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Indicator Details: Percentage of Patients by Race/Ethnicity
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Patients aged 65 years or older enrolled in Clinformatics Medicare Advantage are primarily white, about a third of patients are of any other race/ethnicity.
 
Chart Explanation: The chart shows the distribution of race/ethnicity by year, by age, and by year and gender. The y-axis (vertical line) shows the percentage of patients. The x-axis (horizontal line) shows the race/ethnicity groups by either year, age groups, or year and gender.
The Clinformatics Medicare Advantage dataset provides paid medical and prescription claims and enrollment information for participants in Medicare Advantage plans of a large U.S. managed care health insurance company.

CKD is defined using ICD-9-CM or ICD-10-CM diagnosis codes, and ESRD is based on International Classification of Diseases (ICD) diagnosis, Current Procedural Terminology (CPT) procedure, and Diagnosis Related Group (DRG) codes in Clinformatics Medicare Advantage.
 
FieldData
Description of MeasurePercentage of Clinformatics Medicare Advantage by mutually exclusive race/ethnicity categories.
Data SourceClinformatics Medicare Advantage from the Clinformatics Commercial™ data mart database (OptumInsight, Eden Prairie, MN)
Type of Data SourceAdministrative
Data SetMedicare Advantage Clinformatics enrollees aged 65 or older
Health Care System DataYes
Regional or NationalRegional
Demographic GroupPatients aged 65 years or older enrolled in Clinformatics Medicare Advantage nsurance
NumeratorPatients in denominator by race/ethnicity
DenominatorPatients aged 65 years or older with a full year of enrollment in a given calendar year
Primary Data Source IndicatorRace/ethnicity categories provided in Clinformatics Medicare Advantage
Primary Indicator Method of MeasurementEnrollment file
Secondary (1) VariableAge in years at the end of the current calendar year
Period Currently Available2016
Limitations of IndicatorThe use of an ICD-9-CM or ICD-10-CM diagnosis code as a measure of prevalence, will underestimate the level of chronic kidney disease in the general population.
Analytical ConsiderationsIn published literature, CKD is diagnosed by ICD-9-CM or ICD-10-CM codes in alternate ways (one outpatient, two or more outpatients or one inpatient claim). Care must be taken in comparisons.
ICD-9-CM Codes for CKD016.0, 095.4, 189.0,189.9, 223.0, 236.91, 250.4, 271.4, 274.1, 283.11, 403, 404, 440.1, 442.1, 477.3, 572.4, 581-588, 591, 642.1, 646.2, 753.12-753.19, 753.2, 794.4
ICD-10-CM Codes for CKDA18.11, A52.75, B52.0, C64.x, C68.9, D30.0x, D41.0x-D41.2x, D59.3, E08.2x, E09.2x, E10.2x, E10.65, E11.2x, E11.65, E13.2x, E74.8, I12.xx, I13.0, I13.1x, I13.2, K76.7, M10.3x, M32.14, M32.15, N01.x-N08.x, N13.1, N13.1x-N13.39, N14.x,N15.0, N15.8, N15.9, N16, N17.x, N18.1-N18.5, N18.8, N18.9, N19, N25.xx, N26.1, N26.9, O10.4xx, O12.xx, O26.83x, O90.89, Q61.02, Q61.1x-Q61.8, Q26.0-Q26.39, R94.4
Suggested Citation:
Centers for Disease Control and Prevention. Chronic Kidney Disease Surveillance System—United States.
website. http://www.cdc.gov/ckd