| 586 - Renal failure, unspecified - as a primary diagnosis code | 586 - Renal failure, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.01 | |
| Readmission Rate (%) | 25.08 | |
| Unplanned Readmission Rate (%) | 10.96 | |
| 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) | DRG 674: OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 311,763 | |||
| Total Hospitalizations with ICD 586 - Renal failure, unspecified | 440 | |||
| DRG Share of Total Hospitalizations | 1.36 | |||
| % of Total ICD 586 - Renal failure, unspecified in DRG | 51.28 | |||
| Avg LOS at DRG | 4.34 | |||
| Avg LOS with ICD 586 - Renal failure, unspecified | 3.53 | |||
| Readmission Rate at DRG | 23.41 | |||
| Readmission Rate with ICD 586 - Renal failure, unspecified | 22.22 | |||
| Unplanned Readmission Rate at DRG | 16.67 | |||
| Unplanned Readmission Rate with ICD 586 - Renal failure, unspecified | 9.69 | |||
| Total Medicare payments at DRG | $1,867,955,174 | |||
| Total Medicare payments with ICD 586 - Renal failure, unspecified | $2,701,181 | |||
| Total Medicare payment per Day at DRG | $1,382 | |||
| Total Medicare payment per Day with ICD 586 - Renal failure, unspecified | $1,737 | |||
| Total Medicare payment per Hospitalization at DRG | $5,992 | |||
| Total Medicare payment per Hospitalization with ICD 586 - Renal failure, unspecified | $6,139 | |||
| Total Medicare Charges at DRG | $8,358,483,119 | |||
| Total Medicare Charges with ICD 586 - Renal failure, unspecified | $6,448,996 | |||
| Avg Charges at DRG | $26,810 | |||
| Avg Charges with ICD 586 - Renal failure, unspecified | $14,657 | |||
| Mortality Rate at DRG | 1.37 | |||
| Mortality Rate with ICD 586 - Renal failure, unspecified | 9.55 | |||
| SNF Discharge Rate at DRG | 23.3 | |||
| SNF Discharge Rate with ICD 586 - Renal failure, unspecified | 19.09 | |||
| Home Discharge Rate at DRG | 45.55 | |||
| Home Discharge Rate with ICD 586 - Renal failure, unspecified | 37.5 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| VAN DIEST MEDICAL CENTER | 2350 HOSPITAL DRIVE | WEBSTER CITY | IA | 50595 | 12 |
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 901,552 | ||||
| Total Hospitalizations with ICD 586 - Renal failure, unspecified | 1,455 | ||||
| DRG Share of Total Hospitalizations | 3.95 | ||||
| % of Total ICD 586 - Renal failure, unspecified in DRG | 6.39 | ||||
| Avg LOS at DRG | 6.79 | ||||
| Avg LOS with ICD 586 - Renal failure, unspecified | 5.43 | ||||
| Readmission Rate at DRG | 25.38 | ||||
| Readmission Rate with ICD 586 - Renal failure, unspecified | 24.56 | ||||
| Unplanned Readmission Rate at DRG | 17.1 | ||||
| Unplanned Readmission Rate with ICD 586 - Renal failure, unspecified | 16.46 | ||||
| Total Medicare payments at DRG | $11,142,976,193 | ||||
| Total Medicare payments with ICD 586 - Renal failure, unspecified | $17,078,156 | ||||
| Total Medicare payment per Day at DRG | $1,821 | ||||
| Total Medicare payment per Day with ICD 586 - Renal failure, unspecified | $2,163 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,360 | ||||
| Total Medicare payment per Hospitalization with ICD 586 - Renal failure, unspecified | $11,738 | ||||
| Total Medicare Charges at DRG | $48,288,426,708 | ||||
| Total Medicare Charges with ICD 586 - Renal failure, unspecified | $66,065,292 | ||||
