| 5859 - Chronic kidney disease, unspecified - as a primary diagnosis code | 5859 - Chronic kidney disease, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.09 | |
| Readmission Rate (%) | 25.57 | |
| Unplanned Readmission Rate (%) | 11.22 | |
| 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 684: RENAL FAILURE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 311,763 | ||
| Total Hospitalizations with ICD 5859 - Chronic kidney disease, unspecified | 288 | ||
| DRG Share of Total Hospitalizations | 1.36 | ||
| % of Total ICD 5859 - Chronic kidney disease, unspecified in DRG | 45.86 | ||
| Avg LOS at DRG | 4.34 | ||
| Avg LOS with ICD 5859 - Chronic kidney disease, unspecified | 4.28 | ||
| Readmission Rate at DRG | 23.41 | ||
| Readmission Rate with ICD 5859 - Chronic kidney disease, unspecified | 23.63 | ||
| Unplanned Readmission Rate at DRG | 16.67 | ||
| Unplanned Readmission Rate with ICD 5859 - Chronic kidney disease, unspecified | 9.7 | ||
| Total Medicare payments at DRG | $1,867,955,174 | ||
| Total Medicare payments with ICD 5859 - Chronic kidney disease, unspecified | $1,840,889 | ||
| Total Medicare payment per Day at DRG | $1,382 | ||
| Total Medicare payment per Day with ICD 5859 - Chronic kidney disease, unspecified | $1,493 | ||
| Total Medicare payment per Hospitalization at DRG | $5,992 | ||
| Total Medicare payment per Hospitalization with ICD 5859 - Chronic kidney disease, unspecified | $6,392 | ||
| Total Medicare Charges at DRG | $8,358,483,119 | ||
| Total Medicare Charges with ICD 5859 - Chronic kidney disease, unspecified | $4,875,896 | ||
| Avg Charges at DRG | $26,810 | ||
| Avg Charges with ICD 5859 - Chronic kidney disease, unspecified | $16,930 | ||
| Mortality Rate at DRG | 1.37 | ||
| Mortality Rate with ICD 5859 - Chronic kidney disease, unspecified | 6.94 | ||
| SNF Discharge Rate at DRG | 23.3 | ||
| SNF Discharge Rate with ICD 5859 - Chronic kidney disease, unspecified | 16.32 | ||
| Home Discharge Rate at DRG | 45.55 | ||
| Home Discharge Rate with ICD 5859 - Chronic kidney disease, unspecified | 42.71 |
| 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 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 901,552 | ||||
| Total Hospitalizations with ICD 5859 - Chronic kidney disease, unspecified | 88,606 | ||||
| DRG Share of Total Hospitalizations | 3.95 | ||||
| % of Total ICD 5859 - Chronic kidney disease, unspecified in DRG | 5.37 | ||||
| Avg LOS at DRG | 6.79 | ||||
| Avg LOS with ICD 5859 - Chronic kidney disease, unspecified | 6.94 | ||||
| Readmission Rate at DRG | 25.38 | ||||
| Readmission Rate with ICD 5859 - Chronic kidney disease, unspecified | 27.3 | ||||
| Unplanned Readmission Rate at DRG | 17.1 | ||||
| Unplanned Readmission Rate with ICD 5859 - Chronic kidney disease, unspecified | 17.91 | ||||
| Total Medicare payments at DRG | $11,142,976,193 | ||||
| Total Medicare payments with ICD 5859 - Chronic kidney disease, unspecified | $1,109,650,158 | ||||
| Total Medicare payment per Day at DRG | $1,821 | ||||
| Total Medicare payment per Day with ICD 5859 - Chronic kidney disease, unspecified | $1,805 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,360 | ||||
| Total Medicare payment per Hospitalization with ICD 5859 - Chronic kidney disease, unspecified | $12,523 | ||||
| Total Medicare Charges at DRG | $48,288,426,708 | ||||
| Total Medicare Charges with ICD 5859 - Chronic kidney disease, unspecified | $4,983,954,539 | ||||
