*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R030 - Elevated blood-pressure reading, without diagnosis of hypertension - as a primary diagnosis code | R030 - Elevated blood-pressure reading, without diagnosis of hypertension - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.53 | |
| Readmission Rate (%) | 16.77 | |
| Unplanned Readmission Rate (%) | NA | |
| 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 316: OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 315: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|
| Total Hospitalizations at DRG | 14,517 | |
| Total Hospitalizations with ICD R030 - Elevated blood-pressure reading, without diagnosis of hypertension | 23 | |
| DRG Share of Total Hospitalizations | 0.04 | |
| % of Total ICD R030 - Elevated blood-pressure reading, without diagnosis of hypertension in DRG | 48.94 | |
| Avg LOS at DRG | 2.3 | |
| Avg LOS with ICD R030 - Elevated blood-pressure reading, without diagnosis of hypertension | 1.78 | |
| Readmission Rate at DRG | 17.06 | |
| Readmission Rate with ICD R030 - Elevated blood-pressure reading, without diagnosis of hypertension | NA | |
| Unplanned Readmission Rate at DRG | 9.87 | |
| Unplanned Readmission Rate with ICD R030 - Elevated blood-pressure reading, without diagnosis of hypertension | NA | |
| Total Medicare payments at DRG | $58,515,897 | |
| Total Medicare payments with ICD R030 - Elevated blood-pressure reading, without diagnosis of hypertension | $68,149 | |
| Total Medicare payment per Day at DRG | $1,751 | |
| Total Medicare payment per Day with ICD R030 - Elevated blood-pressure reading, without diagnosis of hypertension | $1,662 | |
| Total Medicare payment per Hospitalization at DRG | $4,031 | |
| Total Medicare payment per Hospitalization with ICD R030 - Elevated blood-pressure reading, without diagnosis of hypertension | $2,963 | |
| Total Medicare Charges at DRG | $362,947,536 | |
| Total Medicare Charges with ICD R030 - Elevated blood-pressure reading, without diagnosis of hypertension | $335,710 | |
| Avg Charges at DRG | $25,002 | |
| Avg Charges with ICD R030 - Elevated blood-pressure reading, without diagnosis of hypertension | $14,596 | |
| Mortality Rate at DRG | 0.79 | |
| Mortality Rate with ICD R030 - Elevated blood-pressure reading, without diagnosis of hypertension | NA | |
| SNF Discharge Rate at DRG | 7.01 | |
| SNF Discharge Rate with ICD R030 - Elevated blood-pressure reading, without diagnosis of hypertension | NA | |
| Home Discharge Rate at DRG | 69.48 | |
| Home Discharge Rate with ICD R030 - Elevated blood-pressure reading, without diagnosis of hypertension | 65.22 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 885: PSYCHOSES | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD R030 - Elevated blood-pressure reading, without diagnosis of hypertension | 8,060 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD R030 - Elevated blood-pressure reading, without diagnosis of hypertension in DRG | 13.61 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD R030 - Elevated blood-pressure reading, without diagnosis of hypertension | 13.02 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD R030 - Elevated blood-pressure reading, without diagnosis of hypertension | 26.23 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD R030 - Elevated blood-pressure reading, without diagnosis of hypertension | 10.73 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD R030 - Elevated blood-pressure reading, without diagnosis of hypertension | $73,830,866 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD R030 - Elevated blood-pressure reading, without diagnosis of hypertension | $704 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD R030 - Elevated blood-pressure reading, without diagnosis of hypertension | $9,160 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD R030 - Elevated blood-pressure reading, without diagnosis of hypertension | $248,429,526 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD R030 - Elevated blood-pressure reading, without diagnosis of hypertension | $30,823 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD R030 - Elevated blood-pressure reading, without diagnosis of hypertension | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD R030 - Elevated blood-pressure reading, without diagnosis of hypertension | 3.8 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD R030 - Elevated blood-pressure reading, without diagnosis of hypertension | 85.1 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 240,618 | ||||
