*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| I169 - Hypertensive crisis, unspecified - as a primary diagnosis code | I169 - Hypertensive crisis, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.62 | |
| Readmission Rate (%) | 27.32 | |
| Unplanned Readmission Rate (%) | 15.47 | |
| 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 305: HYPERTENSION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 304: HYPERTENSION WITH 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) | DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 88,467 | ||||
| Total Hospitalizations with ICD I169 - Hypertensive crisis, unspecified | 2,580 | ||||
| DRG Share of Total Hospitalizations | 0.27 | ||||
| % of Total ICD I169 - Hypertensive crisis, unspecified in DRG | 57.6 | ||||
| Avg LOS at DRG | 2.57 | ||||
| Avg LOS with ICD I169 - Hypertensive crisis, unspecified | 2.63 | ||||
| Readmission Rate at DRG | 13.5 | ||||
| Readmission Rate with ICD I169 - Hypertensive crisis, unspecified | 15.59 | ||||
| Unplanned Readmission Rate at DRG | 9.88 | ||||
| Unplanned Readmission Rate with ICD I169 - Hypertensive crisis, unspecified | 11.32 | ||||
| Total Medicare payments at DRG | $338,057,015 | ||||
| Total Medicare payments with ICD I169 - Hypertensive crisis, unspecified | $9,659,814 | ||||
| Total Medicare payment per Day at DRG | $1,489 | ||||
| Total Medicare payment per Day with ICD I169 - Hypertensive crisis, unspecified | $1,426 | ||||
| Total Medicare payment per Hospitalization at DRG | $3,821 | ||||
| Total Medicare payment per Hospitalization with ICD I169 - Hypertensive crisis, unspecified | $3,744 | ||||
| Total Medicare Charges at DRG | $2,192,009,826 | ||||
| Total Medicare Charges with ICD I169 - Hypertensive crisis, unspecified | $63,855,627 | ||||
| Avg Charges at DRG | $24,778 | ||||
| Avg Charges with ICD I169 - Hypertensive crisis, unspecified | $24,750 | ||||
| Mortality Rate at DRG | 0.06 | ||||
| Mortality Rate with ICD I169 - Hypertensive crisis, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 8.62 | ||||
| SNF Discharge Rate with ICD I169 - Hypertensive crisis, unspecified | 7.83 | ||||
| Home Discharge Rate at DRG | 70.18 | ||||
| Home Discharge Rate with ICD I169 - Hypertensive crisis, unspecified | 70.5 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 281: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 264: OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 246: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR 4+ VESSELS OR STENTS | DRG 253: OTHER VASCULAR PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 150,404 | ||||
| Total Hospitalizations with ICD I169 - Hypertensive crisis, unspecified | 40 | ||||
| DRG Share of Total Hospitalizations | 0.46 | ||||
| % of Total ICD I169 - Hypertensive crisis, unspecified in DRG | 0.89 | ||||
| Avg LOS at DRG | 3.31 | ||||
| Avg LOS with ICD I169 - Hypertensive crisis, unspecified | 2.95 | ||||
| Readmission Rate at DRG | 20.72 | ||||
| Readmission Rate with ICD I169 - Hypertensive crisis, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 14.7 | ||||
| Unplanned Readmission Rate with ICD I169 - Hypertensive crisis, unspecified | NA | ||||
| Total Medicare payments at DRG | $938,855,823 | ||||
| Total Medicare payments with ICD I169 - Hypertensive crisis, unspecified | $223,083 | ||||
| Total Medicare payment per Day at DRG | $1,886 | ||||
| Total Medicare payment per Day with ICD I169 - Hypertensive crisis, unspecified | $1,891 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,242 | ||||
| Total Medicare payment per Hospitalization with ICD I169 - Hypertensive crisis, unspecified | $5,577 | ||||
| Total Medicare Charges at DRG | $5,236,903,865 | ||||
| Total Medicare Charges with ICD I169 - Hypertensive crisis, unspecified | $1,147,652 | ||||
| Avg Charges at DRG | $34,819 | ||||
| Avg Charges with ICD I169 - Hypertensive crisis, unspecified | $28,691 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD I169 - Hypertensive crisis, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 13.12 | ||||
| SNF Discharge Rate with ICD I169 - Hypertensive crisis, unspecified | NA | ||||
| Home Discharge Rate at DRG | 52.08 | ||||
