*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| J123 - Human metapneumovirus pneumonia - as a primary diagnosis code | J123 - Human metapneumovirus pneumonia - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.38 | |
| Readmission Rate (%) | 17.62 | |
| Unplanned Readmission Rate (%) | 9.95 | |
| 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 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD J123 - Human metapneumovirus pneumonia | 2,134 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD J123 - Human metapneumovirus pneumonia in DRG | 51.87 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD J123 - Human metapneumovirus pneumonia | 5.98 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD J123 - Human metapneumovirus pneumonia | 16.03 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD J123 - Human metapneumovirus pneumonia | 12.02 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD J123 - Human metapneumovirus pneumonia | $19,514,166 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD J123 - Human metapneumovirus pneumonia | $1,528 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD J123 - Human metapneumovirus pneumonia | $9,144 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD J123 - Human metapneumovirus pneumonia | $109,457,122 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD J123 - Human metapneumovirus pneumonia | $51,292 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD J123 - Human metapneumovirus pneumonia | 2.39 | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD J123 - Human metapneumovirus pneumonia | 21.74 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD J123 - Human metapneumovirus pneumonia | 44.56 |
*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 974: HIV WITH MAJOR RELATED CONDITION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 99,136 | |||
| Total Hospitalizations with ICD J123 - Human metapneumovirus pneumonia | 36 | |||
| DRG Share of Total Hospitalizations | 0.3 | |||
| % of Total ICD J123 - Human metapneumovirus pneumonia in DRG | 0.88 | |||
| Avg LOS at DRG | 22.0 | |||
| Avg LOS with ICD J123 - Human metapneumovirus pneumonia | 17.58 | |||
| Readmission Rate at DRG | 40.67 | |||
| Readmission Rate with ICD J123 - Human metapneumovirus pneumonia | 50.0 | |||
| Unplanned Readmission Rate at DRG | 20.54 | |||
| Unplanned Readmission Rate with ICD J123 - Human metapneumovirus pneumonia | NA | |||
| Total Medicare payments at DRG | $4,616,563,352 | |||
| Total Medicare payments with ICD J123 - Human metapneumovirus pneumonia | $1,502,847 | |||
| Total Medicare payment per Day at DRG | $2,116 | |||
| Total Medicare payment per Day with ICD J123 - Human metapneumovirus pneumonia | $2,374 | |||
| Total Medicare payment per Hospitalization at DRG | $46,568 | |||
| Total Medicare payment per Hospitalization with ICD J123 - Human metapneumovirus pneumonia | $41,746 | |||
| Total Medicare Charges at DRG | $21,375,486,291 | |||
| Total Medicare Charges with ICD J123 - Human metapneumovirus pneumonia | $8,267,041 | |||
| Avg Charges at DRG | $215,618 | |||
| Avg Charges with ICD J123 - Human metapneumovirus pneumonia | $229,640 | |||
| Mortality Rate at DRG | 28.16 | |||
| Mortality Rate with ICD J123 - Human metapneumovirus pneumonia | NA | |||
| SNF Discharge Rate at DRG | 30.65 | |||
| SNF Discharge Rate with ICD J123 - Human metapneumovirus pneumonia | 36.11 | |||
| Home Discharge Rate at DRG | 5.17 | |||
| Home Discharge Rate with ICD J123 - Human metapneumovirus pneumonia | NA |
| 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 | 62 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 47 |
| NORTH SHORE UNIVERSITY HOSPITAL | 300 COMMUNITY DRIVE | MANHASSET | NY | 11030 | 39 |
*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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS 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 | 443,386 | ||||
| Total Hospitalizations with ICD J123 - Human metapneumovirus pneumonia | 2,253 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD J123 - Human metapneumovirus pneumonia in DRG | 22.0 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD J123 - Human metapneumovirus pneumonia | 5.99 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD J123 - Human metapneumovirus pneumonia | 15.78 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD J123 - Human metapneumovirus pneumonia | 11.8 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD J123 - Human metapneumovirus pneumonia | $20,501,844 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD J123 - Human metapneumovirus pneumonia | $1,519 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD J123 - Human metapneumovirus pneumonia | $9,100 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD J123 - Human metapneumovirus pneumonia | $115,742,337 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD J123 - Human metapneumovirus pneumonia | $51,373 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD J123 - Human metapneumovirus pneumonia | 2.35 | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD J123 - Human metapneumovirus pneumonia | 21.93 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD J123 - Human metapneumovirus pneumonia | 44.61 |
