| 99590 - Systemic inflammatory response syndrome, unspecified - as a primary diagnosis code | 99590 - Systemic inflammatory response syndrome, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.17 | |
| Readmission Rate (%) | 26.04 | |
| Unplanned Readmission Rate (%) | 15.43 | |
| 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 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 285,530 | |||
| Total Hospitalizations with ICD 99590 - Systemic inflammatory response syndrome, unspecified | 918 | |||
| DRG Share of Total Hospitalizations | 1.25 | |||
| % of Total ICD 99590 - Systemic inflammatory response syndrome, unspecified in DRG | 57.41 | |||
| Avg LOS at DRG | 4.72 | |||
| Avg LOS with ICD 99590 - Systemic inflammatory response syndrome, unspecified | 3.49 | |||
| Readmission Rate at DRG | 18.55 | |||
| Readmission Rate with ICD 99590 - Systemic inflammatory response syndrome, unspecified | 19.79 | |||
| Unplanned Readmission Rate at DRG | 12.87 | |||
| Unplanned Readmission Rate with ICD 99590 - Systemic inflammatory response syndrome, unspecified | 14.5 | |||
| Total Medicare payments at DRG | $1,922,582,097 | |||
| Total Medicare payments with ICD 99590 - Systemic inflammatory response syndrome, unspecified | $5,814,294 | |||
| Total Medicare payment per Day at DRG | $1,427 | |||
| Total Medicare payment per Day with ICD 99590 - Systemic inflammatory response syndrome, unspecified | $1,815 | |||
| Total Medicare payment per Hospitalization at DRG | $6,733 | |||
| Total Medicare payment per Hospitalization with ICD 99590 - Systemic inflammatory response syndrome, unspecified | $6,334 | |||
| Total Medicare Charges at DRG | $8,696,353,387 | |||
| Total Medicare Charges with ICD 99590 - Systemic inflammatory response syndrome, unspecified | $20,290,881 | |||
| Avg Charges at DRG | $30,457 | |||
| Avg Charges with ICD 99590 - Systemic inflammatory response syndrome, unspecified | $22,103 | |||
| Mortality Rate at DRG | 2.4 | |||
| Mortality Rate with ICD 99590 - Systemic inflammatory response syndrome, unspecified | 1.42 | |||
| SNF Discharge Rate at DRG | 23.54 | |||
| SNF Discharge Rate with ICD 99590 - Systemic inflammatory response syndrome, unspecified | 17.43 | |||
| Home Discharge Rate at DRG | 44.6 | |||
| Home Discharge Rate with ICD 99590 - Systemic inflammatory response syndrome, unspecified | 54.9 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| NORTHEAST GEORGIA MEDICAL CENTER | 743 SPRING ST NE | GAINESVILLE | GA | 30501 | 47 |
| READING HOSPITAL | 420 S 5TH AVE | WEST READING | PA | 19611 | 21 |
| CENTRA VIRGINIA BAPTIST HOSPITAL | 3300 RIVERMONT AVE | LYNCHBURG | VA | 24503 | 19 |
| DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 368,552 | ||||
| Total Hospitalizations with ICD 99590 - Systemic inflammatory response syndrome, unspecified | 2,653 | ||||
| DRG Share of Total Hospitalizations | 1.61 | ||||
| % of Total ICD 99590 - Systemic inflammatory response syndrome, unspecified in DRG | 4.08 | ||||
| Avg LOS at DRG | 4.42 | ||||
| Avg LOS with ICD 99590 - Systemic inflammatory response syndrome, unspecified | 4.13 | ||||
| Readmission Rate at DRG | 18.07 | ||||
| Readmission Rate with ICD 99590 - Systemic inflammatory response syndrome, unspecified | 15.79 | ||||
| Unplanned Readmission Rate at DRG | 12.45 | ||||
| Unplanned Readmission Rate with ICD 99590 - Systemic inflammatory response syndrome, unspecified | 11.77 | ||||
| Total Medicare payments at DRG | $2,243,342,846 | ||||
| Total Medicare payments with ICD 99590 - Systemic inflammatory response syndrome, unspecified | $16,050,062 | ||||
| Total Medicare payment per Day at DRG | $1,376 | ||||
| Total Medicare payment per Day with ICD 99590 - Systemic inflammatory response syndrome, unspecified | $1,466 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,087 | ||||
| Total Medicare payment per Hospitalization with ICD 99590 - Systemic inflammatory response syndrome, unspecified | $6,050 | ||||
