| 2720 - Pure hypercholesterolemia - as a primary diagnosis code | 2720 - Pure hypercholesterolemia - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.14 | |
| Readmission Rate (%) | 20.05 | |
| 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 | ||
| DRG 642: INBORN AND OTHER DISORDERS OF METABOLISM | |
|---|---|
| Total Hospitalizations at DRG | 3,472 |
| Total Hospitalizations with ICD 2720 - Pure hypercholesterolemia | 27 |
| DRG Share of Total Hospitalizations | 0.02 |
| % of Total ICD 2720 - Pure hypercholesterolemia in DRG | 75.0 |
| Avg LOS at DRG | 4.86 |
| Avg LOS with ICD 2720 - Pure hypercholesterolemia | 3.7 |
| Readmission Rate at DRG | 29.79 |
| Readmission Rate with ICD 2720 - Pure hypercholesterolemia | NA |
| Unplanned Readmission Rate at DRG | 20.68 |
| Unplanned Readmission Rate with ICD 2720 - Pure hypercholesterolemia | NA |
| Total Medicare payments at DRG | $28,655,974 |
| Total Medicare payments with ICD 2720 - Pure hypercholesterolemia | $179,006 |
| Total Medicare payment per Day at DRG | $1,697 |
| Total Medicare payment per Day with ICD 2720 - Pure hypercholesterolemia | $1,790 |
| Total Medicare payment per Hospitalization at DRG | $8,253 |
| Total Medicare payment per Hospitalization with ICD 2720 - Pure hypercholesterolemia | $6,630 |
| Total Medicare Charges at DRG | $131,029,039 |
| Total Medicare Charges with ICD 2720 - Pure hypercholesterolemia | $649,275 |
| Avg Charges at DRG | $37,739 |
| Avg Charges with ICD 2720 - Pure hypercholesterolemia | $24,047 |
| Mortality Rate at DRG | 0.86 |
| Mortality Rate with ICD 2720 - Pure hypercholesterolemia | NA |
| SNF Discharge Rate at DRG | 12.13 |
| SNF Discharge Rate with ICD 2720 - Pure hypercholesterolemia | NA |
| Home Discharge Rate at DRG | 64.11 |
| Home Discharge Rate with ICD 2720 - Pure hypercholesterolemia | 59.26 |
| DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 939,378 | ||||
| Total Hospitalizations with ICD 2720 - Pure hypercholesterolemia | 107,769 | ||||
| DRG Share of Total Hospitalizations | 4.11 | ||||
| % of Total ICD 2720 - Pure hypercholesterolemia in DRG | 6.93 | ||||
| Avg LOS at DRG | 3.12 | ||||
| Avg LOS with ICD 2720 - Pure hypercholesterolemia | 3.05 | ||||
| Readmission Rate at DRG | 12.54 | ||||
| Readmission Rate with ICD 2720 - Pure hypercholesterolemia | 11.78 | ||||
| Unplanned Readmission Rate at DRG | 3.52 | ||||
| Unplanned Readmission Rate with ICD 2720 - Pure hypercholesterolemia | 3.21 | ||||
| Total Medicare payments at DRG | $11,301,359,598 | ||||
| Total Medicare payments with ICD 2720 - Pure hypercholesterolemia | $1,303,580,992 | ||||
| Total Medicare payment per Day at DRG | $3,853 | ||||
| Total Medicare payment per Day with ICD 2720 - Pure hypercholesterolemia | $3,972 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,031 | ||||
| Total Medicare payment per Hospitalization with ICD 2720 - Pure hypercholesterolemia | $12,096 | ||||
| Total Medicare Charges at DRG | $51,993,364,479 | ||||
| Total Medicare Charges with ICD 2720 - Pure hypercholesterolemia | $5,917,665,630 | ||||
| Avg Charges at DRG | $55,349 | ||||
| Avg Charges with ICD 2720 - Pure hypercholesterolemia | $54,911 | ||||
