5853 - Chronic kidney disease, Stage III (moderate) - as a primary diagnosis code | 5853 - Chronic kidney disease, Stage III (moderate) - as a primary or secondary diagnosis code | |
---|---|---|
OUTCOMES | ||
Avg. LOS | 6.18 | |
Readmission Rate (%) | 25.75 | |
Unplanned Readmission Rate (%) | 18.57 | |
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) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 684: RENAL FAILURE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|
Total Hospitalizations at DRG | 311,763 | ||
Total Hospitalizations with ICD 5853 - Chronic kidney disease, Stage III (moderate) | 137 | ||
DRG Share of Total Hospitalizations | 1.36 | ||
% of Total ICD 5853 - Chronic kidney disease, Stage III (moderate) in DRG | 53.52 | ||
Avg LOS at DRG | 4.34 | ||
Avg LOS with ICD 5853 - Chronic kidney disease, Stage III (moderate) | 4.6 | ||
Readmission Rate at DRG | 23.41 | ||
Readmission Rate with ICD 5853 - Chronic kidney disease, Stage III (moderate) | 36.15 | ||
Unplanned Readmission Rate at DRG | 16.67 | ||
Unplanned Readmission Rate with ICD 5853 - Chronic kidney disease, Stage III (moderate) | 21.54 | ||
Total Medicare payments at DRG | $1,867,955,174 | ||
Total Medicare payments with ICD 5853 - Chronic kidney disease, Stage III (moderate) | $886,689 | ||
Total Medicare payment per Day at DRG | $1,382 | ||
Total Medicare payment per Day with ICD 5853 - Chronic kidney disease, Stage III (moderate) | $1,407 | ||
Total Medicare payment per Hospitalization at DRG | $5,992 | ||
Total Medicare payment per Hospitalization with ICD 5853 - Chronic kidney disease, Stage III (moderate) | $6,472 | ||
Total Medicare Charges at DRG | $8,358,483,119 | ||
Total Medicare Charges with ICD 5853 - Chronic kidney disease, Stage III (moderate) | $3,096,898 | ||
Avg Charges at DRG | $26,810 | ||
Avg Charges with ICD 5853 - Chronic kidney disease, Stage III (moderate) | $22,605 | ||
Mortality Rate at DRG | 1.37 | ||
Mortality Rate with ICD 5853 - Chronic kidney disease, Stage III (moderate) | NA | ||
SNF Discharge Rate at DRG | 23.3 | ||
SNF Discharge Rate with ICD 5853 - Chronic kidney disease, Stage III (moderate) | 24.82 | ||
Home Discharge Rate at DRG | 45.55 | ||
Home Discharge Rate with ICD 5853 - Chronic kidney disease, Stage III (moderate) | 49.64 |
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 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 901,552 | ||||
Total Hospitalizations with ICD 5853 - Chronic kidney disease, Stage III (moderate) | 82,995 | ||||
DRG Share of Total Hospitalizations | 3.95 | ||||
% of Total ICD 5853 - Chronic kidney disease, Stage III (moderate) in DRG | 5.17 | ||||
Avg LOS at DRG | 6.79 | ||||
Avg LOS with ICD 5853 - Chronic kidney disease, Stage III (moderate) | 7.17 | ||||
Readmission Rate at DRG | 25.38 | ||||
Readmission Rate with ICD 5853 - Chronic kidney disease, Stage III (moderate) | 26.64 | ||||
Unplanned Readmission Rate at DRG | 17.1 | ||||
Unplanned Readmission Rate with ICD 5853 - Chronic kidney disease, Stage III (moderate) | 18.36 | ||||
Total Medicare payments at DRG | $11,142,976,193 | ||||
Total Medicare payments with ICD 5853 - Chronic kidney disease, Stage III (moderate) | $999,972,882 | ||||
Total Medicare payment per Day at DRG | $1,821 | ||||
Total Medicare payment per Day with ICD 5853 - Chronic kidney disease, Stage III (moderate) | $1,679 | ||||
Total Medicare payment per Hospitalization at DRG | $12,360 | ||||
Total Medicare payment per Hospitalization with ICD 5853 - Chronic kidney disease, Stage III (moderate) | $12,049 | ||||
Total Medicare Charges at DRG | $48,288,426,708 | ||||
Total Medicare Charges with ICD 5853 - Chronic kidney disease, Stage III (moderate) | $4,498,107,058 | ||||
