*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| E7800 - Pure hypercholesterolemia, unspecified - as a primary diagnosis code | E7800 - Pure hypercholesterolemia, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 4.84 | |
| Readmission Rate (%) | 20.05 | |
| Unplanned Readmission Rate (%) | NA | |
| Mortality Rate (%) | ||
| SNF Discharge Rate (%) | ||
| Home Discharge Rate (%) | ||
| PAYMENTS AND CHARGES | ||
| Total Medicare Payments | ||
| Payment Per Day | ||
| Payment Per Hospitalization | ||
| Total Medicare Charges | ||
| Avg. Charges | ||
| MARKET SIZING & INCIDENCE RATES | ||
| 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 Hospitalizations after Exclusion | ||
*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 E7800 - Pure hypercholesterolemia, unspecified | 34 |
| DRG Share of Total Hospitalizations | 0.02 |
| % of Total ICD E7800 - Pure hypercholesterolemia, unspecified in DRG | 77.27 |
| Avg LOS at DRG | 4.34 |
| Avg LOS with ICD E7800 - Pure hypercholesterolemia, unspecified | 5.44 |
| Readmission Rate at DRG | 29.08 |
| Readmission Rate with ICD E7800 - Pure hypercholesterolemia, unspecified | NA |
| Unplanned Readmission Rate at DRG | 20.62 |
| Unplanned Readmission Rate with ICD E7800 - Pure hypercholesterolemia, unspecified | NA |
| Total Medicare payments at DRG | $58,740,768 |
| Total Medicare payments with ICD E7800 - Pure hypercholesterolemia, unspecified | $254,311 |
| Total Medicare payment per Day at DRG | $2,041 |
| Total Medicare payment per Day with ICD E7800 - Pure hypercholesterolemia, unspecified | $1,375 |
| Total Medicare payment per Hospitalization at DRG | $8,860 |
| Total Medicare payment per Hospitalization with ICD E7800 - Pure hypercholesterolemia, unspecified | $7,480 |
| Total Medicare Charges at DRG | $286,238,695 |
| Total Medicare Charges with ICD E7800 - Pure hypercholesterolemia, unspecified | $1,052,864 |
| Avg Charges at DRG | $43,173 |
| Avg Charges with ICD E7800 - Pure hypercholesterolemia, unspecified | $30,967 |
| Mortality Rate at DRG | 0.65 |
| Mortality Rate with ICD E7800 - Pure hypercholesterolemia, unspecified | NA |
| SNF Discharge Rate at DRG | 12.99 |
| SNF Discharge Rate with ICD E7800 - Pure hypercholesterolemia, unspecified | NA |
| Home Discharge Rate at DRG | 61.03 |
| Home Discharge Rate with ICD E7800 - Pure hypercholesterolemia, unspecified | 52.94 |
*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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD E7800 - Pure hypercholesterolemia, unspecified | 118,310 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD E7800 - Pure hypercholesterolemia, unspecified in DRG | 7.37 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD E7800 - Pure hypercholesterolemia, unspecified | 2.35 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD E7800 - Pure hypercholesterolemia, unspecified | 8.04 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD E7800 - Pure hypercholesterolemia, unspecified | 3.12 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD E7800 - Pure hypercholesterolemia, unspecified | $1,369,760,469 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD E7800 - Pure hypercholesterolemia, unspecified | $4,926 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD E7800 - Pure hypercholesterolemia, unspecified | $11,578 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD E7800 - Pure hypercholesterolemia, unspecified | $7,131,190,152 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD E7800 - Pure hypercholesterolemia, unspecified | $60,275 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD E7800 - Pure hypercholesterolemia, unspecified | 0.03 | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD E7800 - Pure hypercholesterolemia, unspecified | 21.51 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD E7800 - Pure hypercholesterolemia, unspecified | 29.08 |
*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 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD E7800 - Pure hypercholesterolemia, unspecified | 24,671 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD E7800 - Pure hypercholesterolemia, unspecified in DRG | 1.54 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD E7800 - Pure hypercholesterolemia, unspecified | 3.03 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD E7800 - Pure hypercholesterolemia, unspecified | 15.5 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD E7800 - Pure hypercholesterolemia, unspecified | 11.78 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD E7800 - Pure hypercholesterolemia, unspecified | $105,246,209 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD E7800 - Pure hypercholesterolemia, unspecified | $1,407 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD E7800 - Pure hypercholesterolemia, unspecified | $4,266 