4160 - Primary pulmonary hypertension - as a primary diagnosis code | 4160 - Primary pulmonary hypertension - as a primary or secondary diagnosis code | |
---|---|---|
OUTCOMES | ||
Avg. LOS | 7.42 | |
Readmission Rate (%) | 26.51 | |
Unplanned Readmission Rate (%) | 15.4 | |
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 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 315: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | 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) | DRG 316: OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 102,753 | ||||
Total Hospitalizations with ICD 4160 - Primary pulmonary hypertension | 311 | ||||
DRG Share of Total Hospitalizations | 0.45 | ||||
% of Total ICD 4160 - Primary pulmonary hypertension in DRG | 32.7 | ||||
Avg LOS at DRG | 7.33 | ||||
Avg LOS with ICD 4160 - Primary pulmonary hypertension | 8.62 | ||||
Readmission Rate at DRG | 32.63 | ||||
Readmission Rate with ICD 4160 - Primary pulmonary hypertension | 28.4 | ||||
Unplanned Readmission Rate at DRG | 22.44 | ||||
Unplanned Readmission Rate with ICD 4160 - Primary pulmonary hypertension | 17.7 | ||||
Total Medicare payments at DRG | $1,376,213,228 | ||||
Total Medicare payments with ICD 4160 - Primary pulmonary hypertension | $4,907,066 | ||||
Total Medicare payment per Day at DRG | $1,828 | ||||
Total Medicare payment per Day with ICD 4160 - Primary pulmonary hypertension | $1,831 | ||||
Total Medicare payment per Hospitalization at DRG | $13,393 | ||||
Total Medicare payment per Hospitalization with ICD 4160 - Primary pulmonary hypertension | $15,778 | ||||
Total Medicare Charges at DRG | $5,899,767,418 | ||||
Total Medicare Charges with ICD 4160 - Primary pulmonary hypertension | $21,710,121 | ||||
Avg Charges at DRG | $57,417 | ||||
Avg Charges with ICD 4160 - Primary pulmonary hypertension | $69,807 | ||||
Mortality Rate at DRG | 5.59 | ||||
Mortality Rate with ICD 4160 - Primary pulmonary hypertension | 14.15 | ||||
SNF Discharge Rate at DRG | 19.0 | ||||
SNF Discharge Rate with ICD 4160 - Primary pulmonary hypertension | 9.32 | ||||
Home Discharge Rate at DRG | 40.54 | ||||
Home Discharge Rate with ICD 4160 - Primary pulmonary hypertension | 33.44 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
---|---|---|---|---|---|
UT SOUTHWESTERN MEDICAL CENTER | 6201 HARRY HINES BLVD | DALLAS | TX | 75390 | 20 |
CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 15 |
BRIGHAM AND WOMEN'S HOSPITAL | 75 FRANCIS ST | BOSTON | MA | 02115 | 14 |
DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 414,616 | ||||
Total Hospitalizations with ICD 4160 - Primary pulmonary hypertension | 762 | ||||
DRG Share of Total Hospitalizations | 1.81 | ||||
% of Total ICD 4160 - Primary pulmonary hypertension in DRG | 7.22 | ||||
Avg LOS at DRG | 4.4 | ||||
Avg LOS with ICD 4160 - Primary pulmonary hypertension | 4.72 | ||||
Readmission Rate at DRG | 25.69 | ||||
Readmission Rate with ICD 4160 - Primary pulmonary hypertension | 23.86 | ||||
Unplanned Readmission Rate at DRG | 19.35 | ||||
Unplanned Readmission Rate with ICD 4160 - Primary pulmonary hypertension | 15.45 | ||||
Total Medicare payments at DRG | $2,579,957,747 | ||||
Total Medicare payments with ICD 4160 - Primary pulmonary hypertension | $5,122,566 | ||||
Total Medicare payment per Day at DRG | $1,415 | ||||
Total Medicare payment per Day with ICD 4160 - Primary pulmonary hypertension | $1,423 | ||||
