*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Q613 - Polycystic kidney, unspecified - as a primary diagnosis code | Q613 - Polycystic kidney, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.99 | |
| Readmission Rate (%) | 27.4 | |
| Unplanned Readmission Rate (%) | 12.9 | |
| 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 699: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 652: KIDNEY TRANSPLANT | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 659: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 25,081 | ||||
| Total Hospitalizations with ICD Q613 - Polycystic kidney, unspecified | 299 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD Q613 - Polycystic kidney, unspecified in DRG | 32.68 | ||||
| Avg LOS at DRG | 4.55 | ||||
| Avg LOS with ICD Q613 - Polycystic kidney, unspecified | 5.07 | ||||
| Readmission Rate at DRG | 19.43 | ||||
| Readmission Rate with ICD Q613 - Polycystic kidney, unspecified | 15.99 | ||||
| Unplanned Readmission Rate at DRG | 13.37 | ||||
| Unplanned Readmission Rate with ICD Q613 - Polycystic kidney, unspecified | 10.2 | ||||
| Total Medicare payments at DRG | $300,903,567 | ||||
| Total Medicare payments with ICD Q613 - Polycystic kidney, unspecified | $3,637,150 | ||||
| Total Medicare payment per Day at DRG | $2,638 | ||||
| Total Medicare payment per Day with ICD Q613 - Polycystic kidney, unspecified | $2,399 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,997 | ||||
| Total Medicare payment per Hospitalization with ICD Q613 - Polycystic kidney, unspecified | $12,164 | ||||
| Total Medicare Charges at DRG | $1,564,169,935 | ||||
| Total Medicare Charges with ICD Q613 - Polycystic kidney, unspecified | $24,439,438 | ||||
| Avg Charges at DRG | $62,365 | ||||
| Avg Charges with ICD Q613 - Polycystic kidney, unspecified | $81,737 | ||||
| Mortality Rate at DRG | 0.15 | ||||
| Mortality Rate with ICD Q613 - Polycystic kidney, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 11.28 | ||||
| SNF Discharge Rate with ICD Q613 - Polycystic kidney, unspecified | NA | ||||
| Home Discharge Rate at DRG | 65.31 | ||||
| Home Discharge Rate with ICD Q613 - Polycystic kidney, unspecified | 87.29 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 661: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 700: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 10,602 | |
| Total Hospitalizations with ICD Q613 - Polycystic kidney, unspecified | 28 | |
| DRG Share of Total Hospitalizations | 0.03 | |
| % of Total ICD Q613 - Polycystic kidney, unspecified in DRG | 3.06 | |
| Avg LOS at DRG | 2.45 | |
| Avg LOS with ICD Q613 - Polycystic kidney, unspecified | 3.07 | |
| Readmission Rate at DRG | 9.27 | |
| Readmission Rate with ICD Q613 - Polycystic kidney, unspecified | NA | |
| Unplanned Readmission Rate at DRG | 6.46 | |
| Unplanned Readmission Rate with ICD Q613 - Polycystic kidney, unspecified | NA | |
| Total Medicare payments at DRG | $88,686,549 | |
| Total Medicare payments with ICD Q613 - Polycystic kidney, unspecified | $234,795 | |
| Total Medicare payment per Day at DRG | $3,416 | |
| Total Medicare payment per Day with ICD Q613 - Polycystic kidney, unspecified | $2,730 | |
| Total Medicare payment per Hospitalization at DRG | $8,365 | |
| Total Medicare payment per Hospitalization with ICD Q613 - Polycystic kidney, unspecified | $8,386 | |
| Total Medicare Charges at DRG | $567,139,560 | |
| Total Medicare Charges with ICD Q613 - Polycystic kidney, unspecified | $1,580,065 | |
| Avg Charges at DRG | $53,494 | |
| Avg Charges with ICD Q613 - Polycystic kidney, unspecified | $56,431 | |
| Mortality Rate at DRG | NA | |
| Mortality Rate with ICD Q613 - Polycystic kidney, unspecified | NA | |
| SNF Discharge Rate at DRG | 4.05 | |
| SNF Discharge Rate with ICD Q613 - Polycystic kidney, unspecified | NA | |
| Home Discharge Rate at DRG | 85.04 | |
| Home Discharge Rate with ICD Q613 - Polycystic kidney, unspecified | 96.43 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 15 |
| UW HEALTH UNIVERSITY HOSPITAL | 600 HIGHLAND AVE | MADISON | WI | 53792 | 14 |
| UCSF MEDICAL CENTER | 505 PARNASSUS AVE | SAN FRANCISCO | CA | 94143 | 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 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 652: KIDNEY TRANSPLANT | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD Q613 - Polycystic kidney, unspecified | 3,113 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Q613 - Polycystic kidney, unspecified in DRG | 6.73 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Q613 - Polycystic kidney, unspecified | 6.89 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Q613 - Polycystic kidney, unspecified | 30.05 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Q613 - Polycystic kidney, unspecified | 21.79 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Q613 - Polycystic kidney, unspecified | $38,232,071 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Q613 - Polycystic kidney, unspecified | $1,783 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Q613 - Polycystic kidney, unspecified | $12,281 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Q613 - Polycystic kidney, unspecified | $210,347,059 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Q613 - Polycystic kidney, unspecified | $67,571 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Q613 - Polycystic kidney, unspecified | 8.67 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Q613 - Polycystic kidney, unspecified | 19.4 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Q613 - Polycystic kidney, unspecified | 39.29 |
