*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| N049 - Nephrotic syndrome with unspecified morphologic changes - as a primary diagnosis code | N049 - Nephrotic syndrome with unspecified morphologic changes - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.48 | |
| Readmission Rate (%) | 32.21 | |
| Unplanned Readmission Rate (%) | 20.23 | |
| 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 699: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 700: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 674: OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 105,234 | |||
| Total Hospitalizations with ICD N049 - Nephrotic syndrome with unspecified morphologic changes | 748 | |||
| DRG Share of Total Hospitalizations | 0.32 | |||
| % of Total ICD N049 - Nephrotic syndrome with unspecified morphologic changes in DRG | 49.87 | |||
| Avg LOS at DRG | 4.18 | |||
| Avg LOS with ICD N049 - Nephrotic syndrome with unspecified morphologic changes | 5.64 | |||
| Readmission Rate at DRG | 24.62 | |||
| Readmission Rate with ICD N049 - Nephrotic syndrome with unspecified morphologic changes | 30.52 | |||
| Unplanned Readmission Rate at DRG | 17.79 | |||
| Unplanned Readmission Rate with ICD N049 - Nephrotic syndrome with unspecified morphologic changes | 20.49 | |||
| Total Medicare payments at DRG | $723,145,698 | |||
| Total Medicare payments with ICD N049 - Nephrotic syndrome with unspecified morphologic changes | $5,121,717 | |||
| Total Medicare payment per Day at DRG | $1,644 | |||
| Total Medicare payment per Day with ICD N049 - Nephrotic syndrome with unspecified morphologic changes | $1,215 | |||
| Total Medicare payment per Hospitalization at DRG | $6,872 | |||
| Total Medicare payment per Hospitalization with ICD N049 - Nephrotic syndrome with unspecified morphologic changes | $6,847 | |||
| Total Medicare Charges at DRG | $3,557,869,598 | |||
| Total Medicare Charges with ICD N049 - Nephrotic syndrome with unspecified morphologic changes | $29,301,217 | |||
| Avg Charges at DRG | $33,809 | |||
| Avg Charges with ICD N049 - Nephrotic syndrome with unspecified morphologic changes | $39,173 | |||
| Mortality Rate at DRG | 0.27 | |||
| Mortality Rate with ICD N049 - Nephrotic syndrome with unspecified morphologic changes | NA | |||
| SNF Discharge Rate at DRG | 20.33 | |||
| SNF Discharge Rate with ICD N049 - Nephrotic syndrome with unspecified morphologic changes | 11.9 | |||
| Home Discharge Rate at DRG | 48.52 | |||
| Home Discharge Rate with ICD N049 - Nephrotic syndrome with unspecified morphologic changes | 61.63 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 699: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD N049 - Nephrotic syndrome with unspecified morphologic changes | 1,938 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD N049 - Nephrotic syndrome with unspecified morphologic changes in DRG | 12.72 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD N049 - Nephrotic syndrome with unspecified morphologic changes | 7.75 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD N049 - Nephrotic syndrome with unspecified morphologic changes | 30.95 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD N049 - Nephrotic syndrome with unspecified morphologic changes | 23.34 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD N049 - Nephrotic syndrome with unspecified morphologic changes | $20,220,512 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD N049 - Nephrotic syndrome with unspecified morphologic changes | $1,346 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD N049 - Nephrotic syndrome with unspecified morphologic changes | $10,434 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD N049 - Nephrotic syndrome with unspecified morphologic changes | $124,047,848 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD N049 - Nephrotic syndrome with unspecified morphologic changes | $64,008 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD N049 - Nephrotic syndrome with unspecified morphologic changes | 2.63 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD N049 - Nephrotic syndrome with unspecified morphologic changes | 18.52 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD N049 - Nephrotic syndrome with unspecified morphologic changes | 40.04 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 700: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 172,705 | ||||
| Total Hospitalizations with ICD N049 - Nephrotic syndrome with unspecified morphologic changes | 711 | ||||
| DRG Share of Total Hospitalizations | 0.53 | ||||
| % of Total ICD N049 - Nephrotic syndrome with unspecified morphologic changes in DRG | 4.67 | ||||
| Avg LOS at DRG | 6.21 | ||||
| Avg LOS with ICD N049 - Nephrotic syndrome with unspecified morphologic changes | 8.56 | ||||
| Readmission Rate at DRG | 27.27 | ||||
| Readmission Rate with ICD N049 - Nephrotic syndrome with unspecified morphologic changes | 33.33 | ||||
| Unplanned Readmission Rate at DRG | 20.51 | ||||
| Unplanned Readmission Rate with ICD N049 - Nephrotic syndrome with unspecified morphologic changes | 23.14 | ||||
| Total Medicare payments at DRG | $1,773,015,083 | ||||
| Total Medicare payments with ICD N049 - Nephrotic syndrome with unspecified morphologic changes | $8,061,238 | ||||
| Total Medicare payment per Day at DRG | $1,652 | ||||
| Total Medicare payment per Day with ICD N049 - Nephrotic syndrome with unspecified morphologic changes | $1,325 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,266 | ||||
