| 07999 - Unspecified viral infection - as a primary diagnosis code | 07999 - Unspecified viral infection - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 4.11 | |
| Readmission Rate (%) | 16.9 | |
| Unplanned Readmission Rate (%) | 11.19 | |
| 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 | ||
| DRG 866: VIRAL ILLNESS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 865: VIRAL ILLNESS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 977: HIV WITH OR WITHOUT OTHER RELATED CONDITION | DRG 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 13,465 | ||||
| Total Hospitalizations with ICD 07999 - Unspecified viral infection | 8,317 | ||||
| DRG Share of Total Hospitalizations | 0.06 | ||||
| % of Total ICD 07999 - Unspecified viral infection in DRG | 65.73 | ||||
| Avg LOS at DRG | 3.43 | ||||
| Avg LOS with ICD 07999 - Unspecified viral infection | 2.86 | ||||
| Readmission Rate at DRG | 14.26 | ||||
| Readmission Rate with ICD 07999 - Unspecified viral infection | 13.88 | ||||
| Unplanned Readmission Rate at DRG | 9.61 | ||||
| Unplanned Readmission Rate with ICD 07999 - Unspecified viral infection | 9.8 | ||||
| Total Medicare payments at DRG | $63,265,447 | ||||
| Total Medicare payments with ICD 07999 - Unspecified viral infection | $36,950,956 | ||||
| Total Medicare payment per Day at DRG | $1,370 | ||||
| Total Medicare payment per Day with ICD 07999 - Unspecified viral infection | $1,553 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,699 | ||||
| Total Medicare payment per Hospitalization with ICD 07999 - Unspecified viral infection | $4,443 | ||||
| Total Medicare Charges at DRG | $314,348,567 | ||||
| Total Medicare Charges with ICD 07999 - Unspecified viral infection | $170,873,413 | ||||
| Avg Charges at DRG | $23,346 | ||||
| Avg Charges with ICD 07999 - Unspecified viral infection | $20,545 | ||||
| Mortality Rate at DRG | 0.16 | ||||
| Mortality Rate with ICD 07999 - Unspecified viral infection | NA | ||||
| SNF Discharge Rate at DRG | 10.72 | ||||
| SNF Discharge Rate with ICD 07999 - Unspecified viral infection | 10.32 | ||||
| Home Discharge Rate at DRG | 69.59 | ||||
| Home Discharge Rate with ICD 07999 - Unspecified viral infection | 70.59 |
| DRG 855: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 639 |
| Total Hospitalizations with ICD 07999 - Unspecified viral infection | 12 |
| DRG Share of Total Hospitalizations | 0.0 |
| % of Total ICD 07999 - Unspecified viral infection in DRG | 0.09 |
| Avg LOS at DRG | 4.73 |
| Avg LOS with ICD 07999 - Unspecified viral infection | 3.83 |
| Readmission Rate at DRG | 14.86 |
| Readmission Rate with ICD 07999 - Unspecified viral infection | NA |
| Unplanned Readmission Rate at DRG | 8.31 |
| Unplanned Readmission Rate with ICD 07999 - Unspecified viral infection | NA |
| Total Medicare payments at DRG | $6,447,575 |
| Total Medicare payments with ICD 07999 - Unspecified viral infection | $125,878 |
| Total Medicare payment per Day at DRG | $2,133 |
| Total Medicare payment per Day with ICD 07999 - Unspecified viral infection | $2,736 |
| Total Medicare payment per Hospitalization at DRG | $10,090 |
| Total Medicare payment per Hospitalization with ICD 07999 - Unspecified viral infection | $10,490 |
| Total Medicare Charges at DRG | $30,591,449 |
| Total Medicare Charges with ICD 07999 - Unspecified viral infection | $474,023 |
| Avg Charges at DRG | $47,874 |
| Avg Charges with ICD 07999 - Unspecified viral infection | $39,502 |
| Mortality Rate at DRG | NA |
| Mortality Rate with ICD 07999 - Unspecified viral infection | NA |
| SNF Discharge Rate at DRG | 9.7 |
| SNF Discharge Rate with ICD 07999 - Unspecified viral infection | NA |
| Home Discharge Rate at DRG | 66.04 |
| Home Discharge Rate with ICD 07999 - Unspecified viral infection | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 73 |
| LEHIGH VALLEY HOSPITAL - CEDAR CREST | 1200 S CEDAR CREST BLVD | ALLENTOWN | PA | 18103 | 58 |
