*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| J111 - Influenza due to unidentified influenza virus with other respiratory manifestations - as a primary diagnosis code | J111 - Influenza due to unidentified influenza virus with other respiratory manifestations - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.14 | |
| Readmission Rate (%) | 16.79 | |
| Unplanned Readmission Rate (%) | 8.89 | |
| 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 153: OTITIS MEDIA AND URI WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 152: OTITIS MEDIA AND URI WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 988: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 34,349 | ||||
| Total Hospitalizations with ICD J111 - Influenza due to unidentified influenza virus with other respiratory manifestations | 10,930 | ||||
| DRG Share of Total Hospitalizations | 0.1 | ||||
| % of Total ICD J111 - Influenza due to unidentified influenza virus with other respiratory manifestations in DRG | 71.0 | ||||
| Avg LOS at DRG | 2.84 | ||||
| Avg LOS with ICD J111 - Influenza due to unidentified influenza virus with other respiratory manifestations | 3.07 | ||||
| Readmission Rate at DRG | 12.37 | ||||
| Readmission Rate with ICD J111 - Influenza due to unidentified influenza virus with other respiratory manifestations | 11.19 | ||||
| Unplanned Readmission Rate at DRG | 8.55 | ||||
| Unplanned Readmission Rate with ICD J111 - Influenza due to unidentified influenza virus with other respiratory manifestations | 7.5 | ||||
| Total Medicare payments at DRG | $148,412,791 | ||||
| Total Medicare payments with ICD J111 - Influenza due to unidentified influenza virus with other respiratory manifestations | $47,892,188 | ||||
| Total Medicare payment per Day at DRG | $1,521 | ||||
| Total Medicare payment per Day with ICD J111 - Influenza due to unidentified influenza virus with other respiratory manifestations | $1,429 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,321 | ||||
| Total Medicare payment per Hospitalization with ICD J111 - Influenza due to unidentified influenza virus with other respiratory manifestations | $4,382 | ||||
| Total Medicare Charges at DRG | $793,754,980 | ||||
| Total Medicare Charges with ICD J111 - Influenza due to unidentified influenza virus with other respiratory manifestations | $232,872,200 | ||||
| Avg Charges at DRG | $23,109 | ||||
| Avg Charges with ICD J111 - Influenza due to unidentified influenza virus with other respiratory manifestations | $21,306 | ||||
| Mortality Rate at DRG | 0.16 | ||||
| Mortality Rate with ICD J111 - Influenza due to unidentified influenza virus with other respiratory manifestations | 0.33 | ||||
| SNF Discharge Rate at DRG | 10.8 | ||||
| SNF Discharge Rate with ICD J111 - Influenza due to unidentified influenza virus with other respiratory manifestations | 13.82 | ||||
| Home Discharge Rate at DRG | 68.54 | ||||
| Home Discharge Rate with ICD J111 - Influenza due to unidentified influenza virus with other respiratory manifestations | 63.06 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| LOWELL GENERAL HOSPITAL | 295 VARNUM AVE | LOWELL | MA | 01854 | 71 |
| MOUNT AUBURN HOSPITAL | 330 MOUNT AUBURN ST | CAMBRIDGE | MA | 02138 | 63 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 56 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DANNY DAVIS MOORE | 1105 EARL FRYE BLVD | AMORY | MS | 38821 | 14 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 153: OTITIS MEDIA AND URI WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 152: OTITIS MEDIA AND URI WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 34,349 | ||||
| Total Hospitalizations with ICD J111 - Influenza due to unidentified influenza virus with other respiratory manifestations | 10,974 | ||||
| DRG Share of Total Hospitalizations | 0.1 | ||||
| % of Total ICD J111 - Influenza due to unidentified influenza virus with other respiratory manifestations in DRG | 20.95 | ||||
| Avg LOS at DRG | 2.84 | ||||
| Avg LOS with ICD J111 - Influenza due to unidentified influenza virus with other respiratory manifestations | 3.07 | ||||
| Readmission Rate at DRG | 12.37 | ||||
| Readmission Rate with ICD J111 - Influenza due to unidentified influenza virus with other respiratory manifestations | 11.19 | ||||
| Unplanned Readmission Rate at DRG | 8.55 | ||||
| Unplanned Readmission Rate with ICD J111 - Influenza due to unidentified influenza virus with other respiratory manifestations | 7.49 | ||||
