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I5030 - ICD 10 Diagnosis Code - Unspecified diastolic (congestive) heart failure - Market Size, Prevalence, Incidence, Quality Outcomes, Top Hospitals & Physicians


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Key Statistics Related to I5030 - Unspecified diastolic (congestive) heart failure

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

I5030 - Unspecified diastolic (congestive) heart failure - as a primary diagnosis code I5030 - Unspecified diastolic (congestive) heart failure - as a primary or secondary diagnosis code
OUTCOMES
Avg. LOS 7.26
Readmission Rate (%) 27.07
Unplanned Readmission Rate (%) 15.89
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

Top DRGs Associated With I5030 - Unspecified diastolic (congestive) heart failure - as a primary diagnosis code

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Top 1 to 5 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 293: HEART FAILURE AND SHOCK WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 422,757
Total Hospitalizations with ICD I5030 - Unspecified diastolic (congestive) heart failure 3,301
DRG Share of Total Hospitalizations 1.29
% of Total ICD I5030 - Unspecified diastolic (congestive) heart failure in DRG 44.65
Avg LOS at DRG 4.14
Avg LOS with ICD I5030 - Unspecified diastolic (congestive) heart failure 4.81
Readmission Rate at DRG 24.43
Readmission Rate with ICD I5030 - Unspecified diastolic (congestive) heart failure 24.26
Unplanned Readmission Rate at DRG 18.48
Unplanned Readmission Rate with ICD I5030 - Unspecified diastolic (congestive) heart failure 16.51
Total Medicare payments at DRG $2,636,135,714
Total Medicare payments with ICD I5030 - Unspecified diastolic (congestive) heart failure $25,569,737
Total Medicare payment per Day at DRG $1,507
Total Medicare payment per Day with ICD I5030 - Unspecified diastolic (congestive) heart failure $1,609
Total Medicare payment per Hospitalization at DRG $6,236
Total Medicare payment per Hospitalization with ICD I5030 - Unspecified diastolic (congestive) heart failure $7,746
Total Medicare Charges at DRG $11,980,955,733
Total Medicare Charges with ICD I5030 - Unspecified diastolic (congestive) heart failure $87,506,160
Avg Charges at DRG $28,340
Avg Charges with ICD I5030 - Unspecified diastolic (congestive) heart failure $26,509
Mortality Rate at DRG 1.01
Mortality Rate with ICD I5030 - Unspecified diastolic (congestive) heart failure 0.91
SNF Discharge Rate at DRG 16.05
SNF Discharge Rate with ICD I5030 - Unspecified diastolic (congestive) heart failure 15.63
Home Discharge Rate at DRG 47.18
Home Discharge Rate with ICD I5030 - Unspecified diastolic (congestive) heart failure 44.83

Top 5 to 10 DRGs - Oct 2015 to Sep 2018

*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 281: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH COMPLICATION OR COMORBIDITY (CC) DRG 282: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 264: OTHER CIRCULATORY SYSTEM O.R. PROCEDURES
Total Hospitalizations at DRG 250,159
Total Hospitalizations with ICD I5030 - Unspecified diastolic (congestive) heart failure 52
DRG Share of Total Hospitalizations 0.76
% of Total ICD I5030 - Unspecified diastolic (congestive) heart failure in DRG 0.7
Avg LOS at DRG 5.47
Avg LOS with ICD I5030 - Unspecified diastolic (congestive) heart failure 7.44
Readmission Rate at DRG 27.88
Readmission Rate with ICD I5030 - Unspecified diastolic (congestive) heart failure 25.0
Unplanned Readmission Rate at DRG 19.94
Unplanned Readmission Rate with ICD I5030 - Unspecified diastolic (congestive) heart failure NA
Total Medicare payments at DRG $2,661,443,545
Total Medicare payments with ICD I5030 - Unspecified diastolic (congestive) heart failure $654,354
Total Medicare payment per Day at DRG $1,946
Total Medicare payment per Day with ICD I5030 - Unspecified diastolic (congestive) heart failure $1,691
Total Medicare payment per Hospitalization at DRG $10,639
Total Medicare payment per Hospitalization with ICD I5030 - Unspecified diastolic (congestive) heart failure $12,584
Total Medicare Charges at DRG $13,270,497,724
Total Medicare Charges with ICD I5030 - Unspecified diastolic (congestive) heart failure $2,390,427
Avg Charges at DRG $53,048
Avg Charges with ICD I5030 - Unspecified diastolic (congestive) heart failure $45,970
Mortality Rate at DRG NA
Mortality Rate with ICD I5030 - Unspecified diastolic (congestive) heart failure NA
SNF Discharge Rate at DRG 21.63
SNF Discharge Rate with ICD I5030 - Unspecified diastolic (congestive) heart failure 26.92
Home Discharge Rate at DRG 34.87
Home Discharge Rate with ICD I5030 - Unspecified diastolic (congestive) heart failure 23.08

