Allegheny Health Network Healthcare at Home Hospice - ICD Diagnosis Quality Outcomes - Oct 2017 to Dec 2017


Dexur analyzed Q4 2017 (Oct 2017 to Dec 2017) 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 238
I10 (Primary or Secondary) Essential (primary) hypertension 233
I2510 (Primary or Secondary) Atherosclerotic heart disease of native coronary artery without angina pectoris 176
I509 (Primary or Secondary) Heart failure, unspecified 160
I4891 (Primary or Secondary) Unspecified atrial fibrillation 143
F0280 (Primary or Secondary) Dementia in other diseases classified elsewhere without behavioral disturbance 142
G309 (Primary or Secondary) Alzheimer's disease, unspecified 140
J449 (Primary or Secondary) Chronic obstructive pulmonary disease, unspecified 138
E119 (Primary or Secondary) Type 2 diabetes mellitus without complications 131
D649 (Primary or Secondary) Anemia, unspecified 104
F329 (Primary or Secondary) Major depressive disorder, single episode, unspecified 104
Z9181 (Primary or Secondary) History of falling 98
F419 (Primary or Secondary) Anxiety disorder, unspecified 93
K219 (Primary or Secondary) Gastro-esophageal reflux disease without esophagitis 88
Z7901 (Primary or Secondary) Long term (current) use of anticoagulants 87
Z681 (Primary or Secondary) Body mass index (BMI) 19 or less, adult 86
M6281 (Primary or Secondary) Muscle weakness (generalized) 86
Z466 (Primary or Secondary) Encounter for fitting and adjustment of urinary device 81
E039 (Primary or Secondary) Hypothyroidism, unspecified 80
J441 (Primary or Secondary) Chronic obstructive pulmonary disease with (acute) exacerbation 75
Z87891 (Primary or Secondary) Personal history of nicotine dependence 70
M1990 (Primary or Secondary) Unspecified osteoarthritis, unspecified site 70
Z8673 (Primary or Secondary) Personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits 68
R1310 (Primary or Secondary) Dysphagia, unspecified 68
R630 (Primary or Secondary) Anorexia 68
I129 (Primary or Secondary) Hypertensive chronic kidney disease with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease 68
N183 (Primary or Secondary) Chronic kidney disease, stage 3 (moderate) 67
F0390 (Primary or Secondary) Unspecified dementia without behavioral disturbance 63
Z87440 (Primary or Secondary) Personal history of urinary (tract) infections 61
I110 (Primary or Secondary) Hypertensive heart disease with heart failure 60
N189 (Primary or Secondary) Chronic kidney disease, unspecified 59
E785 (Primary or Secondary) Hyperlipidemia, unspecified 56
Z515 (Primary or Secondary) Encounter for palliative care 56
R5383 (Primary or Secondary) Other fatigue 54
I739 (Primary or Secondary) Peripheral vascular disease, unspecified 51
G20 (Primary or Secondary) Parkinson's disease 50
Z950 (Primary or Secondary) Presence of cardiac pacemaker 48
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 47
Z794 (Primary or Secondary) Long term (current) use of insulin 47
N400 (Primary or Secondary) Benign prostatic hyperplasia without lower urinary tract symptoms 45
R5381 (Primary or Secondary) Other malaise 44
C3490 (Primary or Secondary) Malignant neoplasm of unspecified part of unspecified bronchus or lung 43
Z8701 (Primary or Secondary) Personal history of pneumonia (recurrent) 41
K5900 (Primary or Secondary) Constipation, unspecified 40
J189 (Primary or Secondary) Pneumonia, unspecified organism 39
I252 (Primary or Secondary) Old myocardial infarction 38
R634 (Primary or Secondary) Abnormal weight loss 36
E46 (Primary or Secondary) Unspecified protein-calorie malnutrition 36
R4182 (Primary or Secondary) Altered mental status, unspecified 36
C7951 (Primary or Secondary) Secondary malignant neoplasm of bone 35
I350 (Primary or Secondary) Nonrheumatic aortic (valve) stenosis 35
R1312 (Primary or Secondary) Dysphagia, oropharyngeal phase 34
N179 (Primary or Secondary) Acute kidney failure, unspecified 33
R64 (Primary or Secondary) Cachexia 30
F0281 (Primary or Secondary) Dementia in other diseases classified elsewhere with behavioral disturbance 29
I480 (Primary or Secondary) Paroxysmal atrial fibrillation 28
M810 (Primary or Secondary) Age-related osteoporosis without current pathological fracture 28
Z7401 (Primary or Secondary) Bed confinement status 27
C787 (Primary or Secondary) Secondary malignant neoplasm of liver and intrahepatic bile duct 27
Z452 (Primary or Secondary) Encounter for adjustment and management of vascular access device 27
I255 (Primary or Secondary) Ischemic cardiomyopathy 26
G8929 (Primary or Secondary) Other chronic pain 26
N186 (Primary or Secondary) End stage renal disease 25
J9601 (Primary or Secondary) Acute respiratory failure with hypoxia 25
G629 (Primary or Secondary) Polyneuropathy, unspecified 24
E1122 (Primary or Secondary) Type 2 diabetes mellitus with diabetic chronic kidney disease 23
R451 (Primary or Secondary) Restlessness and agitation 23
