*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| N135 - Crossing vessel and stricture of ureter without hydronephrosis - as a primary diagnosis code | N135 - Crossing vessel and stricture of ureter without hydronephrosis - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.0 | |
| Readmission Rate (%) | 23.91 | |
| Unplanned Readmission Rate (%) | 10.71 | |
| 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 661: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 660: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 659: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 10,602 | ||||
| Total Hospitalizations with ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis | 683 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis in DRG | 33.73 | ||||
| Avg LOS at DRG | 2.45 | ||||
| Avg LOS with ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis | 2.38 | ||||
| Readmission Rate at DRG | 9.27 | ||||
| Readmission Rate with ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis | 7.6 | ||||
| Unplanned Readmission Rate at DRG | 6.46 | ||||
| Unplanned Readmission Rate with ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis | 5.96 | ||||
| Total Medicare payments at DRG | $88,686,549 | ||||
| Total Medicare payments with ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis | $5,980,541 | ||||
| Total Medicare payment per Day at DRG | $3,416 | ||||
| Total Medicare payment per Day with ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis | $3,683 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,365 | ||||
| Total Medicare payment per Hospitalization with ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis | $8,756 | ||||
| Total Medicare Charges at DRG | $567,139,560 | ||||
| Total Medicare Charges with ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis | $38,136,824 | ||||
| Avg Charges at DRG | $53,494 | ||||
| Avg Charges with ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis | $55,837 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis | NA | ||||
| SNF Discharge Rate at DRG | 4.05 | ||||
| SNF Discharge Rate with ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis | 2.2 | ||||
| Home Discharge Rate at DRG | 85.04 | ||||
| Home Discharge Rate with ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis | 88.58 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 654: MAJOR BLADDER PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 655: MAJOR BLADDER PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 669: TRANSURETHRAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 13,513 | ||
| Total Hospitalizations with ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis | 40 | ||
| DRG Share of Total Hospitalizations | 0.04 | ||
| % of Total ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis in DRG | 1.98 | ||
| Avg LOS at DRG | 7.02 | ||
| Avg LOS with ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis | 5.83 | ||
| Readmission Rate at DRG | 26.89 | ||
| Readmission Rate with ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis | NA | ||
| Unplanned Readmission Rate at DRG | 18.36 | ||
| Unplanned Readmission Rate with ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis | NA | ||
| Total Medicare payments at DRG | $270,065,366 | ||
| Total Medicare payments with ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis | $693,913 | ||
| Total Medicare payment per Day at DRG | $2,848 | ||
| Total Medicare payment per Day with ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis | $2,978 | ||
| Total Medicare payment per Hospitalization at DRG | $19,986 | ||
| Total Medicare payment per Hospitalization with ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis | $17,348 | ||
| Total Medicare Charges at DRG | $1,412,381,149 | ||
| Total Medicare Charges with ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis | $3,199,807 | ||
| Avg Charges at DRG | $104,520 | ||
| Avg Charges with ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis | $79,995 | ||
| Mortality Rate at DRG | 0.21 | ||
| Mortality Rate with ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis | NA | ||
| SNF Discharge Rate at DRG | 15.04 | ||
| SNF Discharge Rate with ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis | NA | ||
| Home Discharge Rate at DRG | 33.15 | ||
| Home Discharge Rate with ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis | 50.0 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UNIVERSITY OF KANSAS HOSPITAL | 4000 Cambridge St. | KANSAS CITY | KS | 66160 | 24 |
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 23 |
| UF HEALTH SHANDS HOSPITAL | 1600 SW ARCHER RD | GAINESVILLE | FL | 32610 | 20 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MICHAEL STIFELMAN | 150 E 32ND ST | NEW YORK | NY | 10016 | 12 |
| Dr. RONNEY ABAZA | 7450 HOSPITAL DR | DUBLIN | OH | 43016 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MICHAEL STIFELMAN | 150 E 32ND ST | NEW YORK | NY | 10016 | 12 |
| Dr. ROBERT J STEIN | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 11 |
| Dr. RONNEY ABAZA | 7450 HOSPITAL DR | DUBLIN | OH | 43016 | 11 |
*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 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 661: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 699: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 25,081 | ||||
| Total Hospitalizations with ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis | 1,279 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis in DRG | 6.27 | ||||
| Avg LOS at DRG | 4.55 | ||||
| Avg LOS with ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis | 4.78 | ||||
| Readmission Rate at DRG | 19.43 | ||||
| Readmission Rate with ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis | 17.27 | ||||
| Unplanned Readmission Rate at DRG | 13.37 | ||||
| Unplanned Readmission Rate with ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis | 11.99 | ||||
| Total Medicare payments at DRG | $300,903,567 | ||||
| Total Medicare payments with ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis | $16,156,748 | ||||
| Total Medicare payment per Day at DRG | $2,638 | ||||
| Total Medicare payment per Day with ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis | $2,641 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,997 | ||||
| Total Medicare payment per Hospitalization with ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis | $12,632 | ||||
| Total Medicare Charges at DRG | $1,564,169,935 | ||||
| Total Medicare Charges with ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis | $88,145,530 | ||||
| Avg Charges at DRG | $62,365 | ||||
