*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| N990 - Postprocedural (acute) (chronic) kidney failure - as a primary diagnosis code | N990 - Postprocedural (acute) (chronic) kidney failure - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 10.92 | |
| Readmission Rate (%) | 31.42 | |
| Unplanned Readmission Rate (%) | 13.37 | |
| 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 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 699: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 172,705 | ||||
| Total Hospitalizations with ICD N990 - Postprocedural (acute) (chronic) kidney failure | 368 | ||||
| DRG Share of Total Hospitalizations | 0.53 | ||||
| % of Total ICD N990 - Postprocedural (acute) (chronic) kidney failure in DRG | 55.51 | ||||
| Avg LOS at DRG | 6.21 | ||||
| Avg LOS with ICD N990 - Postprocedural (acute) (chronic) kidney failure | 14.51 | ||||
| Readmission Rate at DRG | 27.27 | ||||
| Readmission Rate with ICD N990 - Postprocedural (acute) (chronic) kidney failure | 33.22 | ||||
| Unplanned Readmission Rate at DRG | 20.51 | ||||
| Unplanned Readmission Rate with ICD N990 - Postprocedural (acute) (chronic) kidney failure | 15.1 | ||||
| Total Medicare payments at DRG | $1,773,015,083 | ||||
| Total Medicare payments with ICD N990 - Postprocedural (acute) (chronic) kidney failure | $7,110,329 | ||||
| Total Medicare payment per Day at DRG | $1,652 | ||||
| Total Medicare payment per Day with ICD N990 - Postprocedural (acute) (chronic) kidney failure | $1,331 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,266 | ||||
| Total Medicare payment per Hospitalization with ICD N990 - Postprocedural (acute) (chronic) kidney failure | $19,322 | ||||
| Total Medicare Charges at DRG | $8,667,227,667 | ||||
| Total Medicare Charges with ICD N990 - Postprocedural (acute) (chronic) kidney failure | $35,042,748 | ||||
| Avg Charges at DRG | $50,185 | ||||
| Avg Charges with ICD N990 - Postprocedural (acute) (chronic) kidney failure | $95,225 | ||||
| Mortality Rate at DRG | 2.92 | ||||
| Mortality Rate with ICD N990 - Postprocedural (acute) (chronic) kidney failure | 6.25 | ||||
| SNF Discharge Rate at DRG | 33.71 | ||||
| SNF Discharge Rate with ICD N990 - Postprocedural (acute) (chronic) kidney failure | 24.73 | ||||
| Home Discharge Rate at DRG | 25.53 | ||||
| Home Discharge Rate with ICD N990 - Postprocedural (acute) (chronic) kidney failure | 25.54 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 219: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 652: KIDNEY TRANSPLANT | DRG 233: CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 49,301 | ||||
| Total Hospitalizations with ICD N990 - Postprocedural (acute) (chronic) kidney failure | 768 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD N990 - Postprocedural (acute) (chronic) kidney failure in DRG | 6.51 | ||||
| Avg LOS at DRG | 10.92 | ||||
| Avg LOS with ICD N990 - Postprocedural (acute) (chronic) kidney failure | 12.9 | ||||
| Readmission Rate at DRG | 32.06 | ||||
| Readmission Rate with ICD N990 - Postprocedural (acute) (chronic) kidney failure | 38.67 | ||||
| Unplanned Readmission Rate at DRG | 12.13 | ||||
| Unplanned Readmission Rate with ICD N990 - Postprocedural (acute) (chronic) kidney failure | 10.67 | ||||
| Total Medicare payments at DRG | $2,755,788,420 | ||||
| Total Medicare payments with ICD N990 - Postprocedural (acute) (chronic) kidney failure | $47,156,290 | ||||
| Total Medicare payment per Day at DRG | $5,120 | ||||
| Total Medicare payment per Day with ICD N990 - Postprocedural (acute) (chronic) kidney failure | $4,761 | ||||
| Total Medicare payment per Hospitalization at DRG | $55,897 | ||||
| Total Medicare payment per Hospitalization with ICD N990 - Postprocedural (acute) (chronic) kidney failure | $61,401 | ||||
| Total Medicare Charges at DRG | $13,454,609,626 | ||||
| Total Medicare Charges with ICD N990 - Postprocedural (acute) (chronic) kidney failure | $244,241,994 | ||||
