Outpatient Interventional Cardiology Report January 1, 2009 to December 31, 2009 Population:ADULT Great State University Medical Center 13.14% 28.92% 27.80% 25.59% 4.20% 0.35% 10.89% 28.83% 30.11% 25.82% 4.10% 0.26% AGE=18 TO 30 YRS AGE=31 TO 50 YRS AGE=51 TO 64 YRS AGE=65 TO 84 YRS AGE=85 TO 95 YRS AGE>95 YRS COMPARISON HOSPITALS (n=76) Patients: 13,050 Encounters:15,468 Patients:402,687 Encounters:481,618 Payer Distribution 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% FOCUS COMPARISON Commercial/Private Medicare Medicaid State Assisted Healthcare Self-Pay - Cash in Full Workers Compensation Auto Insurance Unknown Military Other Self-Pay - Uninsured County Medically Indigent Services Charity Research Title V Maternal & Child Health Age Distribution Great State Page 1 of 23 * Data is pending edits for quality standards Run:05/07/2010 © 2004 - 2010 University HealthSystem Consortium. All Rights Reserved. NOTICE: This document contains proprietary information that is confidential and protected by state and federal privacy and peer review laws. Any unauthorized copying of this document is forbidden. For permission to copy, contact [email protected].
6_OP_Interventional_Cardiology_Report
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Outpatient Interventional
Cardiology ReportJanuary 1, 2009 to December 31, 2009
Population:ADULT
Great State University Medical Center
13.14%
28.92%27.80%
25.59%4.20%0.35%
10.89%28.83%
30.11%
25.82%4.10%0.26%
AGE=18 TO 30 YRS AGE=31 TO 50 YRS AGE=51 TO 64 YRS AGE=65 TO 84 YRS AGE=85 TO 95 YRS AGE>95 YRS
COMPARISON HOSPITALS (n=76)
Patients: 13,050
Encounters:15,468
Patients:402,687
Encounters:481,618
Payer Distribution
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
FOCUS
COMPARISON
Commercial/Private Medicare MedicaidState AssistedHealthcare
Self-Pay - Cash in Full Workers Compensation Auto Insurance
Unknown Military Other Self-Pay - UninsuredCounty MedicallyIndigent Services
Charity Research
Title V Maternal & ChildHealth
Age DistributionGreat State
Page 1 of 23* Data is pending edits for quality standards Run:05/07/2010 © 2004 - 2010 University HealthSystem Consortium. All Rights Reserved. NOTICE: This document contains proprietary information that is confidential and protected by state and federal privacy and peer review laws. Any unauthorized copying of this document is forbidden. For permission to copy, contact [email protected].
Outpatient Interventional
Cardiology ReportJanuary 1, 2009 to December 31, 2009
Population:ADULT
Great State University Medical Center
77.2%
9.7%8.2%2.8%1.9%0.1%
62.2%7.2%
22.4%2.1%5.1%0.5%0.5%0.1%0.0%
White Hispanic Black Asian Other Native American/Eskimo Unknown Multi-racial
Hawaiian/PacificIslander
RacialDistribution
53.2%
46.8%48.4%
51.6%
0.0%
Male Female UNKNOWN
Gender Distribution
N=481,508 EncountersN=15,468 Encounters
COMPARISON HOSPITALS
COMPARISON HOSPITALS
Great State
Great State
Page 2 of 23* Data is pending edits for quality standards Run:05/07/2010 © 2004 - 2010 University HealthSystem Consortium. All Rights Reserved. NOTICE: This document contains proprietary information that is confidential and protected by state and federal privacy and peer review laws. Any unauthorized copying of this document is forbidden. For permission to copy, contact [email protected].
Outpatient Interventional
Cardiology ReportJanuary 1, 2009 to December 31, 2009
Population:ADULT
Great State University Medical Center
0% 10% 20% 30% 40% 50% 60%
ELECTROCARDIOGRAM, TRACING
PLETHYSMOGRAPHY TRACING
RIGHT HEART CATHETERIZATION
IMAGING, CARDIAC CATH
INJECT FOR CORONARY X-RAYS
CARDIOVERSION ELECTRIC, EXT
BIOPSY OF HEART LINING
ARTERY TO VEIN SHUNT
IMAGING, CARDIAC CATH
INJECTION FOR HEART X-RAYS
TTE, F-UP OR LMTD
REPAIR VENOUS BLOCKAGE
TTE W/DOPPLER, COMPLETE
LEFT HEART CATHETERIZATION
CATH PLACEMENT, ANGIOGRAPHY
FOCUS N=20,111 Procedures
%Description CountCPT_Code *
ELECTROCARDIOGRAM, TRACING 10,43493005 51.88%PLETHYSMOGRAPHY TRACING 2,66593721 13.25%RIGHT HEART CATHETERIZATION 61293501 3.04%IMAGING, CARDIAC CATH 47893556 2.38%INJECT FOR CORONARY X-RAYS 47693545 2.37%CARDIOVERSION ELECTRIC, EXT 40292960 2.00%BIOPSY OF HEART LINING 38393505 1.90%ARTERY TO VEIN SHUNT 27436145 1.36%IMAGING, CARDIAC CATH 25793555 1.28%INJECTION FOR HEART X-RAYS 25693543 1.27%TTE, F-UP OR LMTD 25493308 1.26%REPAIR VENOUS BLOCKAGE 24535476 1.22%TTE W/DOPPLER, COMPLETE 24593306 1.22%LEFT HEART CATHETERIZATION 16493510 0.82%CATH PLACEMENT, ANGIOGRAPHY 15593508 0.77%
Source: CPDF ENCOUNTER CPT/HCPCS FILE. HCPCS Level I codes - American Medical Association
0% 5% 10% 15% 20% 25% 30% 35% 40% 45%
ELECTROCARDIOGRAM, TRACING
INJECT FOR CORONARY X-RAYS
IMAGING, CARDIAC CATH
ELECTROCARDIOGRAM REPORT
CARDIOVASCULAR STRESS TEST
LEFT HEART CATHETERIZATION
IMAGING, CARDIAC CATH
INJECTION FOR HEART X-RAYS
DOPPLER COLOR FLOW ADD-ON
TTE W/DOPPLER, COMPLETE
ELECTROCARDIOGRAM, COMPLETE
CARDIAC REHAB/MONITOR
DOPPLER ECHO EXAM, HEART
ECG MONITOR/RECORD, 24 HRS
STRESS TTE ONLY
COMPARISON N=895,781 Procedures
%CPT_Code * Description Count
93005 ELECTROCARDIOGRAM, TRACING 386,428 43.14%93545 INJECT FOR CORONARY X-RAYS 32,291 3.60%93556 IMAGING, CARDIAC CATH 32,264 3.60%93010 ELECTROCARDIOGRAM REPORT 26,224 2.93%93017 CARDIOVASCULAR STRESS TEST 24,374 2.72%93510 LEFT HEART CATHETERIZATION 21,565 2.41%93555 IMAGING, CARDIAC CATH 20,198 2.25%93543 INJECTION FOR HEART X-RAYS 19,857 2.22%93325 DOPPLER COLOR FLOW ADD-ON 19,551 2.18%93306 TTE W/DOPPLER, COMPLETE 19,336 2.16%93000 ELECTROCARDIOGRAM, COMPLETE 18,891 2.11%93798 CARDIAC REHAB/MONITOR 11,118 1.24%93320 DOPPLER ECHO EXAM, HEART 10,908 1.22%93225 ECG MONITOR/RECORD, 24 HRS 9,224 1.03%93350 STRESS TTE ONLY 9,184 1.03%
Top 15 Procedures (CPT): All Groups
Page 3 of 23* Data is pending edits for quality standards Run:05/07/2010 © 2004 - 2010 University HealthSystem Consortium. All Rights Reserved. NOTICE: This document contains proprietary information that is confidential and protected by state and federal privacy and peer review laws. Any unauthorized copying of this document is forbidden. For permission to copy, contact [email protected].
Outpatient Interventional
Cardiology ReportJanuary 1, 2009 to December 31, 2009
Population:ADULT
Great State University Medical Center
0% 10% 20% 30% 40% 50% 60% 70% 80%
NON-INVASIVE AND DIAGNOSTIC PROCEDURES
INVASIVE CARDIOLOGY
PERIPHERAL VASCULAR LAB
ELECTROPHYSIOLOGY LAB
FOCUS N=20,111 Procedures
%COUNTPROCEDURE_CATEGORY
NON-INVASIVE CARDIOLOGY AND DIAGNOSTIC PROCEDURES 14,207 70.64%
INVASIVE CARDIOLOGY 4,627 23.01%
PERIPHERAL VASCULAR LAB 1,083 5.39%
ELECTROPHYSIOLOGY LAB 194 0.96%
0% 20% 40% 60% 80% 100%
NON-INVASIVE AND DIAGNOSTIC PROCEDURES
INVASIVE CARDIOLOGY
PERIPHERAL VASCULAR LAB
ELECTROPHYSIOLOGY LAB
COMPARISON N=895,781 Procedures
%COUNTPROCEDURE_CATEGORY
NON-INVASIVE CARDIOLOGY AND DIAGNOSTIC PROCEDURES 597,738 66.73%
INVASIVE CARDIOLOGY 211,734 23.64%
PERIPHERAL VASCULAR LAB 54,843 6.12%
ELECTROPHYSIOLOGY LAB 31,466 3.51%
Interventional Cardiology Procedure Groupings (CPT)(Refer to Procedure Group Crosswalk for Mapping of Codes)
Source: CPDF ENCOUNTER CPT/HCPCS FILE. HCPCS Level I codes - American Medical Association
Page 4 of 23* Data is pending edits for quality standards Run:05/07/2010 © 2004 - 2010 University HealthSystem Consortium. All Rights Reserved. NOTICE: This document contains proprietary information that is confidential and protected by state and federal privacy and peer review laws. Any unauthorized copying of this document is forbidden. For permission to copy, contact [email protected].
