*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| B009 - Herpesviral infection, unspecified - as a primary diagnosis code | B009 - Herpesviral infection, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.89 | |
| Readmission Rate (%) | 23.15 | |
| Unplanned Readmission Rate (%) | 20.19 | |
| 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 607: MINOR SKIN DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 606: MINOR SKIN DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 19,754 | |
| Total Hospitalizations with ICD B009 - Herpesviral infection, unspecified | 69 | |
| DRG Share of Total Hospitalizations | 0.06 | |
| % of Total ICD B009 - Herpesviral infection, unspecified in DRG | 61.61 | |
| Avg LOS at DRG | 3.82 | |
| Avg LOS with ICD B009 - Herpesviral infection, unspecified | 3.87 | |
| Readmission Rate at DRG | 19.14 | |
| Readmission Rate with ICD B009 - Herpesviral infection, unspecified | 24.62 | |
| Unplanned Readmission Rate at DRG | 13.41 | |
| Unplanned Readmission Rate with ICD B009 - Herpesviral infection, unspecified | 20.0 | |
| Total Medicare payments at DRG | $103,585,947 | |
| Total Medicare payments with ICD B009 - Herpesviral infection, unspecified | $368,056 | |
| Total Medicare payment per Day at DRG | $1,373 | |
| Total Medicare payment per Day with ICD B009 - Herpesviral infection, unspecified | $1,378 | |
| Total Medicare payment per Hospitalization at DRG | $5,244 | |
| Total Medicare payment per Hospitalization with ICD B009 - Herpesviral infection, unspecified | $5,334 | |
| Total Medicare Charges at DRG | $499,706,458 | |
| Total Medicare Charges with ICD B009 - Herpesviral infection, unspecified | $2,416,998 | |
| Avg Charges at DRG | $25,296 | |
| Avg Charges with ICD B009 - Herpesviral infection, unspecified | $35,029 | |
| Mortality Rate at DRG | 0.21 | |
| Mortality Rate with ICD B009 - Herpesviral infection, unspecified | NA | |
| SNF Discharge Rate at DRG | 14.6 | |
| SNF Discharge Rate with ICD B009 - Herpesviral infection, unspecified | NA | |
| Home Discharge Rate at DRG | 57.87 | |
| Home Discharge Rate with ICD B009 - Herpesviral infection, unspecified | 73.91 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 885: PSYCHOSES | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 774: VAGINAL DELIVERY WITH COMPLICATING DIAGNOSES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD B009 - Herpesviral infection, unspecified | 2,949 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD B009 - Herpesviral infection, unspecified in DRG | 10.58 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD B009 - Herpesviral infection, unspecified | 11.88 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD B009 - Herpesviral infection, unspecified | 25.02 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD B009 - Herpesviral infection, unspecified | 10.86 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD B009 - Herpesviral infection, unspecified | $24,725,024 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD B009 - Herpesviral infection, unspecified | $706 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD B009 - Herpesviral infection, unspecified | $8,384 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD B009 - Herpesviral infection, unspecified | $81,623,431 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD B009 - Herpesviral infection, unspecified | $27,678 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD B009 - Herpesviral infection, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD B009 - Herpesviral infection, unspecified | 1.76 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD B009 - Herpesviral infection, unspecified | 87.93 |
*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 765: CESAREAN SECTION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD B009 - Herpesviral infection, unspecified | 375 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD B009 - Herpesviral infection, unspecified in DRG | 1.35 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD B009 - Herpesviral infection, unspecified | 3.76 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD B009 - Herpesviral infection, unspecified | 16.43 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD B009 - Herpesviral infection, unspecified | 12.81 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD B009 - Herpesviral infection, unspecified | $1,834,854 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD B009 - Herpesviral infection, unspecified | $1,302 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD B009 - Herpesviral infection, unspecified | $4,893 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD B009 - Herpesviral infection, unspecified | $12,108,256 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD B009 - Herpesviral infection, unspecified | $32,289 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD B009 - Herpesviral infection, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD B009 - Herpesviral infection, unspecified | 5.87 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD B009 - Herpesviral infection, unspecified | 78.93 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 895: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 167,575 | ||||
