| 4871 - Influenza with other respiratory manifestations - as a primary diagnosis code | 4871 - Influenza with other respiratory manifestations - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.0 | |
| Readmission Rate (%) | 15.83 | |
| Unplanned Readmission Rate (%) | 9.3 | |
| 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 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 133: OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 37,353 | ||||
| Total Hospitalizations with ICD 4871 - Influenza with other respiratory manifestations | 21,167 | ||||
| DRG Share of Total Hospitalizations | 0.16 | ||||
| % of Total ICD 4871 - Influenza with other respiratory manifestations in DRG | 73.81 | ||||
| Avg LOS at DRG | 3.16 | ||||
| Avg LOS with ICD 4871 - Influenza with other respiratory manifestations | 3.39 | ||||
| Readmission Rate at DRG | 11.89 | ||||
| Readmission Rate with ICD 4871 - Influenza with other respiratory manifestations | 10.99 | ||||
| Unplanned Readmission Rate at DRG | 8.34 | ||||
| Unplanned Readmission Rate with ICD 4871 - Influenza with other respiratory manifestations | 7.87 | ||||
| Total Medicare payments at DRG | $148,851,308 | ||||
| Total Medicare payments with ICD 4871 - Influenza with other respiratory manifestations | $83,203,855 | ||||
| Total Medicare payment per Day at DRG | $1,260 | ||||
| Total Medicare payment per Day with ICD 4871 - Influenza with other respiratory manifestations | $1,161 | ||||
| Total Medicare payment per Hospitalization at DRG | $3,985 | ||||
| Total Medicare payment per Hospitalization with ICD 4871 - Influenza with other respiratory manifestations | $3,931 | ||||
| Total Medicare Charges at DRG | $744,616,681 | ||||
| Total Medicare Charges with ICD 4871 - Influenza with other respiratory manifestations | $415,953,795 | ||||
| Avg Charges at DRG | $19,935 | ||||
| Avg Charges with ICD 4871 - Influenza with other respiratory manifestations | $19,651 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD 4871 - Influenza with other respiratory manifestations | 0.31 | ||||
| SNF Discharge Rate at DRG | 12.93 | ||||
| SNF Discharge Rate with ICD 4871 - Influenza with other respiratory manifestations | 15.9 | ||||
| Home Discharge Rate at DRG | 66.73 | ||||
| Home Discharge Rate with ICD 4871 - Influenza with other respiratory manifestations | 62.1 |
| DRG 988: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|
| Total Hospitalizations at DRG | 16,167 |
| Total Hospitalizations with ICD 4871 - Influenza with other respiratory manifestations | 14 |
| DRG Share of Total Hospitalizations | 0.07 |
| % of Total ICD 4871 - Influenza with other respiratory manifestations in DRG | 0.05 |
| Avg LOS at DRG | 6.55 |
| Avg LOS with ICD 4871 - Influenza with other respiratory manifestations | 5.79 |
| Readmission Rate at DRG | 23.81 |
| Readmission Rate with ICD 4871 - Influenza with other respiratory manifestations | NA |
| Unplanned Readmission Rate at DRG | 13.97 |
| Unplanned Readmission Rate with ICD 4871 - Influenza with other respiratory manifestations | NA |
| Total Medicare payments at DRG | $187,084,831 |
| Total Medicare payments with ICD 4871 - Influenza with other respiratory manifestations | $116,568 |
| Total Medicare payment per Day at DRG | $1,768 |
| Total Medicare payment per Day with ICD 4871 - Influenza with other respiratory manifestations | $1,439 |
| Total Medicare payment per Hospitalization at DRG | $11,572 |
| Total Medicare payment per Hospitalization with ICD 4871 - Influenza with other respiratory manifestations | $8,326 |
| Total Medicare Charges at DRG | $860,709,473 |
| Total Medicare Charges with ICD 4871 - Influenza with other respiratory manifestations | $663,800 |
| Avg Charges at DRG | $53,239 |
| Avg Charges with ICD 4871 - Influenza with other respiratory manifestations | $47,414 |
| Mortality Rate at DRG | 0.52 |
| Mortality Rate with ICD 4871 - Influenza with other respiratory manifestations | NA |
| SNF Discharge Rate at DRG | 20.32 |
| SNF Discharge Rate with ICD 4871 - Influenza with other respiratory manifestations | NA |
| Home Discharge Rate at DRG | 47.69 |
| Home Discharge Rate with ICD 4871 - Influenza with other respiratory manifestations | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 166 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 162 |
| BEAUMONT HOSPITAL TROY | 44201 DEQUINDRE RD | TROY | MI | 48085 | 148 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. GARY LANGNAS | 27483 DEQUINDRE RD | MADISON HEIGHTS | MI | 48071 | 16 |
