*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| B9781 - Human metapneumovirus as the cause of diseases classified elsewhere - as a primary diagnosis code | B9781 - Human metapneumovirus as the cause of diseases classified elsewhere - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.09 | |
| Readmission Rate (%) | 17.75 | |
| 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 B9781 - Human metapneumovirus as the cause of diseases classified elsewhere | 58 | |
| DRG Share of Total Hospitalizations | 0.04 | |
| % of Total ICD B9781 - Human metapneumovirus as the cause of diseases classified elsewhere in DRG | 62.37 | |
| Avg LOS at DRG | 5.4 | |
| Avg LOS with ICD B9781 - Human metapneumovirus as the cause of diseases classified elsewhere | 4.79 | |
| Readmission Rate at DRG | 21.65 | |
| Readmission Rate with ICD B9781 - Human metapneumovirus as the cause of diseases classified elsewhere | NA | |
| Unplanned Readmission Rate at DRG | 14.92 | |
| Unplanned Readmission Rate with ICD B9781 - Human metapneumovirus as the cause of diseases classified elsewhere | NA | |
| Total Medicare payments at DRG | $118,366,362 | |
| Total Medicare payments with ICD B9781 - Human metapneumovirus as the cause of diseases classified elsewhere | $572,958 | |
| Total Medicare payment per Day at DRG | $1,898 | |
| Total Medicare payment per Day with ICD B9781 - Human metapneumovirus as the cause of diseases classified elsewhere | $2,061 | |
| Total Medicare payment per Hospitalization at DRG | $10,255 | |
| Total Medicare payment per Hospitalization with ICD B9781 - Human metapneumovirus as the cause of diseases classified elsewhere | $9,879 | |
| Total Medicare Charges at DRG | $544,851,219 | |
| Total Medicare Charges with ICD B9781 - Human metapneumovirus as the cause of diseases classified elsewhere | $2,724,853 | |
| Avg Charges at DRG | $47,206 | |
| Avg Charges with ICD B9781 - Human metapneumovirus as the cause of diseases classified elsewhere | $46,980 | |
| Mortality Rate at DRG | 1.94 | |
| Mortality Rate with ICD B9781 - Human metapneumovirus as the cause of diseases classified elsewhere | NA | |
| SNF Discharge Rate at DRG | 21.33 | |
| SNF Discharge Rate with ICD B9781 - Human metapneumovirus as the cause of diseases classified elsewhere | 25.86 | |
| Home Discharge Rate at DRG | 48.89 | |
| Home Discharge Rate with ICD B9781 - Human metapneumovirus as the cause of diseases classified elsewhere | 41.38 |
*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 202: BRONCHITIS AND ASTHMA WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD B9781 - Human metapneumovirus as the cause of diseases classified elsewhere | 1,513 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD B9781 - Human metapneumovirus as the cause of diseases classified elsewhere in DRG | 13.57 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD B9781 - Human metapneumovirus as the cause of diseases classified elsewhere | 6.26 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD B9781 - Human metapneumovirus as the cause of diseases classified elsewhere | 18.19 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD B9781 - Human metapneumovirus as the cause of diseases classified elsewhere | 12.37 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD B9781 - Human metapneumovirus as the cause of diseases classified elsewhere | $18,115,935 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD B9781 - Human metapneumovirus as the cause of diseases classified elsewhere | $1,914 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD B9781 - Human metapneumovirus as the cause of diseases classified elsewhere | $11,974 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD B9781 - Human metapneumovirus as the cause of diseases classified elsewhere | $90,325,885 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD B9781 - Human metapneumovirus as the cause of diseases classified elsewhere | $59,700 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD B9781 - Human metapneumovirus as the cause of diseases classified elsewhere | 6.21 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD B9781 - Human metapneumovirus as the cause of diseases classified elsewhere | 24.19 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD B9781 - Human metapneumovirus as the cause of diseases classified elsewhere | 38.4 |
