*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z9115 - Patient's noncompliance with renal dialysis - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 35.67 | |
| 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 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 231,812 | ||||
| Total Hospitalizations with ICD Z9115 - Patient's noncompliance with renal dialysis | 28,350 | ||||
| DRG Share of Total Hospitalizations | 0.71 | ||||
| % of Total ICD Z9115 - Patient's noncompliance with renal dialysis in DRG | 26.49 | ||||
| Avg LOS at DRG | 4.41 | ||||
| Avg LOS with ICD Z9115 - Patient's noncompliance with renal dialysis | 3.16 | ||||
| Readmission Rate at DRG | 29.12 | ||||
| Readmission Rate with ICD Z9115 - Patient's noncompliance with renal dialysis | 41.79 | ||||
| Unplanned Readmission Rate at DRG | 22.82 | ||||
| Unplanned Readmission Rate with ICD Z9115 - Patient's noncompliance with renal dialysis | 37.12 | ||||
| Total Medicare payments at DRG | $1,743,376,418 | ||||
| Total Medicare payments with ICD Z9115 - Patient's noncompliance with renal dialysis | $207,612,289 | ||||
| Total Medicare payment per Day at DRG | $1,704 | ||||
| Total Medicare payment per Day with ICD Z9115 - Patient's noncompliance with renal dialysis | $2,316 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,521 | ||||
| Total Medicare payment per Hospitalization with ICD Z9115 - Patient's noncompliance with renal dialysis | $7,323 | ||||
| Total Medicare Charges at DRG | $8,543,867,896 | ||||
| Total Medicare Charges with ICD Z9115 - Patient's noncompliance with renal dialysis | $906,183,831 | ||||
| Avg Charges at DRG | $36,857 | ||||
| Avg Charges with ICD Z9115 - Patient's noncompliance with renal dialysis | $31,964 | ||||
| Mortality Rate at DRG | 2.89 | ||||
| Mortality Rate with ICD Z9115 - Patient's noncompliance with renal dialysis | 0.87 | ||||
| SNF Discharge Rate at DRG | 22.92 | ||||
| SNF Discharge Rate with ICD Z9115 - Patient's noncompliance with renal dialysis | 9.83 | ||||
| Home Discharge Rate at DRG | 43.02 | ||||
| Home Discharge Rate with ICD Z9115 - Patient's noncompliance with renal dialysis | 66.18 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 304: HYPERTENSION 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 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 138,345 | ||||
| Total Hospitalizations with ICD Z9115 - Patient's noncompliance with renal dialysis | 2,371 | ||||
| DRG Share of Total Hospitalizations | 0.42 | ||||
| % of Total ICD Z9115 - Patient's noncompliance with renal dialysis in DRG | 2.22 | ||||
| Avg LOS at DRG | 6.92 | ||||
| Avg LOS with ICD Z9115 - Patient's noncompliance with renal dialysis | 6.35 | ||||
| Readmission Rate at DRG | 32.2 | ||||
| Readmission Rate with ICD Z9115 - Patient's noncompliance with renal dialysis | 40.41 | ||||
| Unplanned Readmission Rate at DRG | 22.95 | ||||
| Unplanned Readmission Rate with ICD Z9115 - Patient's noncompliance with renal dialysis | 31.93 | ||||
| Total Medicare payments at DRG | $1,845,581,658 | ||||
| Total Medicare payments with ICD Z9115 - Patient's noncompliance with renal dialysis | $31,100,931 | ||||
| Total Medicare payment per Day at DRG | $1,929 | ||||
| Total Medicare payment per Day with ICD Z9115 - Patient's noncompliance with renal dialysis | $2,067 | ||||
| Total Medicare payment per Hospitalization at DRG | $13,340 | ||||
| Total Medicare payment per Hospitalization with ICD Z9115 - Patient's noncompliance with renal dialysis | $13,117 | ||||
| Total Medicare Charges at DRG | $9,021,459,592 | ||||
| Total Medicare Charges with ICD Z9115 - Patient's noncompliance with renal dialysis | $146,037,798 | ||||
| Avg Charges at DRG | $65,210 | ||||
| Avg Charges with ICD Z9115 - Patient's noncompliance with renal dialysis | $61,593 | ||||
| Mortality Rate at DRG | 5.29 | ||||
| Mortality Rate with ICD Z9115 - Patient's noncompliance with renal dialysis | 2.95 | ||||
| SNF Discharge Rate at DRG | 18.8 | ||||
| SNF Discharge Rate with ICD Z9115 - Patient's noncompliance with renal dialysis | 12.27 | ||||
| Home Discharge Rate at DRG | 39.78 | ||||
| Home Discharge Rate with ICD Z9115 - Patient's noncompliance with renal dialysis | 53.14 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 070: NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 637: DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 62,680 | ||||
| Total Hospitalizations with ICD Z9115 - Patient's noncompliance with renal dialysis | 1,572 | ||||
