| ICD Code | Description |
|---|---|
| I2720 | Pulmonary hypertension, unspecified |
| I2721 | Secondary pulmonary arterial hypertension |
| I2722 | Pulmonary hypertension due to left heart disease |
| I2723 | Pulmonary hypertension due to lung diseases and hypoxia |
| I2724 | Chronic thromboembolic pulmonary hypertension |
| I2729 | Other secondary pulmonary hypertension |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| ICD Code | ICD Description | Total National Projected Hospitalizations - Annualized (Present on Admission - All) | Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - All) | Total Medicare Hospitalization after Exclusion | Avg. LOS | Readmission Rate (%) | Unplanned Readmission Rate (%) | Total Medicare Payments | Payment Per Day | Payment Per Hospitalization | Total Medicare Charges | Avg. Charges | Mortality Rate (%) | SNF Discharge Rate (%) | Home Discharge Rate (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| I272 | Other secondary pulmonary hypertension | 16.93 | |||||||||||||
| I2720 | Pulmonary hypertension, unspecified | 17.89 | |||||||||||||
| I2729 | Other secondary pulmonary hypertension | 17.03 | |||||||||||||
| I2721 | Secondary pulmonary arterial hypertension | 15.8 | |||||||||||||
| I2723 | Pulmonary hypertension due to lung diseases and hypoxia | 15.96 | |||||||||||||
| I2724 | Chronic thromboembolic pulmonary hypertension | 13.83 | |||||||||||||
| I2722 | Pulmonary hypertension due to left heart disease | 17.28 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| ICD Code | ICD Description | 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 Hospitalization after Exclusion | Avg. LOS | Readmission Rate (%) | Unplanned Readmission Rate (%) | Total Medicare Payments | Payment Per Day | Payment Per Hospitalization | Total Medicare Charges | Avg. Charges | Mortality Rate (%) | SNF Discharge Rate (%) | Home Discharge Rate (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| I272 | Other secondary pulmonary hypertension | 6.64 | 27.83 | ||||||||||||||||
| I2720 | Pulmonary hypertension, unspecified | 6.37 | 27.38 | ||||||||||||||||
| I2729 | Other secondary pulmonary hypertension | 7.26 | 29.03 | ||||||||||||||||
| I2721 | Secondary pulmonary arterial hypertension | 7.06 | 28.08 | ||||||||||||||||
| I2722 | Pulmonary hypertension due to left heart disease | 7.51 | 29.25 | ||||||||||||||||
| I2723 | Pulmonary hypertension due to lung diseases and hypoxia | 7.53 | 29.36 | ||||||||||||||||
| I2724 | Chronic thromboembolic pulmonary hypertension | 7.87 | 25.78 |
*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 315: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 I272 - Other secondary pulmonary hypertension | 3,653 | ||||
| DRG Share of Total Hospitalizations | 0.42 | ||||
| % of Total ICD I272 - Other secondary pulmonary hypertension in DRG | 37.42 | ||||
| Avg LOS at DRG | 6.92 | ||||
| Avg LOS with ICD I272 - Other secondary pulmonary hypertension | 6.12 | ||||
| Readmission Rate at DRG | 32.2 | ||||
| Readmission Rate with ICD I272 - Other secondary pulmonary hypertension | 27.16 | ||||
| Unplanned Readmission Rate at DRG | 22.95 | ||||
| Unplanned Readmission Rate with ICD I272 - Other secondary pulmonary hypertension | 20.13 | ||||
| Total Medicare payments at DRG | $1,845,581,658 | ||||
| Total Medicare payments with ICD I272 - Other secondary pulmonary hypertension | $48,925,847 | ||||
| Total Medicare payment per Day at DRG | $1,929 | ||||
| Total Medicare payment per Day with ICD I272 - Other secondary pulmonary hypertension | $2,189 | ||||
| Total Medicare payment per Hospitalization at DRG | $13,340 | ||||
| Total Medicare payment per Hospitalization with ICD I272 - Other secondary pulmonary hypertension | $13,393 | ||||
| Total Medicare Charges at DRG | $9,021,459,592 | ||||
