| 5852 - Chronic kidney disease, Stage II (mild) - as a primary diagnosis code | 5852 - Chronic kidney disease, Stage II (mild) - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.92 | |
| Readmission Rate (%) | 23.86 | |
| 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 | ||
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|
| Total Hospitalizations at DRG | 311,763 |
| Total Hospitalizations with ICD 5852 - Chronic kidney disease, Stage II (mild) | 12 |
| DRG Share of Total Hospitalizations | 1.36 |
| % of Total ICD 5852 - Chronic kidney disease, Stage II (mild) in DRG | 50.0 |
| Avg LOS at DRG | 4.34 |
| Avg LOS with ICD 5852 - Chronic kidney disease, Stage II (mild) | 3.92 |
| Readmission Rate at DRG | 23.41 |
| Readmission Rate with ICD 5852 - Chronic kidney disease, Stage II (mild) | NA |
| Unplanned Readmission Rate at DRG | 16.67 |
| Unplanned Readmission Rate with ICD 5852 - Chronic kidney disease, Stage II (mild) | NA |
| Total Medicare payments at DRG | $1,867,955,174 |
| Total Medicare payments with ICD 5852 - Chronic kidney disease, Stage II (mild) | $98,721 |
| Total Medicare payment per Day at DRG | $1,382 |
| Total Medicare payment per Day with ICD 5852 - Chronic kidney disease, Stage II (mild) | $2,100 |
| Total Medicare payment per Hospitalization at DRG | $5,992 |
| Total Medicare payment per Hospitalization with ICD 5852 - Chronic kidney disease, Stage II (mild) | $8,227 |
| Total Medicare Charges at DRG | $8,358,483,119 |
| Total Medicare Charges with ICD 5852 - Chronic kidney disease, Stage II (mild) | $344,648 |
| Avg Charges at DRG | $26,810 |
| Avg Charges with ICD 5852 - Chronic kidney disease, Stage II (mild) | $28,721 |
| Mortality Rate at DRG | 1.37 |
| Mortality Rate with ICD 5852 - Chronic kidney disease, Stage II (mild) | NA |
| SNF Discharge Rate at DRG | 23.3 |
| SNF Discharge Rate with ICD 5852 - Chronic kidney disease, Stage II (mild) | NA |
| Home Discharge Rate at DRG | 45.55 |
| Home Discharge Rate with ICD 5852 - Chronic kidney disease, Stage II (mild) | NA |
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 901,552 | ||||
| Total Hospitalizations with ICD 5852 - Chronic kidney disease, Stage II (mild) | 9,334 | ||||
| DRG Share of Total Hospitalizations | 3.95 | ||||
| % of Total ICD 5852 - Chronic kidney disease, Stage II (mild) in DRG | 4.87 | ||||
| Avg LOS at DRG | 6.79 | ||||
| Avg LOS with ICD 5852 - Chronic kidney disease, Stage II (mild) | 6.88 | ||||
| Readmission Rate at DRG | 25.38 | ||||
| Readmission Rate with ICD 5852 - Chronic kidney disease, Stage II (mild) | 25.21 | ||||
| Unplanned Readmission Rate at DRG | 17.1 | ||||
| Unplanned Readmission Rate with ICD 5852 - Chronic kidney disease, Stage II (mild) | 17.33 | ||||
| Total Medicare payments at DRG | $11,142,976,193 | ||||
| Total Medicare payments with ICD 5852 - Chronic kidney disease, Stage II (mild) | $112,136,998 | ||||
| Total Medicare payment per Day at DRG | $1,821 | ||||
| Total Medicare payment per Day with ICD 5852 - Chronic kidney disease, Stage II (mild) | $1,747 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,360 | ||||
| Total Medicare payment per Hospitalization with ICD 5852 - Chronic kidney disease, Stage II (mild) | $12,014 | ||||
| Total Medicare Charges at DRG | $48,288,426,708 | ||||
| Total Medicare Charges with ICD 5852 - Chronic kidney disease, Stage II (mild) | $492,456,183 | ||||
| Avg Charges at DRG | $53,561 | ||||
| Avg Charges with ICD 5852 - Chronic kidney disease, Stage II (mild) | $52,759 | ||||
