| 99593 - Systemic inflammatory response syndrome due to noninfectious process without acute organ dysfunction - as a primary diagnosis code | 99593 - Systemic inflammatory response syndrome due to noninfectious process without acute organ dysfunction - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.56 | |
| Readmission Rate (%) | 25.89 | |
| Unplanned Readmission Rate (%) | 23.17 | |
| 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) | |
|---|---|---|
| Total Hospitalizations at DRG | 285,530 | |
| Total Hospitalizations with ICD 99593 - Systemic inflammatory response syndrome due to noninfectious process without acute organ dysfunction | 195 | |
| DRG Share of Total Hospitalizations | 1.25 | |
| % of Total ICD 99593 - Systemic inflammatory response syndrome due to noninfectious process without acute organ dysfunction in DRG | 58.04 | |
| Avg LOS at DRG | 4.72 | |
| Avg LOS with ICD 99593 - Systemic inflammatory response syndrome due to noninfectious process without acute organ dysfunction | 3.3 | |
| Readmission Rate at DRG | 18.55 | |
| Readmission Rate with ICD 99593 - Systemic inflammatory response syndrome due to noninfectious process without acute organ dysfunction | 23.71 | |
| Unplanned Readmission Rate at DRG | 12.87 | |
| Unplanned Readmission Rate with ICD 99593 - Systemic inflammatory response syndrome due to noninfectious process without acute organ dysfunction | 18.56 | |
| Total Medicare payments at DRG | $1,922,582,097 | |
| Total Medicare payments with ICD 99593 - Systemic inflammatory response syndrome due to noninfectious process without acute organ dysfunction | $1,242,270 | |
| Total Medicare payment per Day at DRG | $1,427 | |
| Total Medicare payment per Day with ICD 99593 - Systemic inflammatory response syndrome due to noninfectious process without acute organ dysfunction | $1,932 | |
| Total Medicare payment per Hospitalization at DRG | $6,733 | |
| Total Medicare payment per Hospitalization with ICD 99593 - Systemic inflammatory response syndrome due to noninfectious process without acute organ dysfunction | $6,371 | |
| Total Medicare Charges at DRG | $8,696,353,387 | |
| Total Medicare Charges with ICD 99593 - Systemic inflammatory response syndrome due to noninfectious process without acute organ dysfunction | $4,826,973 | |
| Avg Charges at DRG | $30,457 | |
| Avg Charges with ICD 99593 - Systemic inflammatory response syndrome due to noninfectious process without acute organ dysfunction | $24,754 | |
| Mortality Rate at DRG | 2.4 | |
| Mortality Rate with ICD 99593 - Systemic inflammatory response syndrome due to noninfectious process without acute organ dysfunction | NA | |
| SNF Discharge Rate at DRG | 23.54 | |
| SNF Discharge Rate with ICD 99593 - Systemic inflammatory response syndrome due to noninfectious process without acute organ dysfunction | 16.92 | |
| Home Discharge Rate at DRG | 44.6 | |
| Home Discharge Rate with ICD 99593 - Systemic inflammatory response syndrome due to noninfectious process without acute organ dysfunction | 56.41 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| READING HOSPITAL | 420 S 5TH AVE | WEST READING | PA | 19611 | 16 |
| DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 439: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,595 | ||||
| Total Hospitalizations with ICD 99593 - Systemic inflammatory response syndrome due to noninfectious process without acute organ dysfunction | 1,048 | ||||
| DRG Share of Total Hospitalizations | 1.83 | ||||
| % of Total ICD 99593 - Systemic inflammatory response syndrome due to noninfectious process without acute organ dysfunction in DRG | 2.91 | ||||
| Avg LOS at DRG | 3.34 | ||||
| Avg LOS with ICD 99593 - Systemic inflammatory response syndrome due to noninfectious process without acute organ dysfunction | 3.4 | ||||
| Readmission Rate at DRG | 17.47 | ||||
| Readmission Rate with ICD 99593 - Systemic inflammatory response syndrome due to noninfectious process without acute organ dysfunction | 17.78 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD 99593 - Systemic inflammatory response syndrome due to noninfectious process without acute organ dysfunction | 13.82 | ||||
| Total Medicare payments at DRG | $1,834,433,235 | ||||
| Total Medicare payments with ICD 99593 - Systemic inflammatory response syndrome due to noninfectious process without acute organ dysfunction | $4,602,251 | ||||
| Total Medicare payment per Day at DRG | $1,317 | ||||
| Total Medicare payment per Day with ICD 99593 - Systemic inflammatory response syndrome due to noninfectious process without acute organ dysfunction | $1,292 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,393 | ||||
| Total Medicare payment per Hospitalization with ICD 99593 - Systemic inflammatory response syndrome due to noninfectious process without acute organ dysfunction | $4,391 | ||||