Top 10 to 15 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 115,984
Total Hospitalizations with ICD I5030 - Unspecified diastolic (congestive) heart failure 13
DRG Share of Total Hospitalizations 0.35
% of Total ICD I5030 - Unspecified diastolic (congestive) heart failure in DRG 0.18
Avg LOS at DRG 7.52
Avg LOS with ICD I5030 - Unspecified diastolic (congestive) heart failure 10.54
Readmission Rate at DRG 33.13
Readmission Rate with ICD I5030 - Unspecified diastolic (congestive) heart failure NA
Unplanned Readmission Rate at DRG 21.93
Unplanned Readmission Rate with ICD I5030 - Unspecified diastolic (congestive) heart failure NA
Total Medicare payments at DRG $2,639,352,445
Total Medicare payments with ICD I5030 - Unspecified diastolic (congestive) heart failure $294,694
Total Medicare payment per Day at DRG $3,027
Total Medicare payment per Day with ICD I5030 - Unspecified diastolic (congestive) heart failure $2,151
Total Medicare payment per Hospitalization at DRG $22,756
Total Medicare payment per Hospitalization with ICD I5030 - Unspecified diastolic (congestive) heart failure $22,669
Total Medicare Charges at DRG $12,757,805,634
Total Medicare Charges with ICD I5030 - Unspecified diastolic (congestive) heart failure $1,929,639
Avg Charges at DRG $109,996
Avg Charges with ICD I5030 - Unspecified diastolic (congestive) heart failure $148,434
Mortality Rate at DRG 4.68
Mortality Rate with ICD I5030 - Unspecified diastolic (congestive) heart failure NA
SNF Discharge Rate at DRG 20.97
SNF Discharge Rate with ICD I5030 - Unspecified diastolic (congestive) heart failure NA
Home Discharge Rate at DRG 44.26
Home Discharge Rate with ICD I5030 - Unspecified diastolic (congestive) heart failure NA

Top Hospitals Associated With I5030 - Unspecified diastolic (congestive) heart failure - as a primary diagnosis code

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Hospital Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
HEALTHSOUTH REHABILITATION OF GADSDEN 801 GOODYEAR AVE GADSDEN AL 35903 43
HACKENSACK MERIDIAN HEALTH JFK MEDICAL CENTER 65 JAMES ST EDISON NJ 08820 42
HOSPITAL PEREA #15 DR BASORA STREET MAYAGUEZ PR 00680 40

Top Attending Physicians Associated With I5030 - Unspecified diastolic (congestive) heart failure - as a primary diagnosis code

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Physician Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
Dr. BRADLEY MARK SHORT 3905 BROOKEN HILL DR FORT SMITH AR 72908 33
Dr. VLADIMIR SLUTSKER 801 GOODYEAR AVE GADSDEN AL 35903 24
Dr. SOFRONIO SAGUCIO SORIANO 501 S RANCHO DR LAS VEGAS NV 89106 18

Top DRGs Associated With I5030 - Unspecified diastolic (congestive) heart failure - as a primary or secondary diagnosis code

