5723 - Portal hypertension - as a primary diagnosis code | 5723 - Portal hypertension - as a primary or secondary diagnosis code | |
---|---|---|
OUTCOMES | ||
Avg. LOS | 7.15 | |
Readmission Rate (%) | 34.96 | |
Unplanned Readmission Rate (%) | 23.62 | |
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 441: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 442: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 405: PANCREAS, LIVER AND SHUNT PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 406: PANCREAS, LIVER AND SHUNT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 423: OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 42,806 | ||||
Total Hospitalizations with ICD 5723 - Portal hypertension | 2,226 | ||||
DRG Share of Total Hospitalizations | 0.19 | ||||
% of Total ICD 5723 - Portal hypertension in DRG | 65.01 | ||||
Avg LOS at DRG | 6.9 | ||||
Avg LOS with ICD 5723 - Portal hypertension | 5.58 | ||||
Readmission Rate at DRG | 37.68 | ||||
Readmission Rate with ICD 5723 - Portal hypertension | 31.15 | ||||
Unplanned Readmission Rate at DRG | 27.81 | ||||
Unplanned Readmission Rate with ICD 5723 - Portal hypertension | 23.43 | ||||
Total Medicare payments at DRG | $568,161,721 | ||||
Total Medicare payments with ICD 5723 - Portal hypertension | $26,962,144 | ||||
Total Medicare payment per Day at DRG | $1,922 | ||||
Total Medicare payment per Day with ICD 5723 - Portal hypertension | $2,170 | ||||
Total Medicare payment per Hospitalization at DRG | $13,273 | ||||
Total Medicare payment per Hospitalization with ICD 5723 - Portal hypertension | $12,112 | ||||
Total Medicare Charges at DRG | $2,430,562,172 | ||||
Total Medicare Charges with ICD 5723 - Portal hypertension | $108,567,040 | ||||
Avg Charges at DRG | $56,781 | ||||
Avg Charges with ICD 5723 - Portal hypertension | $48,772 | ||||
Mortality Rate at DRG | 11.18 | ||||
Mortality Rate with ICD 5723 - Portal hypertension | 4.4 | ||||
SNF Discharge Rate at DRG | 17.89 | ||||
SNF Discharge Rate with ICD 5723 - Portal hypertension | 11.1 | ||||
Home Discharge Rate at DRG | 35.02 | ||||
Home Discharge Rate with ICD 5723 - Portal hypertension | 57.82 |
DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 443: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|
Total Hospitalizations at DRG | 48,577 | |
Total Hospitalizations with ICD 5723 - Portal hypertension | 20 | |
DRG Share of Total Hospitalizations | 0.21 | |
% of Total ICD 5723 - Portal hypertension in DRG | 0.58 | |
Avg LOS at DRG | 14.65 | |
Avg LOS with ICD 5723 - Portal hypertension | 11.25 | |
Readmission Rate at DRG | 37.54 | |
Readmission Rate with ICD 5723 - Portal hypertension | NA | |
Unplanned Readmission Rate at DRG | 20.58 | |
Unplanned Readmission Rate with ICD 5723 - Portal hypertension | NA | |
Total Medicare payments at DRG | $1,729,486,111 | |
Total Medicare payments with ICD 5723 - Portal hypertension | $697,678 | |
Total Medicare payment per Day at DRG | $2,430 | |
Total Medicare payment per Day with ICD 5723 - Portal hypertension | $3,101 | |
Total Medicare payment per Hospitalization at DRG | $35,603 | |
Total Medicare payment per Hospitalization with ICD 5723 - Portal hypertension | $34,884 | |
Total Medicare Charges at DRG | $7,235,174,566 | |
Total Medicare Charges with ICD 5723 - Portal hypertension | $2,901,881 | |
Avg Charges at DRG | $148,942 | |
Avg Charges with ICD 5723 - Portal hypertension | $145,094 | |
Mortality Rate at DRG | 9.66 | |
Mortality Rate with ICD 5723 - Portal hypertension | NA | |
SNF Discharge Rate at DRG | 30.41 | |
SNF Discharge Rate with ICD 5723 - Portal hypertension | NA | |
Home Discharge Rate at DRG | 22.89 | |
Home Discharge Rate with ICD 5723 - Portal hypertension | 55.0 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
---|---|---|---|---|---|
HUNTSVILLE HOSPITAL | 101 SIVLEY RD SW | HUNTSVILLE | AL | 35801 | 45 |
NORTH MISSISSIPPI HEALTH SERVICES | 830 S GLOSTER ST | TUPELO | MS | 38801 | 40 |
