*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z905 - Acquired absence of kidney - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 16.15 | |
| 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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD Z905 - Acquired absence of kidney | 13,866 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Z905 - Acquired absence of kidney in DRG | 4.97 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Z905 - Acquired absence of kidney | 5.92 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Z905 - Acquired absence of kidney | 25.41 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Z905 - Acquired absence of kidney | 18.22 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Z905 - Acquired absence of kidney | $161,040,956 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Z905 - Acquired absence of kidney | $1,963 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Z905 - Acquired absence of kidney | $11,614 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Z905 - Acquired absence of kidney | $762,377,460 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Z905 - Acquired absence of kidney | $54,982 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Z905 - Acquired absence of kidney | 9.72 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Z905 - Acquired absence of kidney | 20.42 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Z905 - Acquired absence of kidney | 34.28 |
*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 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD Z905 - Acquired absence of kidney | 5,379 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD Z905 - Acquired absence of kidney in DRG | 1.93 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD Z905 - Acquired absence of kidney | 3.47 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD Z905 - Acquired absence of kidney | 20.4 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD Z905 - Acquired absence of kidney | 15.11 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD Z905 - Acquired absence of kidney | $25,977,130 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD Z905 - Acquired absence of kidney | $1,394 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD Z905 - Acquired absence of kidney | $4,829 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD Z905 - Acquired absence of kidney | $135,743,565 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD Z905 - Acquired absence of kidney | $25,236 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD Z905 - Acquired absence of kidney | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD Z905 - Acquired absence of kidney | 16.12 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD Z905 - Acquired absence of kidney | 57.0 |
*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 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 408,103 | ||||
| Total Hospitalizations with ICD Z905 - Acquired absence of kidney | 3,768 | ||||
| DRG Share of Total Hospitalizations | 1.24 | ||||
| % of Total ICD Z905 - Acquired absence of kidney in DRG | 1.35 | ||||
| Avg LOS at DRG | 3.52 | ||||
| Avg LOS with ICD Z905 - Acquired absence of kidney | 3.5 | ||||
| Readmission Rate at DRG | 17.83 | ||||
| Readmission Rate with ICD Z905 - Acquired absence of kidney | 19.06 | ||||
| Unplanned Readmission Rate at DRG | 13.81 | ||||
| Unplanned Readmission Rate with ICD Z905 - Acquired absence of kidney | 14.22 | ||||
| Total Medicare payments at DRG | $2,416,862,532 | ||||
| Total Medicare payments with ICD Z905 - Acquired absence of kidney | $22,668,453 | ||||
| Total Medicare payment per Day at DRG | $1,682 | ||||
| Total Medicare payment per Day with ICD Z905 - Acquired absence of kidney | $1,717 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
| Total Medicare payment per Hospitalization with ICD Z905 - Acquired absence of kidney | $6,016 | ||||
| Total Medicare Charges at DRG | $13,267,744,847 | ||||
| Total Medicare Charges with ICD Z905 - Acquired absence of kidney | $121,569,211 | ||||
| Avg Charges at DRG | $32,511 | ||||
| Avg Charges with ICD Z905 - Acquired absence of kidney | $32,264 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD Z905 - Acquired absence of kidney | 0.85 | ||||
| SNF Discharge Rate at DRG | 14.1 | ||||
| SNF Discharge Rate with ICD Z905 - Acquired absence of kidney | 10.77 | ||||
| Home Discharge Rate at DRG | 62.97 | ||||
| Home Discharge Rate with ICD Z905 - Acquired absence of kidney | 66.77 |
*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 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 310,318 | ||||
| Total Hospitalizations with ICD Z905 - Acquired absence of kidney | 2,729 | ||||
| DRG Share of Total Hospitalizations | 0.94 | ||||
| % of Total ICD Z905 - Acquired absence of kidney in DRG | 0.98 | ||||
| Avg LOS at DRG | 3.19 | ||||
| Avg LOS with ICD Z905 - Acquired absence of kidney | 3.01 | ||||
| Readmission Rate at DRG | 20.19 | ||||
| Readmission Rate with ICD Z905 - Acquired absence of kidney | 22.78 | ||||
| Unplanned Readmission Rate at DRG | 13.62 | ||||
| Unplanned Readmission Rate with ICD Z905 - Acquired absence of kidney | 16.16 | ||||
| Total Medicare payments at DRG | $1,415,392,709 | ||||
| Total Medicare payments with ICD Z905 - Acquired absence of kidney | $12,646,665 | ||||
| Total Medicare payment per Day at DRG | $1,431 | ||||
| Total Medicare payment per Day with ICD Z905 - Acquired absence of kidney | $1,538 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,561 | ||||
| Total Medicare payment per Hospitalization with ICD Z905 - Acquired absence of kidney | $4,634 | ||||
| Total Medicare Charges at DRG | $7,113,640,596 | ||||
| Total Medicare Charges with ICD Z905 - Acquired absence of kidney | $64,638,791 | ||||
| Avg Charges at DRG | $22,924 | ||||
| Avg Charges with ICD Z905 - Acquired absence of kidney | $23,686 | ||||
| Mortality Rate at DRG | 0.63 | ||||
| Mortality Rate with ICD Z905 - Acquired absence of kidney | 0.66 | ||||
| SNF Discharge Rate at DRG | 19.76 | ||||
| SNF Discharge Rate with ICD Z905 - Acquired absence of kidney | 14.58 | ||||
| Home Discharge Rate at DRG | 50.47 | ||||
| Home Discharge Rate with ICD Z905 - Acquired absence of kidney | 55.15 |
| 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 | 899 |
| METHODIST UNIVERSITY HOSPITAL | 1265 UNION AVE | MEMPHIS | TN | 38104 | 874 |
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 873 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. AILEEN GARCIAGAYOSO | 1325 EASTMORELAND AVE | MEMPHIS | TN | 38104 | 48 |
| Dr. ASHVINKUMAR N PATEL | 1517 10TH ST | WICHITA FALLS | TX | 76301 | 31 |
| Dr. SUNGHYE JENNY KANG | 2200 W HIGGINS RD | HOFFMAN ESTATES | IL | 60169 | 31 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 115 |
| Dr. AILEEN GARCIAGAYOSO | 1325 EASTMORELAND AVE | MEMPHIS | TN | 38104 | 70 |
| Dr. KALYAN AKKINENI | 1001 TOWSON AVE | FORT SMITH | AR | 72901 | 53 |