*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| B974 - Respiratory syncytial virus as the cause of diseases classified elsewhere - as a primary diagnosis code | B974 - Respiratory syncytial virus as the cause of diseases classified elsewhere - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.62 | |
| Readmission Rate (%) | 19.77 | |
| Unplanned Readmission Rate (%) | 10.9 | |
| 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 B974 - Respiratory syncytial virus as the cause of diseases classified elsewhere | 113 | |
| DRG Share of Total Hospitalizations | 0.04 | |
| % of Total ICD B974 - Respiratory syncytial virus as the cause of diseases classified elsewhere in DRG | 51.6 | |
| Avg LOS at DRG | 5.4 | |
| Avg LOS with ICD B974 - Respiratory syncytial virus as the cause of diseases classified elsewhere | 5.86 | |
| Readmission Rate at DRG | 21.65 | |
| Readmission Rate with ICD B974 - Respiratory syncytial virus as the cause of diseases classified elsewhere | 12.96 | |
| Unplanned Readmission Rate at DRG | 14.92 | |
| Unplanned Readmission Rate with ICD B974 - Respiratory syncytial virus as the cause of diseases classified elsewhere | NA | |
| Total Medicare payments at DRG | $118,366,362 | |
| Total Medicare payments with ICD B974 - Respiratory syncytial virus as the cause of diseases classified elsewhere | $1,115,908 | |
| Total Medicare payment per Day at DRG | $1,898 | |
| Total Medicare payment per Day with ICD B974 - Respiratory syncytial virus as the cause of diseases classified elsewhere | $1,686 | |
| Total Medicare payment per Hospitalization at DRG | $10,255 | |
| Total Medicare payment per Hospitalization with ICD B974 - Respiratory syncytial virus as the cause of diseases classified elsewhere | $9,875 | |
| Total Medicare Charges at DRG | $544,851,219 | |
| Total Medicare Charges with ICD B974 - Respiratory syncytial virus as the cause of diseases classified elsewhere | $5,347,714 | |
| Avg Charges at DRG | $47,206 | |
| Avg Charges with ICD B974 - Respiratory syncytial virus as the cause of diseases classified elsewhere | $47,325 | |
| Mortality Rate at DRG | 1.94 | |
| Mortality Rate with ICD B974 - Respiratory syncytial virus as the cause of diseases classified elsewhere | NA | |
| SNF Discharge Rate at DRG | 21.33 | |
| SNF Discharge Rate with ICD B974 - Respiratory syncytial virus as the cause of diseases classified elsewhere | 23.01 | |
| Home Discharge Rate at DRG | 48.89 | |
| Home Discharge Rate with ICD B974 - Respiratory syncytial virus as the cause of diseases classified elsewhere | 46.02 |
*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 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 B974 - Respiratory syncytial virus as the cause of diseases classified elsewhere | 2,925 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD B974 - Respiratory syncytial virus as the cause of diseases classified elsewhere in DRG | 14.37 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD B974 - Respiratory syncytial virus as the cause of diseases classified elsewhere | 6.77 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD B974 - Respiratory syncytial virus as the cause of diseases classified elsewhere | 18.83 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD B974 - Respiratory syncytial virus as the cause of diseases classified elsewhere | 13.72 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD B974 - Respiratory syncytial virus as the cause of diseases classified elsewhere | $36,945,153 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD B974 - Respiratory syncytial virus as the cause of diseases classified elsewhere | $1,866 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD B974 - Respiratory syncytial virus as the cause of diseases classified elsewhere | $12,631 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD B974 - Respiratory syncytial virus as the cause of diseases classified elsewhere | $190,598,920 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD B974 - Respiratory syncytial virus as the cause of diseases classified elsewhere | $65,162 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD B974 - Respiratory syncytial virus as the cause of diseases classified elsewhere | 7.32 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD B974 - Respiratory syncytial virus as the cause of diseases classified elsewhere | 25.81 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD B974 - Respiratory syncytial virus as the cause of diseases classified elsewhere | 33.98 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| 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 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | 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 | 286,456 | ||||
