*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| E784 - Other hyperlipidemia - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 12.45 | |
| 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 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 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD E784 - Other hyperlipidemia | 2,853 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD E784 - Other hyperlipidemia in DRG | 5.39 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD E784 - Other hyperlipidemia | 2.49 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD E784 - Other hyperlipidemia | 9.9 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD E784 - Other hyperlipidemia | 3.67 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD E784 - Other hyperlipidemia | $33,157,128 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD E784 - Other hyperlipidemia | $4,667 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD E784 - Other hyperlipidemia | $11,622 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD E784 - Other hyperlipidemia | $165,871,542 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD E784 - Other hyperlipidemia | $58,139 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD E784 - Other hyperlipidemia | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD E784 - Other hyperlipidemia | 21.77 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD E784 - Other hyperlipidemia | 33.26 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 247: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 352,097 | ||||
| Total Hospitalizations with ICD E784 - Other hyperlipidemia | 814 | ||||
| DRG Share of Total Hospitalizations | 1.07 | ||||
| % of Total ICD E784 - Other hyperlipidemia in DRG | 1.54 | ||||
| Avg LOS at DRG | 3.96 | ||||
| Avg LOS with ICD E784 - Other hyperlipidemia | 4.25 | ||||
| Readmission Rate at DRG | 35.38 | ||||
| Readmission Rate with ICD E784 - Other hyperlipidemia | 34.63 | ||||
| Unplanned Readmission Rate at DRG | 7.63 | ||||
| Unplanned Readmission Rate with ICD E784 - Other hyperlipidemia | 8.32 | ||||
| Total Medicare payments at DRG | $2,360,891,966 | ||||
| Total Medicare payments with ICD E784 - Other hyperlipidemia | $5,596,218 | ||||
| Total Medicare payment per Day at DRG | $1,693 | ||||
| Total Medicare payment per Day with ICD E784 - Other hyperlipidemia | $1,617 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,705 | ||||
| Total Medicare payment per Hospitalization with ICD E784 - Other hyperlipidemia | $6,875 | ||||
| Total Medicare Charges at DRG | $13,014,640,264 | ||||
| Total Medicare Charges with ICD E784 - Other hyperlipidemia | $31,236,716 | ||||
| Avg Charges at DRG | $36,963 | ||||
| Avg Charges with ICD E784 - Other hyperlipidemia | $38,374 | ||||
| Mortality Rate at DRG | 1.54 | ||||
| Mortality Rate with ICD E784 - Other hyperlipidemia | NA | ||||
| SNF Discharge Rate at DRG | 24.0 | ||||
| SNF Discharge Rate with ICD E784 - Other hyperlipidemia | 22.85 | ||||
| Home Discharge Rate at DRG | 26.62 | ||||
| Home Discharge Rate with ICD E784 - Other hyperlipidemia | 32.68 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD E784 - Other hyperlipidemia | 705 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD E784 - Other hyperlipidemia in DRG | 1.33 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD E784 - Other hyperlipidemia | 4.36 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD E784 - Other hyperlipidemia | 15.09 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD E784 - Other hyperlipidemia | 11.95 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD E784 - Other hyperlipidemia | $4,757,412 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD E784 - Other hyperlipidemia | $1,547 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD E784 - Other hyperlipidemia | $6,748 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD E784 - Other hyperlipidemia | $23,205,158 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD E784 - Other hyperlipidemia | $32,915 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD E784 - Other hyperlipidemia | NA | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD E784 - Other hyperlipidemia | 17.59 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD E784 - Other hyperlipidemia | 50.21 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD E784 - Other hyperlipidemia | 659 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD E784 - Other hyperlipidemia in DRG | 1.25 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD E784 - Other hyperlipidemia | 5.27 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD E784 - Other hyperlipidemia | 24.91 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD E784 - Other hyperlipidemia | 19.72 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD E784 - Other hyperlipidemia | $5,408,349 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD E784 - Other hyperlipidemia | $1,557 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD E784 - Other hyperlipidemia | $8,207 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD E784 - Other hyperlipidemia | $25,664,757 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD E784 - Other hyperlipidemia | $38,945 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD E784 - Other hyperlipidemia | 5.46 | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD E784 - Other hyperlipidemia | 18.97 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD E784 - Other hyperlipidemia | 43.55 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| AURORA ST. LUKE'S MEDICAL CENTER | 2900 W OKLAHOMA AVE | MILWAUKEE | WI | 53215 | 1,559 |
| AURORA MEDICAL CENTER | 975 PORT WASHINGTON ROAD | GRAFTON | WI | 53024 | 1,107 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 959 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RICK WILLIAM BASSETT | 1601 TREASURE HILLS BLVD | HARLINGEN | TX | 78550 | 123 |
| Dr. DAVID MARK GORDON | 28455 HAGGERTY RD | NOVI | MI | 48377 | 108 |
| Dr. RICHARD EDMOND TOPPING | 1502 HARRISON AVE | ELKINS | WV | 26241 | 62 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID J FAULK | 2712 PARKWOOD DR | BRUNSWICK | GA | 31520 | 484 |
| Dr. RALPH A STEVENS | 1249 15TH ST | HUNTINGTON | WV | 25701 | 198 |
| Dr. JOEL THOMAS HUMMER | 812 GORMAN AVE | ELKINS | WV | 26241 | 197 |