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I5032 - ICD 10 Diagnosis Code - Chronic diastolic (congestive) heart failure - Market Size, Prevalence, Incidence, Quality Outcomes, Top Hospitals & Physicians


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Key Statistics Related to I5032 - Chronic 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.

I5032 - Chronic diastolic (congestive) heart failure - as a primary diagnosis code I5032 - Chronic diastolic (congestive) heart failure - as a primary or secondary diagnosis code
OUTCOMES
Avg. LOS 5.9
Readmission Rate (%) 27.28
Unplanned Readmission Rate (%) 18.89
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 I5032 - Chronic 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 I5032 - Chronic diastolic (congestive) heart failure 2,428
DRG Share of Total Hospitalizations 1.29
% of Total ICD I5032 - Chronic diastolic (congestive) heart failure in DRG 48.4
Avg LOS at DRG 4.14
Avg LOS with ICD I5032 - Chronic diastolic (congestive) heart failure 5.3
Readmission Rate at DRG 24.43
Readmission Rate with ICD I5032 - Chronic diastolic (congestive) heart failure 24.86
Unplanned Readmission Rate at DRG 18.48
Unplanned Readmission Rate with ICD I5032 - Chronic diastolic (congestive) heart failure 18.28
Total Medicare payments at DRG $2,636,135,714
Total Medicare payments with ICD I5032 - Chronic diastolic (congestive) heart failure $20,025,207
Total Medicare payment per Day at DRG $1,507
Total Medicare payment per Day with ICD I5032 - Chronic diastolic (congestive) heart failure $1,555
Total Medicare payment per Hospitalization at DRG $6,236
Total Medicare payment per Hospitalization with ICD I5032 - Chronic diastolic (congestive) heart failure $8,248
Total Medicare Charges at DRG $11,980,955,733
Total Medicare Charges with ICD I5032 - Chronic diastolic (congestive) heart failure $68,511,964
Avg Charges at DRG $28,340
Avg Charges with ICD I5032 - Chronic diastolic (congestive) heart failure $28,217
Mortality Rate at DRG 1.01
Mortality Rate with ICD I5032 - Chronic diastolic (congestive) heart failure 1.73
SNF Discharge Rate at DRG 16.05
SNF Discharge Rate with ICD I5032 - Chronic diastolic (congestive) heart failure 16.52
Home Discharge Rate at DRG 47.18
Home Discharge Rate with ICD I5032 - Chronic diastolic (congestive) heart failure 40.57

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 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) DRG 281: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH COMPLICATION OR COMORBIDITY (CC) DRG 264: OTHER CIRCULATORY SYSTEM O.R. PROCEDURES DRG 267: ENDOVASCULAR CARDIAC VALVE REPLACEMENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 250,159
Total Hospitalizations with ICD I5032 - Chronic diastolic (congestive) heart failure 35
DRG Share of Total Hospitalizations 0.76
% of Total ICD I5032 - Chronic diastolic (congestive) heart failure in DRG 0.7
Avg LOS at DRG 5.47
Avg LOS with ICD I5032 - Chronic diastolic (congestive) heart failure 7.09
Readmission Rate at DRG 27.88
Readmission Rate with ICD I5032 - Chronic diastolic (congestive) heart failure 33.33
Unplanned Readmission Rate at DRG 19.94
Unplanned Readmission Rate with ICD I5032 - Chronic diastolic (congestive) heart failure NA
Total Medicare payments at DRG $2,661,443,545
Total Medicare payments with ICD I5032 - Chronic diastolic (congestive) heart failure $468,270
Total Medicare payment per Day at DRG $1,946
Total Medicare payment per Day with ICD I5032 - Chronic diastolic (congestive) heart failure $1,888
Total Medicare payment per Hospitalization at DRG $10,639
Total Medicare payment per Hospitalization with ICD I5032 - Chronic diastolic (congestive) heart failure $13,379
Total Medicare Charges at DRG $13,270,497,724
Total Medicare Charges with ICD I5032 - Chronic diastolic (congestive) heart failure $1,455,688
Avg Charges at DRG $53,048
Avg Charges with ICD I5032 - Chronic diastolic (congestive) heart failure $41,591
Mortality Rate at DRG NA
Mortality Rate with ICD I5032 - Chronic diastolic (congestive) heart failure NA
SNF Discharge Rate at DRG 21.63
SNF Discharge Rate with ICD I5032 - Chronic diastolic (congestive) heart failure NA
Home Discharge Rate at DRG 34.87
Home Discharge Rate with ICD I5032 - Chronic diastolic (congestive) heart failure 31.43

