Allegheny Health Network Healthcare at Home Hospice - ICD Diagnosis Quality Outcomes - Jan 2018 to Mar 2018


Dexur analyzed Q1 2018 (Jan 2018 to Mar 2018) 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 297
I10 (Primary or Secondary) Essential (primary) hypertension 247
Z9181 (Primary or Secondary) History of falling 224
I2510 (Primary or Secondary) Atherosclerotic heart disease of native coronary artery without angina pectoris 213
I4891 (Primary or Secondary) Unspecified atrial fibrillation 146
I509 (Primary or Secondary) Heart failure, unspecified 139
Z466 (Primary or Secondary) Encounter for fitting and adjustment of urinary device 135
J449 (Primary or Secondary) Chronic obstructive pulmonary disease, unspecified 128
F419 (Primary or Secondary) Anxiety disorder, unspecified 121
F0280 (Primary or Secondary) Dementia in other diseases classified elsewhere without behavioral disturbance 120
Z7901 (Primary or Secondary) Long term (current) use of anticoagulants 116
E119 (Primary or Secondary) Type 2 diabetes mellitus without complications 108
K219 (Primary or Secondary) Gastro-esophageal reflux disease without esophagitis 108
G309 (Primary or Secondary) Alzheimer's disease, unspecified 107
E039 (Primary or Secondary) Hypothyroidism, unspecified 106
E785 (Primary or Secondary) Hyperlipidemia, unspecified 102
D649 (Primary or Secondary) Anemia, unspecified 102
Z87891 (Primary or Secondary) Personal history of nicotine dependence 100
F329 (Primary or Secondary) Major depressive disorder, single episode, unspecified 99
M6281 (Primary or Secondary) Muscle weakness (generalized) 86
R630 (Primary or Secondary) Anorexia 85
Z8673 (Primary or Secondary) Personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits 85
M1990 (Primary or Secondary) Unspecified osteoarthritis, unspecified site 83
R1310 (Primary or Secondary) Dysphagia, unspecified 82
J441 (Primary or Secondary) Chronic obstructive pulmonary disease with (acute) exacerbation 79
I110 (Primary or Secondary) Hypertensive heart disease with heart failure 79
Z681 (Primary or Secondary) Body mass index (BMI) 19 or less, adult 77
N183 (Primary or Secondary) Chronic kidney disease, stage 3 (moderate) 76
R4182 (Primary or Secondary) Altered mental status, unspecified 75
Z87440 (Primary or Secondary) Personal history of urinary (tract) infections 72
I739 (Primary or Secondary) Peripheral vascular disease, unspecified 68
R5381 (Primary or Secondary) Other malaise 67
N189 (Primary or Secondary) Chronic kidney disease, unspecified 66
F0390 (Primary or Secondary) Unspecified dementia without behavioral disturbance 66
N400 (Primary or Secondary) Benign prostatic hyperplasia without lower urinary tract symptoms 64
Z950 (Primary or Secondary) Presence of cardiac pacemaker 64
R634 (Primary or Secondary) Abnormal weight loss 63
Z9221 (Primary or Secondary) Personal history of antineoplastic chemotherapy 61
I129 (Primary or Secondary) Hypertensive chronic kidney disease with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease 60
R5383 (Primary or Secondary) Other fatigue 58
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 56
Z8701 (Primary or Secondary) Personal history of pneumonia (recurrent) 49
Z794 (Primary or Secondary) Long term (current) use of insulin 49
J189 (Primary or Secondary) Pneumonia, unspecified organism 47
J9601 (Primary or Secondary) Acute respiratory failure with hypoxia 47
G20 (Primary or Secondary) Parkinson's disease 44
I252 (Primary or Secondary) Old myocardial infarction 41
Z452 (Primary or Secondary) Encounter for adjustment and management of vascular access device 40
M810 (Primary or Secondary) Age-related osteoporosis without current pathological fracture 40
C7951 (Primary or Secondary) Secondary malignant neoplasm of bone 39
Z7982 (Primary or Secondary) Long term (current) use of aspirin 39
N179 (Primary or Secondary) Acute kidney failure, unspecified 38
