| V4511 - Renal dialysis status - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 25.55 | |
| 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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 901,552 | ||||
| Total Hospitalizations with ICD V4511 - Renal dialysis status | 42,223 | ||||
| DRG Share of Total Hospitalizations | 3.95 | ||||
| % of Total ICD V4511 - Renal dialysis status in DRG | 5.38 | ||||
| Avg LOS at DRG | 6.79 | ||||
| Avg LOS with ICD V4511 - Renal dialysis status | 6.66 | ||||
| Readmission Rate at DRG | 25.38 | ||||
| Readmission Rate with ICD V4511 - Renal dialysis status | 34.43 | ||||
| Unplanned Readmission Rate at DRG | 17.1 | ||||
| Unplanned Readmission Rate with ICD V4511 - Renal dialysis status | 24.8 | ||||
| Total Medicare payments at DRG | $11,142,976,193 | ||||
| Total Medicare payments with ICD V4511 - Renal dialysis status | $540,697,556 | ||||
| Total Medicare payment per Day at DRG | $1,821 | ||||
| Total Medicare payment per Day with ICD V4511 - Renal dialysis status | $1,924 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,360 | ||||
| Total Medicare payment per Hospitalization with ICD V4511 - Renal dialysis status | $12,806 | ||||
| Total Medicare Charges at DRG | $48,288,426,708 | ||||
| Total Medicare Charges with ICD V4511 - Renal dialysis status | $2,472,227,529 | ||||
| Avg Charges at DRG | $53,561 | ||||
| Avg Charges with ICD V4511 - Renal dialysis status | $58,552 | ||||
| Mortality Rate at DRG | 15.16 | ||||
| Mortality Rate with ICD V4511 - Renal dialysis status | 14.35 | ||||
| SNF Discharge Rate at DRG | 28.41 | ||||
| SNF Discharge Rate with ICD V4511 - Renal dialysis status | 21.54 | ||||
| Home Discharge Rate at DRG | 23.21 | ||||
| Home Discharge Rate with ICD V4511 - Renal dialysis status | 34.32 |
| DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 296,720 | ||||
| Total Hospitalizations with ICD V4511 - Renal dialysis status | 29,146 | ||||
| DRG Share of Total Hospitalizations | 1.3 | ||||
| % of Total ICD V4511 - Renal dialysis status in DRG | 3.71 | ||||
| Avg LOS at DRG | 5.98 | ||||
| Avg LOS with ICD V4511 - Renal dialysis status | 4.91 | ||||
| Readmission Rate at DRG | 24.04 | ||||
| Readmission Rate with ICD V4511 - Renal dialysis status | 29.25 | ||||
| Unplanned Readmission Rate at DRG | 17.42 | ||||
| Unplanned Readmission Rate with ICD V4511 - Renal dialysis status | 23.46 | ||||
| Total Medicare payments at DRG | $2,681,981,318 | ||||
| Total Medicare payments with ICD V4511 - Renal dialysis status | $271,622,347 | ||||
| Total Medicare payment per Day at DRG | $1,513 | ||||
| Total Medicare payment per Day with ICD V4511 - Renal dialysis status | $1,898 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,039 | ||||
| Total Medicare payment per Hospitalization with ICD V4511 - Renal dialysis status | $9,319 | ||||
| Total Medicare Charges at DRG | $11,896,768,371 | ||||
| Total Medicare Charges with ICD V4511 - Renal dialysis status | $1,113,195,294 | ||||
| Avg Charges at DRG | $40,094 | ||||
| Avg Charges with ICD V4511 - Renal dialysis status | $38,194 | ||||
| Mortality Rate at DRG | 5.39 | ||||
| Mortality Rate with ICD V4511 - Renal dialysis status | 1.54 | ||||
| SNF Discharge Rate at DRG | 23.54 | ||||
| SNF Discharge Rate with ICD V4511 - Renal dialysis status | 15.11 | ||||
| Home Discharge Rate at DRG | 38.6 | ||||
| Home Discharge Rate with ICD V4511 - Renal dialysis status | 60.16 |
| DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 652: KIDNEY TRANSPLANT | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 264: OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | DRG 811: RED BLOOD CELL DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 145,769 | ||||
| Total Hospitalizations with ICD V4511 - Renal dialysis status | 13,780 | ||||
| DRG Share of Total Hospitalizations | 0.64 | ||||
| % of Total ICD V4511 - Renal dialysis status in DRG | 1.76 | ||||
| Avg LOS at DRG | 4.85 | ||||
