| V420 - Kidney replaced by transplant - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 17.11 | |
| 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT 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 V420 - Kidney replaced by transplant | 6,037 | ||||
| DRG Share of Total Hospitalizations | 3.95 | ||||
| % of Total ICD V420 - Kidney replaced by transplant in DRG | 4.75 | ||||
| Avg LOS at DRG | 6.79 | ||||
| Avg LOS with ICD V420 - Kidney replaced by transplant | 6.67 | ||||
| Readmission Rate at DRG | 25.38 | ||||
| Readmission Rate with ICD V420 - Kidney replaced by transplant | 31.71 | ||||
| Unplanned Readmission Rate at DRG | 17.1 | ||||
| Unplanned Readmission Rate with ICD V420 - Kidney replaced by transplant | 21.25 | ||||
| Total Medicare payments at DRG | $11,142,976,193 | ||||
| Total Medicare payments with ICD V420 - Kidney replaced by transplant | $75,838,991 | ||||
| Total Medicare payment per Day at DRG | $1,821 | ||||
| Total Medicare payment per Day with ICD V420 - Kidney replaced by transplant | $1,883 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,360 | ||||
| Total Medicare payment per Hospitalization with ICD V420 - Kidney replaced by transplant | $12,562 | ||||
| Total Medicare Charges at DRG | $48,288,426,708 | ||||
| Total Medicare Charges with ICD V420 - Kidney replaced by transplant | $340,077,242 | ||||
| Avg Charges at DRG | $53,561 | ||||
| Avg Charges with ICD V420 - Kidney replaced by transplant | $56,332 | ||||
| Mortality Rate at DRG | 15.16 | ||||
| Mortality Rate with ICD V420 - Kidney replaced by transplant | 7.54 | ||||
| SNF Discharge Rate at DRG | 28.41 | ||||
| SNF Discharge Rate with ICD V420 - Kidney replaced by transplant | 15.31 | ||||
| Home Discharge Rate at DRG | 23.21 | ||||
| Home Discharge Rate with ICD V420 - Kidney replaced by transplant | 44.05 |
| DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 285,530 | ||||
| Total Hospitalizations with ICD V420 - Kidney replaced by transplant | 3,618 | ||||
| DRG Share of Total Hospitalizations | 1.25 | ||||
| % of Total ICD V420 - Kidney replaced by transplant in DRG | 2.84 | ||||
| Avg LOS at DRG | 4.72 | ||||
| Avg LOS with ICD V420 - Kidney replaced by transplant | 4.29 | ||||
| Readmission Rate at DRG | 18.55 | ||||
| Readmission Rate with ICD V420 - Kidney replaced by transplant | 20.68 | ||||
| Unplanned Readmission Rate at DRG | 12.87 | ||||
| Unplanned Readmission Rate with ICD V420 - Kidney replaced by transplant | 14.03 | ||||
| Total Medicare payments at DRG | $1,922,582,097 | ||||
| Total Medicare payments with ICD V420 - Kidney replaced by transplant | $25,095,677 | ||||
| Total Medicare payment per Day at DRG | $1,427 | ||||
| Total Medicare payment per Day with ICD V420 - Kidney replaced by transplant | $1,618 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,733 | ||||
| Total Medicare payment per Hospitalization with ICD V420 - Kidney replaced by transplant | $6,936 | ||||
| Total Medicare Charges at DRG | $8,696,353,387 | ||||
| Total Medicare Charges with ICD V420 - Kidney replaced by transplant | $109,226,346 | ||||
| Avg Charges at DRG | $30,457 | ||||
| Avg Charges with ICD V420 - Kidney replaced by transplant | $30,190 | ||||
| Mortality Rate at DRG | 2.4 | ||||
| Mortality Rate with ICD V420 - Kidney replaced by transplant | NA | ||||
| SNF Discharge Rate at DRG | 23.54 | ||||
| SNF Discharge Rate with ICD V420 - Kidney replaced by transplant | 7.19 | ||||
| Home Discharge Rate at DRG | 44.6 | ||||
| Home Discharge Rate with ICD V420 - Kidney replaced by transplant | 68.38 |
| DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES 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 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 108,430 | ||||
| Total Hospitalizations with ICD V420 - Kidney replaced by transplant | 2,129 | ||||
| DRG Share of Total Hospitalizations | 0.47 | ||||
| % of Total ICD V420 - Kidney replaced by transplant in DRG | 1.67 | ||||
