| 99594 - Systemic inflammatory response syndrome due to noninfectious process with acute organ dysfunction - as a primary diagnosis code | 99594 - Systemic inflammatory response syndrome due to noninfectious process with acute organ dysfunction - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.26 | |
| Readmission Rate (%) | 28.93 | |
| Unplanned Readmission Rate (%) | 17.95 | |
| 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 | ||
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 901,552 | |
| Total Hospitalizations with ICD 99594 - Systemic inflammatory response syndrome due to noninfectious process with acute organ dysfunction | 65 | |
| DRG Share of Total Hospitalizations | 3.95 | |
| % of Total ICD 99594 - Systemic inflammatory response syndrome due to noninfectious process with acute organ dysfunction in DRG | 70.65 | |
| Avg LOS at DRG | 6.79 | |
| Avg LOS with ICD 99594 - Systemic inflammatory response syndrome due to noninfectious process with acute organ dysfunction | 4.28 | |
| Readmission Rate at DRG | 25.38 | |
| Readmission Rate with ICD 99594 - Systemic inflammatory response syndrome due to noninfectious process with acute organ dysfunction | 23.53 | |
| Unplanned Readmission Rate at DRG | 17.1 | |
| Unplanned Readmission Rate with ICD 99594 - Systemic inflammatory response syndrome due to noninfectious process with acute organ dysfunction | NA | |
| Total Medicare payments at DRG | $11,142,976,193 | |
| Total Medicare payments with ICD 99594 - Systemic inflammatory response syndrome due to noninfectious process with acute organ dysfunction | $727,596 | |
| Total Medicare payment per Day at DRG | $1,821 | |
| Total Medicare payment per Day with ICD 99594 - Systemic inflammatory response syndrome due to noninfectious process with acute organ dysfunction | $2,617 | |
| Total Medicare payment per Hospitalization at DRG | $12,360 | |
| Total Medicare payment per Hospitalization with ICD 99594 - Systemic inflammatory response syndrome due to noninfectious process with acute organ dysfunction | $11,194 | |
| Total Medicare Charges at DRG | $48,288,426,708 | |
| Total Medicare Charges with ICD 99594 - Systemic inflammatory response syndrome due to noninfectious process with acute organ dysfunction | $2,269,173 | |
| Avg Charges at DRG | $53,561 | |
| Avg Charges with ICD 99594 - Systemic inflammatory response syndrome due to noninfectious process with acute organ dysfunction | $34,910 | |
| Mortality Rate at DRG | 15.16 | |
| Mortality Rate with ICD 99594 - Systemic inflammatory response syndrome due to noninfectious process with acute organ dysfunction | 18.46 | |
| SNF Discharge Rate at DRG | 28.41 | |
| SNF Discharge Rate with ICD 99594 - Systemic inflammatory response syndrome due to noninfectious process with acute organ dysfunction | 21.54 | |
| Home Discharge Rate at DRG | 23.21 | |
| Home Discharge Rate with ICD 99594 - Systemic inflammatory response syndrome due to noninfectious process with acute organ dysfunction | 38.46 |
| DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 438: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 235,369 | ||||
| Total Hospitalizations with ICD 99594 - Systemic inflammatory response syndrome due to noninfectious process with acute organ dysfunction | 641 | ||||
| DRG Share of Total Hospitalizations | 1.03 | ||||
| % of Total ICD 99594 - Systemic inflammatory response syndrome due to noninfectious process with acute organ dysfunction in DRG | 7.54 | ||||
| Avg LOS at DRG | 6.39 | ||||
| Avg LOS with ICD 99594 - Systemic inflammatory response syndrome due to noninfectious process with acute organ dysfunction | 5.36 | ||||
| Readmission Rate at DRG | 29.0 | ||||
