*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| B9729 - Other coronavirus as the cause of diseases classified elsewhere - as a primary diagnosis code | B9729 - Other coronavirus as the cause of diseases classified elsewhere - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.35 | |
| Readmission Rate (%) | 23.63 | |
| 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 865: VIRAL ILLNESS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 866: VIRAL ILLNESS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 11,542 | |
| Total Hospitalizations with ICD B9729 - Other coronavirus as the cause of diseases classified elsewhere | 41 | |
| DRG Share of Total Hospitalizations | 0.04 | |
| % of Total ICD B9729 - Other coronavirus as the cause of diseases classified elsewhere in DRG | 56.94 | |
| Avg LOS at DRG | 5.4 | |
| Avg LOS with ICD B9729 - Other coronavirus as the cause of diseases classified elsewhere | 5.27 | |
| Readmission Rate at DRG | 21.65 | |
| Readmission Rate with ICD B9729 - Other coronavirus as the cause of diseases classified elsewhere | NA | |
| Unplanned Readmission Rate at DRG | 14.92 | |
| Unplanned Readmission Rate with ICD B9729 - Other coronavirus as the cause of diseases classified elsewhere | NA | |
| Total Medicare payments at DRG | $118,366,362 | |
| Total Medicare payments with ICD B9729 - Other coronavirus as the cause of diseases classified elsewhere | $454,252 | |
| Total Medicare payment per Day at DRG | $1,898 | |
| Total Medicare payment per Day with ICD B9729 - Other coronavirus as the cause of diseases classified elsewhere | $2,103 | |
| Total Medicare payment per Hospitalization at DRG | $10,255 | |
| Total Medicare payment per Hospitalization with ICD B9729 - Other coronavirus as the cause of diseases classified elsewhere | $11,079 | |
| Total Medicare Charges at DRG | $544,851,219 | |
| Total Medicare Charges with ICD B9729 - Other coronavirus as the cause of diseases classified elsewhere | $2,036,150 | |
| Avg Charges at DRG | $47,206 | |
| Avg Charges with ICD B9729 - Other coronavirus as the cause of diseases classified elsewhere | $49,662 | |
| Mortality Rate at DRG | 1.94 | |
| Mortality Rate with ICD B9729 - Other coronavirus as the cause of diseases classified elsewhere | NA | |
| SNF Discharge Rate at DRG | 21.33 | |
| SNF Discharge Rate with ICD B9729 - Other coronavirus as the cause of diseases classified elsewhere | 26.83 | |
| Home Discharge Rate at DRG | 48.89 | |
| Home Discharge Rate with ICD B9729 - Other coronavirus as the cause of diseases classified elsewhere | 43.9 |
*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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD B9729 - Other coronavirus as the cause of diseases classified elsewhere | 1,925 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD B9729 - Other coronavirus as the cause of diseases classified elsewhere in DRG | 15.69 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD B9729 - Other coronavirus as the cause of diseases classified elsewhere | 6.54 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD B9729 - Other coronavirus as the cause of diseases classified elsewhere | 24.18 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD B9729 - Other coronavirus as the cause of diseases classified elsewhere | 18.32 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD B9729 - Other coronavirus as the cause of diseases classified elsewhere | $23,398,324 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD B9729 - Other coronavirus as the cause of diseases classified elsewhere | $1,858 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD B9729 - Other coronavirus as the cause of diseases classified elsewhere | $12,155 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD B9729 - Other coronavirus as the cause of diseases classified elsewhere | $123,310,453 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD B9729 - Other coronavirus as the cause of diseases classified elsewhere | $64,057 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD B9729 - Other coronavirus as the cause of diseases classified elsewhere | 8.26 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD B9729 - Other coronavirus as the cause of diseases classified elsewhere | 25.71 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD B9729 - Other coronavirus as the cause of diseases classified elsewhere | 36.26 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 202: BRONCHITIS AND ASTHMA WITH COMPLICATION OR COMORBIDITY (CC)/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 | 417,755 | ||||
| Total Hospitalizations with ICD B9729 - Other coronavirus as the cause of diseases classified elsewhere | 499 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD B9729 - Other coronavirus as the cause of diseases classified elsewhere in DRG | 4.07 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD B9729 - Other coronavirus as the cause of diseases classified elsewhere | 3.98 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD B9729 - Other coronavirus as the cause of diseases classified elsewhere | 16.67 | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD B9729 - Other coronavirus as the cause of diseases classified elsewhere | 13.99 | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD B9729 - Other coronavirus as the cause of diseases classified elsewhere | $3,135,063 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD B9729 - Other coronavirus as the cause of diseases classified elsewhere | $1,577 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD B9729 - Other coronavirus as the cause of diseases classified elsewhere | $6,283 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD B9729 - Other coronavirus as the cause of diseases classified elsewhere | $16,442,535 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD B9729 - Other coronavirus as the cause of diseases classified elsewhere | $32,951 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD B9729 - Other coronavirus as the cause of diseases classified elsewhere | NA | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD B9729 - Other coronavirus as the cause of diseases classified elsewhere | 14.63 | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD B9729 - Other coronavirus as the cause of diseases classified elsewhere | 62.93 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 192: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 152: OTITIS MEDIA AND URI WITH 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 | 231,410 | ||||