*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 291: HEART FAILURE AND SHOCK WITH 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 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 286,456 | ||||
| Total Hospitalizations with ICD B9781 - Human metapneumovirus as the cause of diseases classified elsewhere | 544 | ||||
| DRG Share of Total Hospitalizations | 0.87 | ||||
| % of Total ICD B9781 - Human metapneumovirus as the cause of diseases classified elsewhere in DRG | 4.88 | ||||
| Avg LOS at DRG | 3.75 | ||||
| Avg LOS with ICD B9781 - Human metapneumovirus as the cause of diseases classified elsewhere | 4.63 | ||||
| Readmission Rate at DRG | 22.9 | ||||
| Readmission Rate with ICD B9781 - Human metapneumovirus as the cause of diseases classified elsewhere | 16.82 | ||||
| Unplanned Readmission Rate at DRG | 18.29 | ||||
| Unplanned Readmission Rate with ICD B9781 - Human metapneumovirus as the cause of diseases classified elsewhere | 11.96 | ||||
| Total Medicare payments at DRG | $1,641,467,496 | ||||
| Total Medicare payments with ICD B9781 - Human metapneumovirus as the cause of diseases classified elsewhere | $3,196,166 | ||||
| Total Medicare payment per Day at DRG | $1,526 | ||||
| Total Medicare payment per Day with ICD B9781 - Human metapneumovirus as the cause of diseases classified elsewhere | $1,269 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,730 | ||||
| Total Medicare payment per Hospitalization with ICD B9781 - Human metapneumovirus as the cause of diseases classified elsewhere | $5,875 | ||||
| Total Medicare Charges at DRG | $8,050,963,680 | ||||
| Total Medicare Charges with ICD B9781 - Human metapneumovirus as the cause of diseases classified elsewhere | $20,145,120 | ||||
| Avg Charges at DRG | $28,105 | ||||
| Avg Charges with ICD B9781 - Human metapneumovirus as the cause of diseases classified elsewhere | $37,031 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD B9781 - Human metapneumovirus as the cause of diseases classified elsewhere | NA | ||||
| SNF Discharge Rate at DRG | 10.84 | ||||
| SNF Discharge Rate with ICD B9781 - Human metapneumovirus as the cause of diseases classified elsewhere | 13.42 | ||||
| Home Discharge Rate at DRG | 59.73 | ||||
| Home Discharge Rate with ICD B9781 - Human metapneumovirus as the cause of diseases classified elsewhere | 56.43 |
*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 203: BRONCHITIS AND ASTHMA WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 144,444 | ||||
| Total Hospitalizations with ICD B9781 - Human metapneumovirus as the cause of diseases classified elsewhere | 221 | ||||
| DRG Share of Total Hospitalizations | 0.44 | ||||
| % of Total ICD B9781 - Human metapneumovirus as the cause of diseases classified elsewhere in DRG | 1.98 | ||||
| Avg LOS at DRG | 2.99 | ||||
| Avg LOS with ICD B9781 - Human metapneumovirus as the cause of diseases classified elsewhere | 3.8 | ||||
| Readmission Rate at DRG | 16.7 | ||||
| Readmission Rate with ICD B9781 - Human metapneumovirus as the cause of diseases classified elsewhere | 13.7 | ||||
| Unplanned Readmission Rate at DRG | 12.21 | ||||
| Unplanned Readmission Rate with ICD B9781 - Human metapneumovirus as the cause of diseases classified elsewhere | 9.59 | ||||
| Total Medicare payments at DRG | $639,377,802 | ||||
| Total Medicare payments with ICD B9781 - Human metapneumovirus as the cause of diseases classified elsewhere | $982,800 | ||||
| Total Medicare payment per Day at DRG | $1,479 | ||||
| Total Medicare payment per Day with ICD B9781 - Human metapneumovirus as the cause of diseases classified elsewhere | $1,170 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,426 | ||||
