*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z940 - Kidney transplant status - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 18.46 | |
| 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 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD Z940 - Kidney transplant status | 14,433 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Z940 - Kidney transplant status in DRG | 6.34 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Z940 - Kidney transplant status | 6.42 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Z940 - Kidney transplant status | 30.96 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Z940 - Kidney transplant status | 21.31 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Z940 - Kidney transplant status | $177,005,951 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Z940 - Kidney transplant status | $1,910 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Z940 - Kidney transplant status | $12,264 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Z940 - Kidney transplant status | $921,387,136 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Z940 - Kidney transplant status | $63,839 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Z940 - Kidney transplant status | 6.9 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Z940 - Kidney transplant status | 15.39 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Z940 - Kidney transplant status | 43.7 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 699: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD Z940 - Kidney transplant status | 5,400 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD Z940 - Kidney transplant status in DRG | 2.37 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD Z940 - Kidney transplant status | 3.08 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD Z940 - Kidney transplant status | 23.2 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD Z940 - Kidney transplant status | 15.63 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD Z940 - Kidney transplant status | $27,266,362 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD Z940 - Kidney transplant status | $1,639 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD Z940 - Kidney transplant status | $5,049 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD Z940 - Kidney transplant status | $150,531,908 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD Z940 - Kidney transplant status | $27,876 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD Z940 - Kidney transplant status | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD Z940 - Kidney transplant status | 2.33 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD Z940 - Kidney transplant status | 85.44 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| 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) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD Z940 - Kidney transplant status | 3,626 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD Z940 - Kidney transplant status in DRG | 1.59 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD Z940 - Kidney transplant status | 4.96 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD Z940 - Kidney transplant status | 27.49 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD Z940 - Kidney transplant status | 20.52 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD Z940 - Kidney transplant status | $32,444,962 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD Z940 - Kidney transplant status | $1,805 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD Z940 - Kidney transplant status | $8,948 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD Z940 - Kidney transplant status | $160,590,726 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD Z940 - Kidney transplant status | $44,289 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD Z940 - Kidney transplant status | 1.08 | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD Z940 - Kidney transplant status | 10.29 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD Z940 - Kidney transplant status | 63.62 |
*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 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 364,421 | ||||
| Total Hospitalizations with ICD Z940 - Kidney transplant status | 2,643 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD Z940 - Kidney transplant status in DRG | 1.16 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD Z940 - Kidney transplant status | 3.88 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD Z940 - Kidney transplant status | 19.0 | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD Z940 - Kidney transplant status | 12.61 | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD Z940 - Kidney transplant status | $14,372,144 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD Z940 - Kidney transplant status | $1,403 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD Z940 - Kidney transplant status | $5,438 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD Z940 - Kidney transplant status | $73,117,931 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD Z940 - Kidney transplant status | $27,665 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD Z940 - Kidney transplant status | NA | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD Z940 - Kidney transplant status | 5.86 | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD Z940 - Kidney transplant status | 69.39 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| METHODIST HOSPITAL | 7700 FLOYD CURL DRIVE | SAN ANTONIO | TX | 78229 | 1,570 |
| INDIANA UNIVERSITY HEALTH | 1701 N SENATE | INDIANAPOLIS | IN | 46202 | 1,422 |
| HOUSTON METHODIST HOSPITAL | 6565 FANNIN ST | HOUSTON | TX | 77030 | 1,257 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. NABIL B. SUMRANI | 450 CLARKSON AVE | BROOKLYN | NY | 11203 | 224 |
| Dr. DEVON JOHN | 403 E 34TH ST | NEW YORK | NY | 10016 | 139 |
| Dr. SEYED GHASEMIAN | 110 IRVING ST NW | WASHINGTON | DC | 20010 | 128 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. VIREN GORDHANBHAI AMIN | 34 CARRIAGE RD | ROSLYN | NY | 11576 | 265 |
| Dr. H ERIK WAHLSTROM | 4500 BROCKTON AVE. | RIVERSIDE | CA | 92501 | 253 |
| Dr. NABIL B. SUMRANI | 450 CLARKSON AVE | BROOKLYN | NY | 11203 | 249 |