| Readmission Rate with ICD 99594 - Systemic inflammatory response syndrome due to noninfectious process with acute organ dysfunction | 22.36 | ||||
| Unplanned Readmission Rate at DRG | 21.04 | ||||
| Unplanned Readmission Rate with ICD 99594 - Systemic inflammatory response syndrome due to noninfectious process with acute organ dysfunction | 15.49 | ||||
| Total Medicare payments at DRG | $2,435,030,298 | ||||
| Total Medicare payments with ICD 99594 - Systemic inflammatory response syndrome due to noninfectious process with acute organ dysfunction | $6,467,662 | ||||
| Total Medicare payment per Day at DRG | $1,619 | ||||
| Total Medicare payment per Day with ICD 99594 - Systemic inflammatory response syndrome due to noninfectious process with acute organ dysfunction | $1,883 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,346 | ||||
| Total Medicare payment per Hospitalization with ICD 99594 - Systemic inflammatory response syndrome due to noninfectious process with acute organ dysfunction | $10,090 | ||||
| Total Medicare Charges at DRG | $10,227,015,588 | ||||
| Total Medicare Charges with ICD 99594 - Systemic inflammatory response syndrome due to noninfectious process with acute organ dysfunction | $26,061,364 | ||||
| Avg Charges at DRG | $43,451 | ||||
| Avg Charges with ICD 99594 - Systemic inflammatory response syndrome due to noninfectious process with acute organ dysfunction | $40,657 | ||||
| Mortality Rate at DRG | 5.93 | ||||
| Mortality Rate with ICD 99594 - Systemic inflammatory response syndrome due to noninfectious process with acute organ dysfunction | 8.89 | ||||
| SNF Discharge Rate at DRG | 27.26 | ||||
| SNF Discharge Rate with ICD 99594 - Systemic inflammatory response syndrome due to noninfectious process with acute organ dysfunction | 23.87 | ||||
| Home Discharge Rate at DRG | 34.42 | ||||
| Home Discharge Rate with ICD 99594 - Systemic inflammatory response syndrome due to noninfectious process with acute organ dysfunction | 35.88 |
| DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 637: DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 917: POISONING AND TOXIC EFFECTS OF DRUGS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 305,326 | ||||
| Total Hospitalizations with ICD 99594 - Systemic inflammatory response syndrome due to noninfectious process with acute organ dysfunction | 230 | ||||
| DRG Share of Total Hospitalizations | 1.34 | ||||
| % of Total ICD 99594 - Systemic inflammatory response syndrome due to noninfectious process with acute organ dysfunction in DRG | 2.71 | ||||
| Avg LOS at DRG | 5.11 | ||||
| Avg LOS with ICD 99594 - Systemic inflammatory response syndrome due to noninfectious process with acute organ dysfunction | 4.66 | ||||
| Readmission Rate at DRG | 24.58 | ||||
| Readmission Rate with ICD 99594 - Systemic inflammatory response syndrome due to noninfectious process with acute organ dysfunction | 22.27 | ||||
| Unplanned Readmission Rate at DRG | 18.98 | ||||
| Unplanned Readmission Rate with ICD 99594 - Systemic inflammatory response syndrome due to noninfectious process with acute organ dysfunction | 17.73 | ||||
| Total Medicare payments at DRG | $2,231,748,038 | ||||
| Total Medicare payments with ICD 99594 - Systemic inflammatory response syndrome due to noninfectious process with acute organ dysfunction | $1,621,888 | ||||
| Total Medicare payment per Day at DRG | $1,430 | ||||
| Total Medicare payment per Day with ICD 99594 - Systemic inflammatory response syndrome due to noninfectious process with acute organ dysfunction | $1,513 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,309 | ||||