| Mortality Rate at DRG | 0.07 | ||||
| Mortality Rate with ICD 2720 - Pure hypercholesterolemia | 0.04 | ||||
| SNF Discharge Rate at DRG | 32.49 | ||||
| SNF Discharge Rate with ICD 2720 - Pure hypercholesterolemia | 32.43 | ||||
| Home Discharge Rate at DRG | 21.06 | ||||
| Home Discharge Rate with ICD 2720 - Pure hypercholesterolemia | 19.99 |
| DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,595 | ||||
| Total Hospitalizations with ICD 2720 - Pure hypercholesterolemia | 27,757 | ||||
| DRG Share of Total Hospitalizations | 1.83 | ||||
| % of Total ICD 2720 - Pure hypercholesterolemia in DRG | 1.78 | ||||
| Avg LOS at DRG | 3.34 | ||||
| Avg LOS with ICD 2720 - Pure hypercholesterolemia | 3.29 | ||||
| Readmission Rate at DRG | 17.47 | ||||
| Readmission Rate with ICD 2720 - Pure hypercholesterolemia | 15.59 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD 2720 - Pure hypercholesterolemia | 11.39 | ||||
| Total Medicare payments at DRG | $1,834,433,235 | ||||
| Total Medicare payments with ICD 2720 - Pure hypercholesterolemia | $119,455,103 | ||||
| Total Medicare payment per Day at DRG | $1,317 | ||||
| Total Medicare payment per Day with ICD 2720 - Pure hypercholesterolemia | $1,308 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,393 | ||||
| Total Medicare payment per Hospitalization with ICD 2720 - Pure hypercholesterolemia | $4,304 | ||||
| Total Medicare Charges at DRG | $9,558,780,965 | ||||
| Total Medicare Charges with ICD 2720 - Pure hypercholesterolemia | $637,657,069 | ||||
| Avg Charges at DRG | $22,890 | ||||
| Avg Charges with ICD 2720 - Pure hypercholesterolemia | $22,973 | ||||
| Mortality Rate at DRG | 0.23 | ||||
| Mortality Rate with ICD 2720 - Pure hypercholesterolemia | 0.2 | ||||
| SNF Discharge Rate at DRG | 8.82 | ||||
| SNF Discharge Rate with ICD 2720 - Pure hypercholesterolemia | 8.01 | ||||
| Home Discharge Rate at DRG | 73.03 | ||||
| Home Discharge Rate with ICD 2720 - Pure hypercholesterolemia | 75.09 |
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 247: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 311,763 | ||||
| Total Hospitalizations with ICD 2720 - Pure hypercholesterolemia | 19,396 | ||||
| DRG Share of Total Hospitalizations | 1.36 | ||||
| % of Total ICD 2720 - Pure hypercholesterolemia in DRG | 1.25 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD 2720 - Pure hypercholesterolemia | 4.27 | ||||
| Readmission Rate at DRG | 23.41 | ||||
| Readmission Rate with ICD 2720 - Pure hypercholesterolemia | 22.37 | ||||
| Unplanned Readmission Rate at DRG | 16.67 | ||||
| Unplanned Readmission Rate with ICD 2720 - Pure hypercholesterolemia | 16.24 | ||||
| Total Medicare payments at DRG | $1,867,955,174 | ||||
| Total Medicare payments with ICD 2720 - Pure hypercholesterolemia | $114,283,151 | ||||
| Total Medicare payment per Day at DRG | $1,382 | ||||
| Total Medicare payment per Day with ICD 2720 - Pure hypercholesterolemia | $1,379 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,992 | ||||
| Total Medicare payment per Hospitalization with ICD 2720 - Pure hypercholesterolemia | $5,892 | ||||