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Top 1 to 5 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH 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)
Total Hospitalizations at DRG 1,808,415
Total Hospitalizations with ICD I5030 - Unspecified diastolic (congestive) heart failure 25,757
DRG Share of Total Hospitalizations 5.5
% of Total ICD I5030 - Unspecified diastolic (congestive) heart failure in DRG 7.87
Avg LOS at DRG 6.34
Avg LOS with ICD I5030 - Unspecified diastolic (congestive) heart failure 7.56
Readmission Rate at DRG 24.2
Readmission Rate with ICD I5030 - Unspecified diastolic (congestive) heart failure 28.38
Unplanned Readmission Rate at DRG 16.78
Unplanned Readmission Rate with ICD I5030 - Unspecified diastolic (congestive) heart failure 19.69
Total Medicare payments at DRG $21,288,214,047
Total Medicare payments with ICD I5030 - Unspecified diastolic (congestive) heart failure $330,781,042
Total Medicare payment per Day at DRG $1,857
Total Medicare payment per Day with ICD I5030 - Unspecified diastolic (congestive) heart failure $1,699
Total Medicare payment per Hospitalization at DRG $11,772
Total Medicare payment per Hospitalization with ICD I5030 - Unspecified diastolic (congestive) heart failure $12,842
Total Medicare Charges at DRG $107,155,481,388
Total Medicare Charges with ICD I5030 - Unspecified diastolic (congestive) heart failure $1,898,751,645
Avg Charges at DRG $59,254
Avg Charges with ICD I5030 - Unspecified diastolic (congestive) heart failure $73,718
Mortality Rate at DRG 12.11
Mortality Rate with ICD I5030 - Unspecified diastolic (congestive) heart failure 12.87
SNF Discharge Rate at DRG 27.18
SNF Discharge Rate with ICD I5030 - Unspecified diastolic (congestive) heart failure 31.65
Home Discharge Rate at DRG 25.81
Home Discharge Rate with ICD I5030 - Unspecified diastolic (congestive) heart failure 19.44

Top 5 to 10 DRGs - Oct 2015 to Sep 2018

*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 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC)
Total Hospitalizations at DRG 1,013,774
Total Hospitalizations with ICD I5030 - Unspecified diastolic (congestive) heart failure 7,395
DRG Share of Total Hospitalizations 3.08
% of Total ICD I5030 - Unspecified diastolic (congestive) heart failure in DRG 2.26
Avg LOS at DRG 5.34
Avg LOS with ICD I5030 - Unspecified diastolic (congestive) heart failure 5.32
Readmission Rate at DRG 28.25
Readmission Rate with ICD I5030 - Unspecified diastolic (congestive) heart failure 28.43
Unplanned Readmission Rate at DRG 21.93
Unplanned Readmission Rate with ICD I5030 - Unspecified diastolic (congestive) heart failure 22.27
Total Medicare payments at DRG $9,469,067,156
Total Medicare payments with ICD I5030 - Unspecified diastolic (congestive) heart failure $73,634,327
Total Medicare payment per Day at DRG $1,751
Total Medicare payment per Day with ICD I5030 - Unspecified diastolic (congestive) heart failure $1,873
Total Medicare payment per Hospitalization at DRG $9,340
Total Medicare payment per Hospitalization with ICD I5030 - Unspecified diastolic (congestive) heart failure $9,957
Total Medicare Charges at DRG $43,343,716,813
Total Medicare Charges with ICD I5030 - Unspecified diastolic (congestive) heart failure $329,782,943
Avg Charges at DRG $42,755
Avg Charges with ICD I5030 - Unspecified diastolic (congestive) heart failure $44,595
Mortality Rate at DRG 3.72
Mortality Rate with ICD I5030 - Unspecified diastolic (congestive) heart failure 3.53
SNF Discharge Rate at DRG 20.84
SNF Discharge Rate with ICD I5030 - Unspecified diastolic (congestive) heart failure 19.19
Home Discharge Rate at DRG 37.68
Home Discharge Rate with ICD I5030 - Unspecified diastolic (congestive) heart failure 43.08

Top 10 to 15 DRGs - Oct 2015 to Sep 2018

*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 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 365,119
Total Hospitalizations with ICD I5030 - Unspecified diastolic (congestive) heart failure 5,108
DRG Share of Total Hospitalizations 1.11
% of Total ICD I5030 - Unspecified diastolic (congestive) heart failure in DRG 1.56
Avg LOS at DRG 5.91
Avg LOS with ICD I5030 - Unspecified diastolic (congestive) heart failure 6.98
Readmission Rate at DRG 27.73
Readmission Rate with ICD I5030 - Unspecified diastolic (congestive) heart failure 29.0
Unplanned Readmission Rate at DRG 20.3
Unplanned Readmission Rate with ICD I5030 - Unspecified diastolic (congestive) heart failure 20.54
Total Medicare payments at DRG $3,552,910,533
Total Medicare payments with ICD I5030 - Unspecified diastolic (congestive) heart failure $55,950,089
Total Medicare payment per Day at DRG $1,646
Total Medicare payment per Day with ICD I5030 - Unspecified diastolic (congestive) heart failure $1,569
Total Medicare payment per Hospitalization at DRG $9,731
Total Medicare payment per Hospitalization with ICD I5030 - Unspecified diastolic (congestive) heart failure $10,953
Total Medicare Charges at DRG $16,860,985,198
Total Medicare Charges with ICD I5030 - Unspecified diastolic (congestive) heart failure $282,871,537
Avg Charges at DRG $46,179
Avg Charges with ICD I5030 - Unspecified diastolic (congestive) heart failure $55,378
Mortality Rate at DRG 5.06
Mortality Rate with ICD I5030 - Unspecified diastolic (congestive) heart failure 6.64
SNF Discharge Rate at DRG 28.7
SNF Discharge Rate with ICD I5030 - Unspecified diastolic (congestive) heart failure 31.62
Home Discharge Rate at DRG 32.16
Home Discharge Rate with ICD I5030 - Unspecified diastolic (congestive) heart failure 26.96