Outpatient Interventional
Cardiology ReportJanuary 1, 2009 to December 31, 2009
Population:ADULT
Great State University Medical Center
0% 5% 10% 15% 20% 25% 30% 35% 40%
Evaluation heart device
Electrophysiology evaluation
Electrophysiology evaluation
Electrophysiology evaluation
Ablate heart dysrhythm focus
Electrophys map 3d, add-on
Map tachycardia, add-on
Electrophysiology evaluation
Stimulation, pacing heart
Intracardiac ecg (ice)
Bundle of His recording
Ablate heart dysrhythm focus
Electrophysiology evaluation
Ablate heart dysrhythm focus
Tilt table evaluation
FOCUS N=194 procedures
COUNTEVALUATION HEART DEVICE 38.66%93640 75
ELECTROPHYSIOLOGY EVALUATION 31.44%93641 61
ELECTROPHYSIOLOGY EVALUATION 7.73%93620 15
ELECTROPHYSIOLOGY EVALUATION 3.61%93621 7
ABLATE HEART DYSRHYTHM FOCUS 3.61%93652 7
ELECTROPHYS MAP 3D, ADD-ON 3.09%93613 6
MAP TACHYCARDIA, ADD-ON 2.06%93609 4
ELECTROPHYSIOLOGY EVALUATION 1.55%93622 3
STIMULATION, PACING HEART 1.55%93623 3
INTRACARDIAC ECG (ICE) 1.55%93662 3
BUNDLE OF HIS RECORDING 1.03%93600 2
ABLATE HEART DYSRHYTHM FOCUS 1.03%93651 2
ELECTROPHYSIOLOGY EVALUATION 1.03%93642 2
ABLATE HEART DYSRHYTHM FOCUS 0.52%93650 1
TILT TABLE EVALUATION 0.52%93660 1
0% 4% 8% 12% 16% 20%
Electrophysiology evaluation
Ablate heart dysrhythm focus
Electrophysiology evaluation
Stimulation, pacing heart
Electrophys map 3d, add-on
Tilt table evaluation
Map tachycardia, add-on
Electrophysiology evaluation
Intracardiac ecg (ice)
Electrophysiology evaluation
Ablate heart dysrhythm focus
Electrophysiology evaluation
Intra-atrial pacing
COMPARISON N=31,466 Procedures
COUNTELECTROPHYSIOLOGY EVALUATION 19.28%93620 6,068
ABLATE HEART DYSRHYTHM FOCUS 14.98%93651 4,714
ELECTROPHYSIOLOGY EVALUATION 12.49%93621 3,931
STIMULATION, PACING HEART 11.25%93623 3,539
ELECTROPHYS MAP 3D, ADD-ON 9.53%93613 2,998
TILT TABLE EVALUATION 6.43%93660 2,023
MAP TACHYCARDIA, ADD-ON 6.20%93609 1,951
ELECTROPHYSIOLOGY EVALUATION 5.72%93641 1,801
INTRACARDIAC ECG (ICE) 5.38%93662 1,693
ELECTROPHYSIOLOGY EVALUATION 2.30%93642 725
ABLATE HEART DYSRHYTHM FOCUS 1.39%93650 437
ABLATE HEART DYSRHYTHM FOCUS 1.27%93652 401
ELECTROPHYSIOLOGY EVALUATION 0.88%93622 276
ELECTROPHYSIOLOGY EVALUATION 0.78%93619 247
INTRA-ATRIAL PACING 0.54%93610 169
Top 15 Procedures (CPT): Electrophysiology Lab
Page 5 of 23* Data is pending edits for quality standards Run:05/07/2010 © 2004 - 2010 University HealthSystem Consortium. All Rights Reserved. NOTICE: This document contains proprietary information that is confidential and protected by state and federal privacy and peer review laws. Any unauthorized copying of this document is forbidden. For permission to copy, contact [email protected].
Outpatient Interventional
Cardiology ReportJanuary 1, 2009 to December 31, 2009
Population:ADULT
Great State University Medical Center
0% 10% 20% 30% 40% 50% 60% 70% 80%
Electrocardiogram, tracing
Plethysmography tracing
Tte, f-up or lmtd
Tte w/doppler, complete
Cardiovascular stress test
Doppler echo exam, heart
Doppler color flow add-on
Echo transesophageal
ECG monitor/record, 24 hrs
ECG monitor/report, 24 hrs
Stress tte only
Icd device interrogate
Pm device eval in person
Echo transesophageal
Echo transthoracic
FOCUS N=14,207 Procedures
COUNTELECTROCARDIOGRAM, TRACING 73.44%93005 10,434
PLETHYSMOGRAPHY TRACING 18.76%93721 2,665
TTE, F-UP OR LMTD 1.79%93308 254
TTE W/DOPPLER, COMPLETE 1.72%93306 245
CARDIOVASCULAR STRESS TEST 0.86%93017 122
DOPPLER ECHO EXAM, HEART 0.78%93320 111
DOPPLER COLOR FLOW ADD-ON 0.76%93325 108
ECHO TRANSESOPHAGEAL 0.40%93314 57
ECG MONITOR/RECORD, 24 HRS 0.23%93225 33
ECG MONITOR/REPORT, 24 HRS 0.23%93226 33
STRESS TTE ONLY 0.17%93350 24
ICD DEVICE INTERROGATE 0.15%93289 21
PM DEVICE EVAL IN PERSON 0.13%93288 18
ECHO TRANSESOPHAGEAL 0.13%93312 18
ECHO TRANSTHORACIC 0.08%93303 12
Source: CPDF ENCOUNTER CPT/HCPCS FILE. HCPCS Level I codes - American Medical Association
0% 10% 20% 30% 40% 50% 60% 70%
Electrocardiogram, tracing
Electrocardiogram report
Cardiovascular stress test
Doppler color flow add-on
Tte w/doppler, complete
Electrocardiogram, complete
Cardiac rehab/monitor
Doppler echo exam, heart
ECG monitor/record, 24 hrs
Stress tte only
Doppler echo exam, heart
Rhythm ECG, tracing
Echo transesophageal
Heart/lung resuscitation cpr
Tte, f-up or lmtd
COMPARISON N=597,738 Procedures
COUNTELECTROCARDIOGRAM, TRACING 64.65%93005 386,428
ELECTROCARDIOGRAM REPORT 4.39%93010 26,224
CARDIOVASCULAR STRESS TEST 4.08%93017 24,374
DOPPLER COLOR FLOW ADD-ON 3.27%93325 19,551
TTE W/DOPPLER, COMPLETE 3.23%93306 19,336
ELECTROCARDIOGRAM, COMPLETE 3.16%93000 18,891
CARDIAC REHAB/MONITOR 1.86%93798 11,118
DOPPLER ECHO EXAM, HEART 1.82%93320 10,908
ECG MONITOR/RECORD, 24 HRS 1.54%93225 9,224
STRESS TTE ONLY 1.54%93350 9,184
DOPPLER ECHO EXAM, HEART 1.31%93321 7,810
RHYTHM ECG, TRACING 1.24%93041 7,392
ECHO TRANSESOPHAGEAL 0.80%93312 4,786
HEART/LUNG RESUSCITATION CPR 0.60%92950 3,607
TTE, F-UP OR LMTD 0.54%93308 3,232
Top 15 Procedures (CPT): Non-Invasive Diagnostic Procedures
Page 6 of 23* Data is pending edits for quality standards Run:05/07/2010 © 2004 - 2010 University HealthSystem Consortium. All Rights Reserved. NOTICE: This document contains proprietary information that is confidential and protected by state and federal privacy and peer review laws. Any unauthorized copying of this document is forbidden. For permission to copy, contact [email protected].