E46 (Primary or Secondary) Unspecified protein-calorie malnutrition 38
E1122 (Primary or Secondary) Type 2 diabetes mellitus with diabetic chronic kidney disease 38
R64 (Primary or Secondary) Cachexia 38
R1312 (Primary or Secondary) Dysphagia, oropharyngeal phase 37
I482 (Primary or Secondary) Chronic atrial fibrillation 36
Z515 (Primary or Secondary) Encounter for palliative care 36
Z923 (Primary or Secondary) Personal history of irradiation 34
I480 (Primary or Secondary) Paroxysmal atrial fibrillation 33
I255 (Primary or Secondary) Ischemic cardiomyopathy 33
Z951 (Primary or Secondary) Presence of aortocoronary bypass graft 33
C787 (Primary or Secondary) Secondary malignant neoplasm of liver and intrahepatic bile duct 33
J440 (Primary or Secondary) Chronic obstructive pulmonary disease with acute lower respiratory infection 32
I350 (Primary or Secondary) Nonrheumatic aortic (valve) stenosis 32
K5900 (Primary or Secondary) Constipation, unspecified 32
C3490 (Primary or Secondary) Malignant neoplasm of unspecified part of unspecified bronchus or lung 32
Z95810 (Primary or Secondary) Presence of automatic (implantable) cardiac defibrillator 31
N390 (Primary or Secondary) Urinary tract infection, site not specified 31
I5032 (Primary or Secondary) Chronic diastolic (congestive) heart failure 28
Z86718 (Primary or Secondary) Personal history of other venous thrombosis and embolism 28
N186 (Primary or Secondary) End stage renal disease 28
Z853 (Primary or Secondary) Personal history of malignant neoplasm of breast 27
G8929 (Primary or Secondary) Other chronic pain 26
Z7401 (Primary or Secondary) Bed confinement status 25
R627 (Primary or Secondary) Adult failure to thrive 24
G40909 (Primary or Secondary) Epilepsy, unspecified, not intractable, without status epilepticus 24
H3530 (Primary or Secondary) Unspecified macular degeneration 24
G629 (Primary or Secondary) Polyneuropathy, unspecified 24
E1140 (Primary or Secondary) Type 2 diabetes mellitus with diabetic neuropathy, unspecified 23
Z955 (Primary or Secondary) Presence of coronary angioplasty implant and graft 23
Z86711 (Primary or Secondary) Personal history of pulmonary embolism 23
G4733 (Primary or Secondary) Obstructive sleep apnea (adult) (pediatric) 22
E43 (Primary or Secondary) Unspecified severe protein-calorie malnutrition 22
Z9049 (Primary or Secondary) Acquired absence of other specified parts of digestive tract 21
I5022 (Primary or Secondary) Chronic systolic (congestive) heart failure 21
I429 (Primary or Secondary) Cardiomyopathy, unspecified 21
A419 (Primary or Secondary) Sepsis, unspecified organism 21
I69354 (Primary or Secondary) Hemiplegia and hemiparesis following cerebral infarction affecting left non-dominant side 20
M549 (Primary or Secondary) Dorsalgia, unspecified 20
E1121 (Primary or Secondary) Type 2 diabetes mellitus with diabetic nephropathy 20
I2720 (Primary or Secondary) Pulmonary hypertension, unspecified 20
Z6820 (Primary or Secondary) Body mass index (BMI) 20.0-20.9, adult 19
I6930 (Primary or Secondary) Unspecified sequelae of cerebral infarction 19
C7931 (Primary or Secondary) Secondary malignant neoplasm of brain 19
R269 (Primary or Secondary) Unspecified abnormalities of gait and mobility 19
I69351 (Primary or Secondary) Hemiplegia and hemiparesis following cerebral infarction affecting right dominant side 19
F0281 (Primary or Secondary) Dementia in other diseases classified elsewhere with behavioral disturbance 19
F0150 (Primary or Secondary) Vascular dementia without behavioral disturbance 18
I214 (Primary or Secondary) Non-ST elevation (NSTEMI) myocardial infarction 18
M4800 (Primary or Secondary) Spinal stenosis, site unspecified 18
Z8546 (Primary or Secondary) Personal history of malignant neoplasm of prostate 18
G893 (Primary or Secondary) Neoplasm related pain (acute) (chronic) 18
