*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| J122 - Parainfluenza virus pneumonia - as a primary diagnosis code | J122 - Parainfluenza virus pneumonia - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.29 | |
| Readmission Rate (%) | 21.76 | |
| Unplanned Readmission Rate (%) | 12.29 | |
| 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 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | 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 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD J122 - Parainfluenza virus pneumonia | 1,000 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD J122 - Parainfluenza virus pneumonia in DRG | 50.2 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD J122 - Parainfluenza virus pneumonia | 6.01 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD J122 - Parainfluenza virus pneumonia | 18.71 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD J122 - Parainfluenza virus pneumonia | 13.0 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD J122 - Parainfluenza virus pneumonia | $9,581,746 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD J122 - Parainfluenza virus pneumonia | $1,594 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD J122 - Parainfluenza virus pneumonia | $9,582 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD J122 - Parainfluenza virus pneumonia | $52,277,536 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD J122 - Parainfluenza virus pneumonia | $52,278 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD J122 - Parainfluenza virus pneumonia | 3.1 | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD J122 - Parainfluenza virus pneumonia | 20.3 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD J122 - Parainfluenza virus pneumonia | 46.2 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | |
|---|---|---|
| Total Hospitalizations at DRG | 36,636 | |
| Total Hospitalizations with ICD J122 - Parainfluenza virus pneumonia | 28 | |
| DRG Share of Total Hospitalizations | 0.11 | |
| % of Total ICD J122 - Parainfluenza virus pneumonia in DRG | 1.41 | |
| Avg LOS at DRG | 5.73 | |
| Avg LOS with ICD J122 - Parainfluenza virus pneumonia | 7.0 | |
| Readmission Rate at DRG | 21.72 | |
| Readmission Rate with ICD J122 - Parainfluenza virus pneumonia | NA | |
| Unplanned Readmission Rate at DRG | 14.08 | |
| Unplanned Readmission Rate with ICD J122 - Parainfluenza virus pneumonia | NA | |
| Total Medicare payments at DRG | $448,734,039 | |
| Total Medicare payments with ICD J122 - Parainfluenza virus pneumonia | $638,655 | |
| Total Medicare payment per Day at DRG | $2,137 | |
| Total Medicare payment per Day with ICD J122 - Parainfluenza virus pneumonia | $3,258 | |
| Total Medicare payment per Hospitalization at DRG | $12,248 | |
| Total Medicare payment per Hospitalization with ICD J122 - Parainfluenza virus pneumonia | $22,809 | |
| Total Medicare Charges at DRG | $2,388,208,589 | |
| Total Medicare Charges with ICD J122 - Parainfluenza virus pneumonia | $3,118,163 | |
| Avg Charges at DRG | $65,187 | |
| Avg Charges with ICD J122 - Parainfluenza virus pneumonia | $111,363 | |
| Mortality Rate at DRG | 0.77 | |
| Mortality Rate with ICD J122 - Parainfluenza virus pneumonia | NA | |
| SNF Discharge Rate at DRG | 10.73 | |
| SNF Discharge Rate with ICD J122 - Parainfluenza virus pneumonia | NA | |
| Home Discharge Rate at DRG | 59.85 | |
| Home Discharge Rate with ICD J122 - Parainfluenza virus pneumonia | 82.14 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UNIVERSITY OF TEXAS MD ANDERSON CANCER CENTER | 1515 HOLCOMBE BLVD | HOUSTON | TX | 77030 | 34 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 23 |
| NEWYORK PRESBYTERIAN - WEILL CORNELL MEDICAL CENTER | 525 E 68TH ST | NEW YORK | NY | 10021 | 21 |
*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 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD J122 - Parainfluenza virus pneumonia | 1,386 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD J122 - Parainfluenza virus pneumonia in DRG | 23.5 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD J122 - Parainfluenza virus pneumonia | 6.96 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD J122 - Parainfluenza virus pneumonia | 20.02 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD J122 - Parainfluenza virus pneumonia | 13.19 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD J122 - Parainfluenza virus pneumonia | $17,933,740 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD J122 - Parainfluenza virus pneumonia | $1,860 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD J122 - Parainfluenza virus pneumonia | $12,939 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD J122 - Parainfluenza virus pneumonia | $98,226,899 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD J122 - Parainfluenza virus pneumonia | $70,871 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD J122 - Parainfluenza virus pneumonia | 5.7 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD J122 - Parainfluenza virus pneumonia | 23.74 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD J122 - Parainfluenza virus pneumonia | 36.58 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 291: HEART FAILURE AND SHOCK WITH 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 | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD J122 - Parainfluenza virus