| Total Medicare Charges at DRG | $9,706,587,516 | ||||
| Total Medicare Charges with ICD 99590 - Systemic inflammatory response syndrome, unspecified | $69,078,066 | ||||
| Avg Charges at DRG | $26,337 | ||||
| Avg Charges with ICD 99590 - Systemic inflammatory response syndrome, unspecified | $26,038 | ||||
| Mortality Rate at DRG | 1.44 | ||||
| Mortality Rate with ICD 99590 - Systemic inflammatory response syndrome, unspecified | 1.13 | ||||
| SNF Discharge Rate at DRG | 19.19 | ||||
| SNF Discharge Rate with ICD 99590 - Systemic inflammatory response syndrome, unspecified | 16.66 | ||||
| Home Discharge Rate at DRG | 50.54 | ||||
| Home Discharge Rate with ICD 99590 - Systemic inflammatory response syndrome, unspecified | 56.77 |
| DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 285,530 | ||||
| Total Hospitalizations with ICD 99590 - Systemic inflammatory response syndrome, unspecified | 1,829 | ||||
| DRG Share of Total Hospitalizations | 1.25 | ||||
| % of Total ICD 99590 - Systemic inflammatory response syndrome, unspecified in DRG | 2.81 | ||||
| Avg LOS at DRG | 4.72 | ||||
| Avg LOS with ICD 99590 - Systemic inflammatory response syndrome, unspecified | 3.91 | ||||
| Readmission Rate at DRG | 18.55 | ||||
| Readmission Rate with ICD 99590 - Systemic inflammatory response syndrome, unspecified | 18.86 | ||||
| Unplanned Readmission Rate at DRG | 12.87 | ||||
| Unplanned Readmission Rate with ICD 99590 - Systemic inflammatory response syndrome, unspecified | 13.28 | ||||
| Total Medicare payments at DRG | $1,922,582,097 | ||||
| Total Medicare payments with ICD 99590 - Systemic inflammatory response syndrome, unspecified | $11,771,874 | ||||
| Total Medicare payment per Day at DRG | $1,427 | ||||
| Total Medicare payment per Day with ICD 99590 - Systemic inflammatory response syndrome, unspecified | $1,646 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,733 | ||||
| Total Medicare payment per Hospitalization with ICD 99590 - Systemic inflammatory response syndrome, unspecified | $6,436 | ||||
| Total Medicare Charges at DRG | $8,696,353,387 | ||||
| Total Medicare Charges with ICD 99590 - Systemic inflammatory response syndrome, unspecified | $47,607,373 | ||||
| Avg Charges at DRG | $30,457 | ||||
| Avg Charges with ICD 99590 - Systemic inflammatory response syndrome, unspecified | $26,029 | ||||
| Mortality Rate at DRG | 2.4 | ||||
| Mortality Rate with ICD 99590 - Systemic inflammatory response syndrome, unspecified | 1.53 | ||||
| SNF Discharge Rate at DRG | 23.54 | ||||
| SNF Discharge Rate with ICD 99590 - Systemic inflammatory response syndrome, unspecified | 18.32 | ||||
| Home Discharge Rate at DRG | 44.6 | ||||
| Home Discharge Rate with ICD 99590 - Systemic inflammatory response syndrome, unspecified | 53.09 |
| DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 235,369 | ||||
| Total Hospitalizations with ICD 99590 - Systemic inflammatory response syndrome, unspecified | 1,214 | ||||
| DRG Share of Total Hospitalizations | 1.03 | ||||
| % of Total ICD 99590 - Systemic inflammatory response syndrome, unspecified in DRG | 1.87 | ||||
| Avg LOS at DRG | 6.39 | ||||
| Avg LOS with ICD 99590 - Systemic inflammatory response syndrome, unspecified | 7.24 | ||||
| Readmission Rate at DRG | 29.0 | ||||
| Readmission Rate with ICD 99590 - Systemic inflammatory response syndrome, unspecified | 28.84 | ||||
| Unplanned Readmission Rate at DRG | 21.04 | ||||
| Unplanned Readmission Rate with ICD 99590 - Systemic inflammatory response syndrome, unspecified | 19.13 | ||||
| Total Medicare payments at DRG | $2,435,030,298 | ||||
| Total Medicare payments with ICD 99590 - Systemic inflammatory response syndrome, unspecified | $12,985,024 | ||||
| Total Medicare payment per Day at DRG | $1,619 | ||||
| Total Medicare payment per Day with ICD 99590 - Systemic inflammatory response syndrome, unspecified | $1,477 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,346 | ||||
