health and wellness for all arizonans bureau of public health statistics khaleel s. hussaini ph.d....

Health and Wellness for all Arizonans

Bureau of Public Health Statistics

Khaleel S. Hussaini Ph.D.Chief, Public Health [email protected]

mailto:[email protected]


Hospital Discharge Data 2008-2013• 16,543,849 inpatient and emergency department records during

2008-2013.

• Cases with a discharge status as ‘dead’ and/or newborns were excluded.

• Utilized standard DRGs and ICD 9 CM codes.

• Prevention Quality Indicators (PQI) as well as top 20 DRGs and top 20 ICD (i.e. Principal Dx) were analyzed for inpatient hospitalization.

• Analyzed length of stay (LOS) and total charges.


Prevention Quality Indicators1. Bacterial Pneumonia2. Dehydration3. Congestive Heart Failure

(CHF)4. Hypertension5. Adult Asthma Admission

(AAA)6. Chronic Obstructive

Pulmonary Disorder (COPD)

7. Uncontrolled Diabetes 8. Diabetes Short-term

Complications Other PQI0

10

20

30

40

50

60

70

80

90

100

2531

7569

Comparison of Prevention Quality Indicators (PQI) by Record Type 2008-2013

Inpatient Emergency

Perc

ent


Prevention Quality IndicatorsPQI N Obs Variable Mean Std Dev Median Quartile Range Minimum Maximum

LOS 4 4 3 3 0 110CHARGES $ 29,690 $ 34,156 $ 21,307 $ 21,219 $ - $2,015,195

LOS 4 5 3 3 0 300CHARGES $ 42,931 $ 67,859 $ 25,351 $ 28,132 $ - $4,587,014

LOS 3 2 2 2 0 74CHARGES $ 25,356 $ 23,260 $ 20,170 $ 16,295 $ 1,157 $ 699,806

LOS 3 3 2 2 0 161CHARGES $ 20,791 $ 23,300 $ 15,450 $ 15,829 $ - $1,310,751

LOS 4 4 3 3 0 154CHARGES $ 30,233 $ 38,788 $ 22,298 $ 18,830 $ - $1,357,456

LOS 3 2 2 2 0 42CHARGES $ 18,432 $ 16,715 $ 14,411 $ 11,638 $ 1,310 $ 337,351

LOS 6 6 4 5 0 182CHARGES $ 44,161 $ 50,353 $ 29,533 $ 34,296 $ 800 $1,608,826

8 35,585

5 45,678

6 58,373

7 4,835

1 101,251

3 28,754

4 17,642

Inpatient Hospitalizations 2008-2013# Top 20 DRGs (Diagnostic Related Groups) 2008-2013 Counts Percent1 Vaginal Delivery W/O Complicating Diagnoses 310,631 7.682 Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc 123,935 3.063 Psychoses 111,033 2.744 Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc 103,562 2.565 Cesarean Section W/O Cc/Mcc 92,426 2.286 Cellulitis W/O Mcc 64,097 1.587 Septicemia or Severe Sepsis W/O Mv 96+ Hours W Mcc 57,048 1.418 Cesarean Section W Cc/Mcc 56,096 1.399 Kidney & Urinary Tract Infections W/O Mcc 49,856 1.23

10 Simple Pneumonia & Pleurisy W Cc 47,354 1.1711 Vaginal Delivery W Complicating Diagnoses 46,772 1.1612 Chest Pain 46,345 1.1513 Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc 43,601 1.0814 Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc 41,128 1.0215 Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc 37,575 0.9316 Bronchitis & Asthma W/O Cc/Mcc 37,299 0.9217 Circulatory Disorders Except Ami, W Card Cath W/O Mcc 35,637 0.8818 Renal Failure W Cc 32,393 0.819 Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc 31,952 0.7920 Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc 31,564 0.78

Inpatient Hospitalizations 2008-2013# Top 20 Principal Diagnoses (ICD9-CM codes) 2008-2013 Counts Percent1 Pneumonia, organism unspecified 90,751 2.212 Care involving other specified rehabilitation procedure 80,767 1.973 Coronary atherosclerosis of native coronary artery 68,426 1.674 Unspecified septicemia 67,048 1.635 Osteoarthrosis, localized, not specified whether primary or secondary, lower leg 63,992 1.566 Previous cesarean delivery, delivered, with or without mention of antepartum condition 63,267 1.54

