*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| I2722 - Pulmonary hypertension due to left heart disease - as a primary diagnosis code | I2722 - Pulmonary hypertension due to left heart disease - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.51 | |
| Readmission Rate (%) | 29.25 | |
| Unplanned Readmission Rate (%) | 17.28 | |
| 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) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 138,345 | |||
| Total Hospitalizations with ICD I2722 - Pulmonary hypertension due to left heart disease | 115 | |||
| DRG Share of Total Hospitalizations | 0.42 | |||
| % of Total ICD I2722 - Pulmonary hypertension due to left heart disease in DRG | 39.93 | |||
| Avg LOS at DRG | 6.92 | |||
| Avg LOS with ICD I2722 - Pulmonary hypertension due to left heart disease | 5.98 | |||
| Readmission Rate at DRG | 32.2 | |||
| Readmission Rate with ICD I2722 - Pulmonary hypertension due to left heart disease | 29.35 | |||
| Unplanned Readmission Rate at DRG | 22.95 | |||
| Unplanned Readmission Rate with ICD I2722 - Pulmonary hypertension due to left heart disease | 23.91 | |||
| Total Medicare payments at DRG | $1,845,581,658 | |||
| Total Medicare payments with ICD I2722 - Pulmonary hypertension due to left heart disease | $1,632,537 | |||
| Total Medicare payment per Day at DRG | $1,929 | |||
| Total Medicare payment per Day with ICD I2722 - Pulmonary hypertension due to left heart disease | $2,373 | |||
| Total Medicare payment per Hospitalization at DRG | $13,340 | |||
| Total Medicare payment per Hospitalization with ICD I2722 - Pulmonary hypertension due to left heart disease | $14,196 | |||
| Total Medicare Charges at DRG | $9,021,459,592 | |||
| Total Medicare Charges with ICD I2722 - Pulmonary hypertension due to left heart disease | $6,223,603 | |||
| Avg Charges at DRG | $65,210 | |||
| Avg Charges with ICD I2722 - Pulmonary hypertension due to left heart disease | $54,118 | |||
| Mortality Rate at DRG | 5.29 | |||
| Mortality Rate with ICD I2722 - Pulmonary hypertension due to left heart disease | NA | |||
| SNF Discharge Rate at DRG | 18.8 | |||
| SNF Discharge Rate with ICD I2722 - Pulmonary hypertension due to left heart disease | 10.43 | |||
| Home Discharge Rate at DRG | 39.78 | |||
| Home Discharge Rate with ICD I2722 - Pulmonary hypertension due to left heart disease | 45.22 |
*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 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION 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 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD I2722 - Pulmonary hypertension due to left heart disease | 4,188 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD I2722 - Pulmonary hypertension due to left heart disease in DRG | 20.81 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD I2722 - Pulmonary hypertension due to left heart disease | 6.46 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD I2722 - Pulmonary hypertension due to left heart disease | 27.4 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD I2722 - Pulmonary hypertension due to left heart disease | 20.78 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD I2722 - Pulmonary hypertension due to left heart disease | $42,458,229 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD I2722 - Pulmonary hypertension due to left heart disease | $1,570 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD I2722 - Pulmonary hypertension due to left heart disease | $10,138 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD I2722 - Pulmonary hypertension due to left heart disease | $220,907,614 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD I2722 - Pulmonary hypertension due to left heart disease | $52,748 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD I2722 - Pulmonary hypertension due to left heart disease | 4.35 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD I2722 - Pulmonary hypertension due to left heart disease | 21.73 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD I2722 - Pulmonary hypertension due to left heart disease | 32.0 |
*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 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD I2722 - Pulmonary hypertension due to left heart disease | 556 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD I2722 - Pulmonary hypertension due to left heart disease in DRG | 2.76 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD I2722 - Pulmonary hypertension due to left heart disease | 7.11 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD I2722 - Pulmonary hypertension due to left heart disease | 29.22 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD I2722 - Pulmonary hypertension due to left heart disease | 22.08 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD I2722 - Pulmonary hypertension due to left heart disease | $5,822,286 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD I2722 - Pulmonary hypertension due to left heart disease | $1,474 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD I2722 - Pulmonary hypertension due to left heart disease | $10,472 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD I2722 - Pulmonary hypertension