Top 15 to 20 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC)
Total Hospitalizations at DRG 474,314
Total Hospitalizations with ICD I5030 - Unspecified diastolic (congestive) heart failure 3,881
DRG Share of Total Hospitalizations 1.44
% of Total ICD I5030 - Unspecified diastolic (congestive) heart failure in DRG 1.19
Avg LOS at DRG 3.53
Avg LOS with ICD I5030 - Unspecified diastolic (congestive) heart failure 4.09
Readmission Rate at DRG 18.03
Readmission Rate with ICD I5030 - Unspecified diastolic (congestive) heart failure 21.98
Unplanned Readmission Rate at DRG 12.55
Unplanned Readmission Rate with ICD I5030 - Unspecified diastolic (congestive) heart failure 15.96
Total Medicare payments at DRG $2,312,733,090
Total Medicare payments with ICD I5030 - Unspecified diastolic (congestive) heart failure $21,873,555
Total Medicare payment per Day at DRG $1,380
Total Medicare payment per Day with ICD I5030 - Unspecified diastolic (congestive) heart failure $1,380
Total Medicare payment per Hospitalization at DRG $4,876
Total Medicare payment per Hospitalization with ICD I5030 - Unspecified diastolic (congestive) heart failure $5,636
Total Medicare Charges at DRG $11,559,952,314
Total Medicare Charges with ICD I5030 - Unspecified diastolic (congestive) heart failure $108,926,595
Avg Charges at DRG $24,372
Avg Charges with ICD I5030 - Unspecified diastolic (congestive) heart failure $28,067
Mortality Rate at DRG 0.22
Mortality Rate with ICD I5030 - Unspecified diastolic (congestive) heart failure 0.31
SNF Discharge Rate at DRG 25.96
SNF Discharge Rate with ICD I5030 - Unspecified diastolic (congestive) heart failure 29.89
Home Discharge Rate at DRG 43.58
Home Discharge Rate with ICD I5030 - Unspecified diastolic (congestive) heart failure 33.57

Top Hospitals Associated With I5030 - Unspecified diastolic (congestive) heart failure - as a primary or secondary diagnosis code

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Hospital Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
ADVENTHEALTH ORLANDO 601 E ROLLINS ST ORLANDO FL 32803 1,042
NORTH SHORE UNIVERSITY HOSPITAL 300 COMMUNITY DRIVE MANHASSET NY 11030 981
SOVAH HEALTH DANVILLE 142 S MAIN ST DANVILLE VA 24541 864

Top Operating Physicians Associated With I5030 - Unspecified diastolic (congestive) heart failure - as a primary or secondary diagnosis code

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Physician Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
Dr. DAVID MARK GORDON 28455 HAGGERTY RD NOVI MI 48377 137
Dr. VANITHA PUSHPA ASOKAN 955 BEISNER RD ELK GROVE VILLAGE IL 60007 79
Dr. LOUIS V EBERLE 6263 POPLAR AVE MEMPHIS TN 38119 73

Top Attending Physicians Associated With I5030 - Unspecified diastolic (congestive) heart failure - as a primary or secondary diagnosis code

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Physician Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
Dr. WILLIAM F VOGENITZ 1 SPRINGBACK WAY ANDERSON SC 29621 454
Dr. DALE P CUNNINGHAM 3265 W SARAZENS CIR MEMPHIS TN 38125 385
Dr. ALEXANDER DEJESUS 6400 EDGELAKE DR SARASOTA FL 34240 347