| Dr. WILLIAM M RYAN | 1010 SPRUCE ST | ESPANOLA | NM | 87532 | 12 |
| Dr. LANA KOUA | 37450 DEQUINDRE RD | STERLING HEIGHTS | MI | 48310 | 11 |
| 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 37,353 | ||||
| Total Hospitalizations with ICD 4871 - Influenza with other respiratory manifestations | 21,200 | ||||
| DRG Share of Total Hospitalizations | 0.16 | ||||
| % of Total ICD 4871 - Influenza with other respiratory manifestations in DRG | 30.48 | ||||
| Avg LOS at DRG | 3.16 | ||||
| Avg LOS with ICD 4871 - Influenza with other respiratory manifestations | 3.38 | ||||
| Readmission Rate at DRG | 11.89 | ||||
| Readmission Rate with ICD 4871 - Influenza with other respiratory manifestations | 10.99 | ||||
| Unplanned Readmission Rate at DRG | 8.34 | ||||
| Unplanned Readmission Rate with ICD 4871 - Influenza with other respiratory manifestations | 7.87 | ||||
| Total Medicare payments at DRG | $148,851,308 | ||||
| Total Medicare payments with ICD 4871 - Influenza with other respiratory manifestations | $83,320,137 | ||||
| Total Medicare payment per Day at DRG | $1,260 | ||||
| Total Medicare payment per Day with ICD 4871 - Influenza with other respiratory manifestations | $1,161 | ||||
| Total Medicare payment per Hospitalization at DRG | $3,985 | ||||
| Total Medicare payment per Hospitalization with ICD 4871 - Influenza with other respiratory manifestations | $3,930 | ||||
| Total Medicare Charges at DRG | $744,616,681 | ||||
| Total Medicare Charges with ICD 4871 - Influenza with other respiratory manifestations | $416,558,510 | ||||
| Avg Charges at DRG | $19,935 | ||||
| Avg Charges with ICD 4871 - Influenza with other respiratory manifestations | $19,649 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD 4871 - Influenza with other respiratory manifestations | 0.31 | ||||
| SNF Discharge Rate at DRG | 12.93 | ||||
| SNF Discharge Rate with ICD 4871 - Influenza with other respiratory manifestations | 15.89 | ||||
| Home Discharge Rate at DRG | 66.73 | ||||
| Home Discharge Rate with ICD 4871 - Influenza with other respiratory manifestations | 62.12 |
| DRG 192: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 178,164 | ||||
| Total Hospitalizations with ICD 4871 - Influenza with other respiratory manifestations | 2,369 | ||||
| DRG Share of Total Hospitalizations | 0.78 | ||||
| % of Total ICD 4871 - Influenza with other respiratory manifestations in DRG | 3.41 | ||||
| Avg LOS at DRG | 3.27 | ||||
| Avg LOS with ICD 4871 - Influenza with other respiratory manifestations | 3.5 | ||||
| Readmission Rate at DRG | 17.77 | ||||
| Readmission Rate with ICD 4871 - Influenza with other respiratory manifestations | 12.46 | ||||
| Unplanned Readmission Rate at DRG | 13.05 | ||||
| Unplanned Readmission Rate with ICD 4871 - Influenza with other respiratory manifestations | 9.67 | ||||
| Total Medicare payments at DRG | $751,041,404 | ||||
| Total Medicare payments with ICD 4871 - Influenza with other respiratory manifestations | $9,684,107 | ||||
| Total Medicare payment per Day at DRG | $1,290 | ||||
| Total Medicare payment per Day with ICD 4871 - Influenza with other respiratory manifestations | $1,168 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,215 | ||||
| Total Medicare payment per Hospitalization with ICD 4871 - Influenza with other respiratory manifestations | $4,088 | ||||
| Total Medicare Charges at DRG | $3,440,608,169 | ||||
| Total Medicare Charges with ICD 4871 - Influenza with other respiratory manifestations | $47,478,960 | ||||
| Avg Charges at DRG | $19,311 | ||||
| Avg Charges with ICD 4871 - Influenza with other respiratory manifestations | $20,042 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD 4871 - Influenza with other respiratory manifestations | NA | ||||
| SNF Discharge Rate at DRG | 6.6 | ||||
| SNF Discharge Rate with ICD 4871 - Influenza with other respiratory manifestations | 5.7 | ||||
| Home Discharge Rate at DRG | 72.57 | ||||
| Home Discharge Rate with ICD 4871 - Influenza with other respiratory manifestations | 76.32 |
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 202: BRONCHITIS AND ASTHMA WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH 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 | 417,322 | ||||
| Total Hospitalizations with ICD 4871 - Influenza with other respiratory manifestations | 961 | ||||
| DRG Share of Total Hospitalizations | 1.83 | ||||
| % of Total ICD 4871 - Influenza with other respiratory manifestations in DRG | 1.38 | ||||
