*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R944 - Abnormal results of kidney function studies - as a primary diagnosis code | R944 - Abnormal results of kidney function studies - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.3 | |
| Readmission Rate (%) | 19.98 | |
| 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 R944 - Abnormal results of kidney function studies | 78 | |
| DRG Share of Total Hospitalizations | 0.07 | |
| % of Total ICD R944 - Abnormal results of kidney function studies in DRG | 81.25 | |
| Avg LOS at DRG | 2.84 | |
| Avg LOS with ICD R944 - Abnormal results of kidney function studies | 1.79 | |
| Readmission Rate at DRG | 20.27 | |
| Readmission Rate with ICD R944 - Abnormal results of kidney function studies | 24.0 | |
| Unplanned Readmission Rate at DRG | 15.25 | |
| Unplanned Readmission Rate with ICD R944 - Abnormal results of kidney function studies | NA | |
| Total Medicare payments at DRG | $96,280,494 | |
| Total Medicare payments with ICD R944 - Abnormal results of kidney function studies | $359,407 | |
| Total Medicare payment per Day at DRG | $1,467 | |
| Total Medicare payment per Day with ICD R944 - Abnormal results of kidney function studies | $2,567 | |
| Total Medicare payment per Hospitalization at DRG | $4,161 | |
| Total Medicare payment per Hospitalization with ICD R944 - Abnormal results of kidney function studies | $4,608 | |
| Total Medicare Charges at DRG | $500,411,349 | |
| Total Medicare Charges with ICD R944 - Abnormal results of kidney function studies | $1,368,060 | |
| Avg Charges at DRG | $21,624 | |
| Avg Charges with ICD R944 - Abnormal results of kidney function studies | $17,539 | |
| Mortality Rate at DRG | 0.28 | |
| Mortality Rate with ICD R944 - Abnormal results of kidney function studies | NA | |
| SNF Discharge Rate at DRG | 15.28 | |
| SNF Discharge Rate with ICD R944 - Abnormal results of kidney function studies | NA | |
| Home Discharge Rate at DRG | 59.05 | |
| Home Discharge Rate with ICD R944 - Abnormal results of kidney function studies | 83.33 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 885: PSYCHOSES | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD R944 - Abnormal results of kidney function studies | 1,063 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD R944 - Abnormal results of kidney function studies in DRG | 7.73 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD R944 - Abnormal results of kidney function studies | 15.03 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD R944 - Abnormal results of kidney function studies | 25.26 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD R944 - Abnormal results of kidney function studies | 11.4 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD R944 - Abnormal results of kidney function studies | $11,066,899 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD R944 - Abnormal results of kidney function studies | $693 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD R944 - Abnormal results of kidney function studies | $10,411 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD R944 - Abnormal results of kidney function studies | $35,103,736 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD R944 - Abnormal results of kidney function studies | $33,023 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD R944 - Abnormal results of kidney function studies | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD R944 - Abnormal results of kidney function studies | 8.47 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD R944 - Abnormal results of kidney function studies | 71.87 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 884: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 310,318 | ||||
| Total Hospitalizations with ICD R944 - Abnormal results of kidney function studies | 256 | ||||
| DRG Share of Total Hospitalizations | 0.94 | ||||
| % of Total ICD R944 - Abnormal results of kidney function studies in DRG | 1.86 | ||||
| Avg LOS at DRG | 3.19 | ||||
| Avg LOS with ICD R944 - Abnormal results of kidney function studies | 2.94 | ||||
| Readmission Rate at DRG | 20.19 | ||||
| Readmission Rate with ICD R944 - Abnormal results of kidney function studies | 17.99 | ||||
| Unplanned Readmission Rate at DRG | 13.62 | ||||
| Unplanned Readmission Rate with ICD R944 - Abnormal results of kidney function studies | 10.46 | ||||
| Total Medicare payments at DRG | $1,415,392,709 | ||||
| Total Medicare payments with ICD R944 - Abnormal results of kidney function studies | $1,343,976 | ||||
| Total Medicare payment per Day at DRG | $1,431 | ||||
| Total Medicare payment per Day with ICD R944 - Abnormal results of kidney function studies | $1,787 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,561 | ||||
| Total Medicare payment per Hospitalization with ICD R944 - Abnormal results of kidney function studies | $5,250 | ||||
| Total Medicare Charges at DRG | $7,113,640,596 | ||||
| Total Medicare Charges with ICD R944 - Abnormal results of kidney function studies | $4,589,964 | ||||
| Avg Charges at DRG | $22,924 | ||||
