*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M3131 - Wegener's granulomatosis with renal involvement - as a primary diagnosis code | M3131 - Wegener's granulomatosis with renal involvement - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.76 | |
| Readmission Rate (%) | 32.15 | |
| Unplanned Readmission Rate (%) | 21.37 | |
| 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 542: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 543: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 987: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 515: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 22,988 | ||||
| Total Hospitalizations with ICD M3131 - Wegener's granulomatosis with renal involvement | 415 | ||||
| DRG Share of Total Hospitalizations | 0.07 | ||||
| % of Total ICD M3131 - Wegener's granulomatosis with renal involvement in DRG | 51.94 | ||||
| Avg LOS at DRG | 6.91 | ||||
| Avg LOS with ICD M3131 - Wegener's granulomatosis with renal involvement | 11.93 | ||||
| Readmission Rate at DRG | 26.87 | ||||
| Readmission Rate with ICD M3131 - Wegener's granulomatosis with renal involvement | 36.96 | ||||
| Unplanned Readmission Rate at DRG | 18.2 | ||||
| Unplanned Readmission Rate with ICD M3131 - Wegener's granulomatosis with renal involvement | 25.5 | ||||
| Total Medicare payments at DRG | $289,439,673 | ||||
| Total Medicare payments with ICD M3131 - Wegener's granulomatosis with renal involvement | $8,118,261 | ||||
| Total Medicare payment per Day at DRG | $1,821 | ||||
| Total Medicare payment per Day with ICD M3131 - Wegener's granulomatosis with renal involvement | $1,640 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,591 | ||||
| Total Medicare payment per Hospitalization with ICD M3131 - Wegener's granulomatosis with renal involvement | $19,562 | ||||
| Total Medicare Charges at DRG | $1,316,031,169 | ||||
| Total Medicare Charges with ICD M3131 - Wegener's granulomatosis with renal involvement | $52,926,950 | ||||
| Avg Charges at DRG | $57,249 | ||||
| Avg Charges with ICD M3131 - Wegener's granulomatosis with renal involvement | $127,535 | ||||
| Mortality Rate at DRG | 6.89 | ||||
| Mortality Rate with ICD M3131 - Wegener's granulomatosis with renal involvement | 6.51 | ||||
| SNF Discharge Rate at DRG | 36.6 | ||||
| SNF Discharge Rate with ICD M3131 - Wegener's granulomatosis with renal involvement | 13.49 | ||||
| Home Discharge Rate at DRG | 16.13 | ||||
| Home Discharge Rate with ICD M3131 - Wegener's granulomatosis with renal involvement | 44.82 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 544: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 988: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|
| Total Hospitalizations at DRG | 15,043 | |
| Total Hospitalizations with ICD M3131 - Wegener's granulomatosis with renal involvement | 15 | |
| DRG Share of Total Hospitalizations | 0.05 | |
| % of Total ICD M3131 - Wegener's granulomatosis with renal involvement in DRG | 1.88 | |
| Avg LOS at DRG | 3.37 | |
| Avg LOS with ICD M3131 - Wegener's granulomatosis with renal involvement | 2.67 | |
| Readmission Rate at DRG | 19.32 | |
| Readmission Rate with ICD M3131 - Wegener's granulomatosis with renal involvement | NA | |
| Unplanned Readmission Rate at DRG | 9.33 | |
| Unplanned Readmission Rate with ICD M3131 - Wegener's granulomatosis with renal involvement | NA | |
| Total Medicare payments at DRG | $73,311,923 | |
| Total Medicare payments with ICD M3131 - Wegener's granulomatosis with renal involvement | $54,963 | |
| Total Medicare payment per Day at DRG | $1,448 | |
| Total Medicare payment per Day with ICD M3131 - Wegener's granulomatosis with renal involvement | $1,374 | |
| Total Medicare payment per Hospitalization at DRG | $4,873 | |
| Total Medicare payment per Hospitalization with ICD M3131 - Wegener's granulomatosis with renal involvement | $3,664 | |
| Total Medicare Charges at DRG | $380,530,132 | |
| Total Medicare Charges with ICD M3131 - Wegener's granulomatosis with renal involvement | $378,970 | |
| Avg Charges at DRG | $25,296 | |