| Total Medicare Charges at DRG | $9,558,780,965 | ||||
| Total Medicare Charges with ICD 99593 - Systemic inflammatory response syndrome due to noninfectious process without acute organ dysfunction | $25,295,681 | ||||
| Avg Charges at DRG | $22,890 | ||||
| Avg Charges with ICD 99593 - Systemic inflammatory response syndrome due to noninfectious process without acute organ dysfunction | $24,137 | ||||
| Mortality Rate at DRG | 0.23 | ||||
| Mortality Rate with ICD 99593 - Systemic inflammatory response syndrome due to noninfectious process without acute organ dysfunction | NA | ||||
| SNF Discharge Rate at DRG | 8.82 | ||||
| SNF Discharge Rate with ICD 99593 - Systemic inflammatory response syndrome due to noninfectious process without acute organ dysfunction | 9.54 | ||||
| Home Discharge Rate at DRG | 73.03 | ||||
| Home Discharge Rate with ICD 99593 - Systemic inflammatory response syndrome due to noninfectious process without acute organ dysfunction | 74.52 |
| DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 235,369 | ||||
| Total Hospitalizations with ICD 99593 - Systemic inflammatory response syndrome due to noninfectious process without acute organ dysfunction | 561 | ||||
| DRG Share of Total Hospitalizations | 1.03 | ||||
| % of Total ICD 99593 - Systemic inflammatory response syndrome due to noninfectious process without acute organ dysfunction in DRG | 1.56 | ||||
| Avg LOS at DRG | 6.39 | ||||
| Avg LOS with ICD 99593 - Systemic inflammatory response syndrome due to noninfectious process without acute organ dysfunction | 5.88 | ||||
| Readmission Rate at DRG | 29.0 | ||||
| Readmission Rate with ICD 99593 - Systemic inflammatory response syndrome due to noninfectious process without acute organ dysfunction | 27.8 | ||||
| Unplanned Readmission Rate at DRG | 21.04 | ||||
| Unplanned Readmission Rate with ICD 99593 - Systemic inflammatory response syndrome due to noninfectious process without acute organ dysfunction | 21.04 | ||||
| Total Medicare payments at DRG | $2,435,030,298 | ||||
| Total Medicare payments with ICD 99593 - Systemic inflammatory response syndrome due to noninfectious process without acute organ dysfunction | $5,516,138 | ||||
| Total Medicare payment per Day at DRG | $1,619 | ||||
| Total Medicare payment per Day with ICD 99593 - Systemic inflammatory response syndrome due to noninfectious process without acute organ dysfunction | $1,672 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,346 | ||||
| Total Medicare payment per Hospitalization with ICD 99593 - Systemic inflammatory response syndrome due to noninfectious process without acute organ dysfunction | $9,833 | ||||
| Total Medicare Charges at DRG | $10,227,015,588 | ||||
| Total Medicare Charges with ICD 99593 - Systemic inflammatory response syndrome due to noninfectious process without acute organ dysfunction | $22,365,292 | ||||
| Avg Charges at DRG | $43,451 | ||||
| Avg Charges with ICD 99593 - Systemic inflammatory response syndrome due to noninfectious process without acute organ dysfunction | $39,867 | ||||
| Mortality Rate at DRG | 5.93 | ||||
| Mortality Rate with ICD 99593 - Systemic inflammatory response syndrome due to noninfectious process without acute organ dysfunction | 4.99 | ||||
| SNF Discharge Rate at DRG | 27.26 | ||||
| SNF Discharge Rate with ICD 99593 - Systemic inflammatory response syndrome due to noninfectious process without acute organ dysfunction | 27.63 | ||||
| Home Discharge Rate at DRG | 34.42 | ||||
| Home Discharge Rate with ICD 99593 - Systemic inflammatory response syndrome due to noninfectious process without acute organ dysfunction | 34.58 |
| DRG 438: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 30,470 | ||||
| Total Hospitalizations with ICD 99593 - Systemic inflammatory response syndrome due to noninfectious process without acute organ dysfunction | 523 | ||||
| DRG Share of Total Hospitalizations | 0.13 | ||||
| % of Total ICD 99593 - Systemic inflammatory response syndrome due to noninfectious process without acute organ dysfunction in DRG | 1.45 | ||||
| Avg LOS at DRG | 7.08 | ||||
| Avg LOS with ICD 99593 - Systemic inflammatory response syndrome due to noninfectious process without acute organ dysfunction | 9.29 | ||||
| Readmission Rate at DRG | 30.39 | ||||
| Readmission Rate with ICD 99593 - Systemic inflammatory response syndrome due to noninfectious process without acute organ dysfunction | 31.63 | ||||
| Unplanned Readmission Rate at DRG | 21.63 | ||||
| Unplanned Readmission Rate with ICD 99593 - Systemic inflammatory response syndrome due to noninfectious process without acute organ dysfunction | 21.38 | ||||
| Total Medicare payments at DRG | $371,299,567 | ||||
| Total Medicare payments with ICD 99593 - Systemic inflammatory response syndrome due to noninfectious process without acute organ dysfunction | $6,520,148 | ||||