Outpatient Interventional
Cardiology ReportJanuary 1, 2009 to December 31, 2009
Population:ADULT
Great State University Medical Center
0% 2% 4% 6% 8% 10% 12% 14%
Right heart catheterization
Imaging, cardiac cath
Inject for coronary x-rays
Cardioversion electric, ext
Biopsy of heart lining
Imaging, cardiac cath
Injection for heart x-rays
Repair venous blockage
Left heart catheterization
Cath placement, angiography
Rt & Lt heart catheters
Cardiac output measurement
Eltrd/insert pace-defib
Injection, cardiac cath
Injection, cardiac cath
FOCUS N=4,627 Procedures
COUNT
RIGHT HEART CATHETERIZATION 13.23%93501 612
IMAGING, CARDIAC CATH 10.33%93556 478
INJECT FOR CORONARY X-RAYS 10.29%93545 476
CARDIOVERSION ELECTRIC, EXT 8.69%92960 402
BIOPSY OF HEART LINING 8.28%93505 383
IMAGING, CARDIAC CATH 5.55%93555 257
INJECTION FOR HEART X-RAYS 5.53%93543 256
REPAIR VENOUS BLOCKAGE 5.30%35476 245
LEFT HEART CATHETERIZATION 3.54%93510 164
CATH PLACEMENT, ANGIOGRAPHY 3.35%93508 155
RT & LT HEART CATHETERS 3.31%93526 153
CARDIAC OUTPUT MEASUREMENT 2.16%93562 100
ELTRD/INSERT PACE-DEFIB 1.97%33249 91
INJECTION, CARDIAC CATH 1.56%93539 72
INJECTION, CARDIAC CATH 1.40%93540 65
Source: CPDF ENCOUNTER CPT/HCPCS FILE. HCPCS Level I codes - American Medical Association
0% 2% 4% 6% 8% 10% 12% 14% 16%
Inject for coronary x-rays
Imaging, cardiac cath
Left heart catheterization
Imaging, cardiac cath
Injection for heart x-rays
Right heart catheterization
Cath placement, angiography
Biopsy of heart lining
Rt & Lt heart catheters
Cardioversion electric, ext
Injection, cardiac cath
Insert intracoronary stent
Injection, cardiac cath
Repair venous blockage
Injection for aortography
COMPARISON N=211,734 Procedures
COUNT
INJECT FOR CORONARY X-RAYS 15.25%93545 32,291
IMAGING, CARDIAC CATH 15.24%93556 32,264
LEFT HEART CATHETERIZATION 10.18%93510 21,565
IMAGING, CARDIAC CATH 9.54%93555 20,198
INJECTION FOR HEART X-RAYS 9.38%93543 19,857
RIGHT HEART CATHETERIZATION 3.52%93501 7,459
CATH PLACEMENT, ANGIOGRAPHY 3.41%93508 7,225
BIOPSY OF HEART LINING 2.95%93505 6,253
RT & LT HEART CATHETERS 2.61%93526 5,529
CARDIOVERSION ELECTRIC, EXT 2.16%92960 4,581
INJECTION, CARDIAC CATH 1.54%93540 3,270
INSERT INTRACORONARY STENT 1.52%92980 3,227
INJECTION, CARDIAC CATH 1.52%93539 3,216
REPAIR VENOUS BLOCKAGE 1.38%35476 2,931
INJECTION FOR AORTOGRAPHY 1.32%93544 2,787
Top 15 Procedures (CPT): Invasive Cardiology
Page 7 of 23* Data is pending edits for quality standards Run:05/07/2010 © 2004 - 2010 University HealthSystem Consortium. All Rights Reserved. NOTICE: This document contains proprietary information that is confidential and protected by state and federal privacy and peer review laws. Any unauthorized copying of this document is forbidden. For permission to copy, contact [email protected].
Outpatient Interventional
Cardiology ReportJanuary 1, 2009 to December 31, 2009
Population:ADULT
Great State University Medical Center
0% 4% 8% 12% 16% 20% 24% 28%
36145
36215
36216
36247
36005
75894
36217
37205
36218
36246
36245
36500
36011
36248
37215
FOCUS N=1,083 Procedures
COUNT
ARTERY TO VEIN SHUNT 25.30%36145 274
PLACE CATHETER IN ARTERY 11.27%36215 122
PLACE CATHETER IN ARTERY 10.62%36216 115
PLACE CATHETER IN ARTERY 7.66%36247 83
INJECTION EXT VENOGRAPHY 5.63%36005 61
X-RAYS, TRANSCATH THERAPY 5.54%75894 60
PLACE CATHETER IN ARTERY 5.54%36217 60
TRANSCATH IV STENT, PERCUT 5.08%37205 55
PLACE CATHETER IN ARTERY 4.62%36218 50
PLACE CATHETER IN ARTERY 3.97%36246 43
PLACE CATHETER IN ARTERY 3.60%36245 39
INSERTION OF CATHETER, VEIN 2.86%36500 31
PLACE CATHETER IN VEIN 2.40%36011 26
PLACE CATHETER IN ARTERY 1.39%36248 15
TRANSCATH STENT, CCA W/EPS 1.20%37215 13
Source: CPDF ENCOUNTER CPT/HCPCS FILE. HCPCS Level I codes - American Medical Association
0% 2% 4% 6% 8% 10% 12% 14%
36216
36145
36247
36217
36245
36218
37205
75894
36215
36246
36248
36005
36011
36012
36140
COMPARISON N=54,843 Procedures
COUNT
PLACE CATHETER IN ARTERY 13.73%36216 7,530
ARTERY TO VEIN SHUNT 13.23%36145 7,253
PLACE CATHETER IN ARTERY 9.86%36247 5,410
PLACE CATHETER IN ARTERY 9.46%36217 5,188
PLACE CATHETER IN ARTERY 8.79%36245 4,823
PLACE CATHETER IN ARTERY 6.62%36218 3,631
TRANSCATH IV STENT, PERCUT 6.09%37205 3,341
X-RAYS, TRANSCATH THERAPY 6.02%75894 3,304
PLACE CATHETER IN ARTERY 5.90%36215 3,236
PLACE CATHETER IN ARTERY 4.25%36246 2,330
PLACE CATHETER IN ARTERY 3.52%36248 1,930
INJECTION EXT VENOGRAPHY 3.43%36005 1,882
PLACE CATHETER IN VEIN 2.68%36011 1,471
PLACE CATHETER IN VEIN 2.30%36012 1,261
ESTABLISH ACCESS TO ARTERY 1.44%36140 787
Top 15 Procedures (CPT): Peripheral Vascular Lab
Page 8 of 23* Data is pending edits for quality standards Run:05/07/2010 © 2004 - 2010 University HealthSystem Consortium. All Rights Reserved. NOTICE: This document contains proprietary information that is confidential and protected by state and federal privacy and peer review laws. Any unauthorized copying of this document is forbidden. For permission to copy, contact [email protected].
Outpatient Interventional
Cardiology ReportJanuary 1, 2009 to December 31, 2009
Population:ADULT
Great State University Medical Center
Top 15 Principal Diagnoses: All Procedure Groups for OP Interventional Cardiology Patients
0% 2% 4% 6% 8% 10% 12%
78650 - CHEST PAIN NOS
78609 - RESP ABNORMALITY NEC
7862 - COUGH
7802 - SYNCOPE & COLLAPSE
42731 - ATRIAL FIBRILLATION
7804 - DIZZINESS & GIDDINESS
49390 - ASTHMA NOS
7840 - HEADACHE
78900 - ABDOMINAL PAIN-SITE NOS
496 - CHRONIC AIRWAY OBSTR NEC
78605 - SHORTNESS OF BREATH
41401 - COR AS-NATIVE VESSEL
515 - POSTINFLAM PULM FIBROSIS
95919 - TRUNK INJURY NEC
135 - SARCOIDOSIS
FOCUS N=15,468 Diagnoses
%Principal Diagnosis (ICD9-CM) Count
78650 - CHEST PAIN NOS 1,635 10.57%
78609 - RESP ABNORMALITY NEC 755 4.88%
7862 - COUGH 568 3.67%
7802 - SYNCOPE & COLLAPSE 460 2.97%
42731 - ATRIAL FIBRILLATION 420 2.72%
7804 - DIZZINESS & GIDDINESS 382 2.47%
49390 - ASTHMA NOS 375 2.42%
7840 - HEADACHE 331 2.14%
78900 - ABDOMINAL PAIN-SITE NOS 327 2.11%
496 - CHRONIC AIRWAY OBSTR NEC 306 1.98%
78605 - SHORTNESS OF BREATH 300 1.94%
41401 - COR AS-NATIVE VESSEL 270 1.75%
515 - POSTINFLAM PULM FIBROSIS 269 1.74%
95919 - TRUNK INJURY NEC 257 1.66%
135 - SARCOIDOSIS 255 1.65%
0% 2% 4% 6% 8% 10%
78650 - CHEST PAIN NOS
78659 - CHEST PAIN NEC
41401 - COR AS-NATIVE VESSEL
7802 - SYNCOPE & COLLAPSE
42731 - ATRIAL FIBRILLATION
7804 - DIZZINESS & GIDDINESS
V7283 - PREOP EXAMINATION NEC
7851 - PALPITATIONS
4019 - HYPERTENSION NOS
78605 - SHORTNESS OF BREATH
78652 - PAINFUL RESPIRATION
7840 - HEADACHE
99673 - COMP D/T RENAL DIALY DEV
78900 - ABDOMINAL PAIN-SITE NOS
V7284 - PREOP EXAMINATION NOS
COMPARISON N=481,618 Diagnoses
%Principal Diagnosis (ICD9-CM) Count78650 - CHEST PAIN NOS 39,779 8.26%78659 - CHEST PAIN NEC 31,930 6.63%41401 - COR AS-NATIVE VESSEL 18,378 3.82%7802 - SYNCOPE & COLLAPSE 16,429 3.41%42731 - ATRIAL FIBRILLATION 10,399 2.16%7804 - DIZZINESS & GIDDINESS 8,793 1.83%V7283 - PREOP EXAMINATION NEC 8,780 1.82%7851 - PALPITATIONS 7,970 1.65%4019 - HYPERTENSION NOS 6,915 1.44%78605 - SHORTNESS OF BREATH 6,783 1.41%78652 - PAINFUL RESPIRATION 5,489 1.14%7840 - HEADACHE 5,274 1.10%99673 - COMP D/T RENAL DIALY DEV 5,193 1.08%78900 - ABDOMINAL PAIN-SITE NOS 4,384 0.91%V7284 - PREOP EXAMINATION NOS 4,155 0.86%
Page 9 of 23* Data is pending edits for quality standards Run:05/07/2010 © 2004 - 2010 University HealthSystem Consortium. All Rights Reserved. NOTICE: This document contains proprietary information that is confidential and protected by state and federal privacy and peer review laws. Any unauthorized copying of this document is forbidden. For permission to copy, contact [email protected].
