*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| N181 - Chronic kidney disease, stage 1 - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 14.04 | |
| 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD N181 - Chronic kidney disease, stage 1 | 1,813 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD N181 - Chronic kidney disease, stage 1 in DRG | 5.38 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD N181 - Chronic kidney disease, stage 1 | 6.68 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD N181 - Chronic kidney disease, stage 1 | 24.95 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD N181 - Chronic kidney disease, stage 1 | 17.02 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD N181 - Chronic kidney disease, stage 1 | $21,602,302 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD N181 - Chronic kidney disease, stage 1 | $1,783 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD N181 - Chronic kidney disease, stage 1 | $11,915 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD N181 - Chronic kidney disease, stage 1 | $112,691,982 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD N181 - Chronic kidney disease, stage 1 | $62,158 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD N181 - Chronic kidney disease, stage 1 | 8.38 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD N181 - Chronic kidney disease, stage 1 | 31.05 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD N181 - Chronic kidney disease, stage 1 | 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 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 885: PSYCHOSES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD N181 - Chronic kidney disease, stage 1 | 532 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD N181 - Chronic kidney disease, stage 1 in DRG | 1.58 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD N181 - Chronic kidney disease, stage 1 | 3.77 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD N181 - Chronic kidney disease, stage 1 | 16.31 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD N181 - Chronic kidney disease, stage 1 | 10.49 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD N181 - Chronic kidney disease, stage 1 | $2,719,753 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD N181 - Chronic kidney disease, stage 1 | $1,356 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD N181 - Chronic kidney disease, stage 1 | $5,112 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD N181 - Chronic kidney disease, stage 1 | $13,894,806 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD N181 - Chronic kidney disease, stage 1 | $26,118 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD N181 - Chronic kidney disease, stage 1 | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD N181 - Chronic kidney disease, stage 1 | 23.68 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD N181 - Chronic kidney disease, stage 1 | 44.36 |
*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 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD N181 - Chronic kidney disease, stage 1 | 445 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD N181 - Chronic kidney disease, stage 1 in DRG | 1.32 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD N181 - Chronic kidney disease, stage 1 | 4.07 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD N181 - Chronic kidney disease, stage 1 | 15.17 | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD N181 - Chronic kidney disease, stage 1 | 10.19 | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD N181 - Chronic kidney disease, stage 1 | $2,718,427 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD N181 - Chronic kidney disease, stage 1 | $1,501 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD N181 - Chronic kidney disease, stage 1 | $6,109 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD N181 - Chronic kidney disease, stage 1 | $12,004,630 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD N181 - Chronic kidney disease, stage 1 | $26,977 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD N181 - Chronic kidney disease, stage 1 | NA | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD N181 - Chronic kidney disease, stage 1 | 14.38 | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD N181 - Chronic kidney disease, stage 1 | 55.73 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 359,935 | ||||
| Total Hospitalizations with ICD N181 - Chronic kidney disease, stage 1 | 393 | ||||
| DRG Share of Total Hospitalizations | 1.1 | ||||
| % of Total ICD N181 - Chronic kidney disease, stage 1 in DRG | 1.17 | ||||
| Avg LOS at DRG | 12.3 | ||||
| Avg LOS with ICD N181 - Chronic kidney disease, stage 1 | 12.84 | ||||
| Readmission Rate at DRG | 16.01 | ||||
| Readmission Rate with ICD N181 - Chronic kidney disease, stage 1 | 19.56 | ||||
| Unplanned Readmission Rate at DRG | 9.86 | ||||
| Unplanned Readmission Rate with ICD N181 - Chronic kidney disease, stage 1 | 13.22 | ||||
| Total Medicare payments at DRG | $5,883,826,653 | ||||
| Total Medicare payments with ICD N181 - Chronic kidney disease, stage 1 | $6,709,108 | ||||
| Total Medicare payment per Day at DRG | $1,329 | ||||
| Total Medicare payment per Day with ICD N181 - Chronic kidney disease, stage 1 | $1,329 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
| Total Medicare payment per Hospitalization with ICD N181 - Chronic kidney disease, stage 1 | $17,072 | ||||
| Total Medicare Charges at DRG | $15,374,824,749 | ||||
| Total Medicare Charges with ICD N181 - Chronic kidney disease, stage 1 | $17,859,942 | ||||
| Avg Charges at DRG | $42,716 | ||||
| Avg Charges with ICD N181 - Chronic kidney disease, stage 1 | $45,445 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD N181 - Chronic kidney disease, stage 1 | NA | ||||
| SNF Discharge Rate at DRG | 27.95 | ||||
| SNF Discharge Rate with ICD N181 - Chronic kidney disease, stage 1 | 28.5 | ||||
| Home Discharge Rate at DRG | 26.85 | ||||
| Home Discharge Rate with ICD N181 - Chronic kidney disease, stage 1 | 21.63 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MEMORIAL SLOAN KETTERING CANCER CENTER | 1275 YORK AVE | NEW YORK | NY | 10065 | 233 |
| NYU WINTHROP HOSPITAL | 259 1ST ST | MINEOLA | NY | 11501 | 223 |
| RIVERSIDE METHODIST HOSPITAL | 3535 OLENTANGY RIVER RD | COLUMBUS | OH | 43214 | 201 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. STEVEN W BOYCE | 110 IRVING ST NW | WASHINGTON | DC | 20010 | 34 |
| Dr. SURESHBHAI PATEL | 22650 CEDAR LANE COURT | LEONARDTOWN | MD | 20650 | 32 |
| Dr. MICHAEL P FISCHBEIN | 300 PASTEUR DR | STANFORD | CA | 94305 | 29 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVINDER KUMAR | 25107 ELKMONT AVE | BELLEROSE | NY | 11426 | 81 |
| Dr. ELENA A SCHMUTER | 333 BROADWAY | AMITYVILLE | NY | 11701 | 65 |
| Dr. MICHAEL W HENNIGAN | 1847 FLORIDA AVE | PANAMA CITY | FL | 32405 | 57 |