| Total Hospitalizations with ICD B9729 - Other coronavirus as the cause of diseases classified elsewhere | 243 | ||||
| DRG Share of Total Hospitalizations | 0.7 | ||||
| % of Total ICD B9729 - Other coronavirus as the cause of diseases classified elsewhere in DRG | 1.98 | ||||
| Avg LOS at DRG | 7.29 | ||||
| Avg LOS with ICD B9729 - Other coronavirus as the cause of diseases classified elsewhere | 7.82 | ||||
| Readmission Rate at DRG | 25.54 | ||||
| Readmission Rate with ICD B9729 - Other coronavirus as the cause of diseases classified elsewhere | 32.47 | ||||
| Unplanned Readmission Rate at DRG | 18.36 | ||||
| Unplanned Readmission Rate with ICD B9729 - Other coronavirus as the cause of diseases classified elsewhere | 22.94 | ||||
| Total Medicare payments at DRG | $2,801,759,007 | ||||
| Total Medicare payments with ICD B9729 - Other coronavirus as the cause of diseases classified elsewhere | $3,047,331 | ||||
| Total Medicare payment per Day at DRG | $1,661 | ||||
| Total Medicare payment per Day with ICD B9729 - Other coronavirus as the cause of diseases classified elsewhere | $1,604 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,107 | ||||
| Total Medicare payment per Hospitalization with ICD B9729 - Other coronavirus as the cause of diseases classified elsewhere | $12,540 | ||||
| Total Medicare Charges at DRG | $13,366,030,360 | ||||
| Total Medicare Charges with ICD B9729 - Other coronavirus as the cause of diseases classified elsewhere | $16,296,968 | ||||
| Avg Charges at DRG | $57,759 | ||||
| Avg Charges with ICD B9729 - Other coronavirus as the cause of diseases classified elsewhere | $67,066 | ||||
| Mortality Rate at DRG | 7.21 | ||||
| Mortality Rate with ICD B9729 - Other coronavirus as the cause of diseases classified elsewhere | NA | ||||
| SNF Discharge Rate at DRG | 32.47 | ||||
| SNF Discharge Rate with ICD B9729 - Other coronavirus as the cause of diseases classified elsewhere | 28.4 | ||||
| Home Discharge Rate at DRG | 20.84 | ||||
| Home Discharge Rate with ICD B9729 - Other coronavirus as the cause of diseases classified elsewhere | 25.93 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 195: SIMPLE PNEUMONIA AND PLEURISY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 865: VIRAL ILLNESS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 147,017 | ||||
| Total Hospitalizations with ICD B9729 - Other coronavirus as the cause of diseases classified elsewhere | 137 | ||||
| DRG Share of Total Hospitalizations | 0.45 | ||||
| % of Total ICD B9729 - Other coronavirus as the cause of diseases classified elsewhere in DRG | 1.12 | ||||
| Avg LOS at DRG | 3.12 | ||||
| Avg LOS with ICD B9729 - Other coronavirus as the cause of diseases classified elsewhere | 3.05 | ||||
| Readmission Rate at DRG | 11.06 | ||||
| Readmission Rate with ICD B9729 - Other coronavirus as the cause of diseases classified elsewhere | 8.15 | ||||
| Unplanned Readmission Rate at DRG | 7.05 | ||||
| Unplanned Readmission Rate with ICD B9729 - Other coronavirus as the cause of diseases classified elsewhere | NA | ||||
| Total Medicare payments at DRG | $662,922,575 | ||||
| Total Medicare payments with ICD B9729 - Other coronavirus as the cause of diseases classified elsewhere | $573,360 | ||||
| Total Medicare payment per Day at DRG | $1,445 | ||||
| Total Medicare payment per Day with ICD B9729 - Other coronavirus as the cause of diseases classified elsewhere | $1,372 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,509 | ||||
| Total Medicare payment per Hospitalization with ICD B9729 - Other coronavirus as the cause of diseases classified elsewhere | $4,185 | ||||
| Total Medicare Charges at DRG | $2,893,146,238 | ||||
| Total Medicare Charges with ICD B9729 - Other coronavirus as the cause of diseases classified elsewhere | $3,068,044 | ||||
| Avg Charges at DRG | $19,679 | ||||
| Avg Charges with ICD B9729 - Other coronavirus as the cause of diseases classified elsewhere | $22,394 | ||||
| Mortality Rate at DRG | 0.67 | ||||
| Mortality Rate with ICD B9729 - Other coronavirus as the cause of diseases classified elsewhere | NA | ||||
| SNF Discharge Rate at DRG | 13.03 | ||||
| SNF Discharge Rate with ICD B9729 - Other coronavirus as the cause of diseases classified elsewhere | 12.41 | ||||
| Home Discharge Rate at DRG | 62.41 | ||||
| Home Discharge Rate with ICD B9729 - Other coronavirus as the cause of diseases classified elsewhere | 67.15 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CHARLESTON AREA MEDICAL CENTER | 501 MORRIS ST | CHARLESTON | WV | 25301 | 165 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 162 |
| NEWYORK PRESBYTERIAN - WEILL CORNELL MEDICAL CENTER | 525 E 68TH ST | NEW YORK | NY | 10021 | 139 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. VIJAY GANATRA | 13770 PLANTATION RD | FORT MYERS | FL | 33912 | 15 |
| Dr. HOORBOD DELSHADFAR | 6902 AUSTIN ST 2 | FOREST HILLS | NY | 11375 | 11 |
| Dr. GREGORY M STOUT | 1200 S CEDAR CREST BLVD. | ALLENTOWN | PA | 18105 | 11 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris |
| 2 | K219 | Gastro-esophageal reflux disease without esophagitis |