*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R809 - Proteinuria, unspecified - as a primary diagnosis code | R809 - Proteinuria, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.51 | |
| Readmission Rate (%) | 25.88 | |
| 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 696: KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 695: KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 23,141 | |
| Total Hospitalizations with ICD R809 - Proteinuria, unspecified | 62 | |
| DRG Share of Total Hospitalizations | 0.07 | |
| % of Total ICD R809 - Proteinuria, unspecified in DRG | 80.52 | |
| Avg LOS at DRG | 2.84 | |
| Avg LOS with ICD R809 - Proteinuria, unspecified | 2.19 | |
| Readmission Rate at DRG | 20.27 | |
| Readmission Rate with ICD R809 - Proteinuria, unspecified | 22.58 | |
| Unplanned Readmission Rate at DRG | 15.25 | |
| Unplanned Readmission Rate with ICD R809 - Proteinuria, unspecified | NA | |
| Total Medicare payments at DRG | $96,280,494 | |
| Total Medicare payments with ICD R809 - Proteinuria, unspecified | $215,135 | |
| Total Medicare payment per Day at DRG | $1,467 | |
| Total Medicare payment per Day with ICD R809 - Proteinuria, unspecified | $1,582 | |
| Total Medicare payment per Hospitalization at DRG | $4,161 | |
| Total Medicare payment per Hospitalization with ICD R809 - Proteinuria, unspecified | $3,470 | |
| Total Medicare Charges at DRG | $500,411,349 | |
| Total Medicare Charges with ICD R809 - Proteinuria, unspecified | $1,134,432 | |
| Avg Charges at DRG | $21,624 | |
| Avg Charges with ICD R809 - Proteinuria, unspecified | $18,297 | |
| Mortality Rate at DRG | 0.28 | |
| Mortality Rate with ICD R809 - Proteinuria, unspecified | NA | |
| SNF Discharge Rate at DRG | 15.28 | |
| SNF Discharge Rate with ICD R809 - Proteinuria, unspecified | NA | |
| Home Discharge Rate at DRG | 59.05 | |
| Home Discharge Rate with ICD R809 - Proteinuria, unspecified | 93.55 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD R809 - Proteinuria, unspecified | 3,854 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD R809 - Proteinuria, unspecified in DRG | 7.1 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD R809 - Proteinuria, unspecified | 4.74 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD R809 - Proteinuria, unspecified | 24.65 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD R809 - Proteinuria, unspecified | 17.43 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD R809 - Proteinuria, unspecified | $22,000,487 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD R809 - Proteinuria, unspecified | $1,204 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD R809 - Proteinuria, unspecified | $5,708 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD R809 - Proteinuria, unspecified | $135,628,974 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD R809 - Proteinuria, unspecified | $35,192 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD R809 - Proteinuria, unspecified | 0.34 | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD R809 - Proteinuria, unspecified | 15.46 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD R809 - Proteinuria, unspecified | 57.55 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 885: PSYCHOSES | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 699: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD R809 - Proteinuria, unspecified | 1,287 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD R809 - Proteinuria, unspecified in DRG | 2.37 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD R809 - Proteinuria, unspecified | 12.4 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD R809 - Proteinuria, unspecified | 28.9 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD R809 - Proteinuria, unspecified | 15.44 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD R809 - Proteinuria, unspecified | $11,584,029 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD R809 - Proteinuria, unspecified | $726 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD R809 - Proteinuria, unspecified | $9,001 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD R809 - Proteinuria, unspecified | $43,396,429 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD R809 - Proteinuria, unspecified | $33,719 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD R809 - Proteinuria, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD R809 - Proteinuria, unspecified | 8.31 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD R809 - Proteinuria, unspecified | 77.23 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD R809 - Proteinuria, unspecified | 735 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD R809 - Proteinuria, unspecified in DRG | 1.35 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD R809 - Proteinuria, unspecified | 4.0 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD R809 - Proteinuria, unspecified | 20.92 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD R809 - Proteinuria, unspecified | 15.19 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD R809 - Proteinuria, unspecified | $3,909,302 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD R809 - Proteinuria, unspecified | $1,328 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD R809 - Proteinuria, unspecified | $5,319 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD R809 - Proteinuria, unspecified | $19,939,800 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD R809 - Proteinuria, unspecified | $27,129 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD R809 - Proteinuria, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD R809 - Proteinuria, unspecified | 19.32 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD R809 - Proteinuria, unspecified | 54.69 |
*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 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 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD R809 - Proteinuria, unspecified | 641 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD R809 - Proteinuria, unspecified in DRG | 1.18 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD R809 - Proteinuria, unspecified | 3.12 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD R809 - Proteinuria, unspecified | 15.73 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD R809 - Proteinuria, unspecified | 7.38 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD R809 - Proteinuria, unspecified | $7,558,984 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD R809 - Proteinuria, unspecified | $3,779 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD R809 - Proteinuria, unspecified | $11,792 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD R809 - Proteinuria, unspecified | $41,645,440 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD R809 - Proteinuria, unspecified | $64,969 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD R809 - Proteinuria, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD R809 - Proteinuria, unspecified | 31.67 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD R809 - Proteinuria, unspecified | 25.59 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 318 |
| SOUTHWEST GENERAL HEALTH CENTER | 18697 BAGLEY RD | CLEVELAND | OH | 44130 | 308 |
| UNIVERSITY OF MARYLAND MEDICAL CENTER | 22 S GREENE STREET | BALTIMORE | MD | 21201 | 242 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. GADSON JOHN JOHNSON | 701 SANTA MONICA BLVD | SANTA MONICA | CA | 90401 | 54 |
| Dr. MATAB SINGH | 5401 BUSINESS PARK DR. SUITE # 210 UNIT #6 | BAKERSFIELD | CA | 93309 | 37 |
| Dr. JOSEPH R SCALEA | 600 HIGHLAND AVE | MADISON | WI | 53792 | 22 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ANUPAMA ATLURI | 5425 BRITTANY DR | BATON ROUGE | LA | 70808 | 63 |
| Dr. MATAB SINGH | 5401 BUSINESS PARK DR. SUITE # 210 UNIT #6 | BAKERSFIELD | CA | 93309 | 63 |
| Dr. DONALD EDWARD AREGO | 701 OLYMPIC PLAZA | TYLER | TX | 75701 | 51 |