| 40290 - Unspecified hypertensive heart disease without heart failure - as a primary diagnosis code | 40290 - Unspecified hypertensive heart disease without heart failure - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.47 | |
| Readmission Rate (%) | 20.55 | |
| Unplanned Readmission Rate (%) | 9.27 | |
| 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 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 304: HYPERTENSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 247: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 55,342 | ||||
| Total Hospitalizations with ICD 40290 - Unspecified hypertensive heart disease without heart failure | 1,036 | ||||
| DRG Share of Total Hospitalizations | 0.24 | ||||
| % of Total ICD 40290 - Unspecified hypertensive heart disease without heart failure in DRG | 65.9 | ||||
| Avg LOS at DRG | 2.62 | ||||
| Avg LOS with ICD 40290 - Unspecified hypertensive heart disease without heart failure | 2.88 | ||||
| Readmission Rate at DRG | 13.17 | ||||
| Readmission Rate with ICD 40290 - Unspecified hypertensive heart disease without heart failure | 13.67 | ||||
| Unplanned Readmission Rate at DRG | 9.27 | ||||
| Unplanned Readmission Rate with ICD 40290 - Unspecified hypertensive heart disease without heart failure | 9.75 | ||||
| Total Medicare payments at DRG | $200,037,177 | ||||
| Total Medicare payments with ICD 40290 - Unspecified hypertensive heart disease without heart failure | $3,846,096 | ||||
| Total Medicare payment per Day at DRG | $1,378 | ||||
| Total Medicare payment per Day with ICD 40290 - Unspecified hypertensive heart disease without heart failure | $1,291 | ||||
| Total Medicare payment per Hospitalization at DRG | $3,615 | ||||
| Total Medicare payment per Hospitalization with ICD 40290 - Unspecified hypertensive heart disease without heart failure | $3,712 | ||||
| Total Medicare Charges at DRG | $1,124,385,469 | ||||
| Total Medicare Charges with ICD 40290 - Unspecified hypertensive heart disease without heart failure | $22,827,529 | ||||
| Avg Charges at DRG | $20,317 | ||||
| Avg Charges with ICD 40290 - Unspecified hypertensive heart disease without heart failure | $22,034 | ||||
| Mortality Rate at DRG | 0.07 | ||||
| Mortality Rate with ICD 40290 - Unspecified hypertensive heart disease without heart failure | NA | ||||
| SNF Discharge Rate at DRG | 7.93 | ||||
| SNF Discharge Rate with ICD 40290 - Unspecified hypertensive heart disease without heart failure | 7.14 | ||||
| Home Discharge Rate at DRG | 72.46 | ||||
| Home Discharge Rate with ICD 40290 - Unspecified hypertensive heart disease without heart failure | 74.23 |
| DRG 243: PERMANENT CARDIAC PACEMAKER IMPLANT WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|
| Total Hospitalizations at DRG | 57,391 |
| Total Hospitalizations with ICD 40290 - Unspecified hypertensive heart disease without heart failure | 11 |
| DRG Share of Total Hospitalizations | 0.25 |
| % of Total ICD 40290 - Unspecified hypertensive heart disease without heart failure in DRG | 0.7 |
| Avg LOS at DRG | 4.45 |
| Avg LOS with ICD 40290 - Unspecified hypertensive heart disease without heart failure | 5.91 |
| Readmission Rate at DRG | 15.25 |
| Readmission Rate with ICD 40290 - Unspecified hypertensive heart disease without heart failure | NA |
| Unplanned Readmission Rate at DRG | 10.25 |
| Unplanned Readmission Rate with ICD 40290 - Unspecified hypertensive heart disease without heart failure | NA |
| Total Medicare payments at DRG | $961,412,555 |
| Total Medicare payments with ICD 40290 - Unspecified hypertensive heart disease without heart failure | $201,816 |
| Total Medicare payment per Day at DRG | $3,765 |
