*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| I270 - Primary pulmonary hypertension - as a primary diagnosis code | I270 - Primary pulmonary hypertension - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.3 | |
| Readmission Rate (%) | 25.78 | |
| Unplanned Readmission Rate (%) | 16.13 | |
| 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 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 315: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 316: OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 138,345 | ||||
| Total Hospitalizations with ICD I270 - Primary pulmonary hypertension | 542 | ||||
| DRG Share of Total Hospitalizations | 0.42 | ||||
| % of Total ICD I270 - Primary pulmonary hypertension in DRG | 34.74 | ||||
| Avg LOS at DRG | 6.92 | ||||
| Avg LOS with ICD I270 - Primary pulmonary hypertension | 7.64 | ||||
| Readmission Rate at DRG | 32.2 | ||||
| Readmission Rate with ICD I270 - Primary pulmonary hypertension | 28.34 | ||||
| Unplanned Readmission Rate at DRG | 22.95 | ||||
| Unplanned Readmission Rate with ICD I270 - Primary pulmonary hypertension | 19.91 | ||||
| Total Medicare payments at DRG | $1,845,581,658 | ||||
| Total Medicare payments with ICD I270 - Primary pulmonary hypertension | $8,128,640 | ||||
| Total Medicare payment per Day at DRG | $1,929 | ||||
| Total Medicare payment per Day with ICD I270 - Primary pulmonary hypertension | $1,963 | ||||
| Total Medicare payment per Hospitalization at DRG | $13,340 | ||||
| Total Medicare payment per Hospitalization with ICD I270 - Primary pulmonary hypertension | $14,997 | ||||
| Total Medicare Charges at DRG | $9,021,459,592 | ||||
| Total Medicare Charges with ICD I270 - Primary pulmonary hypertension | $41,024,940 | ||||
| Avg Charges at DRG | $65,210 | ||||
| Avg Charges with ICD I270 - Primary pulmonary hypertension | $75,692 | ||||
| Mortality Rate at DRG | 5.29 | ||||
| Mortality Rate with ICD I270 - Primary pulmonary hypertension | 10.52 | ||||
| SNF Discharge Rate at DRG | 18.8 | ||||
| SNF Discharge Rate with ICD I270 - Primary pulmonary hypertension | 8.86 | ||||
| Home Discharge Rate at DRG | 39.78 | ||||
| Home Discharge Rate with ICD I270 - Primary pulmonary hypertension | 35.79 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UT SOUTHWESTERN MEDICAL CENTER | 6201 HARRY HINES BLVD | DALLAS | TX | 75390 | 44 |
| HENRY FORD HOSPITAL | 2799 W GRAND BLVD | DETROIT | MI | 48202 | 30 |
| NEWYORK PRESBYTERIAN - COLUMBIA UNIVERSITY MEDICAL CENTER | 622 W 168TH ST | NEW YORK | NY | 10032 | 23 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SONJA D BARTOLOME | 5323 HARRY HINES BLVD | DALLAS | TX | 75390 | 16 |
| Dr. KELLY CHIN | 5939 HARRY HINES BLVD | DALLAS | TX | 75235 | 16 |
| Dr. JOHN KINGREY | 13313 N MERIDIAN AVE | OKLAHOMA CITY | OK | 73120 | 12 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS 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 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD I270 - Primary pulmonary hypertension | 1,218 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD I270 - Primary pulmonary hypertension in DRG | 7.6 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD I270 - Primary pulmonary hypertension | 6.63 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD I270 - Primary pulmonary hypertension | 29.21 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD I270 - Primary pulmonary hypertension | 21.54 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD I270 - Primary pulmonary hypertension | $12,675,744 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD I270 - Primary pulmonary hypertension | $1,569 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD I270 - Primary pulmonary hypertension | $10,407 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD I270 - Primary pulmonary hypertension | $64,729,848 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD I270 - Primary pulmonary hypertension | $53,144 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD I270 - Primary pulmonary hypertension | 6.16 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD I270 - Primary pulmonary hypertension | 16.5 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD I270 - Primary pulmonary hypertension | 34.24 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 315: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 114,725 | ||||
| Total Hospitalizations with ICD I270 - Primary pulmonary hypertension | 621 | ||||
| DRG Share of Total Hospitalizations | 0.35 | ||||
| % of Total ICD I270 - Primary pulmonary hypertension in DRG | 3.87 | ||||
| Avg LOS at DRG | 6.91 | ||||
| Avg LOS with ICD I270 - Primary pulmonary hypertension | 10.18 | ||||
| Readmission Rate at DRG | 28.23 | ||||
| Readmission Rate with ICD I270 - Primary pulmonary hypertension | 26.31 | ||||
| Unplanned Readmission Rate at DRG | 17.16 | ||||