pneumonia | 186 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD J122 - Parainfluenza virus pneumonia in DRG | 3.15 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD J122 - Parainfluenza virus pneumonia | 7.75 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD J122 - Parainfluenza virus pneumonia | 24.0 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD J122 - Parainfluenza virus pneumonia | 15.43 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD J122 - Parainfluenza virus pneumonia | $1,943,601 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD J122 - Parainfluenza virus pneumonia | $1,348 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD J122 - Parainfluenza virus pneumonia | $10,449 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD J122 - Parainfluenza virus pneumonia | $12,699,560 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD J122 - Parainfluenza virus pneumonia | $68,277 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD J122 - Parainfluenza virus pneumonia | NA | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD J122 - Parainfluenza virus pneumonia | 26.88 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD J122 - Parainfluenza virus pneumonia | 29.03 |
*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 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 231,410 | ||||
| Total Hospitalizations with ICD J122 - Parainfluenza virus pneumonia | 113 | ||||
| DRG Share of Total Hospitalizations | 0.7 | ||||
| % of Total ICD J122 - Parainfluenza virus pneumonia in DRG | 1.92 | ||||
| Avg LOS at DRG | 7.29 | ||||
| Avg LOS with ICD J122 - Parainfluenza virus pneumonia | 9.32 | ||||
| Readmission Rate at DRG | 25.54 | ||||
| Readmission Rate with ICD J122 - Parainfluenza virus pneumonia | 17.14 | ||||
| Unplanned Readmission Rate at DRG | 18.36 | ||||
| Unplanned Readmission Rate with ICD J122 - Parainfluenza virus pneumonia | 12.38 | ||||
| Total Medicare payments at DRG | $2,801,759,007 | ||||
| Total Medicare payments with ICD J122 - Parainfluenza virus pneumonia | $1,541,152 | ||||
| Total Medicare payment per Day at DRG | $1,661 | ||||
| Total Medicare payment per Day with ICD J122 - Parainfluenza virus pneumonia | $1,464 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,107 | ||||
| Total Medicare payment per Hospitalization with ICD J122 - Parainfluenza virus pneumonia | $13,639 | ||||
| Total Medicare Charges at DRG | $13,366,030,360 | ||||
| Total Medicare Charges with ICD J122 - Parainfluenza virus pneumonia | $8,752,843 | ||||
| Avg Charges at DRG | $57,759 | ||||
| Avg Charges with ICD J122 - Parainfluenza virus pneumonia | $77,459 | ||||
| Mortality Rate at DRG | 7.21 | ||||
| Mortality Rate with ICD J122 - Parainfluenza virus pneumonia | NA | ||||
| SNF Discharge Rate at DRG | 32.47 | ||||
| SNF Discharge Rate with ICD J122 - Parainfluenza virus pneumonia | 25.66 | ||||
| Home Discharge Rate at DRG | 20.84 | ||||
| Home Discharge Rate with ICD J122 - Parainfluenza virus pneumonia | 37.17 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 205: OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 974: HIV WITH MAJOR RELATED CONDITION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 202: BRONCHITIS AND ASTHMA WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 25,762 | ||||
| Total Hospitalizations with ICD J122 - Parainfluenza virus pneumonia | 45 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD J122 - Parainfluenza virus pneumonia in DRG | 0.76 | ||||
| Avg LOS at DRG | 5.4 | ||||
| Avg LOS with ICD J122 - Parainfluenza virus pneumonia | 7.13 | ||||
| Readmission Rate at DRG | 26.53 | ||||
| Readmission Rate with ICD J122 - Parainfluenza virus pneumonia | 26.67 | ||||
| Unplanned Readmission Rate at DRG | 17.68 | ||||
| Unplanned Readmission Rate with ICD J122 - Parainfluenza virus pneumonia | NA | ||||
| Total Medicare payments at DRG | $258,625,689 | ||||
| Total Medicare payments with ICD J122 - Parainfluenza virus pneumonia | $987,760 | ||||
| Total Medicare payment per Day at DRG | $1,859 | ||||
| Total Medicare payment per Day with ICD J122 - Parainfluenza virus pneumonia | $3,077 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,039 | ||||
| Total Medicare payment per Hospitalization with ICD J122 - Parainfluenza virus pneumonia | $21,950 | ||||
| Total Medicare Charges at DRG | $1,285,891,031 | ||||
| Total Medicare Charges with ICD J122 - Parainfluenza virus pneumonia | $7,235,675 | ||||
| Avg Charges at DRG | $49,914 | ||||
| Avg Charges with ICD J122 - Parainfluenza virus pneumonia | $160,793 | ||||
| Mortality Rate at DRG | 3.49 | ||||
| Mortality Rate with ICD J122 - Parainfluenza virus pneumonia | NA | ||||
| SNF Discharge Rate at DRG | 21.29 | ||||
| SNF Discharge Rate with ICD J122 - Parainfluenza virus pneumonia | NA | ||||
| Home Discharge Rate at DRG | 40.23 | ||||
| Home Discharge Rate with ICD J122 - Parainfluenza virus pneumonia | 62.22 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UNIVERSITY OF TEXAS MD ANDERSON CANCER CENTER | 1515 HOLCOMBE BLVD | HOUSTON | TX | 77030 | 70 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 63 |
| NEWYORK PRESBYTERIAN - WEILL CORNELL MEDICAL CENTER | 525 E 68TH ST | NEW YORK | NY | 10021 | 59 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. HELBERT EDUARDO RUIZ-GONZALEZ | 2302 COLLEGE AVENUE | CONWAY | AR | 72034 | 13 |