*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K767 - Hepatorenal syndrome - as a primary diagnosis code | K767 - Hepatorenal syndrome - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 9.9 | |
| Readmission Rate (%) | 37.22 | |
| Unplanned Readmission Rate (%) | 22.32 | |
| 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 441: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 442: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 420: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 005: LIVER TRANSPLANT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR INTESTINAL TRANSPLANT | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 56,884 | ||||
| Total Hospitalizations with ICD K767 - Hepatorenal syndrome | 2,485 | ||||
| DRG Share of Total Hospitalizations | 0.17 | ||||
| % of Total ICD K767 - Hepatorenal syndrome in DRG | 71.06 | ||||
| Avg LOS at DRG | 6.43 | ||||
| Avg LOS with ICD K767 - Hepatorenal syndrome | 8.51 | ||||
| Readmission Rate at DRG | 37.66 | ||||
| Readmission Rate with ICD K767 - Hepatorenal syndrome | 31.11 | ||||
| Unplanned Readmission Rate at DRG | 28.76 | ||||
| Unplanned Readmission Rate with ICD K767 - Hepatorenal syndrome | 21.77 | ||||
| Total Medicare payments at DRG | $726,233,427 | ||||
| Total Medicare payments with ICD K767 - Hepatorenal syndrome | $34,987,723 | ||||
| Total Medicare payment per Day at DRG | $1,987 | ||||
| Total Medicare payment per Day with ICD K767 - Hepatorenal syndrome | $1,655 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,767 | ||||
| Total Medicare payment per Hospitalization with ICD K767 - Hepatorenal syndrome | $14,080 | ||||
| Total Medicare Charges at DRG | $3,363,541,067 | ||||
| Total Medicare Charges with ICD K767 - Hepatorenal syndrome | $205,940,264 | ||||
| Avg Charges at DRG | $59,130 | ||||
| Avg Charges with ICD K767 - Hepatorenal syndrome | $82,873 | ||||
| Mortality Rate at DRG | 9.48 | ||||
| Mortality Rate with ICD K767 - Hepatorenal syndrome | 25.31 | ||||
| SNF Discharge Rate at DRG | 18.8 | ||||
| SNF Discharge Rate with ICD K767 - Hepatorenal syndrome | 13.36 | ||||
| Home Discharge Rate at DRG | 33.97 | ||||
| Home Discharge Rate with ICD K767 - Hepatorenal syndrome | 13.92 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 421: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 443: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 423: OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 987: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 5,873 | ||||
| Total Hospitalizations with ICD K767 - Hepatorenal syndrome | 42 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD K767 - Hepatorenal syndrome in DRG | 1.2 | ||||
| Avg LOS at DRG | 5.01 | ||||
| Avg LOS with ICD K767 - Hepatorenal syndrome | 6.83 | ||||
| Readmission Rate at DRG | 30.66 | ||||
| Readmission Rate with ICD K767 - Hepatorenal syndrome | 44.44 | ||||
| Unplanned Readmission Rate at DRG | 22.97 | ||||
| Unplanned Readmission Rate with ICD K767 - Hepatorenal syndrome | NA | ||||
| Total Medicare payments at DRG | $69,442,380 | ||||
| Total Medicare payments with ICD K767 - Hepatorenal syndrome | $473,652 | ||||
| Total Medicare payment per Day at DRG | $2,361 | ||||
| Total Medicare payment per Day with ICD K767 - Hepatorenal syndrome | $1,650 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,824 | ||||
| Total Medicare payment per Hospitalization with ICD K767 - Hepatorenal syndrome | $11,277 | ||||
| Total Medicare Charges at DRG | $302,628,853 | ||||
| Total Medicare Charges with ICD K767 - Hepatorenal syndrome | $2,136,144 | ||||
| Avg Charges at DRG | $51,529 | ||||
| Avg Charges with ICD K767 - Hepatorenal syndrome | $50,861 | ||||
| Mortality Rate at DRG | 0.75 | ||||
| Mortality Rate with ICD K767 - Hepatorenal syndrome | NA | ||||
| SNF Discharge Rate at DRG | 11.27 | ||||
| SNF Discharge Rate with ICD K767 - Hepatorenal syndrome | NA | ||||
| Home Discharge Rate at DRG | 60.7 | ||||
