*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| B9710 - Unspecified enterovirus as the cause of diseases classified elsewhere - as a primary diagnosis code | B9710 - Unspecified enterovirus as the cause of diseases classified elsewhere - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.06 | |
| Readmission Rate (%) | 21.39 | |
| Unplanned Readmission Rate (%) | NA | |
| 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD B9710 - Unspecified enterovirus as the cause of diseases classified elsewhere | 1,287 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD B9710 - Unspecified enterovirus as the cause of diseases classified elsewhere in DRG | 17.09 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD B9710 - Unspecified enterovirus as the cause of diseases classified elsewhere | 6.21 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD B9710 - Unspecified enterovirus as the cause of diseases classified elsewhere | 21.45 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD B9710 - Unspecified enterovirus as the cause of diseases classified elsewhere | 16.04 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD B9710 - Unspecified enterovirus as the cause of diseases classified elsewhere | $15,846,464 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD B9710 - Unspecified enterovirus as the cause of diseases classified elsewhere | $1,983 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD B9710 - Unspecified enterovirus as the cause of diseases classified elsewhere | $12,313 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD B9710 - Unspecified enterovirus as the cause of diseases classified elsewhere | $82,701,918 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD B9710 - Unspecified enterovirus as the cause of diseases classified elsewhere | $64,259 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD B9710 - Unspecified enterovirus as the cause of diseases classified elsewhere | 4.51 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD B9710 - Unspecified enterovirus as the cause of diseases classified elsewhere | 22.22 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD B9710 - Unspecified enterovirus as the cause of diseases classified elsewhere | 40.17 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 202: BRONCHITIS AND ASTHMA WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 153: OTITIS MEDIA AND URI WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 120,026 | ||||
| Total Hospitalizations with ICD B9710 - Unspecified enterovirus as the cause of diseases classified elsewhere | 315 | ||||
| DRG Share of Total Hospitalizations | 0.37 | ||||
| % of Total ICD B9710 - Unspecified enterovirus as the cause of diseases classified elsewhere in DRG | 4.18 | ||||
| Avg LOS at DRG | 3.68 | ||||
| Avg LOS with ICD B9710 - Unspecified enterovirus as the cause of diseases classified elsewhere | 4.1 | ||||
| Readmission Rate at DRG | 16.52 | ||||
| Readmission Rate with ICD B9710 - Unspecified enterovirus as the cause of diseases classified elsewhere | 15.65 | ||||
| Unplanned Readmission Rate at DRG | 13.07 | ||||
| Unplanned Readmission Rate with ICD B9710 - Unspecified enterovirus as the cause of diseases classified elsewhere | 13.27 | ||||
| Total Medicare payments at DRG | $659,875,657 | ||||
| Total Medicare payments with ICD B9710 - Unspecified enterovirus as the cause of diseases classified elsewhere | $2,008,433 | ||||
| Total Medicare payment per Day at DRG | $1,493 | ||||
| Total Medicare payment per Day with ICD B9710 - Unspecified enterovirus as the cause of diseases classified elsewhere | $1,556 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,498 | ||||
| Total Medicare payment per Hospitalization with ICD B9710 - Unspecified enterovirus as the cause of diseases classified elsewhere | $6,376 | ||||
| Total Medicare Charges at DRG | $3,598,009,636 | ||||
| Total Medicare Charges with ICD B9710 - Unspecified enterovirus as the cause of diseases classified elsewhere | $11,572,291 | ||||
| Avg Charges at DRG | $29,977 | ||||
| Avg Charges with ICD B9710 - Unspecified enterovirus as the cause of diseases classified elsewhere | $36,737 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD B9710 - Unspecified enterovirus as the cause of diseases classified elsewhere | NA | ||||
| SNF Discharge Rate at DRG | 10.98 | ||||
| SNF Discharge Rate with ICD B9710 - Unspecified enterovirus as the cause of diseases classified elsewhere | 12.38 | ||||
| Home Discharge Rate at DRG | 64.98 | ||||
| Home Discharge Rate with ICD B9710 - Unspecified enterovirus as the cause of diseases classified elsewhere | 63.81 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 152: OTITIS MEDIA AND URI WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 192: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 231,410 | ||||
| Total Hospitalizations with ICD B9710 - Unspecified enterovirus as the cause of diseases classified elsewhere | 181 | ||||
| DRG Share of Total Hospitalizations | 0.7 | ||||