Outpatient Interventional
Cardiology ReportJanuary 1, 2009 to December 31, 2009
Population:ADULT
Great State University Medical Center
0 20 40 60 80 100
NON-INVASIVE CARDIOLOGY ANDDIAGNOSTIC PROCEDURES
INVASIVE CARDIOLOGY
PERIPHERAL VASCULAR LAB
ELECTROPHYSIOLOGY LAB
FOCUS N=16,523 Diagnoses
%COUNTPROCEDURE CATEGORY
NON-INVASIVE CARDIOLOGY AND DIAGNOSTIC
PROCEDURES
13,416 81.20%
INVASIVE CARDIOLOGY 2,173 13.15%
PERIPHERAL VASCULAR LAB 779 4.71%
ELECTROPHYSIOLOGY LAB 155 0.94%
Interventional Cardiology Diagnoses: All Groups
0 10 20 30 40 50 60 70 80
NON-INVASIVE CARDIOLOGY AND DIAGNOSTICPROCEDURES
INVASIVE CARDIOLOGY
PERIPHERAL VASCULAR LAB
ELECTROPHYSIOLOGY LAB
COMPARISON N=522,283.00 Diagnoses
%COUNTPROCEDURE_GROUP
NON-INVASIVE CARDIOLOGY AND DIAGNOSTIC PROCEDURES 414,944 79.45%
INVASIVE CARDIOLOGY 68,031 13.03%
PERIPHERAL VASCULAR LAB 27,686 5.30%
ELECTROPHYSIOLOGY LAB 11,622 2.23%
Page 10 of 23* Data is pending edits for quality standards Run:05/07/2010 © 2004 - 2010 University HealthSystem Consortium. All Rights Reserved. NOTICE: This document contains proprietary information that is confidential and protected by state and federal privacy and peer review laws. Any unauthorized copying of this document is forbidden. For permission to copy, contact [email protected].
Outpatient Interventional
Cardiology ReportJanuary 1, 2009 to December 31, 2009
Population:ADULT
Great State University Medical Center
0% 4% 8% 12% 16% 20% 24% 28%
4280 - CHF NOS
4271 - PVT
4254 - PRIM CARDIOMYOPATHY NEC
4259 - 2ND CARDIOMYOPATHY NOS
42741 - VENTRICULAR FIBRILLATION
7802 - SYNCOPE & COLLAPSE
99604 - MECH COMP AICD
4270 - PSVT
42731 - ATRIAL FIBRILLATION
42841 - AC SYS & DIASTOLIC HF
V5332 - ADJUSTMENT AICD
V4502 - AICD IN SITU
42781 - SINOATRIAL NODE DYSFUNCT
42842 - CHR SYS & DIASTOLIC HF
7455 - OSTIUM SECUNDUM TYPE ASD
FOCUS N=155 Diagnoses
COUNT
4280 - CHF NOS 26.45% 41
4271 - PVT 21.29% 33
4254 - PRIM CARDIOMYOPATHY NEC 20.65% 32
4259 - 2ND CARDIOMYOPATHY NOS 8.39% 13
42741 - VENTRICULAR FIBRILLATION 3.23% 5
7802 - SYNCOPE & COLLAPSE 3.23% 5
99604 - MECH COMP AICD 2.58% 4
4270 - PSVT 1.94% 3
42731 - ATRIAL FIBRILLATION 1.94% 3
42841 - AC SYS & DIASTOLIC HF 1.29% 2
V5332 - ADJUSTMENT AICD 1.29% 2
V4502 - AICD IN SITU 0.65% 1
42781 - SINOATRIAL NODE DYSFUNCT 0.65% 1
42842 - CHR SYS & DIASTOLIC HF 0.65% 1
7455 - OSTIUM SECUNDUM TYPE ASD 0.65% 1
0% 2% 4% 6% 8% 10% 12% 14% 16%
42731 - ATRIAL FIBRILLATION
7802 - SYNCOPE & COLLAPSE
42789 - OTH CARDIAC DYSRHYTHMIAS
4270 - PSVT
42732 - ATRIAL FLUTTER
V5332 - ADJUSTMENT AICD
4271 - PVT
4267 - ANOMALOUS A/V EXCITATION
7455 - OSTIUM SECUNDUM TYPE ASD
4254 - PRIM CARDIOMYOPATHY NEC
4148 - CHR ISCHEMIC HRT DIS NEC
4280 - CHF NOS
7804 - DIZZINESS & GIDDINESS
7851 - PALPITATIONS
42769 - PREMATURE BEATS NEC
COMPARISON N=11,622 Diagnoses
COUNT42731 - ATRIAL FIBRILLATION 15.60% 1,8137802 - SYNCOPE & COLLAPSE 14.69% 1,70742789 - OTH CARDIAC DYSRHYTHMIAS 10.83% 1,2594270 - PSVT 9.11% 1,05942732 - ATRIAL FLUTTER 8.59% 998V5332 - ADJUSTMENT AICD 7.80% 9064271 - PVT 5.46% 6354267 - ANOMALOUS A/V EXCITATION 2.85% 3317455 - OSTIUM SECUNDUM TYPE ASD 2.81% 3264254 - PRIM CARDIOMYOPATHY NEC 2.71% 3154148 - CHR ISCHEMIC HRT DIS NEC 2.23% 2594280 - CHF NOS 2.19% 2547804 - DIZZINESS & GIDDINESS 1.67% 1947851 - PALPITATIONS 1.34% 15642769 - PREMATURE BEATS NEC 0.97% 113
Top 15 Principal Diagnoses: Electrophysiology Lab
Page 11 of 23* Data is pending edits for quality standards Run:05/07/2010 © 2004 - 2010 University HealthSystem Consortium. All Rights Reserved. NOTICE: This document contains proprietary information that is confidential and protected by state and federal privacy and peer review laws. Any unauthorized copying of this document is forbidden. For permission to copy, contact [email protected].
Outpatient Interventional
Cardiology ReportJanuary 1, 2009 to December 31, 2009
Population:ADULT
Great State University Medical Center
0% 2% 4% 6% 8% 10% 12% 14%
78650 - CHEST PAIN NOS
78609 - RESP ABNORMALITY NEC
7862 - COUGH
7802 - SYNCOPE & COLLAPSE
42731 - ATRIAL FIBRILLATION
7804 - DIZZINESS & GIDDINESS
49390 - ASTHMA NOS
7840 - HEADACHE
78900 - ABDOMINAL PAIN-SITE NOS
496 - CHRONIC AIRWAY OBSTR NEC
78605 - SHORTNESS OF BREATH
515 - POSTINFLAM PULM FIBROSIS
95919 - TRUNK INJURY NEC
135 - SARCOIDOSIS
95901 - HEAD INJURY NOS
FOCUS N=13,416 Diagnoses
COUNT78650 - CHEST PAIN NOS 12.04% 1,615
78609 - RESP ABNORMALITY NEC 5.28% 709
7862 - COUGH 4.23% 567
7802 - SYNCOPE & COLLAPSE 3.25% 436
42731 - ATRIAL FIBRILLATION 3.00% 402
7804 - DIZZINESS & GIDDINESS 2.85% 382
49390 - ASTHMA NOS 2.79% 374
7840 - HEADACHE 2.44% 327
78900 - ABDOMINAL PAIN-SITE NOS 2.43% 326
496 - CHRONIC AIRWAY OBSTR NEC 2.26% 303
78605 - SHORTNESS OF BREATH 2.02% 271
515 - POSTINFLAM PULM FIBROSIS 2.00% 268
95919 - TRUNK INJURY NEC 1.92% 257
135 - SARCOIDOSIS 1.89% 253
95901 - HEAD INJURY NOS 1.62% 217
0% 2% 4% 6% 8% 10%
78650 - CHEST PAIN NOS
78659 - CHEST PAIN NEC
7802 - SYNCOPE & COLLAPSE
41401 - COR AS-NATIVE VESSEL
V7283 - PREOP EXAMINATION NEC
7804 - DIZZINESS & GIDDINESS
42731 - ATRIAL FIBRILLATION
7851 - PALPITATIONS
4019 - HYPERTENSION NOS
78605 - SHORTNESS OF BREATH
78652 - PAINFUL RESPIRATION
7840 - HEADACHE
78900 - ABDOMINAL PAIN-SITE NOS
V7284 - PREOP EXAMINATION NOS
78079 - MALAISE & FATIGUE NEC
COMPARISON N=414,944 Diagnoses
COUNT78650 - CHEST PAIN NOS 9.37% 38,88778659 - CHEST PAIN NEC 7.23% 30,0147802 - SYNCOPE & COLLAPSE 3.56% 14,79041401 - COR AS-NATIVE VESSEL 2.10% 8,733V7283 - PREOP EXAMINATION NEC 2.07% 8,5927804 - DIZZINESS & GIDDINESS 2.07% 8,58642731 - ATRIAL FIBRILLATION 1.98% 8,2107851 - PALPITATIONS 1.88% 7,8194019 - HYPERTENSION NOS 1.61% 6,67778605 - SHORTNESS OF BREATH 1.59% 6,61278652 - PAINFUL RESPIRATION 1.32% 5,4877840 - HEADACHE 1.24% 5,14378900 - ABDOMINAL PAIN-SITE NOS 1.05% 4,357V7284 - PREOP EXAMINATION NOS 0.99% 4,12778079 - MALAISE & FATIGUE NEC 0.92% 3,825
Top 15 Principal Diagnoses: Non-Invasive Cardiology & Diagnostic Procedures
Page 12 of 23* Data is pending edits for quality standards Run:05/07/2010 © 2004 - 2010 University HealthSystem Consortium. All Rights Reserved. NOTICE: This document contains proprietary information that is confidential and protected by state and federal privacy and peer review laws. Any unauthorized copying of this document is forbidden. For permission to copy, contact [email protected].
