Gulfside Hospice - ICD Diagnosis Quality Outcomes - Apr 2016 to June 2016


Dexur analyzed Q2 2016 (Apr 2016 to June 2016) Medicare claims data to show quality outcomes (Revenue per User, Revenue per Day) by ICD Diagnosis Code level for Gulfside Hospice.

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ICD Code ICD Description Total Users Total Payments Revenue per User Revenue per Day Hospice Median LOS
I10 (Primary or Secondary) Essential (primary) hypertension 287
I2510 (Primary or Secondary) Atherosclerotic heart disease of native coronary artery without angina pectoris 280
R634 (Primary or Secondary) Abnormal weight loss 215
R630 (Primary or Secondary) Anorexia 181
Z87891 (Primary or Secondary) Personal history of nicotine dependence 180
R1310 (Primary or Secondary) Dysphagia, unspecified 167
J449 (Primary or Secondary) Chronic obstructive pulmonary disease, unspecified 166
I509 (Primary or Secondary) Heart failure, unspecified 165
I129 (Primary or Secondary) Hypertensive chronic kidney disease with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease 160
Z466 (Primary or Secondary) Encounter for fitting and adjustment of urinary device 147
I4891 (Primary or Secondary) Unspecified atrial fibrillation 134
Z9981 (Primary or Secondary) Dependence on supplemental oxygen 134
Z9181 (Primary or Secondary) History of falling 119
N183 (Primary or Secondary) Chronic kidney disease, stage 3 (moderate) 113
J441 (Primary or Secondary) Chronic obstructive pulmonary disease with (acute) exacerbation 109
E119 (Primary or Secondary) Type 2 diabetes mellitus without complications 108
G309 (Primary or Secondary) Alzheimer's disease, unspecified 92
F0280 (Primary or Secondary) Dementia in other diseases classified elsewhere without behavioral disturbance 83
R531 (Primary or Secondary) Weakness 81
E46 (Primary or Secondary) Unspecified protein-calorie malnutrition 78
I739 (Primary or Secondary) Peripheral vascular disease, unspecified 77
Z681 (Primary or Secondary) Body mass index (BMI) 19 or less, adult 74
Z7401 (Primary or Secondary) Bed confinement status 65
Z951 (Primary or Secondary) Presence of aortocoronary bypass graft 60
Z8673 (Primary or Secondary) Personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits 56
N390 (Primary or Secondary) Urinary tract infection, site not specified 56
F0390 (Primary or Secondary) Unspecified dementia without behavioral disturbance 55
R627 (Primary or Secondary) Adult failure to thrive 55
F0281 (Primary or Secondary) Dementia in other diseases classified elsewhere with behavioral disturbance 54
Z950 (Primary or Secondary) Presence of cardiac pacemaker 53
N189 (Primary or Secondary) Chronic kidney disease, unspecified 52
E785 (Primary or Secondary) Hyperlipidemia, unspecified 46
I480 (Primary or Secondary) Paroxysmal atrial fibrillation 46
I519 (Primary or Secondary) Heart disease, unspecified 43
J189 (Primary or Secondary) Pneumonia, unspecified organism 43
F329 (Primary or Secondary) Major depressive disorder, single episode, unspecified 42
F0150 (Primary or Secondary) Vascular dementia without behavioral disturbance 41
I6931 (Primary or Secondary) Cognitive deficits following cerebral infarction 40
I272 (Primary or Secondary) Other secondary pulmonary hypertension 40
E1122 (Primary or Secondary) Type 2 diabetes mellitus with diabetic chronic kidney disease 39
E1142 (Primary or Secondary) Type 2 diabetes mellitus with diabetic polyneuropathy 39
I252 (Primary or Secondary) Old myocardial infarction 39
I69391 (Primary or Secondary) Dysphagia following cerebral infarction 38
G893 (Primary or Secondary) Neoplasm related pain (acute) (chronic) 38
I482 (Primary or Secondary) Chronic atrial fibrillation 37
J45909 (Primary or Secondary) Unspecified asthma, uncomplicated 35
C3490 (Primary or Secondary) Malignant neoplasm of unspecified part of unspecified bronchus or lung 34
N186 (Primary or Secondary) End stage renal disease 34
C7951 (Primary or Secondary) Secondary malignant neoplasm of bone 33
