| 4011 - Benign essential hypertension - as a primary diagnosis code | 4011 - Benign essential hypertension - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 4.86 | |
| Readmission Rate (%) | 19.32 | |
| Unplanned Readmission Rate (%) | 8.95 | |
| 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 305: HYPERTENSION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 304: HYPERTENSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 55,342 | ||
| Total Hospitalizations with ICD 4011 - Benign essential hypertension | 494 | ||
| DRG Share of Total Hospitalizations | 0.24 | ||
| % of Total ICD 4011 - Benign essential hypertension in DRG | 81.79 | ||
| Avg LOS at DRG | 2.62 | ||
| Avg LOS with ICD 4011 - Benign essential hypertension | 2.48 | ||
| Readmission Rate at DRG | 13.17 | ||
| Readmission Rate with ICD 4011 - Benign essential hypertension | 12.16 | ||
| Unplanned Readmission Rate at DRG | 9.27 | ||
| Unplanned Readmission Rate with ICD 4011 - Benign essential hypertension | 8.04 | ||
| Total Medicare payments at DRG | $200,037,177 | ||
| Total Medicare payments with ICD 4011 - Benign essential hypertension | $1,847,621 | ||
| Total Medicare payment per Day at DRG | $1,378 | ||
| Total Medicare payment per Day with ICD 4011 - Benign essential hypertension | $1,508 | ||
| Total Medicare payment per Hospitalization at DRG | $3,615 | ||
| Total Medicare payment per Hospitalization with ICD 4011 - Benign essential hypertension | $3,740 | ||
| Total Medicare Charges at DRG | $1,124,385,469 | ||
| Total Medicare Charges with ICD 4011 - Benign essential hypertension | $9,191,421 | ||
| Avg Charges at DRG | $20,317 | ||
| Avg Charges with ICD 4011 - Benign essential hypertension | $18,606 | ||
| Mortality Rate at DRG | 0.07 | ||
| Mortality Rate with ICD 4011 - Benign essential hypertension | NA | ||
| SNF Discharge Rate at DRG | 7.93 | ||
| SNF Discharge Rate with ICD 4011 - Benign essential hypertension | 8.5 | ||
| Home Discharge Rate at DRG | 72.46 | ||
| Home Discharge Rate with ICD 4011 - Benign essential hypertension | 73.08 |
| 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 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 939,378 | ||||
| Total Hospitalizations with ICD 4011 - Benign essential hypertension | 31,624 | ||||
| DRG Share of Total Hospitalizations | 4.11 | ||||
| % of Total ICD 4011 - Benign essential hypertension in DRG | 7.31 | ||||
| Avg LOS at DRG | 3.12 | ||||
| Avg LOS with ICD 4011 - Benign essential hypertension | 3.06 | ||||
| Readmission Rate at DRG | 12.54 | ||||
| Readmission Rate with ICD 4011 - Benign essential hypertension | 12.24 | ||||
| Unplanned Readmission Rate at DRG | 3.52 | ||||
| Unplanned Readmission Rate with ICD 4011 - Benign essential hypertension | 3.42 | ||||
| Total Medicare payments at DRG | $11,301,359,598 | ||||
| Total Medicare payments with ICD 4011 - Benign essential hypertension | $372,073,925 | ||||
| Total Medicare payment per Day at DRG | $3,853 | ||||
| Total Medicare payment per Day with ICD 4011 - Benign essential hypertension | $3,849 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,031 | ||||
| Total Medicare payment per Hospitalization with ICD 4011 - Benign essential hypertension | $11,766 | ||||
| Total Medicare Charges at DRG | $51,993,364,479 | ||||