| Unplanned Readmission Rate with ICD I270 - Primary pulmonary hypertension | 15.5 | ||||
| Total Medicare payments at DRG | $1,698,418,701 | ||||
| Total Medicare payments with ICD I270 - Primary pulmonary hypertension | $12,723,758 | ||||
| Total Medicare payment per Day at DRG | $2,144 | ||||
| Total Medicare payment per Day with ICD I270 - Primary pulmonary hypertension | $2,013 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,804 | ||||
| Total Medicare payment per Hospitalization with ICD I270 - Primary pulmonary hypertension | $20,489 | ||||
| Total Medicare Charges at DRG | $9,142,710,160 | ||||
| Total Medicare Charges with ICD I270 - Primary pulmonary hypertension | $73,492,721 | ||||
| Avg Charges at DRG | $79,692 | ||||
| Avg Charges with ICD I270 - Primary pulmonary hypertension | $118,346 | ||||
| Mortality Rate at DRG | 3.27 | ||||
| Mortality Rate with ICD I270 - Primary pulmonary hypertension | 5.31 | ||||
| SNF Discharge Rate at DRG | 10.66 | ||||
| SNF Discharge Rate with ICD I270 - Primary pulmonary hypertension | 10.47 | ||||
| Home Discharge Rate at DRG | 53.35 | ||||
| Home Discharge Rate with ICD I270 - Primary pulmonary hypertension | 43.96 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 292,335 | ||||
| Total Hospitalizations with ICD I270 - Primary pulmonary hypertension | 273 | ||||
| DRG Share of Total Hospitalizations | 0.89 | ||||
| % of Total ICD I270 - Primary pulmonary hypertension in DRG | 1.7 | ||||
| Avg LOS at DRG | 2.96 | ||||
| Avg LOS with ICD I270 - Primary pulmonary hypertension | 3.32 | ||||
| Readmission Rate at DRG | 19.18 | ||||
| Readmission Rate with ICD I270 - Primary pulmonary hypertension | 21.92 | ||||
| Unplanned Readmission Rate at DRG | 13.96 | ||||
| Unplanned Readmission Rate with ICD I270 - Primary pulmonary hypertension | 13.85 | ||||
| Total Medicare payments at DRG | $1,347,436,356 | ||||
| Total Medicare payments with ICD I270 - Primary pulmonary hypertension | $1,344,758 | ||||
| Total Medicare payment per Day at DRG | $1,557 | ||||
| Total Medicare payment per Day with ICD I270 - Primary pulmonary hypertension | $1,483 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,609 | ||||
| Total Medicare payment per Hospitalization with ICD I270 - Primary pulmonary hypertension | $4,926 | ||||
| Total Medicare Charges at DRG | $7,385,462,160 | ||||
| Total Medicare Charges with ICD I270 - Primary pulmonary hypertension | $6,923,836 | ||||
| Avg Charges at DRG | $25,264 | ||||
| Avg Charges with ICD I270 - Primary pulmonary hypertension | $25,362 | ||||
| Mortality Rate at DRG | 0.57 | ||||
| Mortality Rate with ICD I270 - Primary pulmonary hypertension | NA | ||||
| SNF Discharge Rate at DRG | 11.55 | ||||
| SNF Discharge Rate with ICD I270 - Primary pulmonary hypertension | 8.42 | ||||
| Home Discharge Rate at DRG | 63.79 | ||||
| Home Discharge Rate with ICD I270 - Primary pulmonary hypertension | 70.33 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD I270 - Primary pulmonary hypertension | 186 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD I270 - Primary pulmonary hypertension in DRG | 1.16 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD I270 - Primary pulmonary hypertension | 7.68 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD I270 - Primary pulmonary hypertension | 33.73 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD I270 - Primary pulmonary hypertension | 19.28 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD I270 - Primary pulmonary hypertension | $2,110,955 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD I270 - Primary pulmonary hypertension | $1,478 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD I270 - Primary pulmonary hypertension | $11,349 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD I270 - Primary pulmonary hypertension | $10,734,988 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD I270 - Primary pulmonary hypertension | $57,715 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD I270 - Primary pulmonary hypertension | NA | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD I270 - Primary pulmonary hypertension | 26.34 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD I270 - Primary pulmonary hypertension | 30.65 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UT SOUTHWESTERN MEDICAL CENTER | 6201 HARRY HINES BLVD | DALLAS | TX | 75390 | 207 |
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 116 |
| METHODIST UNIVERSITY HOSPITAL | 1265 UNION AVE | MEMPHIS | TN | 38104 | 114 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOHN KINGREY | 13313 N MERIDIAN AVE | OKLAHOMA CITY | OK | 73120 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. KELLY CHIN | 5939 HARRY HINES BLVD | DALLAS | TX | 75235 | 54 |
| Dr. SONJA D BARTOLOME | 5323 HARRY HINES BLVD | DALLAS | TX | 75390 | 47 |
| Dr. TRUSHIL GAURAV SHAH | 5323 HARRY HINES BLVD | DALLAS | TX | 75390 | 31 |