| Total Hospitalizations with ICD B974 - Respiratory syncytial virus as the cause of diseases classified elsewhere | 1,002 | ||||
| DRG Share of Total Hospitalizations | 0.87 | ||||
| % of Total ICD B974 - Respiratory syncytial virus as the cause of diseases classified elsewhere in DRG | 4.92 | ||||
| Avg LOS at DRG | 3.75 | ||||
| Avg LOS with ICD B974 - Respiratory syncytial virus as the cause of diseases classified elsewhere | 4.37 | ||||
| Readmission Rate at DRG | 22.9 | ||||
| Readmission Rate with ICD B974 - Respiratory syncytial virus as the cause of diseases classified elsewhere | 17.59 | ||||
| Unplanned Readmission Rate at DRG | 18.29 | ||||
| Unplanned Readmission Rate with ICD B974 - Respiratory syncytial virus as the cause of diseases classified elsewhere | 14.05 | ||||
| Total Medicare payments at DRG | $1,641,467,496 | ||||
| Total Medicare payments with ICD B974 - Respiratory syncytial virus as the cause of diseases classified elsewhere | $6,076,934 | ||||
| Total Medicare payment per Day at DRG | $1,526 | ||||
| Total Medicare payment per Day with ICD B974 - Respiratory syncytial virus as the cause of diseases classified elsewhere | $1,389 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,730 | ||||
| Total Medicare payment per Hospitalization with ICD B974 - Respiratory syncytial virus as the cause of diseases classified elsewhere | $6,065 | ||||
| Total Medicare Charges at DRG | $8,050,963,680 | ||||
| Total Medicare Charges with ICD B974 - Respiratory syncytial virus as the cause of diseases classified elsewhere | $34,927,620 | ||||
| Avg Charges at DRG | $28,105 | ||||
| Avg Charges with ICD B974 - Respiratory syncytial virus as the cause of diseases classified elsewhere | $34,858 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD B974 - Respiratory syncytial virus as the cause of diseases classified elsewhere | NA | ||||
| SNF Discharge Rate at DRG | 10.84 | ||||
| SNF Discharge Rate with ICD B974 - Respiratory syncytial virus as the cause of diseases classified elsewhere | 13.27 | ||||
| Home Discharge Rate at DRG | 59.73 | ||||
| Home Discharge Rate with ICD B974 - Respiratory syncytial virus as the cause of diseases classified elsewhere | 58.08 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 192: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 152: OTITIS MEDIA AND URI WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 203: BRONCHITIS AND ASTHMA WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 144,444 | ||||
| Total Hospitalizations with ICD B974 - Respiratory syncytial virus as the cause of diseases classified elsewhere | 390 | ||||
| DRG Share of Total Hospitalizations | 0.44 | ||||
| % of Total ICD B974 - Respiratory syncytial virus as the cause of diseases classified elsewhere in DRG | 1.92 | ||||
| Avg LOS at DRG | 2.99 | ||||
| Avg LOS with ICD B974 - Respiratory syncytial virus as the cause of diseases classified elsewhere | 3.61 | ||||
| Readmission Rate at DRG | 16.7 | ||||
| Readmission Rate with ICD B974 - Respiratory syncytial virus as the cause of diseases classified elsewhere | 11.66 | ||||
| Unplanned Readmission Rate at DRG | 12.21 | ||||
| Unplanned Readmission Rate with ICD B974 - Respiratory syncytial virus as the cause of diseases classified elsewhere | 8.55 | ||||
| Total Medicare payments at DRG | $639,377,802 | ||||
| Total Medicare payments with ICD B974 - Respiratory syncytial virus as the cause of diseases classified elsewhere | $1,768,676 | ||||
| Total Medicare payment per Day at DRG | $1,479 | ||||