| Total Medicare payment per Hospitalization with ICD 99594 - Systemic inflammatory response syndrome due to noninfectious process with acute organ dysfunction | $7,052 | ||||
| Total Medicare Charges at DRG | $10,098,826,638 | ||||
| Total Medicare Charges with ICD 99594 - Systemic inflammatory response syndrome due to noninfectious process with acute organ dysfunction | $7,707,089 | ||||
| Avg Charges at DRG | $33,076 | ||||
| Avg Charges with ICD 99594 - Systemic inflammatory response syndrome due to noninfectious process with acute organ dysfunction | $33,509 | ||||
| Mortality Rate at DRG | 1.47 | ||||
| Mortality Rate with ICD 99594 - Systemic inflammatory response syndrome due to noninfectious process with acute organ dysfunction | NA | ||||
| SNF Discharge Rate at DRG | 14.55 | ||||
| SNF Discharge Rate with ICD 99594 - Systemic inflammatory response syndrome due to noninfectious process with acute organ dysfunction | 17.39 | ||||
| Home Discharge Rate at DRG | 53.12 | ||||
| Home Discharge Rate with ICD 99594 - Systemic inflammatory response syndrome due to noninfectious process with acute organ dysfunction | 49.57 |
| DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 237: MAJOR CARDIOVASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 119,208 | ||||
| Total Hospitalizations with ICD 99594 - Systemic inflammatory response syndrome due to noninfectious process with acute organ dysfunction | 185 | ||||
| DRG Share of Total Hospitalizations | 0.52 | ||||
| % of Total ICD 99594 - Systemic inflammatory response syndrome due to noninfectious process with acute organ dysfunction in DRG | 2.18 | ||||
| Avg LOS at DRG | 5.97 | ||||
| Avg LOS with ICD 99594 - Systemic inflammatory response syndrome due to noninfectious process with acute organ dysfunction | 5.82 | ||||
| Readmission Rate at DRG | 28.49 | ||||
| Readmission Rate with ICD 99594 - Systemic inflammatory response syndrome due to noninfectious process with acute organ dysfunction | 22.88 | ||||
| Unplanned Readmission Rate at DRG | 21.2 | ||||
| Unplanned Readmission Rate with ICD 99594 - Systemic inflammatory response syndrome due to noninfectious process with acute organ dysfunction | 18.3 | ||||
| Total Medicare payments at DRG | $1,381,744,311 | ||||
| Total Medicare payments with ICD 99594 - Systemic inflammatory response syndrome due to noninfectious process with acute organ dysfunction | $2,168,388 | ||||
| Total Medicare payment per Day at DRG | $1,942 | ||||
| Total Medicare payment per Day with ICD 99594 - Systemic inflammatory response syndrome due to noninfectious process with acute organ dysfunction | $2,013 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,591 | ||||
| Total Medicare payment per Hospitalization with ICD 99594 - Systemic inflammatory response syndrome due to noninfectious process with acute organ dysfunction | $11,721 | ||||
| Total Medicare Charges at DRG | $6,006,105,446 | ||||
| Total Medicare Charges with ICD 99594 - Systemic inflammatory response syndrome due to noninfectious process with acute organ dysfunction | $10,856,530 | ||||
| Avg Charges at DRG | $50,383 | ||||
| Avg Charges with ICD 99594 - Systemic inflammatory response syndrome due to noninfectious process with acute organ dysfunction | $58,684 | ||||
| Mortality Rate at DRG | 6.32 | ||||
| Mortality Rate with ICD 99594 - Systemic inflammatory response syndrome due to noninfectious process with acute organ dysfunction | 14.05 | ||||
| SNF Discharge Rate at DRG | 24.09 | ||||
| SNF Discharge Rate with ICD 99594 - Systemic inflammatory response syndrome due to noninfectious process with acute organ dysfunction | 22.16 | ||||
| Home Discharge Rate at DRG | 39.74 | ||||
