*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| N184 - Chronic kidney disease, stage 4 (severe) - as a primary diagnosis code | N184 - Chronic kidney disease, stage 4 (severe) - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.35 | |
| Readmission Rate (%) | 29.01 | |
| Unplanned Readmission Rate (%) | 16.95 | |
| 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 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 684: RENAL FAILURE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 652: KIDNEY TRANSPLANT | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | |||
| Total Hospitalizations with ICD N184 - Chronic kidney disease, stage 4 (severe) | 448 | |||
| DRG Share of Total Hospitalizations | 1.32 | |||
| % of Total ICD N184 - Chronic kidney disease, stage 4 (severe) in DRG | 50.06 | |||
| Avg LOS at DRG | 3.94 | |||
| Avg LOS with ICD N184 - Chronic kidney disease, stage 4 (severe) | 4.39 | |||
| Readmission Rate at DRG | 22.76 | |||
| Readmission Rate with ICD N184 - Chronic kidney disease, stage 4 (severe) | 26.13 | |||
| Unplanned Readmission Rate at DRG | 16.46 | |||
| Unplanned Readmission Rate with ICD N184 - Chronic kidney disease, stage 4 (severe) | 18.29 | |||
| Total Medicare payments at DRG | $2,472,138,198 | |||
| Total Medicare payments with ICD N184 - Chronic kidney disease, stage 4 (severe) | $3,027,139 | |||
| Total Medicare payment per Day at DRG | $1,444 | |||
| Total Medicare payment per Day with ICD N184 - Chronic kidney disease, stage 4 (severe) | $1,538 | |||
| Total Medicare payment per Hospitalization at DRG | $5,693 | |||
| Total Medicare payment per Hospitalization with ICD N184 - Chronic kidney disease, stage 4 (severe) | $6,757 | |||
| Total Medicare Charges at DRG | $12,478,361,060 | |||
| Total Medicare Charges with ICD N184 - Chronic kidney disease, stage 4 (severe) | $11,186,316 | |||
| Avg Charges at DRG | $28,735 | |||
| Avg Charges with ICD N184 - Chronic kidney disease, stage 4 (severe) | $24,969 | |||
| Mortality Rate at DRG | 0.91 | |||
| Mortality Rate with ICD N184 - Chronic kidney disease, stage 4 (severe) | NA | |||
| SNF Discharge Rate at DRG | 22.02 | |||
| SNF Discharge Rate with ICD N184 - Chronic kidney disease, stage 4 (severe) | 20.54 | |||
| Home Discharge Rate at DRG | 46.68 | |||
| Home Discharge Rate with ICD N184 - Chronic kidney disease, stage 4 (severe) | 44.2 |
*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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD N184 - Chronic kidney disease, stage 4 (severe) | 119,752 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD N184 - Chronic kidney disease, stage 4 (severe) in DRG | 12.72 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD N184 - Chronic kidney disease, stage 4 (severe) | 5.88 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD N184 - Chronic kidney disease, stage 4 (severe) | 30.32 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD N184 - Chronic kidney disease, stage 4 (severe) | 23.56 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD N184 - Chronic kidney disease, stage 4 (severe) | $1,131,783,375 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD N184 - Chronic kidney disease, stage 4 (severe) | $1,606 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD N184 - Chronic kidney disease, stage 4 (severe) | $9,451 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD N184 - Chronic kidney disease, stage 4 (severe) | $5,288,150,997 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD N184 - Chronic kidney disease, stage 4 (severe) | $44,159 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD N184 - Chronic kidney disease, stage 4 (severe) | 4.09 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD N184 - Chronic kidney disease, stage 4 (severe) | 21.42 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD N184 - Chronic kidney disease, stage 4 (severe) | 33.39 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 250,159 | ||||
| Total Hospitalizations with ICD N184 - Chronic kidney disease, stage 4 (severe) | 19,700 | ||||
| DRG Share of Total Hospitalizations | 0.76 | ||||
| % of Total ICD N184 - Chronic kidney disease, stage 4 (severe) in DRG | 2.09 | ||||
| Avg LOS at DRG | 5.47 | ||||
| Avg LOS with ICD N184 - Chronic kidney disease, stage 4 (severe) | 6.35 | ||||
| Readmission Rate at DRG | 27.88 | ||||
| Readmission Rate with ICD N184 - Chronic kidney disease, stage 4 (severe) | 31.81 | ||||
| Unplanned Readmission Rate at DRG | 19.94 | ||||
| Unplanned Readmission Rate with ICD N184 - Chronic kidney disease, stage 4 (severe) | 23.72 | ||||
| Total Medicare payments at DRG | $2,661,443,545 | ||||
| Total Medicare payments with ICD N184 - Chronic kidney disease, stage 4 (severe) | $213,336,076 | ||||