| Total Hospitalizations with ICD R030 - Elevated blood-pressure reading, without diagnosis of hypertension | 830 | ||||
| DRG Share of Total Hospitalizations | 0.73 | ||||
| % of Total ICD R030 - Elevated blood-pressure reading, without diagnosis of hypertension in DRG | 1.4 | ||||
| Avg LOS at DRG | 4.81 | ||||
| Avg LOS with ICD R030 - Elevated blood-pressure reading, without diagnosis of hypertension | 4.29 | ||||
| Readmission Rate at DRG | 26.3 | ||||
| Readmission Rate with ICD R030 - Elevated blood-pressure reading, without diagnosis of hypertension | 24.72 | ||||
| Unplanned Readmission Rate at DRG | 7.83 | ||||
| Unplanned Readmission Rate with ICD R030 - Elevated blood-pressure reading, without diagnosis of hypertension | 4.43 | ||||
| Total Medicare payments at DRG | $2,989,116,299 | ||||
| Total Medicare payments with ICD R030 - Elevated blood-pressure reading, without diagnosis of hypertension | $9,903,380 | ||||
| Total Medicare payment per Day at DRG | $2,581 | ||||
| Total Medicare payment per Day with ICD R030 - Elevated blood-pressure reading, without diagnosis of hypertension | $2,780 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,423 | ||||
| Total Medicare payment per Hospitalization with ICD R030 - Elevated blood-pressure reading, without diagnosis of hypertension | $11,932 | ||||
| Total Medicare Charges at DRG | $15,603,027,471 | ||||
| Total Medicare Charges with ICD R030 - Elevated blood-pressure reading, without diagnosis of hypertension | $47,950,527 | ||||
| Avg Charges at DRG | $64,846 | ||||
| Avg Charges with ICD R030 - Elevated blood-pressure reading, without diagnosis of hypertension | $57,772 | ||||
| Mortality Rate at DRG | 0.4 | ||||
| Mortality Rate with ICD R030 - Elevated blood-pressure reading, without diagnosis of hypertension | NA | ||||
| SNF Discharge Rate at DRG | 66.28 | ||||
| SNF Discharge Rate with ICD R030 - Elevated blood-pressure reading, without diagnosis of hypertension | 60.48 | ||||
| Home Discharge Rate at DRG | 3.84 | ||||
| Home Discharge Rate with ICD R030 - Elevated blood-pressure reading, without diagnosis of hypertension | 5.9 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 483: MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 359,935 | ||||
| Total Hospitalizations with ICD R030 - Elevated blood-pressure reading, without diagnosis of hypertension | 677 | ||||
| DRG Share of Total Hospitalizations | 1.1 | ||||
| % of Total ICD R030 - Elevated blood-pressure reading, without diagnosis of hypertension in DRG | 1.14 | ||||
| Avg LOS at DRG | 12.3 | ||||
| Avg LOS with ICD R030 - Elevated blood-pressure reading, without diagnosis of hypertension | 14.12 | ||||
| Readmission Rate at DRG | 16.01 | ||||
| Readmission Rate with ICD R030 - Elevated blood-pressure reading, without diagnosis of hypertension | 15.91 | ||||
| Unplanned Readmission Rate at DRG | 9.86 | ||||
| Unplanned Readmission Rate with ICD R030 - Elevated blood-pressure reading, without diagnosis of hypertension | 8.42 | ||||
| Total Medicare payments at DRG | $5,883,826,653 | ||||
| Total Medicare payments with ICD R030 - Elevated blood-pressure reading, without diagnosis of hypertension | $9,468,456 | ||||
| Total Medicare payment per Day at DRG | $1,329 | ||||
| Total Medicare payment per Day with ICD R030 - Elevated blood-pressure reading, without diagnosis of hypertension | $991 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