| Total Medicare Charges with ICD I272 - Other secondary pulmonary hypertension | $200,496,480 | ||||
| Avg Charges at DRG | $65,210 | ||||
| Avg Charges with ICD I272 - Other secondary pulmonary hypertension | $54,885 | ||||
| Mortality Rate at DRG | 5.29 | ||||
| Mortality Rate with ICD I272 - Other secondary pulmonary hypertension | 7.91 | ||||
| SNF Discharge Rate at DRG | 18.8 | ||||
| SNF Discharge Rate with ICD I272 - Other secondary pulmonary hypertension | 16.32 | ||||
| Home Discharge Rate at DRG | 39.78 | ||||
| Home Discharge Rate with ICD I272 - Other secondary pulmonary hypertension | 39.12 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 270: OTHER MAJOR CARDIOVASCULAR PROCEDURES W MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 264: OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | DRG 253: OTHER VASCULAR PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 250,159 | ||||
| Total Hospitalizations with ICD I272 - Other secondary pulmonary hypertension | 72 | ||||
| DRG Share of Total Hospitalizations | 0.76 | ||||
| % of Total ICD I272 - Other secondary pulmonary hypertension in DRG | 0.74 | ||||
| Avg LOS at DRG | 5.47 | ||||
| Avg LOS with ICD I272 - Other secondary pulmonary hypertension | 9.92 | ||||
| Readmission Rate at DRG | 27.88 | ||||
| Readmission Rate with ICD I272 - Other secondary pulmonary hypertension | 28.57 | ||||
| Unplanned Readmission Rate at DRG | 19.94 | ||||
| Unplanned Readmission Rate with ICD I272 - Other secondary pulmonary hypertension | 19.05 | ||||
| Total Medicare payments at DRG | $2,661,443,545 | ||||
| Total Medicare payments with ICD I272 - Other secondary pulmonary hypertension | $1,631,589 | ||||
| Total Medicare payment per Day at DRG | $1,946 | ||||
| Total Medicare payment per Day with ICD I272 - Other secondary pulmonary hypertension | $2,285 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,639 | ||||
| Total Medicare payment per Hospitalization with ICD I272 - Other secondary pulmonary hypertension | $22,661 | ||||
| Total Medicare Charges at DRG | $13,270,497,724 | ||||
| Total Medicare Charges with ICD I272 - Other secondary pulmonary hypertension | $9,747,517 | ||||
| Avg Charges at DRG | $53,048 | ||||
| Avg Charges with ICD I272 - Other secondary pulmonary hypertension | $135,382 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD I272 - Other secondary pulmonary hypertension | NA | ||||
| SNF Discharge Rate at DRG | 21.63 | ||||
| SNF Discharge Rate with ICD I272 - Other secondary pulmonary hypertension | 19.44 | ||||
| Home Discharge Rate at DRG | 34.87 | ||||
| Home Discharge Rate with ICD I272 - Other secondary pulmonary hypertension | 30.56 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 246: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR 4+ VESSELS OR STENTS | DRG 271: OTHER MAJOR CARDIOVASCULAR PROCEDURES W COMPLICATION OR COMORBIDITY (CC) | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 281: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 228: OTHER CARDIOTHORACIC PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 134,001 | ||||
| Total Hospitalizations with ICD I272 - Other secondary pulmonary hypertension | 31 | ||||
| DRG Share of Total Hospitalizations | 0.41 | ||||
| % of Total ICD I272 - Other secondary pulmonary hypertension in DRG | 0.32 | ||||
| Avg LOS at DRG | 5.32 | ||||
| Avg LOS with ICD I272 - Other secondary pulmonary hypertension | 9.13 | ||||
| Readmission Rate at DRG | 23.7 | ||||
| Readmission Rate with ICD I272 - Other secondary pulmonary hypertension | 36.67 | ||||
| Unplanned Readmission Rate at DRG | 16.43 | ||||
| Unplanned Readmission Rate with ICD I272 - Other secondary pulmonary hypertension | NA | ||||
| Total Medicare payments at DRG | $2,854,117,533 | ||||
| Total Medicare payments with ICD I272 - Other secondary pulmonary hypertension | $827,062 | ||||
