*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| I2724 - Chronic thromboembolic pulmonary hypertension - as a primary diagnosis code | I2724 - Chronic thromboembolic pulmonary hypertension - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.87 | |
| Readmission Rate (%) | 25.78 | |
| Unplanned Readmission Rate (%) | 13.83 | |
| 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 270: OTHER MAJOR CARDIOVASCULAR PROCEDURES W 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 I2724 - Chronic thromboembolic pulmonary hypertension | 64 | ||||
| DRG Share of Total Hospitalizations | 0.42 | ||||
| % of Total ICD I2724 - Chronic thromboembolic pulmonary hypertension in DRG | 19.57 | ||||
| Avg LOS at DRG | 6.92 | ||||
| Avg LOS with ICD I2724 - Chronic thromboembolic pulmonary hypertension | 6.86 | ||||
| Readmission Rate at DRG | 32.2 | ||||
| Readmission Rate with ICD I2724 - Chronic thromboembolic pulmonary hypertension | 24.53 | ||||
| Unplanned Readmission Rate at DRG | 22.95 | ||||
| Unplanned Readmission Rate with ICD I2724 - Chronic thromboembolic pulmonary hypertension | NA | ||||
| Total Medicare payments at DRG | $1,845,581,658 | ||||
| Total Medicare payments with ICD I2724 - Chronic thromboembolic pulmonary hypertension | $998,999 | ||||
| Total Medicare payment per Day at DRG | $1,929 | ||||
| Total Medicare payment per Day with ICD I2724 - Chronic thromboembolic pulmonary hypertension | $2,276 | ||||
| Total Medicare payment per Hospitalization at DRG | $13,340 | ||||
| Total Medicare payment per Hospitalization with ICD I2724 - Chronic thromboembolic pulmonary hypertension | $15,609 | ||||
| Total Medicare Charges at DRG | $9,021,459,592 | ||||
| Total Medicare Charges with ICD I2724 - Chronic thromboembolic pulmonary hypertension | $4,515,593 | ||||
| Avg Charges at DRG | $65,210 | ||||
| Avg Charges with ICD I2724 - Chronic thromboembolic pulmonary hypertension | $70,556 | ||||
| Mortality Rate at DRG | 5.29 | ||||
| Mortality Rate with ICD I2724 - Chronic thromboembolic pulmonary hypertension | NA | ||||
| SNF Discharge Rate at DRG | 18.8 | ||||
| SNF Discharge Rate with ICD I2724 - Chronic thromboembolic pulmonary hypertension | 21.88 | ||||
| Home Discharge Rate at DRG | 39.78 | ||||
| Home Discharge Rate with ICD I2724 - Chronic thromboembolic pulmonary hypertension | 37.5 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 271: OTHER MAJOR CARDIOVASCULAR PROCEDURES W COMPLICATION OR COMORBIDITY (CC) | DRG 253: OTHER VASCULAR PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 228: OTHER CARDIOTHORACIC PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 38,274 | |||
| Total Hospitalizations with ICD I2724 - Chronic thromboembolic pulmonary hypertension | 20 | |||
| DRG Share of Total Hospitalizations | 0.12 | |||
| % of Total ICD I2724 - Chronic thromboembolic pulmonary hypertension in DRG | 6.12 | |||
| Avg LOS at DRG | 5.64 | |||
| Avg LOS with ICD I2724 - Chronic thromboembolic pulmonary hypertension | 10.5 | |||
| Readmission Rate at DRG | 23.87 | |||
| Readmission Rate with ICD I2724 - Chronic thromboembolic pulmonary hypertension | NA | |||
| Unplanned Readmission Rate at DRG | 12.97 | |||
| Unplanned Readmission Rate with ICD I2724 - Chronic thromboembolic pulmonary hypertension | NA | |||
| Total Medicare payments at DRG | $829,251,141 | |||
| Total Medicare payments with ICD I2724 - Chronic thromboembolic pulmonary hypertension | $678,629 | |||
| Total Medicare payment per Day at DRG | $3,840 | |||
