*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| I2723 - Pulmonary hypertension due to lung diseases and hypoxia - as a primary diagnosis code | I2723 - Pulmonary hypertension due to lung diseases and hypoxia - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.53 | |
| Readmission Rate (%) | 29.36 | |
| Unplanned Readmission Rate (%) | 15.96 | |
| 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 I2723 - Pulmonary hypertension due to lung diseases and hypoxia | 263 | ||||
| DRG Share of Total Hospitalizations | 0.42 | ||||
| % of Total ICD I2723 - Pulmonary hypertension due to lung diseases and hypoxia in DRG | 49.62 | ||||
| Avg LOS at DRG | 6.92 | ||||
| Avg LOS with ICD I2723 - Pulmonary hypertension due to lung diseases and hypoxia | 6.97 | ||||
| Readmission Rate at DRG | 32.2 | ||||
| Readmission Rate with ICD I2723 - Pulmonary hypertension due to lung diseases and hypoxia | 21.08 | ||||
| Unplanned Readmission Rate at DRG | 22.95 | ||||
| Unplanned Readmission Rate with ICD I2723 - Pulmonary hypertension due to lung diseases and hypoxia | 17.04 | ||||
| Total Medicare payments at DRG | $1,845,581,658 | ||||
| Total Medicare payments with ICD I2723 - Pulmonary hypertension due to lung diseases and hypoxia | $3,945,962 | ||||
| Total Medicare payment per Day at DRG | $1,929 | ||||
| Total Medicare payment per Day with ICD I2723 - Pulmonary hypertension due to lung diseases and hypoxia | $2,154 | ||||
| Total Medicare payment per Hospitalization at DRG | $13,340 | ||||
| Total Medicare payment per Hospitalization with ICD I2723 - Pulmonary hypertension due to lung diseases and hypoxia | $15,004 | ||||
| Total Medicare Charges at DRG | $9,021,459,592 | ||||
| Total Medicare Charges with ICD I2723 - Pulmonary hypertension due to lung diseases and hypoxia | $18,081,745 | ||||
| Avg Charges at DRG | $65,210 | ||||
| Avg Charges with ICD I2723 - Pulmonary hypertension due to lung diseases and hypoxia | $68,752 | ||||
| Mortality Rate at DRG | 5.29 | ||||
| Mortality Rate with ICD I2723 - Pulmonary hypertension due to lung diseases and hypoxia | 4.56 | ||||
| SNF Discharge Rate at DRG | 18.8 | ||||
| SNF Discharge Rate with ICD I2723 - Pulmonary hypertension due to lung diseases and hypoxia | 18.25 | ||||
| Home Discharge Rate at DRG | 39.78 | ||||
| Home Discharge Rate with ICD I2723 - Pulmonary hypertension due to lung diseases and hypoxia | 39.92 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UNIVERSITY OF MINNESOTA MEDICAL CENTER | 2450 RIVERSIDE AVE | MINNEAPOLIS | MN | 55454 | 18 |
| TEMPLE UNIVERSITY HOSPITAL | 3401 N BROAD ST | PHILADELPHIA | PA | 19140 | 14 |
| UCHEALTH UNIVERSITY OF COLORADO HOSPITAL | 12605 E 16TH AVE | AURORA | CO | 80045 | 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 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH 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 | 1,013,774 | ||||
| Total Hospitalizations with ICD I2723 - Pulmonary hypertension due to lung diseases and hypoxia | 2,407 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD I2723 - Pulmonary hypertension due to lung diseases and hypoxia in DRG | 15.32 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD I2723 - Pulmonary hypertension due to lung diseases and hypoxia | 6.46 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD I2723 - Pulmonary hypertension due to lung diseases and hypoxia | 27.56 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD I2723 - Pulmonary hypertension due to lung diseases and hypoxia | 20.93 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD I2723 - Pulmonary hypertension due to lung diseases and hypoxia | $24,356,872 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD I2723 - Pulmonary hypertension due to lung diseases and hypoxia | $1,566 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD I2723 - Pulmonary hypertension due to lung diseases and hypoxia | $10,119 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD I2723 - Pulmonary hypertension due to lung diseases and hypoxia | $128,285,848 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD I2723 - Pulmonary hypertension due to lung diseases and hypoxia | $53,297 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD I2723 - Pulmonary hypertension due to lung diseases and hypoxia | 3.78 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD I2723 - Pulmonary hypertension due to lung diseases and hypoxia | 22.64 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD I2723 - Pulmonary hypertension due to lung diseases and hypoxia | 31.03 |
*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 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 114,725 | ||||
| Total Hospitalizations with ICD I2723 - Pulmonary hypertension due to lung diseases and hypoxia | 505 | ||||
| DRG Share of Total Hospitalizations | 0.35 | ||||
| % of Total ICD I2723 - Pulmonary hypertension due to lung diseases and hypoxia in DRG | 3.21 | ||||
| Avg LOS at DRG | 6.91 | ||||
| Avg LOS with ICD I2723 - Pulmonary hypertension due to lung diseases and hypoxia | 10.18 | ||||
| Readmission Rate at DRG | 28.23 | ||||
| Readmission Rate with ICD I2723 - Pulmonary hypertension due to lung diseases and hypoxia | 28.27 | ||||
| Unplanned Readmission Rate at DRG | 17.16 | ||||
| Unplanned Readmission Rate with ICD I2723 - Pulmonary hypertension due to lung diseases and hypoxia | 17.34 | ||||
| Total Medicare payments at DRG | $1,698,418,701 | ||||
| Total Medicare payments with ICD I2723 - Pulmonary hypertension due to lung diseases and hypoxia | $8,962,155 | ||||