| Avg Charges at DRG | $53,561 | ||||
| Avg Charges with ICD 586 - Renal failure, unspecified | $45,406 | ||||
| Mortality Rate at DRG | 15.16 | ||||
| Mortality Rate with ICD 586 - Renal failure, unspecified | 40.0 | ||||
| SNF Discharge Rate at DRG | 28.41 | ||||
| SNF Discharge Rate with ICD 586 - Renal failure, unspecified | 19.18 | ||||
| Home Discharge Rate at DRG | 23.21 | ||||
| Home Discharge Rate with ICD 586 - Renal failure, unspecified | 12.51 |
| DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 885: PSYCHOSES | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 414,616 | ||||
| Total Hospitalizations with ICD 586 - Renal failure, unspecified | 603 | ||||
| DRG Share of Total Hospitalizations | 1.81 | ||||
| % of Total ICD 586 - Renal failure, unspecified in DRG | 2.65 | ||||
| Avg LOS at DRG | 4.4 | ||||
| Avg LOS with ICD 586 - Renal failure, unspecified | 4.7 | ||||
| Readmission Rate at DRG | 25.69 | ||||
| Readmission Rate with ICD 586 - Renal failure, unspecified | 24.86 | ||||
| Unplanned Readmission Rate at DRG | 19.35 | ||||
| Unplanned Readmission Rate with ICD 586 - Renal failure, unspecified | 15.41 | ||||
| Total Medicare payments at DRG | $2,579,957,747 | ||||
| Total Medicare payments with ICD 586 - Renal failure, unspecified | $3,919,926 | ||||
| Total Medicare payment per Day at DRG | $1,415 | ||||
| Total Medicare payment per Day with ICD 586 - Renal failure, unspecified | $1,383 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,223 | ||||
| Total Medicare payment per Hospitalization with ICD 586 - Renal failure, unspecified | $6,501 | ||||
| Total Medicare Charges at DRG | $11,090,898,185 | ||||
| Total Medicare Charges with ICD 586 - Renal failure, unspecified | $13,305,363 | ||||
| Avg Charges at DRG | $26,750 | ||||
| Avg Charges with ICD 586 - Renal failure, unspecified | $22,065 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD 586 - Renal failure, unspecified | 7.63 | ||||
| SNF Discharge Rate at DRG | 17.4 | ||||
| SNF Discharge Rate with ICD 586 - Renal failure, unspecified | 16.42 | ||||
| Home Discharge Rate at DRG | 45.44 | ||||
| Home Discharge Rate with ICD 586 - Renal failure, unspecified | 37.65 |
| DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE 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 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 296,720 | ||||
| Total Hospitalizations with ICD 586 - Renal failure, unspecified | 391 | ||||
| DRG Share of Total Hospitalizations | 1.3 | ||||
| % of Total ICD 586 - Renal failure, unspecified in DRG | 1.72 | ||||
| Avg LOS at DRG | 5.98 | ||||
| Avg LOS with ICD 586 - Renal failure, unspecified | 5.6 | ||||
| Readmission Rate at DRG | 24.04 | ||||
| Readmission Rate with ICD 586 - Renal failure, unspecified | 22.07 | ||||
| Unplanned Readmission Rate at DRG | 17.42 | ||||
| Unplanned Readmission Rate with ICD 586 - Renal failure, unspecified | 12.07 | ||||
| Total Medicare payments at DRG | $2,681,981,318 | ||||
| Total Medicare payments with ICD 586 - Renal failure, unspecified | $3,596,830 | ||||
| Total Medicare payment per Day at DRG | $1,513 | ||||
| Total Medicare payment per Day with ICD 586 - Renal failure, unspecified | $1,642 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,039 | ||||