7 Atrial fibrillation 51,595 1.268 Acute kidney failure, unspecified 50,920 1.249 Other chest pain 47,045 1.15

10 Obstructive chronic bronchitis with (acute) exacerbation 45,816 1.1211 Second-degree perineal laceration, delivered, with or without mention of antepartum

condition 45,608 1.11

12 Subendocardial infarction, initial episode of care 41,425 1.0113 Urinary tract infection, site not specified 40,992 114 First-degree perineal laceration, delivered, with or without mention of antepartum

condition 37,103 0.9

15 Acute pancreatitis 36,414 0.8916 Post term pregnancy, delivered, with or without mention of antepartum condition 34,936 0.85

17 Cellulitis and abscess of leg, except foot 34,836 0.8518 Cerebral artery occlusion, unspecified with cerebral infarction 33,093 0.8119 Normal delivery 32,134 0.7820 Acute appendicitis without mention of peritonitis 29,812 0.73

Length of Stay and ChargesTOPDRG N Obs Variable Mean Std Dev Median Quartile Range Minimum Maximum

1 310,631 LOS 2 1 2 1 0 81 CHARGES 10,373 5,042 9,661 4164 0 332,831

2 123,935 LOS 3 1 3 1 0 45 CHARGES 52,466 18,208 49,240 18638 0 485,818

3 111,033 LOS 10 12 7 7 0 473 CHARGES 22,048 27,396 14,473 16433 0 959,173

4 103,562 LOS 3 2 2 2 0 74 CHARGES 20,307 13,317 17,700 13016 0 366,091

5 92,426 LOS 3 1 3 1 0 73 CHARGES 18,234 6,982 16,952 7413 252 226,014

6 64,097 LOS 3 2 3 2 0 104 CHARGES 18,480 13,878 15,103 12796 585 496,257

7 57,048 LOS 6 5 5 5 0 282 CHARGES 54,122 44,497 42,663 40550 1136 2,149,489

8 56,096 LOS 5 5 4 1 0 112 CHARGES 25,914 21,521 21,170 10874 0 751,715

9 49,856 LOS 3 2 3 2 0 102 CHARGES 18,781 12,134 16,167 11977 0 288,705

10 47,354 LOS 4 3 3 3 0 45 CHARGES 24,540 17,822 20,328 17313 0 406,275

11 46,772 LOS 3 3 2 1 0 89 CHARGES 14,050 10,087 11,821 6291 1320 491,447

12 46,345 LOS 2 1 1 1 0 61 CHARGES 18,483 10,302 16,826 11490 0 307,137

13 43,601 LOS 2 1 2 2 0 69 CHARGES 70,908 27,393 65,849 29530 0 463,342

14 41,128 LOS 3 3 2 2 0 109 CHARGES 17,450 14,205 14,417 13197 0 828,947

15 37,575 LOS 2 1 2 1 0 23 CHARGES 28,690 13,760 25,517 15829 37 225,943

16 37,299 LOS 2 2 2 2 0 29 CHARGES 12,133 9,164 9,671 8907 0 165,041

17 35,637 LOS 2 2 2 2 0 57 CHARGES 37,518 17,724 33,962 17573 0 440,804

18 32,393 LOS 4 3 3 3 0 100 CHARGES 27,183 20,312 22,012 17954 1050 863,310

19 31,952 LOS 2 1 2 2 0 17 CHARGES 32,914 14,286 29,600 15966 1154 204,130

20 31,564 LOS 4 4 4 3 0 314 CHARGES 15,874 13,428 12,058 11428 86 478,736

Charges by Payer typeTOPDRG PAYER_TYPE N Obs Mean Median Maximum