| Total Medicare payment per Day with ICD I2724 - Chronic thromboembolic pulmonary hypertension | $3,232 | |||
| Total Medicare payment per Hospitalization at DRG | $21,666 | |||
| Total Medicare payment per Hospitalization with ICD I2724 - Chronic thromboembolic pulmonary hypertension | $33,931 | |||
| Total Medicare Charges at DRG | $4,499,731,580 | |||
| Total Medicare Charges with ICD I2724 - Chronic thromboembolic pulmonary hypertension | $4,380,514 | |||
| Avg Charges at DRG | $117,566 | |||
| Avg Charges with ICD I2724 - Chronic thromboembolic pulmonary hypertension | $219,026 | |||
| Mortality Rate at DRG | 2.17 | |||
| Mortality Rate with ICD I2724 - Chronic thromboembolic pulmonary hypertension | NA | |||
| SNF Discharge Rate at DRG | 16.12 | |||
| SNF Discharge Rate with ICD I2724 - Chronic thromboembolic pulmonary hypertension | NA | |||
| Home Discharge Rate at DRG | 50.94 | |||
| Home Discharge Rate with ICD I2724 - Chronic thromboembolic 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 | 60 |
| NEWYORK PRESBYTERIAN - COLUMBIA UNIVERSITY MEDICAL CENTER | 622 W 168TH ST | NEW YORK | NY | 10032 | 14 |
| TEMPLE UNIVERSITY HOSPITAL | 3401 N BROAD ST | PHILADELPHIA | PA | 19140 | 11 |
| 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 | 30 |
| Dr. GERT DIEDERICK VICTOR PRETORIUS | 200 WEST ARBOR DR | SAN DIEGO | CA | 92103 | 21 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID S POCH | 9300 CAMPUS POINT DR # MC7381 | LA JOLLA | CA | 92037 | 15 |
| Dr. DEMOSTHENES GABRIEL PAPAMATHEAKIS | 9300 CAMPUS POINT DR # 7381 | LA JOLLA | CA | 92037 | 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 175: PULMONARY EMBOLISM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 80,433 | ||||
| Total Hospitalizations with ICD I2724 - Chronic thromboembolic pulmonary hypertension | 178 | ||||
| DRG Share of Total Hospitalizations | 0.24 | ||||
| % of Total ICD I2724 - Chronic thromboembolic pulmonary hypertension in DRG | 8.13 | ||||
| Avg LOS at DRG | 5.24 | ||||
| Avg LOS with ICD I2724 - Chronic thromboembolic pulmonary hypertension | 6.74 | ||||
| Readmission Rate at DRG | 20.23 | ||||
| Readmission Rate with ICD I2724 - Chronic thromboembolic pulmonary hypertension | 20.25 | ||||
| Unplanned Readmission Rate at DRG | 13.84 | ||||
| Unplanned Readmission Rate with ICD I2724 - Chronic thromboembolic pulmonary hypertension | 14.72 | ||||
| Total Medicare payments at DRG | $734,471,819 | ||||
| Total Medicare payments with ICD I2724 - Chronic thromboembolic pulmonary hypertension | $1,918,296 | ||||
| Total Medicare payment per Day at DRG | $1,743 | ||||
| Total Medicare payment per Day with ICD I2724 - Chronic thromboembolic pulmonary hypertension | $1,600 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,131 | ||||
| Total Medicare payment per Hospitalization with ICD I2724 - Chronic thromboembolic pulmonary hypertension | $10,777 | ||||
| Total Medicare Charges at DRG | $3,786,674,716 | ||||
| Total Medicare Charges with ICD I2724 - Chronic thromboembolic pulmonary hypertension | $11,169,293 | ||||
| Avg Charges at DRG | $47,079 | ||||
| Avg Charges with ICD I2724 - Chronic thromboembolic pulmonary hypertension | $62,749 | ||||
| Mortality Rate at DRG | 3.47 | ||||
| Mortality Rate with ICD I2724 - Chronic thromboembolic pulmonary hypertension | NA | ||||
| SNF Discharge Rate at DRG | 20.28 | ||||
| SNF Discharge Rate with ICD I2724 - Chronic thromboembolic pulmonary hypertension | 17.42 | ||||
| Home Discharge Rate at DRG | 42.82 | ||||