N184 (Primary or Secondary) Chronic kidney disease, stage 4 (severe) 33
Z66 (Primary or Secondary) Do not resuscitate 32
I429 (Primary or Secondary) Cardiomyopathy, unspecified 32
C787 (Primary or Secondary) Secondary malignant neoplasm of liver and intrahepatic bile duct 32
I120 (Primary or Secondary) Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease 31
L89152 (Primary or Secondary) Pressure ulcer of sacral region, stage 2 31
F419 (Primary or Secondary) Anxiety disorder, unspecified 30
I495 (Primary or Secondary) Sick sinus syndrome 30
Z85828 (Primary or Secondary) Personal history of other malignant neoplasm of skin 30
J690 (Primary or Secondary) Pneumonitis due to inhalation of food and vomit 29
Z720 (Primary or Secondary) Tobacco use 29
G9340 (Primary or Secondary) Encephalopathy, unspecified 29
G609 (Primary or Secondary) Hereditary and idiopathic neuropathy, unspecified 29
G308 (Primary or Secondary) Other Alzheimer's disease 28
Z8546 (Primary or Secondary) Personal history of malignant neoplasm of prostate 28
J9610 (Primary or Secondary) Chronic respiratory failure, unspecified whether with hypoxia or hypercapnia 28
I25119 (Primary or Secondary) Atherosclerotic heart disease of native coronary artery with unspecified angina pectoris 27
I679 (Primary or Secondary) Cerebrovascular disease, unspecified 27
J440 (Primary or Secondary) Chronic obstructive pulmonary disease with acute lower respiratory infection 27
I255 (Primary or Secondary) Ischemic cardiomyopathy 26
R296 (Primary or Secondary) Repeated falls 26
K219 (Primary or Secondary) Gastro-esophageal reflux disease without esophagitis 25
G20 (Primary or Secondary) Parkinson's disease 25
I672 (Primary or Secondary) Cerebral atherosclerosis 25
F05 (Primary or Secondary) Delirium due to known physiological condition 24
N179 (Primary or Secondary) Acute kidney failure, unspecified 24
Z431 (Primary or Secondary) Encounter for attention to gastrostomy 24
R32 (Primary or Secondary) Unspecified urinary incontinence 24
R64 (Primary or Secondary) Cachexia 23
I639 (Primary or Secondary) Cerebral infarction, unspecified 23
Z79891 (Primary or Secondary) Long term (current) use of opiate analgesic 23
Z853 (Primary or Secondary) Personal history of malignant neoplasm of breast 23
A419 (Primary or Secondary) Sepsis, unspecified organism 23
I350 (Primary or Secondary) Nonrheumatic aortic (valve) stenosis 23
G3109 (Primary or Secondary) Other frontotemporal dementia 23
J9690 (Primary or Secondary) Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia 22
I959 (Primary or Secondary) Hypotension, unspecified 22
I69320 (Primary or Secondary) Aphasia following cerebral infarction 22
I69354 (Primary or Secondary) Hemiplegia and hemiparesis following cerebral infarction affecting left non-dominant side 21
Z85038 (Primary or Secondary) Personal history of other malignant neoplasm of large intestine 21
I5022 (Primary or Secondary) Chronic systolic (congestive) heart failure 21
R112 (Primary or Secondary) Nausea with vomiting, unspecified 21
I130 (Primary or Secondary) Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease 21
Z8701 (Primary or Secondary) Personal history of pneumonia (recurrent) 20
R1312 (Primary or Secondary) Dysphagia, oropharyngeal phase 20
F0151 (Primary or Secondary) Vascular dementia with behavioral disturbance 20
J8410 (Primary or Secondary) Pulmonary fibrosis, unspecified 20
I5032 (Primary or Secondary) Chronic diastolic (congestive) heart failure 20
A047 (Primary or Secondary) Enterocolitis due to Clostridium difficile 19
F0391 (Primary or Secondary) Unspecified dementia with behavioral disturbance 19
R159 (Primary or Secondary) Full incontinence of feces 19
E1151 (Primary or Secondary) Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene 19
I69351 (Primary or Secondary) Hemiplegia and hemiparesis following cerebral infarction affecting right dominant side 19
Z6823 (Primary or Secondary) Body mass index (BMI) 23.0-23.9, adult 19