| ADVOCATE LUTHERAN GENERAL HOSPITAL | 1775 DEMPSTER STREET | PARK RIDGE | IL | 60068 | 57 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. ANDREW M QUELER | 415 S 28TH AVE | HATTIESBURG | MS | 39401 | 11 |
| DRG 866: VIRAL ILLNESS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 865: VIRAL ILLNESS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 202: BRONCHITIS AND ASTHMA WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 13,465 | ||||
| Total Hospitalizations with ICD 07999 - Unspecified viral infection | 8,402 | ||||
| DRG Share of Total Hospitalizations | 0.06 | ||||
| % of Total ICD 07999 - Unspecified viral infection in DRG | 15.57 | ||||
| Avg LOS at DRG | 3.43 | ||||
| Avg LOS with ICD 07999 - Unspecified viral infection | 2.87 | ||||
| Readmission Rate at DRG | 14.26 | ||||
| Readmission Rate with ICD 07999 - Unspecified viral infection | 13.87 | ||||
| Unplanned Readmission Rate at DRG | 9.61 | ||||
| Unplanned Readmission Rate with ICD 07999 - Unspecified viral infection | 9.81 | ||||
| Total Medicare payments at DRG | $63,265,447 | ||||
| Total Medicare payments with ICD 07999 - Unspecified viral infection | $37,294,512 | ||||
| Total Medicare payment per Day at DRG | $1,370 | ||||
| Total Medicare payment per Day with ICD 07999 - Unspecified viral infection | $1,549 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,699 | ||||
| Total Medicare payment per Hospitalization with ICD 07999 - Unspecified viral infection | $4,439 | ||||
| Total Medicare Charges at DRG | $314,348,567 | ||||
| Total Medicare Charges with ICD 07999 - Unspecified viral infection | $172,896,929 | ||||
| Avg Charges at DRG | $23,346 | ||||
| Avg Charges with ICD 07999 - Unspecified viral infection | $20,578 | ||||
| Mortality Rate at DRG | 0.16 | ||||
| Mortality Rate with ICD 07999 - Unspecified viral infection | NA | ||||
| SNF Discharge Rate at DRG | 10.72 | ||||
| SNF Discharge Rate with ICD 07999 - Unspecified viral infection | 10.27 | ||||
| Home Discharge Rate at DRG | 69.59 | ||||
| Home Discharge Rate with ICD 07999 - Unspecified viral infection | 70.67 |
| DRG 864: FEVER | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 153: OTITIS MEDIA AND URI WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 31,415 | ||||
| Total Hospitalizations with ICD 07999 - Unspecified viral infection | 1,602 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD 07999 - Unspecified viral infection in DRG | 2.97 | ||||
| Avg LOS at DRG | 3.47 | ||||
| Avg LOS with ICD 07999 - Unspecified viral infection | 3.14 | ||||
| Readmission Rate at DRG | 20.72 | ||||
| Readmission Rate with ICD 07999 - Unspecified viral infection | 15.46 | ||||
| Unplanned Readmission Rate at DRG | 14.12 | ||||
| Unplanned Readmission Rate with ICD 07999 - Unspecified viral infection | 10.88 | ||||
| Total Medicare payments at DRG | $167,202,820 | ||||
| Total Medicare payments with ICD 07999 - Unspecified viral infection | $7,800,995 | ||||
| Total Medicare payment per Day at DRG | $1,532 | ||||
| Total Medicare payment per Day with ICD 07999 - Unspecified viral infection | $1,552 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,322 | ||||
| Total Medicare payment per Hospitalization with ICD 07999 - Unspecified viral infection | $4,870 | ||||
| Total Medicare Charges at DRG | $799,370,610 | ||||
| Total Medicare Charges with ICD 07999 - Unspecified viral infection | $37,052,708 | ||||
| Avg Charges at DRG | $25,446 | ||||
| Avg Charges with ICD 07999 - Unspecified viral infection | $23,129 | ||||
| Mortality Rate at DRG | 0.44 | ||||
| Mortality Rate with ICD 07999 - Unspecified viral infection | NA | ||||
| SNF Discharge Rate at DRG | 13.36 | ||||
| SNF Discharge Rate with ICD 07999 - Unspecified viral infection | 11.36 | ||||
| Home Discharge Rate at DRG | 62.74 | ||||
| Home Discharge Rate with ICD 07999 - Unspecified viral infection | 69.16 |
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 192: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 311,763 | ||||
| Total Hospitalizations with ICD 07999 - Unspecified viral infection | 1,250 | ||||
