Allegheny Health Network Healthcare at Home Hospice - ICD Diagnosis Quality Outcomes - Jan 2016 to Mar 2016


Dexur analyzed Q1 2016 (Jan 2016 to Mar 2016) Medicare claims data to show quality outcomes (Revenue per User, Revenue per Day) by ICD Diagnosis Code level for Allegheny Health Network Healthcare at Home Hospice.

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ICD Code ICD Description Total Users Total Payments Revenue per User Revenue per Day Hospice Median LOS
Z9981 (Primary or Secondary) Dependence on supplemental oxygen 252
I10 (Primary or Secondary) Essential (primary) hypertension 174
Z515 (Primary or Secondary) Encounter for palliative care 158
R630 (Primary or Secondary) Anorexia 134
G8929 (Primary or Secondary) Other chronic pain 115
R4182 (Primary or Secondary) Altered mental status, unspecified 109
F0280 (Primary or Secondary) Dementia in other diseases classified elsewhere without behavioral disturbance 107
I509 (Primary or Secondary) Heart failure, unspecified 99
G309 (Primary or Secondary) Alzheimer's disease, unspecified 97
I4891 (Primary or Secondary) Unspecified atrial fibrillation 94
E119 (Primary or Secondary) Type 2 diabetes mellitus without complications 80
Z87440 (Primary or Secondary) Personal history of urinary (tract) infections 80
I259 (Primary or Secondary) Chronic ischemic heart disease, unspecified 69
J449 (Primary or Secondary) Chronic obstructive pulmonary disease, unspecified 61
Z9181 (Primary or Secondary) History of falling 58
J441 (Primary or Secondary) Chronic obstructive pulmonary disease with (acute) exacerbation 57
Z7401 (Primary or Secondary) Bed confinement status 56
Z681 (Primary or Secondary) Body mass index (BMI) 19 or less, adult 55
R1310 (Primary or Secondary) Dysphagia, unspecified 51
G893 (Primary or Secondary) Neoplasm related pain (acute) (chronic) 50
D649 (Primary or Secondary) Anemia, unspecified 47
F339 (Primary or Secondary) Major depressive disorder, recurrent, unspecified 44
N189 (Primary or Secondary) Chronic kidney disease, unspecified 44
N179 (Primary or Secondary) Acute kidney failure, unspecified 43
E785 (Primary or Secondary) Hyperlipidemia, unspecified 42
F411 (Primary or Secondary) Generalized anxiety disorder 40
R410 (Primary or Secondary) Disorientation, unspecified 38
Z8701 (Primary or Secondary) Personal history of pneumonia (recurrent) 37
C787 (Primary or Secondary) Secondary malignant neoplasm of liver and intrahepatic bile duct 36
R32 (Primary or Secondary) Unspecified urinary incontinence 34
Z87891 (Primary or Secondary) Personal history of nicotine dependence 33
I255 (Primary or Secondary) Ischemic cardiomyopathy 33
K5900 (Primary or Secondary) Constipation, unspecified 32
Z4682 (Primary or Secondary) Encounter for fitting and adjustment of non-vascular catheter 29
I519 (Primary or Secondary) Heart disease, unspecified 28
I6930 (Primary or Secondary) Unspecified sequelae of cerebral infarction 27
K219 (Primary or Secondary) Gastro-esophageal reflux disease without esophagitis 26
C7951 (Primary or Secondary) Secondary malignant neoplasm of bone 26
E43 (Primary or Secondary) Unspecified severe protein-calorie malnutrition 26
F329 (Primary or Secondary) Major depressive disorder, single episode, unspecified 25
N183 (Primary or Secondary) Chronic kidney disease, stage 3 (moderate) 25
J918 (Primary or Secondary) Pleural effusion in other conditions classified elsewhere 25
G20 (Primary or Secondary) Parkinson's disease 24
J9601 (Primary or Secondary) Acute respiratory failure with hypoxia 24
Z79891 (Primary or Secondary) Long term (current) use of opiate analgesic 23
R159 (Primary or Secondary) Full incontinence of feces 23
J9691 (Primary or Secondary) Respiratory failure, unspecified with hypoxia 23
C7800 (Primary or Secondary) Secondary malignant neoplasm of unspecified lung 22
Z853 (Primary or Secondary) Personal history of malignant neoplasm of breast 22
I2510 (Primary or Secondary) Atherosclerotic heart disease of native coronary artery without angina pectoris 21
F0281 (Primary or Secondary) Dementia in other diseases classified elsewhere with behavioral disturbance 21
Z950 (Primary or Secondary) Presence of cardiac pacemaker 21
M1990 (Primary or Secondary) Unspecified osteoarthritis, unspecified site 21
C3490 (Primary or Secondary) Malignant neoplasm of unspecified part of unspecified bronchus or lung 19
R634 (Primary or Secondary) Abnormal weight loss 19
Z7901 (Primary or Secondary) Long term (current) use of anticoagulants 18
E039 (Primary or Secondary) Hypothyroidism, unspecified 18
Z452 (Primary or Secondary) Encounter for adjustment and management of vascular access device 17
R5383 (Primary or Secondary) Other fatigue 17
J189 (Primary or Secondary) Pneumonia, unspecified organism 16
I739 (Primary or Secondary) Peripheral vascular disease, unspecified 16
R188 (Primary or Secondary) Other ascites 16
I350 (Primary or Secondary) Nonrheumatic aortic (valve) stenosis 15
I482 (Primary or Secondary) Chronic atrial fibrillation 15
Z86711 (Primary or Secondary) Personal history of pulmonary embolism 15
N186 (Primary or Secondary) End stage renal disease 15
C61 (Primary or Secondary) Malignant neoplasm of prostate 14
C189 (Primary or Secondary) Malignant neoplasm of colon, unspecified 14
R530 (Primary or Secondary) Neoplastic (malignant) related fatigue 14
R296 (Primary or Secondary) Repeated falls 14
K7460 (Primary or Secondary) Unspecified cirrhosis of liver 14
C3400 (Primary or Secondary) Malignant neoplasm of unspecified main bronchus 13
Z86718 (Primary or Secondary) Personal history of other venous thrombosis and embolism 13
M4800 (Primary or Secondary) Spinal stenosis, site unspecified 13
J690 (Primary or Secondary) Pneumonitis due to inhalation of food and vomit 13
C259 (Primary or Secondary) Malignant neoplasm of pancreas, unspecified 13
R531 (Primary or Secondary) Weakness 13
N400 (Primary or Secondary) Benign prostatic hyperplasia without lower urinary tract symptoms 12
R64 (Primary or Secondary) Cachexia 12
I890 (Primary or Secondary) Lymphedema, not elsewhere classified 12
I252 (Primary or Secondary) Old myocardial infarction 12
R918 (Primary or Secondary) Other nonspecific abnormal finding of lung field 12
C7931 (Primary or Secondary) Secondary malignant neoplasm of brain 12
R262 (Primary or Secondary) Difficulty in walking, not elsewhere classified 11
Z993 (Primary or Secondary) Dependence on wheelchair 11
Z794 (Primary or Secondary) Long term (current) use of insulin 11
R627 (Primary or Secondary) Adult failure to thrive 11
I5030 (Primary or Secondary) Unspecified diastolic (congestive) heart failure 11
Z95810 (Primary or Secondary) Presence of automatic (implantable) cardiac defibrillator 11