| Total Medicare payment per Hospitalization with ICD N049 - Nephrotic syndrome with unspecified morphologic changes | $11,338 | ||||
| Total Medicare Charges at DRG | $8,667,227,667 | ||||
| Total Medicare Charges with ICD N049 - Nephrotic syndrome with unspecified morphologic changes | $49,353,214 | ||||
| Avg Charges at DRG | $50,185 | ||||
| Avg Charges with ICD N049 - Nephrotic syndrome with unspecified morphologic changes | $69,414 | ||||
| Mortality Rate at DRG | 2.92 | ||||
| Mortality Rate with ICD N049 - Nephrotic syndrome with unspecified morphologic changes | 5.2 | ||||
| SNF Discharge Rate at DRG | 33.71 | ||||
| SNF Discharge Rate with ICD N049 - Nephrotic syndrome with unspecified morphologic changes | 18.71 | ||||
| Home Discharge Rate at DRG | 25.53 | ||||
| Home Discharge Rate with ICD N049 - Nephrotic syndrome with unspecified morphologic changes | 39.38 |
*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 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 673: OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD N049 - Nephrotic syndrome with unspecified morphologic changes | 204 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD N049 - Nephrotic syndrome with unspecified morphologic changes in DRG | 1.34 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD N049 - Nephrotic syndrome with unspecified morphologic changes | 18.86 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD N049 - Nephrotic syndrome with unspecified morphologic changes | 39.52 | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD N049 - Nephrotic syndrome with unspecified morphologic changes | 14.37 | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD N049 - Nephrotic syndrome with unspecified morphologic changes | $8,597,390 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD N049 - Nephrotic syndrome with unspecified morphologic changes | $2,234 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD N049 - Nephrotic syndrome with unspecified morphologic changes | $42,144 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD N049 - Nephrotic syndrome with unspecified morphologic changes | $45,863,135 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD N049 - Nephrotic syndrome with unspecified morphologic changes | $224,819 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD N049 - Nephrotic syndrome with unspecified morphologic changes | 12.75 | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD N049 - Nephrotic syndrome with unspecified morphologic changes | 31.37 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD N049 - Nephrotic syndrome with unspecified morphologic changes | 13.24 |
*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 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 545: CONNECTIVE TISSUE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 109,018 | ||||
| Total Hospitalizations with ICD N049 - Nephrotic syndrome with unspecified morphologic changes | 155 | ||||
| DRG Share of Total Hospitalizations | 0.33 | ||||
| % of Total ICD N049 - Nephrotic syndrome with unspecified morphologic changes in DRG | 1.02 | ||||
| Avg LOS at DRG | 12.66 | ||||
| Avg LOS with ICD N049 - Nephrotic syndrome with unspecified morphologic changes | 14.88 | ||||
| Readmission Rate at DRG | 35.31 | ||||
| Readmission Rate with ICD N049 - Nephrotic syndrome with unspecified morphologic changes | 37.41 | ||||
| Unplanned Readmission Rate at DRG | 20.73 | ||||
| Unplanned Readmission Rate with ICD N049 - Nephrotic syndrome with unspecified morphologic changes | 23.74 | ||||
| Total Medicare payments at DRG | $3,554,922,428 | ||||
| Total Medicare payments with ICD N049 - Nephrotic syndrome with unspecified morphologic changes | $5,524,757 | ||||
| Total Medicare payment per Day at DRG | $2,575 | ||||
| Total Medicare payment per Day with ICD N049 - Nephrotic syndrome with unspecified morphologic changes | $2,395 | ||||
| Total Medicare payment per Hospitalization at DRG | $32,609 | ||||
| Total Medicare payment per Hospitalization with ICD N049 - Nephrotic syndrome with unspecified morphologic changes | $35,644 | ||||
| Total Medicare Charges at DRG | $15,445,232,132 | ||||
| Total Medicare Charges with ICD N049 - Nephrotic syndrome with unspecified morphologic changes | $25,031,190 | ||||
| Avg Charges at DRG | $141,676 | ||||
| Avg Charges with ICD N049 - Nephrotic syndrome with unspecified morphologic changes | $161,492 | ||||
| Mortality Rate at DRG | 8.99 | ||||
| Mortality Rate with ICD N049 - Nephrotic syndrome with unspecified morphologic changes | 7.74 | ||||
| SNF Discharge Rate at DRG | 27.26 | ||||
| SNF Discharge Rate with ICD N049 - Nephrotic syndrome with unspecified morphologic changes | 29.03 | ||||
| Home Discharge Rate at DRG | 27.78 | ||||
| Home Discharge Rate with ICD N049 - Nephrotic syndrome with unspecified morphologic changes | 30.32 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 83 |
| METHODIST UNIVERSITY HOSPITAL | 1265 UNION AVE | MEMPHIS | TN | 38104 | 70 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 64 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. STEVE FRANK MONTOYA | 136 E CONCHO AVE | SAN ANGELO | TX | 76903 | 13 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. STEVE FRANK MONTOYA | 136 E CONCHO AVE | SAN ANGELO | TX | 76903 | 28 |
| Dr. FARHAN MAQSOOD | 1100 E CHEVES ST | FLORENCE | SC | 29506 | 22 |