Avg Charges at DRG | $53,561 | ||||
Avg Charges with ICD 5853 - Chronic kidney disease, Stage III (moderate) | $54,197 | ||||
Mortality Rate at DRG | 15.16 | ||||
Mortality Rate with ICD 5853 - Chronic kidney disease, Stage III (moderate) | 12.39 | ||||
SNF Discharge Rate at DRG | 28.41 | ||||
SNF Discharge Rate with ICD 5853 - Chronic kidney disease, Stage III (moderate) | 32.76 | ||||
Home Discharge Rate at DRG | 23.21 | ||||
Home Discharge Rate with ICD 5853 - Chronic kidney disease, Stage III (moderate) | 20.34 |
DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT 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 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 235,369 | ||||
Total Hospitalizations with ICD 5853 - Chronic kidney disease, Stage III (moderate) | 37,476 | ||||
DRG Share of Total Hospitalizations | 1.03 | ||||
% of Total ICD 5853 - Chronic kidney disease, Stage III (moderate) in DRG | 2.33 | ||||
Avg LOS at DRG | 6.39 | ||||
Avg LOS with ICD 5853 - Chronic kidney disease, Stage III (moderate) | 6.75 | ||||
Readmission Rate at DRG | 29.0 | ||||
Readmission Rate with ICD 5853 - Chronic kidney disease, Stage III (moderate) | 28.82 | ||||
Unplanned Readmission Rate at DRG | 21.04 | ||||
Unplanned Readmission Rate with ICD 5853 - Chronic kidney disease, Stage III (moderate) | 20.45 | ||||
Total Medicare payments at DRG | $2,435,030,298 | ||||
Total Medicare payments with ICD 5853 - Chronic kidney disease, Stage III (moderate) | $370,392,068 | ||||
Total Medicare payment per Day at DRG | $1,619 | ||||
Total Medicare payment per Day with ICD 5853 - Chronic kidney disease, Stage III (moderate) | $1,465 | ||||
Total Medicare payment per Hospitalization at DRG | $10,346 | ||||
Total Medicare payment per Hospitalization with ICD 5853 - Chronic kidney disease, Stage III (moderate) | $9,883 | ||||
Total Medicare Charges at DRG | $10,227,015,588 | ||||
Total Medicare Charges with ICD 5853 - Chronic kidney disease, Stage III (moderate) | $1,657,746,881 | ||||
Avg Charges at DRG | $43,451 | ||||
Avg Charges with ICD 5853 - Chronic kidney disease, Stage III (moderate) | $44,235 | ||||
Mortality Rate at DRG | 5.93 | ||||
Mortality Rate with ICD 5853 - Chronic kidney disease, Stage III (moderate) | 5.69 | ||||
SNF Discharge Rate at DRG | 27.26 | ||||
SNF Discharge Rate with ICD 5853 - Chronic kidney disease, Stage III (moderate) | 32.76 | ||||
Home Discharge Rate at DRG | 34.42 | ||||
Home Discharge Rate with ICD 5853 - Chronic kidney disease, Stage III (moderate) | 26.11 |
DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 368,382 | ||||
Total Hospitalizations with ICD 5853 - Chronic kidney disease, Stage III (moderate) | 26,606 | ||||
DRG Share of Total Hospitalizations | 1.61 | ||||
% of Total ICD 5853 - Chronic kidney disease, Stage III (moderate) in DRG | 1.66 | ||||
Avg LOS at DRG | 3.76 | ||||
Avg LOS with ICD 5853 - Chronic kidney disease, Stage III (moderate) | 3.98 | ||||
Readmission Rate at DRG | 18.51 | ||||
Readmission Rate with ICD 5853 - Chronic kidney disease, Stage III (moderate) | 20.88 | ||||
Unplanned Readmission Rate at DRG | 12.91 | ||||
Unplanned Readmission Rate with ICD 5853 - Chronic kidney disease, Stage III (moderate) | 15.84 | ||||
Total Medicare payments at DRG | $1,761,365,865 | ||||
Total Medicare payments with ICD 5853 - Chronic kidney disease, Stage III (moderate) | $126,566,344 | ||||
Total Medicare payment per Day at DRG | $1,270 | ||||
Total Medicare payment per Day with ICD 5853 - Chronic kidney disease, Stage III (moderate) | $1,196 | ||||
Total Medicare payment per Hospitalization at DRG | $4,781 | ||||
