*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| N159 - Renal tubulo-interstitial disease, unspecified - as a primary diagnosis code | N159 - Renal tubulo-interstitial disease, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.76 | |
| Readmission Rate (%) | 24.95 | |
| Unplanned Readmission Rate (%) | 15.15 | |
| 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 700: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 105,234 | ||
| Total Hospitalizations with ICD N159 - Renal tubulo-interstitial disease, unspecified | 52 | ||
| DRG Share of Total Hospitalizations | 0.32 | ||
| % of Total ICD N159 - Renal tubulo-interstitial disease, unspecified in DRG | 50.49 | ||
| Avg LOS at DRG | 4.18 | ||
| Avg LOS with ICD N159 - Renal tubulo-interstitial disease, unspecified | 3.92 | ||
| Readmission Rate at DRG | 24.62 | ||
| Readmission Rate with ICD N159 - Renal tubulo-interstitial disease, unspecified | NA | ||
| Unplanned Readmission Rate at DRG | 17.79 | ||
| Unplanned Readmission Rate with ICD N159 - Renal tubulo-interstitial disease, unspecified | NA | ||
| Total Medicare payments at DRG | $723,145,698 | ||
| Total Medicare payments with ICD N159 - Renal tubulo-interstitial disease, unspecified | $335,279 | ||
| Total Medicare payment per Day at DRG | $1,644 | ||
| Total Medicare payment per Day with ICD N159 - Renal tubulo-interstitial disease, unspecified | $1,644 | ||
| Total Medicare payment per Hospitalization at DRG | $6,872 | ||
| Total Medicare payment per Hospitalization with ICD N159 - Renal tubulo-interstitial disease, unspecified | $6,448 | ||
| Total Medicare Charges at DRG | $3,557,869,598 | ||
| Total Medicare Charges with ICD N159 - Renal tubulo-interstitial disease, unspecified | $1,356,497 | ||
| Avg Charges at DRG | $33,809 | ||
| Avg Charges with ICD N159 - Renal tubulo-interstitial disease, unspecified | $26,086 | ||
| Mortality Rate at DRG | 0.27 | ||
| Mortality Rate with ICD N159 - Renal tubulo-interstitial disease, unspecified | NA | ||
| SNF Discharge Rate at DRG | 20.33 | ||
| SNF Discharge Rate with ICD N159 - Renal tubulo-interstitial disease, unspecified | NA | ||
| Home Discharge Rate at DRG | 48.52 | ||
| Home Discharge Rate with ICD N159 - Renal tubulo-interstitial disease, unspecified | 61.54 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 699: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD N159 - Renal tubulo-interstitial disease, unspecified | 190 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD N159 - Renal tubulo-interstitial disease, unspecified in DRG | 11.02 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD N159 - Renal tubulo-interstitial disease, unspecified | 6.62 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD N159 - Renal tubulo-interstitial disease, unspecified | 23.13 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD N159 - Renal tubulo-interstitial disease, unspecified | 17.5 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD N159 - Renal tubulo-interstitial disease, unspecified | $2,066,662 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD N159 - Renal tubulo-interstitial disease, unspecified | $1,644 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD N159 - Renal tubulo-interstitial disease, unspecified | $10,877 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD N159 - Renal tubulo-interstitial disease, unspecified | $10,944,127 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD N159 - Renal tubulo-interstitial disease, unspecified | $57,601 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD N159 - Renal tubulo-interstitial disease, unspecified | 10.53 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD N159 - Renal tubulo-interstitial disease, unspecified | 33.68 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD N159 - Renal tubulo-interstitial disease, unspecified | 23.68 |
*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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD N159 - Renal tubulo-interstitial disease, unspecified | 52 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD N159 - Renal tubulo-interstitial disease, unspecified in DRG | 3.02 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD N159 - Renal tubulo-interstitial disease, unspecified | 11.94 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD N159 - Renal tubulo-interstitial disease, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD N159 - Renal tubulo-interstitial disease, unspecified | NA | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD N159 - Renal tubulo-interstitial disease, unspecified | $1,894,299 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD N159 - Renal tubulo-interstitial disease, unspecified | $3,050 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD N159 - Renal tubulo-interstitial disease, unspecified | $36,429 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD N159 - Renal tubulo-interstitial disease, unspecified | $7,617,664 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD N159 - Renal tubulo-interstitial disease, unspecified | $146,494 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD N159 - Renal tubulo-interstitial disease, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD N159 - Renal tubulo-interstitial disease, unspecified | 23.08 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD N159 - Renal tubulo-interstitial disease, unspecified | 28.85 |
