*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease - as a primary diagnosis code | I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease - as a primary or secondary diagnosis code | |
---|---|---|
OUTCOMES | ||
Avg. LOS | 6.67 | |
Readmission Rate (%) | 34.17 | |
Unplanned Readmission Rate (%) | 22.74 | |
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 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 652: KIDNEY TRANSPLANT | DRG 673: OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 365,119 | ||||
Total Hospitalizations with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | 59,712 | ||||
DRG Share of Total Hospitalizations | 1.11 | ||||
% of Total ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease in DRG | 64.58 | ||||
Avg LOS at DRG | 5.91 | ||||
Avg LOS with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | 4.13 | ||||
Readmission Rate at DRG | 27.73 | ||||
Readmission Rate with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | 33.08 | ||||
Unplanned Readmission Rate at DRG | 20.3 | ||||
Unplanned Readmission Rate with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | 27.21 | ||||
Total Medicare payments at DRG | $3,552,910,533 | ||||
Total Medicare payments with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | $562,173,416 | ||||
Total Medicare payment per Day at DRG | $1,646 | ||||
Total Medicare payment per Day with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | $2,277 | ||||
Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
Total Medicare payment per Hospitalization with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | $9,415 | ||||
Total Medicare Charges at DRG | $16,860,985,198 | ||||
Total Medicare Charges with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | $2,214,851,270 | ||||
Avg Charges at DRG | $46,179 | ||||
Avg Charges with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | $37,092 | ||||
Mortality Rate at DRG | 5.06 | ||||
Mortality Rate with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | 1.47 | ||||
SNF Discharge Rate at DRG | 28.7 | ||||
SNF Discharge Rate with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | 12.8 | ||||
Home Discharge Rate at DRG | 32.16 | ||||
Home Discharge Rate with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | 63.39 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 659: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 674: OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 987: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 008: SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 11,960 | ||||
Total Hospitalizations with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | 329 | ||||
DRG Share of Total Hospitalizations | 0.04 | ||||
% of Total ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease in DRG | 0.36 | ||||
Avg LOS at DRG | 9.38 | ||||
Avg LOS with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | 7.36 | ||||
Readmission Rate at DRG | 30.14 | ||||
Readmission Rate with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | 26.18 | ||||
Unplanned Readmission Rate at DRG | 20.05 | ||||
Unplanned Readmission Rate with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | 18.3 | ||||
Total Medicare payments at DRG | $290,494,146 | ||||
Total Medicare payments with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | $7,764,013 | ||||
Total Medicare payment per Day at DRG | $2,591 | ||||
Total Medicare payment per Day with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | $3,208 | ||||
Total Medicare payment per Hospitalization at DRG | $24,289 | ||||
Total Medicare payment per Hospitalization with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | $23,599 | ||||
Total Medicare Charges at DRG | $1,326,600,046 | ||||
Total Medicare Charges with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | $35,366,052 | ||||
Avg Charges at DRG | $110,920 | ||||
Avg Charges with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | $107,496 | ||||
Mortality Rate at DRG | 2.7 | ||||
Mortality Rate with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | NA | ||||
SNF Discharge Rate at DRG | 23.64 | ||||
SNF Discharge Rate with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | 6.69 | ||||
Home Discharge Rate at DRG | 39.98 | ||||
Home Discharge Rate with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | 72.95 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 684: RENAL FAILURE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 005: LIVER TRANSPLANT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR INTESTINAL TRANSPLANT | DRG 668: TRANSURETHRAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 48,449 | ||||
Total Hospitalizations with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | 48 | ||||
DRG Share of Total Hospitalizations | 0.15 | ||||
% of Total ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease in DRG | 0.05 | ||||
Avg LOS at DRG | 29.97 | ||||
Avg LOS with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | 35.23 | ||||
Readmission Rate at DRG | 76.3 | ||||
Readmission Rate with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | 81.48 | ||||
Unplanned Readmission Rate at DRG | 6.46 | ||||
Unplanned Readmission Rate with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | NA | ||||
Total Medicare payments at DRG | $6,190,071,785 | ||||
Total Medicare payments with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | $7,279,813 | ||||
Total Medicare payment per Day at DRG | $4,263 | ||||
Total Medicare payment per Day with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | $4,305 | ||||
Total Medicare payment per Hospitalization at DRG | $127,765 | ||||
Total Medicare payment per Hospitalization with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | $151,663 | ||||
