*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Q639 - Congenital malformation of kidney, unspecified - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 14.49 | |
| 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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 652: KIDNEY TRANSPLANT | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD Q639 - Congenital malformation of kidney, unspecified | 33 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Q639 - Congenital malformation of kidney, unspecified in DRG | 6.11 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Q639 - Congenital malformation of kidney, unspecified | 6.3 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Q639 - Congenital malformation of kidney, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Q639 - Congenital malformation of kidney, unspecified | NA | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Q639 - Congenital malformation of kidney, unspecified | $338,407 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Q639 - Congenital malformation of kidney, unspecified | $1,627 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Q639 - Congenital malformation of kidney, unspecified | $10,255 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Q639 - Congenital malformation of kidney, unspecified | $1,667,167 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Q639 - Congenital malformation of kidney, unspecified | $50,520 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Q639 - Congenital malformation of kidney, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Q639 - Congenital malformation of kidney, unspecified | NA | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Q639 - Congenital malformation of kidney, unspecified | 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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||
| Total Hospitalizations with ICD Q639 - Congenital malformation of kidney, unspecified | 15 | ||
| DRG Share of Total Hospitalizations | 3.08 | ||
| % of Total ICD Q639 - Congenital malformation of kidney, unspecified in DRG | 2.78 | ||
| Avg LOS at DRG | 5.34 | ||
| Avg LOS with ICD Q639 - Congenital malformation of kidney, unspecified | 5.0 | ||
| Readmission Rate at DRG | 28.25 | ||
| Readmission Rate with ICD Q639 - Congenital malformation of kidney, unspecified | NA | ||
| Unplanned Readmission Rate at DRG | 21.93 | ||
| Unplanned Readmission Rate with ICD Q639 - Congenital malformation of kidney, unspecified | NA | ||
| Total Medicare payments at DRG | $9,469,067,156 | ||
| Total Medicare payments with ICD Q639 - Congenital malformation of kidney, unspecified | $140,710 | ||
| Total Medicare payment per Day at DRG | $1,751 | ||
| Total Medicare payment per Day with ICD Q639 - Congenital malformation of kidney, unspecified | $1,876 | ||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||
| Total Medicare payment per Hospitalization with ICD Q639 - Congenital malformation of kidney, unspecified | $9,381 | ||
| Total Medicare Charges at DRG | $43,343,716,813 | ||
| Total Medicare Charges with ICD Q639 - Congenital malformation of kidney, unspecified | $559,576 | ||
| Avg Charges at DRG | $42,755 | ||
| Avg Charges with ICD Q639 - Congenital malformation of kidney, unspecified | $37,305 | ||
| Mortality Rate at DRG | 3.72 | ||
| Mortality Rate with ICD Q639 - Congenital malformation of kidney, unspecified | NA | ||
| SNF Discharge Rate at DRG | 20.84 | ||
| SNF Discharge Rate with ICD Q639 - Congenital malformation of kidney, unspecified | NA | ||
| Home Discharge Rate at DRG | 37.68 | ||
| Home Discharge Rate with ICD Q639 - Congenital malformation of kidney, unspecified | NA |