Self Pay 10,644 $10,565 $ 9,691 $ 105,939 Commercial (Indemnity) 15,436 $ 9,283 $ 8,733 $ 161,599 HMO 72,002 $10,490 $ 9,960 $ 249,111 PPO 30,956 $10,416 $ 9,626 $ 330,816 Health Care Group 9,038 $ 9,816 $ 9,313 $ 61,297 Medicare 1,014 $14,897 $11,695 $ 129,717 AHCCCS Medicaid 156,215 $10,441 $ 9,638 $ 332,831 CHAMPUS/TRICARE 8,098 $10,367 $ 9,615 $ 183,616 Childrens Rehab Services 7 $12,368 $13,462 $ 14,828 Workers Compensation 44 $ 9,508 $ 9,366 $ 14,994 Indian Health Services 1,847 $ 9,854 $ 8,995 $ 88,887 Medicare Risk 195 $13,196 $11,224 $ 132,107 Charity 721 $ 8,522 $ 7,958 $ 27,952 Foreign National 1,015 $ 8,990 $ 8,263 $ 25,139 Other 3,398 $ 9,836 $ 9,273 $ 78,405 Self Pay 521 $57,979 $53,813 $ 168,208 Commercial (Indemnity) 5,458 $49,002 $45,247 $ 366,976 HMO 20,051 $52,423 $49,746 $ 340,861 PPO 10,734 $52,747 $49,202 $ 323,818 Health Care Group 517 $71,450 $69,154 $ 231,246 Medicare 58,737 $52,563 $49,138 $ 485,818 AHCCCS Medicaid 6,131 $56,029 $52,306 $ 353,692 CHAMPUS/TRICARE 1,627 $53,390 $51,508 $ 205,800 Childrens Rehab Services 8 $74,989 $73,197 $ 148,550 Workers Compensation 1,120 $52,942 $49,535 $ 207,726 Indian Health Services 207 $49,957 $42,362 $ 163,464 Medicare Risk 15,924 $52,772 $49,867 $ 446,772 Charity 40 $53,570 $46,812 $ 188,709 Foreign National 28 $43,273 $42,584 $ 88,878 Other 2,828 $41,950 $38,029 $ 205,819

Total Billed Charges

Vaginal Delivery W/O Complicating Diagnoses

Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc


Self Pay 4,924 $14,983 $11,658 $ 176,285 Commercial (Indemnity) 8,805 $16,041 $11,959 $ 543,760 HMO 19,984 $17,058 $12,025 $ 364,617 PPO 8,315 $16,928 $12,097 $ 360,986 Health Care Group 5,204 $40,328 $28,512 $ 793,525 Medicare 21,811 $28,643 $19,074 $ 959,173 AHCCCS Medicaid 30,678 $20,907 $14,207 $ 951,485 CHAMPUS/TRICARE 1,846 $18,189 $12,965 $ 168,828 Childrens Rehab Services 1 $17,584 $17,584 $ 17,584 Workers Compensation 25 $21,753 $18,664 $ 47,440 Indian Health Services 210 $20,435 $14,739 $ 203,575 Medicare Risk 5,787 $32,210 $22,386 $ 598,326 Charity 151 $12,464 $ 9,664 $ 46,543 Other 3,292 $14,818 $ 9,582 $ 391,812 Self Pay 5,703 $20,513 $18,078 $ 186,141 Commercial (Indemnity) 4,174 $17,451 $14,906 $ 208,779 HMO 16,880 $19,958 $17,282 $ 315,758 PPO 9,197 $19,587 $17,143 $ 234,826 Health Care Group 1,631 $20,604 $18,521 $ 119,390 Medicare 28,105 $22,629 $19,606 $ 366,091 AHCCCS Medicaid 24,619 $18,313 $15,797 $ 222,433 CHAMPUS/TRICARE 1,575 $17,009 $14,866 $ 117,789 Childrens Rehab Services 59 $13,225 $ 8,930 $ 67,070 Workers Compensation 77 $19,267 $17,667 $ 57,708 Indian Health Services 712 $19,504 $16,229 $ 236,985 Medicare Risk 8,929 $22,131 $19,544 $ 189,340 Charity 261 $18,996 $16,432 $ 78,546 Foreign National 16 $19,281 $18,121 $ 56,461 Other 1,619 $18,441 $15,509 $ 155,692 3 2 $11,841 $11,841 $ 14,949