| Total Medicare payment per Day at DRG | $4,006 | ||||
| Total Medicare payment per Day with ICD I272 - Other secondary pulmonary hypertension | $2,922 | ||||
| Total Medicare payment per Hospitalization at DRG | $21,299 | ||||
| Total Medicare payment per Hospitalization with ICD I272 - Other secondary pulmonary hypertension | $26,679 | ||||
| Total Medicare Charges at DRG | $16,607,700,460 | ||||
| Total Medicare Charges with ICD I272 - Other secondary pulmonary hypertension | $4,575,908 | ||||
| Avg Charges at DRG | $123,937 | ||||
| Avg Charges with ICD I272 - Other secondary pulmonary hypertension | $147,610 | ||||
| Mortality Rate at DRG | 3.88 | ||||
| Mortality Rate with ICD I272 - Other secondary pulmonary hypertension | NA | ||||
| SNF Discharge Rate at DRG | 10.96 | ||||
| SNF Discharge Rate with ICD I272 - Other secondary pulmonary hypertension | NA | ||||
| Home Discharge Rate at DRG | 62.82 | ||||
| Home Discharge Rate with ICD I272 - Other secondary pulmonary hypertension | 51.61 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 283: ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 247: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 987: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 243: PERMANENT CARDIAC PACEMAKER IMPLANT WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 31,431 | ||||
| Total Hospitalizations with ICD I272 - Other secondary pulmonary hypertension | 17 | ||||
| DRG Share of Total Hospitalizations | 0.1 | ||||
| % of Total ICD I272 - Other secondary pulmonary hypertension in DRG | 0.17 | ||||
| Avg LOS at DRG | 4.53 | ||||
| Avg LOS with ICD I272 - Other secondary pulmonary hypertension | 8.82 | ||||
| Readmission Rate at DRG | NA | ||||
| Readmission Rate with ICD I272 - Other secondary pulmonary hypertension | NA | ||||
| Unplanned Readmission Rate at DRG | NA | ||||
| Unplanned Readmission Rate with ICD I272 - Other secondary pulmonary hypertension | NA | ||||
| Total Medicare payments at DRG | $375,682,488 | ||||
| Total Medicare payments with ICD I272 - Other secondary pulmonary hypertension | $294,347 | ||||
| Total Medicare payment per Day at DRG | $2,638 | ||||
| Total Medicare payment per Day with ICD I272 - Other secondary pulmonary hypertension | $1,962 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,953 | ||||
| Total Medicare payment per Hospitalization with ICD I272 - Other secondary pulmonary hypertension | $17,315 | ||||
| Total Medicare Charges at DRG | $1,972,247,066 | ||||
| Total Medicare Charges with ICD I272 - Other secondary pulmonary hypertension | $1,935,615 | ||||
| Avg Charges at DRG | $62,748 | ||||
| Avg Charges with ICD I272 - Other secondary pulmonary hypertension | $113,860 | ||||
| Mortality Rate at DRG | 100.0 | ||||
| Mortality Rate with ICD I272 - Other secondary pulmonary hypertension | 100.0 | ||||
| SNF Discharge Rate at DRG | NA | ||||
| SNF Discharge Rate with ICD I272 - Other secondary pulmonary hypertension | NA | ||||
| Home Discharge Rate at DRG | NA | ||||
| Home Discharge Rate with ICD I272 - Other secondary pulmonary hypertension | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UC SAN DIEGO HEALTH - HILLCREST MEDICAL CENTER | 200 WEST ARBOR DRIVE | SAN DIEGO | CA | 92103 | 147 |
| TEMPLE UNIVERSITY HOSPITAL | 3401 N BROAD ST | PHILADELPHIA | PA | 19140 | 98 |
| HENRY FORD HOSPITAL | 2799 W GRAND BLVD | DETROIT | MI | 48202 | 82 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MICHAEL M MADANI | 200 WEST ARBOR DR | SAN DIEGO | CA | 92103 | 51 |
| Dr. GERT DIEDERICK VICTOR PRETORIUS | 200 WEST ARBOR DR | SAN DIEGO | CA | 92103 | 38 |
| Dr. EHTISHAM MAHMUD | 200 W ARBOR DR | SAN DIEGO | CA | 92103 | 21 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MICHAEL M MADANI | 200 WEST ARBOR DR | SAN DIEGO | CA | 92103 | 25 |