| Avg Charges with ICD M3131 - Wegener's granulomatosis with renal involvement | $25,265 | |
| Mortality Rate at DRG | 0.37 | |
| Mortality Rate with ICD M3131 - Wegener's granulomatosis with renal involvement | NA | |
| SNF Discharge Rate at DRG | 42.09 | |
| SNF Discharge Rate with ICD M3131 - Wegener's granulomatosis with renal involvement | NA | |
| Home Discharge Rate at DRG | 24.51 | |
| Home Discharge Rate with ICD M3131 - Wegener's granulomatosis with renal involvement | 86.67 |
*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 542: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 543: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD M3131 - Wegener's granulomatosis with renal involvement | 469 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD M3131 - Wegener's granulomatosis with renal involvement in DRG | 7.18 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD M3131 - Wegener's granulomatosis with renal involvement | 7.69 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD M3131 - Wegener's granulomatosis with renal involvement | 36.5 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD M3131 - Wegener's granulomatosis with renal involvement | 29.82 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD M3131 - Wegener's granulomatosis with renal involvement | $6,171,584 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD M3131 - Wegener's granulomatosis with renal involvement | $1,711 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD M3131 - Wegener's granulomatosis with renal involvement | $13,159 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD M3131 - Wegener's granulomatosis with renal involvement | $36,623,378 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD M3131 - Wegener's granulomatosis with renal involvement | $78,088 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD M3131 - Wegener's granulomatosis with renal involvement | 11.94 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD M3131 - Wegener's granulomatosis with renal involvement | 17.91 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD M3131 - Wegener's granulomatosis with renal involvement | 38.17 |
*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 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 652: KIDNEY TRANSPLANT | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD M3131 - Wegener's granulomatosis with renal involvement | 196 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD M3131 - Wegener's granulomatosis with renal involvement in DRG | 3.0 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD M3131 - Wegener's granulomatosis with renal involvement | 8.93 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD M3131 - Wegener's granulomatosis with renal involvement | 31.55 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD M3131 - Wegener's granulomatosis with renal involvement | 22.02 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD M3131 - Wegener's granulomatosis with renal involvement | $2,618,774 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD M3131 - Wegener's granulomatosis with renal involvement | $1,496 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD M3131 - Wegener's granulomatosis with renal involvement | $13,361 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD M3131 - Wegener's granulomatosis with renal involvement | $14,781,364 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD M3131 - Wegener's granulomatosis with renal involvement | $75,415 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD M3131 - Wegener's granulomatosis with renal involvement | 5.61 | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD M3131 - Wegener's granulomatosis with renal involvement | 11.73 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD M3131 - Wegener's granulomatosis with renal involvement | 52.04 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 987: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 109,018 | ||||
| Total Hospitalizations with ICD M3131 - Wegener's granulomatosis with renal involvement | 129 | ||||