| Total Medicare payment per Day at DRG | $1,946 | ||||
| Total Medicare payment per Day with ICD N184 - Chronic kidney disease, stage 4 (severe) | $1,704 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,639 | ||||
| Total Medicare payment per Hospitalization with ICD N184 - Chronic kidney disease, stage 4 (severe) | $10,829 | ||||
| Total Medicare Charges at DRG | $13,270,497,724 | ||||
| Total Medicare Charges with ICD N184 - Chronic kidney disease, stage 4 (severe) | $1,058,173,800 | ||||
| Avg Charges at DRG | $53,048 | ||||
| Avg Charges with ICD N184 - Chronic kidney disease, stage 4 (severe) | $53,714 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD N184 - Chronic kidney disease, stage 4 (severe) | NA | ||||
| SNF Discharge Rate at DRG | 21.63 | ||||
| SNF Discharge Rate with ICD N184 - Chronic kidney disease, stage 4 (severe) | 23.94 | ||||
| Home Discharge Rate at DRG | 34.87 | ||||
| Home Discharge Rate with ICD N184 - Chronic kidney disease, stage 4 (severe) | 30.22 |
*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 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD N184 - Chronic kidney disease, stage 4 (severe) | 13,677 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD N184 - Chronic kidney disease, stage 4 (severe) in DRG | 1.45 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD N184 - Chronic kidney disease, stage 4 (severe) | 4.17 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD N184 - Chronic kidney disease, stage 4 (severe) | 21.7 | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD N184 - Chronic kidney disease, stage 4 (severe) | 15.79 | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD N184 - Chronic kidney disease, stage 4 (severe) | $83,215,354 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD N184 - Chronic kidney disease, stage 4 (severe) | $1,457 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD N184 - Chronic kidney disease, stage 4 (severe) | $6,084 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD N184 - Chronic kidney disease, stage 4 (severe) | $383,454,535 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD N184 - Chronic kidney disease, stage 4 (severe) | $28,036 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD N184 - Chronic kidney disease, stage 4 (severe) | 1.1 | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD N184 - Chronic kidney disease, stage 4 (severe) | 19.99 | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD N184 - Chronic kidney disease, stage 4 (severe) | 45.27 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 281: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 364,421 | ||||
| Total Hospitalizations with ICD N184 - Chronic kidney disease, stage 4 (severe) | 9,327 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD N184 - Chronic kidney disease, stage 4 (severe) in DRG | 0.99 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD N184 - Chronic kidney disease, stage 4 (severe) | 4.5 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD N184 - Chronic kidney disease, stage 4 (severe) | 23.42 | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD N184 - Chronic kidney disease, stage 4 (severe) | 16.95 | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD N184 - Chronic kidney disease, stage 4 (severe) | $50,295,891 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD N184 - Chronic kidney disease, stage 4 (severe) | $1,199 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD N184 - Chronic kidney disease, stage 4 (severe) | $5,393 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD N184 - Chronic kidney disease, stage 4 (severe) | $252,894,049 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD N184 - Chronic kidney disease, stage 4 (severe) | $27,114 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD N184 - Chronic kidney disease, stage 4 (severe) | 0.25 | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD N184 - Chronic kidney disease, stage 4 (severe) | 22.06 | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD N184 - Chronic kidney disease, stage 4 (severe) | 40.87 |
| 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 | 2,676 |
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 2,556 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 2,533 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MARK J AULT | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 158 |
| Dr. EDITH NEBUWA ANIEDOBE | 1500 FOREST GLEN RD | SILVER SPRING | MD | 20910 | 107 |
| Dr. HANY M HABASHY | 1325 EASTMORELAND AVE | MEMPHIS | TN | 38104 | 84 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 461 |
| Dr. HRISHIKESH GHANEKAR | 1025 MAINE ST | QUINCY | IL | 62301 | 280 |
| Dr. HEMANT KUMAR SINHA | 35772 US HIGHWAY 231 | ASHVILLE | AL | 35953 | 270 |