*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
N186 - End stage renal disease - as a primary diagnosis code | N186 - End stage renal disease - as a primary or secondary diagnosis code | |
---|---|---|
OUTCOMES | ||
Avg. LOS | 6.98 | |
Readmission Rate (%) | 35.59 | |
Unplanned Readmission Rate (%) | 19.65 | |
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 652: KIDNEY TRANSPLANT | 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 674: OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 32,592 | ||||
Total Hospitalizations with ICD N186 - End stage renal disease | 4,547 | ||||
DRG Share of Total Hospitalizations | 0.1 | ||||
% of Total ICD N186 - End stage renal disease in DRG | 32.72 | ||||
Avg LOS at DRG | 6.31 | ||||
Avg LOS with ICD N186 - End stage renal disease | 6.21 | ||||
Readmission Rate at DRG | 26.14 | ||||
Readmission Rate with ICD N186 - End stage renal disease | 24.14 | ||||
Unplanned Readmission Rate at DRG | 12.57 | ||||
Unplanned Readmission Rate with ICD N186 - End stage renal disease | 11.18 | ||||
Total Medicare payments at DRG | $892,364,102 | ||||
Total Medicare payments with ICD N186 - End stage renal disease | $119,296,243 | ||||
Total Medicare payment per Day at DRG | $4,342 | ||||
Total Medicare payment per Day with ICD N186 - End stage renal disease | $4,228 | ||||
Total Medicare payment per Hospitalization at DRG | $27,380 | ||||
Total Medicare payment per Hospitalization with ICD N186 - End stage renal disease | $26,236 | ||||
Total Medicare Charges at DRG | $7,961,329,166 | ||||
Total Medicare Charges with ICD N186 - End stage renal disease | $1,073,109,084 | ||||
Avg Charges at DRG | $244,272 | ||||
Avg Charges with ICD N186 - End stage renal disease | $236,004 | ||||
Mortality Rate at DRG | 0.29 | ||||
Mortality Rate with ICD N186 - End stage renal disease | 0.35 | ||||
SNF Discharge Rate at DRG | 0.89 | ||||
SNF Discharge Rate with ICD N186 - End stage renal disease | 0.73 | ||||
Home Discharge Rate at DRG | 77.72 | ||||
Home Discharge Rate with ICD N186 - End stage renal disease | 80.95 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 673: OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 675: OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 660: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 28,634 | ||||
Total Hospitalizations with ICD N186 - End stage renal disease | 407 | ||||
DRG Share of Total Hospitalizations | 0.09 | ||||
% of Total ICD N186 - End stage renal disease in DRG | 2.93 | ||||
Avg LOS at DRG | 11.28 | ||||
Avg LOS with ICD N186 - End stage renal disease | 10.8 | ||||
Readmission Rate at DRG | 31.61 | ||||
Readmission Rate with ICD N186 - End stage renal disease | 30.62 | ||||
Unplanned Readmission Rate at DRG | 20.7 | ||||
Unplanned Readmission Rate with ICD N186 - End stage renal disease | 20.05 | ||||
Total Medicare payments at DRG | $694,538,967 | ||||
Total Medicare payments with ICD N186 - End stage renal disease | $9,954,700 | ||||
Total Medicare payment per Day at DRG | $2,151 | ||||
Total Medicare payment per Day with ICD N186 - End stage renal disease | $2,264 | ||||
Total Medicare payment per Hospitalization at DRG | $24,256 | ||||
Total Medicare payment per Hospitalization with ICD N186 - End stage renal disease | $24,459 | ||||
Total Medicare Charges at DRG | $3,311,277,166 | ||||
Total Medicare Charges with ICD N186 - End stage renal disease | $42,633,156 | ||||
Avg Charges at DRG | $115,641 | ||||
Avg Charges with ICD N186 - End stage renal disease | $104,750 | ||||
Mortality Rate at DRG | 4.08 | ||||