BAPTIST MEDICAL CENTER | 111 DALLAS ST | SAN ANTONIO | TX | 78205 | 23 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
---|---|---|---|---|---|
Dr. ALEX WILLIAM JOHNSON | 2006 FRANKLIN ST SE | HUNTSVILLE | AL | 35801 | 13 |
DRG 441: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 432: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 442: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 42,806 | ||||
Total Hospitalizations with ICD 5723 - Portal hypertension | 12,773 | ||||
DRG Share of Total Hospitalizations | 0.19 | ||||
% of Total ICD 5723 - Portal hypertension in DRG | 9.62 | ||||
Avg LOS at DRG | 6.9 | ||||
Avg LOS with ICD 5723 - Portal hypertension | 7.31 | ||||
Readmission Rate at DRG | 37.68 | ||||
Readmission Rate with ICD 5723 - Portal hypertension | 39.39 | ||||
Unplanned Readmission Rate at DRG | 27.81 | ||||
Unplanned Readmission Rate with ICD 5723 - Portal hypertension | 29.81 | ||||
Total Medicare payments at DRG | $568,161,721 | ||||
Total Medicare payments with ICD 5723 - Portal hypertension | $175,790,455 | ||||
Total Medicare payment per Day at DRG | $1,922 | ||||
Total Medicare payment per Day with ICD 5723 - Portal hypertension | $1,883 | ||||
Total Medicare payment per Hospitalization at DRG | $13,273 | ||||
Total Medicare payment per Hospitalization with ICD 5723 - Portal hypertension | $13,763 | ||||
Total Medicare Charges at DRG | $2,430,562,172 | ||||
Total Medicare Charges with ICD 5723 - Portal hypertension | $814,895,425 | ||||
Avg Charges at DRG | $56,781 | ||||
Avg Charges with ICD 5723 - Portal hypertension | $63,798 | ||||
Mortality Rate at DRG | 11.18 | ||||
Mortality Rate with ICD 5723 - Portal hypertension | 9.76 | ||||
SNF Discharge Rate at DRG | 17.89 | ||||
SNF Discharge Rate with ICD 5723 - Portal hypertension | 16.82 | ||||
Home Discharge Rate at DRG | 35.02 | ||||
Home Discharge Rate with ICD 5723 - Portal hypertension | 38.23 |
DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 433: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 371: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 119,208 | ||||
Total Hospitalizations with ICD 5723 - Portal hypertension | 5,187 | ||||
DRG Share of Total Hospitalizations | 0.52 | ||||
% of Total ICD 5723 - Portal hypertension in DRG | 3.91 | ||||
Avg LOS at DRG | 5.97 | ||||
Avg LOS with ICD 5723 - Portal hypertension | 6.18 | ||||
Readmission Rate at DRG | 28.49 | ||||
Readmission Rate with ICD 5723 - Portal hypertension | 37.32 | ||||
Unplanned Readmission Rate at DRG | 21.2 | ||||
Unplanned Readmission Rate with ICD 5723 - Portal hypertension | 29.0 | ||||
Total Medicare payments at DRG | $1,381,744,311 | ||||
Total Medicare payments with ICD 5723 - Portal hypertension | $64,361,819 | ||||
Total Medicare payment per Day at DRG | $1,942 | ||||
Total Medicare payment per Day with ICD 5723 - Portal hypertension | $2,009 | ||||
Total Medicare payment per Hospitalization at DRG | $11,591 | ||||
Total Medicare payment per Hospitalization with ICD 5723 - Portal hypertension | $12,408 | ||||
Total Medicare Charges at DRG | $6,006,105,446 | ||||
Total Medicare Charges with ICD 5723 - Portal hypertension | $301,187,631 | ||||
Avg Charges at DRG | $50,383 | ||||
Avg Charges with ICD 5723 - Portal hypertension | $58,066 | ||||
Mortality Rate at DRG | 6.32 | ||||
Mortality Rate with ICD 5723 - Portal hypertension | 6.25 | ||||
SNF Discharge Rate at DRG | 24.09 | ||||
SNF Discharge Rate with ICD 5723 - Portal hypertension | 14.67 | ||||
Home Discharge Rate at DRG | 39.74 | ||||
Home Discharge Rate with ICD 5723 - Portal hypertension | 51.42 |
DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 435: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 417,322 | ||||
Total Hospitalizations with ICD 5723 - Portal hypertension | 1,571 | ||||
DRG Share of Total Hospitalizations | 1.83 | ||||
% of Total ICD 5723 - Portal hypertension in DRG | 1.18 | ||||
Avg LOS at DRG | 5.93 | ||||
Avg LOS with ICD 5723 - Portal hypertension | 8.5 | ||||