| Total Hospitalizations with ICD B009 - Herpesviral infection, unspecified | 304 | ||||
| DRG Share of Total Hospitalizations | 0.51 | ||||
| % of Total ICD B009 - Herpesviral infection, unspecified in DRG | 1.09 | ||||
| Avg LOS at DRG | 5.54 | ||||
| Avg LOS with ICD B009 - Herpesviral infection, unspecified | 7.29 | ||||
| Readmission Rate at DRG | 28.6 | ||||
| Readmission Rate with ICD B009 - Herpesviral infection, unspecified | 23.47 | ||||
| Unplanned Readmission Rate at DRG | 14.22 | ||||
| Unplanned Readmission Rate with ICD B009 - Herpesviral infection, unspecified | 7.82 | ||||
| Total Medicare payments at DRG | $830,329,176 | ||||
| Total Medicare payments with ICD B009 - Herpesviral infection, unspecified | $1,645,770 | ||||
| Total Medicare payment per Day at DRG | $895 | ||||
| Total Medicare payment per Day with ICD B009 - Herpesviral infection, unspecified | $743 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,955 | ||||
| Total Medicare payment per Hospitalization with ICD B009 - Herpesviral infection, unspecified | $5,414 | ||||
| Total Medicare Charges at DRG | $3,314,158,261 | ||||
| Total Medicare Charges with ICD B009 - Herpesviral infection, unspecified | $5,136,765 | ||||
| Avg Charges at DRG | $19,777 | ||||
| Avg Charges with ICD B009 - Herpesviral infection, unspecified | $16,897 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD B009 - Herpesviral infection, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 5.67 | ||||
| SNF Discharge Rate with ICD B009 - Herpesviral infection, unspecified | NA | ||||
| Home Discharge Rate at DRG | 80.01 | ||||
| Home Discharge Rate with ICD B009 - Herpesviral infection, unspecified | 86.84 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 974: HIV WITH MAJOR RELATED CONDITION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD B009 - Herpesviral infection, unspecified | 276 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD B009 - Herpesviral infection, unspecified in DRG | 0.99 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD B009 - Herpesviral infection, unspecified | 4.14 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD B009 - Herpesviral infection, unspecified | 21.59 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD B009 - Herpesviral infection, unspecified | 11.74 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD B009 - Herpesviral infection, unspecified | $1,456,593 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD B009 - Herpesviral infection, unspecified | $1,274 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD B009 - Herpesviral infection, unspecified | $5,278 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD B009 - Herpesviral infection, unspecified | $7,955,320 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD B009 - Herpesviral infection, unspecified | $28,824 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD B009 - Herpesviral infection, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD B009 - Herpesviral infection, unspecified | 12.32 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD B009 - Herpesviral infection, unspecified | 57.97 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 135 |
| TURNING POINT HOSPITAL | 3015 VETERANS PKWY S | MOULTRIE | GA | 31788 | 134 |
| YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 133 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 94 |
| Dr. THEODORE V PARRAN | 2351 E 22ND ST | CLEVELAND | OH | 44115 | 17 |
| Dr. RONALD F. PIKE | 107 LINCOLN ST | WORCESTER | MA | 01605 | 15 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 123 |
| Dr. RONALD F. PIKE | 107 LINCOLN ST | WORCESTER | MA | 01605 | 19 |
| Dr. RANGA S BRAHMAMDAM | 5520 CHEVIOT ROAD | CINCINNATI | OH | 45247 | 16 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | Z79899 | Other long term (current) drug therapy |
| 2 | N179 | Acute kidney failure, unspecified |
| 3 | K219 | Gastro-esophageal reflux disease without esophagitis |
| 4 | Z7982 | Long term (current) use of aspirin |
| 5 | I10 | Essential (primary) hypertension |