| Dr. JIMMY SHAUN SMITH | 401 E CHESTNUT ST UNIT 310 | LOUISVILLE | KY | 40202 | 22 |
| Dr. HYONG S KIM | 9300 CAMPUS POINT DR | LA JOLLA | CA | 92037 | 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 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 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD I272 - Other secondary pulmonary hypertension | 143,476 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD I272 - Other secondary pulmonary hypertension in DRG | 12.13 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD I272 - Other secondary pulmonary hypertension | 6.13 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD I272 - Other secondary pulmonary hypertension | 28.75 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD I272 - Other secondary pulmonary hypertension | 22.02 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD I272 - Other secondary pulmonary hypertension | $1,370,394,157 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD I272 - Other secondary pulmonary hypertension | $1,558 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD I272 - Other secondary pulmonary hypertension | $9,551 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD I272 - Other secondary pulmonary hypertension | $6,750,007,806 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD I272 - Other secondary pulmonary hypertension | $47,046 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD I272 - Other secondary pulmonary hypertension | 4.57 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD I272 - Other secondary pulmonary hypertension | 22.85 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD I272 - Other secondary pulmonary hypertension | 32.6 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD I272 - Other secondary pulmonary hypertension | 23,685 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD I272 - Other secondary pulmonary hypertension in DRG | 2.0 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD I272 - Other secondary pulmonary hypertension | 6.32 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD I272 - Other secondary pulmonary hypertension | 25.38 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD I272 - Other secondary pulmonary hypertension | 18.9 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD I272 - Other secondary pulmonary hypertension | $213,364,107 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD I272 - Other secondary pulmonary hypertension | $1,425 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD I272 - Other secondary pulmonary hypertension | $9,008 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD I272 - Other secondary pulmonary hypertension | $1,165,865,537 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD I272 - Other secondary pulmonary hypertension | $49,224 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD I272 - Other secondary pulmonary hypertension | 4.57 | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD I272 - Other secondary pulmonary hypertension | 24.36 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD I272 - Other secondary pulmonary hypertension | 35.56 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 293: HEART FAILURE AND SHOCK WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 209,527 | ||||
| Total Hospitalizations with ICD I272 - Other secondary pulmonary hypertension | 16,997 | ||||
| DRG Share of Total Hospitalizations | 0.64 | ||||
| % of Total ICD I272 - Other secondary pulmonary hypertension in DRG | 1.44 | ||||
| Avg LOS at DRG | 2.98 | ||||
| Avg LOS with ICD I272 - Other secondary pulmonary hypertension | 5.0 | ||||
| Readmission Rate at DRG | 15.34 | ||||
| Readmission Rate with ICD I272 - Other secondary pulmonary hypertension | 22.87 | ||||
| Unplanned Readmission Rate at DRG | 8.56 | ||||