Total Medicare payment per Hospitalization at DRG | $6,223 | ||||
Total Medicare payment per Hospitalization with ICD 4160 - Primary pulmonary hypertension | $6,723 | ||||
Total Medicare Charges at DRG | $11,090,898,185 | ||||
Total Medicare Charges with ICD 4160 - Primary pulmonary hypertension | $20,543,412 | ||||
Avg Charges at DRG | $26,750 | ||||
Avg Charges with ICD 4160 - Primary pulmonary hypertension | $26,960 | ||||
Mortality Rate at DRG | 1.33 | ||||
Mortality Rate with ICD 4160 - Primary pulmonary hypertension | 1.44 | ||||
SNF Discharge Rate at DRG | 17.4 | ||||
SNF Discharge Rate with ICD 4160 - Primary pulmonary hypertension | 13.78 | ||||
Home Discharge Rate at DRG | 45.44 | ||||
Home Discharge Rate with ICD 4160 - Primary pulmonary hypertension | 48.56 |
DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 315: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | 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) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 274,950 | ||||
Total Hospitalizations with ICD 4160 - Primary pulmonary hypertension | 313 | ||||
DRG Share of Total Hospitalizations | 1.2 | ||||
% of Total ICD 4160 - Primary pulmonary hypertension in DRG | 2.97 | ||||
Avg LOS at DRG | 6.96 | ||||
Avg LOS with ICD 4160 - Primary pulmonary hypertension | 6.65 | ||||
Readmission Rate at DRG | 27.13 | ||||
Readmission Rate with ICD 4160 - Primary pulmonary hypertension | 22.51 | ||||
Unplanned Readmission Rate at DRG | 20.24 | ||||
Unplanned Readmission Rate with ICD 4160 - Primary pulmonary hypertension | 14.02 | ||||
Total Medicare payments at DRG | $2,790,739,849 | ||||
Total Medicare payments with ICD 4160 - Primary pulmonary hypertension | $3,194,129 | ||||
Total Medicare payment per Day at DRG | $1,457 | ||||
Total Medicare payment per Day with ICD 4160 - Primary pulmonary hypertension | $1,536 | ||||
Total Medicare payment per Hospitalization at DRG | $10,150 | ||||
Total Medicare payment per Hospitalization with ICD 4160 - Primary pulmonary hypertension | $10,205 | ||||
Total Medicare Charges at DRG | $11,867,056,741 | ||||
Total Medicare Charges with ICD 4160 - Primary pulmonary hypertension | $15,020,066 | ||||
Avg Charges at DRG | $43,161 | ||||
Avg Charges with ICD 4160 - Primary pulmonary hypertension | $47,987 | ||||
Mortality Rate at DRG | 7.44 | ||||
Mortality Rate with ICD 4160 - Primary pulmonary hypertension | 8.63 | ||||
SNF Discharge Rate at DRG | 20.22 | ||||
SNF Discharge Rate with ICD 4160 - Primary pulmonary hypertension | 12.78 | ||||
Home Discharge Rate at DRG | 37.4 | ||||
Home Discharge Rate with ICD 4160 - Primary pulmonary hypertension | 37.06 |
DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 368,552 | ||||
Total Hospitalizations with ICD 4160 - Primary pulmonary hypertension | 202 | ||||
DRG Share of Total Hospitalizations | 1.61 | ||||
% of Total ICD 4160 - Primary pulmonary hypertension in DRG | 1.92 | ||||
Avg LOS at DRG | 4.42 | ||||
Avg LOS with ICD 4160 - Primary pulmonary hypertension | 4.36 | ||||
Readmission Rate at DRG | 18.07 | ||||
Readmission Rate with ICD 4160 - Primary pulmonary hypertension | 15.96 | ||||
Unplanned Readmission Rate at DRG | 12.45 | ||||
Unplanned Readmission Rate with ICD 4160 - Primary pulmonary hypertension | 10.11 | ||||
Total Medicare payments at DRG | $2,243,342,846 | ||||
Total Medicare payments with ICD 4160 - Primary pulmonary hypertension | $1,268,955 | ||||
Total Medicare payment per Day at DRG | $1,376 | ||||
