| 4372 - Hypertensive encephalopathy - as a primary diagnosis code | 4372 - Hypertensive encephalopathy - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.8 | |
| Readmission Rate (%) | 23.99 | |
| Unplanned Readmission Rate (%) | 13.69 | |
| 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 078: HYPERTENSIVE ENCEPHALOPATHY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 077: HYPERTENSIVE ENCEPHALOPATHY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 079: HYPERTENSIVE ENCEPHALOPATHY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 037: EXTRACRANIAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 6,195 | ||||
| Total Hospitalizations with ICD 4372 - Hypertensive encephalopathy | 6,195 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD 4372 - Hypertensive encephalopathy in DRG | 51.17 | ||||
| Avg LOS at DRG | 3.93 | ||||
| Avg LOS with ICD 4372 - Hypertensive encephalopathy | 3.93 | ||||
| Readmission Rate at DRG | 17.67 | ||||
| Readmission Rate with ICD 4372 - Hypertensive encephalopathy | 17.67 | ||||
| Unplanned Readmission Rate at DRG | 11.69 | ||||
| Unplanned Readmission Rate with ICD 4372 - Hypertensive encephalopathy | 11.69 | ||||
| Total Medicare payments at DRG | $35,559,089 | ||||
| Total Medicare payments with ICD 4372 - Hypertensive encephalopathy | $35,559,089 | ||||
| Total Medicare payment per Day at DRG | $1,462 | ||||
| Total Medicare payment per Day with ICD 4372 - Hypertensive encephalopathy | $1,462 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,740 | ||||
| Total Medicare payment per Hospitalization with ICD 4372 - Hypertensive encephalopathy | $5,740 | ||||
| Total Medicare Charges at DRG | $187,378,985 | ||||
| Total Medicare Charges with ICD 4372 - Hypertensive encephalopathy | $187,378,985 | ||||
| Avg Charges at DRG | $30,247 | ||||
| Avg Charges with ICD 4372 - Hypertensive encephalopathy | $30,247 | ||||
| Mortality Rate at DRG | 0.19 | ||||
| Mortality Rate with ICD 4372 - Hypertensive encephalopathy | 0.19 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD 4372 - Hypertensive encephalopathy | 20.84 | ||||
| Home Discharge Rate at DRG | 49.56 | ||||
| Home Discharge Rate with ICD 4372 - Hypertensive encephalopathy | 49.56 |
| DRG 040: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 041: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) OR PERIPHERAL NEUROSTIMULATOR | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | DRG 025: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 9,687 | ||||
| Total Hospitalizations with ICD 4372 - Hypertensive encephalopathy | 29 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD 4372 - Hypertensive encephalopathy in DRG | 0.24 | ||||
| Avg LOS at DRG | 11.51 | ||||
| Avg LOS with ICD 4372 - Hypertensive encephalopathy | 10.41 | ||||
| Readmission Rate at DRG | 39.89 | ||||
| Readmission Rate with ICD 4372 - Hypertensive encephalopathy | 48.28 | ||||
| Unplanned Readmission Rate at DRG | 16.93 | ||||
| Unplanned Readmission Rate with ICD 4372 - Hypertensive encephalopathy | NA | ||||
| Total Medicare payments at DRG | $259,220,427 | ||||
| Total Medicare payments with ICD 4372 - Hypertensive encephalopathy | $763,322 | ||||
| Total Medicare payment per Day at DRG | $2,324 | ||||
| Total Medicare payment per Day with ICD 4372 - Hypertensive encephalopathy | $2,528 | ||||
| Total Medicare payment per Hospitalization at DRG | $26,760 | ||||
| Total Medicare payment per Hospitalization with ICD 4372 - Hypertensive encephalopathy | $26,321 | ||||
