*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Q612 - Polycystic kidney, adult type - as a primary diagnosis code | Q612 - Polycystic kidney, adult type - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.18 | |
| Readmission Rate (%) | 27.83 | |
| Unplanned Readmission Rate (%) | 13.56 | |
| 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 660: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 652: KIDNEY TRANSPLANT | DRG 699: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 659: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 25,081 | ||||
| Total Hospitalizations with ICD Q612 - Polycystic kidney, adult type | 472 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD Q612 - Polycystic kidney, adult type in DRG | 38.88 | ||||
| Avg LOS at DRG | 4.55 | ||||
| Avg LOS with ICD Q612 - Polycystic kidney, adult type | 5.05 | ||||
| Readmission Rate at DRG | 19.43 | ||||
| Readmission Rate with ICD Q612 - Polycystic kidney, adult type | 18.86 | ||||
| Unplanned Readmission Rate at DRG | 13.37 | ||||
| Unplanned Readmission Rate with ICD Q612 - Polycystic kidney, adult type | 13.6 | ||||
| Total Medicare payments at DRG | $300,903,567 | ||||
| Total Medicare payments with ICD Q612 - Polycystic kidney, adult type | $5,794,206 | ||||
| Total Medicare payment per Day at DRG | $2,638 | ||||
| Total Medicare payment per Day with ICD Q612 - Polycystic kidney, adult type | $2,430 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,997 | ||||
| Total Medicare payment per Hospitalization with ICD Q612 - Polycystic kidney, adult type | $12,276 | ||||
| Total Medicare Charges at DRG | $1,564,169,935 | ||||
| Total Medicare Charges with ICD Q612 - Polycystic kidney, adult type | $39,681,221 | ||||
| Avg Charges at DRG | $62,365 | ||||
| Avg Charges with ICD Q612 - Polycystic kidney, adult type | $84,070 | ||||
| Mortality Rate at DRG | 0.15 | ||||
| Mortality Rate with ICD Q612 - Polycystic kidney, adult type | NA | ||||
| SNF Discharge Rate at DRG | 11.28 | ||||
| SNF Discharge Rate with ICD Q612 - Polycystic kidney, adult type | NA | ||||
| Home Discharge Rate at DRG | 65.31 | ||||
| Home Discharge Rate with ICD Q612 - Polycystic kidney, adult type | 85.38 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 700: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 661: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 15,310 | |
| Total Hospitalizations with ICD Q612 - Polycystic kidney, adult type | 41 | |
| DRG Share of Total Hospitalizations | 0.05 | |
| % of Total ICD Q612 - Polycystic kidney, adult type in DRG | 3.38 | |
| Avg LOS at DRG | 3.02 | |
| Avg LOS with ICD Q612 - Polycystic kidney, adult type | 2.83 | |
| Readmission Rate at DRG | 19.13 | |
| Readmission Rate with ICD Q612 - Polycystic kidney, adult type | NA | |
| Unplanned Readmission Rate at DRG | 12.66 | |
| Unplanned Readmission Rate with ICD Q612 - Polycystic kidney, adult type | NA | |
| Total Medicare payments at DRG | $70,522,874 | |
| Total Medicare payments with ICD Q612 - Polycystic kidney, adult type | $179,231 | |
| Total Medicare payment per Day at DRG | $1,525 | |
| Total Medicare payment per Day with ICD Q612 - Polycystic kidney, adult type | $1,545 | |
| Total Medicare payment per Hospitalization at DRG | $4,606 | |
| Total Medicare payment per Hospitalization with ICD Q612 - Polycystic kidney, adult type | $4,371 | |
| Total Medicare Charges at DRG | $371,889,267 | |
| Total Medicare Charges with ICD Q612 - Polycystic kidney, adult type | $1,118,445 | |
| Avg Charges at DRG | $24,291 | |
| Avg Charges with ICD Q612 - Polycystic kidney, adult type | $27,279 | |
| Mortality Rate at DRG | 0.16 | |
| Mortality Rate with ICD Q612 - Polycystic kidney, adult type | NA | |
| SNF Discharge Rate at DRG | 16.31 | |
| SNF Discharge Rate with ICD Q612 - Polycystic kidney, adult type | NA | |
| Home Discharge Rate at DRG | 58.07 | |