| DRG Share of Total Hospitalizations | 0.33 | ||||
| % of Total ICD M3131 - Wegener's granulomatosis with renal involvement in DRG | 1.98 | ||||
| Avg LOS at DRG | 12.66 | ||||
| Avg LOS with ICD M3131 - Wegener's granulomatosis with renal involvement | 12.02 | ||||
| Readmission Rate at DRG | 35.31 | ||||
| Readmission Rate with ICD M3131 - Wegener's granulomatosis with renal involvement | 39.09 | ||||
| Unplanned Readmission Rate at DRG | 20.73 | ||||
| Unplanned Readmission Rate with ICD M3131 - Wegener's granulomatosis with renal involvement | 20.91 | ||||
| Total Medicare payments at DRG | $3,554,922,428 | ||||
| Total Medicare payments with ICD M3131 - Wegener's granulomatosis with renal involvement | $4,159,417 | ||||
| Total Medicare payment per Day at DRG | $2,575 | ||||
| Total Medicare payment per Day with ICD M3131 - Wegener's granulomatosis with renal involvement | $2,682 | ||||
| Total Medicare payment per Hospitalization at DRG | $32,609 | ||||
| Total Medicare payment per Hospitalization with ICD M3131 - Wegener's granulomatosis with renal involvement | $32,244 | ||||
| Total Medicare Charges at DRG | $15,445,232,132 | ||||
| Total Medicare Charges with ICD M3131 - Wegener's granulomatosis with renal involvement | $19,340,600 | ||||
| Avg Charges at DRG | $141,676 | ||||
| Avg Charges with ICD M3131 - Wegener's granulomatosis with renal involvement | $149,927 | ||||
| Mortality Rate at DRG | 8.99 | ||||
| Mortality Rate with ICD M3131 - Wegener's granulomatosis with renal involvement | NA | ||||
| SNF Discharge Rate at DRG | 27.26 | ||||
| SNF Discharge Rate with ICD M3131 - Wegener's granulomatosis with renal involvement | 13.18 | ||||
| Home Discharge Rate at DRG | 27.78 | ||||
| Home Discharge Rate with ICD M3131 - Wegener's granulomatosis with renal involvement | 48.06 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 115,984 | ||||
| Total Hospitalizations with ICD M3131 - Wegener's granulomatosis with renal involvement | 81 | ||||
| DRG Share of Total Hospitalizations | 0.35 | ||||
| % of Total ICD M3131 - Wegener's granulomatosis with renal involvement in DRG | 1.24 | ||||
| Avg LOS at DRG | 7.52 | ||||
| Avg LOS with ICD M3131 - Wegener's granulomatosis with renal involvement | 7.35 | ||||
| Readmission Rate at DRG | 33.13 | ||||
| Readmission Rate with ICD M3131 - Wegener's granulomatosis with renal involvement | 26.67 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD M3131 - Wegener's granulomatosis with renal involvement | 17.33 | ||||
| Total Medicare payments at DRG | $2,639,352,445 | ||||
| Total Medicare payments with ICD M3131 - Wegener's granulomatosis with renal involvement | $1,913,432 | ||||
| Total Medicare payment per Day at DRG | $3,027 | ||||
| Total Medicare payment per Day with ICD M3131 - Wegener's granulomatosis with renal involvement | $3,216 | ||||
| Total Medicare payment per Hospitalization at DRG | $22,756 | ||||
| Total Medicare payment per Hospitalization with ICD M3131 - Wegener's granulomatosis with renal involvement | $23,623 | ||||
| Total Medicare Charges at DRG | $12,757,805,634 | ||||
| Total Medicare Charges with ICD M3131 - Wegener's granulomatosis with renal involvement | $8,781,641 | ||||
| Avg Charges at DRG | $109,996 | ||||
| Avg Charges with ICD M3131 - Wegener's granulomatosis with renal involvement | $108,415 | ||||
| Mortality Rate at DRG | 4.68 | ||||
| Mortality Rate with ICD M3131 - Wegener's granulomatosis with renal involvement | NA | ||||
| SNF Discharge Rate at DRG | 20.97 | ||||
| SNF Discharge Rate with ICD M3131 - Wegener's granulomatosis with renal involvement | 17.28 | ||||
| Home Discharge Rate at DRG | 44.26 | ||||
| Home Discharge Rate with ICD M3131 - Wegener's granulomatosis with renal involvement | 59.26 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 40 |
| THE MOSES H. CONE MEMORIAL HOSPITAL | 1200 N ELM ST | GREENSBORO | NC | 27401 | 39 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 39 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ASEEDU A. KALIK | 1200 BRECKENRIDGE ST | OWENSBORO | KY | 42303 | 16 |