due to left heart disease | $32,661,990 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD I2722 - Pulmonary hypertension due to left heart disease | $58,745 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD I2722 - Pulmonary hypertension due to left heart disease | 5.22 | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD I2722 - Pulmonary hypertension due to left heart disease | 23.02 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD I2722 - Pulmonary hypertension due to left heart disease | 30.4 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 266: ENDOVASCULAR CARDIAC VALVE REPLACEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE 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 219: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD I2722 - Pulmonary hypertension due to left heart disease | 270 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD I2722 - Pulmonary hypertension due to left heart disease in DRG | 1.34 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD I2722 - Pulmonary hypertension due to left heart disease | 5.41 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD I2722 - Pulmonary hypertension due to left heart disease | 34.57 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD I2722 - Pulmonary hypertension due to left heart disease | 27.16 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD I2722 - Pulmonary hypertension due to left heart disease | $2,168,157 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD I2722 - Pulmonary hypertension due to left heart disease | $1,485 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD I2722 - Pulmonary hypertension due to left heart disease | $8,030 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD I2722 - Pulmonary hypertension due to left heart disease | $14,102,909 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD I2722 - Pulmonary hypertension due to left heart disease | $52,233 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD I2722 - Pulmonary hypertension due to left heart disease | NA | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD I2722 - Pulmonary hypertension due to left heart disease | 19.26 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD I2722 - Pulmonary hypertension due to left heart disease | 39.63 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 293: HEART FAILURE AND SHOCK WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 149,454 | ||||
| Total Hospitalizations with ICD I2722 - Pulmonary hypertension due to left heart disease | 211 | ||||
| DRG Share of Total Hospitalizations | 0.45 | ||||
| % of Total ICD I2722 - Pulmonary hypertension due to left heart disease in DRG | 1.05 | ||||
| Avg LOS at DRG | 2.91 | ||||
| Avg LOS with ICD I2722 - Pulmonary hypertension due to left heart disease | 3.27 | ||||
| Readmission Rate at DRG | 19.06 | ||||
| Readmission Rate with ICD I2722 - Pulmonary hypertension due to left heart disease | 21.81 | ||||
| Unplanned Readmission Rate at DRG | 13.94 | ||||
| Unplanned Readmission Rate with ICD I2722 - Pulmonary hypertension due to left heart disease | 18.62 | ||||
| Total Medicare payments at DRG | $634,267,172 | ||||
| Total Medicare payments with ICD I2722 - Pulmonary hypertension due to left heart disease | $933,107 | ||||
| Total Medicare payment per Day at DRG | $1,460 | ||||
| Total Medicare payment per Day with ICD I2722 - Pulmonary hypertension due to left heart disease | $1,354 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,244 | ||||
| Total Medicare payment per Hospitalization with ICD I2722 - Pulmonary hypertension due to left heart disease | $4,422 | ||||
| Total Medicare Charges at DRG | $3,009,861,593 | ||||
| Total Medicare Charges with ICD I2722 - Pulmonary hypertension due to left heart disease | $5,039,021 | ||||
| Avg Charges at DRG | $20,139 | ||||
| Avg Charges with ICD I2722 - Pulmonary hypertension due to left heart disease | $23,882 | ||||
| Mortality Rate at DRG | 0.61 | ||||
| Mortality Rate with ICD I2722 - Pulmonary hypertension due to left heart disease | NA | ||||
| SNF Discharge Rate at DRG | 10.57 | ||||
| SNF Discharge Rate with ICD I2722 - Pulmonary hypertension due to left heart disease | 9.95 | ||||
| Home Discharge Rate at DRG | 58.05 | ||||
| Home Discharge Rate with ICD I2722 - Pulmonary hypertension due to left heart disease | 51.66 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 341 |
| READING HOSPITAL | 420 S 5TH AVE | WEST READING | PA | 19611 | 249 |
| ORLANDO HEALTH ORLANDO REGIONAL MEDICAL CENTER | 1414 KUHL AVE | ORLANDO | FL | 32806 | 237 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. THOMAS W GOODLIVE | 3705 OLENTANGY RIVER RD | COLUMBUS | OH | 43214 | 16 |
| Dr. WILLIS M WU | 3000 NEW BERN AVE | RALEIGH | NC | 27610 | 14 |
| Dr. MUBASHIR AHMED MUMTAZ | 205 S FRONT STREET | HARRISBURG | PA | 17104 | 14 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SARAH WISTRAN YOUNG | 500 LAUCHWOOD DR | LAURINBURG | NC | 28352 | 22 |
| Dr. ANDREA LEA SMITH | 785 OHIO AVENUE | CLARKSDALE | MS | 38614 | 22 |
| Dr. DEBORAH DEOSS-MAKSOUD | 401 TAKOMA AVE | GREENEVILLE | TN | 37743 | 20 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | E785 | Hyperlipidemia, unspecified |