| Total Medicare Charges at DRG | $8,358,483,119 | ||||
| Total Medicare Charges with ICD 2720 - Pure hypercholesterolemia | $516,879,121 | ||||
| Avg Charges at DRG | $26,810 | ||||
| Avg Charges with ICD 2720 - Pure hypercholesterolemia | $26,649 | ||||
| Mortality Rate at DRG | 1.37 | ||||
| Mortality Rate with ICD 2720 - Pure hypercholesterolemia | 1.11 | ||||
| SNF Discharge Rate at DRG | 23.3 | ||||
| SNF Discharge Rate with ICD 2720 - Pure hypercholesterolemia | 22.61 | ||||
| Home Discharge Rate at DRG | 45.55 | ||||
| Home Discharge Rate with ICD 2720 - Pure hypercholesterolemia | 47.06 |
| DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 285,340 | ||||
| Total Hospitalizations with ICD 2720 - Pure hypercholesterolemia | 17,156 | ||||
| DRG Share of Total Hospitalizations | 1.25 | ||||
| % of Total ICD 2720 - Pure hypercholesterolemia in DRG | 1.1 | ||||
| Avg LOS at DRG | 4.24 | ||||
| Avg LOS with ICD 2720 - Pure hypercholesterolemia | 4.12 | ||||
| Readmission Rate at DRG | 16.32 | ||||
| Readmission Rate with ICD 2720 - Pure hypercholesterolemia | 14.51 | ||||
| Unplanned Readmission Rate at DRG | 10.58 | ||||
| Unplanned Readmission Rate with ICD 2720 - Pure hypercholesterolemia | 9.42 | ||||
| Total Medicare payments at DRG | $1,475,002,556 | ||||
| Total Medicare payments with ICD 2720 - Pure hypercholesterolemia | $86,008,131 | ||||
| Total Medicare payment per Day at DRG | $1,218 | ||||
| Total Medicare payment per Day with ICD 2720 - Pure hypercholesterolemia | $1,216 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,169 | ||||
| Total Medicare payment per Hospitalization with ICD 2720 - Pure hypercholesterolemia | $5,013 | ||||
| Total Medicare Charges at DRG | $6,348,002,652 | ||||
| Total Medicare Charges with ICD 2720 - Pure hypercholesterolemia | $379,364,717 | ||||
| Avg Charges at DRG | $22,247 | ||||
| Avg Charges with ICD 2720 - Pure hypercholesterolemia | $22,113 | ||||
| Mortality Rate at DRG | 0.12 | ||||
| Mortality Rate with ICD 2720 - Pure hypercholesterolemia | 0.08 | ||||
| SNF Discharge Rate at DRG | 15.9 | ||||
| SNF Discharge Rate with ICD 2720 - Pure hypercholesterolemia | 15.04 | ||||
| Home Discharge Rate at DRG | 54.0 | ||||
| Home Discharge Rate with ICD 2720 - Pure hypercholesterolemia | 56.25 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| VIDANT MEDICAL CENTER | 2100 STANTONSBURG RD | GREENVILLE | NC | 27834 | 5,644 |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH | 1301 PENNSYLVANIA AVE | FORT WORTH | TX | 76104 | 5,636 |
| MORRISTOWN MEDICAL CENTER | 100 MADISON AVE | MORRISTOWN | NJ | 07960 | 5,536 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. JOHN TERRY DEARBORN | 2000 MOWRY AVE | FREMONT | CA | 94538 | 509 |
| Dr. HOWARD J KAPP | 130 TAMIAMI TRL N | NAPLES | FL | 34102 | 379 |
| Dr. WILLIAM TIMOTHY BALLARD | 2415 MCCALLIE AVE | CHATTANOOGA | TN | 37404 | 331 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. MIRATIQULLAH HESSAMI | 33425 E LAKE JOANNA DR | EUSTIS | FL | 32736 | 1,346 |
| Dr. WILLIAM F VOGENITZ | 1 SPRINGBACK WAY | ANDERSON | SC | 29621 | 603 |
| Dr. SYED S HOSAIN | 447 E MAIN ST | WESTMINSTER | MD | 21157 | 585 |