*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| N189 - Chronic kidney disease, unspecified - as a primary diagnosis code | N189 - Chronic kidney disease, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.92 | |
| Readmission Rate (%) | 24.98 | |
| Unplanned Readmission Rate (%) | 14.26 | |
| 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 684: RENAL FAILURE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||
| Total Hospitalizations with ICD N189 - Chronic kidney disease, unspecified | 310 | ||
| DRG Share of Total Hospitalizations | 1.32 | ||
| % of Total ICD N189 - Chronic kidney disease, unspecified in DRG | 46.62 | ||
| Avg LOS at DRG | 3.94 | ||
| Avg LOS with ICD N189 - Chronic kidney disease, unspecified | 4.25 | ||
| Readmission Rate at DRG | 22.76 | ||
| Readmission Rate with ICD N189 - Chronic kidney disease, unspecified | 23.81 | ||
| Unplanned Readmission Rate at DRG | 16.46 | ||
| Unplanned Readmission Rate with ICD N189 - Chronic kidney disease, unspecified | 14.29 | ||
| Total Medicare payments at DRG | $2,472,138,198 | ||
| Total Medicare payments with ICD N189 - Chronic kidney disease, unspecified | $2,206,835 | ||
| Total Medicare payment per Day at DRG | $1,444 | ||
| Total Medicare payment per Day with ICD N189 - Chronic kidney disease, unspecified | $1,677 | ||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||
| Total Medicare payment per Hospitalization with ICD N189 - Chronic kidney disease, unspecified | $7,119 | ||
| Total Medicare Charges at DRG | $12,478,361,060 | ||
| Total Medicare Charges with ICD N189 - Chronic kidney disease, unspecified | $6,012,586 | ||
| Avg Charges at DRG | $28,735 | ||
| Avg Charges with ICD N189 - Chronic kidney disease, unspecified | $19,395 | ||
| Mortality Rate at DRG | 0.91 | ||
| Mortality Rate with ICD N189 - Chronic kidney disease, unspecified | 3.87 | ||
| SNF Discharge Rate at DRG | 22.02 | ||
| SNF Discharge Rate with ICD N189 - Chronic kidney disease, unspecified | 18.06 | ||
| Home Discharge Rate at DRG | 46.68 | ||
| Home Discharge Rate with ICD N189 - Chronic kidney disease, unspecified | 40.32 |
*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 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 | 1,808,415 | ||||
| Total Hospitalizations with ICD N189 - Chronic kidney disease, unspecified | 135,757 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD N189 - Chronic kidney disease, unspecified in DRG | 7.27 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD N189 - Chronic kidney disease, unspecified | 6.55 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD N189 - Chronic kidney disease, unspecified | 25.98 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD N189 - Chronic kidney disease, unspecified | 17.49 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD N189 - Chronic kidney disease, unspecified | $1,641,374,337 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD N189 - Chronic kidney disease, unspecified | $1,846 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD N189 - Chronic kidney disease, unspecified | $12,091 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD N189 - Chronic kidney disease, unspecified | $8,707,919,148 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD N189 - Chronic kidney disease, unspecified | $64,143 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD N189 - Chronic kidney disease, unspecified | 16.21 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD N189 - Chronic kidney disease, unspecified | 30.05 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD N189 - Chronic kidney disease, unspecified | 18.38 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD N189 - Chronic kidney disease, unspecified | 35,889 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD N189 - Chronic kidney disease, unspecified in DRG | 1.92 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD N189 - Chronic kidney disease, unspecified | 3.01 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD N189 - Chronic kidney disease, unspecified | 14.75 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD N189 - Chronic kidney disease, unspecified | 5.91 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD N189 - Chronic kidney disease, unspecified | $435,228,758 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD N189 - Chronic kidney disease, unspecified | $4,033 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD N189 - Chronic kidney disease, unspecified | $12,127 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD N189 - Chronic kidney disease, unspecified | $2,290,660,650 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD N189 - Chronic kidney disease, unspecified | $63,826 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD N189 - Chronic kidney disease, unspecified | 0.2 | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD N189 - Chronic kidney disease, unspecified | 33.74 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD N189 - Chronic kidney disease, unspecified | 23.16 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 408,103 | ||||
