*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| ICD Code | ICD Description | Total National Projected Hospitalizations - Annualized (Present on Admission - All) | Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - All) | Total Medicare Hospitalization after Exclusion | Avg. LOS | Readmission Rate (%) | Unplanned Readmission Rate (%) | Total Medicare Payments | Payment Per Day | Payment Per Hospitalization | Total Medicare Charges | Avg. Charges | Mortality Rate (%) | SNF Discharge Rate (%) | Home Discharge Rate (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| E780 | Pure hypercholesterolemia | NA | |||||||||||||
| E7800 | Pure hypercholesterolemia, unspecified | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| ICD Code | ICD Description | 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 Hospitalization after Exclusion | Avg. LOS | Readmission Rate (%) | Unplanned Readmission Rate (%) | Total Medicare Payments | Payment Per Day | Payment Per Hospitalization | Total Medicare Charges | Avg. Charges | Mortality Rate (%) | SNF Discharge Rate (%) | Home Discharge Rate (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| E7800 | Pure hypercholesterolemia, unspecified | 4.84 | 20.05 | ||||||||||||||||
| E780 | Pure hypercholesterolemia | 4.93 | 19.99 | ||||||||||||||||
| E7801 | Familial hypercholesterolemia | 4.68 | 17.51 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 642: INBORN AND OTHER DISORDERS OF METABOLISM | |
|---|---|
| Total Hospitalizations at DRG | 6,630 |
| Total Hospitalizations with ICD E780 - Pure hypercholesterolemia | 32 |
| DRG Share of Total Hospitalizations | 0.02 |
| % of Total ICD E780 - Pure hypercholesterolemia in DRG | 72.73 |
| Avg LOS at DRG | 4.34 |
| Avg LOS with ICD E780 - Pure hypercholesterolemia | 5.72 |
| Readmission Rate at DRG | 29.08 |
| Readmission Rate with ICD E780 - Pure hypercholesterolemia | NA |
| Unplanned Readmission Rate at DRG | 20.62 |
| Unplanned Readmission Rate with ICD E780 - Pure hypercholesterolemia | NA |
| Total Medicare payments at DRG | $58,740,768 |
| Total Medicare payments with ICD E780 - Pure hypercholesterolemia | $272,744 |
| Total Medicare payment per Day at DRG | $2,041 |
| Total Medicare payment per Day with ICD E780 - Pure hypercholesterolemia | $1,490 |
| Total Medicare payment per Hospitalization at DRG | $8,860 |
| Total Medicare payment per Hospitalization with ICD E780 - Pure hypercholesterolemia | $8,523 |
| Total Medicare Charges at DRG | $286,238,695 |
| Total Medicare Charges with ICD E780 - Pure hypercholesterolemia | $1,200,036 |
| Avg Charges at DRG | $43,173 |
| Avg Charges with ICD E780 - Pure hypercholesterolemia | $37,501 |
| Mortality Rate at DRG | 0.65 |
| Mortality Rate with ICD E780 - Pure hypercholesterolemia | NA |
| SNF Discharge Rate at DRG | 12.99 |
| SNF Discharge Rate with ICD E780 - Pure hypercholesterolemia | NA |
| Home Discharge Rate at DRG | 61.03 |
| Home Discharge Rate with ICD E780 - Pure hypercholesterolemia | 46.88 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| 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 885: PSYCHOSES | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD E780 - Pure hypercholesterolemia | 58,714 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD E780 - Pure hypercholesterolemia in DRG | 3.66 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD E780 - Pure hypercholesterolemia | 2.62 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD E780 - Pure hypercholesterolemia | 9.09 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD E780 - Pure hypercholesterolemia | 3.17 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD E780 - Pure hypercholesterolemia | $688,407,655 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD E780 - Pure hypercholesterolemia | $4,475 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD E780 - Pure hypercholesterolemia | $11,725 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD E780 - Pure hypercholesterolemia | $3,417,631,868 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD E780 - Pure hypercholesterolemia | $58,208 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD E780 - Pure hypercholesterolemia | 0.03 | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD E780 - Pure hypercholesterolemia | 26.08 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD E780 - Pure hypercholesterolemia | 26.35 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD E780 - Pure hypercholesterolemia | 12,933 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD E780 - Pure hypercholesterolemia in DRG | 0.81 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD E780 - Pure hypercholesterolemia | 3.19 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD E780 - Pure hypercholesterolemia | 15.66 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD E780 - Pure hypercholesterolemia | 11.41 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD E780 - Pure hypercholesterolemia | $54,649,284 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD E780 - Pure hypercholesterolemia | $1,326 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD E780 - Pure hypercholesterolemia | $4,226 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD E780 - Pure hypercholesterolemia | $324,450,953 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD E780 - Pure hypercholesterolemia | $25,087 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD E780 - Pure hypercholesterolemia | 0.2 | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD E780 - Pure hypercholesterolemia | 8.42 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD E780 - Pure hypercholesterolemia | 74.23 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 247: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 408,103 | ||||
| Total Hospitalizations with ICD E780 - Pure hypercholesterolemia | 9,963 | ||||
| DRG Share of Total Hospitalizations | 1.24 | ||||
| % of Total ICD E780 - Pure hypercholesterolemia in DRG | 0.62 | ||||
| Avg LOS at DRG | 3.52 | ||||
| Avg LOS with ICD E780 - Pure hypercholesterolemia | 3.46 | ||||
| Readmission Rate at DRG | 17.83 | ||||
| Readmission Rate with ICD E780 - Pure hypercholesterolemia | 15.96 | ||||
| Unplanned Readmission Rate at DRG | 13.81 | ||||
| Unplanned Readmission Rate with ICD E780 - Pure hypercholesterolemia | 12.67 | ||||
| Total Medicare payments at DRG | $2,416,862,532 | ||||
| Total Medicare payments with ICD E780 - Pure hypercholesterolemia | $58,074,243 | ||||
| Total Medicare payment per Day at DRG | $1,682 | ||||
| Total Medicare payment per Day with ICD E780 - Pure hypercholesterolemia | $1,685 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
| Total Medicare payment per Hospitalization with ICD E780 - Pure hypercholesterolemia | $5,829 | ||||
| Total Medicare Charges at DRG | $13,267,744,847 | ||||
| Total Medicare Charges with ICD E780 - Pure hypercholesterolemia | $294,178,968 | ||||
| Avg Charges at DRG | $32,511 | ||||
| Avg Charges with ICD E780 - Pure hypercholesterolemia | $29,527 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD E780 - Pure hypercholesterolemia | 0.59 | ||||
| SNF Discharge Rate at DRG | 14.1 | ||||
| SNF Discharge Rate with ICD E780 - Pure hypercholesterolemia | 12.44 | ||||
| Home Discharge Rate at DRG | 62.97 | ||||
| Home Discharge Rate with ICD E780 - Pure hypercholesterolemia | 66.03 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD E780 - Pure hypercholesterolemia | 9,229 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD E780 - Pure hypercholesterolemia in DRG | 0.58 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD E780 - Pure hypercholesterolemia | 4.71 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD E780 - Pure hypercholesterolemia | 23.38 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD E780 - Pure hypercholesterolemia | 18.8 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD E780 - Pure hypercholesterolemia | $65,060,864 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD E780 - Pure hypercholesterolemia | $1,496 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD E780 - Pure hypercholesterolemia | $7,050 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD E780 - Pure hypercholesterolemia | $312,110,593 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD E780 - Pure hypercholesterolemia | $33,818 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD E780 - Pure hypercholesterolemia | 1.14 | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD E780 - Pure hypercholesterolemia | 13.92 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD E780 - Pure hypercholesterolemia | 52.99 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 3,853 |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH | 1301 PENNSYLVANIA AVE | FORT WORTH | TX | 76104 | 3,146 |
| VIDANT MEDICAL CENTER | 2100 STANTONSBURG RD | GREENVILLE | NC | 27834 | 2,839 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOHN TERRY DEARBORN | 2000 MOWRY AVE | FREMONT | CA | 94538 | 226 |
| Dr. SCOTT STUART BREHAUT | 4290 MIDDLE SETTLEMENT RD | NEW HARTFORD | NY | 13413 | 170 |
| Dr. ANTHONY THOMAS CARTER | 730 THIMBLE SHOALS BLVD | NEWPORT NEWS | VA | 23606 | 157 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SYED S HOSAIN | 447 E MAIN ST | WESTMINSTER | MD | 21157 | 387 |
| Dr. SERGIO ZAMORA | 2450 EL INDIO HWY | EAGLE PASS | TX | 78852 | 379 |
| Dr. BRADLEY S MERRITT | 3131 TROUP HWY | TYLER | TX | 75701 | 379 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | I10 | Essential (primary) hypertension |