| Home Discharge Rate with ICD 99594 - Systemic inflammatory response syndrome due to noninfectious process with acute organ dysfunction | 36.76 |
| DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 388: G.I. OBSTRUCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 48,677 | ||||
| Total Hospitalizations with ICD 99594 - Systemic inflammatory response syndrome due to noninfectious process with acute organ dysfunction | 135 | ||||
| DRG Share of Total Hospitalizations | 0.21 | ||||
| % of Total ICD 99594 - Systemic inflammatory response syndrome due to noninfectious process with acute organ dysfunction in DRG | 1.59 | ||||
| Avg LOS at DRG | 7.32 | ||||
| Avg LOS with ICD 99594 - Systemic inflammatory response syndrome due to noninfectious process with acute organ dysfunction | 5.69 | ||||
| Readmission Rate at DRG | 28.28 | ||||
| Readmission Rate with ICD 99594 - Systemic inflammatory response syndrome due to noninfectious process with acute organ dysfunction | 22.12 | ||||
| Unplanned Readmission Rate at DRG | 19.25 | ||||
| Unplanned Readmission Rate with ICD 99594 - Systemic inflammatory response syndrome due to noninfectious process with acute organ dysfunction | 15.38 | ||||
| Total Medicare payments at DRG | $611,802,626 | ||||
| Total Medicare payments with ICD 99594 - Systemic inflammatory response syndrome due to noninfectious process with acute organ dysfunction | $1,632,758 | ||||
| Total Medicare payment per Day at DRG | $1,718 | ||||
| Total Medicare payment per Day with ICD 99594 - Systemic inflammatory response syndrome due to noninfectious process with acute organ dysfunction | $2,126 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,569 | ||||
| Total Medicare payment per Hospitalization with ICD 99594 - Systemic inflammatory response syndrome due to noninfectious process with acute organ dysfunction | $12,095 | ||||
| Total Medicare Charges at DRG | $2,593,312,157 | ||||
| Total Medicare Charges with ICD 99594 - Systemic inflammatory response syndrome due to noninfectious process with acute organ dysfunction | $6,722,343 | ||||
| Avg Charges at DRG | $53,276 | ||||
| Avg Charges with ICD 99594 - Systemic inflammatory response syndrome due to noninfectious process with acute organ dysfunction | $49,795 | ||||
| Mortality Rate at DRG | 7.09 | ||||
| Mortality Rate with ICD 99594 - Systemic inflammatory response syndrome due to noninfectious process with acute organ dysfunction | 20.74 | ||||
| SNF Discharge Rate at DRG | 23.83 | ||||
| SNF Discharge Rate with ICD 99594 - Systemic inflammatory response syndrome due to noninfectious process with acute organ dysfunction | 17.04 | ||||
| Home Discharge Rate at DRG | 37.49 | ||||
| Home Discharge Rate with ICD 99594 - Systemic inflammatory response syndrome due to noninfectious process with acute organ dysfunction | 31.11 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| OROVILLE HOSPITAL | 2767 OLIVE HWY | OROVILLE | CA | 95966 | 445 |
| TANNER MEDICAL CENTER - CARROLLTON | 705 DIXIE ST | CARROLLTON | GA | 30117 | 131 |
| SPECTRUM HEALTH BUTTERWORTH HOSPITAL | 100 MICHIGAN ST NE | GRAND RAPIDS | MI | 49503 | 102 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. NHIA KASH VANG | 2767 OLIVE HWY | OROVILLE | CA | 95966 | 39 |
| Dr. ARDAVAN AFRASIABI | 1092 LA LIMONAR RD | NORTH TUSTIN | CA | 92705 | 33 |
| Dr. DALE BASCOM KELLON | OROVILLE HOSPITAL | OROVILLE | CA | 95966 | 18 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. NHIA KASH VANG | 2767 OLIVE HWY | OROVILLE | CA | 95966 | 40 |
| Dr. GURBIR SINGH ATWAL | 825 DELBON AVE | TURLOCK | CA | 95382 | 35 |
| Dr. ARDAVAN AFRASIABI | 1092 LA LIMONAR RD | NORTH TUSTIN | CA | 92705 | 35 |