| V1209 - Personal history of other infectious and parasitic diseases - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 15.96 | |
| 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 885: PSYCHOSES | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 841,082 | ||||
| Total Hospitalizations with ICD V1209 - Personal history of other infectious and parasitic diseases | 5,637 | ||||
| DRG Share of Total Hospitalizations | 3.68 | ||||
| % of Total ICD V1209 - Personal history of other infectious and parasitic diseases in DRG | 5.33 | ||||
| Avg LOS at DRG | 11.58 | ||||
| Avg LOS with ICD V1209 - Personal history of other infectious and parasitic diseases | 9.72 | ||||
| Readmission Rate at DRG | 26.57 | ||||
| Readmission Rate with ICD V1209 - Personal history of other infectious and parasitic diseases | 30.05 | ||||
| Unplanned Readmission Rate at DRG | 13.06 | ||||
| Unplanned Readmission Rate with ICD V1209 - Personal history of other infectious and parasitic diseases | 15.26 | ||||
| Total Medicare payments at DRG | $6,792,290,994 | ||||
| Total Medicare payments with ICD V1209 - Personal history of other infectious and parasitic diseases | $41,199,304 | ||||
| Total Medicare payment per Day at DRG | $697 | ||||
| Total Medicare payment per Day with ICD V1209 - Personal history of other infectious and parasitic diseases | $752 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,076 | ||||
| Total Medicare payment per Hospitalization with ICD V1209 - Personal history of other infectious and parasitic diseases | $7,309 | ||||
| Total Medicare Charges at DRG | $21,353,545,675 | ||||
| Total Medicare Charges with ICD V1209 - Personal history of other infectious and parasitic diseases | $140,047,094 | ||||
| Avg Charges at DRG | $25,388 | ||||
| Avg Charges with ICD V1209 - Personal history of other infectious and parasitic diseases | $24,844 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD V1209 - Personal history of other infectious and parasitic diseases | NA | ||||
| SNF Discharge Rate at DRG | 6.24 | ||||
| SNF Discharge Rate with ICD V1209 - Personal history of other infectious and parasitic diseases | 4.1 | ||||
| Home Discharge Rate at DRG | 78.4 | ||||
| Home Discharge Rate with ICD V1209 - Personal history of other infectious and parasitic diseases | 82.08 |
| DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 285,340 | ||||
| Total Hospitalizations with ICD V1209 - Personal history of other infectious and parasitic diseases | 1,862 | ||||
| DRG Share of Total Hospitalizations | 1.25 | ||||
| % of Total ICD V1209 - Personal history of other infectious and parasitic diseases in DRG | 1.76 | ||||
| Avg LOS at DRG | 4.24 | ||||
| Avg LOS with ICD V1209 - Personal history of other infectious and parasitic diseases | 3.94 | ||||
| Readmission Rate at DRG | 16.32 | ||||
| Readmission Rate with ICD V1209 - Personal history of other infectious and parasitic diseases | 17.85 | ||||
| Unplanned Readmission Rate at DRG | 10.58 | ||||
| Unplanned Readmission Rate with ICD V1209 - Personal history of other infectious and parasitic diseases | 12.51 | ||||
| Total Medicare payments at DRG | $1,475,002,556 | ||||
| Total Medicare payments with ICD V1209 - Personal history of other infectious and parasitic diseases | $9,748,932 | ||||
| Total Medicare payment per Day at DRG | $1,218 | ||||
| Total Medicare payment per Day with ICD V1209 - Personal history of other infectious and parasitic diseases | $1,328 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,169 | ||||
| Total Medicare payment per Hospitalization with ICD V1209 - Personal history of other infectious and parasitic diseases | $5,236 | ||||
| Total Medicare Charges at DRG | $6,348,002,652 | ||||
| Total Medicare Charges with ICD V1209 - Personal history of other infectious and parasitic diseases | $41,387,158 | ||||
| Avg Charges at DRG | $22,247 | ||||
| Avg Charges with ICD V1209 - Personal history of other infectious and parasitic diseases | $22,227 | ||||
| Mortality Rate at DRG | 0.12 | ||||
| Mortality Rate with ICD V1209 - Personal history of other infectious and parasitic diseases | NA | ||||
| SNF Discharge Rate at DRG | 15.9 | ||||
| SNF Discharge Rate with ICD V1209 - Personal history of other infectious and parasitic diseases | 9.72 | ||||
| Home Discharge Rate at DRG | 54.0 | ||||
| Home Discharge Rate with ICD V1209 - Personal history of other infectious and parasitic diseases | 61.6 |
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 311,763 | ||||
| Total Hospitalizations with ICD V1209 - Personal history of other infectious and parasitic diseases | 1,355 | ||||
| DRG Share of Total Hospitalizations | 1.36 | ||||