| Total Medicare Charges with ICD 4011 - Benign essential hypertension | $1,691,881,981 | ||||
| Avg Charges at DRG | $55,349 | ||||
| Avg Charges with ICD 4011 - Benign essential hypertension | $53,500 | ||||
| Mortality Rate at DRG | 0.07 | ||||
| Mortality Rate with ICD 4011 - Benign essential hypertension | 0.05 | ||||
| SNF Discharge Rate at DRG | 32.49 | ||||
| SNF Discharge Rate with ICD 4011 - Benign essential hypertension | 32.96 | ||||
| Home Discharge Rate at DRG | 21.06 | ||||
| Home Discharge Rate with ICD 4011 - Benign essential hypertension | 21.17 |
| DRG 885: PSYCHOSES | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 841,082 | ||||
| Total Hospitalizations with ICD 4011 - Benign essential hypertension | 6,673 | ||||
| DRG Share of Total Hospitalizations | 3.68 | ||||
| % of Total ICD 4011 - Benign essential hypertension in DRG | 1.54 | ||||
| Avg LOS at DRG | 11.58 | ||||
| Avg LOS with ICD 4011 - Benign essential hypertension | 12.54 | ||||
| Readmission Rate at DRG | 26.57 | ||||
| Readmission Rate with ICD 4011 - Benign essential hypertension | 25.11 | ||||
| Unplanned Readmission Rate at DRG | 13.06 | ||||
| Unplanned Readmission Rate with ICD 4011 - Benign essential hypertension | 12.77 | ||||
| Total Medicare payments at DRG | $6,792,290,994 | ||||
| Total Medicare payments with ICD 4011 - Benign essential hypertension | $62,930,763 | ||||
| Total Medicare payment per Day at DRG | $697 | ||||
| Total Medicare payment per Day with ICD 4011 - Benign essential hypertension | $752 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,076 | ||||
| Total Medicare payment per Hospitalization with ICD 4011 - Benign essential hypertension | $9,431 | ||||
| Total Medicare Charges at DRG | $21,353,545,675 | ||||
| Total Medicare Charges with ICD 4011 - Benign essential hypertension | $182,931,562 | ||||
| Avg Charges at DRG | $25,388 | ||||
| Avg Charges with ICD 4011 - Benign essential hypertension | $27,414 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD 4011 - Benign essential hypertension | NA | ||||
| SNF Discharge Rate at DRG | 6.24 | ||||
| SNF Discharge Rate with ICD 4011 - Benign essential hypertension | 6.91 | ||||
| Home Discharge Rate at DRG | 78.4 | ||||
| Home Discharge Rate with ICD 4011 - Benign essential hypertension | 75.45 |
| DRG 310: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 247: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 185,998 | ||||
| Total Hospitalizations with ICD 4011 - Benign essential hypertension | 5,712 | ||||
| DRG Share of Total Hospitalizations | 0.81 | ||||
| % of Total ICD 4011 - Benign essential hypertension in DRG | 1.32 | ||||
| Avg LOS at DRG | 2.25 | ||||
| Avg LOS with ICD 4011 - Benign essential hypertension | 2.27 | ||||
| Readmission Rate at DRG | 12.28 | ||||
| Readmission Rate with ICD 4011 - Benign essential hypertension | 11.27 | ||||
| Unplanned Readmission Rate at DRG | 8.35 | ||||
| Unplanned Readmission Rate with ICD 4011 - Benign essential hypertension | 7.7 | ||||
| Total Medicare payments at DRG | $549,837,262 | ||||
| Total Medicare payments with ICD 4011 - Benign essential hypertension | $15,888,102 | ||||
| Total Medicare payment per Day at DRG | $1,316 | ||||
| Total Medicare payment per Day with ICD 4011 - Benign essential hypertension | $1,225 | ||||
| Total Medicare payment per Hospitalization at DRG | $2,956 | ||||