Outpatient Interventional
Cardiology ReportJanuary 1, 2009 to December 31, 2009
Population:ADULT
Great State University Medical Center
0% 2% 4% 6% 8% 10% 12% 14% 16% 18%
42731 - ATRIAL FIBRILLATION
41401 - COR AS-NATIVE VESSEL
99673 - COMP D/T RENAL DIALY DEV
V421 - HEART TRANSPLANT STATUS
4299 - HEART DISEASE NOS
78609 - RESP ABNORMALITY NEC
4254 - PRIM CARDIOMYOPATHY NEC
44021 - AS EXT W INTERMITT CLAUD
42781 - SINOATRIAL NODE DYSFUNCT
4280 - CHF NOS
42732 - ATRIAL FLUTTER
2869 - COAG DEFECT NEC & NOS
78605 - SHORTNESS OF BREATH
4241 - AORTIC VALVE DISORDER
4271 - PVT
FOCUS N=2,173 Diagnoses
COUNT42731 - ATRIAL FIBRILLATION 16.75% 36441401 - COR AS-NATIVE VESSEL 12.24% 26699673 - COMP D/T RENAL DIALY DEV 8.74% 190V421 - HEART TRANSPLANT STATUS 7.73% 1684299 - HEART DISEASE NOS 7.73% 16878609 - RESP ABNORMALITY NEC 3.82% 834254 - PRIM CARDIOMYOPATHY NEC 2.95% 6444021 - AS EXT W INTERMITT CLAUD 2.67% 5842781 - SINOATRIAL NODE DYSFUNCT 2.53% 554280 - CHF NOS 2.35% 5142732 - ATRIAL FLUTTER 2.16% 472869 - COAG DEFECT NEC & NOS 1.93% 4278605 - SHORTNESS OF BREATH 1.84% 404241 - AORTIC VALVE DISORDER 1.70% 374271 - PVT 1.29% 28
0% 4% 8% 12% 16% 20% 24% 28%
41401 - COR AS-NATIVE VESSEL
42731 - ATRIAL FIBRILLATION
78659 - CHEST PAIN NEC
V5844 - SURG AFTERCARE-TRANSPL
V5331 - ADJUST CARDIAC PACEMAKER
99673 - COMP D/T RENAL DIALY DEV
V5332 - ADJUSTMENT AICD
78650 - CHEST PAIN NOS
4168 - CHR PULMON HEART DIS NEC
79439 - ABN CV FUNCT STUDY NEC
99683 - COMP HEART TRANSPLANT
44021 - AS EXT W INTERMITT CLAUD
4280 - CHF NOS
4254 - PRIM CARDIOMYOPATHY NEC
V7281 - PREOP CV EXAM
COMPARISON N=68,031 Diagnoses
COUNT41401 - COR AS-NATIVE VESSEL 24.57% 16,713
42731 - ATRIAL FIBRILLATION 6.32% 4,301
78659 - CHEST PAIN NEC 4.50% 3,058
V5844 - SURG AFTERCARE-TRANSPL 4.04% 2,751
V5331 - ADJUST CARDIAC PACEMAKER 3.10% 2,108
99673 - COMP D/T RENAL DIALY DEV 2.81% 1,909
V5332 - ADJUSTMENT AICD 2.58% 1,758
78650 - CHEST PAIN NOS 2.40% 1,631
4168 - CHR PULMON HEART DIS NEC 2.38% 1,619
79439 - ABN CV FUNCT STUDY NEC 2.10% 1,430
99683 - COMP HEART TRANSPLANT 1.77% 1,207
44021 - AS EXT W INTERMITT CLAUD 1.73% 1,178
4280 - CHF NOS 1.55% 1,055
4254 - PRIM CARDIOMYOPATHY NEC 1.54% 1,045
V7281 - PREOP CV EXAM 1.35% 920
Top 15 Principal Diagnoses: Invasive Cardiology
Page 13 of 23* Data is pending edits for quality standards Run:05/07/2010 © 2004 - 2010 University HealthSystem Consortium. All Rights Reserved. NOTICE: This document contains proprietary information that is confidential and protected by state and federal privacy and peer review laws. Any unauthorized copying of this document is forbidden. For permission to copy, contact [email protected].
Outpatient Interventional
Cardiology ReportJanuary 1, 2009 to December 31, 2009
Population:ADULT
Great State University Medical Center
0% 4% 8% 12% 16% 20% 24% 28%
99673 - COMP D/T RENAL DIALY DEV
44021 - AS EXT W INTERMITT CLAUD
2869 - COAG DEFECT NEC & NOS
4373 - NONRUPT CEREBRAL ANRYSM
5856 - ESRD
74781 - CEREBROVASCULAR ANOMALY
41401 - COR AS-NATIVE VESSEL
2550 - CUSHING'S SYNDROME
43310 - CAROTID OCCL S INFARCT
V5631 - HEMODIALYS ADEQUACY TEST
V6709 - SURGERY FOLLOW-UP NEC
1550 - PRIMARY LIVER CA
1977 - SECONDARY LIVER CA
4592 - VEIN COMPRESSION
4439 - PERIPH VASCULAR DIS NOS
FOCUS N=779 Diagnoses
COUNT99673 - COMP D/T RENAL DIALY DEV 25.55% 19944021 - AS EXT W INTERMITT CLAUD 8.86% 692869 - COAG DEFECT NEC & NOS 8.47% 664373 - NONRUPT CEREBRAL ANRYSM 7.19% 565856 - ESRD 3.59% 2874781 - CEREBROVASCULAR ANOMALY 3.47% 2741401 - COR AS-NATIVE VESSEL 3.34% 262550 - CUSHING'S SYNDROME 2.18% 1743310 - CAROTID OCCL S INFARCT 2.05% 16V5631 - HEMODIALYS ADEQUACY TEST 1.93% 15V6709 - SURGERY FOLLOW-UP NEC 1.80% 141550 - PRIMARY LIVER CA 1.80% 141977 - SECONDARY LIVER CA 1.54% 124592 - VEIN COMPRESSION 1.54% 124439 - PERIPH VASCULAR DIS NOS 1.41% 11
0% 2% 4% 6% 8% 10% 12% 14% 16% 18%
99673 - COMP D/T RENAL DIALY DEV
4373 - NONRUPT CEREBRAL ANRYSM
44021 - AS EXT W INTERMITT CLAUD
1550 - PRIMARY LIVER CA
9961 - MECH COMP OTH VASC DEV
1977 - SECONDARY LIVER CA
V6709 - SURGERY FOLLOW-UP NEC
74781 - CEREBROVASCULAR ANOMALY
V5811 - ANTINEO CHEMO ENCOUNTER
43310 - CAROTID OCCL S INFARCT
5856 - ESRD
4439 - PERIPH VASCULAR DIS NOS
4401 - RENAL ARTERY AS
41401 - COR AS-NATIVE VESSEL
44020 - AS NATIVE ARTERY EXT NOS
COMPARISON N=27,686 Diagnoses
COUNT99673 - COMP D/T RENAL DIALY DEV 16.74% 4,6344373 - NONRUPT CEREBRAL ANRYSM 7.55% 2,09144021 - AS EXT W INTERMITT CLAUD 5.99% 1,6581550 - PRIMARY LIVER CA 4.11% 1,1389961 - MECH COMP OTH VASC DEV 3.02% 8371977 - SECONDARY LIVER CA 2.71% 749V6709 - SURGERY FOLLOW-UP NEC 2.37% 65674781 - CEREBROVASCULAR ANOMALY 2.26% 626V5811 - ANTINEO CHEMO ENCOUNTER 2.19% 60743310 - CAROTID OCCL S INFARCT 2.18% 6045856 - ESRD 1.82% 5054439 - PERIPH VASCULAR DIS NOS 1.67% 4614401 - RENAL ARTERY AS 1.50% 41641401 - COR AS-NATIVE VESSEL 1.50% 41644020 - AS NATIVE ARTERY EXT NOS 1.49% 412
Top 15 Principal Diagnoses: Peripheral Vascular Lab
Page 14 of 23* Data is pending edits for quality standards Run:05/07/2010 © 2004 - 2010 University HealthSystem Consortium. All Rights Reserved. NOTICE: This document contains proprietary information that is confidential and protected by state and federal privacy and peer review laws. Any unauthorized copying of this document is forbidden. For permission to copy, contact [email protected].