| Avg Charges at DRG | $272,907 | ||||
| Avg Charges with ICD N990 - Postprocedural (acute) (chronic) kidney failure | $318,023 | ||||
| Mortality Rate at DRG | 7.09 | ||||
| Mortality Rate with ICD N990 - Postprocedural (acute) (chronic) kidney failure | 10.42 | ||||
| SNF Discharge Rate at DRG | 21.99 | ||||
| SNF Discharge Rate with ICD N990 - Postprocedural (acute) (chronic) kidney failure | 26.43 | ||||
| Home Discharge Rate at DRG | 21.9 | ||||
| Home Discharge Rate with ICD N990 - Postprocedural (acute) (chronic) kidney failure | 13.15 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 235: CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 469: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 216: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 31,741 | ||||
| Total Hospitalizations with ICD N990 - Postprocedural (acute) (chronic) kidney failure | 432 | ||||
| DRG Share of Total Hospitalizations | 0.1 | ||||
| % of Total ICD N990 - Postprocedural (acute) (chronic) kidney failure in DRG | 3.66 | ||||
| Avg LOS at DRG | 9.93 | ||||
| Avg LOS with ICD N990 - Postprocedural (acute) (chronic) kidney failure | 11.29 | ||||
| Readmission Rate at DRG | 29.41 | ||||
| Readmission Rate with ICD N990 - Postprocedural (acute) (chronic) kidney failure | 33.25 | ||||
| Unplanned Readmission Rate at DRG | 10.75 | ||||
| Unplanned Readmission Rate with ICD N990 - Postprocedural (acute) (chronic) kidney failure | 11.0 | ||||
| Total Medicare payments at DRG | $1,189,879,422 | ||||
| Total Medicare payments with ICD N990 - Postprocedural (acute) (chronic) kidney failure | $17,856,706 | ||||
| Total Medicare payment per Day at DRG | $3,776 | ||||
| Total Medicare payment per Day with ICD N990 - Postprocedural (acute) (chronic) kidney failure | $3,662 | ||||
| Total Medicare payment per Hospitalization at DRG | $37,487 | ||||
| Total Medicare payment per Hospitalization with ICD N990 - Postprocedural (acute) (chronic) kidney failure | $41,335 | ||||
| Total Medicare Charges at DRG | $6,309,081,458 | ||||
| Total Medicare Charges with ICD N990 - Postprocedural (acute) (chronic) kidney failure | $102,005,080 | ||||
| Avg Charges at DRG | $198,768 | ||||
| Avg Charges with ICD N990 - Postprocedural (acute) (chronic) kidney failure | $236,123 | ||||
| Mortality Rate at DRG | 2.92 | ||||
| Mortality Rate with ICD N990 - Postprocedural (acute) (chronic) kidney failure | 3.7 | ||||
| SNF Discharge Rate at DRG | 21.05 | ||||
| SNF Discharge Rate with ICD N990 - Postprocedural (acute) (chronic) kidney failure | 28.94 | ||||
| Home Discharge Rate at DRG | 24.23 | ||||
| Home Discharge Rate with ICD N990 - Postprocedural (acute) (chronic) kidney failure | 18.75 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 480: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 656: KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 268: AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON W MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 88,007 | ||||
| Total Hospitalizations with ICD N990 - Postprocedural (acute) (chronic) kidney failure | 237 | ||||
| DRG Share of Total Hospitalizations | 0.27 | ||||
| % of Total ICD N990 - Postprocedural (acute) (chronic) kidney failure in DRG | 2.01 | ||||
| Avg LOS at DRG | 7.38 | ||||
| Avg LOS with ICD N990 - Postprocedural (acute) (chronic) kidney failure | 7.9 | ||||
| Readmission Rate at DRG | 29.95 | ||||
| Readmission Rate with ICD N990 - Postprocedural (acute) (chronic) kidney failure | 36.59 | ||||
| Unplanned Readmission Rate at DRG | 12.78 | ||||
| Unplanned Readmission Rate with ICD N990 - Postprocedural (acute) (chronic) kidney failure | 11.71 | ||||
| Total Medicare payments at DRG | $1,679,975,081 | ||||
| Total Medicare payments with ICD N990 - Postprocedural (acute) (chronic) kidney failure | $4,632,516 | ||||
| Total Medicare payment per Day at DRG | $2,585 | ||||
| Total Medicare payment per Day with ICD N990 - Postprocedural (acute) (chronic) kidney failure | $2,475 | ||||