| Avg LOS at DRG | 4.3 | ||||
| Avg LOS with ICD V420 - Kidney replaced by transplant | 4.08 | ||||
| Readmission Rate at DRG | 23.84 | ||||
| Readmission Rate with ICD V420 - Kidney replaced by transplant | 24.63 | ||||
| Unplanned Readmission Rate at DRG | 17.3 | ||||
| Unplanned Readmission Rate with ICD V420 - Kidney replaced by transplant | 18.0 | ||||
| Total Medicare payments at DRG | $625,714,200 | ||||
| Total Medicare payments with ICD V420 - Kidney replaced by transplant | $12,890,126 | ||||
| Total Medicare payment per Day at DRG | $1,343 | ||||
| Total Medicare payment per Day with ICD V420 - Kidney replaced by transplant | $1,483 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,771 | ||||
| Total Medicare payment per Hospitalization with ICD V420 - Kidney replaced by transplant | $6,055 | ||||
| Total Medicare Charges at DRG | $2,802,144,531 | ||||
| Total Medicare Charges with ICD V420 - Kidney replaced by transplant | $58,142,924 | ||||
| Avg Charges at DRG | $25,843 | ||||
| Avg Charges with ICD V420 - Kidney replaced by transplant | $27,310 | ||||
| Mortality Rate at DRG | 0.32 | ||||
| Mortality Rate with ICD V420 - Kidney replaced by transplant | NA | ||||
| SNF Discharge Rate at DRG | 15.22 | ||||
| SNF Discharge Rate with ICD V420 - Kidney replaced by transplant | 7.75 | ||||
| Home Discharge Rate at DRG | 53.6 | ||||
| Home Discharge Rate with ICD V420 - Kidney replaced by transplant | 66.51 |
| 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) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 97,308 | ||||
| Total Hospitalizations with ICD V420 - Kidney replaced by transplant | 1,445 | ||||
| DRG Share of Total Hospitalizations | 0.43 | ||||
| % of Total ICD V420 - Kidney replaced by transplant in DRG | 1.14 | ||||
| Avg LOS at DRG | 5.13 | ||||
| Avg LOS with ICD V420 - Kidney replaced by transplant | 4.32 | ||||
| Readmission Rate at DRG | 27.22 | ||||
| Readmission Rate with ICD V420 - Kidney replaced by transplant | 28.7 | ||||
| Unplanned Readmission Rate at DRG | 20.71 | ||||
| Unplanned Readmission Rate with ICD V420 - Kidney replaced by transplant | 21.19 | ||||
| Total Medicare payments at DRG | $772,600,641 | ||||
| Total Medicare payments with ICD V420 - Kidney replaced by transplant | $11,921,512 | ||||
| Total Medicare payment per Day at DRG | $1,548 | ||||
| Total Medicare payment per Day with ICD V420 - Kidney replaced by transplant | $1,908 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,940 | ||||
| Total Medicare payment per Hospitalization with ICD V420 - Kidney replaced by transplant | $8,250 | ||||
| Total Medicare Charges at DRG | $3,558,397,583 | ||||
| Total Medicare Charges with ICD V420 - Kidney replaced by transplant | $48,750,161 | ||||
| Avg Charges at DRG | $36,568 | ||||
| Avg Charges with ICD V420 - Kidney replaced by transplant | $33,737 | ||||
| Mortality Rate at DRG | 2.46 | ||||
| Mortality Rate with ICD V420 - Kidney replaced by transplant | 0.83 | ||||
| SNF Discharge Rate at DRG | 16.82 | ||||
| SNF Discharge Rate with ICD V420 - Kidney replaced by transplant | 5.05 | ||||
| Home Discharge Rate at DRG | 54.44 | ||||
| Home Discharge Rate with ICD V420 - Kidney replaced by transplant | 78.89 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 778 |
| INDIANA UNIVERSITY HEALTH | 1701 N SENATE | INDIANAPOLIS | IN | 46202 | 740 |
| NORTHWESTERN MEMORIAL HOSPITAL | 251 E HURON ST | CHICAGO | IL | 60611 | 682 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. DEVON JOHN | 403 E 34TH ST | NEW YORK | NY | 10016 | 106 |
| Dr. NABIL B. SUMRANI | 450 CLARKSON AVE | BROOKLYN | NY | 11203 | 105 |
| Dr. CARLOS R DEL CORO AMENGUAL | 715 AVE PONCE DE LEON | HATO REY | PR | 00917 | 71 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. DAVID JAMES CONTI | 47 NEW SCOTLAND AVE | ALBANY | NY | 12208 | 131 |
| Dr. H ERIK WAHLSTROM | 4500 BROCKTON AVE. | RIVERSIDE | CA | 92501 | 123 |
| Dr. NABIL B. SUMRANI | 450 CLARKSON AVE | BROOKLYN | NY | 11203 | 120 |