Outpatient Interventional
Cardiology ReportJanuary 1, 2009 to December 31, 2009
Population:ADULT
Great State University Medical Center
Top 15 Payers: All Procedure Groups for OP Interventional Cardiology Patients
Top 15 PayersPayer_Segment Payer_Product_Line %Description Count
MEDICARE PART
A&B
Medicare Traditional/Indemnity/Medicare Part
A/Medicare Part B
4,572 29.56%
MEDICAID IMedicaid Unknown 1,267 8.19%
BC ICommercial/Private Preferred Provider Organization (PPO) 690 4.46%
BC PPOCommercial/Private Preferred Provider Organization (PPO) 596 3.85%
FREE CAREState Assisted Unknown 396 2.56%
SELF PAYSelf-Pay - Cash in Full Unknown 343 2.22%
MEDICAID IIMedicaid Unknown 321 2.08%
BC IICommercial/Private Preferred Provider Organization (PPO) 314 2.03%
HMO ICommercial/Private Exclusive Provider Organization (EPO) 293 1.89%
HMO IICommercial/Private Exclusive Provider Organization (EPO) 290 1.87%
HMO IIICommercial/Private Health Maintenance Organization (HMO) 285 1.84%
PPO ICommercial/Private Preferred Provider Organization (PPO) 229 1.48%
BC IIICommercial/Private Preferred Provider Organization (PPO) 207 1.34%
BC IVCommercial/Private Health Maintenance Organization (HMO) 204 1.32%
BC VCommercial/Private Health Maintenance Organization (HMO) 200 1.29%
Top 15 Payers%Payer Product LinePayer Segment Count
131,001Medicare Traditional/Indemnity/Medicare Part A/Medicare
Part B
27.20%
59,725Commercial/Private Preferred Provider Organization (PPO) 12.40%
41,672Commercial/Private Health Maintenance Organization (HMO) 8.65%
38,561Self-Pay - Uninsured Unknown 8.01%
35,106Medicaid Traditional/Indemnity/Medicare Part A/Medicare
Part B
7.29%
30,759Medicaid Medicaid Demonstration Project or Managed
Care
6.39%
25,060Medicare Medicare Demonstration Project or Managed
Care
5.20%
23,115Commercial/Private Traditional/Indemnity/Medicare Part A/Medicare
Part B
4.80%
20,216Commercial/Private Point-of-Service (POS) 4.20%
13,286Commercial/Private Unknown 2.76%
9,524Self Pay Unknown 1.98%
9,307County Medically Indigent ServicesUnknown 1.93%
5,758Commercial/Private University Employees 1.20%
5,018Charity Unknown 1.04%
3,588Other Unknown 0.74%
0% 10% 20% 30% 40% 50%
Commercial/Private
Medicare
Medicaid
State Assisted Healthcare
Self-Pay - Cash in Full
Workers Compensation
Auto Insurance
Unknown
Military
Other
Self-Pay - Uninsured
FOCUS: 100% of Payers N=15,468 Payers
0% 5% 10% 15% 20% 25% 30% 35%
Commercial/Private
Medicare
Medicaid
Self-Pay - Uninsured
Self-Pay - Cash in Full
County Medically Indigent Services
State Assisted Healthcare
Military
Charity
Unknown
Other
Workers Compensation
Auto Insurance
Research
Title V Maternal & Child Health
COMPARISON: 100% of Payers N=481,618 Payers
Page 15 of 23* Data is pending edits for quality standards Run:05/07/2010 © 2004 - 2010 University HealthSystem Consortium. All Rights Reserved. NOTICE: This document contains proprietary information that is confidential and protected by state and federal privacy and peer review laws. Any unauthorized copying of this document is forbidden. For permission to copy, contact [email protected].
Outpatient Interventional
Cardiology ReportJanuary 1, 2009 to December 31, 2009
Population:ADULT
Great State University Medical Center
Interventional Cardiology Payers: All Groups
0 20 40 60 80 100
NON-INVASIVE CARDIOLOGY AND DIAGNOSTICPROCEDURES
INVASIVE CARDIOLOGY
PERIPHERAL VASCULAR LAB
ELECTROPHYSIOLOGY LAB
FOCUS N=16,523.00 Payers
%COUNTPROCEDURE_CATEGORY
NON-INVASIVE CARDIOLOGY AND
DIAGNOSTIC PROCEDURES
13,416 81.20%
INVASIVE CARDIOLOGY 2,173 13.15%
PERIPHERAL VASCULAR LAB 779 4.71%
ELECTROPHYSIOLOGY LAB 155 0.94%
0 10 20 30 40 50 60 70 80
NON-INVASIVE CARDIOLOGY AND DIAGNOSTICPROCEDURES
INVASIVE CARDIOLOGY
PERIPHERAL VASCULAR LAB
ELECTROPHYSIOLOGY LAB
COMPARISON N=522,286.00 Payers
%COUNTPROCEDURE_CATEGORY
NON-INVASIVE CARDIOLOGY AND DIAGNOSTIC
PROCEDURES
414,947 79.45%
INVASIVE CARDIOLOGY 68,031 13.03%
PERIPHERAL VASCULAR LAB 27,686 5.30%
ELECTROPHYSIOLOGY LAB 11,622 2.23%
Page 16 of 23* Data is pending edits for quality standards Run:05/07/2010 © 2004 - 2010 University HealthSystem Consortium. All Rights Reserved. NOTICE: This document contains proprietary information that is confidential and protected by state and federal privacy and peer review laws. Any unauthorized copying of this document is forbidden. For permission to copy, contact [email protected].
Outpatient Interventional
Cardiology ReportJanuary 1, 2009 to December 31, 2009
Population:ADULT
Great State University Medical Center
0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50%
Commercial/Private
Medicare
Medicaid
Other
Self-Pay - Cash in Full
State Assisted Healthcare
FOCUS N=155 Payers
PAYER_SEGMENT PAYER_PRODUCT_LINE
Medicare Traditional/Indemnity/Medicare Part A/Medicare Part B 42.58%
Commercial/Private Preferred Provider Organization (PPO) 20.00%
Commercial/Private Health Maintenance Organization (HMO) 14.84%
Commercial/Private Traditional/Indemnity/Medicare Part A/Medicare Part B 7.10%
Medicaid Unknown 6.45%
Medicare Medicare Demonstration Project or Managed Care 3.23%
Commercial/Private Exclusive Provider Organization (EPO) 2.58%
Commercial/Private Point-of-Service (POS) 1.29%
State Assisted Healthcare Unknown 0.65%
Other Unknown 0.65%
Self-Pay - Cash in Full International 0.65%
0% 10% 20% 30% 40% 50% 60%
Commercial/Private
Medicare
Medicaid
Military
Self-Pay - Uninsured
Other
COMPARISON N=11,622 Payers
PAYER_PRODUCT_LINE_NAMEPAYER_SEGMENT
Medicare Traditional/Indemnity/Medicare Part A/Medicare Part B 26.54%
Commercial/Private Preferred Provider Organization (PPO) 22.63%
Commercial/Private Health Maintenance Organization (HMO) 13.84%
Commercial/Private Traditional/Indemnity/Medicare Part A/Medicare Part B 6.07%
Commercial/Private Unknown 5.84%
Medicare Medicare Demonstration Project or Managed Care 5.02%
Commercial/Private Point-of-Service (POS) 4.22%
Medicaid Medicaid Demonstration Project or Managed Care 3.43%
Medicaid Traditional/Indemnity/Medicare Part A/Medicare Part B 3.37%
Self-Pay - Uninsured Unknown 1.54%
Military Tri-Care 1.32%
0.88%
Commercial/Private University Employees 0.88%
Military Veterans Administration 0.77%
Other Unknown 0.47%
Top 15 Payers: Electrophysiology Lab
Page 17 of 23* Data is pending edits for quality standards Run:05/07/2010 © 2004 - 2010 University HealthSystem Consortium. All Rights Reserved. NOTICE: This document contains proprietary information that is confidential and protected by state and federal privacy and peer review laws. Any unauthorized copying of this document is forbidden. For permission to copy, contact [email protected].