| Avg LOS with ICD V4511 - Renal dialysis status | 3.77 | ||||
| Readmission Rate at DRG | 25.6 | ||||
| Readmission Rate with ICD V4511 - Renal dialysis status | 32.7 | ||||
| Unplanned Readmission Rate at DRG | 18.72 | ||||
| Unplanned Readmission Rate with ICD V4511 - Renal dialysis status | 26.45 | ||||
| Total Medicare payments at DRG | $1,120,486,081 | ||||
| Total Medicare payments with ICD V4511 - Renal dialysis status | $111,262,163 | ||||
| Total Medicare payment per Day at DRG | $1,586 | ||||
| Total Medicare payment per Day with ICD V4511 - Renal dialysis status | $2,144 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,687 | ||||
| Total Medicare payment per Hospitalization with ICD V4511 - Renal dialysis status | $8,074 | ||||
| Total Medicare Charges at DRG | $5,110,715,516 | ||||
| Total Medicare Charges with ICD V4511 - Renal dialysis status | $443,702,619 | ||||
| Avg Charges at DRG | $35,060 | ||||
| Avg Charges with ICD V4511 - Renal dialysis status | $32,199 | ||||
| Mortality Rate at DRG | 4.85 | ||||
| Mortality Rate with ICD V4511 - Renal dialysis status | 3.89 | ||||
| SNF Discharge Rate at DRG | 18.12 | ||||
| SNF Discharge Rate with ICD V4511 - Renal dialysis status | 12.6 | ||||
| Home Discharge Rate at DRG | 46.21 | ||||
| Home Discharge Rate with ICD V4511 - Renal dialysis status | 59.78 |
| DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 602: CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 371: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 274,950 | ||||
| Total Hospitalizations with ICD V4511 - Renal dialysis status | 10,812 | ||||
| DRG Share of Total Hospitalizations | 1.2 | ||||
| % of Total ICD V4511 - Renal dialysis status in DRG | 1.38 | ||||
| Avg LOS at DRG | 6.96 | ||||
| Avg LOS with ICD V4511 - Renal dialysis status | 4.65 | ||||
| Readmission Rate at DRG | 27.13 | ||||
| Readmission Rate with ICD V4511 - Renal dialysis status | 34.14 | ||||
| Unplanned Readmission Rate at DRG | 20.24 | ||||
| Unplanned Readmission Rate with ICD V4511 - Renal dialysis status | 28.43 | ||||
| Total Medicare payments at DRG | $2,790,739,849 | ||||
| Total Medicare payments with ICD V4511 - Renal dialysis status | $98,724,437 | ||||
| Total Medicare payment per Day at DRG | $1,457 | ||||
| Total Medicare payment per Day with ICD V4511 - Renal dialysis status | $1,964 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,150 | ||||
| Total Medicare payment per Hospitalization with ICD V4511 - Renal dialysis status | $9,131 | ||||
| Total Medicare Charges at DRG | $11,867,056,741 | ||||
| Total Medicare Charges with ICD V4511 - Renal dialysis status | $402,414,453 | ||||
| Avg Charges at DRG | $43,161 | ||||
| Avg Charges with ICD V4511 - Renal dialysis status | $37,219 | ||||
| Mortality Rate at DRG | 7.44 | ||||
| Mortality Rate with ICD V4511 - Renal dialysis status | 4.0 | ||||
| SNF Discharge Rate at DRG | 20.22 | ||||
| SNF Discharge Rate with ICD V4511 - Renal dialysis status | 14.08 | ||||
| Home Discharge Rate at DRG | 37.4 | ||||
| Home Discharge Rate with ICD V4511 - Renal dialysis status | 56.22 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| MEDSTAR WASHINGTON HOSPITAL CENTER | 110 IRVING ST NW | WASHINGTON | DC | 20010 | 3,877 |
| METHODIST UNIVERSITY HOSPITAL | 1265 UNION AVE | MEMPHIS | TN | 38104 | 3,768 |
| HOUSTON METHODIST HOSPITAL | 6565 FANNIN ST | HOUSTON | TX | 77030 | 2,898 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. YUDH VIR GUPTA | 106 IRVING ST NW | WASHINGTON | DC | 20010 | 647 |
| Dr. AILEEN GARCIAGAYOSO | 1325 EASTMORELAND AVE | MEMPHIS | TN | 38104 | 367 |
| Dr. HANY M HABASHY | 1325 EASTMORELAND AVE | MEMPHIS | TN | 38104 | 344 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. ANTONIO JAIME TORRES IMPERIAL | 415 S 28TH AVE | HATTIESBURG | MS | 39401 | 770 |
| Dr. ANDREW M QUELER | 415 S 28TH AVE | HATTIESBURG | MS | 39401 | 702 |
| Dr. YUDH VIR GUPTA | 106 IRVING ST NW | WASHINGTON | DC | 20010 | 653 |