| Total Medicare Charges at DRG | $1,098,496,932 | ||||
| Total Medicare Charges with ICD 4372 - Hypertensive encephalopathy | $3,019,111 | ||||
| Avg Charges at DRG | $113,399 | ||||
| Avg Charges with ICD 4372 - Hypertensive encephalopathy | $104,107 | ||||
| Mortality Rate at DRG | 5.51 | ||||
| Mortality Rate with ICD 4372 - Hypertensive encephalopathy | NA | ||||
| SNF Discharge Rate at DRG | 32.53 | ||||
| SNF Discharge Rate with ICD 4372 - Hypertensive encephalopathy | NA | ||||
| Home Discharge Rate at DRG | 18.65 | ||||
| Home Discharge Rate with ICD 4372 - Hypertensive encephalopathy | NA |
| DRG 038: EXTRACRANIAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|
| Total Hospitalizations at DRG | 24,761 |
| Total Hospitalizations with ICD 4372 - Hypertensive encephalopathy | 11 |
| DRG Share of Total Hospitalizations | 0.11 |
| % of Total ICD 4372 - Hypertensive encephalopathy in DRG | 0.09 |
| Avg LOS at DRG | 3.27 |
| Avg LOS with ICD 4372 - Hypertensive encephalopathy | 8.0 |
| Readmission Rate at DRG | 15.23 |
| Readmission Rate with ICD 4372 - Hypertensive encephalopathy | NA |
| Unplanned Readmission Rate at DRG | 7.41 |
| Unplanned Readmission Rate with ICD 4372 - Hypertensive encephalopathy | NA |
| Total Medicare payments at DRG | $238,297,339 |
| Total Medicare payments with ICD 4372 - Hypertensive encephalopathy | $95,556 |
| Total Medicare payment per Day at DRG | $2,946 |
| Total Medicare payment per Day with ICD 4372 - Hypertensive encephalopathy | $1,086 |
| Total Medicare payment per Hospitalization at DRG | $9,624 |
| Total Medicare payment per Hospitalization with ICD 4372 - Hypertensive encephalopathy | $8,687 |
| Total Medicare Charges at DRG | $1,258,246,682 |
| Total Medicare Charges with ICD 4372 - Hypertensive encephalopathy | $853,379 |
| Avg Charges at DRG | $50,816 |
| Avg Charges with ICD 4372 - Hypertensive encephalopathy | $77,580 |
| Mortality Rate at DRG | 0.06 |
| Mortality Rate with ICD 4372 - Hypertensive encephalopathy | NA |
| SNF Discharge Rate at DRG | 6.7 |
| SNF Discharge Rate with ICD 4372 - Hypertensive encephalopathy | NA |
| Home Discharge Rate at DRG | 75.92 |
| Home Discharge Rate with ICD 4372 - Hypertensive encephalopathy | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH | 1301 PENNSYLVANIA AVE | FORT WORTH | TX | 76104 | 65 |
| METHODIST HOSPITAL | 7700 FLOYD CURL DRIVE | SAN ANTONIO | TX | 78229 | 46 |
| METHODIST UNIVERSITY HOSPITAL | 1265 UNION AVE | MEMPHIS | TN | 38104 | 45 |
| DRG 078: HYPERTENSIVE ENCEPHALOPATHY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 077: HYPERTENSIVE ENCEPHALOPATHY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 079: HYPERTENSIVE ENCEPHALOPATHY WITHOUT 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 305: HYPERTENSION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 6,195 | ||||
| Total Hospitalizations with ICD 4372 - Hypertensive encephalopathy | 6,195 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD 4372 - Hypertensive encephalopathy in DRG | 23.8 | ||||
| Avg LOS at DRG | 3.93 | ||||
| Avg LOS with ICD 4372 - Hypertensive encephalopathy | 3.93 | ||||
| Readmission Rate at DRG | 17.67 | ||||
| Readmission Rate with ICD 4372 - Hypertensive encephalopathy | 17.67 | ||||
| Unplanned Readmission Rate at DRG | 11.69 | ||||
| Unplanned Readmission Rate with ICD 4372 - Hypertensive encephalopathy | 11.69 | ||||
| Total Medicare payments at DRG | $35,559,089 | ||||