| Unplanned Readmission Rate with ICD I272 - Other secondary pulmonary hypertension | 12.76 | ||||
| Total Medicare payments at DRG | $1,394,352,541 | ||||
| Total Medicare payments with ICD I272 - Other secondary pulmonary hypertension | $127,357,717 | ||||
| Total Medicare payment per Day at DRG | $2,234 | ||||
| Total Medicare payment per Day with ICD I272 - Other secondary pulmonary hypertension | $1,498 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,655 | ||||
| Total Medicare payment per Hospitalization with ICD I272 - Other secondary pulmonary hypertension | $7,493 | ||||
| Total Medicare Charges at DRG | $9,726,714,225 | ||||
| Total Medicare Charges with ICD I272 - Other secondary pulmonary hypertension | $939,332,665 | ||||
| Avg Charges at DRG | $46,422 | ||||
| Avg Charges with ICD I272 - Other secondary pulmonary hypertension | $55,265 | ||||
| Mortality Rate at DRG | 0.17 | ||||
| Mortality Rate with ICD I272 - Other secondary pulmonary hypertension | 0.35 | ||||
| SNF Discharge Rate at DRG | 3.41 | ||||
| SNF Discharge Rate with ICD I272 - Other secondary pulmonary hypertension | 6.12 | ||||
| Home Discharge Rate at DRG | 79.22 | ||||
| Home Discharge Rate with ICD I272 - Other secondary pulmonary hypertension | 66.49 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 181,637 | ||||
| Total Hospitalizations with ICD I272 - Other secondary pulmonary hypertension | 14,235 | ||||
| DRG Share of Total Hospitalizations | 0.55 | ||||
| % of Total ICD I272 - Other secondary pulmonary hypertension in DRG | 1.2 | ||||
| Avg LOS at DRG | 7.0 | ||||
| Avg LOS with ICD I272 - Other secondary pulmonary hypertension | 8.1 | ||||
| Readmission Rate at DRG | 32.53 | ||||
| Readmission Rate with ICD I272 - Other secondary pulmonary hypertension | 35.51 | ||||
| Unplanned Readmission Rate at DRG | 19.84 | ||||
| Unplanned Readmission Rate with ICD I272 - Other secondary pulmonary hypertension | 21.74 | ||||
| Total Medicare payments at DRG | $2,845,609,163 | ||||
| Total Medicare payments with ICD I272 - Other secondary pulmonary hypertension | $228,930,947 | ||||
| Total Medicare payment per Day at DRG | $2,237 | ||||
| Total Medicare payment per Day with ICD I272 - Other secondary pulmonary hypertension | $1,987 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,666 | ||||
| Total Medicare payment per Hospitalization with ICD I272 - Other secondary pulmonary hypertension | $16,082 | ||||
| Total Medicare Charges at DRG | $14,794,146,746 | ||||
| Total Medicare Charges with ICD I272 - Other secondary pulmonary hypertension | $1,288,731,790 | ||||
| Avg Charges at DRG | $81,449 | ||||
| Avg Charges with ICD I272 - Other secondary pulmonary hypertension | $90,533 | ||||
| Mortality Rate at DRG | 25.14 | ||||
| Mortality Rate with ICD I272 - Other secondary pulmonary hypertension | 25.16 | ||||
| SNF Discharge Rate at DRG | 19.06 | ||||
| SNF Discharge Rate with ICD I272 - Other secondary pulmonary hypertension | 20.96 | ||||
| Home Discharge Rate at DRG | 20.69 | ||||
| Home Discharge Rate with ICD I272 - Other secondary pulmonary hypertension | 17.28 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 4,650 |
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 4,063 |
| AURORA ST. LUKE'S MEDICAL CENTER | 2900 W OKLAHOMA AVE | MILWAUKEE | WI | 53215 | 3,601 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MARK J AULT | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 273 |
| Dr. RAJ R MAKKAR | 8700 WILSHIRE BLVD. | LOS ANGELES | CA | 90048 | 255 |
| Dr. SAMIN SHARMA | 5 E 98TH ST | NEW YORK | NY | 10029 | 213 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 702 |
| Dr. ANDREA LEA SMITH | 785 OHIO AVENUE | CLARKSDALE | MS | 38614 | 383 |
| Dr. LEONARD EUGENE ELLISON | 17330 NORTHLAND PARK CT | SOUTHFIELD | MI | 48075 | 289 |