| V560 - Encounter for extracorporeal dialysis - as a primary diagnosis code | V560 - Encounter for extracorporeal dialysis - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 4.35 | |
| Readmission Rate (%) | 25.39 | |
| Unplanned Readmission Rate (%) | 17.09 | |
| 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 685: ADMIT FOR RENAL DIALYSIS | DRG 673: OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 987: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 674: OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 4,515 | ||||
| Total Hospitalizations with ICD V560 - Encounter for extracorporeal dialysis | 4,215 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD V560 - Encounter for extracorporeal dialysis in DRG | 77.8 | ||||
| Avg LOS at DRG | 3.89 | ||||
| Avg LOS with ICD V560 - Encounter for extracorporeal dialysis | 3.91 | ||||
| Readmission Rate at DRG | 22.19 | ||||
| Readmission Rate with ICD V560 - Encounter for extracorporeal dialysis | 21.67 | ||||
| Unplanned Readmission Rate at DRG | 16.38 | ||||
| Unplanned Readmission Rate with ICD V560 - Encounter for extracorporeal dialysis | 15.95 | ||||
| Total Medicare payments at DRG | $28,806,217 | ||||
| Total Medicare payments with ICD V560 - Encounter for extracorporeal dialysis | $26,729,983 | ||||
| Total Medicare payment per Day at DRG | $1,641 | ||||
| Total Medicare payment per Day with ICD V560 - Encounter for extracorporeal dialysis | $1,623 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,380 | ||||
| Total Medicare payment per Hospitalization with ICD V560 - Encounter for extracorporeal dialysis | $6,342 | ||||
| Total Medicare Charges at DRG | $127,032,423 | ||||
| Total Medicare Charges with ICD V560 - Encounter for extracorporeal dialysis | $117,055,785 | ||||
| Avg Charges at DRG | $28,136 | ||||
| Avg Charges with ICD V560 - Encounter for extracorporeal dialysis | $27,771 | ||||
| Mortality Rate at DRG | 1.0 | ||||
| Mortality Rate with ICD V560 - Encounter for extracorporeal dialysis | 0.95 | ||||
| SNF Discharge Rate at DRG | 11.65 | ||||
| SNF Discharge Rate with ICD V560 - Encounter for extracorporeal dialysis | 11.46 | ||||
| Home Discharge Rate at DRG | 70.21 | ||||
| Home Discharge Rate with ICD V560 - Encounter for extracorporeal dialysis | 70.51 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| DENVER HEALTH | 777 BANNOCK ST | DENVER | CO | 80204 | 115 |
| LEXINGTON MEDICAL CENTER | 2720 SUNSET BLVD | WEST COLUMBIA | SC | 29169 | 73 |
| INTEGRIS BAPTIST MEDICAL CENTER | 3300 NW EXPRESSWAY ST | OKLAHOMA CITY | OK | 73112 | 44 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. MIN-HWA HWA CHOW | 600 4TH STREET | SIOUX CITY | IA | 51101 | 18 |
| Dr. RAFAEL LAO | 700 WILLOW ST | VINCENNES | IN | 47591 | 18 |
| Dr. ROBERT BRADEN DUNMIRE | 2809 MCLAMB PLACE | GOLDSBORO | NC | 27534 | 16 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. RAFAEL LAO | 700 WILLOW ST | VINCENNES | IN | 47591 | 27 |
| Dr. ASHAR LUQMAN | 600 4TH STREET | SIOUX CITY | IA | 51101 | 16 |
| Dr. C BRENT SHEALY | 121 PARK CENTRAL DR | COLUMBIA | SC | 29203 | 14 |
| DRG 685: ADMIT FOR RENAL DIALYSIS | DRG 673: OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 4,515 | ||||
| Total Hospitalizations with ICD V560 - Encounter for extracorporeal dialysis | 4,223 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD V560 - Encounter for extracorporeal dialysis in DRG | 70.9 | ||||
| Avg LOS at DRG | 3.89 | ||||
| Avg LOS with ICD V560 - Encounter for extracorporeal dialysis | 3.91 | ||||
| Readmission Rate at DRG | 22.19 | ||||
| Readmission Rate with ICD V560 - Encounter for extracorporeal dialysis | 21.68 | ||||
| Unplanned Readmission Rate at DRG | 16.38 | ||||
| Unplanned Readmission Rate with ICD V560 - Encounter for extracorporeal dialysis | 15.97 | ||||