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 243: PERMANENT CARDIAC PACEMAKER IMPLANT WITH COMPLICATION OR COMORBIDITY (CC) DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 77,210
Total Hospitalizations with ICD I5032 - Chronic diastolic (congestive) heart failure 13
DRG Share of Total Hospitalizations 0.23
% of Total ICD I5032 - Chronic diastolic (congestive) heart failure in DRG 0.26
Avg LOS at DRG 3.96
Avg LOS with ICD I5032 - Chronic diastolic (congestive) heart failure 4.23
Readmission Rate at DRG 14.03
Readmission Rate with ICD I5032 - Chronic diastolic (congestive) heart failure NA
Unplanned Readmission Rate at DRG 9.24
Unplanned Readmission Rate with ICD I5032 - Chronic diastolic (congestive) heart failure NA
Total Medicare payments at DRG $1,267,898,136
Total Medicare payments with ICD I5032 - Chronic diastolic (congestive) heart failure $191,609
Total Medicare payment per Day at DRG $4,144
Total Medicare payment per Day with ICD I5032 - Chronic diastolic (congestive) heart failure $3,484
Total Medicare payment per Hospitalization at DRG $16,421
Total Medicare payment per Hospitalization with ICD I5032 - Chronic diastolic (congestive) heart failure $14,739
Total Medicare Charges at DRG $6,484,818,467
Total Medicare Charges with ICD I5032 - Chronic diastolic (congestive) heart failure $1,190,458
Avg Charges at DRG $83,989
Avg Charges with ICD I5032 - Chronic diastolic (congestive) heart failure $91,574
Mortality Rate at DRG 0.15
Mortality Rate with ICD I5032 - Chronic diastolic (congestive) heart failure NA
SNF Discharge Rate at DRG 15.92
SNF Discharge Rate with ICD I5032 - Chronic diastolic (congestive) heart failure NA
Home Discharge Rate at DRG 59.76
Home Discharge Rate with ICD I5032 - Chronic diastolic (congestive) heart failure NA

Top Hospitals Associated With I5032 - Chronic 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 )
CALVARY HOSPITAL 1740 EASTCHESTER RD BRONX NY 10461 33
PENINSULA REGIONAL MEDICAL CENTER 100 E CARROLL ST SALISBURY MD 21801 27
NEW YORK COMMUNITY HOSPITAL OF BROOKLYN 2525 KINGS HWY BROOKLYN NY 11229 21

Top Attending Physicians Associated With I5032 - Chronic 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. PADMAJA KONDAMURI 8840 CALUMET AVE MUNSTER IN 46321 14
Dr. DEAN M GODFREY 1603 W MCGALLIARD AVE TRENTON NJ 08610 11
Dr. DONALD SULLIVAN 4100 AUSTIN PEAY HWY MEMPHIS TN 38128 11