*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 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 252: OTHER VASCULAR PROCEDURES 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD Q613 - Polycystic kidney, unspecified | 1,222 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD Q613 - Polycystic kidney, unspecified in DRG | 2.64 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD Q613 - Polycystic kidney, unspecified | 3.86 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD Q613 - Polycystic kidney, unspecified | 23.49 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD Q613 - Polycystic kidney, unspecified | 17.12 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD Q613 - Polycystic kidney, unspecified | $6,947,214 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD Q613 - Polycystic kidney, unspecified | $1,475 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD Q613 - Polycystic kidney, unspecified | $5,685 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD Q613 - Polycystic kidney, unspecified | $35,494,264 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD Q613 - Polycystic kidney, unspecified | $29,046 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD Q613 - Polycystic kidney, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD Q613 - Polycystic kidney, unspecified | 14.48 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD Q613 - Polycystic kidney, unspecified | 63.34 |
*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 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 699: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT 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 | 499,133 | ||||
| Total Hospitalizations with ICD Q613 - Polycystic kidney, unspecified | 769 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD Q613 - Polycystic kidney, unspecified in DRG | 1.66 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD Q613 - Polycystic kidney, unspecified | 4.38 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD Q613 - Polycystic kidney, unspecified | 16.85 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD Q613 - Polycystic kidney, unspecified | 11.94 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD Q613 - Polycystic kidney, unspecified | $5,159,105 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD Q613 - Polycystic kidney, unspecified | $1,532 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD Q613 - Polycystic kidney, unspecified | $6,709 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD Q613 - Polycystic kidney, unspecified | $26,737,774 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD Q613 - Polycystic kidney, unspecified | $34,770 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD Q613 - Polycystic kidney, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD Q613 - Polycystic kidney, unspecified | 11.44 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD Q613 - Polycystic kidney, unspecified | 64.76 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 109,018 | ||||
| Total Hospitalizations with ICD Q613 - Polycystic kidney, unspecified | 558 | ||||
| DRG Share of Total Hospitalizations | 0.33 | ||||
| % of Total ICD Q613 - Polycystic kidney, unspecified in DRG | 1.21 | ||||
| Avg LOS at DRG | 12.66 | ||||
| Avg LOS with ICD Q613 - Polycystic kidney, unspecified | 10.66 | ||||
| Readmission Rate at DRG | 35.31 | ||||
| Readmission Rate with ICD Q613 - Polycystic kidney, unspecified | 31.72 | ||||
| Unplanned Readmission Rate at DRG | 20.73 | ||||
| Unplanned Readmission Rate with ICD Q613 - Polycystic kidney, unspecified | 20.0 | ||||
| Total Medicare payments at DRG | $3,554,922,428 | ||||
| Total Medicare payments with ICD Q613 - Polycystic kidney, unspecified | $18,288,689 | ||||
| Total Medicare payment per Day at DRG | $2,575 | ||||
| Total Medicare payment per Day with ICD Q613 - Polycystic kidney, unspecified | $3,074 | ||||
| Total Medicare payment per Hospitalization at DRG | $32,609 | ||||
| Total Medicare payment per Hospitalization with ICD Q613 - Polycystic kidney, unspecified | $32,775 | ||||
| Total Medicare Charges at DRG | $15,445,232,132 | ||||
| Total Medicare Charges with ICD Q613 - Polycystic kidney, unspecified | $75,486,718 | ||||
| Avg Charges at DRG | $141,676 | ||||
| Avg Charges with ICD Q613 - Polycystic kidney, unspecified | $135,281 | ||||
| Mortality Rate at DRG | 8.99 | ||||
| Mortality Rate with ICD Q613 - Polycystic kidney, unspecified | 8.06 | ||||
| SNF Discharge Rate at DRG | 27.26 | ||||
| SNF Discharge Rate with ICD Q613 - Polycystic kidney, unspecified | 13.8 | ||||
| Home Discharge Rate at DRG | 27.78 | ||||
| Home Discharge Rate with ICD Q613 - Polycystic kidney, unspecified | 51.43 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 235 |
| UW HEALTH UNIVERSITY HOSPITAL | 600 HIGHLAND AVE | MADISON | WI | 53792 | 220 |
| OHIO STATE UNIVERSITY HOSPITAL | 410 W 10TH AVE | COLUMBUS | OH | 43210 | 204 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. QASIM LATIF CHAUDHRY | 1212 PLEASANT ST | DES MOINES | IA | 50309 | 23 |
| Dr. HARRY SUN | 94 OLD SHORT HILLS RD | LIVINGSTON | NJ | 07039 | 18 |
| Dr. DIXON KAUFMAN | 600 HIGHLAND AVE | MADISON | WI | 53792 | 17 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID JAMES CONTI | 47 NEW SCOTLAND AVE | ALBANY | NY | 12208 | 29 |
| Dr. QASIM LATIF CHAUDHRY | 1212 PLEASANT ST | DES MOINES | IA | 50309 | 25 |
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 24 |