Mortality Rate with ICD N186 - End stage renal disease | 6.14 | ||||
SNF Discharge Rate at DRG | 28.26 | ||||
SNF Discharge Rate with ICD N186 - End stage renal disease | 20.88 | ||||
Home Discharge Rate at DRG | 36.18 | ||||
Home Discharge Rate with ICD N186 - End stage renal disease | 44.72 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 983: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 008: SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | DRG 988: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 659: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 987: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 11,723 | ||||
Total Hospitalizations with ICD N186 - End stage renal disease | 46 | ||||
DRG Share of Total Hospitalizations | 0.04 | ||||
% of Total ICD N186 - End stage renal disease in DRG | 0.33 | ||||
Avg LOS at DRG | 3.14 | ||||
Avg LOS with ICD N186 - End stage renal disease | 3.13 | ||||
Readmission Rate at DRG | 12.89 | ||||
Readmission Rate with ICD N186 - End stage renal disease | NA | ||||
Unplanned Readmission Rate at DRG | 7.1 | ||||
Unplanned Readmission Rate with ICD N186 - End stage renal disease | NA | ||||
Total Medicare payments at DRG | $122,697,695 | ||||
Total Medicare payments with ICD N186 - End stage renal disease | $449,808 | ||||
Total Medicare payment per Day at DRG | $3,328 | ||||
Total Medicare payment per Day with ICD N186 - End stage renal disease | $3,124 | ||||
Total Medicare payment per Hospitalization at DRG | $10,466 | ||||
Total Medicare payment per Hospitalization with ICD N186 - End stage renal disease | $9,778 | ||||
Total Medicare Charges at DRG | $633,485,759 | ||||
Total Medicare Charges with ICD N186 - End stage renal disease | $1,903,584 | ||||
Avg Charges at DRG | $54,038 | ||||
Avg Charges with ICD N186 - End stage renal disease | $41,382 | ||||
Mortality Rate at DRG | 0.25 | ||||
Mortality Rate with ICD N186 - End stage renal disease | NA | ||||
SNF Discharge Rate at DRG | 9.06 | ||||
SNF Discharge Rate with ICD N186 - End stage renal disease | NA | ||||
Home Discharge Rate at DRG | 70.16 | ||||
Home Discharge Rate with ICD N186 - End stage renal disease | 82.61 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
VIRGINIA MASON MEDICAL CENTER | 925 SENECA ST | SEATTLE | WA | 98101 | 267 |
MAYO CLINIC HOSPITAL | 5777 E MAYO BLVD | PHOENIX | AZ | 85054 | 193 |
HOUSTON METHODIST HOSPITAL | 6565 FANNIN ST | HOUSTON | TX | 77030 | 138 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. JARED BRANDENBERGER | 1100 9TH AVE | SEATTLE | WA | 98101 | 88 |
Dr. WILLIAM CHRISTOPHER GOGGINS | 550 UNIVERSITY BLVD | INDIANAPOLIS | IN | 46202 | 65 |
Dr. CHRISTIAN SENESAC KUHR | 1100 9TH AVE | SEATTLE | WA | 98101 | 46 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. WILLIAM CHRISTOPHER GOGGINS | 550 UNIVERSITY BLVD | INDIANAPOLIS | IN | 46202 | 67 |
Dr. MICHAEL SUTTERS | 1100 9TH AVE | SEATTLE | WA | 98101 | 45 |
Dr. ADYR A MOSS | 5779 E MAYO BLVD | PHOENIX | AZ | 85054 | 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 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 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 1,808,415 | ||||
Total Hospitalizations with ICD N186 - End stage renal disease | 135,575 | ||||
DRG Share of Total Hospitalizations | 5.5 | ||||
% of Total ICD N186 - End stage renal disease in DRG | 7.0 | ||||
Avg LOS at DRG | 6.34 | ||||
Avg LOS with ICD N186 - End stage renal disease | 7.2 | ||||
Readmission Rate at DRG | 24.2 | ||||
Readmission Rate with ICD N186 - End stage renal disease | 35.24 | ||||