| Avg Charges with ICD R944 - Abnormal results of kidney function studies | $17,930 | ||||
| Mortality Rate at DRG | 0.63 | ||||
| Mortality Rate with ICD R944 - Abnormal results of kidney function studies | NA | ||||
| SNF Discharge Rate at DRG | 19.76 | ||||
| SNF Discharge Rate with ICD R944 - Abnormal results of kidney function studies | 17.19 | ||||
| Home Discharge Rate at DRG | 50.47 | ||||
| Home Discharge Rate with ICD R944 - Abnormal results of kidney function studies | 50.78 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 364,421 | ||||
| Total Hospitalizations with ICD R944 - Abnormal results of kidney function studies | 202 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD R944 - Abnormal results of kidney function studies in DRG | 1.47 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD R944 - Abnormal results of kidney function studies | 3.98 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD R944 - Abnormal results of kidney function studies | 12.77 | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD R944 - Abnormal results of kidney function studies | 6.91 | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD R944 - Abnormal results of kidney function studies | $1,202,360 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD R944 - Abnormal results of kidney function studies | $1,497 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD R944 - Abnormal results of kidney function studies | $5,952 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD R944 - Abnormal results of kidney function studies | $4,048,173 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD R944 - Abnormal results of kidney function studies | $20,040 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD R944 - Abnormal results of kidney function studies | NA | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD R944 - Abnormal results of kidney function studies | 16.34 | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD R944 - Abnormal results of kidney function studies | 54.95 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 312: SYNCOPE AND COLLAPSE | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 408,103 | ||||
| Total Hospitalizations with ICD R944 - Abnormal results of kidney function studies | 167 | ||||
| DRG Share of Total Hospitalizations | 1.24 | ||||
| % of Total ICD R944 - Abnormal results of kidney function studies in DRG | 1.22 | ||||
| Avg LOS at DRG | 3.52 | ||||
| Avg LOS with ICD R944 - Abnormal results of kidney function studies | 3.29 | ||||
| Readmission Rate at DRG | 17.83 | ||||
| Readmission Rate with ICD R944 - Abnormal results of kidney function studies | 16.0 | ||||
| Unplanned Readmission Rate at DRG | 13.81 | ||||
| Unplanned Readmission Rate with ICD R944 - Abnormal results of kidney function studies | 14.67 | ||||
| Total Medicare payments at DRG | $2,416,862,532 | ||||
| Total Medicare payments with ICD R944 - Abnormal results of kidney function studies | $977,261 | ||||
| Total Medicare payment per Day at DRG | $1,682 | ||||
| Total Medicare payment per Day with ICD R944 - Abnormal results of kidney function studies | $1,780 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
| Total Medicare payment per Hospitalization with ICD R944 - Abnormal results of kidney function studies | $5,852 | ||||
| Total Medicare Charges at DRG | $13,267,744,847 | ||||
| Total Medicare Charges with ICD R944 - Abnormal results of kidney function studies | $4,966,946 | ||||
| Avg Charges at DRG | $32,511 | ||||
| Avg Charges with ICD R944 - Abnormal results of kidney function studies | $29,742 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD R944 - Abnormal results of kidney function studies | NA | ||||
| SNF Discharge Rate at DRG | 14.1 | ||||
| SNF Discharge Rate with ICD R944 - Abnormal results of kidney function studies | 11.98 | ||||
| Home Discharge Rate at DRG | 62.97 | ||||
| Home Discharge Rate with ICD R944 - Abnormal results of kidney function studies | 71.26 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| LAKESIDE BEHAVIORAL HEALTH SYSTEM | 2911 BRUNSWICK RD | MEMPHIS | TN | 38133 | 324 |
| COQUILLE VALLEY HOSPITAL DISTRICT | 940 EAST FIFTH STREET | COQUILLE | OR | 97423 | 280 |
| DEKALB REGIONAL MEDICAL CENTER | 200 MEDICAL CENTER DR SW | FORT PAYNE | AL | 35968 | 173 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DARRIN RICHARD MANGIACARNE | 5060 VALLEY VIEW BLVD NW | ROANOKE | VA | 24012 | 49 |
| Dr. MICHAEL DAVID MILLER | 1555 E RIVER RD | TUCSON | AZ | 85718 | 40 |
| Dr. KENNETH ANDREW MARTIN | 8907 KANIS RD | LITTLE ROCK | AR | 72205 | 23 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. BROCK W. MILLET | 790 E 5TH ST | COQUILLE | OR | 97423 | 92 |
| Dr. RADWAN R KHURI | 3554 WINDGARDEN CV | MEMPHIS | TN | 38125 | 91 |
| Dr. DOUGLAS GORDON CRANE | 1900 WOODLAND DR | COOS BAY | OR | 97420 | 78 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | Z940 | Kidney transplant status |
| 2 | Z79899 | Other long term (current) drug therapy |
| 3 | I10 | Essential (primary) hypertension |
| 4 | E119 | Type 2 diabetes mellitus without complications |