| Total Medicare payment per Hospitalization with ICD 99590 - Systemic inflammatory response syndrome, unspecified | $10,696 | ||||
| Total Medicare Charges at DRG | $10,227,015,588 | ||||
| Total Medicare Charges with ICD 99590 - Systemic inflammatory response syndrome, unspecified | $62,392,509 | ||||
| Avg Charges at DRG | $43,451 | ||||
| Avg Charges with ICD 99590 - Systemic inflammatory response syndrome, unspecified | $51,394 | ||||
| Mortality Rate at DRG | 5.93 | ||||
| Mortality Rate with ICD 99590 - Systemic inflammatory response syndrome, unspecified | 7.91 | ||||
| SNF Discharge Rate at DRG | 27.26 | ||||
| SNF Discharge Rate with ICD 99590 - Systemic inflammatory response syndrome, unspecified | 30.07 | ||||
| Home Discharge Rate at DRG | 34.42 | ||||
| Home Discharge Rate with ICD 99590 - Systemic inflammatory response syndrome, unspecified | 27.18 |
| DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 864: FEVER | DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 160,983 | ||||
| Total Hospitalizations with ICD 99590 - Systemic inflammatory response syndrome, unspecified | 957 | ||||
| DRG Share of Total Hospitalizations | 0.7 | ||||
| % of Total ICD 99590 - Systemic inflammatory response syndrome, unspecified in DRG | 1.47 | ||||
| Avg LOS at DRG | 5.25 | ||||
| Avg LOS with ICD 99590 - Systemic inflammatory response syndrome, unspecified | 5.43 | ||||
| Readmission Rate at DRG | 23.18 | ||||
| Readmission Rate with ICD 99590 - Systemic inflammatory response syndrome, unspecified | 23.51 | ||||
| Unplanned Readmission Rate at DRG | 16.92 | ||||
| Unplanned Readmission Rate with ICD 99590 - Systemic inflammatory response syndrome, unspecified | 17.23 | ||||
| Total Medicare payments at DRG | $1,156,626,896 | ||||
| Total Medicare payments with ICD 99590 - Systemic inflammatory response syndrome, unspecified | $6,949,532 | ||||
| Total Medicare payment per Day at DRG | $1,369 | ||||
| Total Medicare payment per Day with ICD 99590 - Systemic inflammatory response syndrome, unspecified | $1,339 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,185 | ||||
| Total Medicare payment per Hospitalization with ICD 99590 - Systemic inflammatory response syndrome, unspecified | $7,262 | ||||
| Total Medicare Charges at DRG | $4,987,639,842 | ||||
| Total Medicare Charges with ICD 99590 - Systemic inflammatory response syndrome, unspecified | $32,062,043 | ||||
| Avg Charges at DRG | $30,982 | ||||
| Avg Charges with ICD 99590 - Systemic inflammatory response syndrome, unspecified | $33,503 | ||||
| Mortality Rate at DRG | 1.79 | ||||
| Mortality Rate with ICD 99590 - Systemic inflammatory response syndrome, unspecified | 1.88 | ||||
| SNF Discharge Rate at DRG | 39.38 | ||||
| SNF Discharge Rate with ICD 99590 - Systemic inflammatory response syndrome, unspecified | 35.21 | ||||
| Home Discharge Rate at DRG | 25.49 | ||||
| Home Discharge Rate with ICD 99590 - Systemic inflammatory response syndrome, unspecified | 30.51 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| SPECTRUM HEALTH BUTTERWORTH HOSPITAL | 100 MICHIGAN ST NE | GRAND RAPIDS | MI | 49503 | 477 |
| INDIANA UNIVERSITY HEALTH | 1701 N SENATE | INDIANAPOLIS | IN | 46202 | 367 |
| ASCENSION GENESYS REGIONAL MEDICAL CENTER | 1 GENESYS PKWY | GRAND BLANC | MI | 48439 | 361 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. ARMEN HOVHANNISYAN | 5250 W CENTURY BLVD STE 333 | LOS ANGELES | CA | 90045 | 44 |
| Dr. NHIA KASH VANG | 2767 OLIVE HWY | OROVILLE | CA | 95966 | 37 |
| Dr. RAMON E URREA | 965 S BAILEY AVE | SOUTH HAVEN | MI | 49090 | 29 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. ARMEN HOVHANNISYAN | 5250 W CENTURY BLVD STE 333 | LOS ANGELES | CA | 90045 | 207 |
| Dr. ANTHONY CHIEFFALO | 168 RTE. 171 | S WOODSTOCK | CT | 06267 | 90 |
| Dr. MARK EDWIN MCKENZIE | 2010 GOLDRING AVE | LAS VEGAS | NV | 89106 | 53 |