| Avg LOS at DRG | 5.93 | ||||
| Avg LOS with ICD 4871 - Influenza with other respiratory manifestations | 6.43 | ||||
| Readmission Rate at DRG | 28.69 | ||||
| Readmission Rate with ICD 4871 - Influenza with other respiratory manifestations | 22.31 | ||||
| Unplanned Readmission Rate at DRG | 21.75 | ||||
| Unplanned Readmission Rate with ICD 4871 - Influenza with other respiratory manifestations | 17.71 | ||||
| Total Medicare payments at DRG | $4,026,370,259 | ||||
| Total Medicare payments with ICD 4871 - Influenza with other respiratory manifestations | $9,389,381 | ||||
| Total Medicare payment per Day at DRG | $1,626 | ||||
| Total Medicare payment per Day with ICD 4871 - Influenza with other respiratory manifestations | $1,519 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,648 | ||||
| Total Medicare payment per Hospitalization with ICD 4871 - Influenza with other respiratory manifestations | $9,770 | ||||
| Total Medicare Charges at DRG | $17,296,169,702 | ||||
| Total Medicare Charges with ICD 4871 - Influenza with other respiratory manifestations | $40,126,624 | ||||
| Avg Charges at DRG | $41,446 | ||||
| Avg Charges with ICD 4871 - Influenza with other respiratory manifestations | $41,755 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD 4871 - Influenza with other respiratory manifestations | 4.27 | ||||
| SNF Discharge Rate at DRG | 23.05 | ||||
| SNF Discharge Rate with ICD 4871 - Influenza with other respiratory manifestations | 25.49 | ||||
| Home Discharge Rate at DRG | 34.75 | ||||
| Home Discharge Rate with ICD 4871 - Influenza with other respiratory manifestations | 34.03 |
| DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 945: REHABILITATION WITH 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 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 414,616 | ||||
| Total Hospitalizations with ICD 4871 - Influenza with other respiratory manifestations | 671 | ||||
| DRG Share of Total Hospitalizations | 1.81 | ||||
| % of Total ICD 4871 - Influenza with other respiratory manifestations in DRG | 0.96 | ||||
| Avg LOS at DRG | 4.4 | ||||
| Avg LOS with ICD 4871 - Influenza with other respiratory manifestations | 5.22 | ||||
| Readmission Rate at DRG | 25.69 | ||||
| Readmission Rate with ICD 4871 - Influenza with other respiratory manifestations | 21.32 | ||||
| Unplanned Readmission Rate at DRG | 19.35 | ||||
| Unplanned Readmission Rate with ICD 4871 - Influenza with other respiratory manifestations | 14.72 | ||||
| Total Medicare payments at DRG | $2,579,957,747 | ||||
| Total Medicare payments with ICD 4871 - Influenza with other respiratory manifestations | $4,283,570 | ||||
| Total Medicare payment per Day at DRG | $1,415 | ||||
| Total Medicare payment per Day with ICD 4871 - Influenza with other respiratory manifestations | $1,223 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,223 | ||||
| Total Medicare payment per Hospitalization with ICD 4871 - Influenza with other respiratory manifestations | $6,384 | ||||
| Total Medicare Charges at DRG | $11,090,898,185 | ||||
| Total Medicare Charges with ICD 4871 - Influenza with other respiratory manifestations | $20,949,973 | ||||
| Avg Charges at DRG | $26,750 | ||||
| Avg Charges with ICD 4871 - Influenza with other respiratory manifestations | $31,222 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD 4871 - Influenza with other respiratory manifestations | NA | ||||
| SNF Discharge Rate at DRG | 17.4 | ||||
| SNF Discharge Rate with ICD 4871 - Influenza with other respiratory manifestations | 20.42 | ||||
| Home Discharge Rate at DRG | 45.44 | ||||
| Home Discharge Rate with ICD 4871 - Influenza with other respiratory manifestations | 48.73 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 347 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 341 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 333 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. ANAND RAJ MAHADEVAN | 13607 PINE VILLA LN | FORT MYERS | FL | 33912 | 15 |
| Dr. KAREN A EARLE-GREEN | 2776 CLEVELAND AVE | FORT MYERS | FL | 33901 | 14 |
| Dr. MARVIN J BASE | 21008 NORTHERN BLVD | BAYSIDE | NY | 11361 | 12 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. GARY LANGNAS | 27483 DEQUINDRE RD | MADISON HEIGHTS | MI | 48071 | 25 |
| Dr. STEVEN M ELWELL | 6901 MEDICAL PARKWAY | WACO | TX | 76712 | 22 |
| Dr. MARIO LUIS VASQUEZ AGUILAR | 2768 PHARMACY RD | RIO GRANDE CITY | TX | 78582 | 22 |