| Home Discharge Rate with ICD I2724 - Chronic thromboembolic pulmonary hypertension | 47.19 |
*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 176: PULMONARY EMBOLISM WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 270: OTHER MAJOR CARDIOVASCULAR PROCEDURES W MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 315: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 138,345 | ||||
| Total Hospitalizations with ICD I2724 - Chronic thromboembolic pulmonary hypertension | 94 | ||||
| DRG Share of Total Hospitalizations | 0.42 | ||||
| % of Total ICD I2724 - Chronic thromboembolic pulmonary hypertension in DRG | 4.29 | ||||
| Avg LOS at DRG | 6.92 | ||||
| Avg LOS with ICD I2724 - Chronic thromboembolic pulmonary hypertension | 7.22 | ||||
| Readmission Rate at DRG | 32.2 | ||||
| Readmission Rate with ICD I2724 - Chronic thromboembolic pulmonary hypertension | 30.77 | ||||
| Unplanned Readmission Rate at DRG | 22.95 | ||||
| Unplanned Readmission Rate with ICD I2724 - Chronic thromboembolic pulmonary hypertension | 21.79 | ||||
| Total Medicare payments at DRG | $1,845,581,658 | ||||
| Total Medicare payments with ICD I2724 - Chronic thromboembolic pulmonary hypertension | $1,447,385 | ||||
| Total Medicare payment per Day at DRG | $1,929 | ||||
| Total Medicare payment per Day with ICD I2724 - Chronic thromboembolic pulmonary hypertension | $2,132 | ||||
| Total Medicare payment per Hospitalization at DRG | $13,340 | ||||
| Total Medicare payment per Hospitalization with ICD I2724 - Chronic thromboembolic pulmonary hypertension | $15,398 | ||||
| Total Medicare Charges at DRG | $9,021,459,592 | ||||
| Total Medicare Charges with ICD I2724 - Chronic thromboembolic pulmonary hypertension | $7,480,319 | ||||
| Avg Charges at DRG | $65,210 | ||||
| Avg Charges with ICD I2724 - Chronic thromboembolic pulmonary hypertension | $79,578 | ||||
| Mortality Rate at DRG | 5.29 | ||||
| Mortality Rate with ICD I2724 - Chronic thromboembolic pulmonary hypertension | NA | ||||
| SNF Discharge Rate at DRG | 18.8 | ||||
| SNF Discharge Rate with ICD I2724 - Chronic thromboembolic pulmonary hypertension | 18.09 | ||||
| Home Discharge Rate at DRG | 39.78 | ||||
| Home Discharge Rate with ICD I2724 - Chronic thromboembolic pulmonary hypertension | 43.62 |
*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 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 209,527 | ||||
| Total Hospitalizations with ICD I2724 - Chronic thromboembolic pulmonary hypertension | 44 | ||||
| DRG Share of Total Hospitalizations | 0.64 | ||||
| % of Total ICD I2724 - Chronic thromboembolic pulmonary hypertension in DRG | 2.01 | ||||
| Avg LOS at DRG | 2.98 | ||||
| Avg LOS with ICD I2724 - Chronic thromboembolic pulmonary hypertension | 6.25 | ||||
| Readmission Rate at DRG | 15.34 | ||||
| Readmission Rate with ICD I2724 - Chronic thromboembolic pulmonary hypertension | 26.19 | ||||
| Unplanned Readmission Rate at DRG | 8.56 | ||||
| Unplanned Readmission Rate with ICD I2724 - Chronic thromboembolic pulmonary hypertension | NA | ||||
| Total Medicare payments at DRG | $1,394,352,541 | ||||
| Total Medicare payments with ICD I2724 - Chronic thromboembolic pulmonary hypertension | $524,482 | ||||
| Total Medicare payment per Day at DRG | $2,234 | ||||
| Total Medicare payment per Day with ICD I2724 - Chronic thromboembolic pulmonary hypertension | $1,907 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,655 | ||||
| Total Medicare payment per Hospitalization with ICD I2724 - Chronic thromboembolic pulmonary hypertension | $11,920 | ||||