Total Medicare Charges at DRG | $28,754,600,069 | ||||
Total Medicare Charges with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | $33,328,732 | ||||
Avg Charges at DRG | $593,502 | ||||
Avg Charges with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | $694,349 | ||||
Mortality Rate at DRG | 20.61 | ||||
Mortality Rate with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | 43.75 | ||||
SNF Discharge Rate at DRG | 12.46 | ||||
SNF Discharge Rate with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | NA | ||||
Home Discharge Rate at DRG | 2.36 | ||||
Home Discharge Rate with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 660: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|
Total Hospitalizations at DRG | 25,081 |
Total Hospitalizations with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | 11 |
DRG Share of Total Hospitalizations | 0.08 |
% of Total ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease in DRG | 0.01 |
Avg LOS at DRG | 4.55 |
Avg LOS with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | 6.45 |
Readmission Rate at DRG | 19.43 |
Readmission Rate with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | NA |
Unplanned Readmission Rate at DRG | 13.37 |
Unplanned Readmission Rate with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | NA |
Total Medicare payments at DRG | $300,903,567 |
Total Medicare payments with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | $136,901 |
Total Medicare payment per Day at DRG | $2,638 |
Total Medicare payment per Day with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | $1,928 |
Total Medicare payment per Hospitalization at DRG | $11,997 |
Total Medicare payment per Hospitalization with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | $12,446 |
Total Medicare Charges at DRG | $1,564,169,935 |
Total Medicare Charges with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | $705,217 |
Avg Charges at DRG | $62,365 |
Avg Charges with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | $64,111 |
Mortality Rate at DRG | 0.15 |
Mortality Rate with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | NA |
SNF Discharge Rate at DRG | 11.28 |
SNF Discharge Rate with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | NA |
Home Discharge Rate at DRG | 65.31 |
Home Discharge Rate with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | NA |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
METHODIST HOSPITAL | 7700 FLOYD CURL DRIVE | SAN ANTONIO | TX | 78229 | 694 |
METHODIST UNIVERSITY HOSPITAL | 1265 UNION AVE | MEMPHIS | TN | 38104 | 626 |
ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 565 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. WILLIAM CHRISTOPHER GOGGINS | 550 UNIVERSITY BLVD | INDIANAPOLIS | IN | 46202 | 143 |
Dr. ALFREDO JOSE FABREGA | 1300 N 12TH ST STE 409 | PHOENIX | AZ | 85006 | 133 |
Dr. GAETANO CIANCIO | 1801 NW 9TH AVE FL 3 | MIAMI | FL | 33136 | 128 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. WILLIAM CHRISTOPHER GOGGINS | 550 UNIVERSITY BLVD | INDIANAPOLIS | IN | 46202 | 151 |
Dr. JOSE M FIGUEIRO | 1801 NW 9TH AVE | MIAMI | FL | 33136 | 146 |
Dr. GAETANO CIANCIO | 1801 NW 9TH AVE FL 3 | MIAMI | FL | 33136 | 131 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 1,808,415 | ||||
Total Hospitalizations with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | 84,307 | ||||
DRG Share of Total Hospitalizations | 5.5 | ||||
% of Total ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease in DRG | 6.61 | ||||
Avg LOS at DRG | 6.34 | ||||
Avg LOS with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | 7.02 | ||||
Readmission Rate at DRG | 24.2 | ||||
Readmission Rate with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | 33.96 | ||||
Unplanned Readmission Rate at DRG | 16.78 | ||||
Unplanned Readmission Rate with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | 24.61 | ||||
Total Medicare payments at DRG | $21,288,214,047 | ||||
Total Medicare payments with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | $1,064,847,523 | ||||
Total Medicare payment per Day at DRG | $1,857 | ||||
Total Medicare payment per Day with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | $1,800 | ||||
Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
Total Medicare payment per Hospitalization with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | $12,631 | ||||
Total Medicare Charges at DRG | $107,155,481,388 | ||||
Total Medicare Charges with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | $5,929,639,799 | ||||
Avg Charges at DRG | $59,254 | ||||
Avg Charges with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | $70,334 | ||||
Mortality Rate at DRG | 12.11 | ||||
Mortality Rate with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | 13.21 | ||||
SNF Discharge Rate at DRG | 27.18 | ||||
SNF Discharge Rate with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | 21.82 | ||||
Home Discharge Rate at DRG | 25.81 | ||||
Home Discharge Rate with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | 32.93 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 652: KIDNEY TRANSPLANT | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 443,386 | ||||
Total Hospitalizations with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | 37,077 | ||||
DRG Share of Total Hospitalizations | 1.35 | ||||
% of Total ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease in DRG | 2.9 | ||||
Avg LOS at DRG | 5.27 | ||||
Avg LOS with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | 4.73 | ||||
Readmission Rate at DRG | 21.6 | ||||
Readmission Rate with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | 27.96 | ||||
Unplanned Readmission Rate at DRG | 15.91 | ||||
