*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Q619 - Cystic kidney disease, unspecified - as a primary diagnosis code | Q619 - Cystic kidney disease, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.19 | |
| Readmission Rate (%) | 24.7 | |
| Unplanned Readmission Rate (%) | NA | |
| 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD Q619 - Cystic kidney disease, unspecified | 273 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Q619 - Cystic kidney disease, unspecified in DRG | 7.31 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Q619 - Cystic kidney disease, unspecified | 6.76 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Q619 - Cystic kidney disease, unspecified | 24.78 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Q619 - Cystic kidney disease, unspecified | 16.37 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Q619 - Cystic kidney disease, unspecified | $3,184,843 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Q619 - Cystic kidney disease, unspecified | $1,726 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Q619 - Cystic kidney disease, unspecified | $11,666 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Q619 - Cystic kidney disease, unspecified | $17,444,529 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Q619 - Cystic kidney disease, unspecified | $63,899 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Q619 - Cystic kidney disease, unspecified | 12.09 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Q619 - Cystic kidney disease, unspecified | 28.21 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Q619 - Cystic kidney disease, unspecified | 24.54 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 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 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD Q619 - Cystic kidney disease, unspecified | 90 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD Q619 - Cystic kidney disease, unspecified in DRG | 2.41 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD Q619 - Cystic kidney disease, unspecified | 2.56 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD Q619 - Cystic kidney disease, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD Q619 - Cystic kidney disease, unspecified | NA | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD Q619 - Cystic kidney disease, unspecified | $1,108,374 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD Q619 - Cystic kidney disease, unspecified | $4,819 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD Q619 - Cystic kidney disease, unspecified | $12,315 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD Q619 - Cystic kidney disease, unspecified | $5,193,629 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD Q619 - Cystic kidney disease, unspecified | $57,707 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD Q619 - Cystic kidney disease, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD Q619 - Cystic kidney disease, unspecified | 32.22 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD Q619 - Cystic kidney disease, unspecified | 18.89 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 652: KIDNEY TRANSPLANT | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 250,159 | ||||
| Total Hospitalizations with ICD Q619 - Cystic kidney disease, unspecified | 48 | ||||
| DRG Share of Total Hospitalizations | 0.76 | ||||
| % of Total ICD Q619 - Cystic kidney disease, unspecified in DRG | 1.28 | ||||
| Avg LOS at DRG | 5.47 | ||||
| Avg LOS with ICD Q619 - Cystic kidney disease, unspecified | 6.38 | ||||
| Readmission Rate at DRG | 27.88 | ||||
| Readmission Rate with ICD Q619 - Cystic kidney disease, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 19.94 | ||||
| Unplanned Readmission Rate with ICD Q619 - Cystic kidney disease, unspecified | NA | ||||
| Total Medicare payments at DRG | $2,661,443,545 | ||||
| Total Medicare payments with ICD Q619 - Cystic kidney disease, unspecified | $508,947 | ||||
| Total Medicare payment per Day at DRG | $1,946 | ||||
| Total Medicare payment per Day with ICD Q619 - Cystic kidney disease, unspecified | $1,663 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,639 | ||||
| Total Medicare payment per Hospitalization with ICD Q619 - Cystic kidney disease, unspecified | $10,603 | ||||
| Total Medicare Charges at DRG | $13,270,497,724 | ||||
| Total Medicare Charges with ICD Q619 - Cystic kidney disease, unspecified | $2,991,395 | ||||
| Avg Charges at DRG | $53,048 | ||||
| Avg Charges with ICD Q619 - Cystic kidney disease, unspecified | $62,321 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD Q619 - Cystic kidney disease, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 21.63 | ||||
| SNF Discharge Rate with ICD Q619 - Cystic kidney disease, unspecified | 25.0 | ||||
| Home Discharge Rate at DRG | 34.87 | ||||
| Home Discharge Rate with ICD Q619 - Cystic kidney disease, unspecified | 33.33 |
*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 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 32,592 | ||||
| Total Hospitalizations with ICD Q619 - Cystic kidney disease, unspecified | 41 | ||||
| DRG Share of Total Hospitalizations | 0.1 | ||||
| % of Total ICD Q619 - Cystic kidney disease, unspecified in DRG | 1.1 | ||||
| Avg LOS at DRG | 6.31 | ||||
| Avg LOS with ICD Q619 - Cystic kidney disease, unspecified | 6.02 | ||||
| Readmission Rate at DRG | 26.14 | ||||
| Readmission Rate with ICD Q619 - Cystic kidney disease, unspecified | 31.58 | ||||
| Unplanned Readmission Rate at DRG | 12.57 | ||||
| Unplanned Readmission Rate with ICD Q619 - Cystic kidney disease, unspecified | NA | ||||
| Total Medicare payments at DRG | $892,364,102 | ||||
| Total Medicare payments with ICD Q619 - Cystic kidney disease, unspecified | $1,140,526 | ||||
| Total Medicare payment per Day at DRG | $4,342 | ||||
| Total Medicare payment per Day with ICD Q619 - Cystic kidney disease, unspecified | $4,618 | ||||
| Total Medicare payment per Hospitalization at DRG | $27,380 | ||||
| Total Medicare payment per Hospitalization with ICD Q619 - Cystic kidney disease, unspecified | $27,818 | ||||
| Total Medicare Charges at DRG | $7,961,329,166 | ||||
| Total Medicare Charges with ICD Q619 - Cystic kidney disease, unspecified | $10,416,237 | ||||
| Avg Charges at DRG | $244,272 | ||||
| Avg Charges with ICD Q619 - Cystic kidney disease, unspecified | $254,055 | ||||
| Mortality Rate at DRG | 0.29 | ||||
| Mortality Rate with ICD Q619 - Cystic kidney disease, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 0.89 | ||||
| SNF Discharge Rate with ICD Q619 - Cystic kidney disease, unspecified | NA | ||||
| Home Discharge Rate at DRG | 77.72 | ||||
| Home Discharge Rate with ICD Q619 - Cystic kidney disease, unspecified | 87.8 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MOUNT SINAI MEDICAL CENTER | 4300 ALTON RD | MIAMI BEACH | FL | 33140 | 36 |
| SAINT FRANCIS HOSPITAL | 6161 S YALE AVE | TULSA | OK | 74136 | 28 |
| SILVER CROSS HOSPITAL | 1900 SILVER CROSS BLVD | NEW LENOX | IL | 60451 | 28 |