| Total Medicare payment per Day at DRG | $2,144 | ||||
| Total Medicare payment per Day with ICD I2723 - Pulmonary hypertension due to lung diseases and hypoxia | $1,743 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,804 | ||||
| Total Medicare payment per Hospitalization with ICD I2723 - Pulmonary hypertension due to lung diseases and hypoxia | $17,747 | ||||
| Total Medicare Charges at DRG | $9,142,710,160 | ||||
| Total Medicare Charges with ICD I2723 - Pulmonary hypertension due to lung diseases and hypoxia | $56,147,897 | ||||
| Avg Charges at DRG | $79,692 | ||||
| Avg Charges with ICD I2723 - Pulmonary hypertension due to lung diseases and hypoxia | $111,184 | ||||
| Mortality Rate at DRG | 3.27 | ||||
| Mortality Rate with ICD I2723 - Pulmonary hypertension due to lung diseases and hypoxia | 7.33 | ||||
| SNF Discharge Rate at DRG | 10.66 | ||||
| SNF Discharge Rate with ICD I2723 - Pulmonary hypertension due to lung diseases and hypoxia | 13.66 | ||||
| Home Discharge Rate at DRG | 53.35 | ||||
| Home Discharge Rate with ICD I2723 - Pulmonary hypertension due to lung diseases and hypoxia | 40.4 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 196: INTERSTITIAL LUNG DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 231,410 | ||||
| Total Hospitalizations with ICD I2723 - Pulmonary hypertension due to lung diseases and hypoxia | 289 | ||||
| DRG Share of Total Hospitalizations | 0.7 | ||||
| % of Total ICD I2723 - Pulmonary hypertension due to lung diseases and hypoxia in DRG | 1.84 | ||||
| Avg LOS at DRG | 7.29 | ||||
| Avg LOS with ICD I2723 - Pulmonary hypertension due to lung diseases and hypoxia | 8.62 | ||||
| Readmission Rate at DRG | 25.54 | ||||
| Readmission Rate with ICD I2723 - Pulmonary hypertension due to lung diseases and hypoxia | 29.27 | ||||
| Unplanned Readmission Rate at DRG | 18.36 | ||||
| Unplanned Readmission Rate with ICD I2723 - Pulmonary hypertension due to lung diseases and hypoxia | 20.73 | ||||
| Total Medicare payments at DRG | $2,801,759,007 | ||||
| Total Medicare payments with ICD I2723 - Pulmonary hypertension due to lung diseases and hypoxia | $3,966,344 | ||||
| Total Medicare payment per Day at DRG | $1,661 | ||||
| Total Medicare payment per Day with ICD I2723 - Pulmonary hypertension due to lung diseases and hypoxia | $1,593 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,107 | ||||
| Total Medicare payment per Hospitalization with ICD I2723 - Pulmonary hypertension due to lung diseases and hypoxia | $13,724 | ||||
| Total Medicare Charges at DRG | $13,366,030,360 | ||||
| Total Medicare Charges with ICD I2723 - Pulmonary hypertension due to lung diseases and hypoxia | $23,799,178 | ||||
| Avg Charges at DRG | $57,759 | ||||
| Avg Charges with ICD I2723 - Pulmonary hypertension due to lung diseases and hypoxia | $82,350 | ||||
| Mortality Rate at DRG | 7.21 | ||||
| Mortality Rate with ICD I2723 - Pulmonary hypertension due to lung diseases and hypoxia | 9.0 | ||||
| SNF Discharge Rate at DRG | 32.47 | ||||
| SNF Discharge Rate with ICD I2723 - Pulmonary hypertension due to lung diseases and hypoxia | 29.76 | ||||
| Home Discharge Rate at DRG | 20.84 | ||||
| Home Discharge Rate with ICD I2723 - Pulmonary hypertension due to lung diseases and hypoxia | 17.65 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD I2723 - Pulmonary hypertension due to lung diseases and hypoxia | 188 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD I2723 - Pulmonary hypertension due to lung diseases and hypoxia in DRG | 1.2 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD I2723 - Pulmonary hypertension due to lung diseases and hypoxia | 13.17 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD I2723 - Pulmonary hypertension due to lung diseases and hypoxia | 41.91 | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD I2723 - Pulmonary hypertension due to lung diseases and hypoxia | 25.74 | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD I2723 - Pulmonary hypertension due to lung diseases and hypoxia | $7,427,270 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD I2723 - Pulmonary hypertension due to lung diseases and hypoxia | $3,000 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD I2723 - Pulmonary hypertension due to lung diseases and hypoxia | $39,507 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD I2723 - Pulmonary hypertension due to lung diseases and hypoxia | $37,266,340 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD I2723 - Pulmonary hypertension due to lung diseases and hypoxia | $198,225 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD I2723 - Pulmonary hypertension due to lung diseases and hypoxia | 21.28 | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD I2723 - Pulmonary hypertension due to lung diseases and hypoxia | 32.45 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD I2723 - Pulmonary hypertension due to lung diseases and hypoxia | 8.51 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UCHEALTH UNIVERSITY OF COLORADO HOSPITAL | 12605 E 16TH AVE | AURORA | CO | 80045 | 213 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 197 |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM | 1500 EAST MEDICAL CENTER DRIVE | ANN ARBOR | MI | 48109 | 181 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SREENU ADA | 1390 HIGHWAY 61 STE 3200 | FESTUS | MO | 63028 | 25 |
| Dr. LEONARD EUGENE ELLISON | 17330 NORTHLAND PARK CT | SOUTHFIELD | MI | 48075 | 20 |
| Dr. VLADIMIR MILO | 10010 KENNERLY RD | SAINT LOUIS | MO | 63128 | 15 |