*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| N19 - Unspecified kidney failure - as a primary diagnosis code | N19 - Unspecified kidney failure - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.74 | |
| Readmission Rate (%) | 23.65 | |
| Unplanned Readmission Rate (%) | 12.35 | |
| 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) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||
| Total Hospitalizations with ICD N19 - Unspecified kidney failure | 359 | ||
| DRG Share of Total Hospitalizations | 1.32 | ||
| % of Total ICD N19 - Unspecified kidney failure in DRG | 47.42 | ||
| Avg LOS at DRG | 3.94 | ||
| Avg LOS with ICD N19 - Unspecified kidney failure | 3.76 | ||
| Readmission Rate at DRG | 22.76 | ||
| Readmission Rate with ICD N19 - Unspecified kidney failure | 19.93 | ||
| Unplanned Readmission Rate at DRG | 16.46 | ||
| Unplanned Readmission Rate with ICD N19 - Unspecified kidney failure | 11.15 | ||
| Total Medicare payments at DRG | $2,472,138,198 | ||
| Total Medicare payments with ICD N19 - Unspecified kidney failure | $2,343,480 | ||
| Total Medicare payment per Day at DRG | $1,444 | ||
| Total Medicare payment per Day with ICD N19 - Unspecified kidney failure | $1,737 | ||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||
| Total Medicare payment per Hospitalization with ICD N19 - Unspecified kidney failure | $6,528 | ||
| Total Medicare Charges at DRG | $12,478,361,060 | ||
| Total Medicare Charges with ICD N19 - Unspecified kidney failure | $7,351,984 | ||
| Avg Charges at DRG | $28,735 | ||
| Avg Charges with ICD N19 - Unspecified kidney failure | $20,479 | ||
| Mortality Rate at DRG | 0.91 | ||
| Mortality Rate with ICD N19 - Unspecified kidney failure | 6.69 | ||
| SNF Discharge Rate at DRG | 22.02 | ||
| SNF Discharge Rate with ICD N19 - Unspecified kidney failure | 14.48 | ||
| Home Discharge Rate at DRG | 46.68 | ||
| Home Discharge Rate with ICD N19 - Unspecified kidney failure | 43.73 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 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 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD N19 - Unspecified kidney failure | 2,309 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD N19 - Unspecified kidney failure in DRG | 8.43 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD N19 - Unspecified kidney failure | 5.14 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD N19 - Unspecified kidney failure | 22.7 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD N19 - Unspecified kidney failure | 15.22 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD N19 - Unspecified kidney failure | $26,172,963 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD N19 - Unspecified kidney failure | $2,205 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD N19 - Unspecified kidney failure | $11,335 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD N19 - Unspecified kidney failure | $120,930,203 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD N19 - Unspecified kidney failure | $52,373 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD N19 - Unspecified kidney failure | 31.83 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD N19 - Unspecified kidney failure | 20.74 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD N19 - Unspecified kidney failure | 16.5 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| 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) | DRG 885: PSYCHOSES | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD N19 - Unspecified kidney failure | 545 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD N19 - Unspecified kidney failure in DRG | 1.99 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD N19 - Unspecified kidney failure | 4.01 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD N19 - Unspecified kidney failure | 19.81 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD N19 - Unspecified kidney failure | 12.74 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD N19 - Unspecified kidney failure | $3,616,481 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD N19 - Unspecified kidney failure | $1,654 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD N19 - Unspecified kidney failure | $6,636 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD N19 - Unspecified kidney failure | $16,952,546 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD N19 - Unspecified kidney failure | $31,106 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD N19 - Unspecified kidney failure | 12.66 | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD N19 - Unspecified kidney failure | 17.61 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD N19 - Unspecified kidney failure | 34.13 |
*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 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD N19 - Unspecified kidney failure | 465 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD N19 - Unspecified kidney failure in DRG | 1.7 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD N19 - Unspecified kidney failure | 4.32 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD N19 - Unspecified kidney failure | 19.4 | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD N19 - Unspecified kidney failure | 9.45 | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD N19 - Unspecified kidney failure | $3,062,100 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD N19 - Unspecified kidney failure | $1,523 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD N19 - Unspecified kidney failure | $6,585 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD N19 - Unspecified kidney failure | $11,408,127 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD N19 - Unspecified kidney failure | $24,534 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD N19 - Unspecified kidney failure | 8.17 | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD N19 - Unspecified kidney failure | 18.06 | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD N19 - Unspecified kidney failure | 39.35 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 293: HEART FAILURE AND SHOCK WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD N19 - Unspecified kidney failure | 347 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD N19 - Unspecified kidney failure in DRG | 1.27 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD N19 - Unspecified kidney failure | 3.16 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD N19 - Unspecified kidney failure | 21.0 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD N19 - Unspecified kidney failure | 11.91 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD N19 - Unspecified kidney failure | $1,676,949 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD N19 - Unspecified kidney failure | $1,527 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD N19 - Unspecified kidney failure | $4,833 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD N19 - Unspecified kidney failure | $8,045,023 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD N19 - Unspecified kidney failure | $23,185 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD N19 - Unspecified kidney failure | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD N19 - Unspecified kidney failure | 9.8 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD N19 - Unspecified kidney failure | 63.4 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| VIRGINIA MASON MEMORIAL | 2811 TIETON DR | YAKIMA | WA | 98902 | 107 |
| HEALTHSOUTH REHABILITATION HOSPITAL OF CHARLESTON | 9181 MEDCOM ST | NORTH CHARLESTON | SC | 29406 | 94 |
| HEALTHSOUTH REHABILITATION OF GADSDEN | 801 GOODYEAR AVE | GADSDEN | AL | 35903 | 76 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SIVA ARUNASALAM | 12780 HESPERIA RD | VICTORVILLE | CA | 92395 | 22 |
| Dr. ABDUL G BAHRO | 1860 CHADWICK DR | JACKSON | MS | 39204 | 11 |
| Dr. SAJAL KUMAR | 315 HOLTON AVE | YAKIMA | WA | 98902 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MARK A FREDRICKSON | 1800 HERITAGE BLVD | MIDLAND | TX | 79707 | 61 |
| Dr. UMAMAHESWARA RAO VEJENDLA PHYSICIAN PC | 152 FOOTE AVE | JAMESTOWN | NY | 14701 | 59 |
| Dr. WILLIAM J LIVESAY | 9181 MEDCOM ST | NORTH CHARLESTON | SC | 29406 | 55 |