| Total Medicare payment per Hospitalization at DRG | $19,089 | ||||
| Total Medicare payment per Hospitalization with ICD N990 - Postprocedural (acute) (chronic) kidney failure | $19,546 | ||||
| Total Medicare Charges at DRG | $8,209,996,060 | ||||
| Total Medicare Charges with ICD N990 - Postprocedural (acute) (chronic) kidney failure | $24,472,743 | ||||
| Avg Charges at DRG | $93,288 | ||||
| Avg Charges with ICD N990 - Postprocedural (acute) (chronic) kidney failure | $103,261 | ||||
| Mortality Rate at DRG | 5.86 | ||||
| Mortality Rate with ICD N990 - Postprocedural (acute) (chronic) kidney failure | 11.39 | ||||
| SNF Discharge Rate at DRG | 63.57 | ||||
| SNF Discharge Rate with ICD N990 - Postprocedural (acute) (chronic) kidney failure | 56.54 | ||||
| Home Discharge Rate at DRG | 2.5 | ||||
| Home Discharge Rate with ICD N990 - Postprocedural (acute) (chronic) kidney failure | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 236: CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 699: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 220: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 657: KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 58,643 | ||||
| Total Hospitalizations with ICD N990 - Postprocedural (acute) (chronic) kidney failure | 177 | ||||
| DRG Share of Total Hospitalizations | 0.18 | ||||
| % of Total ICD N990 - Postprocedural (acute) (chronic) kidney failure in DRG | 1.5 | ||||
| Avg LOS at DRG | 6.45 | ||||
| Avg LOS with ICD N990 - Postprocedural (acute) (chronic) kidney failure | 8.21 | ||||
| Readmission Rate at DRG | 15.68 | ||||
| Readmission Rate with ICD N990 - Postprocedural (acute) (chronic) kidney failure | 16.0 | ||||
| Unplanned Readmission Rate at DRG | 6.69 | ||||
| Unplanned Readmission Rate with ICD N990 - Postprocedural (acute) (chronic) kidney failure | 6.86 | ||||
| Total Medicare payments at DRG | $1,395,012,007 | ||||
| Total Medicare payments with ICD N990 - Postprocedural (acute) (chronic) kidney failure | $4,608,474 | ||||
| Total Medicare payment per Day at DRG | $3,687 | ||||
| Total Medicare payment per Day with ICD N990 - Postprocedural (acute) (chronic) kidney failure | $3,172 | ||||
| Total Medicare payment per Hospitalization at DRG | $23,788 | ||||
| Total Medicare payment per Hospitalization with ICD N990 - Postprocedural (acute) (chronic) kidney failure | $26,037 | ||||
| Total Medicare Charges at DRG | $8,142,869,976 | ||||
| Total Medicare Charges with ICD N990 - Postprocedural (acute) (chronic) kidney failure | $28,612,943 | ||||
| Avg Charges at DRG | $138,855 | ||||
| Avg Charges with ICD N990 - Postprocedural (acute) (chronic) kidney failure | $161,655 | ||||
| Mortality Rate at DRG | 0.21 | ||||
| Mortality Rate with ICD N990 - Postprocedural (acute) (chronic) kidney failure | NA | ||||
| SNF Discharge Rate at DRG | 13.48 | ||||
| SNF Discharge Rate with ICD N990 - Postprocedural (acute) (chronic) kidney failure | 16.38 | ||||
| Home Discharge Rate at DRG | 38.38 | ||||
| Home Discharge Rate with ICD N990 - Postprocedural (acute) (chronic) kidney failure | 27.12 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| NEWYORK PRESBYTERIAN - COLUMBIA UNIVERSITY MEDICAL CENTER | 622 W 168TH ST | NEW YORK | NY | 10032 | 122 |
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 120 |
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 99 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. BADR IDBEIS | 2237 KEYSTONE CIRCLE | ANDOVER | KS | 67002 | 28 |
| Dr. ALFREDO TRENTO | 8700 BEVERLY BLVD. | LOS ANGELES | CA | 90048 | 20 |
| Dr. LACY C MCCLAIN | 415 S 28TH AVE | HATTIESBURG | MS | 39401 | 19 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ALFREDO TRENTO | 8700 BEVERLY BLVD. | LOS ANGELES | CA | 90048 | 20 |
| Dr. LACY C MCCLAIN | 415 S 28TH AVE | HATTIESBURG | MS | 39401 | 19 |
| Dr. LUCIAN P. BEDNARZ | 5 MORGAN HWY | SCRANTON | PA | 18508 | 17 |