*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) | DRG 700: OTHER KIDNEY AND URINARY TRACT DIAGNOSES 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 314: OTHER CIRCULATORY SYSTEM DIAGNOSES 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 25,081 | ||||
| Total Hospitalizations with ICD N159 - Renal tubulo-interstitial disease, unspecified | 30 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD N159 - Renal tubulo-interstitial disease, unspecified in DRG | 1.74 | ||||
| Avg LOS at DRG | 4.55 | ||||
| Avg LOS with ICD N159 - Renal tubulo-interstitial disease, unspecified | 4.47 | ||||
| Readmission Rate at DRG | 19.43 | ||||
| Readmission Rate with ICD N159 - Renal tubulo-interstitial disease, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 13.37 | ||||
| Unplanned Readmission Rate with ICD N159 - Renal tubulo-interstitial disease, unspecified | NA | ||||
| Total Medicare payments at DRG | $300,903,567 | ||||
| Total Medicare payments with ICD N159 - Renal tubulo-interstitial disease, unspecified | $343,621 | ||||
| Total Medicare payment per Day at DRG | $2,638 | ||||
| Total Medicare payment per Day with ICD N159 - Renal tubulo-interstitial disease, unspecified | $2,564 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,997 | ||||
| Total Medicare payment per Hospitalization with ICD N159 - Renal tubulo-interstitial disease, unspecified | $11,454 | ||||
| Total Medicare Charges at DRG | $1,564,169,935 | ||||
| Total Medicare Charges with ICD N159 - Renal tubulo-interstitial disease, unspecified | $1,940,873 | ||||
| Avg Charges at DRG | $62,365 | ||||
| Avg Charges with ICD N159 - Renal tubulo-interstitial disease, unspecified | $64,696 | ||||
| Mortality Rate at DRG | 0.15 | ||||
| Mortality Rate with ICD N159 - Renal tubulo-interstitial disease, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 11.28 | ||||
| SNF Discharge Rate with ICD N159 - Renal tubulo-interstitial disease, unspecified | NA | ||||
| Home Discharge Rate at DRG | 65.31 | ||||
| Home Discharge Rate with ICD N159 - Renal tubulo-interstitial disease, unspecified | 70.0 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD N159 - Renal tubulo-interstitial disease, unspecified | 18 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD N159 - Renal tubulo-interstitial disease, unspecified in DRG | 1.04 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD N159 - Renal tubulo-interstitial disease, unspecified | 5.06 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD N159 - Renal tubulo-interstitial disease, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD N159 - Renal tubulo-interstitial disease, unspecified | NA | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD N159 - Renal tubulo-interstitial disease, unspecified | $99,576 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD N159 - Renal tubulo-interstitial disease, unspecified | $1,094 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD N159 - Renal tubulo-interstitial disease, unspecified | $5,532 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD N159 - Renal tubulo-interstitial disease, unspecified | $632,738 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD N159 - Renal tubulo-interstitial disease, unspecified | $35,152 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD N159 - Renal tubulo-interstitial disease, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD N159 - Renal tubulo-interstitial disease, unspecified | NA | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD N159 - Renal tubulo-interstitial disease, unspecified | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ST. LUKE'S MINERS MEMORIAL HOSPITAL | 360 W RUDDLE ST | COALDALE | PA | 18218 | 44 |
| UPMC PRESBYTERIAN SHADYSIDE | 200 LOTHROP ST | PITTSBURGH | PA | 15213 | 38 |
| ST. LUKE'S HOSPITAL - LEHIGHTON CAMPUS | 211 NORTH 12TH STREET | LEHIGHTON | PA | 18235 | 20 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JEFFREY MICHAEL HOSTETTER | CEDAR CREST AVENUE AND I-78 | ALLENTOWN | PA | 18105 | 15 |
| Dr. MICHAEL PAUL SABOL | 360 W RUDDLE ST | COALDALE | PA | 18218 | 13 |
| Dr. HAZEM FAHMY | 755 MEMORIAL PKWY | PHILLIPSBURG | NJ | 08865 | 12 |