| Home Discharge Rate with ICD K767 - Hepatorenal syndrome | 28.57 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UK HEALTHCARE - ALBERT B. CHANDLER HOSPITAL | 800 ROSE ST | LEXINGTON | KY | 40536 | 34 |
| UMASS MEMORIAL MEDICAL CENTER | 55 LAKE AVENUE | WORCESTER | MA | 01655 | 23 |
| BANNER - UNIVERSITY MEDICAL CENTER PHOENIX | 1111 E MCDOWELL RD | PHOENIX | AZ | 85006 | 23 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 441: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 432: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 56,884 | ||||
| Total Hospitalizations with ICD K767 - Hepatorenal syndrome | 7,948 | ||||
| DRG Share of Total Hospitalizations | 0.17 | ||||
| % of Total ICD K767 - Hepatorenal syndrome in DRG | 20.88 | ||||
| Avg LOS at DRG | 6.43 | ||||
| Avg LOS with ICD K767 - Hepatorenal syndrome | 8.03 | ||||
| Readmission Rate at DRG | 37.66 | ||||
| Readmission Rate with ICD K767 - Hepatorenal syndrome | 37.42 | ||||
| Unplanned Readmission Rate at DRG | 28.76 | ||||
| Unplanned Readmission Rate with ICD K767 - Hepatorenal syndrome | 27.09 | ||||
| Total Medicare payments at DRG | $726,233,427 | ||||
| Total Medicare payments with ICD K767 - Hepatorenal syndrome | $113,120,611 | ||||
| Total Medicare payment per Day at DRG | $1,987 | ||||
| Total Medicare payment per Day with ICD K767 - Hepatorenal syndrome | $1,773 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,767 | ||||
| Total Medicare payment per Hospitalization with ICD K767 - Hepatorenal syndrome | $14,233 | ||||
| Total Medicare Charges at DRG | $3,363,541,067 | ||||
| Total Medicare Charges with ICD K767 - Hepatorenal syndrome | $629,538,810 | ||||
| Avg Charges at DRG | $59,130 | ||||
| Avg Charges with ICD K767 - Hepatorenal syndrome | $79,207 | ||||
| Mortality Rate at DRG | 9.48 | ||||
| Mortality Rate with ICD K767 - Hepatorenal syndrome | 21.83 | ||||
| SNF Discharge Rate at DRG | 18.8 | ||||
| SNF Discharge Rate with ICD K767 - Hepatorenal syndrome | 13.75 | ||||
| Home Discharge Rate at DRG | 33.97 | ||||
| Home Discharge Rate with ICD K767 - Hepatorenal syndrome | 18.02 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 420: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 435: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 005: LIVER TRANSPLANT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR INTESTINAL TRANSPLANT | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD K767 - Hepatorenal syndrome | 1,025 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD K767 - Hepatorenal syndrome in DRG | 2.69 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD K767 - Hepatorenal syndrome | 15.57 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD K767 - Hepatorenal syndrome | 35.07 | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD K767 - Hepatorenal syndrome | 16.83 | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD K767 - Hepatorenal syndrome | $43,782,013 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD K767 - Hepatorenal syndrome | $2,744 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD K767 - Hepatorenal syndrome | $42,714 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD K767 - Hepatorenal syndrome | $223,302,681 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD K767 - Hepatorenal syndrome | $217,856 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD K767 - Hepatorenal syndrome | 44.39 | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD K767 - Hepatorenal syndrome | 13.46 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD K767 - Hepatorenal syndrome | 5.56 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 442: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 371: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 987: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 109,018 | ||||
| Total Hospitalizations with ICD K767 - Hepatorenal syndrome | 674 | ||||
| DRG Share of Total Hospitalizations | 0.33 | ||||
| % of Total ICD K767 - Hepatorenal syndrome in DRG | 1.77 | ||||