| Total Medicare payment per Day with ICD 40290 - Unspecified hypertensive heart disease without heart failure | $3,105 |
| Total Medicare payment per Hospitalization at DRG | $16,752 |
| Total Medicare payment per Hospitalization with ICD 40290 - Unspecified hypertensive heart disease without heart failure | $18,347 |
| Total Medicare Charges at DRG | $4,341,538,344 |
| Total Medicare Charges with ICD 40290 - Unspecified hypertensive heart disease without heart failure | $1,029,789 |
| Avg Charges at DRG | $75,648 |
| Avg Charges with ICD 40290 - Unspecified hypertensive heart disease without heart failure | $93,617 |
| Mortality Rate at DRG | 0.22 |
| Mortality Rate with ICD 40290 - Unspecified hypertensive heart disease without heart failure | NA |
| SNF Discharge Rate at DRG | 16.87 |
| SNF Discharge Rate with ICD 40290 - Unspecified hypertensive heart disease without heart failure | NA |
| Home Discharge Rate at DRG | 58.18 |
| Home Discharge Rate with ICD 40290 - Unspecified hypertensive heart disease without heart failure | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| NEW YORK COMMUNITY HOSPITAL OF BROOKLYN | 2525 KINGS HWY | BROOKLYN | NY | 11229 | 15 |
| UNIVERSITY OF MIAMI HOSPITAL | 1400 NW 12TH AVE | MIAMI | FL | 33136 | 12 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. TONY ABBASSI | 1321 NW 14TH ST | MIAMI | FL | 33125 | 12 |
| DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 310: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 939,378 | ||||
| Total Hospitalizations with ICD 40290 - Unspecified hypertensive heart disease without heart failure | 4,180 | ||||
| DRG Share of Total Hospitalizations | 4.11 | ||||
| % of Total ICD 40290 - Unspecified hypertensive heart disease without heart failure in DRG | 3.46 | ||||
| Avg LOS at DRG | 3.12 | ||||
| Avg LOS with ICD 40290 - Unspecified hypertensive heart disease without heart failure | 3.71 | ||||
| Readmission Rate at DRG | 12.54 | ||||
| Readmission Rate with ICD 40290 - Unspecified hypertensive heart disease without heart failure | 18.25 | ||||
| Unplanned Readmission Rate at DRG | 3.52 | ||||
| Unplanned Readmission Rate with ICD 40290 - Unspecified hypertensive heart disease without heart failure | 4.69 | ||||
| Total Medicare payments at DRG | $11,301,359,598 | ||||
| Total Medicare payments with ICD 40290 - Unspecified hypertensive heart disease without heart failure | $51,504,462 | ||||
| Total Medicare payment per Day at DRG | $3,853 | ||||
| Total Medicare payment per Day with ICD 40290 - Unspecified hypertensive heart disease without heart failure | $3,318 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,031 | ||||
| Total Medicare payment per Hospitalization with ICD 40290 - Unspecified hypertensive heart disease without heart failure | $12,322 | ||||
| Total Medicare Charges at DRG | $51,993,364,479 | ||||
| Total Medicare Charges with ICD 40290 - Unspecified hypertensive heart disease without heart failure | $264,121,543 | ||||
| Avg Charges at DRG | $55,349 | ||||
| Avg Charges with ICD 40290 - Unspecified hypertensive heart disease without heart failure | $63,187 | ||||
| Mortality Rate at DRG | 0.07 | ||||
| Mortality Rate with ICD 40290 - Unspecified hypertensive heart disease without heart failure | NA | ||||
| SNF Discharge Rate at DRG | 32.49 | ||||
| SNF Discharge Rate with ICD 40290 - Unspecified hypertensive heart disease without heart failure | 39.62 | ||||
| Home Discharge Rate at DRG | 21.06 | ||||
| Home Discharge Rate with ICD 40290 - Unspecified hypertensive heart disease without heart failure | 12.66 |
| DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 247: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,595 | ||||