| Total Medicare payment per Hospitalization with ICD B9781 - Human metapneumovirus as the cause of diseases classified elsewhere | $4,447 | ||||
| Total Medicare Charges at DRG | $2,994,885,256 | ||||
| Total Medicare Charges with ICD B9781 - Human metapneumovirus as the cause of diseases classified elsewhere | $6,460,821 | ||||
| Avg Charges at DRG | $20,734 | ||||
| Avg Charges with ICD B9781 - Human metapneumovirus as the cause of diseases classified elsewhere | $29,234 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD B9781 - Human metapneumovirus as the cause of diseases classified elsewhere | NA | ||||
| SNF Discharge Rate at DRG | 6.05 | ||||
| SNF Discharge Rate with ICD B9781 - Human metapneumovirus as the cause of diseases classified elsewhere | 8.14 | ||||
| Home Discharge Rate at DRG | 72.34 | ||||
| Home Discharge Rate with ICD B9781 - Human metapneumovirus as the cause of diseases classified elsewhere | 68.33 |
*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 195: SIMPLE PNEUMONIA AND PLEURISY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 866: VIRAL ILLNESS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 11,542 | ||||
| Total Hospitalizations with ICD B9781 - Human metapneumovirus as the cause of diseases classified elsewhere | 128 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD B9781 - Human metapneumovirus as the cause of diseases classified elsewhere in DRG | 1.15 | ||||
| Avg LOS at DRG | 5.4 | ||||
| Avg LOS with ICD B9781 - Human metapneumovirus as the cause of diseases classified elsewhere | 5.26 | ||||
| Readmission Rate at DRG | 21.65 | ||||
| Readmission Rate with ICD B9781 - Human metapneumovirus as the cause of diseases classified elsewhere | 13.6 | ||||
| Unplanned Readmission Rate at DRG | 14.92 | ||||
| Unplanned Readmission Rate with ICD B9781 - Human metapneumovirus as the cause of diseases classified elsewhere | NA | ||||
| Total Medicare payments at DRG | $118,366,362 | ||||
| Total Medicare payments with ICD B9781 - Human metapneumovirus as the cause of diseases classified elsewhere | $1,323,249 | ||||
| Total Medicare payment per Day at DRG | $1,898 | ||||
| Total Medicare payment per Day with ICD B9781 - Human metapneumovirus as the cause of diseases classified elsewhere | $1,966 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,255 | ||||
| Total Medicare payment per Hospitalization with ICD B9781 - Human metapneumovirus as the cause of diseases classified elsewhere | $10,338 | ||||
| Total Medicare Charges at DRG | $544,851,219 | ||||
| Total Medicare Charges with ICD B9781 - Human metapneumovirus as the cause of diseases classified elsewhere | $6,664,484 | ||||
| Avg Charges at DRG | $47,206 | ||||
| Avg Charges with ICD B9781 - Human metapneumovirus as the cause of diseases classified elsewhere | $52,066 | ||||
| Mortality Rate at DRG | 1.94 | ||||
| Mortality Rate with ICD B9781 - Human metapneumovirus as the cause of diseases classified elsewhere | NA | ||||
| SNF Discharge Rate at DRG | 21.33 | ||||
| SNF Discharge Rate with ICD B9781 - Human metapneumovirus as the cause of diseases classified elsewhere | 25.0 | ||||
| Home Discharge Rate at DRG | 48.89 | ||||
| Home Discharge Rate with ICD B9781 - Human metapneumovirus as the cause of diseases classified elsewhere | 42.19 |
| 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 | 153 |
| YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 142 |
| NORTH SHORE UNIVERSITY HOSPITAL | 300 COMMUNITY DRIVE | MANHASSET | NY | 11030 | 132 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SINDHU RAMESH | 28411 NORTHWESTERN HWY | SOUTHFIELD | MI | 48034 | 13 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | J9601 | Acute respiratory failure with hypoxia |
| 2 | F329 | Major depressive disorder, single episode, unspecified |
| 3 | E039 | Hypothyroidism, unspecified |
| 4 | Z87891 | Personal history of nicotine dependence |