*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z87441 - Personal history of nephrotic syndrome - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 20.66 | |
| 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 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD Z87441 - Personal history of nephrotic syndrome | 278 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD Z87441 - Personal history of nephrotic syndrome in DRG | 7.45 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD Z87441 - Personal history of nephrotic syndrome | 4.59 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD Z87441 - Personal history of nephrotic syndrome | 26.17 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD Z87441 - Personal history of nephrotic syndrome | 20.31 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD Z87441 - Personal history of nephrotic syndrome | $2,539,377 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD Z87441 - Personal history of nephrotic syndrome | $1,992 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD Z87441 - Personal history of nephrotic syndrome | $9,134 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD Z87441 - Personal history of nephrotic syndrome | $11,216,289 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD Z87441 - Personal history of nephrotic syndrome | $40,346 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD Z87441 - Personal history of nephrotic syndrome | NA | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD Z87441 - Personal history of nephrotic syndrome | 11.51 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD Z87441 - Personal history of nephrotic syndrome | 56.47 |
*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 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 105,234 | ||||
| Total Hospitalizations with ICD Z87441 - Personal history of nephrotic syndrome | 83 | ||||
| DRG Share of Total Hospitalizations | 0.32 | ||||
| % of Total ICD Z87441 - Personal history of nephrotic syndrome in DRG | 2.22 | ||||
| Avg LOS at DRG | 4.18 | ||||
| Avg LOS with ICD Z87441 - Personal history of nephrotic syndrome | 4.89 | ||||
| Readmission Rate at DRG | 24.62 | ||||
| Readmission Rate with ICD Z87441 - Personal history of nephrotic syndrome | 19.23 | ||||
| Unplanned Readmission Rate at DRG | 17.79 | ||||
| Unplanned Readmission Rate with ICD Z87441 - Personal history of nephrotic syndrome | NA | ||||
| Total Medicare payments at DRG | $723,145,698 | ||||
| Total Medicare payments with ICD Z87441 - Personal history of nephrotic syndrome | $638,694 | ||||
| Total Medicare payment per Day at DRG | $1,644 | ||||
| Total Medicare payment per Day with ICD Z87441 - Personal history of nephrotic syndrome | $1,573 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,872 | ||||
| Total Medicare payment per Hospitalization with ICD Z87441 - Personal history of nephrotic syndrome | $7,695 | ||||
| Total Medicare Charges at DRG | $3,557,869,598 | ||||
| Total Medicare Charges with ICD Z87441 - Personal history of nephrotic syndrome | $3,886,006 | ||||
| Avg Charges at DRG | $33,809 | ||||
| Avg Charges with ICD Z87441 - Personal history of nephrotic syndrome | $46,819 | ||||
| Mortality Rate at DRG | 0.27 | ||||
| Mortality Rate with ICD Z87441 - Personal history of nephrotic syndrome | NA | ||||
| SNF Discharge Rate at DRG | 20.33 | ||||
| SNF Discharge Rate with ICD Z87441 - Personal history of nephrotic syndrome | 13.25 | ||||
| Home Discharge Rate at DRG | 48.52 | ||||
| Home Discharge Rate with ICD Z87441 - Personal history of nephrotic syndrome | 71.08 |
*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 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 32,592 | ||||
| Total Hospitalizations with ICD Z87441 - Personal history of nephrotic syndrome | 63 | ||||
| DRG Share of Total Hospitalizations | 0.1 | ||||