| Avg LOS at DRG | 12.66 | ||||
| Avg LOS with ICD K767 - Hepatorenal syndrome | 15.9 | ||||
| Readmission Rate at DRG | 35.31 | ||||
| Readmission Rate with ICD K767 - Hepatorenal syndrome | 39.76 | ||||
| Unplanned Readmission Rate at DRG | 20.73 | ||||
| Unplanned Readmission Rate with ICD K767 - Hepatorenal syndrome | 26.12 | ||||
| Total Medicare payments at DRG | $3,554,922,428 | ||||
| Total Medicare payments with ICD K767 - Hepatorenal syndrome | $27,068,630 | ||||
| Total Medicare payment per Day at DRG | $2,575 | ||||
| Total Medicare payment per Day with ICD K767 - Hepatorenal syndrome | $2,526 | ||||
| Total Medicare payment per Hospitalization at DRG | $32,609 | ||||
| Total Medicare payment per Hospitalization with ICD K767 - Hepatorenal syndrome | $40,161 | ||||
| Total Medicare Charges at DRG | $15,445,232,132 | ||||
| Total Medicare Charges with ICD K767 - Hepatorenal syndrome | $139,739,735 | ||||
| Avg Charges at DRG | $141,676 | ||||
| Avg Charges with ICD K767 - Hepatorenal syndrome | $207,329 | ||||
| Mortality Rate at DRG | 8.99 | ||||
| Mortality Rate with ICD K767 - Hepatorenal syndrome | 30.71 | ||||
| SNF Discharge Rate at DRG | 27.26 | ||||
| SNF Discharge Rate with ICD K767 - Hepatorenal syndrome | 14.54 | ||||
| Home Discharge Rate at DRG | 27.78 | ||||
| Home Discharge Rate with ICD K767 - Hepatorenal syndrome | 15.88 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 673: OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 356: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 231,812 | ||||
| Total Hospitalizations with ICD K767 - Hepatorenal syndrome | 333 | ||||
| DRG Share of Total Hospitalizations | 0.71 | ||||
| % of Total ICD K767 - Hepatorenal syndrome in DRG | 0.87 | ||||
| Avg LOS at DRG | 4.41 | ||||
| Avg LOS with ICD K767 - Hepatorenal syndrome | 6.8 | ||||
| Readmission Rate at DRG | 29.12 | ||||
| Readmission Rate with ICD K767 - Hepatorenal syndrome | 39.69 | ||||
| Unplanned Readmission Rate at DRG | 22.82 | ||||
| Unplanned Readmission Rate with ICD K767 - Hepatorenal syndrome | 32.3 | ||||
| Total Medicare payments at DRG | $1,743,376,418 | ||||
| Total Medicare payments with ICD K767 - Hepatorenal syndrome | $3,324,265 | ||||
| Total Medicare payment per Day at DRG | $1,704 | ||||
| Total Medicare payment per Day with ICD K767 - Hepatorenal syndrome | $1,467 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,521 | ||||
| Total Medicare payment per Hospitalization with ICD K767 - Hepatorenal syndrome | $9,983 | ||||
| Total Medicare Charges at DRG | $8,543,867,896 | ||||
| Total Medicare Charges with ICD K767 - Hepatorenal syndrome | $21,389,892 | ||||
| Avg Charges at DRG | $36,857 | ||||
| Avg Charges with ICD K767 - Hepatorenal syndrome | $64,234 | ||||
| Mortality Rate at DRG | 2.89 | ||||
| Mortality Rate with ICD K767 - Hepatorenal syndrome | 12.31 | ||||
| SNF Discharge Rate at DRG | 22.92 | ||||
| SNF Discharge Rate with ICD K767 - Hepatorenal syndrome | 13.81 | ||||
| Home Discharge Rate at DRG | 43.02 | ||||
| Home Discharge Rate with ICD K767 - Hepatorenal syndrome | 33.33 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| RONALD REAGAN UCLA MEDICAL CENTER | 757 WESTWOOD PLZ | LOS ANGELES | CA | 90095 | 245 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 224 |
| UMASS MEMORIAL MEDICAL CENTER | 55 LAKE AVENUE | WORCESTER | MA | 01655 | 196 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. BENSON YU HUANG | 1710 E SAUNDERS ST | LAREDO | TX | 78041 | 62 |
| Dr. MARK J AULT | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 47 |
| Dr. ZACHARY SETH COLLINS | UNIVERSITY OF KANSAS MEDICAL CENTER RADIOLOGY | KANSAS CITY | KS | 66160 | 26 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. GILBERTO GARZA LOZANO | 1700 E SAUNDERS ST STE A300 | LAREDO | TX | 78041 | 33 |
| Dr. HECTOR CARBAJAL | 6565 FANNIN ST | HOUSTON | TX | 77030 | 27 |
| Dr. STEVEN JOSEPH SCAGLIONE | 9TH AVENUE | HINES | IL | 60141 | 25 |