*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| N119 - Chronic tubulo-interstitial nephritis, unspecified - as a primary diagnosis code | N119 - Chronic tubulo-interstitial nephritis, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.72 | |
| Readmission Rate (%) | 28.31 | |
| Unplanned Readmission Rate (%) | 15.76 | |
| 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 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 660: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 661: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 659: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD N119 - Chronic tubulo-interstitial nephritis, unspecified | 148 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD N119 - Chronic tubulo-interstitial nephritis, unspecified in DRG | 42.53 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD N119 - Chronic tubulo-interstitial nephritis, unspecified | 4.81 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD N119 - Chronic tubulo-interstitial nephritis, unspecified | 20.86 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD N119 - Chronic tubulo-interstitial nephritis, unspecified | 14.39 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD N119 - Chronic tubulo-interstitial nephritis, unspecified | $767,228 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD N119 - Chronic tubulo-interstitial nephritis, unspecified | $1,078 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD N119 - Chronic tubulo-interstitial nephritis, unspecified | $5,184 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD N119 - Chronic tubulo-interstitial nephritis, unspecified | $4,824,889 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD N119 - Chronic tubulo-interstitial nephritis, unspecified | $32,601 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD N119 - Chronic tubulo-interstitial nephritis, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD N119 - Chronic tubulo-interstitial nephritis, unspecified | NA | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD N119 - Chronic tubulo-interstitial nephritis, unspecified | 65.54 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 652: KIDNEY TRANSPLANT | |
|---|---|
| Total Hospitalizations at DRG | 32,592 |
| Total Hospitalizations with ICD N119 - Chronic tubulo-interstitial nephritis, unspecified | 15 |
| DRG Share of Total Hospitalizations | 0.1 |
| % of Total ICD N119 - Chronic tubulo-interstitial nephritis, unspecified in DRG | 4.31 |
| Avg LOS at DRG | 6.31 |
| Avg LOS with ICD N119 - Chronic tubulo-interstitial nephritis, unspecified | 5.2 |
| Readmission Rate at DRG | 26.14 |
| Readmission Rate with ICD N119 - Chronic tubulo-interstitial nephritis, unspecified | NA |
| Unplanned Readmission Rate at DRG | 12.57 |
| Unplanned Readmission Rate with ICD N119 - Chronic tubulo-interstitial nephritis, unspecified | NA |
| Total Medicare payments at DRG | $892,364,102 |
| Total Medicare payments with ICD N119 - Chronic tubulo-interstitial nephritis, unspecified | $367,628 |
| Total Medicare payment per Day at DRG | $4,342 |
| Total Medicare payment per Day with ICD N119 - Chronic tubulo-interstitial nephritis, unspecified | $4,713 |
| Total Medicare payment per Hospitalization at DRG | $27,380 |
| Total Medicare payment per Hospitalization with ICD N119 - Chronic tubulo-interstitial nephritis, unspecified | $24,509 |
| Total Medicare Charges at DRG | $7,961,329,166 |
| Total Medicare Charges with ICD N119 - Chronic tubulo-interstitial nephritis, unspecified | $3,016,241 |
| Avg Charges at DRG | $244,272 |
| Avg Charges with ICD N119 - Chronic tubulo-interstitial nephritis, unspecified | $201,083 |
| Mortality Rate at DRG | 0.29 |
| Mortality Rate with ICD N119 - Chronic tubulo-interstitial nephritis, unspecified | NA |
| SNF Discharge Rate at DRG | 0.89 |
| SNF Discharge Rate with ICD N119 - Chronic tubulo-interstitial nephritis, unspecified | NA |
| Home Discharge Rate at DRG | 77.72 |
| Home Discharge Rate with ICD N119 - Chronic tubulo-interstitial nephritis, unspecified | 73.33 |
*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 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 660: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD N119 - Chronic tubulo-interstitial nephritis, unspecified | 382 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD N119 - Chronic tubulo-interstitial nephritis, unspecified in DRG | 7.62 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD N119 - Chronic tubulo-interstitial nephritis, unspecified | 8.63 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD N119 - Chronic tubulo-interstitial nephritis, unspecified | 34.53 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD N119 - Chronic tubulo-interstitial nephritis, unspecified | 23.12 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD N119 - Chronic tubulo-interstitial nephritis, unspecified | $5,091,594 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD N119 - Chronic tubulo-interstitial nephritis, unspecified | $1,544 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD N119 - Chronic tubulo-interstitial nephritis, unspecified | $13,329 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD N119 - Chronic tubulo-interstitial nephritis, unspecified | $29,484,148 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD N119 - Chronic tubulo-interstitial nephritis, unspecified | $77,184 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD N119 - Chronic tubulo-interstitial nephritis, unspecified | 8.64 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD N119 - Chronic tubulo-interstitial nephritis, unspecified | 30.63 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD N119 - Chronic tubulo-interstitial nephritis, unspecified | 25.65 |