| Total Medicare payments at DRG | $28,806,217 | ||||
| Total Medicare payments with ICD V560 - Encounter for extracorporeal dialysis | $26,787,925 | ||||
| Total Medicare payment per Day at DRG | $1,641 | ||||
| Total Medicare payment per Day with ICD V560 - Encounter for extracorporeal dialysis | $1,624 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,380 | ||||
| Total Medicare payment per Hospitalization with ICD V560 - Encounter for extracorporeal dialysis | $6,343 | ||||
| Total Medicare Charges at DRG | $127,032,423 | ||||
| Total Medicare Charges with ICD V560 - Encounter for extracorporeal dialysis | $117,311,977 | ||||
| Avg Charges at DRG | $28,136 | ||||
| Avg Charges with ICD V560 - Encounter for extracorporeal dialysis | $27,779 | ||||
| Mortality Rate at DRG | 1.0 | ||||
| Mortality Rate with ICD V560 - Encounter for extracorporeal dialysis | 0.95 | ||||
| SNF Discharge Rate at DRG | 11.65 | ||||
| SNF Discharge Rate with ICD V560 - Encounter for extracorporeal dialysis | 11.51 | ||||
| Home Discharge Rate at DRG | 70.21 | ||||
| Home Discharge Rate with ICD V560 - Encounter for extracorporeal dialysis | 70.47 |
| DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 674: OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 102,753 | ||||
| Total Hospitalizations with ICD V560 - Encounter for extracorporeal dialysis | 22 | ||||
| DRG Share of Total Hospitalizations | 0.45 | ||||
| % of Total ICD V560 - Encounter for extracorporeal dialysis in DRG | 0.37 | ||||
| Avg LOS at DRG | 7.33 | ||||
| Avg LOS with ICD V560 - Encounter for extracorporeal dialysis | 4.14 | ||||
| Readmission Rate at DRG | 32.63 | ||||
| Readmission Rate with ICD V560 - Encounter for extracorporeal dialysis | NA | ||||
| Unplanned Readmission Rate at DRG | 22.44 | ||||
| Unplanned Readmission Rate with ICD V560 - Encounter for extracorporeal dialysis | NA | ||||
| Total Medicare payments at DRG | $1,376,213,228 | ||||
| Total Medicare payments with ICD V560 - Encounter for extracorporeal dialysis | $292,344 | ||||
| Total Medicare payment per Day at DRG | $1,828 | ||||
| Total Medicare payment per Day with ICD V560 - Encounter for extracorporeal dialysis | $3,213 | ||||
| Total Medicare payment per Hospitalization at DRG | $13,393 | ||||
| Total Medicare payment per Hospitalization with ICD V560 - Encounter for extracorporeal dialysis | $13,288 | ||||
| Total Medicare Charges at DRG | $5,899,767,418 | ||||
| Total Medicare Charges with ICD V560 - Encounter for extracorporeal dialysis | $616,958 | ||||
| Avg Charges at DRG | $57,417 | ||||
| Avg Charges with ICD V560 - Encounter for extracorporeal dialysis | $28,044 | ||||
| Mortality Rate at DRG | 5.59 | ||||
| Mortality Rate with ICD V560 - Encounter for extracorporeal dialysis | NA | ||||
| SNF Discharge Rate at DRG | 19.0 | ||||
| SNF Discharge Rate with ICD V560 - Encounter for extracorporeal dialysis | NA | ||||
| Home Discharge Rate at DRG | 40.54 | ||||
| Home Discharge Rate with ICD V560 - Encounter for extracorporeal dialysis | 54.55 |
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 811: RED BLOOD CELL DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 987: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 901,552 | ||||
| Total Hospitalizations with ICD V560 - Encounter for extracorporeal dialysis | 19 | ||||
| DRG Share of Total Hospitalizations | 3.95 | ||||
| % of Total ICD V560 - Encounter for extracorporeal dialysis in DRG | 0.32 | ||||
| Avg LOS at DRG | 6.79 | ||||
| Avg LOS with ICD V560 - Encounter for extracorporeal dialysis | 7.05 | ||||
| Readmission Rate at DRG | 25.38 | ||||
| Readmission Rate with ICD V560 - Encounter for extracorporeal dialysis | NA | ||||
| Unplanned Readmission Rate at DRG | 17.1 | ||||