Top DRGs Associated With I5032 - Chronic 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 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC)
Total Hospitalizations at DRG 1,808,415
Total Hospitalizations with ICD I5032 - Chronic diastolic (congestive) heart failure 113,208
DRG Share of Total Hospitalizations 5.5
% of Total ICD I5032 - Chronic diastolic (congestive) heart failure in DRG 7.87
Avg LOS at DRG 6.34
Avg LOS with ICD I5032 - Chronic diastolic (congestive) heart failure 6.62
Readmission Rate at DRG 24.2
Readmission Rate with ICD I5032 - Chronic diastolic (congestive) heart failure 27.52
Unplanned Readmission Rate at DRG 16.78
Unplanned Readmission Rate with ICD I5032 - Chronic diastolic (congestive) heart failure 20.45
Total Medicare payments at DRG $21,288,214,047
Total Medicare payments with ICD I5032 - Chronic diastolic (congestive) heart failure $1,351,713,426
Total Medicare payment per Day at DRG $1,857
Total Medicare payment per Day with ICD I5032 - Chronic diastolic (congestive) heart failure $1,803
Total Medicare payment per Hospitalization at DRG $11,772
Total Medicare payment per Hospitalization with ICD I5032 - Chronic diastolic (congestive) heart failure $11,940
Total Medicare Charges at DRG $107,155,481,388
Total Medicare Charges with ICD I5032 - Chronic diastolic (congestive) heart failure $6,758,998,556
Avg Charges at DRG $59,254
Avg Charges with ICD I5032 - Chronic diastolic (congestive) heart failure $59,704
Mortality Rate at DRG 12.11
Mortality Rate with ICD I5032 - Chronic diastolic (congestive) heart failure 11.01
SNF Discharge Rate at DRG 27.18
SNF Discharge Rate with ICD I5032 - Chronic diastolic (congestive) heart failure 32.58
Home Discharge Rate at DRG 25.81
Home Discharge Rate with ICD I5032 - Chronic diastolic (congestive) heart failure 20.56

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 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 286,456
Total Hospitalizations with ICD I5032 - Chronic diastolic (congestive) heart failure 34,191
DRG Share of Total Hospitalizations 0.87
% of Total ICD I5032 - Chronic diastolic (congestive) heart failure in DRG 2.38
Avg LOS at DRG 3.75
Avg LOS with ICD I5032 - Chronic diastolic (congestive) heart failure 3.82
Readmission Rate at DRG 22.9
Readmission Rate with ICD I5032 - Chronic diastolic (congestive) heart failure 26.82
Unplanned Readmission Rate at DRG 18.29
Unplanned Readmission Rate with ICD I5032 - Chronic diastolic (congestive) heart failure 22.38
Total Medicare payments at DRG $1,641,467,496
Total Medicare payments with ICD I5032 - Chronic diastolic (congestive) heart failure $198,469,132
Total Medicare payment per Day at DRG $1,526
Total Medicare payment per Day with ICD I5032 - Chronic diastolic (congestive) heart failure $1,518
Total Medicare payment per Hospitalization at DRG $5,730
Total Medicare payment per Hospitalization with ICD I5032 - Chronic diastolic (congestive) heart failure $5,805
Total Medicare Charges at DRG $8,050,963,680
Total Medicare Charges with ICD I5032 - Chronic diastolic (congestive) heart failure $981,656,715
Avg Charges at DRG $28,105
Avg Charges with ICD I5032 - Chronic diastolic (congestive) heart failure $28,711
Mortality Rate at DRG 0.24
Mortality Rate with ICD I5032 - Chronic diastolic (congestive) heart failure 0.2
SNF Discharge Rate at DRG 10.84
SNF Discharge Rate with ICD I5032 - Chronic diastolic (congestive) heart failure 13.46
Home Discharge Rate at DRG 59.73
Home Discharge Rate with ICD I5032 - Chronic diastolic (congestive) heart failure 51.84