| Total Medicare payments with ICD 4372 - Hypertensive encephalopathy | $35,559,089 | ||||
| Total Medicare payment per Day at DRG | $1,462 | ||||
| Total Medicare payment per Day with ICD 4372 - Hypertensive encephalopathy | $1,462 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,740 | ||||
| Total Medicare payment per Hospitalization with ICD 4372 - Hypertensive encephalopathy | $5,740 | ||||
| Total Medicare Charges at DRG | $187,378,985 | ||||
| Total Medicare Charges with ICD 4372 - Hypertensive encephalopathy | $187,378,985 | ||||
| Avg Charges at DRG | $30,247 | ||||
| Avg Charges with ICD 4372 - Hypertensive encephalopathy | $30,247 | ||||
| Mortality Rate at DRG | 0.19 | ||||
| Mortality Rate with ICD 4372 - Hypertensive encephalopathy | 0.19 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD 4372 - Hypertensive encephalopathy | 20.84 | ||||
| Home Discharge Rate at DRG | 49.56 | ||||
| Home Discharge Rate with ICD 4372 - Hypertensive encephalopathy | 49.56 |
| DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 069: TRANSIENT ISCHEMIA | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 153,096 | ||||
| Total Hospitalizations with ICD 4372 - Hypertensive encephalopathy | 931 | ||||
| DRG Share of Total Hospitalizations | 0.67 | ||||
| % of Total ICD 4372 - Hypertensive encephalopathy in DRG | 3.58 | ||||
| Avg LOS at DRG | 6.26 | ||||
| Avg LOS with ICD 4372 - Hypertensive encephalopathy | 8.14 | ||||
| Readmission Rate at DRG | 35.37 | ||||
| Readmission Rate with ICD 4372 - Hypertensive encephalopathy | 38.83 | ||||
| Unplanned Readmission Rate at DRG | 11.61 | ||||
| Unplanned Readmission Rate with ICD 4372 - Hypertensive encephalopathy | 14.03 | ||||
| Total Medicare payments at DRG | $1,801,821,071 | ||||
| Total Medicare payments with ICD 4372 - Hypertensive encephalopathy | $11,516,006 | ||||
| Total Medicare payment per Day at DRG | $1,879 | ||||
| Total Medicare payment per Day with ICD 4372 - Hypertensive encephalopathy | $1,519 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,769 | ||||
| Total Medicare payment per Hospitalization with ICD 4372 - Hypertensive encephalopathy | $12,370 | ||||
| Total Medicare Charges at DRG | $8,109,256,409 | ||||
| Total Medicare Charges with ICD 4372 - Hypertensive encephalopathy | $67,774,758 | ||||
| Avg Charges at DRG | $52,968 | ||||
| Avg Charges with ICD 4372 - Hypertensive encephalopathy | $72,798 | ||||
| Mortality Rate at DRG | 18.83 | ||||
| Mortality Rate with ICD 4372 - Hypertensive encephalopathy | 14.82 | ||||
| SNF Discharge Rate at DRG | 27.6 | ||||
| SNF Discharge Rate with ICD 4372 - Hypertensive encephalopathy | 29.32 | ||||
| Home Discharge Rate at DRG | 11.4 | ||||
| Home Discharge Rate with ICD 4372 - Hypertensive encephalopathy | 13.43 |
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 100: SEIZURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 304: HYPERTENSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 901,552 | ||||
| Total Hospitalizations with ICD 4372 - Hypertensive encephalopathy | 388 | ||||
| DRG Share of Total Hospitalizations | 3.95 | ||||
| % of Total ICD 4372 - Hypertensive encephalopathy in DRG | 1.49 | ||||
| Avg LOS at DRG | 6.79 | ||||
| Avg LOS with ICD 4372 - Hypertensive encephalopathy | 7.95 | ||||
| Readmission Rate at DRG | 25.38 | ||||
| Readmission Rate with ICD 4372 - Hypertensive encephalopathy | 29.57 | ||||
| Unplanned Readmission Rate at DRG | 17.1 | ||||
| Unplanned Readmission Rate with ICD 4372 - Hypertensive encephalopathy | 17.39 | ||||