| Unplanned Readmission Rate with ICD V560 - Encounter for extracorporeal dialysis | NA | ||||
| Total Medicare payments at DRG | $11,142,976,193 | ||||
| Total Medicare payments with ICD V560 - Encounter for extracorporeal dialysis | $300,064 | ||||
| Total Medicare payment per Day at DRG | $1,821 | ||||
| Total Medicare payment per Day with ICD V560 - Encounter for extracorporeal dialysis | $2,239 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,360 | ||||
| Total Medicare payment per Hospitalization with ICD V560 - Encounter for extracorporeal dialysis | $15,793 | ||||
| Total Medicare Charges at DRG | $48,288,426,708 | ||||
| Total Medicare Charges with ICD V560 - Encounter for extracorporeal dialysis | $1,428,353 | ||||
| Avg Charges at DRG | $53,561 | ||||
| Avg Charges with ICD V560 - Encounter for extracorporeal dialysis | $75,176 | ||||
| Mortality Rate at DRG | 15.16 | ||||
| Mortality Rate with ICD V560 - Encounter for extracorporeal dialysis | NA | ||||
| SNF Discharge Rate at DRG | 28.41 | ||||
| SNF Discharge Rate with ICD V560 - Encounter for extracorporeal dialysis | NA | ||||
| Home Discharge Rate at DRG | 23.21 | ||||
| Home Discharge Rate with ICD V560 - Encounter for extracorporeal dialysis | NA |
| DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 67,246 |
| Total Hospitalizations with ICD V560 - Encounter for extracorporeal dialysis | 11 |
| DRG Share of Total Hospitalizations | 0.29 |
| % of Total ICD V560 - Encounter for extracorporeal dialysis in DRG | 0.18 |
| Avg LOS at DRG | 8.0 |
| Avg LOS with ICD V560 - Encounter for extracorporeal dialysis | 7.18 |
| Readmission Rate at DRG | 34.38 |
| Readmission Rate with ICD V560 - Encounter for extracorporeal dialysis | NA |
| Unplanned Readmission Rate at DRG | 21.05 |
| Unplanned Readmission Rate with ICD V560 - Encounter for extracorporeal dialysis | NA |
| Total Medicare payments at DRG | $1,515,722,350 |
| Total Medicare payments with ICD V560 - Encounter for extracorporeal dialysis | $224,195 |
| Total Medicare payment per Day at DRG | $2,817 |
| Total Medicare payment per Day with ICD V560 - Encounter for extracorporeal dialysis | $2,838 |
| Total Medicare payment per Hospitalization at DRG | $22,540 |
| Total Medicare payment per Hospitalization with ICD V560 - Encounter for extracorporeal dialysis | $20,381 |
| Total Medicare Charges at DRG | $6,694,583,401 |
| Total Medicare Charges with ICD V560 - Encounter for extracorporeal dialysis | $827,944 |
| Avg Charges at DRG | $99,554 |
| Avg Charges with ICD V560 - Encounter for extracorporeal dialysis | $75,268 |
| Mortality Rate at DRG | 4.39 |
| Mortality Rate with ICD V560 - Encounter for extracorporeal dialysis | NA |
| SNF Discharge Rate at DRG | 22.31 |
| SNF Discharge Rate with ICD V560 - Encounter for extracorporeal dialysis | NA |
| Home Discharge Rate at DRG | 42.95 |
| Home Discharge Rate with ICD V560 - Encounter for extracorporeal dialysis | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| DENVER HEALTH | 777 BANNOCK ST | DENVER | CO | 80204 | 116 |
| TUBA CITY REGIONAL HEALTH CARE CORPORATION | 167 NORTH MAIN STREET | TUBA CITY | AZ | 86045 | 79 |
| LEXINGTON MEDICAL CENTER | 2720 SUNSET BLVD | WEST COLUMBIA | SC | 29169 | 73 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. RAFAEL LAO | 700 WILLOW ST | VINCENNES | IN | 47591 | 18 |
| Dr. MIN-HWA HWA CHOW | 600 4TH STREET | SIOUX CITY | IA | 51101 | 18 |
| Dr. ROBERT BRADEN DUNMIRE | 2809 MCLAMB PLACE | GOLDSBORO | NC | 27534 | 16 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. RAFAEL LAO | 700 WILLOW ST | VINCENNES | IN | 47591 | 27 |
| Dr. ASHAR LUQMAN | 600 4TH STREET | SIOUX CITY | IA | 51101 | 16 |
| Dr. THOMAS J SMITH | 2020 RIVERSIDE DR | GREEN BAY | WI | 54301 | 14 |