Unplanned Readmission Rate at DRG | 16.78 | ||||
Unplanned Readmission Rate with ICD N186 - End stage renal disease | 25.43 | ||||
Total Medicare payments at DRG | $21,288,214,047 | ||||
Total Medicare payments with ICD N186 - End stage renal disease | $1,738,131,555 | ||||
Total Medicare payment per Day at DRG | $1,857 | ||||
Total Medicare payment per Day with ICD N186 - End stage renal disease | $1,780 | ||||
Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
Total Medicare payment per Hospitalization with ICD N186 - End stage renal disease | $12,820 | ||||
Total Medicare Charges at DRG | $107,155,481,388 | ||||
Total Medicare Charges with ICD N186 - End stage renal disease | $10,138,696,295 | ||||
Avg Charges at DRG | $59,254 | ||||
Avg Charges with ICD N186 - End stage renal disease | $74,783 | ||||
Mortality Rate at DRG | 12.11 | ||||
Mortality Rate with ICD N186 - End stage renal disease | 14.8 | ||||
SNF Discharge Rate at DRG | 27.18 | ||||
SNF Discharge Rate with ICD N186 - End stage renal disease | 22.2 | ||||
Home Discharge Rate at DRG | 25.81 | ||||
Home Discharge Rate with ICD N186 - End stage renal disease | 30.55 |
*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 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 138,345 | ||||
Total Hospitalizations with ICD N186 - End stage renal disease | 70,028 | ||||
DRG Share of Total Hospitalizations | 0.42 | ||||
% of Total ICD N186 - End stage renal disease in DRG | 3.62 | ||||
Avg LOS at DRG | 6.92 | ||||
Avg LOS with ICD N186 - End stage renal disease | 6.34 | ||||
Readmission Rate at DRG | 32.2 | ||||
Readmission Rate with ICD N186 - End stage renal disease | 33.46 | ||||
Unplanned Readmission Rate at DRG | 22.95 | ||||
Unplanned Readmission Rate with ICD N186 - End stage renal disease | 25.69 | ||||
Total Medicare payments at DRG | $1,845,581,658 | ||||
Total Medicare payments with ICD N186 - End stage renal disease | $916,004,223 | ||||
Total Medicare payment per Day at DRG | $1,929 | ||||
Total Medicare payment per Day with ICD N186 - End stage renal disease | $2,062 | ||||
Total Medicare payment per Hospitalization at DRG | $13,340 | ||||
Total Medicare payment per Hospitalization with ICD N186 - End stage renal disease | $13,081 | ||||
Total Medicare Charges at DRG | $9,021,459,592 | ||||
Total Medicare Charges with ICD N186 - End stage renal disease | $4,402,246,283 | ||||
Avg Charges at DRG | $65,210 | ||||
Avg Charges with ICD N186 - End stage renal disease | $62,864 | ||||
Mortality Rate at DRG | 5.29 | ||||
Mortality Rate with ICD N186 - End stage renal disease | 4.49 | ||||
SNF Discharge Rate at DRG | 18.8 | ||||
SNF Discharge Rate with ICD N186 - End stage renal disease | 18.11 | ||||
Home Discharge Rate at DRG | 39.78 | ||||
Home Discharge Rate with ICD N186 - End stage renal disease | 48.81 |
*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 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 652: KIDNEY TRANSPLANT | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 250,159 | ||||
Total Hospitalizations with ICD N186 - End stage renal disease | 36,962 | ||||
DRG Share of Total Hospitalizations | 0.76 | ||||
% of Total ICD N186 - End stage renal disease in DRG | 1.91 | ||||
Avg LOS at DRG | 5.47 | ||||
Avg LOS with ICD N186 - End stage renal disease | 5.34 | ||||
Readmission Rate at DRG | 27.88 | ||||
Readmission Rate with ICD N186 - End stage renal disease | 36.59 | ||||
Unplanned Readmission Rate at DRG | 19.94 | ||||
Unplanned Readmission Rate with ICD N186 - End stage renal disease | 28.03 | ||||