| Total Medicare payments at DRG | $148,412,791 | ||||
| Total Medicare payments with ICD J111 - Influenza due to unidentified influenza virus with other respiratory manifestations | $48,106,106 | ||||
| Total Medicare payment per Day at DRG | $1,521 | ||||
| Total Medicare payment per Day with ICD J111 - Influenza due to unidentified influenza virus with other respiratory manifestations | $1,429 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,321 | ||||
| Total Medicare payment per Hospitalization with ICD J111 - Influenza due to unidentified influenza virus with other respiratory manifestations | $4,384 | ||||
| Total Medicare Charges at DRG | $793,754,980 | ||||
| Total Medicare Charges with ICD J111 - Influenza due to unidentified influenza virus with other respiratory manifestations | $234,335,343 | ||||
| Avg Charges at DRG | $23,109 | ||||
| Avg Charges with ICD J111 - Influenza due to unidentified influenza virus with other respiratory manifestations | $21,354 | ||||
| Mortality Rate at DRG | 0.16 | ||||
| Mortality Rate with ICD J111 - Influenza due to unidentified influenza virus with other respiratory manifestations | 0.33 | ||||
| SNF Discharge Rate at DRG | 10.8 | ||||
| SNF Discharge Rate with ICD J111 - Influenza due to unidentified influenza virus with other respiratory manifestations | 13.81 | ||||
| Home Discharge Rate at DRG | 68.54 | ||||
| Home Discharge Rate with ICD J111 - Influenza due to unidentified influenza virus with other respiratory manifestations | 63.09 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH 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 192: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT 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 | 535,322 | ||||
| Total Hospitalizations with ICD J111 - Influenza due to unidentified influenza virus with other respiratory manifestations | 2,077 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD J111 - Influenza due to unidentified influenza virus with other respiratory manifestations in DRG | 3.96 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD J111 - Influenza due to unidentified influenza virus with other respiratory manifestations | 4.85 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD J111 - Influenza due to unidentified influenza virus with other respiratory manifestations | 17.98 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD J111 - Influenza due to unidentified influenza virus with other respiratory manifestations | 15.03 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD J111 - Influenza due to unidentified influenza virus with other respiratory manifestations | $14,894,689 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD J111 - Influenza due to unidentified influenza virus with other respiratory manifestations | $1,479 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD J111 - Influenza due to unidentified influenza virus with other respiratory manifestations | $7,171 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD J111 - Influenza due to unidentified influenza virus with other respiratory manifestations | $78,043,542 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD J111 - Influenza due to unidentified influenza virus with other respiratory manifestations | $37,575 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD J111 - Influenza due to unidentified influenza virus with other respiratory manifestations | 0.91 | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD J111 - Influenza due to unidentified influenza virus with other respiratory manifestations | 12.86 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD J111 - Influenza due to unidentified influenza virus with other respiratory manifestations | 57.25 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 202: BRONCHITIS AND ASTHMA WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD J111 - Influenza due to unidentified influenza virus with other respiratory manifestations | 834 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD J111 - Influenza due to unidentified influenza virus with other respiratory manifestations in DRG | 1.59 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD J111 - Influenza due to unidentified influenza virus with other respiratory manifestations | 4.05 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD J111 - Influenza due to unidentified influenza virus with other respiratory manifestations | 15.0 | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD J111 - Influenza due to