| Total Medicare payment per Hospitalization with ICD R030 - Elevated blood-pressure reading, without diagnosis of hypertension | $13,986 | ||||
| Total Medicare Charges at DRG | $15,374,824,749 | ||||
| Total Medicare Charges with ICD R030 - Elevated blood-pressure reading, without diagnosis of hypertension | $28,794,233 | ||||
| Avg Charges at DRG | $42,716 | ||||
| Avg Charges with ICD R030 - Elevated blood-pressure reading, without diagnosis of hypertension | $42,532 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD R030 - Elevated blood-pressure reading, without diagnosis of hypertension | NA | ||||
| SNF Discharge Rate at DRG | 27.95 | ||||
| SNF Discharge Rate with ICD R030 - Elevated blood-pressure reading, without diagnosis of hypertension | 29.54 | ||||
| Home Discharge Rate at DRG | 26.85 | ||||
| Home Discharge Rate with ICD R030 - Elevated blood-pressure reading, without diagnosis of hypertension | 35.01 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 066: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 482: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 124,702 | ||||
| Total Hospitalizations with ICD R030 - Elevated blood-pressure reading, without diagnosis of hypertension | 515 | ||||
| DRG Share of Total Hospitalizations | 0.38 | ||||
| % of Total ICD R030 - Elevated blood-pressure reading, without diagnosis of hypertension in DRG | 0.87 | ||||
| Avg LOS at DRG | 2.62 | ||||
| Avg LOS with ICD R030 - Elevated blood-pressure reading, without diagnosis of hypertension | 1.95 | ||||
| Readmission Rate at DRG | 21.95 | ||||
| Readmission Rate with ICD R030 - Elevated blood-pressure reading, without diagnosis of hypertension | 15.62 | ||||
| Unplanned Readmission Rate at DRG | 5.89 | ||||
| Unplanned Readmission Rate with ICD R030 - Elevated blood-pressure reading, without diagnosis of hypertension | 3.04 | ||||
| Total Medicare payments at DRG | $558,197,116 | ||||
| Total Medicare payments with ICD R030 - Elevated blood-pressure reading, without diagnosis of hypertension | $1,984,418 | ||||
| Total Medicare payment per Day at DRG | $1,710 | ||||
| Total Medicare payment per Day with ICD R030 - Elevated blood-pressure reading, without diagnosis of hypertension | $1,973 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,476 | ||||
| Total Medicare payment per Hospitalization with ICD R030 - Elevated blood-pressure reading, without diagnosis of hypertension | $3,853 | ||||
| Total Medicare Charges at DRG | $3,580,078,202 | ||||
| Total Medicare Charges with ICD R030 - Elevated blood-pressure reading, without diagnosis of hypertension | $13,829,365 | ||||
| Avg Charges at DRG | $28,709 | ||||
| Avg Charges with ICD R030 - Elevated blood-pressure reading, without diagnosis of hypertension | $26,853 | ||||
| Mortality Rate at DRG | 1.81 | ||||
| Mortality Rate with ICD R030 - Elevated blood-pressure reading, without diagnosis of hypertension | NA | ||||
| SNF Discharge Rate at DRG | 12.67 | ||||
| SNF Discharge Rate with ICD R030 - Elevated blood-pressure reading, without diagnosis of hypertension | 6.8 | ||||
| Home Discharge Rate at DRG | 49.98 | ||||
| Home Discharge Rate with ICD R030 - Elevated blood-pressure reading, without diagnosis of hypertension | 66.99 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| RIVERSIDE METHODIST HOSPITAL | 3535 OLENTANGY RIVER RD | COLUMBUS | OH | 43214 | 371 |
| COLLEGE HOSPITAL | 10802 COLLEGE PL | CERRITOS | CA | 90703 | 357 |
| CENTURA HEALTH-PORTER ADVENTIST HOSPITAL | 2525 S DOWNING ST | DENVER | CO | 80210 | 319 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MANOLITO B FIDEL | 23700 CAMINO DEL SOL | TORRANCE | CA | 90505 | 86 |
| Dr. RAYMOND H KIM | 2535 S DOWNING ST | DENVER | CO | 80210 | 73 |
| Dr. CHARLIE C. YANG | 2535 S DOWNING ST | DENVER | CO | 80210 | 67 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MANOLITO B FIDEL | 23700 CAMINO DEL SOL | TORRANCE | CA | 90505 | 116 |
| Dr. RAYMOND H KIM | 2535 S DOWNING ST | DENVER | CO | 80210 | 73 |
| Dr. KAMBIZ AFLATOON | 250 SCENIC HWY | LAWRENCEVILLE | GA | 30046 | 68 |