Total Medicare payments at DRG | $2,661,443,545 | ||||
Total Medicare payments with ICD N186 - End stage renal disease | $420,128,795 | ||||
Total Medicare payment per Day at DRG | $1,946 | ||||
Total Medicare payment per Day with ICD N186 - End stage renal disease | $2,130 | ||||
Total Medicare payment per Hospitalization at DRG | $10,639 | ||||
Total Medicare payment per Hospitalization with ICD N186 - End stage renal disease | $11,367 | ||||
Total Medicare Charges at DRG | $13,270,497,724 | ||||
Total Medicare Charges with ICD N186 - End stage renal disease | $2,213,429,650 | ||||
Avg Charges at DRG | $53,048 | ||||
Avg Charges with ICD N186 - End stage renal disease | $59,884 | ||||
Mortality Rate at DRG | NA | ||||
Mortality Rate with ICD N186 - End stage renal disease | NA | ||||
SNF Discharge Rate at DRG | 21.63 | ||||
SNF Discharge Rate with ICD N186 - End stage renal disease | 14.87 | ||||
Home Discharge Rate at DRG | 34.87 | ||||
Home Discharge Rate with ICD N186 - End stage renal disease | 46.0 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 637: DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 246: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR 4+ VESSELS OR STENTS | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 100,926 | ||||
Total Hospitalizations with ICD N186 - End stage renal disease | 23,301 | ||||
DRG Share of Total Hospitalizations | 0.31 | ||||
% of Total ICD N186 - End stage renal disease in DRG | 1.2 | ||||
Avg LOS at DRG | 5.47 | ||||
Avg LOS with ICD N186 - End stage renal disease | 5.16 | ||||
Readmission Rate at DRG | 29.88 | ||||
Readmission Rate with ICD N186 - End stage renal disease | 42.13 | ||||
Unplanned Readmission Rate at DRG | 23.17 | ||||
Unplanned Readmission Rate with ICD N186 - End stage renal disease | 35.11 | ||||
Total Medicare payments at DRG | $916,940,883 | ||||
Total Medicare payments with ICD N186 - End stage renal disease | $212,195,442 | ||||
Total Medicare payment per Day at DRG | $1,661 | ||||
Total Medicare payment per Day with ICD N186 - End stage renal disease | $1,766 | ||||
Total Medicare payment per Hospitalization at DRG | $9,085 | ||||
Total Medicare payment per Hospitalization with ICD N186 - End stage renal disease | $9,107 | ||||
Total Medicare Charges at DRG | $4,566,782,465 | ||||
Total Medicare Charges with ICD N186 - End stage renal disease | $1,095,893,895 | ||||
Avg Charges at DRG | $45,249 | ||||
Avg Charges with ICD N186 - End stage renal disease | $47,032 | ||||
Mortality Rate at DRG | 2.29 | ||||
Mortality Rate with ICD N186 - End stage renal disease | 2.07 | ||||
SNF Discharge Rate at DRG | 23.51 | ||||
SNF Discharge Rate with ICD N186 - End stage renal disease | 16.7 | ||||
Home Discharge Rate at DRG | 40.88 | ||||
Home Discharge Rate with ICD N186 - End stage renal disease | 52.56 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 9,593 |
METHODIST HOSPITAL | 7700 FLOYD CURL DRIVE | SAN ANTONIO | TX | 78229 | 7,414 |
METHODIST UNIVERSITY HOSPITAL | 1265 UNION AVE | MEMPHIS | TN | 38104 | 7,392 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. FARHAN MAQSOOD | 1100 E CHEVES ST | FLORENCE | SC | 29506 | 970 |
Dr. VENUGOPAL GOVINDAPPA | 255 WARLEY ST | FLORENCE | SC | 29501 | 739 |
Dr. RASHID AHMED DALAL | 4550 MEMORIAL DR | BELLEVILLE | IL | 62226 | 582 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. ANTONIO JAIME TORRES IMPERIAL | 415 S 28TH AVE | HATTIESBURG | MS | 39401 | 1,447 |
Dr. ANDREW M QUELER | 415 S 28TH AVE | HATTIESBURG | MS | 39401 | 1,346 |
Dr. FARHAN MAQSOOD | 1100 E CHEVES ST | FLORENCE | SC | 29506 | 1,118 |