| % of Total ICD B9710 - Unspecified enterovirus as the cause of diseases classified elsewhere in DRG | 2.4 | ||||
| Avg LOS at DRG | 7.29 | ||||
| Avg LOS with ICD B9710 - Unspecified enterovirus as the cause of diseases classified elsewhere | 7.54 | ||||
| Readmission Rate at DRG | 25.54 | ||||
| Readmission Rate with ICD B9710 - Unspecified enterovirus as the cause of diseases classified elsewhere | 28.05 | ||||
| Unplanned Readmission Rate at DRG | 18.36 | ||||
| Unplanned Readmission Rate with ICD B9710 - Unspecified enterovirus as the cause of diseases classified elsewhere | 20.12 | ||||
| Total Medicare payments at DRG | $2,801,759,007 | ||||
| Total Medicare payments with ICD B9710 - Unspecified enterovirus as the cause of diseases classified elsewhere | $2,376,987 | ||||
| Total Medicare payment per Day at DRG | $1,661 | ||||
| Total Medicare payment per Day with ICD B9710 - Unspecified enterovirus as the cause of diseases classified elsewhere | $1,743 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,107 | ||||
| Total Medicare payment per Hospitalization with ICD B9710 - Unspecified enterovirus as the cause of diseases classified elsewhere | $13,133 | ||||
| Total Medicare Charges at DRG | $13,366,030,360 | ||||
| Total Medicare Charges with ICD B9710 - Unspecified enterovirus as the cause of diseases classified elsewhere | $13,334,909 | ||||
| Avg Charges at DRG | $57,759 | ||||
| Avg Charges with ICD B9710 - Unspecified enterovirus as the cause of diseases classified elsewhere | $73,674 | ||||
| Mortality Rate at DRG | 7.21 | ||||
| Mortality Rate with ICD B9710 - Unspecified enterovirus as the cause of diseases classified elsewhere | NA | ||||
| SNF Discharge Rate at DRG | 32.47 | ||||
| SNF Discharge Rate with ICD B9710 - Unspecified enterovirus as the cause of diseases classified elsewhere | 21.55 | ||||
| Home Discharge Rate at DRG | 20.84 | ||||
| Home Discharge Rate with ICD B9710 - Unspecified enterovirus as the cause of diseases classified elsewhere | 34.25 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 203: BRONCHITIS AND ASTHMA WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 866: VIRAL ILLNESS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 82,335 | ||||
| Total Hospitalizations with ICD B9710 - Unspecified enterovirus as the cause of diseases classified elsewhere | 97 | ||||
| DRG Share of Total Hospitalizations | 0.25 | ||||
| % of Total ICD B9710 - Unspecified enterovirus as the cause of diseases classified elsewhere in DRG | 1.29 | ||||
| Avg LOS at DRG | 12.91 | ||||
| Avg LOS with ICD B9710 - Unspecified enterovirus as the cause of diseases classified elsewhere | 10.84 | ||||
| Readmission Rate at DRG | 32.17 | ||||
| Readmission Rate with ICD B9710 - Unspecified enterovirus as the cause of diseases classified elsewhere | 30.59 | ||||
| Unplanned Readmission Rate at DRG | 19.76 | ||||
| Unplanned Readmission Rate with ICD B9710 - Unspecified enterovirus as the cause of diseases classified elsewhere | 18.82 | ||||
| Total Medicare payments at DRG | $2,324,349,241 | ||||
| Total Medicare payments with ICD B9710 - Unspecified enterovirus as the cause of diseases classified elsewhere | $2,585,352 | ||||
| Total Medicare payment per Day at DRG | $2,187 | ||||
| Total Medicare payment per Day with ICD B9710 - Unspecified enterovirus as the cause of diseases classified elsewhere | $2,460 | ||||
| Total Medicare payment per Hospitalization at DRG | $28,230 | ||||
| Total Medicare payment per Hospitalization with ICD B9710 - Unspecified enterovirus as the cause of diseases classified elsewhere | $26,653 | ||||
| Total Medicare Charges at DRG | $11,401,334,817 | ||||
| Total Medicare Charges with ICD B9710 - Unspecified enterovirus as the cause of diseases classified elsewhere | $13,336,291 | ||||
| Avg Charges at DRG | $138,475 | ||||
| Avg Charges with ICD B9710 - Unspecified enterovirus as the cause of diseases classified elsewhere | $137,488 | ||||
| Mortality Rate at DRG | 10.6 | ||||
| Mortality Rate with ICD B9710 - Unspecified enterovirus as the cause of diseases classified elsewhere | 11.34 | ||||
| SNF Discharge Rate at DRG | 21.62 | ||||
| SNF Discharge Rate with ICD B9710 - Unspecified enterovirus as the cause of diseases classified elsewhere | 13.4 | ||||
| Home Discharge Rate at DRG | 30.12 | ||||
| Home Discharge Rate with ICD B9710 - Unspecified enterovirus as the cause of diseases classified elsewhere | 40.21 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| NCH BAKER HOSPITAL DOWNTOWN | 350 7TH ST N | NAPLES | FL | 34102 | 191 |
| NORTH SHORE UNIVERSITY HOSPITAL | 300 COMMUNITY DRIVE | MANHASSET | NY | 11030 | 155 |
| HUNTINGTON HOSPITAL - NORTHWELL HEALTH | 270 PARK AVE | HUNTINGTON | NY | 11743 | 147 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CHONG UN KIM | 23430 HAWTHORNE BLVD BLDG 3 | TORRANCE | CA | 90505 | 14 |
| Dr. DANIEL CUETO | 1750 SW HEALTH PKWY | NAPLES | FL | 34109 | 12 |
| Dr. HIMANSHU PANDYA | 25720 HILLSIDE AVE | FLORAL PARK | NY | 11004 | 12 |