| Total Medicare payment per Hospitalization with ICD 586 - Renal failure, unspecified | $9,199 | ||||
| Total Medicare Charges at DRG | $11,896,768,371 | ||||
| Total Medicare Charges with ICD 586 - Renal failure, unspecified | $14,197,888 | ||||
| Avg Charges at DRG | $40,094 | ||||
| Avg Charges with ICD 586 - Renal failure, unspecified | $36,312 | ||||
| Mortality Rate at DRG | 5.39 | ||||
| Mortality Rate with ICD 586 - Renal failure, unspecified | 20.46 | ||||
| SNF Discharge Rate at DRG | 23.54 | ||||
| SNF Discharge Rate with ICD 586 - Renal failure, unspecified | 24.55 | ||||
| Home Discharge Rate at DRG | 38.6 | ||||
| Home Discharge Rate with ICD 586 - Renal failure, unspecified | 23.27 |
| DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 684: RENAL FAILURE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 134,386 | ||||
| Total Hospitalizations with ICD 586 - Renal failure, unspecified | 281 | ||||
| DRG Share of Total Hospitalizations | 0.59 | ||||
| % of Total ICD 586 - Renal failure, unspecified in DRG | 1.23 | ||||
| Avg LOS at DRG | 4.64 | ||||
| Avg LOS with ICD 586 - Renal failure, unspecified | 4.63 | ||||
| Readmission Rate at DRG | 29.51 | ||||
| Readmission Rate with ICD 586 - Renal failure, unspecified | 34.18 | ||||
| Unplanned Readmission Rate at DRG | 22.6 | ||||
| Unplanned Readmission Rate with ICD 586 - Renal failure, unspecified | 26.16 | ||||
| Total Medicare payments at DRG | $1,013,925,667 | ||||
| Total Medicare payments with ICD 586 - Renal failure, unspecified | $2,230,680 | ||||
| Total Medicare payment per Day at DRG | $1,625 | ||||
| Total Medicare payment per Day with ICD 586 - Renal failure, unspecified | $1,715 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,545 | ||||
| Total Medicare payment per Hospitalization with ICD 586 - Renal failure, unspecified | $7,938 | ||||
| Total Medicare Charges at DRG | $4,351,143,903 | ||||
| Total Medicare Charges with ICD 586 - Renal failure, unspecified | $8,059,284 | ||||
| Avg Charges at DRG | $32,378 | ||||
| Avg Charges with ICD 586 - Renal failure, unspecified | $28,681 | ||||
| Mortality Rate at DRG | 3.51 | ||||
| Mortality Rate with ICD 586 - Renal failure, unspecified | 11.03 | ||||
| SNF Discharge Rate at DRG | 22.05 | ||||
| SNF Discharge Rate with ICD 586 - Renal failure, unspecified | 14.95 | ||||
| Home Discharge Rate at DRG | 45.28 | ||||
| Home Discharge Rate with ICD 586 - Renal failure, unspecified | 42.7 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| VIRGINIA MASON MEMORIAL | 2811 TIETON DR | YAKIMA | WA | 98902 | 121 |
| VAN DIEST MEDICAL CENTER | 2350 HOSPITAL DRIVE | WEBSTER CITY | IA | 50595 | 88 |
| HEALTHSOUTH REHABILITATION OF GADSDEN | 801 GOODYEAR AVE | GADSDEN | AL | 35903 | 88 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. MARTIN HERMAN GROTHEER | 10 S TREATY RD | MIAMI | OK | 74354 | 16 |
| Dr. ABHISHAKE KAAPURAALA | 1610 COLLINS ST | WEBSTER CITY | IA | 50595 | 15 |
| Dr. DONALD D SHAW | 32-36 CENTRAL AVE | WELLSBORO | PA | 16901 | 13 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. MARK A FREDRICKSON | 1800 HERITAGE BLVD | MIDLAND | TX | 79707 | 78 |
| Dr. SCOTT DAVID TANNENBAUM | 4399 NOB HILL ROAD | SUNRISE | FL | 33351 | 46 |
| Dr. DIEM HOANG YEUNG | 801 GOODYEAR AVE | GADSDEN | AL | 35903 | 45 |