*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| N111 - Chronic obstructive pyelonephritis - as a primary diagnosis code | N111 - Chronic obstructive pyelonephritis - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.55 | |
| Readmission Rate (%) | 24.83 | |
| Unplanned Readmission Rate (%) | 14.23 | |
| 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 | ||
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 694: URINARY STONES WITHOUT ESW LITHOTRIPSY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 660: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 693: URINARY STONES WITHOUT ESW LITHOTRIPSY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 659: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 669: TRANSURETHRAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 52,303 | ||||
| Total Hospitalizations with ICD N111 - Chronic obstructive pyelonephritis | 262 | ||||
| DRG Share of Total Hospitalizations | 0.16 | ||||
| % of Total ICD N111 - Chronic obstructive pyelonephritis in DRG | 46.37 | ||||
| Avg LOS at DRG | 2.4 | ||||
| Avg LOS with ICD N111 - Chronic obstructive pyelonephritis | 3.63 | ||||
| Readmission Rate at DRG | 14.49 | ||||
| Readmission Rate with ICD N111 - Chronic obstructive pyelonephritis | 17.41 | ||||
| Unplanned Readmission Rate at DRG | 10.4 | ||||
| Unplanned Readmission Rate with ICD N111 - Chronic obstructive pyelonephritis | 12.55 | ||||
| Total Medicare payments at DRG | $214,183,417 | ||||
| Total Medicare payments with ICD N111 - Chronic obstructive pyelonephritis | $1,347,200 | ||||
| Total Medicare payment per Day at DRG | $1,704 | ||||
| Total Medicare payment per Day with ICD N111 - Chronic obstructive pyelonephritis | $1,415 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,095 | ||||
| Total Medicare payment per Hospitalization with ICD N111 - Chronic obstructive pyelonephritis | $5,142 | ||||
| Total Medicare Charges at DRG | $1,475,612,366 | ||||
| Total Medicare Charges with ICD N111 - Chronic obstructive pyelonephritis | $8,097,279 | ||||
| Avg Charges at DRG | $28,213 | ||||
| Avg Charges with ICD N111 - Chronic obstructive pyelonephritis | $30,906 | ||||
| Mortality Rate at DRG | 0.08 | ||||
| Mortality Rate with ICD N111 - Chronic obstructive pyelonephritis | NA | ||||
| SNF Discharge Rate at DRG | 5.6 | ||||
| SNF Discharge Rate with ICD N111 - Chronic obstructive pyelonephritis | 7.63 | ||||
| Home Discharge Rate at DRG | 80.64 | ||||
| Home Discharge Rate with ICD N111 - Chronic obstructive pyelonephritis | 66.03 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 694: URINARY STONES WITHOUT ESW LITHOTRIPSY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD N111 - Chronic obstructive pyelonephritis | 967 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD N111 - Chronic obstructive pyelonephritis in DRG | 20.43 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD N111 - Chronic obstructive pyelonephritis | 8.36 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD N111 - Chronic obstructive pyelonephritis | 27.06 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD N111 - Chronic obstructive pyelonephritis | 16.61 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD N111 - Chronic obstructive pyelonephritis | $12,563,730 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD N111 - Chronic obstructive pyelonephritis | $1,554 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD N111 - Chronic obstructive pyelonephritis | $12,992 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD N111 - Chronic obstructive pyelonephritis | $82,334,931 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD N111 - Chronic obstructive pyelonephritis | $85,145 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD N111 - Chronic obstructive pyelonephritis | 6.31 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD N111 - Chronic obstructive pyelonephritis | 30.71 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD N111 - Chronic obstructive pyelonephritis | 26.58 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 660: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 659: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 699: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 693: URINARY STONES WITHOUT ESW LITHOTRIPSY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 25,081 | ||||
| Total Hospitalizations with ICD N111 - Chronic obstructive pyelonephritis | 287 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD N111 - Chronic obstructive pyelonephritis in DRG | 6.06 | ||||
| Avg LOS at DRG | 4.55 | ||||
| Avg LOS with ICD N111 - Chronic obstructive pyelonephritis | 4.68 | ||||
| Readmission Rate at DRG | 19.43 | ||||
| Readmission Rate with ICD N111 - Chronic obstructive pyelonephritis | 20.92 | ||||
| Unplanned Readmission Rate at DRG | 13.37 | ||||
| Unplanned Readmission Rate with ICD N111 - Chronic obstructive pyelonephritis | 13.48 | ||||