| Home Discharge Rate with ICD I169 - Hypertensive crisis, unspecified | 60.0 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| FORT DUNCAN MEDICAL CENTER | 3333 N FOSTER MALDONADO BLVD | EAGLE PASS | TX | 78852 | 31 |
| FALMOUTH HOSPITAL | 100 TER HEUN DR | FALMOUTH | MA | 02540 | 28 |
| METHODIST UNIVERSITY HOSPITAL | 1265 UNION AVE | MEMPHIS | TN | 38104 | 27 |
| 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 | 23 |
| Dr. AHMAD KARKOUTLY | 2300 CENTRAL BLVD | BROWNSVILLE | TX | 78520 | 14 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 305: HYPERTENSION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 304: HYPERTENSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 88,467 | ||||
| Total Hospitalizations with ICD I169 - Hypertensive crisis, unspecified | 2,823 | ||||
| DRG Share of Total Hospitalizations | 0.27 | ||||
| % of Total ICD I169 - Hypertensive crisis, unspecified in DRG | 9.52 | ||||
| Avg LOS at DRG | 2.57 | ||||
| Avg LOS with ICD I169 - Hypertensive crisis, unspecified | 2.66 | ||||
| Readmission Rate at DRG | 13.5 | ||||
| Readmission Rate with ICD I169 - Hypertensive crisis, unspecified | 15.57 | ||||
| Unplanned Readmission Rate at DRG | 9.88 | ||||
| Unplanned Readmission Rate with ICD I169 - Hypertensive crisis, unspecified | 11.25 | ||||
| Total Medicare payments at DRG | $338,057,015 | ||||
| Total Medicare payments with ICD I169 - Hypertensive crisis, unspecified | $10,560,597 | ||||
| Total Medicare payment per Day at DRG | $1,489 | ||||
| Total Medicare payment per Day with ICD I169 - Hypertensive crisis, unspecified | $1,404 | ||||
| Total Medicare payment per Hospitalization at DRG | $3,821 | ||||
| Total Medicare payment per Hospitalization with ICD I169 - Hypertensive crisis, unspecified | $3,741 | ||||
| Total Medicare Charges at DRG | $2,192,009,826 | ||||
| Total Medicare Charges with ICD I169 - Hypertensive crisis, unspecified | $71,885,065 | ||||
| Avg Charges at DRG | $24,778 | ||||
| Avg Charges with ICD I169 - Hypertensive crisis, unspecified | $25,464 | ||||
| Mortality Rate at DRG | 0.06 | ||||
| Mortality Rate with ICD I169 - Hypertensive crisis, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 8.62 | ||||
| SNF Discharge Rate with ICD I169 - Hypertensive crisis, unspecified | 7.72 | ||||
| Home Discharge Rate at DRG | 70.18 | ||||
| Home Discharge Rate with ICD I169 - Hypertensive crisis, unspecified | 70.6 |
*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 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD I169 - Hypertensive crisis, unspecified | 994 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD I169 - Hypertensive crisis, unspecified in DRG | 3.35 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD I169 - Hypertensive crisis, unspecified | 6.97 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD I169 - Hypertensive crisis, unspecified | 28.49 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD I169 - Hypertensive crisis, unspecified | 18.57 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD I169 - Hypertensive crisis, unspecified | $11,455,564 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD I169 - Hypertensive crisis, unspecified | $1,653 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD I169 - Hypertensive crisis, unspecified | $11,525 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD I169 - Hypertensive crisis, unspecified | $72,566,506 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD I169 - Hypertensive crisis, unspecified | $73,005 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD I169 - Hypertensive crisis, unspecified | 5.43 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD I169 - Hypertensive crisis, unspecified | 27.97 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD I169 - Hypertensive crisis, unspecified | 29.48 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 281: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 069: TRANSIENT ISCHEMIA | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 231,812 | ||||
| Total Hospitalizations with ICD I169 - Hypertensive crisis, unspecified | 473 | ||||
| DRG Share of Total Hospitalizations | 0.71 | ||||
| % of Total ICD I169 - Hypertensive crisis, unspecified in DRG | 1.59 | ||||
| Avg LOS at DRG | 4.41 | ||||