| Total Hospitalizations with ICD N189 - Chronic kidney disease, unspecified | 28,467 | ||||
| DRG Share of Total Hospitalizations | 1.24 | ||||
| % of Total ICD N189 - Chronic kidney disease, unspecified in DRG | 1.52 | ||||
| Avg LOS at DRG | 3.52 | ||||
| Avg LOS with ICD N189 - Chronic kidney disease, unspecified | 3.79 | ||||
| Readmission Rate at DRG | 17.83 | ||||
| Readmission Rate with ICD N189 - Chronic kidney disease, unspecified | 21.3 | ||||
| Unplanned Readmission Rate at DRG | 13.81 | ||||
| Unplanned Readmission Rate with ICD N189 - Chronic kidney disease, unspecified | 16.69 | ||||
| Total Medicare payments at DRG | $2,416,862,532 | ||||
| Total Medicare payments with ICD N189 - Chronic kidney disease, unspecified | $176,212,085 | ||||
| Total Medicare payment per Day at DRG | $1,682 | ||||
| Total Medicare payment per Day with ICD N189 - Chronic kidney disease, unspecified | $1,634 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
| Total Medicare payment per Hospitalization with ICD N189 - Chronic kidney disease, unspecified | $6,190 | ||||
| Total Medicare Charges at DRG | $13,267,744,847 | ||||
| Total Medicare Charges with ICD N189 - Chronic kidney disease, unspecified | $997,834,349 | ||||
| Avg Charges at DRG | $32,511 | ||||
| Avg Charges with ICD N189 - Chronic kidney disease, unspecified | $35,052 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD N189 - Chronic kidney disease, unspecified | 1.19 | ||||
| SNF Discharge Rate at DRG | 14.1 | ||||
| SNF Discharge Rate with ICD N189 - Chronic kidney disease, unspecified | 17.93 | ||||
| Home Discharge Rate at DRG | 62.97 | ||||
| Home Discharge Rate with ICD N189 - Chronic kidney disease, unspecified | 55.07 |
*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 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT 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 | 364,421 | ||||
| Total Hospitalizations with ICD N189 - Chronic kidney disease, unspecified | 21,433 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD N189 - Chronic kidney disease, unspecified in DRG | 1.15 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD N189 - Chronic kidney disease, unspecified | 4.36 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD N189 - Chronic kidney disease, unspecified | 19.51 | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD N189 - Chronic kidney disease, unspecified | 13.25 | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD N189 - Chronic kidney disease, unspecified | $119,149,184 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD N189 - Chronic kidney disease, unspecified | $1,276 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD N189 - Chronic kidney disease, unspecified | $5,559 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD N189 - Chronic kidney disease, unspecified | $585,435,152 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD N189 - Chronic kidney disease, unspecified | $27,315 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD N189 - Chronic kidney disease, unspecified | 0.2 | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD N189 - Chronic kidney disease, unspecified | 19.88 | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD N189 - Chronic kidney disease, unspecified | 45.46 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 9,543 |
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 7,524 |
| YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 6,598 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID M ROGERS | 5645 MAIN ST | FLUSHING | NY | 11355 | 357 |
| Dr. EDITH NEBUWA ANIEDOBE | 1500 FOREST GLEN RD | SILVER SPRING | MD | 20910 | 246 |
| Dr. KURT E. JACOBSON | 6262 VETERANS PKWY | COLUMBUS | GA | 31909 | 222 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. KALYAN AKKINENI | 1001 TOWSON AVE | FORT SMITH | AR | 72901 | 536 |
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 512 |
| Dr. DMITRIY ZADUSHLIVY | 4802 10TH AVE | BROOKLYN | NY | 11219 | 496 |