| % of Total ICD Z87441 - Personal history of nephrotic syndrome in DRG | 1.69 | ||||
| Avg LOS at DRG | 6.31 | ||||
| Avg LOS with ICD Z87441 - Personal history of nephrotic syndrome | 7.27 | ||||
| Readmission Rate at DRG | 26.14 | ||||
| Readmission Rate with ICD Z87441 - Personal history of nephrotic syndrome | 30.16 | ||||
| Unplanned Readmission Rate at DRG | 12.57 | ||||
| Unplanned Readmission Rate with ICD Z87441 - Personal history of nephrotic syndrome | NA | ||||
| Total Medicare payments at DRG | $892,364,102 | ||||
| Total Medicare payments with ICD Z87441 - Personal history of nephrotic syndrome | $1,924,405 | ||||
| Total Medicare payment per Day at DRG | $4,342 | ||||
| Total Medicare payment per Day with ICD Z87441 - Personal history of nephrotic syndrome | $4,202 | ||||
| Total Medicare payment per Hospitalization at DRG | $27,380 | ||||
| Total Medicare payment per Hospitalization with ICD Z87441 - Personal history of nephrotic syndrome | $30,546 | ||||
| Total Medicare Charges at DRG | $7,961,329,166 | ||||
| Total Medicare Charges with ICD Z87441 - Personal history of nephrotic syndrome | $15,661,145 | ||||
| Avg Charges at DRG | $244,272 | ||||
| Avg Charges with ICD Z87441 - Personal history of nephrotic syndrome | $248,590 | ||||
| Mortality Rate at DRG | 0.29 | ||||
| Mortality Rate with ICD Z87441 - Personal history of nephrotic syndrome | NA | ||||
| SNF Discharge Rate at DRG | 0.89 | ||||
| SNF Discharge Rate with ICD Z87441 - Personal history of nephrotic syndrome | NA | ||||
| Home Discharge Rate at DRG | 77.72 | ||||
| Home Discharge Rate with ICD Z87441 - Personal history of nephrotic syndrome | 79.37 |
*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 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 250,159 | ||||
| Total Hospitalizations with ICD Z87441 - Personal history of nephrotic syndrome | 49 | ||||
| DRG Share of Total Hospitalizations | 0.76 | ||||
| % of Total ICD Z87441 - Personal history of nephrotic syndrome in DRG | 1.31 | ||||
| Avg LOS at DRG | 5.47 | ||||
| Avg LOS with ICD Z87441 - Personal history of nephrotic syndrome | 4.61 | ||||
| Readmission Rate at DRG | 27.88 | ||||
| Readmission Rate with ICD Z87441 - Personal history of nephrotic syndrome | 34.88 | ||||
| Unplanned Readmission Rate at DRG | 19.94 | ||||
| Unplanned Readmission Rate with ICD Z87441 - Personal history of nephrotic syndrome | 27.91 | ||||
| Total Medicare payments at DRG | $2,661,443,545 | ||||
| Total Medicare payments with ICD Z87441 - Personal history of nephrotic syndrome | $467,856 | ||||
| Total Medicare payment per Day at DRG | $1,946 | ||||
| Total Medicare payment per Day with ICD Z87441 - Personal history of nephrotic syndrome | $2,070 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,639 | ||||
| Total Medicare payment per Hospitalization with ICD Z87441 - Personal history of nephrotic syndrome | $9,548 | ||||
| Total Medicare Charges at DRG | $13,270,497,724 | ||||
| Total Medicare Charges with ICD Z87441 - Personal history of nephrotic syndrome | $2,217,041 | ||||
| Avg Charges at DRG | $53,048 | ||||
| Avg Charges with ICD Z87441 - Personal history of nephrotic syndrome | $45,246 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD Z87441 - Personal history of nephrotic syndrome | NA | ||||
| SNF Discharge Rate at DRG | 21.63 | ||||
| SNF Discharge Rate with ICD Z87441 - Personal history of nephrotic syndrome | NA | ||||
| Home Discharge Rate at DRG | 34.87 | ||||
| Home Discharge Rate with ICD Z87441 - Personal history of nephrotic syndrome | 59.18 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| VIDANT MEDICAL CENTER | 2100 STANTONSBURG RD | GREENVILLE | NC | 27834 | 50 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 40 |
| MEDICAL COLLEGE VIRGINIA HOSPITAL | 1250 E MARSHALL ST | RICHMOND | VA | 23298 | 38 |