| Avg LOS with ICD I169 - Hypertensive crisis, unspecified | 3.41 | ||||
| Readmission Rate at DRG | 29.12 | ||||
| Readmission Rate with ICD I169 - Hypertensive crisis, unspecified | 36.59 | ||||
| Unplanned Readmission Rate at DRG | 22.82 | ||||
| Unplanned Readmission Rate with ICD I169 - Hypertensive crisis, unspecified | 31.71 | ||||
| Total Medicare payments at DRG | $1,743,376,418 | ||||
| Total Medicare payments with ICD I169 - Hypertensive crisis, unspecified | $3,215,147 | ||||
| Total Medicare payment per Day at DRG | $1,704 | ||||
| Total Medicare payment per Day with ICD I169 - Hypertensive crisis, unspecified | $1,991 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,521 | ||||
| Total Medicare payment per Hospitalization with ICD I169 - Hypertensive crisis, unspecified | $6,797 | ||||
| Total Medicare Charges at DRG | $8,543,867,896 | ||||
| Total Medicare Charges with ICD I169 - Hypertensive crisis, unspecified | $16,797,917 | ||||
| Avg Charges at DRG | $36,857 | ||||
| Avg Charges with ICD I169 - Hypertensive crisis, unspecified | $35,514 | ||||
| Mortality Rate at DRG | 2.89 | ||||
| Mortality Rate with ICD I169 - Hypertensive crisis, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 22.92 | ||||
| SNF Discharge Rate with ICD I169 - Hypertensive crisis, unspecified | 10.36 | ||||
| Home Discharge Rate at DRG | 43.02 | ||||
| Home Discharge Rate with ICD I169 - Hypertensive crisis, unspecified | 62.16 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 078: HYPERTENSIVE ENCEPHALOPATHY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 246: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR 4+ VESSELS OR STENTS | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 9,181 | ||||
| Total Hospitalizations with ICD I169 - Hypertensive crisis, unspecified | 323 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD I169 - Hypertensive crisis, unspecified in DRG | 1.09 | ||||
| Avg LOS at DRG | 3.98 | ||||
| Avg LOS with ICD I169 - Hypertensive crisis, unspecified | 3.52 | ||||
| Readmission Rate at DRG | 17.6 | ||||
| Readmission Rate with ICD I169 - Hypertensive crisis, unspecified | 17.8 | ||||
| Unplanned Readmission Rate at DRG | 11.37 | ||||
| Unplanned Readmission Rate with ICD I169 - Hypertensive crisis, unspecified | 10.36 | ||||
| Total Medicare payments at DRG | $56,681,398 | ||||
| Total Medicare payments with ICD I169 - Hypertensive crisis, unspecified | $1,752,599 | ||||
| Total Medicare payment per Day at DRG | $1,553 | ||||
| Total Medicare payment per Day with ICD I169 - Hypertensive crisis, unspecified | $1,541 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,174 | ||||
| Total Medicare payment per Hospitalization with ICD I169 - Hypertensive crisis, unspecified | $5,426 | ||||
| Total Medicare Charges at DRG | $321,476,571 | ||||
| Total Medicare Charges with ICD I169 - Hypertensive crisis, unspecified | $11,556,838 | ||||
| Avg Charges at DRG | $35,015 | ||||
| Avg Charges with ICD I169 - Hypertensive crisis, unspecified | $35,780 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD I169 - Hypertensive crisis, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 22.11 | ||||
| SNF Discharge Rate with ICD I169 - Hypertensive crisis, unspecified | 20.43 | ||||
| Home Discharge Rate at DRG | 44.43 | ||||
| Home Discharge Rate with ICD I169 - Hypertensive crisis, unspecified | 50.46 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| HOUSTON METHODIST WILLOWBROOK HOSPITAL | 18220 STATE HIGHWAY 249 | HOUSTON | TX | 77070 | 232 |
| YUMA REGIONAL MEDICAL CENTER | 2400 S AVE A | YUMA | AZ | 85364 | 213 |
| MERCY HOSPITAL | 4050 COON RAPIDS BLVD NW | COON RAPIDS | MN | 55433 | 210 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JAYAREENA MAHALINGAM | 2400 S AVENUE A | YUMA | AZ | 85364 | 37 |
| Dr. KEVIN DEAN MIKAWA | 4300 W MEMORIAL RD | OKLAHOMA CITY | OK | 73120 | 26 |
| Dr. JONATHAN M LENZEN | 2210 WILBORN AVE | SOUTH BOSTON | VA | 24592 | 23 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. KEVIN DEAN MIKAWA | 4300 W MEMORIAL RD | OKLAHOMA CITY | OK | 73120 | 111 |
| Dr. GONZALO RAMOS | 4545 POST OAK PLACE DR | HOUSTON | TX | 77027 | 57 |
| Dr. JAYAREENA MAHALINGAM | 2400 S AVENUE A | YUMA | AZ | 85364 | 55 |