Unplanned Readmission Rate with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | 22.54 | ||||
Total Medicare payments at DRG | $3,812,834,208 | ||||
Total Medicare payments with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | $329,177,192 | ||||
Total Medicare payment per Day at DRG | $1,632 | ||||
Total Medicare payment per Day with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | $1,879 | ||||
Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
Total Medicare payment per Hospitalization with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | $8,878 | ||||
Total Medicare Charges at DRG | $18,110,468,211 | ||||
Total Medicare Charges with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | $1,539,500,522 | ||||
Avg Charges at DRG | $40,846 | ||||
Avg Charges with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | $41,522 | ||||
Mortality Rate at DRG | 3.59 | ||||
Mortality Rate with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | 1.49 | ||||
SNF Discharge Rate at DRG | 22.57 | ||||
SNF Discharge Rate with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | 15.33 | ||||
Home Discharge Rate at DRG | 40.95 | ||||
Home Discharge Rate with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | 58.04 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 134,422 | ||||
Total Hospitalizations with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | 25,592 | ||||
DRG Share of Total Hospitalizations | 0.41 | ||||
% of Total ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease in DRG | 2.01 | ||||
Avg LOS at DRG | 4.97 | ||||
Avg LOS with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | 3.69 | ||||
Readmission Rate at DRG | 26.98 | ||||
Readmission Rate with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | 32.49 | ||||
Unplanned Readmission Rate at DRG | 20.97 | ||||
Unplanned Readmission Rate with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | 27.43 | ||||
Total Medicare payments at DRG | $1,078,703,587 | ||||
Total Medicare payments with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | $195,544,064 | ||||
Total Medicare payment per Day at DRG | $1,614 | ||||
Total Medicare payment per Day with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | $2,071 | ||||
Total Medicare payment per Hospitalization at DRG | $8,025 | ||||
Total Medicare payment per Hospitalization with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | $7,641 | ||||
Total Medicare Charges at DRG | $5,564,930,414 | ||||
Total Medicare Charges with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | $914,933,054 | ||||
Avg Charges at DRG | $41,399 | ||||
Avg Charges with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | $35,751 | ||||
Mortality Rate at DRG | 2.08 | ||||
Mortality Rate with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | 0.72 | ||||
SNF Discharge Rate at DRG | 16.97 | ||||
SNF Discharge Rate with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | 9.32 | ||||
Home Discharge Rate at DRG | 52.45 | ||||
Home Discharge Rate with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | 69.62 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 637: DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 602: CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 227,705 | ||||
Total Hospitalizations with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | 17,033 | ||||
DRG Share of Total Hospitalizations | 0.69 | ||||
% of Total ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease in DRG | 1.33 | ||||
Avg LOS at DRG | 4.51 | ||||
Avg LOS with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | 3.68 | ||||
Readmission Rate at DRG | 24.66 | ||||
Readmission Rate with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | 31.62 | ||||
Unplanned Readmission Rate at DRG | 18.32 | ||||
Unplanned Readmission Rate with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | 25.65 | ||||
Total Medicare payments at DRG | $1,725,174,811 | ||||
Total Medicare payments with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | $133,133,238 | ||||
Total Medicare payment per Day at DRG | $1,678 | ||||
Total Medicare payment per Day with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | $2,125 | ||||
Total Medicare payment per Hospitalization at DRG | $7,576 | ||||
Total Medicare payment per Hospitalization with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | $7,816 | ||||
Total Medicare Charges at DRG | $8,683,995,141 | ||||
Total Medicare Charges with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | $620,430,122 | ||||
Avg Charges at DRG | $38,137 | ||||
Avg Charges with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | $36,425 | ||||
Mortality Rate at DRG | 4.12 | ||||
Mortality Rate with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | 3.58 | ||||
SNF Discharge Rate at DRG | 17.01 | ||||
SNF Discharge Rate with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | 11.74 | ||||
Home Discharge Rate at DRG | 48.19 | ||||
Home Discharge Rate with ICD I120 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | 59.65 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 6,298 |
METHODIST HOSPITAL | 7700 FLOYD CURL DRIVE | SAN ANTONIO | TX | 78229 | 5,638 |
METHODIST UNIVERSITY HOSPITAL | 1265 UNION AVE | MEMPHIS | TN | 38104 | 4,961 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. VENUGOPAL GOVINDAPPA | 255 WARLEY ST | FLORENCE | SC | 29501 | 498 |
Dr. FARHAN MAQSOOD | 1100 E CHEVES ST | FLORENCE | SC | 29506 | 495 |
Dr. BRAJESH BHATLA | 4402 E SESAME DR | HARLINGEN | TX | 78550 | 456 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. ANTONIO JAIME TORRES IMPERIAL | 415 S 28TH AVE | HATTIESBURG | MS | 39401 | 982 |
Dr. ANDREW M QUELER | 415 S 28TH AVE | HATTIESBURG | MS | 39401 | 889 |
Dr. VENUGOPAL GOVINDAPPA | 255 WARLEY ST | FLORENCE | SC | 29501 | 648 |