*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| B349 - Viral infection, unspecified - as a primary diagnosis code | B349 - Viral infection, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 4.05 | |
| Readmission Rate (%) | 17.95 | |
| Unplanned Readmission Rate (%) | 12.09 | |
| 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 866: VIRAL ILLNESS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 865: VIRAL ILLNESS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 855: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 22,681 | ||||
| Total Hospitalizations with ICD B349 - Viral infection, unspecified | 12,558 | ||||
| DRG Share of Total Hospitalizations | 0.07 | ||||
| % of Total ICD B349 - Viral infection, unspecified in DRG | 68.23 | ||||
| Avg LOS at DRG | 3.32 | ||||
| Avg LOS with ICD B349 - Viral infection, unspecified | 2.63 | ||||
| Readmission Rate at DRG | 14.18 | ||||
| Readmission Rate with ICD B349 - Viral infection, unspecified | 14.07 | ||||
| Unplanned Readmission Rate at DRG | 9.63 | ||||
| Unplanned Readmission Rate with ICD B349 - Viral infection, unspecified | 10.32 | ||||
| Total Medicare payments at DRG | $111,849,779 | ||||
| Total Medicare payments with ICD B349 - Viral infection, unspecified | $55,606,237 | ||||
| Total Medicare payment per Day at DRG | $1,485 | ||||
| Total Medicare payment per Day with ICD B349 - Viral infection, unspecified | $1,683 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,931 | ||||
| Total Medicare payment per Hospitalization with ICD B349 - Viral infection, unspecified | $4,428 | ||||
| Total Medicare Charges at DRG | $627,694,196 | ||||
| Total Medicare Charges with ICD B349 - Viral infection, unspecified | $304,458,766 | ||||
| Avg Charges at DRG | $27,675 | ||||
| Avg Charges with ICD B349 - Viral infection, unspecified | $24,244 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD B349 - Viral infection, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 11.69 | ||||
| SNF Discharge Rate with ICD B349 - Viral infection, unspecified | 10.51 | ||||
| Home Discharge Rate at DRG | 67.65 | ||||
| Home Discharge Rate with ICD B349 - Viral infection, unspecified | 70.15 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 83 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 78 |
| SOUTH SHORE HOSPITAL | 55 FOGG ROAD | SOUTH WEYMOUTH | MA | 02190 | 69 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MARTHA E. LOZANO | 841 KUHN DR STE 200 | CHULA VISTA | CA | 91914 | 12 |
| Dr. ZOUHAIR HAKAK | 1330 W COVINA BLVD | SAN DIMAS | CA | 91773 | 12 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 866: VIRAL ILLNESS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 865: VIRAL ILLNESS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 22,681 | ||||
| Total Hospitalizations with ICD B349 - Viral infection, unspecified | 12,681 | ||||
| DRG Share of Total Hospitalizations | 0.07 | ||||
| % of Total ICD B349 - Viral infection, unspecified in DRG | 20.93 | ||||
| Avg LOS at DRG | 3.32 | ||||
| Avg LOS with ICD B349 - Viral infection, unspecified | 2.65 | ||||
| Readmission Rate at DRG | 14.18 | ||||
| Readmission Rate with ICD B349 - Viral infection, unspecified | 14.09 | ||||
| Unplanned Readmission Rate at DRG | 9.63 | ||||
| Unplanned Readmission Rate with ICD B349 - Viral infection, unspecified | 10.31 | ||||
| Total Medicare payments at DRG | $111,849,779 | ||||
| Total Medicare payments with ICD B349 - Viral infection, unspecified | $56,294,448 | ||||
| Total Medicare payment per Day at DRG | $1,485 | ||||
| Total Medicare payment per Day with ICD B349 - Viral infection, unspecified | $1,677 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,931 | ||||
| Total Medicare payment per Hospitalization with ICD B349 - Viral infection, unspecified | $4,439 | ||||
| Total Medicare Charges at DRG | $627,694,196 | ||||
| Total Medicare Charges with ICD B349 - Viral infection, unspecified | $309,348,473 | ||||
| Avg Charges at DRG | $27,675 | ||||
| Avg Charges with ICD B349 - Viral infection, unspecified | $24,395 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD B349 - Viral infection, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 11.69 | ||||
| SNF Discharge Rate with ICD B349 - Viral infection, unspecified | 10.51 | ||||
| Home Discharge Rate at DRG | 67.65 | ||||
| Home Discharge Rate with ICD B349 - Viral infection, unspecified | 70.16 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 202: BRONCHITIS AND ASTHMA WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD B349 - Viral infection, unspecified | 1,534 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD B349 - Viral infection, unspecified in DRG | 2.53 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD B349 - Viral infection, unspecified | 3.21 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD B349 - Viral infection, unspecified | 19.24 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD B349 - Viral infection, unspecified | 14.3 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD B349 - Viral infection, unspecified | $8,111,678 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD B349 - Viral infection, unspecified | $1,645 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD B349 - Viral infection, unspecified | $5,288 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD B349 - Viral infection, unspecified | $41,334,185 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD B349 - Viral infection, unspecified | $26,945 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD B349 - Viral infection, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD B349 - Viral infection, unspecified | 11.73 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD B349 - Viral infection, unspecified | 64.8 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 864: FEVER | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD B349 - Viral infection, unspecified | 1,205 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD B349 - Viral infection, unspecified in DRG | 1.99 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD B349 - Viral infection, unspecified | 4.56 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD B349 - Viral infection, unspecified | 23.99 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD B349 - Viral infection, unspecified | 18.91 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD B349 - Viral infection, unspecified | $11,063,327 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD B349 - Viral infection, unspecified | $2,013 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD B349 - Viral infection, unspecified | $9,181 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD B349 - Viral infection, unspecified | $47,978,143 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD B349 - Viral infection, unspecified | $39,816 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD B349 - Viral infection, unspecified | 1.49 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD B349 - Viral infection, unspecified | 15.52 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD B349 - Viral infection, unspecified | 47.55 |
*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 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 192: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD B349 - Viral infection, unspecified | 755 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD B349 - Viral infection, unspecified in DRG | 1.25 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD B349 - Viral infection, unspecified | 3.1 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD B349 - Viral infection, unspecified | 13.72 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD B349 - Viral infection, unspecified | 9.65 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD B349 - Viral infection, unspecified | $3,436,765 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD B349 - Viral infection, unspecified | $1,466 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD B349 - Viral infection, unspecified | $4,552 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD B349 - Viral infection, unspecified | $18,729,055 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD B349 - Viral infection, unspecified | $24,807 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD B349 - Viral infection, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD B349 - Viral infection, unspecified | 14.04 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD B349 - Viral infection, unspecified | 64.11 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 230 |
| UPMC PRESBYTERIAN SHADYSIDE | 200 LOTHROP ST | PITTSBURGH | PA | 15213 | 220 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 201 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. EITAN SOBEL | 160 ALLEN ST | RUTLAND | VT | 05701 | 18 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MARTHA E. LOZANO | 841 KUHN DR STE 200 | CHULA VISTA | CA | 91914 | 28 |
| Dr. VENKATAPURAM RAMESH REDDY | 42320 HIGHWAY 195 | HALEYVILLE | AL | 35565 | 25 |
| Dr. ROBERT B MAGUIRE | 1614 E NORRIS DR | OTTAWA | IL | 61350 | 25 |