| DRG Share of Total Hospitalizations | 1.36 | ||||
| % of Total ICD 07999 - Unspecified viral infection in DRG | 2.32 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD 07999 - Unspecified viral infection | 3.65 | ||||
| Readmission Rate at DRG | 23.41 | ||||
| Readmission Rate with ICD 07999 - Unspecified viral infection | 16.03 | ||||
| Unplanned Readmission Rate at DRG | 16.67 | ||||
| Unplanned Readmission Rate with ICD 07999 - Unspecified viral infection | 12.51 | ||||
| Total Medicare payments at DRG | $1,867,955,174 | ||||
| Total Medicare payments with ICD 07999 - Unspecified viral infection | $7,044,112 | ||||
| Total Medicare payment per Day at DRG | $1,382 | ||||
| Total Medicare payment per Day with ICD 07999 - Unspecified viral infection | $1,545 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,992 | ||||
| Total Medicare payment per Hospitalization with ICD 07999 - Unspecified viral infection | $5,635 | ||||
| Total Medicare Charges at DRG | $8,358,483,119 | ||||
| Total Medicare Charges with ICD 07999 - Unspecified viral infection | $30,695,770 | ||||
| Avg Charges at DRG | $26,810 | ||||
| Avg Charges with ICD 07999 - Unspecified viral infection | $24,557 | ||||
| Mortality Rate at DRG | 1.37 | ||||
| Mortality Rate with ICD 07999 - Unspecified viral infection | NA | ||||
| SNF Discharge Rate at DRG | 23.3 | ||||
| SNF Discharge Rate with ICD 07999 - Unspecified viral infection | 12.08 | ||||
| Home Discharge Rate at DRG | 45.55 | ||||
| Home Discharge Rate with ICD 07999 - Unspecified viral infection | 66.24 |
| DRG 203: BRONCHITIS AND ASTHMA WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 39,948 | ||||
| Total Hospitalizations with ICD 07999 - Unspecified viral infection | 854 | ||||
| DRG Share of Total Hospitalizations | 0.17 | ||||
| % of Total ICD 07999 - Unspecified viral infection in DRG | 1.58 | ||||
| Avg LOS at DRG | 2.98 | ||||
| Avg LOS with ICD 07999 - Unspecified viral infection | 2.82 | ||||
| Readmission Rate at DRG | 11.18 | ||||
| Readmission Rate with ICD 07999 - Unspecified viral infection | 9.99 | ||||
| Unplanned Readmission Rate at DRG | 8.19 | ||||
| Unplanned Readmission Rate with ICD 07999 - Unspecified viral infection | 8.2 | ||||
| Total Medicare payments at DRG | $146,768,193 | ||||
| Total Medicare payments with ICD 07999 - Unspecified viral infection | $3,197,478 | ||||
| Total Medicare payment per Day at DRG | $1,233 | ||||
| Total Medicare payment per Day with ICD 07999 - Unspecified viral infection | $1,329 | ||||
| Total Medicare payment per Hospitalization at DRG | $3,674 | ||||
| Total Medicare payment per Hospitalization with ICD 07999 - Unspecified viral infection | $3,744 | ||||
| Total Medicare Charges at DRG | $725,667,711 | ||||
| Total Medicare Charges with ICD 07999 - Unspecified viral infection | $16,199,787 | ||||
| Avg Charges at DRG | $18,165 | ||||
| Avg Charges with ICD 07999 - Unspecified viral infection | $18,969 | ||||
| Mortality Rate at DRG | 0.06 | ||||
| Mortality Rate with ICD 07999 - Unspecified viral infection | NA | ||||
| SNF Discharge Rate at DRG | 6.23 | ||||
| SNF Discharge Rate with ICD 07999 - Unspecified viral infection | 6.56 | ||||
| Home Discharge Rate at DRG | 77.82 | ||||
| Home Discharge Rate with ICD 07999 - Unspecified viral infection | 75.18 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| MONTEFIORE MEDICAL CENTER | 111 E 210TH ST | BRONX | NY | 10467 | 217 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 206 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 183 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. STANLEY R EASTERLING | 104 MCAULEY DR | VICKSBURG | MS | 39183 | 32 |
| Dr. SHENG-QIAN WU | 2776 CLEVELAND AVE | FORT MYERS | FL | 33901 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. STANLEY R EASTERLING | 104 MCAULEY DR | VICKSBURG | MS | 39183 | 32 |
| Dr. TEWODROS D ADDISSE | STORMONT-VAIL HEALTHCARE | TOPEKA | KS | 66604 | 30 |
| Dr. JATIN K KADAKIA | 311 LANDRUM PL | CLARKSVILLE | TN | 37043 | 25 |