| Mortality Rate at DRG | 15.16 | ||||
| Mortality Rate with ICD 5852 - Chronic kidney disease, Stage II (mild) | 10.39 | ||||
| SNF Discharge Rate at DRG | 28.41 | ||||
| SNF Discharge Rate with ICD 5852 - Chronic kidney disease, Stage II (mild) | 32.14 | ||||
| Home Discharge Rate at DRG | 23.21 | ||||
| Home Discharge Rate with ICD 5852 - Chronic kidney disease, Stage II (mild) | 23.83 |
| DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY 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) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 602,372 | ||||
| Total Hospitalizations with ICD 5852 - Chronic kidney disease, Stage II (mild) | 4,739 | ||||
| DRG Share of Total Hospitalizations | 2.64 | ||||
| % of Total ICD 5852 - Chronic kidney disease, Stage II (mild) in DRG | 2.47 | ||||
| Avg LOS at DRG | 13.11 | ||||
| Avg LOS with ICD 5852 - Chronic kidney disease, Stage II (mild) | 13.22 | ||||
| Readmission Rate at DRG | 15.99 | ||||
| Readmission Rate with ICD 5852 - Chronic kidney disease, Stage II (mild) | 16.62 | ||||
| Unplanned Readmission Rate at DRG | 12.22 | ||||
| Unplanned Readmission Rate with ICD 5852 - Chronic kidney disease, Stage II (mild) | 12.93 | ||||
| Total Medicare payments at DRG | $11,047,686,856 | ||||
| Total Medicare payments with ICD 5852 - Chronic kidney disease, Stage II (mild) | $87,653,289 | ||||
| Total Medicare payment per Day at DRG | $1,399 | ||||
| Total Medicare payment per Day with ICD 5852 - Chronic kidney disease, Stage II (mild) | $1,400 | ||||
| Total Medicare payment per Hospitalization at DRG | $18,340 | ||||
| Total Medicare payment per Hospitalization with ICD 5852 - Chronic kidney disease, Stage II (mild) | $18,496 | ||||
| Total Medicare Charges at DRG | $25,171,736,043 | ||||
| Total Medicare Charges with ICD 5852 - Chronic kidney disease, Stage II (mild) | $206,464,430 | ||||
| Avg Charges at DRG | $41,788 | ||||
| Avg Charges with ICD 5852 - Chronic kidney disease, Stage II (mild) | $43,567 | ||||
| Mortality Rate at DRG | 0.21 | ||||
| Mortality Rate with ICD 5852 - Chronic kidney disease, Stage II (mild) | 0.27 | ||||
| SNF Discharge Rate at DRG | 17.37 | ||||
| SNF Discharge Rate with ICD 5852 - Chronic kidney disease, Stage II (mild) | 17.81 | ||||
| Home Discharge Rate at DRG | 21.02 | ||||
| Home Discharge Rate with ICD 5852 - Chronic kidney disease, Stage II (mild) | 20.03 |
| DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 | 235,369 | ||||
| Total Hospitalizations with ICD 5852 - Chronic kidney disease, Stage II (mild) | 3,030 | ||||
| DRG Share of Total Hospitalizations | 1.03 | ||||
| % of Total ICD 5852 - Chronic kidney disease, Stage II (mild) in DRG | 1.58 | ||||
| Avg LOS at DRG | 6.39 | ||||
| Avg LOS with ICD 5852 - Chronic kidney disease, Stage II (mild) | 6.3 | ||||
| Readmission Rate at DRG | 29.0 | ||||
| Readmission Rate with ICD 5852 - Chronic kidney disease, Stage II (mild) | 27.5 | ||||
| Unplanned Readmission Rate at DRG | 21.04 | ||||
| Unplanned Readmission Rate with ICD 5852 - Chronic kidney disease, Stage II (mild) | 19.39 | ||||
| Total Medicare payments at DRG | $2,435,030,298 | ||||
| Total Medicare payments with ICD 5852 - Chronic kidney disease, Stage II (mild) | $29,765,200 | ||||
| Total Medicare payment per Day at DRG | $1,619 | ||||
| Total Medicare payment per Day with ICD 5852 - Chronic kidney disease, Stage II (mild) | $1,560 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,346 | ||||