*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 J123 - Human metapneumovirus pneumonia | 409 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD J123 - Human metapneumovirus pneumonia in DRG | 3.99 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD J123 - Human metapneumovirus pneumonia | 6.94 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD J123 - Human metapneumovirus pneumonia | 18.39 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD J123 - Human metapneumovirus pneumonia | 12.69 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD J123 - Human metapneumovirus pneumonia | $3,909,695 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD J123 - Human metapneumovirus pneumonia | $1,378 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD J123 - Human metapneumovirus pneumonia | $9,559 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD J123 - Human metapneumovirus pneumonia | $24,743,768 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD J123 - Human metapneumovirus pneumonia | $60,498 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD J123 - Human metapneumovirus pneumonia | 4.4 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD J123 - Human metapneumovirus pneumonia | 27.87 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD J123 - Human metapneumovirus pneumonia | 29.83 |
*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 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 231,410 | ||||
| Total Hospitalizations with ICD J123 - Human metapneumovirus pneumonia | 165 | ||||
| DRG Share of Total Hospitalizations | 0.7 | ||||
| % of Total ICD J123 - Human metapneumovirus pneumonia in DRG | 1.61 | ||||
| Avg LOS at DRG | 7.29 | ||||
| Avg LOS with ICD J123 - Human metapneumovirus pneumonia | 7.68 | ||||
| Readmission Rate at DRG | 25.54 | ||||
| Readmission Rate with ICD J123 - Human metapneumovirus pneumonia | 18.06 | ||||
| Unplanned Readmission Rate at DRG | 18.36 | ||||
| Unplanned Readmission Rate with ICD J123 - Human metapneumovirus pneumonia | 10.97 | ||||
| Total Medicare payments at DRG | $2,801,759,007 | ||||
| Total Medicare payments with ICD J123 - Human metapneumovirus pneumonia | $2,075,908 | ||||
| Total Medicare payment per Day at DRG | $1,661 | ||||
| Total Medicare payment per Day with ICD J123 - Human metapneumovirus pneumonia | $1,638 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,107 | ||||
| Total Medicare payment per Hospitalization with ICD J123 - Human metapneumovirus pneumonia | $12,581 | ||||
| Total Medicare Charges at DRG | $13,366,030,360 | ||||
| Total Medicare Charges with ICD J123 - Human metapneumovirus pneumonia | $10,809,959 | ||||
| Avg Charges at DRG | $57,759 | ||||
| Avg Charges with ICD J123 - Human metapneumovirus pneumonia | $65,515 | ||||
| Mortality Rate at DRG | 7.21 | ||||
| Mortality Rate with ICD J123 - Human metapneumovirus pneumonia | NA | ||||
| SNF Discharge Rate at DRG | 32.47 | ||||
| SNF Discharge Rate with ICD J123 - Human metapneumovirus pneumonia | 30.91 | ||||
| Home Discharge Rate at DRG | 20.84 | ||||
| Home Discharge Rate with ICD J123 - Human metapneumovirus pneumonia | 30.3 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 202: BRONCHITIS AND ASTHMA WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 205: OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 120,026 | ||||
| Total Hospitalizations with ICD J123 - Human metapneumovirus pneumonia | 61 | ||||
| DRG Share of Total Hospitalizations | 0.37 | ||||
| % of Total ICD J123 - Human metapneumovirus pneumonia in DRG | 0.6 | ||||
| Avg LOS at DRG | 3.68 | ||||
| Avg LOS with ICD J123 - Human metapneumovirus pneumonia | 5.3 | ||||
| Readmission Rate at DRG | 16.52 | ||||
| Readmission Rate with ICD J123 - Human metapneumovirus pneumonia | 21.67 | ||||
| Unplanned Readmission Rate at DRG | 13.07 | ||||
| Unplanned Readmission Rate with ICD J123 - Human metapneumovirus pneumonia | NA | ||||
| Total Medicare payments at DRG | $659,875,657 | ||||
| Total Medicare payments with ICD J123 - Human metapneumovirus pneumonia | $398,634 | ||||
| Total Medicare payment per Day at DRG | $1,493 | ||||
| Total Medicare payment per Day with ICD J123 - Human metapneumovirus pneumonia | $1,234 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,498 | ||||
| Total Medicare payment per Hospitalization with ICD J123 - Human metapneumovirus pneumonia | $6,535 | ||||
| Total Medicare Charges at DRG | $3,598,009,636 | ||||
| Total Medicare Charges with ICD J123 - Human metapneumovirus pneumonia | $2,644,038 | ||||
| Avg Charges at DRG | $29,977 | ||||
| Avg Charges with ICD J123 - Human metapneumovirus pneumonia | $43,345 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD J123 - Human metapneumovirus pneumonia | NA | ||||
| SNF Discharge Rate at DRG | 10.98 | ||||
| SNF Discharge Rate with ICD J123 - Human metapneumovirus pneumonia | NA | ||||
| Home Discharge Rate at DRG | 64.98 | ||||
| Home Discharge Rate with ICD J123 - Human metapneumovirus pneumonia | 62.3 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE | 2401 S 31ST ST | TEMPLE | TX | 76508 | 150 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 111 |
| NORTH SHORE UNIVERSITY HOSPITAL | 300 COMMUNITY DRIVE | MANHASSET | NY | 11030 | 95 |