| Total Medicare payment per Day at DRG | $1,721 | ||||
| Total Medicare payment per Day with ICD 99593 - Systemic inflammatory response syndrome due to noninfectious process without acute organ dysfunction | $1,342 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,186 | ||||
| Total Medicare payment per Hospitalization with ICD 99593 - Systemic inflammatory response syndrome due to noninfectious process without acute organ dysfunction | $12,467 | ||||
| Total Medicare Charges at DRG | $1,589,880,063 | ||||
| Total Medicare Charges with ICD 99593 - Systemic inflammatory response syndrome due to noninfectious process without acute organ dysfunction | $38,057,343 | ||||
| Avg Charges at DRG | $52,179 | ||||
| Avg Charges with ICD 99593 - Systemic inflammatory response syndrome due to noninfectious process without acute organ dysfunction | $72,767 | ||||
| Mortality Rate at DRG | 4.46 | ||||
| Mortality Rate with ICD 99593 - Systemic inflammatory response syndrome due to noninfectious process without acute organ dysfunction | 7.07 | ||||
| SNF Discharge Rate at DRG | 12.28 | ||||
| SNF Discharge Rate with ICD 99593 - Systemic inflammatory response syndrome due to noninfectious process without acute organ dysfunction | 15.68 | ||||
| Home Discharge Rate at DRG | 55.84 | ||||
| Home Discharge Rate with ICD 99593 - Systemic inflammatory response syndrome due to noninfectious process without acute organ dysfunction | 45.51 |
| DRG 864: FEVER | DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 31,415 | ||||
| Total Hospitalizations with ICD 99593 - Systemic inflammatory response syndrome due to noninfectious process without acute organ dysfunction | 427 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD 99593 - Systemic inflammatory response syndrome due to noninfectious process without acute organ dysfunction in DRG | 1.19 | ||||
| Avg LOS at DRG | 3.47 | ||||
| Avg LOS with ICD 99593 - Systemic inflammatory response syndrome due to noninfectious process without acute organ dysfunction | 3.56 | ||||
| Readmission Rate at DRG | 20.72 | ||||
| Readmission Rate with ICD 99593 - Systemic inflammatory response syndrome due to noninfectious process without acute organ dysfunction | 20.81 | ||||
| Unplanned Readmission Rate at DRG | 14.12 | ||||
| Unplanned Readmission Rate with ICD 99593 - Systemic inflammatory response syndrome due to noninfectious process without acute organ dysfunction | 13.64 | ||||
| Total Medicare payments at DRG | $167,202,820 | ||||
| Total Medicare payments with ICD 99593 - Systemic inflammatory response syndrome due to noninfectious process without acute organ dysfunction | $2,439,114 | ||||
| Total Medicare payment per Day at DRG | $1,532 | ||||
| Total Medicare payment per Day with ICD 99593 - Systemic inflammatory response syndrome due to noninfectious process without acute organ dysfunction | $1,607 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,322 | ||||
| Total Medicare payment per Hospitalization with ICD 99593 - Systemic inflammatory response syndrome due to noninfectious process without acute organ dysfunction | $5,712 | ||||
| Total Medicare Charges at DRG | $799,370,610 | ||||
| Total Medicare Charges with ICD 99593 - Systemic inflammatory response syndrome due to noninfectious process without acute organ dysfunction | $11,296,001 | ||||
| Avg Charges at DRG | $25,446 | ||||
| Avg Charges with ICD 99593 - Systemic inflammatory response syndrome due to noninfectious process without acute organ dysfunction | $26,454 | ||||
| Mortality Rate at DRG | 0.44 | ||||
| Mortality Rate with ICD 99593 - Systemic inflammatory response syndrome due to noninfectious process without acute organ dysfunction | NA | ||||
| SNF Discharge Rate at DRG | 13.36 | ||||
| SNF Discharge Rate with ICD 99593 - Systemic inflammatory response syndrome due to noninfectious process without acute organ dysfunction | 14.05 | ||||
| Home Discharge Rate at DRG | 62.74 | ||||
| Home Discharge Rate with ICD 99593 - Systemic inflammatory response syndrome due to noninfectious process without acute organ dysfunction | 61.59 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| CENTRA VIRGINIA BAPTIST HOSPITAL | 3300 RIVERMONT AVE | LYNCHBURG | VA | 24503 | 783 |
| OROVILLE HOSPITAL | 2767 OLIVE HWY | OROVILLE | CA | 95966 | 469 |
| MOUNT SINAI HOSPITAL | 1 GUSTAVE L LEVY PL | NEW YORK | NY | 10029 | 441 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. DAVID G CABLE | 5668 E STATE ST | ROCKFORD | IL | 61108 | 117 |
| Dr. DAVID ADAMS | 1190 5TH AVE | NEW YORK | NY | 10029 | 86 |
| Dr. R.C. STEWART FINNEY | 7505 OSLER DR | TOWSON | MD | 21204 | 59 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. DAVID G CABLE | 5668 E STATE ST | ROCKFORD | IL | 61108 | 111 |
| Dr. DAVID ADAMS | 1190 5TH AVE | NEW YORK | NY | 10029 | 84 |
| Dr. CHARLES H COGGIN | 1088 LONDON LINKS DR | FOREST | VA | 24551 | 63 |