| Home Discharge Rate with ICD Q612 - Polycystic kidney, adult type | 95.12 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM | 1500 EAST MEDICAL CENTER DRIVE | ANN ARBOR | MI | 48109 | 20 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 20 |
| TAMPA GENERAL HOSPITAL | 1 TAMPA GENERAL CIRCLE | TAMPA | FL | 33606 | 18 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MIKEL PRIETO | 200 1ST ST SW | ROCHESTER | MN | 55905 | 12 |
| Dr. ROBERT S FIGENSHAU | 4921 PARKVIEW PL | SAINT LOUIS | MO | 63110 | 11 |
*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 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 660: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 699: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 32,592 | ||||
| Total Hospitalizations with ICD Q612 - Polycystic kidney, adult type | 1,077 | ||||
| DRG Share of Total Hospitalizations | 0.1 | ||||
| % of Total ICD Q612 - Polycystic kidney, adult type in DRG | 6.95 | ||||
| Avg LOS at DRG | 6.31 | ||||
| Avg LOS with ICD Q612 - Polycystic kidney, adult type | 5.64 | ||||
| Readmission Rate at DRG | 26.14 | ||||
| Readmission Rate with ICD Q612 - Polycystic kidney, adult type | 20.95 | ||||
| Unplanned Readmission Rate at DRG | 12.57 | ||||
| Unplanned Readmission Rate with ICD Q612 - Polycystic kidney, adult type | 10.86 | ||||
| Total Medicare payments at DRG | $892,364,102 | ||||
| Total Medicare payments with ICD Q612 - Polycystic kidney, adult type | $26,235,771 | ||||
| Total Medicare payment per Day at DRG | $4,342 | ||||
| Total Medicare payment per Day with ICD Q612 - Polycystic kidney, adult type | $4,318 | ||||
| Total Medicare payment per Hospitalization at DRG | $27,380 | ||||
| Total Medicare payment per Hospitalization with ICD Q612 - Polycystic kidney, adult type | $24,360 | ||||
| Total Medicare Charges at DRG | $7,961,329,166 | ||||
| Total Medicare Charges with ICD Q612 - Polycystic kidney, adult type | $240,543,313 | ||||
| Avg Charges at DRG | $244,272 | ||||
| Avg Charges with ICD Q612 - Polycystic kidney, adult type | $223,346 | ||||
| Mortality Rate at DRG | 0.29 | ||||
| Mortality Rate with ICD Q612 - Polycystic kidney, adult type | NA | ||||
| SNF Discharge Rate at DRG | 0.89 | ||||
| SNF Discharge Rate with ICD Q612 - Polycystic kidney, adult type | NA | ||||
| Home Discharge Rate at DRG | 77.72 | ||||
| Home Discharge Rate with ICD Q612 - Polycystic kidney, adult type | 80.5 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 231,812 | ||||
| Total Hospitalizations with ICD Q612 - Polycystic kidney, adult type | 467 | ||||
| DRG Share of Total Hospitalizations | 0.71 | ||||
| % of Total ICD Q612 - Polycystic kidney, adult type in DRG | 3.01 | ||||
| Avg LOS at DRG | 4.41 | ||||
| Avg LOS with ICD Q612 - Polycystic kidney, adult type | 3.45 | ||||
| Readmission Rate at DRG | 29.12 | ||||
| Readmission Rate with ICD Q612 - Polycystic kidney, adult type | 36.3 | ||||
| Unplanned Readmission Rate at DRG | 22.82 | ||||
| Unplanned Readmission Rate with ICD Q612 - Polycystic kidney, adult type | 31.97 | ||||
| Total Medicare payments at DRG | $1,743,376,418 | ||||
| Total Medicare payments with ICD Q612 - Polycystic kidney, adult type | $3,544,276 | ||||
| Total Medicare payment per Day at DRG | $1,704 | ||||
| Total Medicare payment per Day with ICD Q612 - Polycystic kidney, adult type | $2,200 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,521 | ||||
| Total Medicare payment per Hospitalization with ICD Q612 - Polycystic kidney, adult type | $7,589 | ||||
| Total Medicare Charges at DRG | $8,543,867,896 | ||||
| Total Medicare Charges with ICD Q612 - Polycystic kidney, adult type | $15,979,877 | ||||
| Avg Charges at DRG | $36,857 | ||||
| Avg Charges with ICD Q612 - Polycystic kidney, adult type | $34,218 | ||||
| Mortality Rate at DRG | 2.89 | ||||
| Mortality Rate with ICD Q612 - Polycystic kidney, adult type | NA | ||||
| SNF Discharge Rate at DRG | 22.92 | ||||
| SNF Discharge Rate with ICD Q612 - Polycystic kidney, adult type | 6.85 | ||||
| Home Discharge Rate at DRG | 43.02 | ||||
