*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| B9789 - Other viral agents as the cause of diseases classified elsewhere - as a primary diagnosis code | B9789 - Other viral agents as the cause of diseases classified elsewhere - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.82 | |
| Readmission Rate (%) | 20.47 | |
| Unplanned Readmission Rate (%) | 10.49 | |
| 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) | |
|---|---|---|
| Total Hospitalizations at DRG | 22,681 | |
| Total Hospitalizations with ICD B9789 - Other viral agents as the cause of diseases classified elsewhere | 84 | |
| DRG Share of Total Hospitalizations | 0.07 | |
| % of Total ICD B9789 - Other viral agents as the cause of diseases classified elsewhere in DRG | 56.38 | |
| Avg LOS at DRG | 3.32 | |
| Avg LOS with ICD B9789 - Other viral agents as the cause of diseases classified elsewhere | 2.98 | |
| Readmission Rate at DRG | 14.18 | |
| Readmission Rate with ICD B9789 - Other viral agents as the cause of diseases classified elsewhere | 16.05 | |
| Unplanned Readmission Rate at DRG | 9.63 | |
| Unplanned Readmission Rate with ICD B9789 - Other viral agents as the cause of diseases classified elsewhere | NA | |
| Total Medicare payments at DRG | $111,849,779 | |
| Total Medicare payments with ICD B9789 - Other viral agents as the cause of diseases classified elsewhere | $413,145 | |
| Total Medicare payment per Day at DRG | $1,485 | |
| Total Medicare payment per Day with ICD B9789 - Other viral agents as the cause of diseases classified elsewhere | $1,653 | |
| Total Medicare payment per Hospitalization at DRG | $4,931 | |
| Total Medicare payment per Hospitalization with ICD B9789 - Other viral agents as the cause of diseases classified elsewhere | $4,918 | |
| Total Medicare Charges at DRG | $627,694,196 | |
| Total Medicare Charges with ICD B9789 - Other viral agents as the cause of diseases classified elsewhere | $2,395,339 | |
| Avg Charges at DRG | $27,675 | |
| Avg Charges with ICD B9789 - Other viral agents as the cause of diseases classified elsewhere | $28,516 | |
| Mortality Rate at DRG | 0.09 | |
| Mortality Rate with ICD B9789 - Other viral agents as the cause of diseases classified elsewhere | NA | |
| SNF Discharge Rate at DRG | 11.69 | |
| SNF Discharge Rate with ICD B9789 - Other viral agents as the cause of diseases classified elsewhere | 15.48 | |
| Home Discharge Rate at DRG | 67.65 | |
| Home Discharge Rate with ICD B9789 - Other viral agents as the cause of diseases classified elsewhere | 67.86 |
*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 B9789 - Other viral agents as the cause of diseases classified elsewhere | 6,160 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD B9789 - Other viral agents as the cause of diseases classified elsewhere in DRG | 16.04 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD B9789 - Other viral agents as the cause of diseases classified elsewhere | 5.96 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD B9789 - Other viral agents as the cause of diseases classified elsewhere | 18.85 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD B9789 - Other viral agents as the cause of diseases classified elsewhere | 13.5 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD B9789 - Other viral agents as the cause of diseases classified elsewhere | $75,213,784 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD B9789 - Other viral agents as the cause of diseases classified elsewhere | $2,050 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD B9789 - Other viral agents as the cause of diseases classified elsewhere | $12,210 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD B9789 - Other viral agents as the cause of diseases classified elsewhere | $365,333,766 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD B9789 - Other viral agents as the cause of diseases classified elsewhere | $59,307 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD B9789 - Other viral agents as the cause of diseases classified elsewhere | 4.79 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD B9789 - Other viral agents as the cause of diseases classified elsewhere | 21.19 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD B9789 - Other viral agents as the cause of diseases classified elsewhere | 42.35 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 153: OTITIS MEDIA AND URI 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 | 499,133 | ||||
| Total Hospitalizations with ICD B9789 - Other viral agents as the cause of diseases classified elsewhere | 1,524 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD B9789 - Other viral agents as the cause of diseases classified elsewhere in DRG | 3.97 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD B9789 - Other viral agents as the cause of diseases classified elsewhere | 3.5 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD B9789 - Other viral agents as the cause of diseases classified elsewhere | 14.05 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD B9789 - Other viral agents as the cause of diseases classified elsewhere | 10.69 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD B9789 - Other viral agents as the cause of diseases classified elsewhere | $10,385,172 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD B9789 - Other viral agents as the cause of diseases classified elsewhere | $1,946 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD B9789 - Other viral agents as the cause of diseases classified elsewhere | $6,814 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD B9789 - Other viral agents as the cause of diseases classified elsewhere | $49,162,301 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD B9789 - Other viral agents as the cause of diseases classified elsewhere | $32,259 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD B9789 - Other viral agents as the cause of diseases classified elsewhere | NA | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD B9789 - Other viral agents as the cause of diseases classified elsewhere | 12.2 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD B9789 - Other viral agents as the cause of diseases classified elsewhere | 64.63 |
