*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R808 - Other proteinuria - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 17.8 | |
| 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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD R808 - Other proteinuria | 207 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD R808 - Other proteinuria in DRG | 8.22 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD R808 - Other proteinuria | 6.8 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD R808 - Other proteinuria | 29.53 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD R808 - Other proteinuria | 24.35 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD R808 - Other proteinuria | $2,048,897 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD R808 - Other proteinuria | $1,455 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD R808 - Other proteinuria | $9,898 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD R808 - Other proteinuria | $10,993,460 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD R808 - Other proteinuria | $53,109 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD R808 - Other proteinuria | NA | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD R808 - Other proteinuria | 13.53 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD R808 - Other proteinuria | 45.89 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 699: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 105,234 | ||||
| Total Hospitalizations with ICD R808 - Other proteinuria | 76 | ||||
| DRG Share of Total Hospitalizations | 0.32 | ||||
| % of Total ICD R808 - Other proteinuria in DRG | 3.02 | ||||
| Avg LOS at DRG | 4.18 | ||||
| Avg LOS with ICD R808 - Other proteinuria | 6.17 | ||||
| Readmission Rate at DRG | 24.62 | ||||
| Readmission Rate with ICD R808 - Other proteinuria | 19.72 | ||||
| Unplanned Readmission Rate at DRG | 17.79 | ||||
| Unplanned Readmission Rate with ICD R808 - Other proteinuria | 15.49 | ||||
| Total Medicare payments at DRG | $723,145,698 | ||||
| Total Medicare payments with ICD R808 - Other proteinuria | $584,926 | ||||
| Total Medicare payment per Day at DRG | $1,644 | ||||
| Total Medicare payment per Day with ICD R808 - Other proteinuria | $1,247 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,872 | ||||
| Total Medicare payment per Hospitalization with ICD R808 - Other proteinuria | $7,696 | ||||
| Total Medicare Charges at DRG | $3,557,869,598 | ||||
| Total Medicare Charges with ICD R808 - Other proteinuria | $4,161,105 | ||||
| Avg Charges at DRG | $33,809 | ||||
| Avg Charges with ICD R808 - Other proteinuria | $54,751 | ||||
| Mortality Rate at DRG | 0.27 | ||||
| Mortality Rate with ICD R808 - Other proteinuria | NA | ||||
| SNF Discharge Rate at DRG | 20.33 | ||||
| SNF Discharge Rate with ICD R808 - Other proteinuria | NA | ||||
| Home Discharge Rate at DRG | 48.52 | ||||
| Home Discharge Rate with ICD R808 - Other proteinuria | 63.16 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 305: HYPERTENSION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 174,196 | ||||
| Total Hospitalizations with ICD R808 - Other proteinuria | 32 | ||||
| DRG Share of Total Hospitalizations | 0.53 | ||||
| % of Total ICD R808 - Other proteinuria in DRG | 1.27 | ||||
| Avg LOS at DRG | 3.86 | ||||
| Avg LOS with ICD R808 - Other proteinuria | 3.25 | ||||
| Readmission Rate at DRG | 23.62 | ||||
| Readmission Rate with ICD R808 - Other proteinuria | NA | ||||
| Unplanned Readmission Rate at DRG | 17.61 | ||||
| Unplanned Readmission Rate with ICD R808 - Other proteinuria | NA | ||||
| Total Medicare payments at DRG | $959,872,570 | ||||
| Total Medicare payments with ICD R808 - Other proteinuria | $168,217 | ||||
| Total Medicare payment per Day at DRG | $1,426 | ||||
| Total Medicare payment per Day with ICD R808 - Other proteinuria | $1,617 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,510 | ||||
| Total Medicare payment per Hospitalization with ICD R808 - Other proteinuria | $5,257 | ||||
| Total Medicare Charges at DRG | $4,945,131,055 | ||||
| Total Medicare Charges with ICD R808 - Other proteinuria | $778,812 | ||||
| Avg Charges at DRG | $28,388 | ||||
| Avg Charges with ICD R808 - Other proteinuria | $24,338 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD R808 - Other proteinuria | NA | ||||
| SNF Discharge Rate at DRG | 14.83 | ||||
| SNF Discharge Rate with ICD R808 - Other proteinuria | NA | ||||
| Home Discharge Rate at DRG | 53.93 | ||||
| Home Discharge Rate with ICD R808 - Other proteinuria | 71.88 |
*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 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 109,018 | ||||
| Total Hospitalizations with ICD R808 - Other proteinuria | 26 | ||||
| DRG Share of Total Hospitalizations | 0.33 | ||||
| % of Total ICD R808 - Other proteinuria in DRG | 1.03 | ||||
| Avg LOS at DRG | 12.66 | ||||
| Avg LOS with ICD R808 - Other proteinuria | 13.69 | ||||
| Readmission Rate at DRG | 35.31 | ||||
| Readmission Rate with ICD R808 - Other proteinuria | NA | ||||
| Unplanned Readmission Rate at DRG | 20.73 | ||||
| Unplanned Readmission Rate with ICD R808 - Other proteinuria | NA | ||||
| Total Medicare payments at DRG | $3,554,922,428 | ||||
| Total Medicare payments with ICD R808 - Other proteinuria | $714,564 | ||||
| Total Medicare payment per Day at DRG | $2,575 | ||||
| Total Medicare payment per Day with ICD R808 - Other proteinuria | $2,007 | ||||
| Total Medicare payment per Hospitalization at DRG | $32,609 | ||||
| Total Medicare payment per Hospitalization with ICD R808 - Other proteinuria | $27,483 | ||||
| Total Medicare Charges at DRG | $15,445,232,132 | ||||
| Total Medicare Charges with ICD R808 - Other proteinuria | $3,421,986 | ||||
| Avg Charges at DRG | $141,676 | ||||
| Avg Charges with ICD R808 - Other proteinuria | $131,615 | ||||
| Mortality Rate at DRG | 8.99 | ||||
| Mortality Rate with ICD R808 - Other proteinuria | NA | ||||
| SNF Discharge Rate at DRG | 27.26 | ||||
| SNF Discharge Rate with ICD R808 - Other proteinuria | NA | ||||
| Home Discharge Rate at DRG | 27.78 | ||||
| Home Discharge Rate with ICD R808 - Other proteinuria | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MEDSTAR GOOD SAMARITAN HOSPITAL | 5601 LOCH RAVEN BLVD | BALTIMORE | MD | 21239 | 27 |
| REGIONAL MEDICAL CENTER | 400 E 10TH ST | ANNISTON | AL | 36207 | 23 |
| STANFORD HEALTHCARE | 300 PASTEUR DR | STANFORD | CA | 94305 | 22 |