I872 (Primary or Secondary) Venous insufficiency (chronic) (peripheral) 18
I6529 (Primary or Secondary) Occlusion and stenosis of unspecified carotid artery 18
J45909 (Primary or Secondary) Unspecified asthma, uncomplicated 18
C7800 (Primary or Secondary) Secondary malignant neoplasm of unspecified lung 18
J690 (Primary or Secondary) Pneumonitis due to inhalation of food and vomit 17
D500 (Primary or Secondary) Iron deficiency anemia secondary to blood loss (chronic) 17
J9600 (Primary or Secondary) Acute respiratory failure, unspecified whether with hypoxia or hypercapnia 17
L89152 (Primary or Secondary) Pressure ulcer of sacral region, stage 2 17
J9621 (Primary or Secondary) Acute and chronic respiratory failure with hypoxia 17
R600 (Primary or Secondary) Localized edema 17
J9611 (Primary or Secondary) Chronic respiratory failure with hypoxia 17
I69391 (Primary or Secondary) Dysphagia following cerebral infarction 17
I69320 (Primary or Secondary) Aphasia following cerebral infarction 16
I5030 (Primary or Secondary) Unspecified diastolic (congestive) heart failure 16
R918 (Primary or Secondary) Other nonspecific abnormal finding of lung field 16
E1151 (Primary or Secondary) Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene 16
K922 (Primary or Secondary) Gastrointestinal hemorrhage, unspecified 15
C189 (Primary or Secondary) Malignant neoplasm of colon, unspecified 15
M109 (Primary or Secondary) Gout, unspecified 15
Z6822 (Primary or Secondary) Body mass index (BMI) 22.0-22.9, adult 15
N184 (Primary or Secondary) Chronic kidney disease, stage 4 (severe) 15
Z6821 (Primary or Secondary) Body mass index (BMI) 21.0-21.9, adult 15
Z9989 (Primary or Secondary) Dependence on other enabling machines and devices 15
I69318 (Primary or Secondary) Other symptoms and signs involving cognitive functions following cerebral infarction 14
I714 (Primary or Secondary) Abdominal aortic aneurysm, without rupture 14
C259 (Primary or Secondary) Malignant neoplasm of pancreas, unspecified 14
J8410 (Primary or Secondary) Pulmonary fibrosis, unspecified 14
R339 (Primary or Secondary) Retention of urine, unspecified 14
F17210 (Primary or Secondary) Nicotine dependence, cigarettes, uncomplicated 14
E559 (Primary or Secondary) Vitamin D deficiency, unspecified 13
Z933 (Primary or Secondary) Colostomy status 13
J9691 (Primary or Secondary) Respiratory failure, unspecified with hypoxia 13
D509 (Primary or Secondary) Iron deficiency anemia, unspecified 13
M159 (Primary or Secondary) Polyosteoarthritis, unspecified 13
R451 (Primary or Secondary) Restlessness and agitation 13
R188 (Primary or Secondary) Other ascites 13
F05 (Primary or Secondary) Delirium due to known physiological condition 13
R112 (Primary or Secondary) Nausea with vomiting, unspecified 13
M545 (Primary or Secondary) Low back pain 13
F17200 (Primary or Secondary) Nicotine dependence, unspecified, uncomplicated 12
F339 (Primary or Secondary) Major depressive disorder, recurrent, unspecified 12
E7800 (Primary or Secondary) Pure hypercholesterolemia, unspecified 12
F3289 (Primary or Secondary) Other specified depressive episodes 12
K7460 (Primary or Secondary) Unspecified cirrhosis of liver 12
Z952 (Primary or Secondary) Presence of prosthetic heart valve 11
I5043 (Primary or Secondary) Acute on chronic combined systolic (congestive) and diastolic (congestive) heart failure 11
I25119 (Primary or Secondary) Atherosclerotic heart disease of native coronary artery with unspecified angina pectoris 11
Z931 (Primary or Secondary) Gastrostomy status 11
R410 (Primary or Secondary) Disorientation, unspecified 11
B370 (Primary or Secondary) Candidal stomatitis 11
Z9689 (Primary or Secondary) Presence of other specified functional implants 11
E1165 (Primary or Secondary) Type 2 diabetes mellitus with hyperglycemia 11
J918 (Primary or Secondary) Pleural effusion in other conditions classified elsewhere 11