*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 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 195: SIMPLE PNEUMONIA AND PLEURISY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 231,410 | ||||
| Total Hospitalizations with ICD B9789 - Other viral agents as the cause of diseases classified elsewhere | 609 | ||||
| DRG Share of Total Hospitalizations | 0.7 | ||||
| % of Total ICD B9789 - Other viral agents as the cause of diseases classified elsewhere in DRG | 1.59 | ||||
| Avg LOS at DRG | 7.29 | ||||
| Avg LOS with ICD B9789 - Other viral agents as the cause of diseases classified elsewhere | 7.84 | ||||
| Readmission Rate at DRG | 25.54 | ||||
| Readmission Rate with ICD B9789 - Other viral agents as the cause of diseases classified elsewhere | 23.85 | ||||
| Unplanned Readmission Rate at DRG | 18.36 | ||||
| Unplanned Readmission Rate with ICD B9789 - Other viral agents as the cause of diseases classified elsewhere | 17.8 | ||||
| Total Medicare payments at DRG | $2,801,759,007 | ||||
| Total Medicare payments with ICD B9789 - Other viral agents as the cause of diseases classified elsewhere | $8,031,854 | ||||
| Total Medicare payment per Day at DRG | $1,661 | ||||
| Total Medicare payment per Day with ICD B9789 - Other viral agents as the cause of diseases classified elsewhere | $1,683 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,107 | ||||
| Total Medicare payment per Hospitalization with ICD B9789 - Other viral agents as the cause of diseases classified elsewhere | $13,189 | ||||
| Total Medicare Charges at DRG | $13,366,030,360 | ||||
| Total Medicare Charges with ICD B9789 - Other viral agents as the cause of diseases classified elsewhere | $43,327,856 | ||||
| Avg Charges at DRG | $57,759 | ||||
| Avg Charges with ICD B9789 - Other viral agents as the cause of diseases classified elsewhere | $71,146 | ||||
| Mortality Rate at DRG | 7.21 | ||||
| Mortality Rate with ICD B9789 - Other viral agents as the cause of diseases classified elsewhere | 3.94 | ||||
| SNF Discharge Rate at DRG | 32.47 | ||||
| SNF Discharge Rate with ICD B9789 - Other viral agents as the cause of diseases classified elsewhere | 25.29 | ||||
| Home Discharge Rate at DRG | 20.84 | ||||
| Home Discharge Rate with ICD B9789 - Other viral agents as the cause of diseases classified elsewhere | 32.84 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 699: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD B9789 - Other viral agents as the cause of diseases classified elsewhere | 452 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD B9789 - Other viral agents as the cause of diseases classified elsewhere in DRG | 1.18 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD B9789 - Other viral agents as the cause of diseases classified elsewhere | 12.4 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD B9789 - Other viral agents as the cause of diseases classified elsewhere | 31.96 | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD B9789 - Other viral agents as the cause of diseases classified elsewhere | 15.21 | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD B9789 - Other viral agents as the cause of diseases classified elsewhere | $16,644,656 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD B9789 - Other viral agents as the cause of diseases classified elsewhere | $2,970 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD B9789 - Other viral agents as the cause of diseases classified elsewhere | $36,824 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD B9789 - Other viral agents as the cause of diseases classified elsewhere | $73,075,339 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD B9789 - Other viral agents as the cause of diseases classified elsewhere | $161,671 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD B9789 - Other viral agents as the cause of diseases classified elsewhere | 9.73 | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD B9789 - Other viral agents as the cause of diseases classified elsewhere | 22.35 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD B9789 - Other viral agents as the cause of diseases classified elsewhere | 30.09 |
| 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 | 438 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 408 |
| NEWYORK PRESBYTERIAN - WEILL CORNELL MEDICAL CENTER | 525 E 68TH ST | NEW YORK | NY | 10021 | 340 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. VIJAY GANATRA | 13770 PLANTATION RD | FORT MYERS | FL | 33912 | 21 |
| Dr. SUNIL N LALLA | 14171 METROPOLIS AVE | FORT MYERS | FL | 33912 | 16 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. STEVEN ANTHONY GILLESPIE | 298 WASHINGTON STREET | GLOUCESTER | MA | 01930 | 52 |
| Dr. VIJAY GANATRA | 13770 PLANTATION RD | FORT MYERS | FL | 33912 | 30 |
| Dr. HARIS BILAL | 590 COURT ST | KEENE | NH | 03431 | 24 |