| Total Medicare payment per Hospitalization with ICD 4011 - Benign essential hypertension | $2,782 | ||||
| Total Medicare Charges at DRG | $3,108,013,081 | ||||
| Total Medicare Charges with ICD 4011 - Benign essential hypertension | $86,832,188 | ||||
| Avg Charges at DRG | $16,710 | ||||
| Avg Charges with ICD 4011 - Benign essential hypertension | $15,202 | ||||
| Mortality Rate at DRG | 0.29 | ||||
| Mortality Rate with ICD 4011 - Benign essential hypertension | NA | ||||
| SNF Discharge Rate at DRG | 4.69 | ||||
| SNF Discharge Rate with ICD 4011 - Benign essential hypertension | 3.48 | ||||
| Home Discharge Rate at DRG | 80.27 | ||||
| Home Discharge Rate with ICD 4011 - Benign essential hypertension | 84.52 |
| DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 285,530 | ||||
| Total Hospitalizations with ICD 4011 - Benign essential hypertension | 5,296 | ||||
| DRG Share of Total Hospitalizations | 1.25 | ||||
| % of Total ICD 4011 - Benign essential hypertension in DRG | 1.22 | ||||
| Avg LOS at DRG | 4.72 | ||||
| Avg LOS with ICD 4011 - Benign essential hypertension | 4.42 | ||||
| Readmission Rate at DRG | 18.55 | ||||
| Readmission Rate with ICD 4011 - Benign essential hypertension | 16.96 | ||||
| Unplanned Readmission Rate at DRG | 12.87 | ||||
| Unplanned Readmission Rate with ICD 4011 - Benign essential hypertension | 11.56 | ||||
| Total Medicare payments at DRG | $1,922,582,097 | ||||
| Total Medicare payments with ICD 4011 - Benign essential hypertension | $33,246,201 | ||||
| Total Medicare payment per Day at DRG | $1,427 | ||||
| Total Medicare payment per Day with ICD 4011 - Benign essential hypertension | $1,420 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,733 | ||||
| Total Medicare payment per Hospitalization with ICD 4011 - Benign essential hypertension | $6,278 | ||||
| Total Medicare Charges at DRG | $8,696,353,387 | ||||
| Total Medicare Charges with ICD 4011 - Benign essential hypertension | $146,653,908 | ||||
| Avg Charges at DRG | $30,457 | ||||
| Avg Charges with ICD 4011 - Benign essential hypertension | $27,691 | ||||
| Mortality Rate at DRG | 2.4 | ||||
| Mortality Rate with ICD 4011 - Benign essential hypertension | 1.68 | ||||
| SNF Discharge Rate at DRG | 23.54 | ||||
| SNF Discharge Rate with ICD 4011 - Benign essential hypertension | 21.88 | ||||
| Home Discharge Rate at DRG | 44.6 | ||||
| Home Discharge Rate with ICD 4011 - Benign essential hypertension | 48.87 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| RIVERSIDE METHODIST HOSPITAL | 3535 OLENTANGY RIVER RD | COLUMBUS | OH | 43214 | 7,440 |
| CENTRAL DUPAGE HOSPITAL | 25 NORTH WINFIELD RD. | WINFIELD | IL | 60190 | 6,691 |
| CARILION ROANOKE MEMORIAL HOSPITAL | 1906 BELLEVIEW AVE SE | ROANOKE | VA | 24014 | 4,944 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. DERMOT M. REYNOLDS | 1 GUTHRIE SQ | SAYRE | PA | 18840 | 269 |
| Dr. PRAMOD MADHUKAR DESHMUKH | 1 GUTHRIE SQ | SAYRE | PA | 18840 | 250 |
| Dr. TODD G MATROS | 3705 OLENTANGY RIVER RD | COLUMBUS | OH | 43214 | 229 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. GAVIN PAUL BAUMGARDNER | 7452 SPRUCE CT | PLAIN CITY | OH | 43064 | 386 |
| Dr. JULIE LYNN SANFORD | 6160 TUTT BLVD | COLORADO SPRINGS | CO | 80923 | 356 |
| Dr. MONICO PETER BANEZ | 620 SKYLINE DR | JACKSON | TN | 38301 | 347 |