| Avg Charges at DRG | $53,561 | ||||
| Avg Charges with ICD 5859 - Chronic kidney disease, unspecified | $56,248 | ||||
| Mortality Rate at DRG | 15.16 | ||||
| Mortality Rate with ICD 5859 - Chronic kidney disease, unspecified | 19.0 | ||||
| SNF Discharge Rate at DRG | 28.41 | ||||
| SNF Discharge Rate with ICD 5859 - Chronic kidney disease, unspecified | 31.06 | ||||
| Home Discharge Rate at DRG | 23.21 | ||||
| Home Discharge Rate with ICD 5859 - Chronic kidney disease, unspecified | 16.24 |
| DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 235,369 | ||||
| Total Hospitalizations with ICD 5859 - Chronic kidney disease, unspecified | 35,533 | ||||
| DRG Share of Total Hospitalizations | 1.03 | ||||
| % of Total ICD 5859 - Chronic kidney disease, unspecified in DRG | 2.15 | ||||
| Avg LOS at DRG | 6.39 | ||||
| Avg LOS with ICD 5859 - Chronic kidney disease, unspecified | 6.43 | ||||
| Readmission Rate at DRG | 29.0 | ||||
| Readmission Rate with ICD 5859 - Chronic kidney disease, unspecified | 27.64 | ||||
| Unplanned Readmission Rate at DRG | 21.04 | ||||
| Unplanned Readmission Rate with ICD 5859 - Chronic kidney disease, unspecified | 19.31 | ||||
| Total Medicare payments at DRG | $2,435,030,298 | ||||
| Total Medicare payments with ICD 5859 - Chronic kidney disease, unspecified | $361,172,739 | ||||
| Total Medicare payment per Day at DRG | $1,619 | ||||
| Total Medicare payment per Day with ICD 5859 - Chronic kidney disease, unspecified | $1,580 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,346 | ||||
| Total Medicare payment per Hospitalization with ICD 5859 - Chronic kidney disease, unspecified | $10,164 | ||||
| Total Medicare Charges at DRG | $10,227,015,588 | ||||
| Total Medicare Charges with ICD 5859 - Chronic kidney disease, unspecified | $1,515,195,211 | ||||
| Avg Charges at DRG | $43,451 | ||||
| Avg Charges with ICD 5859 - Chronic kidney disease, unspecified | $42,642 | ||||
| Mortality Rate at DRG | 5.93 | ||||
| Mortality Rate with ICD 5859 - Chronic kidney disease, unspecified | 7.65 | ||||
| SNF Discharge Rate at DRG | 27.26 | ||||
| SNF Discharge Rate with ICD 5859 - Chronic kidney disease, unspecified | 31.94 | ||||
| Home Discharge Rate at DRG | 34.42 | ||||
| Home Discharge Rate with ICD 5859 - Chronic kidney disease, unspecified | 24.57 |
| DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | 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 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 293,121 | ||||
| Total Hospitalizations with ICD 5859 - Chronic kidney disease, unspecified | 27,243 | ||||
| DRG Share of Total Hospitalizations | 1.28 | ||||
| % of Total ICD 5859 - Chronic kidney disease, unspecified in DRG | 1.65 | ||||
| Avg LOS at DRG | 3.78 | ||||
| Avg LOS with ICD 5859 - Chronic kidney disease, unspecified | 4.11 | ||||
| Readmission Rate at DRG | 17.73 | ||||
| Readmission Rate with ICD 5859 - Chronic kidney disease, unspecified | 21.57 | ||||
| Unplanned Readmission Rate at DRG | 13.44 | ||||
| Unplanned Readmission Rate with ICD 5859 - Chronic kidney disease, unspecified | 16.63 | ||||
| Total Medicare payments at DRG | $1,776,508,891 | ||||
| Total Medicare payments with ICD 5859 - Chronic kidney disease, unspecified | $170,497,041 | ||||
| Total Medicare payment per Day at DRG | $1,604 | ||||
| Total Medicare payment per Day with ICD 5859 - Chronic kidney disease, unspecified | $1,522 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,061 | ||||