Z853 (Primary or Secondary) Personal history of malignant neoplasm of breast 22
L89152 (Primary or Secondary) Pressure ulcer of sacral region, stage 2 22
N390 (Primary or Secondary) Urinary tract infection, site not specified 22
M549 (Primary or Secondary) Dorsalgia, unspecified 22
G40909 (Primary or Secondary) Epilepsy, unspecified, not intractable, without status epilepticus 22
F05 (Primary or Secondary) Delirium due to known physiological condition 21
A419 (Primary or Secondary) Sepsis, unspecified organism 21
Z9221 (Primary or Secondary) Personal history of antineoplastic chemotherapy 20
I5030 (Primary or Secondary) Unspecified diastolic (congestive) heart failure 20
I482 (Primary or Secondary) Chronic atrial fibrillation 20
I6930 (Primary or Secondary) Unspecified sequelae of cerebral infarction 20
I429 (Primary or Secondary) Cardiomyopathy, unspecified 20
N184 (Primary or Secondary) Chronic kidney disease, stage 4 (severe) 19
C61 (Primary or Secondary) Malignant neoplasm of prostate 19
H3530 (Primary or Secondary) Unspecified macular degeneration 19
Z86711 (Primary or Secondary) Personal history of pulmonary embolism 19
I5032 (Primary or Secondary) Chronic diastolic (congestive) heart failure 18
J9611 (Primary or Secondary) Chronic respiratory failure with hypoxia 18
Z9049 (Primary or Secondary) Acquired absence of other specified parts of digestive tract 18
Z951 (Primary or Secondary) Presence of aortocoronary bypass graft 17
R627 (Primary or Secondary) Adult failure to thrive 17
C7800 (Primary or Secondary) Secondary malignant neoplasm of unspecified lung 17
K922 (Primary or Secondary) Gastrointestinal hemorrhage, unspecified 17
C7931 (Primary or Secondary) Secondary malignant neoplasm of brain 16
G893 (Primary or Secondary) Neoplasm related pain (acute) (chronic) 16
Z86718 (Primary or Secondary) Personal history of other venous thrombosis and embolism 16
J9691 (Primary or Secondary) Respiratory failure, unspecified with hypoxia 16
I5022 (Primary or Secondary) Chronic systolic (congestive) heart failure 15
R188 (Primary or Secondary) Other ascites 15
I872 (Primary or Secondary) Venous insufficiency (chronic) (peripheral) 15
R918 (Primary or Secondary) Other nonspecific abnormal finding of lung field 15
M4800 (Primary or Secondary) Spinal stenosis, site unspecified 15
D509 (Primary or Secondary) Iron deficiency anemia, unspecified 15
E43 (Primary or Secondary) Unspecified severe protein-calorie malnutrition 15
F0150 (Primary or Secondary) Vascular dementia without behavioral disturbance 15
C189 (Primary or Secondary) Malignant neoplasm of colon, unspecified 14
I69354 (Primary or Secondary) Hemiplegia and hemiparesis following cerebral infarction affecting left non-dominant side 14
I2720 (Primary or Secondary) Pulmonary hypertension, unspecified 14
Z931 (Primary or Secondary) Gastrostomy status 14
R109 (Primary or Secondary) Unspecified abdominal pain 14
M159 (Primary or Secondary) Polyosteoarthritis, unspecified 14
R112 (Primary or Secondary) Nausea with vomiting, unspecified 13
C679 (Primary or Secondary) Malignant neoplasm of bladder, unspecified 13
I69351 (Primary or Secondary) Hemiplegia and hemiparesis following cerebral infarction affecting right dominant side 13
G4733 (Primary or Secondary) Obstructive sleep apnea (adult) (pediatric) 13
J690 (Primary or Secondary) Pneumonitis due to inhalation of food and vomit 13
R600 (Primary or Secondary) Localized edema 12
I6529 (Primary or Secondary) Occlusion and stenosis of unspecified carotid artery 12
D631 (Primary or Secondary) Anemia in chronic kidney disease 12
F17200 (Primary or Secondary) Nicotine dependence, unspecified, uncomplicated 12
Z85038 (Primary or Secondary) Personal history of other malignant neoplasm of large intestine 12
I5084 (Primary or Secondary) End stage heart failure 12
C50919 (Primary or Secondary) Malignant neoplasm of unspecified site of unspecified female breast 12
R0600 (Primary or Secondary) Dyspnea, unspecified 12
J440 (Primary or Secondary) Chronic obstructive pulmonary disease with acute lower respiratory infection 12
R339 (Primary or Secondary) Retention of urine, unspecified 12
I9589 (Primary or Secondary) Other hypotension 12
R443 (Primary or Secondary) Hallucinations, unspecified 11
Z923 (Primary or Secondary) Personal history of irradiation 11
J9600 (Primary or Secondary) Acute respiratory failure, unspecified whether with hypoxia or hypercapnia 11
J8410 (Primary or Secondary) Pulmonary fibrosis, unspecified 11
Z8546 (Primary or Secondary) Personal history of malignant neoplasm of prostate 11
I214 (Primary or Secondary) Non-ST elevation (NSTEMI) myocardial infarction 11
I714 (Primary or Secondary) Abdominal aortic aneurysm, without rupture 11
R269 (Primary or Secondary) Unspecified abnormalities of gait and mobility 11
I5040 (Primary or Secondary) Unspecified combined systolic (congestive) and diastolic (congestive) heart failure 11
J45909 (Primary or Secondary) Unspecified asthma, uncomplicated 11