| % of Total ICD V1209 - Personal history of other infectious and parasitic diseases in DRG | 1.28 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD V1209 - Personal history of other infectious and parasitic diseases | 4.26 | ||||
| Readmission Rate at DRG | 23.41 | ||||
| Readmission Rate with ICD V1209 - Personal history of other infectious and parasitic diseases | 25.91 | ||||
| Unplanned Readmission Rate at DRG | 16.67 | ||||
| Unplanned Readmission Rate with ICD V1209 - Personal history of other infectious and parasitic diseases | 18.77 | ||||
| Total Medicare payments at DRG | $1,867,955,174 | ||||
| Total Medicare payments with ICD V1209 - Personal history of other infectious and parasitic diseases | $8,449,819 | ||||
| Total Medicare payment per Day at DRG | $1,382 | ||||
| Total Medicare payment per Day with ICD V1209 - Personal history of other infectious and parasitic diseases | $1,465 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,992 | ||||
| Total Medicare payment per Hospitalization with ICD V1209 - Personal history of other infectious and parasitic diseases | $6,236 | ||||
| Total Medicare Charges at DRG | $8,358,483,119 | ||||
| Total Medicare Charges with ICD V1209 - Personal history of other infectious and parasitic diseases | $34,855,544 | ||||
| Avg Charges at DRG | $26,810 | ||||
| Avg Charges with ICD V1209 - Personal history of other infectious and parasitic diseases | $25,724 | ||||
| Mortality Rate at DRG | 1.37 | ||||
| Mortality Rate with ICD V1209 - Personal history of other infectious and parasitic diseases | 0.81 | ||||
| SNF Discharge Rate at DRG | 23.3 | ||||
| SNF Discharge Rate with ICD V1209 - Personal history of other infectious and parasitic diseases | 17.86 | ||||
| Home Discharge Rate at DRG | 45.55 | ||||
| Home Discharge Rate with ICD V1209 - Personal history of other infectious and parasitic diseases | 53.43 |
| DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 414,616 | ||||
| Total Hospitalizations with ICD V1209 - Personal history of other infectious and parasitic diseases | 1,217 | ||||
| DRG Share of Total Hospitalizations | 1.81 | ||||
| % of Total ICD V1209 - Personal history of other infectious and parasitic diseases in DRG | 1.15 | ||||
| Avg LOS at DRG | 4.4 | ||||
| Avg LOS with ICD V1209 - Personal history of other infectious and parasitic diseases | 4.11 | ||||
| Readmission Rate at DRG | 25.69 | ||||
| Readmission Rate with ICD V1209 - Personal history of other infectious and parasitic diseases | 27.6 | ||||
| Unplanned Readmission Rate at DRG | 19.35 | ||||
| Unplanned Readmission Rate with ICD V1209 - Personal history of other infectious and parasitic diseases | 21.45 | ||||
| Total Medicare payments at DRG | $2,579,957,747 | ||||
| Total Medicare payments with ICD V1209 - Personal history of other infectious and parasitic diseases | $7,685,714 | ||||
| Total Medicare payment per Day at DRG | $1,415 | ||||
| Total Medicare payment per Day with ICD V1209 - Personal history of other infectious and parasitic diseases | $1,536 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,223 | ||||
| Total Medicare payment per Hospitalization with ICD V1209 - Personal history of other infectious and parasitic diseases | $6,315 | ||||
| Total Medicare Charges at DRG | $11,090,898,185 | ||||
| Total Medicare Charges with ICD V1209 - Personal history of other infectious and parasitic diseases | $31,943,192 | ||||
| Avg Charges at DRG | $26,750 | ||||
| Avg Charges with ICD V1209 - Personal history of other infectious and parasitic diseases | $26,247 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD V1209 - Personal history of other infectious and parasitic diseases | NA | ||||
| SNF Discharge Rate at DRG | 17.4 | ||||
| SNF Discharge Rate with ICD V1209 - Personal history of other infectious and parasitic diseases | 13.97 | ||||
| Home Discharge Rate at DRG | 45.44 | ||||
| Home Discharge Rate with ICD V1209 - Personal history of other infectious and parasitic diseases | 52.59 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| THOMAS JEFFERSON UNIVERSITY HOSPITAL | 111 S 11TH ST | PHILADELPHIA | PA | 19107 | 513 |
| SENTARA MARTHA JEFFERSON HOSPITAL | 500 MARTHA JEFFERSON DR | CHARLOTTESVILLE | VA | 22911 | 441 |
| HOUSTON METHODIST HOSPITAL | 6565 FANNIN ST | HOUSTON | TX | 77030 | 421 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. WILLIAM W BOWEN | 84 MADRONE ST | WILLITS | CA | 95490 | 47 |
| Dr. RONALD S KLEIN | 485 N OCEAN AVENUE | PATCHOGUE | NY | 11772 | 45 |
| Dr. EDNER PIERRE-LOUIS | 2 PARK AVE | YONKERS | NY | 10703 | 36 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. MARK A FREDRICKSON | 1800 HERITAGE BLVD | MIDLAND | TX | 79707 | 98 |
| Dr. MICHAEL W HENNIGAN | 1847 FLORIDA AVE | PANAMA CITY | FL | 32405 | 68 |
| Dr. JULIE FORREST | 345 BLACKSTONE BLVD | PROVIDENCE | RI | 02906 | 66 |