| Total Medicare payment per Hospitalization with ICD 5859 - Chronic kidney disease, unspecified | $6,258 | ||||
| Total Medicare Charges at DRG | $8,470,312,778 | ||||
| Total Medicare Charges with ICD 5859 - Chronic kidney disease, unspecified | $846,531,542 | ||||
| Avg Charges at DRG | $28,897 | ||||
| Avg Charges with ICD 5859 - Chronic kidney disease, unspecified | $31,073 | ||||
| Mortality Rate at DRG | 0.95 | ||||
| Mortality Rate with ICD 5859 - Chronic kidney disease, unspecified | 1.44 | ||||
| SNF Discharge Rate at DRG | 14.94 | ||||
| SNF Discharge Rate with ICD 5859 - Chronic kidney disease, unspecified | 19.0 | ||||
| Home Discharge Rate at DRG | 62.44 | ||||
| Home Discharge Rate with ICD 5859 - Chronic kidney disease, unspecified | 53.87 |
| DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 293: HEART FAILURE AND SHOCK WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 305,326 | ||||
| Total Hospitalizations with ICD 5859 - Chronic kidney disease, unspecified | 20,987 | ||||
| DRG Share of Total Hospitalizations | 1.34 | ||||
| % of Total ICD 5859 - Chronic kidney disease, unspecified in DRG | 1.27 | ||||
| Avg LOS at DRG | 5.11 | ||||
| Avg LOS with ICD 5859 - Chronic kidney disease, unspecified | 5.56 | ||||
| Readmission Rate at DRG | 24.58 | ||||
| Readmission Rate with ICD 5859 - Chronic kidney disease, unspecified | 28.59 | ||||
| Unplanned Readmission Rate at DRG | 18.98 | ||||
| Unplanned Readmission Rate with ICD 5859 - Chronic kidney disease, unspecified | 21.88 | ||||
| Total Medicare payments at DRG | $2,231,748,038 | ||||
| Total Medicare payments with ICD 5859 - Chronic kidney disease, unspecified | $159,229,818 | ||||
| Total Medicare payment per Day at DRG | $1,430 | ||||
| Total Medicare payment per Day with ICD 5859 - Chronic kidney disease, unspecified | $1,365 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,309 | ||||
| Total Medicare payment per Hospitalization with ICD 5859 - Chronic kidney disease, unspecified | $7,587 | ||||
| Total Medicare Charges at DRG | $10,098,826,638 | ||||
| Total Medicare Charges with ICD 5859 - Chronic kidney disease, unspecified | $769,187,297 | ||||
| Avg Charges at DRG | $33,076 | ||||
| Avg Charges with ICD 5859 - Chronic kidney disease, unspecified | $36,651 | ||||
| Mortality Rate at DRG | 1.47 | ||||
| Mortality Rate with ICD 5859 - Chronic kidney disease, unspecified | 2.12 | ||||
| SNF Discharge Rate at DRG | 14.55 | ||||
| SNF Discharge Rate with ICD 5859 - Chronic kidney disease, unspecified | 18.99 | ||||
| Home Discharge Rate at DRG | 53.12 | ||||
| Home Discharge Rate with ICD 5859 - Chronic kidney disease, unspecified | 43.77 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 8,897 |
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 5,433 |
| YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 4,539 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. WILLIAM G WOLFF | 5645 MAIN ST | FLUSHING | NY | 11355 | 261 |
| Dr. OLADAYO A SANUSI | 1901 PEASE ST | HARLINGEN | TX | 78550 | 228 |
| Dr. DMITRIY ZADUSHLIVY | 4802 10TH AVE | BROOKLYN | NY | 11219 | 187 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. OLADAYO A SANUSI | 1901 PEASE ST | HARLINGEN | TX | 78550 | 618 |
| Dr. LEONARD EUGENE ELLISON | 17330 NORTHLAND PARK CT | SOUTHFIELD | MI | 48075 | 462 |
| Dr. DMITRIY ZADUSHLIVY | 4802 10TH AVE | BROOKLYN | NY | 11219 | 437 |