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD E7800 - Pure hypercholesterolemia, unspecified | $647,358,143 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD E7800 - Pure hypercholesterolemia, unspecified | $26,240 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD E7800 - Pure hypercholesterolemia, unspecified | 0.17 | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD E7800 - Pure hypercholesterolemia, unspecified | 7.94 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD E7800 - Pure hypercholesterolemia, unspecified | 73.33 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 247: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD E7800 - Pure hypercholesterolemia, unspecified | 20,788 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD E7800 - Pure hypercholesterolemia, unspecified in DRG | 1.3 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD E7800 - Pure hypercholesterolemia, unspecified | 3.77 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD E7800 - Pure hypercholesterolemia, unspecified | 21.96 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD E7800 - Pure hypercholesterolemia, unspecified | 16.6 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD E7800 - Pure hypercholesterolemia, unspecified | $115,569,736 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD E7800 - Pure hypercholesterolemia, unspecified | $1,474 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD E7800 - Pure hypercholesterolemia, unspecified | $5,559 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD E7800 - Pure hypercholesterolemia, unspecified | $592,351,030 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD E7800 - Pure hypercholesterolemia, unspecified | $28,495 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD E7800 - Pure hypercholesterolemia, unspecified | 0.72 | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD E7800 - Pure hypercholesterolemia, unspecified | 21.04 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD E7800 - Pure hypercholesterolemia, unspecified | 47.68 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 422,757 | ||||
| Total Hospitalizations with ICD E7800 - Pure hypercholesterolemia, unspecified | 16,789 | ||||
| DRG Share of Total Hospitalizations | 1.29 | ||||
| % of Total ICD E7800 - Pure hypercholesterolemia, unspecified in DRG | 1.05 | ||||
| Avg LOS at DRG | 4.14 | ||||
| Avg LOS with ICD E7800 - Pure hypercholesterolemia, unspecified | 3.92 | ||||
| Readmission Rate at DRG | 24.43 | ||||
| Readmission Rate with ICD E7800 - Pure hypercholesterolemia, unspecified | 22.62 | ||||
| Unplanned Readmission Rate at DRG | 18.48 | ||||
| Unplanned Readmission Rate with ICD E7800 - Pure hypercholesterolemia, unspecified | 17.57 | ||||
| Total Medicare payments at DRG | $2,636,135,714 | ||||
| Total Medicare payments with ICD E7800 - Pure hypercholesterolemia, unspecified | $101,115,894 | ||||
| Total Medicare payment per Day at DRG | $1,507 | ||||
| Total Medicare payment per Day with ICD E7800 - Pure hypercholesterolemia, unspecified | $1,536 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,236 | ||||
| Total Medicare payment per Hospitalization with ICD E7800 - Pure hypercholesterolemia, unspecified | $6,023 | ||||
| Total Medicare Charges at DRG | $11,980,955,733 | ||||
| Total Medicare Charges with ICD E7800 - Pure hypercholesterolemia, unspecified | $470,565,214 | ||||
| Avg Charges at DRG | $28,340 | ||||
| Avg Charges with ICD E7800 - Pure hypercholesterolemia, unspecified | $28,028 | ||||
| Mortality Rate at DRG | 1.01 | ||||
| Mortality Rate with ICD E7800 - Pure hypercholesterolemia, unspecified | 0.84 | ||||
| SNF Discharge Rate at DRG | 16.05 | ||||
| SNF Discharge Rate with ICD E7800 - Pure hypercholesterolemia, unspecified | 15.79 | ||||
| Home Discharge Rate at DRG | 47.18 | ||||
| Home Discharge Rate with ICD E7800 - Pure hypercholesterolemia, unspecified | 47.69 |
| 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 | 10,312 |
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 8,153 |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH | 1301 PENNSYLVANIA AVE | FORT WORTH | TX | 76104 | 6,859 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOHN TERRY DEARBORN | 2000 MOWRY AVE | FREMONT | CA | 94538 | 513 |
| Dr. SCOTT STUART BREHAUT | 4290 MIDDLE SETTLEMENT RD | NEW HARTFORD | NY | 13413 | 350 |
| Dr. JOHN MANFREDI | 1765 OLD WEST BROAD ST | ATHENS | GA | 30606 | 293 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SERGIO ZAMORA | 2450 EL INDIO HWY | EAGLE PASS | TX | 78852 | 978 |
| Dr. KATHY H LEE | 4200 SUN N LAKE BLVD | SEBRING | FL | 33872 | 793 |
| Dr. KENNETH WAYNE DONOVAN | 365 MONTAUK AVE | NEW LONDON | CT | 06320 | 755 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | K219 | Gastro-esophageal reflux disease without esophagitis |