| DRG Share of Total Hospitalizations | 0.19 | ||||
| % of Total ICD Z9115 - Patient's noncompliance with renal dialysis in DRG | 1.47 | ||||
| Avg LOS at DRG | 7.42 | ||||
| Avg LOS with ICD Z9115 - Patient's noncompliance with renal dialysis | 5.19 | ||||
| Readmission Rate at DRG | 28.38 | ||||
| Readmission Rate with ICD Z9115 - Patient's noncompliance with renal dialysis | 38.73 | ||||
| Unplanned Readmission Rate at DRG | 19.73 | ||||
| Unplanned Readmission Rate with ICD Z9115 - Patient's noncompliance with renal dialysis | 32.44 | ||||
| Total Medicare payments at DRG | $784,253,159 | ||||
| Total Medicare payments with ICD Z9115 - Patient's noncompliance with renal dialysis | $17,032,482 | ||||
| Total Medicare payment per Day at DRG | $1,686 | ||||
| Total Medicare payment per Day with ICD Z9115 - Patient's noncompliance with renal dialysis | $2,086 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,512 | ||||
| Total Medicare payment per Hospitalization with ICD Z9115 - Patient's noncompliance with renal dialysis | $10,835 | ||||
| Total Medicare Charges at DRG | $3,210,257,310 | ||||
| Total Medicare Charges with ICD Z9115 - Patient's noncompliance with renal dialysis | $67,854,975 | ||||
| Avg Charges at DRG | $51,217 | ||||
| Avg Charges with ICD Z9115 - Patient's noncompliance with renal dialysis | $43,165 | ||||
| Mortality Rate at DRG | 4.21 | ||||
| Mortality Rate with ICD Z9115 - Patient's noncompliance with renal dialysis | 1.02 | ||||
| SNF Discharge Rate at DRG | 30.71 | ||||
| SNF Discharge Rate with ICD Z9115 - Patient's noncompliance with renal dialysis | 28.82 | ||||
| Home Discharge Rate at DRG | 21.91 | ||||
| Home Discharge Rate with ICD Z9115 - Patient's noncompliance with renal dialysis | 37.72 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 190,819 | ||||
| Total Hospitalizations with ICD Z9115 - Patient's noncompliance with renal dialysis | 1,059 | ||||
| DRG Share of Total Hospitalizations | 0.58 | ||||
| % of Total ICD Z9115 - Patient's noncompliance with renal dialysis in DRG | 0.99 | ||||
| Avg LOS at DRG | 5.63 | ||||
| Avg LOS with ICD Z9115 - Patient's noncompliance with renal dialysis | 4.35 | ||||
| Readmission Rate at DRG | 28.97 | ||||
| Readmission Rate with ICD Z9115 - Patient's noncompliance with renal dialysis | 44.17 | ||||
| Unplanned Readmission Rate at DRG | 22.07 | ||||
| Unplanned Readmission Rate with ICD Z9115 - Patient's noncompliance with renal dialysis | 39.01 | ||||
| Total Medicare payments at DRG | $2,165,853,817 | ||||
| Total Medicare payments with ICD Z9115 - Patient's noncompliance with renal dialysis | $11,738,257 | ||||
| Total Medicare payment per Day at DRG | $2,015 | ||||
| Total Medicare payment per Day with ICD Z9115 - Patient's noncompliance with renal dialysis | $2,550 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,350 | ||||
| Total Medicare payment per Hospitalization with ICD Z9115 - Patient's noncompliance with renal dialysis | $11,084 | ||||
| Total Medicare Charges at DRG | $10,686,431,125 | ||||
| Total Medicare Charges with ICD Z9115 - Patient's noncompliance with renal dialysis | $51,848,955 | ||||
| Avg Charges at DRG | $56,003 | ||||
| Avg Charges with ICD Z9115 - Patient's noncompliance with renal dialysis | $48,960 | ||||
| Mortality Rate at DRG | 5.35 | ||||
| Mortality Rate with ICD Z9115 - Patient's noncompliance with renal dialysis | 2.46 | ||||
| SNF Discharge Rate at DRG | 23.91 | ||||
| SNF Discharge Rate with ICD Z9115 - Patient's noncompliance with renal dialysis | 10.86 | ||||
| Home Discharge Rate at DRG | 39.51 | ||||
| Home Discharge Rate with ICD Z9115 - Patient's noncompliance with renal dialysis | 57.51 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BAPTIST MEDICAL CENTER | 111 DALLAS ST | SAN ANTONIO | TX | 78205 | 717 |
| METHODIST HOSPITAL | 7700 FLOYD CURL DRIVE | SAN ANTONIO | TX | 78229 | 510 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 488 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. FARHAN MAQSOOD | 1100 E CHEVES ST | FLORENCE | SC | 29506 | 113 |
| Dr. YUDH VIR GUPTA | 106 IRVING ST NW | WASHINGTON | DC | 20010 | 87 |
| Dr. RASHID AHMED DALAL | 4550 MEMORIAL DR | BELLEVILLE | IL | 62226 | 81 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DANIEL TAIWO ADENEYE | 812 W MAPLE ST | FARMINGTON | NM | 87401 | 105 |
| Dr. PAGIEL SHECHTER | 9808 VENICE BLVD | CULVER CITY | CA | 90232 | 104 |
| Dr. GILBERT E DANIEL | 1340 SOUTHERN AVE SE | WASHINGTON | DC | 20032 | 93 |