| Total Medicare payments at DRG | $11,142,976,193 | ||||
| Total Medicare payments with ICD 4372 - Hypertensive encephalopathy | $4,993,468 | ||||
| Total Medicare payment per Day at DRG | $1,821 | ||||
| Total Medicare payment per Day with ICD 4372 - Hypertensive encephalopathy | $1,618 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,360 | ||||
| Total Medicare payment per Hospitalization with ICD 4372 - Hypertensive encephalopathy | $12,870 | ||||
| Total Medicare Charges at DRG | $48,288,426,708 | ||||
| Total Medicare Charges with ICD 4372 - Hypertensive encephalopathy | $26,991,200 | ||||
| Avg Charges at DRG | $53,561 | ||||
| Avg Charges with ICD 4372 - Hypertensive encephalopathy | $69,565 | ||||
| Mortality Rate at DRG | 15.16 | ||||
| Mortality Rate with ICD 4372 - Hypertensive encephalopathy | 6.96 | ||||
| SNF Discharge Rate at DRG | 28.41 | ||||
| SNF Discharge Rate with ICD 4372 - Hypertensive encephalopathy | 34.02 | ||||
| Home Discharge Rate at DRG | 23.21 | ||||
| Home Discharge Rate with ICD 4372 - Hypertensive encephalopathy | 25.52 |
| DRG 101: SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 97,114 | ||||
| Total Hospitalizations with ICD 4372 - Hypertensive encephalopathy | 160 | ||||
| DRG Share of Total Hospitalizations | 0.43 | ||||
| % of Total ICD 4372 - Hypertensive encephalopathy in DRG | 0.61 | ||||
| Avg LOS at DRG | 3.24 | ||||
| Avg LOS with ICD 4372 - Hypertensive encephalopathy | 4.43 | ||||
| Readmission Rate at DRG | 16.49 | ||||
| Readmission Rate with ICD 4372 - Hypertensive encephalopathy | 19.87 | ||||
| Unplanned Readmission Rate at DRG | 10.71 | ||||
| Unplanned Readmission Rate with ICD 4372 - Hypertensive encephalopathy | 11.92 | ||||
| Total Medicare payments at DRG | $473,597,980 | ||||
| Total Medicare payments with ICD 4372 - Hypertensive encephalopathy | $763,794 | ||||
| Total Medicare payment per Day at DRG | $1,505 | ||||
| Total Medicare payment per Day with ICD 4372 - Hypertensive encephalopathy | $1,077 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,877 | ||||
| Total Medicare payment per Hospitalization with ICD 4372 - Hypertensive encephalopathy | $4,774 | ||||
| Total Medicare Charges at DRG | $2,486,175,382 | ||||
| Total Medicare Charges with ICD 4372 - Hypertensive encephalopathy | $5,679,298 | ||||
| Avg Charges at DRG | $25,601 | ||||
| Avg Charges with ICD 4372 - Hypertensive encephalopathy | $35,496 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD 4372 - Hypertensive encephalopathy | NA | ||||
| SNF Discharge Rate at DRG | 16.17 | ||||
| SNF Discharge Rate with ICD 4372 - Hypertensive encephalopathy | 25.63 | ||||
| Home Discharge Rate at DRG | 59.41 | ||||
| Home Discharge Rate with ICD 4372 - Hypertensive encephalopathy | 46.88 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH | 1301 PENNSYLVANIA AVE | FORT WORTH | TX | 76104 | 109 |
| CHARLESTON AREA MEDICAL CENTER | 501 MORRIS ST | CHARLESTON | WV | 25301 | 102 |
| SINAI-GRACE HOSPITAL | 6071 W OUTER DR | DETROIT | MI | 48235 | 102 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. VINAY RAVI | 718 TEANECK ROAD. | TEANECK | NJ | 07666 | 16 |
| Dr. PETER B GEORGE | 3705 OLENTANGY RIVER RD | COLUMBUS | OH | 43214 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. JOHN E RATHBUN | 997 HIGHWAY 17 SOUTH | SURFSIDE BEACH | SC | 29575 | 19 |
| Dr. LEONARD EUGENE ELLISON | 17330 NORTHLAND PARK CT | SOUTHFIELD | MI | 48075 | 18 |
| Dr. ASHUTOSH MISHRA | 6025 WALNUT GROVE RD | MEMPHIS | TN | 38120 | 17 |