*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 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 652: KIDNEY TRANSPLANT | DRG 659: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD N119 - Chronic tubulo-interstitial nephritis, unspecified | 158 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD N119 - Chronic tubulo-interstitial nephritis, unspecified in DRG | 3.15 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD N119 - Chronic tubulo-interstitial nephritis, unspecified | 8.22 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD N119 - Chronic tubulo-interstitial nephritis, unspecified | 37.24 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD N119 - Chronic tubulo-interstitial nephritis, unspecified | 26.9 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD N119 - Chronic tubulo-interstitial nephritis, unspecified | $1,845,960 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD N119 - Chronic tubulo-interstitial nephritis, unspecified | $1,421 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD N119 - Chronic tubulo-interstitial nephritis, unspecified | $11,683 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD N119 - Chronic tubulo-interstitial nephritis, unspecified | $10,680,979 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD N119 - Chronic tubulo-interstitial nephritis, unspecified | $67,601 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD N119 - Chronic tubulo-interstitial nephritis, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD N119 - Chronic tubulo-interstitial nephritis, unspecified | 37.34 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD N119 - Chronic tubulo-interstitial nephritis, unspecified | 32.91 |
*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 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 661: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 657: KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 105,234 | ||||
| Total Hospitalizations with ICD N119 - Chronic tubulo-interstitial nephritis, unspecified | 119 | ||||
| DRG Share of Total Hospitalizations | 0.32 | ||||
| % of Total ICD N119 - Chronic tubulo-interstitial nephritis, unspecified in DRG | 2.38 | ||||
| Avg LOS at DRG | 4.18 | ||||
| Avg LOS with ICD N119 - Chronic tubulo-interstitial nephritis, unspecified | 4.89 | ||||
| Readmission Rate at DRG | 24.62 | ||||
| Readmission Rate with ICD N119 - Chronic tubulo-interstitial nephritis, unspecified | 23.68 | ||||
| Unplanned Readmission Rate at DRG | 17.79 | ||||
| Unplanned Readmission Rate with ICD N119 - Chronic tubulo-interstitial nephritis, unspecified | 16.67 | ||||
| Total Medicare payments at DRG | $723,145,698 | ||||
| Total Medicare payments with ICD N119 - Chronic tubulo-interstitial nephritis, unspecified | $816,308 | ||||
| Total Medicare payment per Day at DRG | $1,644 | ||||
| Total Medicare payment per Day with ICD N119 - Chronic tubulo-interstitial nephritis, unspecified | $1,403 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,872 | ||||
| Total Medicare payment per Hospitalization with ICD N119 - Chronic tubulo-interstitial nephritis, unspecified | $6,860 | ||||
| Total Medicare Charges at DRG | $3,557,869,598 | ||||
| Total Medicare Charges with ICD N119 - Chronic tubulo-interstitial nephritis, unspecified | $4,295,840 | ||||
| Avg Charges at DRG | $33,809 | ||||
| Avg Charges with ICD N119 - Chronic tubulo-interstitial nephritis, unspecified | $36,099 | ||||
| Mortality Rate at DRG | 0.27 | ||||
| Mortality Rate with ICD N119 - Chronic tubulo-interstitial nephritis, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 20.33 | ||||
| SNF Discharge Rate with ICD N119 - Chronic tubulo-interstitial nephritis, unspecified | 12.61 | ||||
| Home Discharge Rate at DRG | 48.52 | ||||
| Home Discharge Rate with ICD N119 - Chronic tubulo-interstitial nephritis, unspecified | 62.18 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES 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 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 673: OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 138,345 | ||||
| Total Hospitalizations with ICD N119 - Chronic tubulo-interstitial nephritis, unspecified | 48 | ||||
| DRG Share of Total Hospitalizations | 0.42 | ||||
| % of Total ICD N119 - Chronic tubulo-interstitial nephritis, unspecified in DRG | 0.96 | ||||
| Avg LOS at DRG | 6.92 | ||||
| Avg LOS with ICD N119 - Chronic tubulo-interstitial nephritis, unspecified | 6.13 | ||||
| Readmission Rate at DRG | 32.2 | ||||
| Readmission Rate with ICD N119 - Chronic tubulo-interstitial nephritis, unspecified | 33.33 | ||||
| Unplanned Readmission Rate at DRG | 22.95 | ||||
| Unplanned Readmission Rate with ICD N119 - Chronic tubulo-interstitial nephritis, unspecified | 24.44 | ||||
| Total Medicare payments at DRG | $1,845,581,658 | ||||
| Total Medicare payments with ICD N119 - Chronic tubulo-interstitial nephritis, unspecified | $582,368 | ||||
| Total Medicare payment per Day at DRG | $1,929 | ||||
| Total Medicare payment per Day with ICD N119 - Chronic tubulo-interstitial nephritis, unspecified | $1,981 | ||||
| Total Medicare payment per Hospitalization at DRG | $13,340 | ||||
| Total Medicare payment per Hospitalization with ICD N119 - Chronic tubulo-interstitial nephritis, unspecified | $12,133 | ||||
| Total Medicare Charges at DRG | $9,021,459,592 | ||||
| Total Medicare Charges with ICD N119 - Chronic tubulo-interstitial nephritis, unspecified | $2,752,099 | ||||
| Avg Charges at DRG | $65,210 | ||||
| Avg Charges with ICD N119 - Chronic tubulo-interstitial nephritis, unspecified | $57,335 | ||||
| Mortality Rate at DRG | 5.29 | ||||
| Mortality Rate with ICD N119 - Chronic tubulo-interstitial nephritis, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 18.8 | ||||
| SNF Discharge Rate with ICD N119 - Chronic tubulo-interstitial nephritis, unspecified | NA | ||||
| Home Discharge Rate at DRG | 39.78 | ||||
| Home Discharge Rate with ICD N119 - Chronic tubulo-interstitial nephritis, unspecified | 45.83 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 43 |
| MAYO CLINIC HOSPITAL | 5777 E MAYO BLVD | PHOENIX | AZ | 85054 | 29 |
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 28 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MARK A ROBERTS | 106 EDWINA STREET | EVERGREEN | AL | 36401 | 16 |