Outpatient Interventional
Cardiology ReportJanuary 1, 2009 to December 31, 2009
Population:ADULT
Great State University Medical Center
0% 10% 20% 30% 40% 50%
Commercial/Private
Medicare
Medicaid
State Assisted Healthcare
Self-Pay - Cash in Full
Auto Insurance
Workers Compensation
Unknown
Other
FOCUS N=13,416 Payers
PAYER_PRODUCT_LINEPAYER_SEGMENT
Medicare Traditional/Indemnity/Medicare Part A/Medicare Part B 27.85%
Commercial/Private Preferred Provider Organization (PPO) 19.79%
Commercial/Private Health Maintenance Organization (HMO) 14.33%
Medicaid Unknown 12.26%
Commercial/Private Traditional/Indemnity/Medicare Part A/Medicare Part B 7.04%
Commercial/Private Exclusive Provider Organization (EPO) 5.03%
State Assisted Healthcare Unknown 3.54%
Self-Pay - Cash in Full Unknown 2.53%
Medicare Medicare Demonstration Project or Managed Care 1.51%
Medicaid Medicaid Demonstration Project or Managed Care 1.45%
Auto Insurance Traditional/Indemnity/Medicare Part A/Medicare Part B 0.89%
Workers Compensation Unknown 0.84%
Commercial/Private Point-of-Service (POS) 0.67%
Unknown Unknown 0.60%
Other Unknown 0.46%
0% 5% 10% 15% 20% 25% 30% 35%
Commercial/Private
Medicare
Medicaid
Self-Pay - Uninsured
Self-Pay - Cash in Full
County Medically Indigent Services
Charity
Other
COMPARISON N=414,947 Payers
PAYER_SEGMENT PAYER_PRODUCT_LINE
Medicare Traditional/Indemnity/Medicare Part A/Medicare Part B 25.47%
Commercial/Private Preferred Provider Organization (PPO) 11.81%
Self-Pay - Uninsured Unknown 9.04%
Commercial/Private Health Maintenance Organization (HMO) 8.27%
Medicaid Traditional/Indemnity/Medicare Part A/Medicare Part B 7.76%
Medicaid Medicaid Demonstration Project or Managed Care 6.87%
Medicare Medicare Demonstration Project or Managed Care 5.04%
Commercial/Private Traditional/Indemnity/Medicare Part A/Medicare Part B 4.96%
Commercial/Private Point-of-Service (POS) 4.46%
Commercial/Private Unknown 2.37%
Self-Pay - Cash in Full Unknown 2.26%
County Medically Indigent ServicesUnknown 2.21%
Commercial/Private University Employees 1.30%
Charity Unknown 1.16%
Other Unknown 0.76%
Top 15 Payers: Non-Invasive Cardiology & Diagnostic Procedures
Page 18 of 23* Data is pending edits for quality standards Run:05/07/2010 © 2004 - 2010 University HealthSystem Consortium. All Rights Reserved. NOTICE: This document contains proprietary information that is confidential and protected by state and federal privacy and peer review laws. Any unauthorized copying of this document is forbidden. For permission to copy, contact [email protected].
Outpatient Interventional
Cardiology ReportJanuary 1, 2009 to December 31, 2009
Population:ADULT
Great State University Medical Center
0% 10% 20% 30% 40% 50%
Medicare
Commercial/Private
Medicaid
Military
Self-Pay - Cash in Full
Unknown
Workers Compensation
FOCUS N=2,173 Payers
PAYER_PRODUCT_LINEPAYER_SEGMENT
Medicare Traditional/Indemnity/Medicare Part A/Medicare Part B 43.95%
Commercial/Private Preferred Provider Organization (PPO) 17.90%
Commercial/Private Health Maintenance Organization (HMO) 12.75%
Commercial/Private Traditional/Indemnity/Medicare Part A/Medicare Part B 7.23%
Commercial/Private Exclusive Provider Organization (EPO) 4.69%
Medicaid Unknown 3.36%
Commercial/Private Transplant Network 3.18%
Medicare Medicare Demonstration Project or Managed Care 2.76%
Military Tri-Care 0.92%
Unknown Unknown 0.74%
Self-Pay - Cash in Full International 0.64%
Commercial/Private Point-of-Service (POS) 0.46%
Medicaid Traditional/Indemnity/Medicare Part A/Medicare Part B 0.41%
Workers Compensation Unknown 0.37%
Self-Pay - Cash in Full Unknown 0.28%
0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50%
Medicare
Commercial/Private
Medicaid
Self-Pay - Uninsured
Military
Other
COMPARISON N=68,031 Payers
PAYER_PRODUCT_LINEPAYER_SEGMENT
Medicare Traditional/Indemnity/Medicare Part A/Medicare Part B 39.12%
Commercial/Private Preferred Provider Organization (PPO) 15.66%
Commercial/Private Health Maintenance Organization (HMO) 10.19%
Medicare Medicare Demonstration Project or Managed Care 6.42%
Commercial/Private Unknown 4.40%
Medicaid Traditional/Indemnity/Medicare Part A/Medicare Part B 4.37%
Commercial/Private Traditional/Indemnity/Medicare Part A/Medicare Part B 3.66%
Commercial/Private Point-of-Service (POS) 3.30%
Medicaid Medicaid Demonstration Project or Managed Care 3.12%
Self-Pay - Uninsured Unknown 1.74%
Commercial/Private Transplant Network 1.02%
0.77%
Military Tri-Care 0.67%
Other Unknown 0.61%
Commercial/Private University Employees 0.61%
Top 15 Payers: Invasive Cardiology
Page 19 of 23* Data is pending edits for quality standards Run:05/07/2010 © 2004 - 2010 University HealthSystem Consortium. All Rights Reserved. NOTICE: This document contains proprietary information that is confidential and protected by state and federal privacy and peer review laws. Any unauthorized copying of this document is forbidden. For permission to copy, contact [email protected].
Outpatient Interventional
Cardiology ReportJanuary 1, 2009 to December 31, 2009
Population:ADULT
Great State University Medical Center
0% 10% 20% 30% 40% 50% 60%
Medicare
Commercial/Private
Medicaid
Unknown
Self-Pay - Cash in Full
Military
Workers Compensation
FOCUS N=779 Payers
PAYER_PRODUCT_LINEPAYER_SEGMENT
Medicare Traditional/Indemnity/Medicare Part A/Medicare Part B 50.83%
Commercial/Private Preferred Provider Organization (PPO) 16.56%
Commercial/Private Health Maintenance Organization (HMO) 8.99%
Commercial/Private Traditional/Indemnity/Medicare Part A/Medicare Part B 8.60%
Medicaid Unknown 4.11%
Medicare Medicare Demonstration Project or Managed Care 2.82%
Commercial/Private Exclusive Provider Organization (EPO) 2.31%
Unknown Unknown 1.16%
Commercial/Private Transplant Network 0.90%
Self-Pay - Cash in Full International 0.90%
Military Tri-Care 0.77%
Medicaid Traditional/Indemnity/Medicare Part A/Medicare Part B 0.64%
Workers Compensation Unknown 0.39%
Commercial/Private Point-of-Service (POS) 0.39%
Medicaid Medicaid Demonstration Project or Managed Care 0.26%
0% 10% 20% 30% 40% 50%
Medicare
Commercial/Private
Medicaid
Military
Self-Pay - Uninsured
Charity
COMPARISON N=27,686 Payers
PAYER_PRODUCT_LINEPAYER_SEGMENT
Medicare Traditional/Indemnity/Medicare Part A/Medicare Part B 40.24%
Commercial/Private Preferred Provider Organization (PPO) 14.35%
Commercial/Private Health Maintenance Organization (HMO) 8.55%
Medicare Medicare Demonstration Project or Managed Care 6.06%
Medicaid Traditional/Indemnity/Medicare Part A/Medicare Part B 5.48%
Commercial/Private Traditional/Indemnity/Medicare Part A/Medicare Part B 4.44%
Commercial/Private Unknown 4.40%
Medicaid Medicaid Demonstration Project or Managed Care 3.20%
Commercial/Private Point-of-Service (POS) 3.03%
1.98%
Self-Pay - Uninsured Unknown 1.46%
Military Tri-Care 0.76%
Military Veterans Administration 0.70%
Medicare Unknown 0.57%
Charity Unknown 0.55%
Top 15 Payers: Peripheral Vascular Lab
Page 20 of 23* Data is pending edits for quality standards Run:05/07/2010 © 2004 - 2010 University HealthSystem Consortium. All Rights Reserved. NOTICE: This document contains proprietary information that is confidential and protected by state and federal privacy and peer review laws. Any unauthorized copying of this document is forbidden. For permission to copy, contact [email protected].