Total Medicare payment per Hospitalization with ICD 5853 - Chronic kidney disease, Stage III (moderate) | $4,757 | ||||
Total Medicare Charges at DRG | $7,996,276,956 | ||||
Total Medicare Charges with ICD 5853 - Chronic kidney disease, Stage III (moderate) | $609,982,423 | ||||
Avg Charges at DRG | $21,706 | ||||
Avg Charges with ICD 5853 - Chronic kidney disease, Stage III (moderate) | $22,926 | ||||
Mortality Rate at DRG | 0.32 | ||||
Mortality Rate with ICD 5853 - Chronic kidney disease, Stage III (moderate) | 0.3 | ||||
SNF Discharge Rate at DRG | 27.88 | ||||
SNF Discharge Rate with ICD 5853 - Chronic kidney disease, Stage III (moderate) | 30.48 | ||||
Home Discharge Rate at DRG | 42.37 | ||||
Home Discharge Rate with ICD 5853 - Chronic kidney disease, Stage III (moderate) | 38.56 |
DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 293: HEART FAILURE AND SHOCK WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 417,595 | ||||
Total Hospitalizations with ICD 5853 - Chronic kidney disease, Stage III (moderate) | 21,669 | ||||
DRG Share of Total Hospitalizations | 1.83 | ||||
% of Total ICD 5853 - Chronic kidney disease, Stage III (moderate) in DRG | 1.35 | ||||
Avg LOS at DRG | 3.34 | ||||
Avg LOS with ICD 5853 - Chronic kidney disease, Stage III (moderate) | 3.55 | ||||
Readmission Rate at DRG | 17.47 | ||||
Readmission Rate with ICD 5853 - Chronic kidney disease, Stage III (moderate) | 20.21 | ||||
Unplanned Readmission Rate at DRG | 12.56 | ||||
Unplanned Readmission Rate with ICD 5853 - Chronic kidney disease, Stage III (moderate) | 15.76 | ||||
Total Medicare payments at DRG | $1,834,433,235 | ||||
Total Medicare payments with ICD 5853 - Chronic kidney disease, Stage III (moderate) | $95,757,986 | ||||
Total Medicare payment per Day at DRG | $1,317 | ||||
Total Medicare payment per Day with ICD 5853 - Chronic kidney disease, Stage III (moderate) | $1,245 | ||||
Total Medicare payment per Hospitalization at DRG | $4,393 | ||||
Total Medicare payment per Hospitalization with ICD 5853 - Chronic kidney disease, Stage III (moderate) | $4,419 | ||||
Total Medicare Charges at DRG | $9,558,780,965 | ||||
Total Medicare Charges with ICD 5853 - Chronic kidney disease, Stage III (moderate) | $516,280,605 | ||||
Avg Charges at DRG | $22,890 | ||||
Avg Charges with ICD 5853 - Chronic kidney disease, Stage III (moderate) | $23,826 | ||||
Mortality Rate at DRG | 0.23 | ||||
Mortality Rate with ICD 5853 - Chronic kidney disease, Stage III (moderate) | 0.29 | ||||
SNF Discharge Rate at DRG | 8.82 | ||||
SNF Discharge Rate with ICD 5853 - Chronic kidney disease, Stage III (moderate) | 12.97 | ||||
Home Discharge Rate at DRG | 73.03 | ||||
Home Discharge Rate with ICD 5853 - Chronic kidney disease, Stage III (moderate) | 64.3 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
---|---|---|---|---|---|
AURORA ST. LUKE'S MEDICAL CENTER | 2900 W OKLAHOMA AVE | MILWAUKEE | WI | 53215 | 6,021 |
BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 4,731 |
MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 4,430 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
---|---|---|---|---|---|
Dr. DAVID EMMIT ALLIE | 2730 AMBASSADOR CAFFERY PKWY | LAFAYETTE | LA | 70506 | 214 |
Dr. SUNGHYE JENNY KANG | 2200 W HIGGINS RD | HOFFMAN ESTATES | IL | 60169 | 199 |
Dr. MONIKA ROLEK | 800 BIESTERFIELD RD | ELK GROVE VILLAGE | IL | 60007 | 189 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
---|---|---|---|---|---|
Dr. JAMES M LALLY | 13193 CENTRAL AVE | CHINO | CA | 91710 | 525 |
Dr. WILLIAM R. PREBOLA | 150 MUNDY ST | WILKES BARRE | PA | 18702 | 377 |
Dr. DOUGLAS JAMES BRUNNER | 175 E CHESTER PIKE | RIDLEY PARK | PA | 19078 | 371 |