G40909 (Primary or Secondary) Epilepsy, unspecified, not intractable, without status epilepticus 19
Z7952 (Primary or Secondary) Long term (current) use of systemic steroids 18
Z86718 (Primary or Secondary) Personal history of other venous thrombosis and embolism 18
Z87440 (Primary or Secondary) Personal history of urinary (tract) infections 18
I6930 (Primary or Secondary) Unspecified sequelae of cerebral infarction 18
Z8679 (Primary or Secondary) Personal history of other diseases of the circulatory system 18
M1990 (Primary or Secondary) Unspecified osteoarthritis, unspecified site 18
I5030 (Primary or Secondary) Unspecified diastolic (congestive) heart failure 18
E039 (Primary or Secondary) Hypothyroidism, unspecified 17
C7931 (Primary or Secondary) Secondary malignant neoplasm of brain 17
I5020 (Primary or Secondary) Unspecified systolic (congestive) heart failure 17
G301 (Primary or Secondary) Alzheimer's disease with late onset 17
J9600 (Primary or Secondary) Acute respiratory failure, unspecified whether with hypoxia or hypercapnia 16
D649 (Primary or Secondary) Anemia, unspecified 16
E1165 (Primary or Secondary) Type 2 diabetes mellitus with hyperglycemia 16
K7460 (Primary or Secondary) Unspecified cirrhosis of liver 16
Z794 (Primary or Secondary) Long term (current) use of insulin 16
Z6822 (Primary or Secondary) Body mass index (BMI) 22.0-22.9, adult 16
Z7901 (Primary or Secondary) Long term (current) use of anticoagulants 15
I700 (Primary or Secondary) Atherosclerosis of aorta 15
I69398 (Primary or Secondary) Other sequelae of cerebral infarction 15
H548 (Primary or Secondary) Legal blindness, as defined in USA 15
Z22322 (Primary or Secondary) Carrier or suspected carrier of Methicillin resistant Staphylococcus aureus 14
G9341 (Primary or Secondary) Metabolic encephalopathy 14
F1120 (Primary or Secondary) Opioid dependence, uncomplicated 14
I214 (Primary or Secondary) Non-ST elevation (NSTEMI) myocardial infarction 14
M810 (Primary or Secondary) Age-related osteoporosis without current pathological fracture 13
C7801 (Primary or Secondary) Secondary malignant neoplasm of right lung 13
I872 (Primary or Secondary) Venous insufficiency (chronic) (peripheral) 13
Z95810 (Primary or Secondary) Presence of automatic (implantable) cardiac defibrillator 13
E1140 (Primary or Secondary) Type 2 diabetes mellitus with diabetic neuropathy, unspecified 13
C7802 (Primary or Secondary) Secondary malignant neoplasm of left lung 13
E43 (Primary or Secondary) Unspecified severe protein-calorie malnutrition 13
C189 (Primary or Secondary) Malignant neoplasm of colon, unspecified 13
R4189 (Primary or Secondary) Other symptoms and signs involving cognitive functions and awareness 13
F1021 (Primary or Secondary) Alcohol dependence, in remission 13
N182 (Primary or Secondary) Chronic kidney disease, stage 2 (mild) 13
J9611 (Primary or Secondary) Chronic respiratory failure with hypoxia 13
F17200 (Primary or Secondary) Nicotine dependence, unspecified, uncomplicated 12
I1310 (Primary or Secondary) Hypertensive heart and chronic kidney disease without heart failure, with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease 12
Z6825 (Primary or Secondary) Body mass index (BMI) 25.0-25.9, adult 12
F1020 (Primary or Secondary) Alcohol dependence, uncomplicated 12
R6521 (Primary or Secondary) Severe sepsis with septic shock 12
Z6826 (Primary or Secondary) Body mass index (BMI) 26.0-26.9, adult 12
N400 (Primary or Secondary) Benign prostatic hyperplasia without lower urinary tract symptoms 11
L89620 (Primary or Secondary) Pressure ulcer of left heel, unstageable 11
Z952 (Primary or Secondary) Presence of prosthetic heart valve 11
D631 (Primary or Secondary) Anemia in chronic kidney disease 11
Z8614 (Primary or Secondary) Personal history of Methicillin resistant Staphylococcus aureus infection 11
R590 (Primary or Secondary) Localized enlarged lymph nodes 11
H3530 (Primary or Secondary) Unspecified macular degeneration 11
Z6824 (Primary or Secondary) Body mass index (BMI) 24.0-24.9, adult 11