| Total Medicare Charges at DRG | $9,726,714,225 | ||||
| Total Medicare Charges with ICD I2724 - Chronic thromboembolic pulmonary hypertension | $3,705,318 | ||||
| Avg Charges at DRG | $46,422 | ||||
| Avg Charges with ICD I2724 - Chronic thromboembolic pulmonary hypertension | $84,212 | ||||
| Mortality Rate at DRG | 0.17 | ||||
| Mortality Rate with ICD I2724 - Chronic thromboembolic pulmonary hypertension | NA | ||||
| SNF Discharge Rate at DRG | 3.41 | ||||
| SNF Discharge Rate with ICD I2724 - Chronic thromboembolic pulmonary hypertension | NA | ||||
| Home Discharge Rate at DRG | 79.22 | ||||
| Home Discharge Rate with ICD I2724 - Chronic thromboembolic pulmonary hypertension | 77.27 |
*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 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 253: OTHER VASCULAR PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 181,637 | ||||
| Total Hospitalizations with ICD I2724 - Chronic thromboembolic pulmonary hypertension | 34 | ||||
| DRG Share of Total Hospitalizations | 0.55 | ||||
| % of Total ICD I2724 - Chronic thromboembolic pulmonary hypertension in DRG | 1.55 | ||||
| Avg LOS at DRG | 7.0 | ||||
| Avg LOS with ICD I2724 - Chronic thromboembolic pulmonary hypertension | 7.24 | ||||
| Readmission Rate at DRG | 32.53 | ||||
| Readmission Rate with ICD I2724 - Chronic thromboembolic pulmonary hypertension | NA | ||||
| Unplanned Readmission Rate at DRG | 19.84 | ||||
| Unplanned Readmission Rate with ICD I2724 - Chronic thromboembolic pulmonary hypertension | NA | ||||
| Total Medicare payments at DRG | $2,845,609,163 | ||||
| Total Medicare payments with ICD I2724 - Chronic thromboembolic pulmonary hypertension | $669,977 | ||||
| Total Medicare payment per Day at DRG | $2,237 | ||||
| Total Medicare payment per Day with ICD I2724 - Chronic thromboembolic pulmonary hypertension | $2,723 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,666 | ||||
| Total Medicare payment per Hospitalization with ICD I2724 - Chronic thromboembolic pulmonary hypertension | $19,705 | ||||
| Total Medicare Charges at DRG | $14,794,146,746 | ||||
| Total Medicare Charges with ICD I2724 - Chronic thromboembolic pulmonary hypertension | $3,816,783 | ||||
| Avg Charges at DRG | $81,449 | ||||
| Avg Charges with ICD I2724 - Chronic thromboembolic pulmonary hypertension | $112,258 | ||||
| Mortality Rate at DRG | 25.14 | ||||
| Mortality Rate with ICD I2724 - Chronic thromboembolic pulmonary hypertension | 35.29 | ||||
| SNF Discharge Rate at DRG | 19.06 | ||||
| SNF Discharge Rate with ICD I2724 - Chronic thromboembolic pulmonary hypertension | NA | ||||
| Home Discharge Rate at DRG | 20.69 | ||||
| Home Discharge Rate with ICD I2724 - Chronic thromboembolic 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 | 61 |
| DUKE UNIVERSITY HOSPITAL | 2301 ERWIN ROAD | DURHAM | NC | 27710 | 36 |
| NEW YORK-PRESBYTERIAN BROOKLYN METHODIST HOSPITAL | 506 6TH ST | BROOKLYN | NY | 11215 | 28 |
| 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 | 30 |
| Dr. GERT DIEDERICK VICTOR PRETORIUS | 200 WEST ARBOR DR | SAN DIEGO | CA | 92103 | 21 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID S POCH | 9300 CAMPUS POINT DR # MC7381 | LA JOLLA | CA | 92037 | 15 |
| Dr. DEMOSTHENES GABRIEL PAPAMATHEAKIS | 9300 CAMPUS POINT DR # 7381 | LA JOLLA | CA | 92037 | 12 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | I2782 | Chronic pulmonary embolism |
| 2 | Z7901 | Long term (current) use of anticoagulants |