Outpatient Interventional
Cardiology ReportJanuary 1, 2009 to December 31, 2009
Population:ADULT
Great State University Medical Center
$0 $1,000,000 $2,000,000 $3,000,000 $4,000,000 $5,000,000 $6,000,000 $7,000,000
01115 EMERGENCY DEPT VISI
01116 EMERGENCY DEPT VISIT
00952 PMKR DUAL CHAMBER
00677 CAT, HEAD WITHOUT C
00201 RIGHT HEART CATHETE
00074 BASIC METABOLIC PNL
00209 ENDOMYOCARDIAL BX
00113 CARBON MONOXIDE DIF
00082_DETERM AIRFLOW RESI
00101 SPIROMETRY(BEFOR &
00960 CARDIO-DEFIB OTHER
0197 DILUTN STUDY W/CARD
00113 ELECTROCARDIOGRAM
00644 CAT, CERVICAL SPINE
00951 PMKR SINGLE CHAMBER
Top 15 Charges by Hospital Charge Description Great State
Total ChargesDescriptionHospital Code
06700000101115 01115 EMERGENCY DEPT VISI $6,914,820
06700000101116 01116 EMERGENCY DEPT VISIT $3,238,484
05700000100958 00952 PMKR DUAL CHAMBER $3,167,866
01870000100677 00677 CAT, HEAD WITHOUT C $3,058,239
05550000100201 00201 RIGHT HEART CATHETE $2,804,303
05480000100074 00074 BASIC METABOLIC PNL $2,627,516
05550000100209 00209 ENDOMYOCARDIAL BX $2,591,393
05620000100113 00113 CARBON MONOXIDE DIF $2,171,576
05620000100082 00082_DETERM AIRFLOW RESI $1,852,264
05620000100101 00101 SPIROMETRY(BEFOR & $1,826,386
05700000100960 00960 CARDIO-DEFIB OTHER $1,597,000
05620000100197 0197 DILUTN STUDY W/CARD $1,587,667
05540000100113 00113 ELECTROCARDIOGRAM $1,547,336
01870000100644 00644 CAT, CERVICAL SPINE $1,536,716
05700000100959 00951 PMKR SINGLE CHAMBER $1,450,750
Page 21 of 23* Data is pending edits for quality standards Run:05/07/2010 © 2004 - 2010 University HealthSystem Consortium. All Rights Reserved. NOTICE: This document contains proprietary information that is confidential and protected by state and federal privacy and peer review laws. Any unauthorized copying of this document is forbidden. For permission to copy, contact [email protected].
Outpatient Interventional
Cardiology ReportJanuary 1, 2009 to December 31, 2009
Population:ADULT
Great State University Medical Center
N=2,173 Invasive Cardiology Encounters Encounter Level Hospital Level
Invasive Cardiology Medications: Top 15 by Total Charges - FOCUS
ENC GRAND TOTALDRUG GRAND TOTALAVG ENC TOTALSTDEV: AVG CHARGEAVG_DRUG CHG/PTENC COUNTGENERIC_DESCRIPTION %_RES_CHG_
A B C D E (descending sort) F (E/F)
BIVALIRUDIN 29 $2,836 $969 $35,071 $82,250 $1,017,059 8.09%
IDS / INVESTIGATION DRUG 1 $62,115 $97,786 $62,115 $97,786 63.52%
IOPROMIDE 474 $66 $33 $17,318 $31,407 $8,295,197 0.38%
IODIXANOL 118 $219 $144 $19,153 $26,063 $2,279,237 1.14%
ALTEPLASE, RECOMBINANT 4 $6,193 $6,380 $44,718 $24,772 $178,872 13.85%
UNSPECIFIED RX 26 $225 $305 $25,390 $7,660 $863,258 0.89%
ARGATROBAN 1 $4,150 $30,029 $4,150 $30,029 13.82%
IBUTILIDE 1 $3,086 $8,701 $3,086 $8,701 35.47%
DIATRIZOATE MEGLUMINE/DIATRIZOATE SODIUM 101 $24 $2 $38,762 $2,400 $3,915,007 0.06%
ABCIXIMAB 1 $2,341 $47,428 $2,341 $47,428 4.94%
ADENOSINE 5 $344 $443 $18,354 $1,718 $91,768 1.87%
GADOLINIUM OXIDE 1 $1,026 $12,631 $1,026 $12,631 8.12%
DALTEPARIN SODIUM 8 $69 $33 $19,948 $692 $199,484 0.35%
PERFLUTREN 1 $532 $16,209 $532 $16,209 3.28%
IOVERSOL 1 $497 $15,591 $497 $15,591 3.19%
N=2,173 Invasive Cardiology Encounters Encounter Level Hospital Level
Invasive Cardiology Imaging/Cardiac Diagnostics: Top 15 by Total Charges - FOCUS
ENC GRAND TOTALIMG GRAND TOTALAVG ENC TOTALSTDEV: AVG CHARGEAVG_IMG CHG/PTENC COUNTGENERIC_DESCRIPTION %_RES_CHG_
A B C D E (descending sort) F (E/F)
X-RAY (OTHER) 529 $3,458 $1,670 $27,233 $3,838,801 $30,228,762 12.70%
ECHO (OTHER) 95 $1,107 $963 $8,982 $180,458 $1,464,042 12.33%
EKG/ECG ROUTINE 417 $207 $86 $4,556 $87,072 $1,918,136 4.54%
CT BODY W/WO CONTRAST 15 $3,128 $836 $16,246 $62,551 $324,922 19.25%
ULTRASOUND (OTHER) 97 $618 $357 $24,588 $61,217 $2,434,234 2.51%
ECHO DOPPLER SPECTRAL 86 $464 $12 $7,844 $39,870 $674,544 5.91%
ECHO TRANSESOPHAGEAL 18 $2,118 $48 $6,424 $38,124 $115,639 32.97%
X-RAY CHEST 59 $400 $105 $23,155 $28,431 $1,643,986 1.73%
ECHO TRANSTHORACIC 8 $1,544 $47 $15,930 $12,353 $127,437 9.69%
STRESS (OTHER) 15 $814 $23 $16,122 $12,210 $241,826 5.05%
CT CHEST 2 $3,813 $0 $20,113 $7,626 $40,226 18.96%
MRI BODY W/WO CONTRAST 1 $5,524 $11,594 $5,524 $11,594 47.65%
ECHO 2D ONLY 2 $1,417 $0 $15,900 $2,834 $31,801 8.91%
ULTRASOUND LOWER EXTREMITY 2 $1,182 $49 $13,706 $2,363 $27,412 8.62%
CT (OTHER) 1 $771 $1,090 $13,981 $1,542 $27,962 5.51%
Data is for CRM participants. Note that not all charge codes have been mapped to UHC standard charge codes.
Page 22 of 23* Data is pending edits for quality standards Run:05/07/2010 © 2004 - 2010 University HealthSystem Consortium. All Rights Reserved. NOTICE: This document contains proprietary information that is confidential and protected by state and federal privacy and peer review laws. Any unauthorized copying of this document is forbidden. For permission to copy, contact [email protected].
Outpatient Interventional
Cardiology ReportJanuary 1, 2009 to December 31, 2009
Population:ADULT
Great State University Medical Center
Invasive Cardiology Medical/Surgical Supplies: Top 15 by Total Charges - FOCUS
N=2,173 Invasive Cardiology Encounters
% RES CHGENC GRAND TOTALSUPL GRAND TOTALAVG ENC TOTALSTDEV AVG CHGAVG SUPL CHG/PTENC CNTGENERIC_DESCRIPTION
A
PACEMAKER DUAL CHAMBER 140 $28,659 $20,319 $51,711 $4,098,203 $7,394,628 55.42%
UNSPECIFIED MED SURG SUPPLY 235 $8,224 $7,498 $33,954 $1,990,284 $8,216,765 24.22%
PACEMAKER SINGLE CHAMBER 58 $27,428 $14,736 $47,499 $1,618,250 $2,802,461 57.74%
PACEMAKER/IMPLANTABLE CV
DEFIBRILLATOR OTHER
27 $59,148 $7,612 $95,083 $1,597,000 $2,567,230 62.21%
PACING LEADS ACTIVE/PASSIVE 120 $5,992 $5,175 $62,212 $904,782 $9,393,957 9.63%
STENT DES UNSPECIFIED DRUG 24 $9,047 $4,068 $34,620 $434,249 $1,661,780 26.13%
DEFIBRILLATOR LEADS
ACTIVE/PASSIVE
42 $7,498 $3,350 $98,533 $314,930 $4,138,403 7.61%
STENT NON COATED NON COVERED
WITH OR W/O DELIVERY
50 $5,663 $78,942 $44,092 $294,472 $2,292,776 12.84%
STENT UNSPECIFIED 25 $7,430 $4,630 $48,757 $185,738 $1,218,937 15.24%
VASCULAR SD ARTERIOTOMY
CLOSURES
106 $1,373 $2,462 $15,561 $145,508 $1,649,443 8.82%
STENTS CAROTID 7 $14,596 $420 $37,838 $102,172 $264,868 38.57%
CV IMPLANTABLE EVENT RECORDER 12 $7,652 $1,638 $18,869 $91,825 $226,426 40.55%
BALLOON CATHETER VALVULOPLASTY 4 $12,820 $640 $34,172 $51,280 $136,689 37.52%
COIL IMPLANT 8 $5,163 $247 $39,191 $41,300 $313,525 13.17%
IVC FILTER 8 $4,204 $1,282 $19,769 $33,635 $158,155 21.27%
B C D E F E/F
Page 23 of 23* Data is pending edits for quality standards Run:05/07/2010 © 2004 - 2010 University HealthSystem Consortium. All Rights Reserved. NOTICE: This document contains proprietary information that is confidential and protected by state and federal privacy and peer review laws. Any unauthorized copying of this document is forbidden. For permission to copy, contact [email protected].