| Total Hospitalizations with ICD 40290 - Unspecified hypertensive heart disease without heart failure | 2,645 | ||||
| DRG Share of Total Hospitalizations | 1.83 | ||||
| % of Total ICD 40290 - Unspecified hypertensive heart disease without heart failure in DRG | 2.19 | ||||
| Avg LOS at DRG | 3.34 | ||||
| Avg LOS with ICD 40290 - Unspecified hypertensive heart disease without heart failure | 3.73 | ||||
| Readmission Rate at DRG | 17.47 | ||||
| Readmission Rate with ICD 40290 - Unspecified hypertensive heart disease without heart failure | 15.73 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD 40290 - Unspecified hypertensive heart disease without heart failure | 10.88 | ||||
| Total Medicare payments at DRG | $1,834,433,235 | ||||
| Total Medicare payments with ICD 40290 - Unspecified hypertensive heart disease without heart failure | $11,435,349 | ||||
| Total Medicare payment per Day at DRG | $1,317 | ||||
| Total Medicare payment per Day with ICD 40290 - Unspecified hypertensive heart disease without heart failure | $1,160 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,393 | ||||
| Total Medicare payment per Hospitalization with ICD 40290 - Unspecified hypertensive heart disease without heart failure | $4,323 | ||||
| Total Medicare Charges at DRG | $9,558,780,965 | ||||
| Total Medicare Charges with ICD 40290 - Unspecified hypertensive heart disease without heart failure | $73,480,263 | ||||
| Avg Charges at DRG | $22,890 | ||||
| Avg Charges with ICD 40290 - Unspecified hypertensive heart disease without heart failure | $27,781 | ||||
| Mortality Rate at DRG | 0.23 | ||||
| Mortality Rate with ICD 40290 - Unspecified hypertensive heart disease without heart failure | NA | ||||
| SNF Discharge Rate at DRG | 8.82 | ||||
| SNF Discharge Rate with ICD 40290 - Unspecified hypertensive heart disease without heart failure | 9.98 | ||||
| Home Discharge Rate at DRG | 73.03 | ||||
| Home Discharge Rate with ICD 40290 - Unspecified hypertensive heart disease without heart failure | 72.06 |
| DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 312: SYNCOPE AND COLLAPSE | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 368,552 | ||||
| Total Hospitalizations with ICD 40290 - Unspecified hypertensive heart disease without heart failure | 2,197 | ||||
| DRG Share of Total Hospitalizations | 1.61 | ||||
| % of Total ICD 40290 - Unspecified hypertensive heart disease without heart failure in DRG | 1.82 | ||||
| Avg LOS at DRG | 4.42 | ||||
| Avg LOS with ICD 40290 - Unspecified hypertensive heart disease without heart failure | 5.13 | ||||
| Readmission Rate at DRG | 18.07 | ||||
| Readmission Rate with ICD 40290 - Unspecified hypertensive heart disease without heart failure | 16.52 | ||||
| Unplanned Readmission Rate at DRG | 12.45 | ||||
| Unplanned Readmission Rate with ICD 40290 - Unspecified hypertensive heart disease without heart failure | 11.14 | ||||
| Total Medicare payments at DRG | $2,243,342,846 | ||||
| Total Medicare payments with ICD 40290 - Unspecified hypertensive heart disease without heart failure | $13,302,534 | ||||
| Total Medicare payment per Day at DRG | $1,376 | ||||
| Total Medicare payment per Day with ICD 40290 - Unspecified hypertensive heart disease without heart failure | $1,181 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,087 | ||||
| Total Medicare payment per Hospitalization with ICD 40290 - Unspecified hypertensive heart disease without heart failure | $6,055 | ||||
| Total Medicare Charges at DRG | $9,706,587,516 | ||||
| Total Medicare Charges with ICD 40290 - Unspecified hypertensive heart disease without heart failure | $67,827,114 | ||||