| Home Discharge Rate with ICD Q612 - Polycystic kidney, adult type | 72.81 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD Q612 - Polycystic kidney, adult type | 266 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD Q612 - Polycystic kidney, adult type in DRG | 1.72 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD Q612 - Polycystic kidney, adult type | 4.67 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD Q612 - Polycystic kidney, adult type | 16.4 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD Q612 - Polycystic kidney, adult type | 12.4 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD Q612 - Polycystic kidney, adult type | $1,860,893 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD Q612 - Polycystic kidney, adult type | $1,497 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD Q612 - Polycystic kidney, adult type | $6,996 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD Q612 - Polycystic kidney, adult type | $10,180,031 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD Q612 - Polycystic kidney, adult type | $38,271 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD Q612 - Polycystic kidney, adult type | NA | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD Q612 - Polycystic kidney, adult type | 7.89 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD Q612 - Polycystic kidney, adult type | 69.55 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 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 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 659: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 190,819 | ||||
| Total Hospitalizations with ICD Q612 - Polycystic kidney, adult type | 227 | ||||
| DRG Share of Total Hospitalizations | 0.58 | ||||
| % of Total ICD Q612 - Polycystic kidney, adult type in DRG | 1.47 | ||||
| Avg LOS at DRG | 5.63 | ||||
| Avg LOS with ICD Q612 - Polycystic kidney, adult type | 5.42 | ||||
| Readmission Rate at DRG | 28.97 | ||||
| Readmission Rate with ICD Q612 - Polycystic kidney, adult type | 33.99 | ||||
| Unplanned Readmission Rate at DRG | 22.07 | ||||
| Unplanned Readmission Rate with ICD Q612 - Polycystic kidney, adult type | 24.14 | ||||
| Total Medicare payments at DRG | $2,165,853,817 | ||||
| Total Medicare payments with ICD Q612 - Polycystic kidney, adult type | $2,704,884 | ||||
| Total Medicare payment per Day at DRG | $2,015 | ||||
| Total Medicare payment per Day with ICD Q612 - Polycystic kidney, adult type | $2,199 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,350 | ||||
| Total Medicare payment per Hospitalization with ICD Q612 - Polycystic kidney, adult type | $11,916 | ||||
| Total Medicare Charges at DRG | $10,686,431,125 | ||||
| Total Medicare Charges with ICD Q612 - Polycystic kidney, adult type | $12,617,421 | ||||
| Avg Charges at DRG | $56,003 | ||||
| Avg Charges with ICD Q612 - Polycystic kidney, adult type | $55,583 | ||||
| Mortality Rate at DRG | 5.35 | ||||
| Mortality Rate with ICD Q612 - Polycystic kidney, adult type | NA | ||||
| SNF Discharge Rate at DRG | 23.91 | ||||
| SNF Discharge Rate with ICD Q612 - Polycystic kidney, adult type | 6.61 | ||||
| Home Discharge Rate at DRG | 39.51 | ||||
| Home Discharge Rate with ICD Q612 - Polycystic kidney, adult type | 68.28 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| TAMPA GENERAL HOSPITAL | 1 TAMPA GENERAL CIRCLE | TAMPA | FL | 33606 | 145 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 139 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 132 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MIKEL PRIETO | 200 1ST ST SW | ROCHESTER | MN | 55905 | 26 |
| Dr. KENNETH L. BRAYMAN | 4 HOSPITAL DR | CHARLOTTESVILLE | VA | 22908 | 18 |
| Dr. VICTOR D. BOWERS | 409 BAYSHORE BLVD. | TAMPA | FL | 33606 | 18 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. HARRY SUN | 94 OLD SHORT HILLS RD | LIVINGSTON | NJ | 07039 | 25 |
| Dr. KENNETH L. BRAYMAN | 4 HOSPITAL DR | CHARLOTTESVILLE | VA | 22908 | 25 |
| Dr. IMRAN SHAFIQUE | 600 E TAYLOR ST | SHERMAN | TX | 75090 | 22 |