*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| E785 - Hyperlipidemia, unspecified - as a primary diagnosis code | E785 - Hyperlipidemia, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.33 | |
| Readmission Rate (%) | 21.58 | |
| Unplanned Readmission Rate (%) | 11.21 | |
| 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 | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 983: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 6,630 | ||
| Total Hospitalizations with ICD E785 - Hyperlipidemia, unspecified | 412 | ||
| DRG Share of Total Hospitalizations | 0.02 | ||
| % of Total ICD E785 - Hyperlipidemia, unspecified in DRG | 83.74 | ||
| Avg LOS at DRG | 4.34 | ||
| Avg LOS with ICD E785 - Hyperlipidemia, unspecified | 4.69 | ||
| Readmission Rate at DRG | 29.08 | ||
| Readmission Rate with ICD E785 - Hyperlipidemia, unspecified | 19.47 | ||
| Unplanned Readmission Rate at DRG | 20.62 | ||
| Unplanned Readmission Rate with ICD E785 - Hyperlipidemia, unspecified | 10.79 | ||
| Total Medicare payments at DRG | $58,740,768 | ||
| Total Medicare payments with ICD E785 - Hyperlipidemia, unspecified | $3,164,689 | ||
| Total Medicare payment per Day at DRG | $2,041 | ||
| Total Medicare payment per Day with ICD E785 - Hyperlipidemia, unspecified | $1,639 | ||
| Total Medicare payment per Hospitalization at DRG | $8,860 | ||
| Total Medicare payment per Hospitalization with ICD E785 - Hyperlipidemia, unspecified | $7,681 | ||
| Total Medicare Charges at DRG | $286,238,695 | ||
| Total Medicare Charges with ICD E785 - Hyperlipidemia, unspecified | $10,378,938 | ||
| Avg Charges at DRG | $43,173 | ||
| Avg Charges with ICD E785 - Hyperlipidemia, unspecified | $25,192 | ||
| Mortality Rate at DRG | 0.65 | ||
| Mortality Rate with ICD E785 - Hyperlipidemia, unspecified | NA | ||
| SNF Discharge Rate at DRG | 12.99 | ||
| SNF Discharge Rate with ICD E785 - Hyperlipidemia, unspecified | 9.71 | ||
| Home Discharge Rate at DRG | 61.03 | ||
| Home Discharge Rate with ICD E785 - Hyperlipidemia, unspecified | 66.5 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| HAMILTON CENTER | 620 8TH AVE | TERRE HAUTE | IN | 47804 | 34 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. AHSAN MAHMOOD | 620 8TH AVE | TERRE HAUTE | IN | 47804 | 30 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT 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 | 1,808,415 | ||||
| Total Hospitalizations with ICD E785 - Hyperlipidemia, unspecified | 653,408 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD E785 - Hyperlipidemia, unspecified in DRG | 5.01 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD E785 - Hyperlipidemia, unspecified | 6.19 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD E785 - Hyperlipidemia, unspecified | 23.85 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD E785 - Hyperlipidemia, unspecified | 16.62 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD E785 - Hyperlipidemia, unspecified | $7,549,913,994 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD E785 - Hyperlipidemia, unspecified | $1,867 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD E785 - Hyperlipidemia, unspecified | $11,555 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD E785 - Hyperlipidemia, unspecified | $38,009,566,271 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD E785 - Hyperlipidemia, unspecified | $58,171 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD E785 - Hyperlipidemia, unspecified | 10.34 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD E785 - Hyperlipidemia, unspecified | 28.06 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD E785 - Hyperlipidemia, unspecified | 27.0 |
*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 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 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD E785 - Hyperlipidemia, unspecified | 203,878 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD E785 - Hyperlipidemia, unspecified in DRG | 1.56 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD E785 - Hyperlipidemia, unspecified | 6.14 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD E785 - Hyperlipidemia, unspecified | 26.4 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD E785 - Hyperlipidemia, unspecified | 19.96 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD E785 - Hyperlipidemia, unspecified | $1,943,320,445 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD E785 - Hyperlipidemia, unspecified | $1,552 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD E785 - Hyperlipidemia, unspecified | $9,532 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD E785 - Hyperlipidemia, unspecified | $9,480,973,077 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD E785 - Hyperlipidemia, unspecified | $46,503 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD E785 - Hyperlipidemia, unspecified | 4.81 | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD E785 - Hyperlipidemia, unspecified | 19.52 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD E785 - Hyperlipidemia, unspecified | 39.98 |
*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 247: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD E785 - Hyperlipidemia, unspecified | 186,138 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD E785 - Hyperlipidemia, unspecified in DRG | 1.43 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD E785 - Hyperlipidemia, unspecified | 3.89 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD E785 - Hyperlipidemia, unspecified | 22.19 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD E785 - Hyperlipidemia, unspecified | 16.23 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD E785 - Hyperlipidemia, unspecified | $1,047,117,964 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD E785 - Hyperlipidemia, unspecified | $1,446 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD E785 - Hyperlipidemia, unspecified | $5,625 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD E785 - Hyperlipidemia, unspecified | $5,411,404,173 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD E785 - Hyperlipidemia, unspecified | $29,072 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD E785 - Hyperlipidemia, unspecified | 0.7 | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD E785 - Hyperlipidemia, unspecified | 22.16 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD E785 - Hyperlipidemia, unspecified | 47.21 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD E785 - Hyperlipidemia, unspecified | 173,255 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD E785 - Hyperlipidemia, unspecified in DRG | 1.33 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD E785 - Hyperlipidemia, unspecified | 5.27 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD E785 - Hyperlipidemia, unspecified | 21.41 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD E785 - Hyperlipidemia, unspecified | 15.86 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD E785 - Hyperlipidemia, unspecified | $1,477,260,949 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD E785 - Hyperlipidemia, unspecified | $1,619 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD E785 - Hyperlipidemia, unspecified | $8,527 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD E785 - Hyperlipidemia, unspecified | $7,229,506,428 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD E785 - Hyperlipidemia, unspecified | $41,728 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD E785 - Hyperlipidemia, unspecified | 2.98 | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD E785 - Hyperlipidemia, unspecified | 22.86 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD E785 - Hyperlipidemia, unspecified | 41.41 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 35,117 |
| METHODIST HOSPITAL | 7700 FLOYD CURL DRIVE | SAN ANTONIO | TX | 78229 | 31,305 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 31,202 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID M ROGERS | 5645 MAIN ST | FLUSHING | NY | 11355 | 1,579 |
| Dr. RAJ R MAKKAR | 8700 WILSHIRE BLVD. | LOS ANGELES | CA | 90048 | 1,511 |
| Dr. SAMIN SHARMA | 5 E 98TH ST | NEW YORK | NY | 10029 | 1,339 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 4,896 |
| Dr. HRISHIKESH GHANEKAR | 1025 MAINE ST | QUINCY | IL | 62301 | 2,463 |
| Dr. GHULAM MUSTAFA ANWAR | 10250 SE 167TH PLACE RD | SUMMERFIELD | FL | 34491 | 2,391 |