| Avg Charges at DRG | $26,337 | ||||
| Avg Charges with ICD 40290 - Unspecified hypertensive heart disease without heart failure | $30,873 | ||||
| Mortality Rate at DRG | 1.44 | ||||
| Mortality Rate with ICD 40290 - Unspecified hypertensive heart disease without heart failure | 0.96 | ||||
| SNF Discharge Rate at DRG | 19.19 | ||||
| SNF Discharge Rate with ICD 40290 - Unspecified hypertensive heart disease without heart failure | 19.25 | ||||
| Home Discharge Rate at DRG | 50.54 | ||||
| Home Discharge Rate with ICD 40290 - Unspecified hypertensive heart disease without heart failure | 51.21 |
| DRG 313: CHEST PAIN | DRG 885: PSYCHOSES | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 192: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 153,752 | ||||
| Total Hospitalizations with ICD 40290 - Unspecified hypertensive heart disease without heart failure | 1,804 | ||||
| DRG Share of Total Hospitalizations | 0.67 | ||||
| % of Total ICD 40290 - Unspecified hypertensive heart disease without heart failure in DRG | 1.49 | ||||
| Avg LOS at DRG | 2.07 | ||||
| Avg LOS with ICD 40290 - Unspecified hypertensive heart disease without heart failure | 2.28 | ||||
| Readmission Rate at DRG | 17.09 | ||||
| Readmission Rate with ICD 40290 - Unspecified hypertensive heart disease without heart failure | 12.52 | ||||
| Unplanned Readmission Rate at DRG | 12.71 | ||||
| Unplanned Readmission Rate with ICD 40290 - Unspecified hypertensive heart disease without heart failure | 9.49 | ||||
| Total Medicare payments at DRG | $541,339,287 | ||||
| Total Medicare payments with ICD 40290 - Unspecified hypertensive heart disease without heart failure | $6,146,414 | ||||
| Total Medicare payment per Day at DRG | $1,703 | ||||
| Total Medicare payment per Day with ICD 40290 - Unspecified hypertensive heart disease without heart failure | $1,497 | ||||
| Total Medicare payment per Hospitalization at DRG | $3,521 | ||||
| Total Medicare payment per Hospitalization with ICD 40290 - Unspecified hypertensive heart disease without heart failure | $3,407 | ||||
| Total Medicare Charges at DRG | $3,245,079,276 | ||||
| Total Medicare Charges with ICD 40290 - Unspecified hypertensive heart disease without heart failure | $44,365,972 | ||||
| Avg Charges at DRG | $21,106 | ||||
| Avg Charges with ICD 40290 - Unspecified hypertensive heart disease without heart failure | $24,593 | ||||
| Mortality Rate at DRG | 0.16 | ||||
| Mortality Rate with ICD 40290 - Unspecified hypertensive heart disease without heart failure | NA | ||||
| SNF Discharge Rate at DRG | 7.71 | ||||
| SNF Discharge Rate with ICD 40290 - Unspecified hypertensive heart disease without heart failure | 6.93 | ||||
| Home Discharge Rate at DRG | 73.3 | ||||
| Home Discharge Rate with ICD 40290 - Unspecified hypertensive heart disease without heart failure | 76.16 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| MCLAREN BAY REGION | 1900 COLUMBUS AVE | BAY CITY | MI | 48708 | 886 |
| ASCENSION MACOMB - OAKLAND HOSPITAL | 11800 E 12 MILE RD | WARREN | MI | 48093 | 874 |
| UNIVERSITY OF MIAMI HOSPITAL | 1400 NW 12TH AVE | MIAMI | FL | 33136 | 848 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. SILAS EDWIN DUNCAN | 700 OLYMPIC PLAZA CIR | TYLER | TX | 75701 | 193 |
| Dr. MYSORE N SHIVARAM | 6901 CERMAK RD | BERWYN | IL | 60402 | 146 |
| Dr. JOHN TOM MORRIS | 7580 CLARINGTON CV | SOUTHAVEN | MS | 38671 | 138 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. TONY ABBASSI | 1321 NW 14TH ST | MIAMI | FL | 33125 | 529 |
| Dr. VENKATAPURAM RAMESH REDDY | 42320 HIGHWAY 195 | HALEYVILLE | AL | 35565 | 468 |
| Dr. PAUL W PIERCE | 2080 S FRONTAGE RD | VICKSBURG | MS | 39180 | 442 |