| Total Medicare payment per Hospitalization with ICD 5852 - Chronic kidney disease, Stage II (mild) | $9,823 | ||||
| Total Medicare Charges at DRG | $10,227,015,588 | ||||
| Total Medicare Charges with ICD 5852 - Chronic kidney disease, Stage II (mild) | $124,869,797 | ||||
| Avg Charges at DRG | $43,451 | ||||
| Avg Charges with ICD 5852 - Chronic kidney disease, Stage II (mild) | $41,211 | ||||
| Mortality Rate at DRG | 5.93 | ||||
| Mortality Rate with ICD 5852 - Chronic kidney disease, Stage II (mild) | 4.59 | ||||
| SNF Discharge Rate at DRG | 27.26 | ||||
| SNF Discharge Rate with ICD 5852 - Chronic kidney disease, Stage II (mild) | 33.43 | ||||
| Home Discharge Rate at DRG | 34.42 | ||||
| Home Discharge Rate with ICD 5852 - Chronic kidney disease, Stage II (mild) | 28.45 |
| DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 293: HEART FAILURE AND SHOCK WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 274,950 | ||||
| Total Hospitalizations with ICD 5852 - Chronic kidney disease, Stage II (mild) | 2,576 | ||||
| DRG Share of Total Hospitalizations | 1.2 | ||||
| % of Total ICD 5852 - Chronic kidney disease, Stage II (mild) in DRG | 1.34 | ||||
| Avg LOS at DRG | 6.96 | ||||
| Avg LOS with ICD 5852 - Chronic kidney disease, Stage II (mild) | 6.94 | ||||
| Readmission Rate at DRG | 27.13 | ||||
| Readmission Rate with ICD 5852 - Chronic kidney disease, Stage II (mild) | 29.0 | ||||
| Unplanned Readmission Rate at DRG | 20.24 | ||||
| Unplanned Readmission Rate with ICD 5852 - Chronic kidney disease, Stage II (mild) | 22.58 | ||||
| Total Medicare payments at DRG | $2,790,739,849 | ||||
| Total Medicare payments with ICD 5852 - Chronic kidney disease, Stage II (mild) | $26,039,861 | ||||
| Total Medicare payment per Day at DRG | $1,457 | ||||
| Total Medicare payment per Day with ICD 5852 - Chronic kidney disease, Stage II (mild) | $1,456 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,150 | ||||
| Total Medicare payment per Hospitalization with ICD 5852 - Chronic kidney disease, Stage II (mild) | $10,109 | ||||
| Total Medicare Charges at DRG | $11,867,056,741 | ||||
| Total Medicare Charges with ICD 5852 - Chronic kidney disease, Stage II (mild) | $116,041,716 | ||||
| Avg Charges at DRG | $43,161 | ||||
| Avg Charges with ICD 5852 - Chronic kidney disease, Stage II (mild) | $45,047 | ||||
| Mortality Rate at DRG | 7.44 | ||||
| Mortality Rate with ICD 5852 - Chronic kidney disease, Stage II (mild) | 5.32 | ||||
| SNF Discharge Rate at DRG | 20.22 | ||||
| SNF Discharge Rate with ICD 5852 - Chronic kidney disease, Stage II (mild) | 23.6 | ||||
| Home Discharge Rate at DRG | 37.4 | ||||
| Home Discharge Rate with ICD 5852 - Chronic kidney disease, Stage II (mild) | 32.88 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 889 |
| VIDANT MEDICAL CENTER | 2100 STANTONSBURG RD | GREENVILLE | NC | 27834 | 827 |
| PARDEE UNC HEALTH CARE | 800 N JUSTICE ST | HENDERSONVILLE | NC | 28791 | 641 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. DOUGLAS ZIPRICK | 16850 BEAR VALLEY RD | VICTORVILLE | CA | 92395 | 65 |
| Dr. JAMES M LALLY | 13193 CENTRAL AVE | CHINO | CA | 91710 | 64 |
| Dr. AMMAR S BAFI | 110 IRVING ST NW | WASHINGTON | DC | 20010 | 50 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. JAMES M LALLY | 13193 CENTRAL AVE | CHINO | CA | 91710 | 321 |
| Dr. CHRISTOPHER ROBERT WILSON | 425 E ALTON GLOOR BLVD | BROWNSVILLE | TX | 78526 | 165 |
| Dr. STEVEN KENNETH LACKEY | 800 N JUSTICE ST | HENDERSONVILLE | NC | 28791 | 160 |