Psychoses

Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc


Self Pay 2,550 $18,217 $16,904 $ 81,022 Commercial (Indemnity) 5,154 $17,235 $15,959 $ 79,326 HMO 24,971 $18,336 $17,212 $ 201,283 PPO 10,516 $19,026 $17,391 $ 226,014 Health Care Group 2,362 $19,631 $18,284 $ 71,392 Medicare 427 $27,624 $22,663 $ 112,982 AHCCCS Medicaid 41,898 $17,994 $16,703 $ 209,732 CHAMPUS/TRICARE 2,390 $17,434 $16,206 $ 171,232 Childrens Rehab Services 1 $28,600 $28,600 $ 28,600 Workers Compensation 20 $14,613 $13,850 $ 21,947 Indian Health Services 524 $22,080 $20,912 $ 151,615 Medicare Risk 78 $18,565 $16,753 $ 37,826 Charity 194 $15,366 $13,966 $ 36,934 Foreign National 312 $16,666 $16,422 $ 36,662 Other 1,029 $16,374 $15,870 $ 86,577 Self Pay 6,798 $18,291 $15,194 $ 418,515 Commercial (Indemnity) 2,465 $16,814 $13,186 $ 408,098 HMO 8,069 $17,268 $14,019 $ 219,612 PPO 4,510 $16,917 $13,878 $ 150,586 Health Care Group 1,288 $20,408 $15,788 $ 187,707 Medicare 15,055 $21,225 $17,657 $ 268,453 AHCCCS Medicaid 17,816 $16,979 $13,708 $ 496,257 CHAMPUS/TRICARE 665 $15,454 $12,351 $ 79,034 Childrens Rehab Services 18 $ 9,941 $ 7,480 $ 33,074 Workers Compensation 519 $16,700 $13,858 $ 129,782 Indian Health Services 890 $20,067 $16,186 $ 146,800 Medicare Risk 4,798 $20,221 $17,191 $ 117,863 Charity 206 $18,698 $14,872 $ 133,191 Foreign National 10 $10,546 $ 8,570 $ 20,538 Other 988 $17,011 $14,000 $ 91,024


Cellulitis W/O Mcc

Cesarean Section W/O Cc/Mcc


Self Pay 2,258 $55,078 $40,572 $ 594,070 Commercial (Indemnity) 1,396 $53,802 $38,777 $ 713,102 HMO 4,108 $56,777 $43,112 $2,149,489 PPO 2,946 $52,220 $40,211 $ 579,335 Health Care Group 411 $63,497 $51,004 $ 319,016 Medicare 28,425 $54,022 $43,297 $1,199,124 AHCCCS Medicaid 7,127 $55,429 $42,967 $1,588,584 CHAMPUS/TRICARE 430 $52,716 $41,091 $ 404,049 Childrens Rehab Services 11 $88,921 $90,847 $ 260,687 Workers Compensation 77 $56,512 $43,301 $ 191,857 Indian Health Services 570 $66,750 $52,022 $ 541,152 Medicare Risk 8,548 $51,700 $41,714 $ 774,344 Charity 116 $53,863 $40,039 $ 261,674 Foreign National 9 $30,532 $32,183 $ 58,910 Other 616 $48,344 $36,905 $ 346,612 Self Pay 1,277 $25,269 $21,182 $ 272,253 Commercial (Indemnity) 2,291 $21,638 $18,859 $ 336,052 HMO 16,123 $25,492 $20,828 $ 620,892 PPO 5,974 $26,517 $21,846 $ 469,383 Health Care Group 1,691 $25,958 $21,789 $ 283,870 Medicare 405 $35,481 $26,726 $ 445,809 AHCCCS Medicaid 25,110 $26,160 $21,319 $ 751,715 CHAMPUS/TRICARE 1,364 $24,007 $19,922 $ 229,828 Childrens Rehab Services 4 $28,060 $28,128 $ 35,908 Workers Compensation 20 $27,622 $17,511 $ 137,117 Indian Health Services 821 $37,283 $28,779 $ 447,181 Medicare Risk 74 $27,110 $22,960 $ 140,719 Charity 83 $19,923 $19,354 $ 51,135 Foreign National 71 $19,119 $18,608 $ 36,784 Other 788 $23,115 $18,768 $ 217,743


Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc

Cesarean Section W Cc/Mcc


Self Pay 2,267 $18,749 $16,120 $ 235,965 Commercial (Indemnity) 1,439 $15,442 $13,100 $ 188,354 HMO 4,841 $18,090 $15,105 $ 247,130 PPO 2,562 $17,461 $15,146 $ 123,772 Health Care Group 693 $18,899 $15,908 $ 111,470 Medicare 18,890 $20,556 $17,916 $ 288,705 AHCCCS Medicaid 11,903 $16,644 $14,136 $ 226,761 CHAMPUS/TRICARE 461 $15,865 $14,400 $ 84,508 Childrens Rehab Services 120 $12,680 $10,168 $ 44,744 Workers Compensation 27 $21,309 $15,715 $ 91,591 Indian Health Services 378 $18,151 $15,467 $ 96,237 Medicare Risk 5,566 $20,040 $17,605 $ 286,878 Charity 129 $18,621 $16,457 $ 93,021 Foreign National 10 $12,998 $10,644 $ 27,387 Other 569 $16,588 $14,235 $ 80,356 Self Pay 1,804 $23,036 $19,330 $ 133,703 Commercial (Indemnity) 1,845 $21,827 $16,997 $ 334,453 HMO 4,913 $22,974 $18,445 $ 406,275 PPO 2,464 $23,406 $19,278 $ 307,501 Health Care Group 564 $22,708 $17,803 $ 159,806 Medicare 18,841 $27,043 $22,775 $ 298,952 AHCCCS Medicaid 9,915 $21,282 $16,433 $ 310,384 CHAMPUS/TRICARE 487 $20,558 $17,304 $ 74,559 Childrens Rehab Services 38 $30,347 $16,380 $ 190,134 Workers Compensation 26 $25,672 $17,113 $ 92,178 Indian Health Services 432 $19,928 $15,757 $ 86,770 Medicare Risk 5,299 $26,463 $22,842 $ 354,268 Charity 134 $22,350 $16,902 $ 88,540 Foreign National 13 $30,661 $21,694 $ 99,598 Other 579 $21,240 $16,767 $ 192,348

Kidney & Urinary Tract Infections W/O Mcc

Simple Pneumonia & Pleurisy W Cc



Self Pay 1,410 $14,863 $12,471 $ 118,759 Commercial (Indemnity) 2,179 $12,384 $10,883 $ 358,056 HMO 11,042 $13,814 $11,827 $ 250,822 PPO 4,288 $13,979 $11,757 $ 229,868 Health Care Group 1,378 $13,297 $11,364 $ 173,054 Medicare 197 $18,915 $14,747 $ 112,362 AHCCCS Medicaid 23,667 $14,230 $11,932 $ 356,974 CHAMPUS/TRICARE 1,189 $13,624 $11,711 $ 108,928 Childrens Rehab Services 3 $14,811 $15,797 $ 17,397 Workers Compensation 8 $ 9,922 $10,096 $ 10,685 Indian Health Services 574 $17,583 $13,486 $ 125,780 Medicare Risk 48 $18,887 $14,114 $ 63,907 Charity 98 $ 9,904 $ 8,768 $ 30,585 Foreign National 106 $11,214 $10,116 $ 33,701 Other 585 $14,396 $10,953 $ 491,447 Self Pay 2,697 $19,057 $17,372 $ 102,320 Commercial (Indemnity) 1,690 $14,299 $12,734 $ 88,163 HMO 5,698 $17,749 $16,214 $ 284,017 PPO 3,348 $18,156 $17,093 $ 125,420 Health Care Group 952 $19,289 $17,479 $ 87,240 Medicare 15,888 $18,707 $16,844 $ 307,137 AHCCCS Medicaid 9,381 $18,960 $17,418 $ 182,533 CHAMPUS/TRICARE 624 $16,816 $14,562 $ 71,743 Childrens Rehab Services 3 $ 9,040 $ 8,366 $ 11,224 Workers Compensation 61 $18,012 $15,361 $ 68,302 Indian Health Services 295 $18,388 $16,181 $ 58,213 Medicare Risk 4,789 $19,253 $17,689 $ 203,264 Charity 105 $19,795 $18,136 $ 58,353 Foreign National 10 $17,586 $17,628 $ 22,595 Other 803 $17,640 $15,993 $ 191,344 7 1 $ 6,341 $ 6,341 $ 6,341