unidentified influenza virus with other respiratory manifestations | 10.85 | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD J111 - Influenza due to unidentified influenza virus with other respiratory manifestations | $5,426,806 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD J111 - Influenza due to unidentified influenza virus with other respiratory manifestations | $1,607 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD J111 - Influenza due to unidentified influenza virus with other respiratory manifestations | $6,507 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD J111 - Influenza due to unidentified influenza virus with other respiratory manifestations | $24,293,156 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD J111 - Influenza due to unidentified influenza virus with other respiratory manifestations | $29,128 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD J111 - Influenza due to unidentified influenza virus with other respiratory manifestations | NA | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD J111 - Influenza due to unidentified influenza virus with other respiratory manifestations | 13.91 | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD J111 - Influenza due to unidentified influenza virus with other respiratory manifestations | 60.55 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 250,159 | ||||
| Total Hospitalizations with ICD J111 - Influenza due to unidentified influenza virus with other respiratory manifestations | 446 | ||||
| DRG Share of Total Hospitalizations | 0.76 | ||||
| % of Total ICD J111 - Influenza due to unidentified influenza virus with other respiratory manifestations in DRG | 0.85 | ||||
| Avg LOS at DRG | 5.47 | ||||
| Avg LOS with ICD J111 - Influenza due to unidentified influenza virus with other respiratory manifestations | 6.26 | ||||
| Readmission Rate at DRG | 27.88 | ||||
| Readmission Rate with ICD J111 - Influenza due to unidentified influenza virus with other respiratory manifestations | 22.77 | ||||
| Unplanned Readmission Rate at DRG | 19.94 | ||||
| Unplanned Readmission Rate with ICD J111 - Influenza due to unidentified influenza virus with other respiratory manifestations | 14.6 | ||||
| Total Medicare payments at DRG | $2,661,443,545 | ||||
| Total Medicare payments with ICD J111 - Influenza due to unidentified influenza virus with other respiratory manifestations | $4,829,519 | ||||
| Total Medicare payment per Day at DRG | $1,946 | ||||
| Total Medicare payment per Day with ICD J111 - Influenza due to unidentified influenza virus with other respiratory manifestations | $1,729 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,639 | ||||
| Total Medicare payment per Hospitalization with ICD J111 - Influenza due to unidentified influenza virus with other respiratory manifestations | $10,829 | ||||
| Total Medicare Charges at DRG | $13,270,497,724 | ||||
| Total Medicare Charges with ICD J111 - Influenza due to unidentified influenza virus with other respiratory manifestations | $28,380,880 | ||||
| Avg Charges at DRG | $53,048 | ||||
| Avg Charges with ICD J111 - Influenza due to unidentified influenza virus with other respiratory manifestations | $63,634 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD J111 - Influenza due to unidentified influenza virus with other respiratory manifestations | NA | ||||
| SNF Discharge Rate at DRG | 21.63 | ||||
| SNF Discharge Rate with ICD J111 - Influenza due to unidentified influenza virus with other respiratory manifestations | 22.2 | ||||
| Home Discharge Rate at DRG | 34.87 | ||||
| Home Discharge Rate with ICD J111 - Influenza due to unidentified influenza virus with other respiratory manifestations | 39.91 |
| 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 | 148 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 145 |
| NEWYORK PRESBYTERIAN - WEILL CORNELL MEDICAL CENTER | 525 E 68TH ST | NEW YORK | NY | 10021 | 143 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. GERARDO MENDOZA CATALASAN | 2200 W ILLINOIS AVE | MIDLAND | TX | 79701 | 17 |
| Dr. NHIA KASH VANG | 2767 OLIVE HWY | OROVILLE | CA | 95966 | 12 |
| Dr. PAUL A PEREZ-NAVARRO | 2605 FOREST HILLS RD SW | WILSON | NC | 27893 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MARIO LUIS VASQUEZ AGUILAR | 2768 PHARMACY RD | RIO GRANDE CITY | TX | 78582 | 42 |
| Dr. VAN S BREEDING | 226 MEDICAL PLAZA LANE | WHITESBURG | KY | 41858 | 23 |
| Dr. KALYAN AKKINENI | 1001 TOWSON AVE | FORT SMITH | AR | 72901 | 22 |