| Total Medicare payment per Day with ICD B974 - Respiratory syncytial virus as the cause of diseases classified elsewhere | $1,258 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,426 | ||||
| Total Medicare payment per Hospitalization with ICD B974 - Respiratory syncytial virus as the cause of diseases classified elsewhere | $4,535 | ||||
| Total Medicare Charges at DRG | $2,994,885,256 | ||||
| Total Medicare Charges with ICD B974 - Respiratory syncytial virus as the cause of diseases classified elsewhere | $9,961,961 | ||||
| Avg Charges at DRG | $20,734 | ||||
| Avg Charges with ICD B974 - Respiratory syncytial virus as the cause of diseases classified elsewhere | $25,543 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD B974 - Respiratory syncytial virus as the cause of diseases classified elsewhere | NA | ||||
| SNF Discharge Rate at DRG | 6.05 | ||||
| SNF Discharge Rate with ICD B974 - Respiratory syncytial virus as the cause of diseases classified elsewhere | 6.92 | ||||
| Home Discharge Rate at DRG | 72.34 | ||||
| Home Discharge Rate with ICD B974 - Respiratory syncytial virus as the cause of diseases classified elsewhere | 75.64 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | 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 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 195: SIMPLE PNEUMONIA AND PLEURISY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 99,136 | ||||
| Total Hospitalizations with ICD B974 - Respiratory syncytial virus as the cause of diseases classified elsewhere | 209 | ||||
| DRG Share of Total Hospitalizations | 0.3 | ||||
| % of Total ICD B974 - Respiratory syncytial virus as the cause of diseases classified elsewhere in DRG | 1.03 | ||||
| Avg LOS at DRG | 22.0 | ||||
| Avg LOS with ICD B974 - Respiratory syncytial virus as the cause of diseases classified elsewhere | 15.52 | ||||
| Readmission Rate at DRG | 40.67 | ||||
| Readmission Rate with ICD B974 - Respiratory syncytial virus as the cause of diseases classified elsewhere | 36.17 | ||||
| Unplanned Readmission Rate at DRG | 20.54 | ||||
| Unplanned Readmission Rate with ICD B974 - Respiratory syncytial virus as the cause of diseases classified elsewhere | 17.73 | ||||
| Total Medicare payments at DRG | $4,616,563,352 | ||||
| Total Medicare payments with ICD B974 - Respiratory syncytial virus as the cause of diseases classified elsewhere | $8,506,648 | ||||
| Total Medicare payment per Day at DRG | $2,116 | ||||
| Total Medicare payment per Day with ICD B974 - Respiratory syncytial virus as the cause of diseases classified elsewhere | $2,623 | ||||
| Total Medicare payment per Hospitalization at DRG | $46,568 | ||||
| Total Medicare payment per Hospitalization with ICD B974 - Respiratory syncytial virus as the cause of diseases classified elsewhere | $40,702 | ||||
| Total Medicare Charges at DRG | $21,375,486,291 | ||||
| Total Medicare Charges with ICD B974 - Respiratory syncytial virus as the cause of diseases classified elsewhere | $39,667,679 | ||||
| Avg Charges at DRG | $215,618 | ||||
| Avg Charges with ICD B974 - Respiratory syncytial virus as the cause of diseases classified elsewhere | $189,798 | ||||
| Mortality Rate at DRG | 28.16 | ||||
| Mortality Rate with ICD B974 - Respiratory syncytial virus as the cause of diseases classified elsewhere | 31.1 | ||||
| SNF Discharge Rate at DRG | 30.65 | ||||
| SNF Discharge Rate with ICD B974 - Respiratory syncytial virus as the cause of diseases classified elsewhere | 22.49 | ||||
| Home Discharge Rate at DRG | 5.17 | ||||
| Home Discharge Rate with ICD B974 - Respiratory syncytial virus as the cause of diseases classified elsewhere | 9.57 |
| 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 | 192 |
| NORTH SHORE UNIVERSITY HOSPITAL | 300 COMMUNITY DRIVE | MANHASSET | NY | 11030 | 191 |
| NORTHSHORE UNIVERSITY HEALTHSYSTEM EVANSTON HOSPITAL | 2650 RIDGE AVE | EVANSTON | IL | 60201 | 135 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RAJESH AGARWAL | 6770 MAYFIELD RD | MAYFIELD HEIGHTS | OH | 44124 | 14 |
| Dr. HOORBOD DELSHADFAR | 6902 AUSTIN ST 2 | FOREST HILLS | NY | 11375 | 14 |
| Dr. HARIS BILAL | 590 COURT ST | KEENE | NH | 03431 | 13 |