Vaginal Delivery W Complicating Diagnoses


Chest Pain


Self Pay 1,712 $81,013 $75,531 $ 274,754 Commercial (Indemnity) 2,288 $68,532 $63,864 $ 463,342 HMO 6,545 $69,165 $64,278 $ 299,182 PPO 4,224 $74,071 $68,733 $ 278,099 Health Care Group 368 $80,604 $70,384 $ 279,383 Medicare 17,738 $70,236 $65,094 $ 326,350 AHCCCS Medicaid 3,684 $72,394 $67,633 $ 267,056 CHAMPUS/TRICARE 770 $70,175 $65,959 $ 185,336 Childrens Rehab Services 1 $58,237 $58,237 $ 58,237 Workers Compensation 52 $74,062 $65,120 $ 287,729 Indian Health Services 90 $74,994 $70,577 $ 190,777 Medicare Risk 5,280 $70,483 $65,702 $ 356,793 Charity 59 $85,472 $82,031 $ 169,160 Foreign National 6 $59,213 $50,102 $ 87,959 Other 784 $58,858 $52,991 $ 246,512 Self Pay 1,460 $18,207 $14,879 $ 152,550 Commercial (Indemnity) 1,578 $14,505 $10,110 $ 828,947 HMO 5,188 $16,249 $12,452 $ 211,689 PPO 2,586 $16,085 $12,621 $ 275,310 Health Care Group 571 $15,064 $10,607 $ 190,113 Medicare 14,979 $19,599 $16,726 $ 243,451 AHCCCS Medicaid 8,779 $15,060 $11,189 $ 280,729 CHAMPUS/TRICARE 544 $12,937 $ 9,956 $ 79,312 Childrens Rehab Services 52 $12,081 $ 8,495 $ 45,544 Workers Compensation 45 $18,822 $14,697 $ 52,454 Indian Health Services 232 $13,375 $10,342 $ 100,359 Medicare Risk 4,383 $19,332 $16,904 $ 181,592 Charity 111 $18,307 $14,160 $ 114,678 Foreign National 10 $10,077 $ 8,353 $ 19,941 Other 609 $15,470 $12,404 $ 129,612


Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc

Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc


Self Pay 767 $34,808 $28,954 $ 158,532 Commercial (Indemnity) 3,882 $24,145 $22,025 $ 92,127 HMO 11,991 $29,311 $26,427 $ 157,181 PPO 6,796 $29,806 $26,473 $ 149,918 Health Care Group 600 $30,492 $26,429 $ 92,705 Medicare 2,546 $31,975 $28,627 $ 110,187 AHCCCS Medicaid 8,017 $27,730 $24,574 $ 225,943 CHAMPUS/TRICARE 1,056 $26,349 $23,234 $ 89,419 Workers Compensation 9 $26,096 $20,268 $ 41,462 Indian Health Services 77 $31,104 $28,331 $ 64,733 Medicare Risk 887 $30,949 $26,997 $ 97,732 Charity 129 $37,922 $36,026 $ 86,211 Foreign National 9 $37,082 $29,080 $ 88,450 Other 809 $22,760 $19,358 $ 91,232 Self Pay 2,182 $12,918 $10,451 $ 98,375 Commercial (Indemnity) 1,639 $11,205 $ 9,171 $ 61,389 HMO 5,858 $11,709 $ 9,334 $ 106,859 PPO 2,557 $11,823 $ 9,311 $ 162,946 Health Care Group 986 $10,537 $ 8,350 $ 79,501 Medicare 2,616 $17,970 $15,661 $ 98,245 AHCCCS Medicaid 18,825 $11,462 $ 9,142 $ 165,041 CHAMPUS/TRICARE 562 $ 9,910 $ 7,673 $ 72,552 Childrens Rehab Services 10 $14,428 $14,651 $ 26,526 Workers Compensation 19 $15,391 $13,233 $ 33,656 Indian Health Services 632 $10,240 $ 7,492 $ 93,128 Medicare Risk 807 $17,570 $15,755 $ 63,046 Charity 102 $14,321 $13,045 $ 33,478 Foreign National 5 $11,774 $12,583 $ 18,598 Other 499 $11,655 $ 8,775 $ 100,536


Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc

Bronchitis & Asthma W/O Cc/Mcc


Self Pay 1,830 $40,839 $37,631 $ 266,484 Commercial (Indemnity) 1,739 $32,325 $29,533 $ 144,482 HMO 4,788 $36,306 $32,636 $ 440,804 PPO 3,113 $37,155 $33,809 $ 296,379 Health Care Group 586 $43,249 $37,444 $ 167,326 Medicare 13,107 $38,368 $34,415 $ 273,131 AHCCCS Medicaid 5,142 $37,431 $34,612 $ 226,374 CHAMPUS/TRICARE 530 $34,619 $31,846 $ 119,261 Childrens Rehab Services 33 $35,183 $32,560 $ 78,441 Workers Compensation 41 $34,895 $32,265 $ 68,901 Indian Health Services 139 $39,195 $35,314 $ 148,776 Medicare Risk 3,899 $37,724 $34,966 $ 282,872 Charity 59 $42,740 $39,893 $ 105,256 Foreign National 7 $38,632 $36,666 $ 55,212 Other 624 $31,433 $28,427 $ 119,055 Self Pay 1,360 $27,796 $21,096 $ 176,313 Commercial (Indemnity) 782 $25,220 $18,924 $ 251,821 HMO 2,583 $28,048 $21,499 $ 434,012 PPO 1,440 $26,623 $20,755 $ 248,531 Health Care Group 326 $32,234 $23,868 $ 241,754 Medicare 15,667 $27,332 $22,577 $ 358,661 AHCCCS Medicaid 4,130 $27,432 $21,553 $ 863,310 CHAMPUS/TRICARE 259 $23,287 $18,913 $ 127,384 Childrens Rehab Services 5 $25,962 $16,516 $ 59,285 Workers Compensation 82 $18,815 $14,732 $ 65,109 Indian Health Services 280 $32,281 $27,083 $ 119,463 Medicare Risk 4,925 $26,642 $22,348 $ 268,278 Charity 81 $21,399 $14,953 $ 97,095 Foreign National 15 $18,530 $ 9,924 $ 64,756 Other 457 $22,338 $17,063 $ 217,289 3 1 $19,993 $19,993 $ 19,993


Renal Failure W Cc

Circulatory Disorders Except Ami, W Card Cath W/O Mcc


Self Pay 3,163 $34,252 $30,432 $ 168,843 Commercial (Indemnity) 2,140 $29,598 $26,519 $ 112,355 HMO 6,131 $32,965 $30,088 $ 165,059 PPO 3,850 $32,469 $29,348 $ 134,855 Health Care Group 512 $35,756 $31,585 $ 179,012 Medicare 3,959 $37,183 $33,697 $ 204,130 AHCCCS Medicaid 9,397 $30,982 $27,937 $ 139,436 CHAMPUS/TRICARE 556 $29,781 $26,865 $ 139,086 Childrens Rehab Services 1 $22,974 $22,974 $ 22,974 Workers Compensation 11 $32,399 $28,805 $ 59,073 Indian Health Services 286 $35,042 $32,285 $ 109,706 Medicare Risk 1,218 $38,401 $35,200 $ 134,178 Charity 199 $34,353 $31,014 $ 94,072 Foreign National 14 $24,827 $24,091 $ 45,739 Other 515 $29,723 $26,544 $ 90,741 Self Pay 3,795 $18,228 $14,749 $ 228,966 Commercial (Indemnity) 1,416 $14,097 $10,525 $ 218,436 HMO 6,352 $11,527 $ 9,148 $ 160,581 PPO 3,905 $12,474 $ 9,600 $ 130,015 Health Care Group 478 $17,608 $14,543 $ 232,050 Medicare 4,575 $19,817 $15,491 $ 211,751 AHCCCS Medicaid 7,747 $16,933 $13,591 $ 478,736 CHAMPUS/TRICARE 638 $20,121 $12,300 $ 122,550 Workers Compensation 52 $16,200 $12,531 $ 97,204 Indian Health Services 390 $20,455 $15,975 $ 128,147 Medicare Risk 1,293 $18,824 $15,032 $ 156,410 Charity 130 $19,021 $14,742 $ 120,148 Foreign National 4 $13,880 $13,986 $ 20,025 Other 789 $14,231 $10,043 $ 123,868


Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc

Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc


So what…?• Are the top DRGs and Principal Diagnosis cases

consistent with reality?

• What data elements can comprise of hospital price transparency?

• Who champions this cause and what resources are needed?

health and wellness for all arizonans bureau of public health statistics khaleel s. hussaini ph.d....

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