Total Medicare payment per Day with ICD 4160 - Primary pulmonary hypertension | $1,442 | ||||
Total Medicare payment per Hospitalization at DRG | $6,087 | ||||
Total Medicare payment per Hospitalization with ICD 4160 - Primary pulmonary hypertension | $6,282 | ||||
Total Medicare Charges at DRG | $9,706,587,516 | ||||
Total Medicare Charges with ICD 4160 - Primary pulmonary hypertension | $5,175,096 | ||||
Avg Charges at DRG | $26,337 | ||||
Avg Charges with ICD 4160 - Primary pulmonary hypertension | $25,619 | ||||
Mortality Rate at DRG | 1.44 | ||||
Mortality Rate with ICD 4160 - Primary pulmonary hypertension | NA | ||||
SNF Discharge Rate at DRG | 19.19 | ||||
SNF Discharge Rate with ICD 4160 - Primary pulmonary hypertension | 14.36 | ||||
Home Discharge Rate at DRG | 50.54 | ||||
Home Discharge Rate with ICD 4160 - Primary pulmonary hypertension | 50.5 |
DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 311,763 | ||||
Total Hospitalizations with ICD 4160 - Primary pulmonary hypertension | 142 | ||||
DRG Share of Total Hospitalizations | 1.36 | ||||
% of Total ICD 4160 - Primary pulmonary hypertension in DRG | 1.35 | ||||
Avg LOS at DRG | 4.34 | ||||
Avg LOS with ICD 4160 - Primary pulmonary hypertension | 5.05 | ||||
Readmission Rate at DRG | 23.41 | ||||
Readmission Rate with ICD 4160 - Primary pulmonary hypertension | 23.13 | ||||
Unplanned Readmission Rate at DRG | 16.67 | ||||
Unplanned Readmission Rate with ICD 4160 - Primary pulmonary hypertension | 15.67 | ||||
Total Medicare payments at DRG | $1,867,955,174 | ||||
Total Medicare payments with ICD 4160 - Primary pulmonary hypertension | $931,300 | ||||
Total Medicare payment per Day at DRG | $1,382 | ||||
Total Medicare payment per Day with ICD 4160 - Primary pulmonary hypertension | $1,299 | ||||
Total Medicare payment per Hospitalization at DRG | $5,992 | ||||
Total Medicare payment per Hospitalization with ICD 4160 - Primary pulmonary hypertension | $6,558 | ||||
Total Medicare Charges at DRG | $8,358,483,119 | ||||
Total Medicare Charges with ICD 4160 - Primary pulmonary hypertension | $4,931,517 | ||||
Avg Charges at DRG | $26,810 | ||||
Avg Charges with ICD 4160 - Primary pulmonary hypertension | $34,729 | ||||
Mortality Rate at DRG | 1.37 | ||||
Mortality Rate with ICD 4160 - Primary pulmonary hypertension | NA | ||||
SNF Discharge Rate at DRG | 23.3 | ||||
SNF Discharge Rate with ICD 4160 - Primary pulmonary hypertension | 16.2 | ||||
Home Discharge Rate at DRG | 45.55 | ||||
Home Discharge Rate with ICD 4160 - Primary pulmonary hypertension | 44.37 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
---|---|---|---|---|---|
ASCENSION BORGESS HOSPITAL | 1521 GULL RD | KALAMAZOO | MI | 49048 | 132 |
INDIANA UNIVERSITY HEALTH | 1701 N SENATE | INDIANAPOLIS | IN | 46202 | 132 |
NORTHEAST REHABILITATION HOSPITAL - SALEM | 70 BUTLER STREET | SALEM | NH | 03079 | 120 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
---|---|---|---|---|---|
Dr. YUKA ENDO | 8 PROSPECT ST # 1184 | NASHUA | NH | 03060 | 16 |
Dr. WENDI CARDEIRO | 8 PROSPECT ST | NASHUA | NH | 03060 | 12 |
Dr. JOHN D RANDOLPH | 4050 W MEMORIAL RD | OKLAHOMA CITY | OK | 73120 | 11 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
---|---|---|---|---|---|
Dr. OMAR ALBERTO COLON GUTIERREZ | 2800 W 15TH ST | PLANO | TX | 75075 | 57 |
Dr. BENJAMIN T AGANA | 9200 PINECROFT DR | SHENANDOAH | TX | 77380 | 24 |
Dr. SONJA D BARTOLOME | 5323 HARRY HINES BLVD | DALLAS | TX | 75390 | 24 |