Readmission Rate at DRG | 28.69 | ||||
Readmission Rate with ICD 5723 - Portal hypertension | 34.24 | ||||
Unplanned Readmission Rate at DRG | 21.75 | ||||
Unplanned Readmission Rate with ICD 5723 - Portal hypertension | 26.26 | ||||
Total Medicare payments at DRG | $4,026,370,259 | ||||
Total Medicare payments with ICD 5723 - Portal hypertension | $17,212,497 | ||||
Total Medicare payment per Day at DRG | $1,626 | ||||
Total Medicare payment per Day with ICD 5723 - Portal hypertension | $1,289 | ||||
Total Medicare payment per Hospitalization at DRG | $9,648 | ||||
Total Medicare payment per Hospitalization with ICD 5723 - Portal hypertension | $10,956 | ||||
Total Medicare Charges at DRG | $17,296,169,702 | ||||
Total Medicare Charges with ICD 5723 - Portal hypertension | $102,726,903 | ||||
Avg Charges at DRG | $41,446 | ||||
Avg Charges with ICD 5723 - Portal hypertension | $65,389 | ||||
Mortality Rate at DRG | 5.62 | ||||
Mortality Rate with ICD 5723 - Portal hypertension | 7.57 | ||||
SNF Discharge Rate at DRG | 23.05 | ||||
SNF Discharge Rate with ICD 5723 - Portal hypertension | 19.54 | ||||
Home Discharge Rate at DRG | 34.75 | ||||
Home Discharge Rate with ICD 5723 - Portal hypertension | 32.65 |
DRG 405: PANCREAS, LIVER AND SHUNT PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 811: RED BLOOD CELL DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 005: LIVER TRANSPLANT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR INTESTINAL TRANSPLANT | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 9,308 | ||||
Total Hospitalizations with ICD 5723 - Portal hypertension | 1,238 | ||||
DRG Share of Total Hospitalizations | 0.04 | ||||
% of Total ICD 5723 - Portal hypertension in DRG | 0.93 | ||||
Avg LOS at DRG | 14.2 | ||||
Avg LOS with ICD 5723 - Portal hypertension | 11.52 | ||||
Readmission Rate at DRG | 35.32 | ||||
Readmission Rate with ICD 5723 - Portal hypertension | 47.45 | ||||
Unplanned Readmission Rate at DRG | 19.04 | ||||
Unplanned Readmission Rate with ICD 5723 - Portal hypertension | 33.3 | ||||
Total Medicare payments at DRG | $392,196,294 | ||||
Total Medicare payments with ICD 5723 - Portal hypertension | $50,816,691 | ||||
Total Medicare payment per Day at DRG | $2,968 | ||||
Total Medicare payment per Day with ICD 5723 - Portal hypertension | $3,563 | ||||
Total Medicare payment per Hospitalization at DRG | $42,135 | ||||
Total Medicare payment per Hospitalization with ICD 5723 - Portal hypertension | $41,047 | ||||
Total Medicare Charges at DRG | $1,627,876,391 | ||||
Total Medicare Charges with ICD 5723 - Portal hypertension | $203,518,581 | ||||
Avg Charges at DRG | $174,890 | ||||
Avg Charges with ICD 5723 - Portal hypertension | $164,393 | ||||
Mortality Rate at DRG | 7.99 | ||||
Mortality Rate with ICD 5723 - Portal hypertension | 11.31 | ||||
SNF Discharge Rate at DRG | 17.22 | ||||
SNF Discharge Rate with ICD 5723 - Portal hypertension | 13.81 | ||||
Home Discharge Rate at DRG | 35.57 | ||||
Home Discharge Rate with ICD 5723 - Portal hypertension | 45.96 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
---|---|---|---|---|---|
CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 813 |
CHI ST. LUKE'S HEALTH - BAYLOR ST. LUKE'S MEDICAL CENTER | 6720 BERTNER ST | HOUSTON | TX | 77030 | 665 |
HOUSTON METHODIST HOSPITAL | 6565 FANNIN ST | HOUSTON | TX | 77030 | 657 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
---|---|---|---|---|---|
Dr. MARK J AULT | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 96 |
Dr. ANTONIO SERNA | 520 E EUCLID AVE | SAN ANTONIO | TX | 78212 | 81 |
Dr. MEHUL HARSHAD DOSHI | 1611 NW 12TH AVE | MIAMI | FL | 33136 | 58 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
---|---|---|---|---|---|
Dr. SANJAY PALLEGAR | 6565 FANNIN ST | HOUSTON | TX | 77030 | 98 |
Dr. AHMAD KARKOUTLY | 2300 CENTRAL BLVD | BROWNSVILLE | TX | 78520 | 93 |
Dr. DAVID CARY WOLF | 100 WOODS RD | VALHALLA | NY | 10595 | 75 |