,041 | ||||
| Total Medicare payment per Hospitalization at DRG | $26,120 | ||||
| Total Medicare payment per Hospitalization with ICD A86 - Unspecified viral encephalitis | $23,059 | ||||
| Total Medicare Charges at DRG | $691,119,916 | ||||
| Total Medicare Charges with ICD A86 - Unspecified viral encephalitis | $3,934,475 | ||||
| Avg Charges at DRG | $112,670 | ||||
| Avg Charges with ICD A86 - Unspecified viral encephalitis | $131,149 | ||||
| Mortality Rate at DRG | 5.61 | ||||
| Mortality Rate with ICD A86 - Unspecified viral encephalitis | NA | ||||
| SNF Discharge Rate at DRG | 27.91 | ||||
| SNF Discharge Rate with ICD A86 - Unspecified viral encephalitis | 36.67 | ||||
| Home Discharge Rate at DRG | 12.57 | ||||
| Home Discharge Rate with ICD A86 - Unspecified viral encephalitis | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UNIVERSITY OF ALABAMA HOSPITAL | 619 19TH ST S | BIRMINGHAM | AL | 35249 | 14 |
| SPRING VALLEY HOSPITAL MEDICAL CENTER | 5400 S RAINBOW BLVD | LAS VEGAS | NV | 89118 | 13 |
| MISSION HOSPITAL | 509 BILTMORE AVE | ASHEVILLE | NC | 28801 | 12 |