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 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 267: ENDOVASCULAR CARDIAC VALVE REPLACEMENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 365,119
Total Hospitalizations with ICD I5032 - Chronic diastolic (congestive) heart failure 24,260
DRG Share of Total Hospitalizations 1.11
% of Total ICD I5032 - Chronic diastolic (congestive) heart failure in DRG 1.69
Avg LOS at DRG 5.91
Avg LOS with ICD I5032 - Chronic diastolic (congestive) heart failure 6.19
Readmission Rate at DRG 27.73
Readmission Rate with ICD I5032 - Chronic diastolic (congestive) heart failure 29.78
Unplanned Readmission Rate at DRG 20.3
Unplanned Readmission Rate with ICD I5032 - Chronic diastolic (congestive) heart failure 22.88
Total Medicare payments at DRG $3,552,910,533
Total Medicare payments with ICD I5032 - Chronic diastolic (congestive) heart failure $239,484,016
Total Medicare payment per Day at DRG $1,646
Total Medicare payment per Day with ICD I5032 - Chronic diastolic (congestive) heart failure $1,594
Total Medicare payment per Hospitalization at DRG $9,731
Total Medicare payment per Hospitalization with ICD I5032 - Chronic diastolic (congestive) heart failure $9,872
Total Medicare Charges at DRG $16,860,985,198
Total Medicare Charges with ICD I5032 - Chronic diastolic (congestive) heart failure $1,141,329,399
Avg Charges at DRG $46,179
Avg Charges with ICD I5032 - Chronic diastolic (congestive) heart failure $47,046
Mortality Rate at DRG 5.06
Mortality Rate with ICD I5032 - Chronic diastolic (congestive) heart failure 5.35
SNF Discharge Rate at DRG 28.7
SNF Discharge Rate with ICD I5032 - Chronic diastolic (congestive) heart failure 34.63
Home Discharge Rate at DRG 32.16
Home Discharge Rate with ICD I5032 - Chronic diastolic (congestive) heart failure 24.0

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 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 352,097
Total Hospitalizations with ICD I5032 - Chronic diastolic (congestive) heart failure 17,129
DRG Share of Total Hospitalizations 1.07
% of Total ICD I5032 - Chronic diastolic (congestive) heart failure in DRG 1.19
Avg LOS at DRG 3.96
Avg LOS with ICD I5032 - Chronic diastolic (congestive) heart failure 3.89
Readmission Rate at DRG 35.38
Readmission Rate with ICD I5032 - Chronic diastolic (congestive) heart failure 34.07
Unplanned Readmission Rate at DRG 7.63
Unplanned Readmission Rate with ICD I5032 - Chronic diastolic (congestive) heart failure 10.09
Total Medicare payments at DRG $2,360,891,966
Total Medicare payments with ICD I5032 - Chronic diastolic (congestive) heart failure $112,102,896
Total Medicare payment per Day at DRG $1,693
Total Medicare payment per Day with ICD I5032 - Chronic diastolic (congestive) heart failure $1,681
Total Medicare payment per Hospitalization at DRG $6,705
Total Medicare payment per Hospitalization with ICD I5032 - Chronic diastolic (congestive) heart failure $6,545
Total Medicare Charges at DRG $13,014,640,264
Total Medicare Charges with ICD I5032 - Chronic diastolic (congestive) heart failure $607,426,710
Avg Charges at DRG $36,963
Avg Charges with ICD I5032 - Chronic diastolic (congestive) heart failure $35,462
Mortality Rate at DRG 1.54
Mortality Rate with ICD I5032 - Chronic diastolic (congestive) heart failure 1.56
SNF Discharge Rate at DRG 24.0
SNF Discharge Rate with ICD I5032 - Chronic diastolic (congestive) heart failure 29.54
Home Discharge Rate at DRG 26.62
Home Discharge Rate with ICD I5032 - Chronic diastolic (congestive) heart failure 21.56

Top Hospitals Associated With I5032 - Chronic 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 )
BEAUMONT HOSPITAL ROYAL OAK 3601 W 13 MILE RD ROYAL OAK MI 48073 5,718
CEDARS-SINAI MEDICAL CENTER 8700 BEVERLY BLVD LOS ANGELES CA 90048 4,925
BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE 2401 S 31ST ST TEMPLE TX 76508 4,719

Top Operating Physicians Associated With I5032 - Chronic 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. RAJ R MAKKAR 8700 WILSHIRE BLVD. LOS ANGELES CA 90048 587
Dr. SAMIN SHARMA 5 E 98TH ST NEW YORK NY 10029 318
Dr. DAVID MARK GORDON 28455 HAGGERTY RD NOVI MI 48377 282

Top Attending Physicians Associated With I5032 - Chronic 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. ZIAD SOUS 1145 S UTICA AVE TULSA OK 74104 967
Dr. YUANHUI ZHANG 225 KENSINGTON CT PRINCETON WV 24740 610
Dr. RAJ R MAKKAR 8700 WILSHIRE BLVD. LOS ANGELES CA 90048 528