| Total Medicare payments at DRG | $300,903,567 | ||||
| Total Medicare payments with ICD N111 - Chronic obstructive pyelonephritis | $3,534,415 | ||||
| Total Medicare payment per Day at DRG | $2,638 | ||||
| Total Medicare payment per Day with ICD N111 - Chronic obstructive pyelonephritis | $2,630 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,997 | ||||
| Total Medicare payment per Hospitalization with ICD N111 - Chronic obstructive pyelonephritis | $12,315 | ||||
| Total Medicare Charges at DRG | $1,564,169,935 | ||||
| Total Medicare Charges with ICD N111 - Chronic obstructive pyelonephritis | $17,437,544 | ||||
| Avg Charges at DRG | $62,365 | ||||
| Avg Charges with ICD N111 - Chronic obstructive pyelonephritis | $60,758 | ||||
| Mortality Rate at DRG | 0.15 | ||||
| Mortality Rate with ICD N111 - Chronic obstructive pyelonephritis | NA | ||||
| SNF Discharge Rate at DRG | 11.28 | ||||
| SNF Discharge Rate with ICD N111 - Chronic obstructive pyelonephritis | 13.59 | ||||
| Home Discharge Rate at DRG | 65.31 | ||||
| Home Discharge Rate with ICD N111 - Chronic obstructive pyelonephritis | 65.85 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 669: TRANSURETHRAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 58,666 | ||||
| Total Hospitalizations with ICD N111 - Chronic obstructive pyelonephritis | 117 | ||||
| DRG Share of Total Hospitalizations | 0.18 | ||||
| % of Total ICD N111 - Chronic obstructive pyelonephritis in DRG | 2.47 | ||||
| Avg LOS at DRG | 7.46 | ||||
| Avg LOS with ICD N111 - Chronic obstructive pyelonephritis | 6.17 | ||||
| Readmission Rate at DRG | 22.72 | ||||
| Readmission Rate with ICD N111 - Chronic obstructive pyelonephritis | 30.97 | ||||
| Unplanned Readmission Rate at DRG | 12.47 | ||||
| Unplanned Readmission Rate with ICD N111 - Chronic obstructive pyelonephritis | 17.7 | ||||
| Total Medicare payments at DRG | $868,457,018 | ||||
| Total Medicare payments with ICD N111 - Chronic obstructive pyelonephritis | $1,766,019 | ||||
| Total Medicare payment per Day at DRG | $1,984 | ||||
| Total Medicare payment per Day with ICD N111 - Chronic obstructive pyelonephritis | $2,446 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,803 | ||||
| Total Medicare payment per Hospitalization with ICD N111 - Chronic obstructive pyelonephritis | $15,094 | ||||
| Total Medicare Charges at DRG | $4,526,808,643 | ||||
| Total Medicare Charges with ICD N111 - Chronic obstructive pyelonephritis | $7,464,851 | ||||
| Avg Charges at DRG | $77,162 | ||||
| Avg Charges with ICD N111 - Chronic obstructive pyelonephritis | $63,802 | ||||
| Mortality Rate at DRG | 0.46 | ||||
| Mortality Rate with ICD N111 - Chronic obstructive pyelonephritis | NA | ||||
| SNF Discharge Rate at DRG | 26.05 | ||||
| SNF Discharge Rate with ICD N111 - Chronic obstructive pyelonephritis | 17.09 | ||||
| Home Discharge Rate at DRG | 35.9 | ||||
| Home Discharge Rate with ICD N111 - Chronic obstructive pyelonephritis | 53.85 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 668: TRANSURETHRAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 673: OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 657: KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD N111 - Chronic obstructive pyelonephritis | 53 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD N111 - Chronic obstructive pyelonephritis in DRG | 1.12 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD N111 - Chronic obstructive pyelonephritis | 7.98 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD N111 - Chronic obstructive pyelonephritis | 36.36 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD N111 - Chronic obstructive pyelonephritis | 31.82 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD N111 - Chronic obstructive pyelonephritis | $524,390 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD N111 - Chronic obstructive pyelonephritis | $1,240 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD N111 - Chronic obstructive pyelonephritis | $9,894 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD N111 - Chronic obstructive pyelonephritis | $2,980,802 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD N111 - Chronic obstructive pyelonephritis | $56,242 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD N111 - Chronic obstructive pyelonephritis | NA | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD N111 - Chronic obstructive pyelonephritis | 32.08 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD N111 - Chronic obstructive pyelonephritis | 26.42 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| NEWYORK PRESBYTERIAN - WEILL CORNELL MEDICAL CENTER | 525 E 68TH ST | NEW YORK | NY | 10021 | 39 |
| METHODIST HOSPITAL | 7700 FLOYD CURL DRIVE | SAN ANTONIO | TX | 78229 | 25 |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL | 111 S 11TH ST | PHILADELPHIA | PA | 19107 | 20 |