| Avg Charges with ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis | $68,918 | ||||
| Mortality Rate at DRG | 0.15 | ||||
| Mortality Rate with ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis | NA | ||||
| SNF Discharge Rate at DRG | 11.28 | ||||
| SNF Discharge Rate with ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis | 8.29 | ||||
| Home Discharge Rate at DRG | 65.31 | ||||
| Home Discharge Rate with ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis | 67.94 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 659: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 172,705 | ||||
| Total Hospitalizations with ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis | 711 | ||||
| DRG Share of Total Hospitalizations | 0.53 | ||||
| % of Total ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis in DRG | 3.48 | ||||
| Avg LOS at DRG | 6.21 | ||||
| Avg LOS with ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis | 6.69 | ||||
| Readmission Rate at DRG | 27.27 | ||||
| Readmission Rate with ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis | 33.63 | ||||
| Unplanned Readmission Rate at DRG | 20.51 | ||||
| Unplanned Readmission Rate with ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis | 25.3 | ||||
| Total Medicare payments at DRG | $1,773,015,083 | ||||
| Total Medicare payments with ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis | $7,564,212 | ||||
| Total Medicare payment per Day at DRG | $1,652 | ||||
| Total Medicare payment per Day with ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis | $1,590 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,266 | ||||
| Total Medicare payment per Hospitalization with ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis | $10,639 | ||||
| Total Medicare Charges at DRG | $8,667,227,667 | ||||
| Total Medicare Charges with ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis | $40,075,382 | ||||
| Avg Charges at DRG | $50,185 | ||||
| Avg Charges with ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis | $56,365 | ||||
| Mortality Rate at DRG | 2.92 | ||||
| Mortality Rate with ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis | 1.69 | ||||
| SNF Discharge Rate at DRG | 33.71 | ||||
| SNF Discharge Rate with ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis | 24.19 | ||||
| Home Discharge Rate at DRG | 25.53 | ||||
| Home Discharge Rate with ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis | 34.04 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 669: TRANSURETHRAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 694: URINARY STONES WITHOUT ESW LITHOTRIPSY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 737: UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 38,011 | ||||
| Total Hospitalizations with ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis | 374 | ||||
| DRG Share of Total Hospitalizations | 0.12 | ||||
| % of Total ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis in DRG | 1.83 | ||||
| Avg LOS at DRG | 3.83 | ||||
| Avg LOS with ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis | 4.5 | ||||
| Readmission Rate at DRG | 16.85 | ||||
| Readmission Rate with ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis | 19.94 | ||||
| Unplanned Readmission Rate at DRG | 12.43 | ||||
| Unplanned Readmission Rate with ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis | 14.4 | ||||
| Total Medicare payments at DRG | $294,947,527 | ||||
| Total Medicare payments with ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis | $3,032,919 | ||||
| Total Medicare payment per Day at DRG | $2,024 | ||||
| Total Medicare payment per Day with ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis | $1,802 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,760 | ||||
| Total Medicare payment per Hospitalization with ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis | $8,109 | ||||
| Total Medicare Charges at DRG | $1,806,102,466 | ||||
| Total Medicare Charges with ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis | $19,919,666 | ||||
| Avg Charges at DRG | $47,515 | ||||
| Avg Charges with ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis | $53,261 | ||||
| Mortality Rate at DRG | 0.21 | ||||
| Mortality Rate with ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis | NA | ||||
| SNF Discharge Rate at DRG | 11.1 | ||||
| SNF Discharge Rate with ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis | 9.89 | ||||
| Home Discharge Rate at DRG | 70.22 | ||||
| Home Discharge Rate with ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis | 60.7 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 742: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 654: MAJOR BLADDER PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 270,209 | ||||
| Total Hospitalizations with ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis | 292 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis in DRG | 1.43 | ||||
| Avg LOS at DRG | 4.84 | ||||
| Avg LOS with ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis | 5.86 | ||||
| Readmission Rate at DRG | 22.35 | ||||
| Readmission Rate with ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis | 30.82 | ||||
| Unplanned Readmission Rate at DRG | 16.33 | ||||
| Unplanned Readmission Rate with ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis | 22.94 | ||||
| Total Medicare payments at DRG | $1,824,333,389 | ||||
| Total Medicare payments with ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis | $2,173,724 | ||||
| Total Medicare payment per Day at DRG | $1,395 | ||||
| Total Medicare payment per Day with ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis | $1,271 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,752 | ||||
| Total Medicare payment per Hospitalization with ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis | $7,444 | ||||
| Total Medicare Charges at DRG | $9,128,673,695 | ||||
| Total Medicare Charges with ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis | $11,708,207 | ||||
| Avg Charges at DRG | $33,784 | ||||
| Avg Charges with ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis | $40,097 | ||||
| Mortality Rate at DRG | 1.32 | ||||
| Mortality Rate with ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis | NA | ||||
| SNF Discharge Rate at DRG | 39.0 | ||||
| SNF Discharge Rate with ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis | 30.48 | ||||
| Home Discharge Rate at DRG | 24.73 | ||||
| Home Discharge Rate with ICD N135 - Crossing vessel and stricture of ureter without hydronephrosis | 33.56 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MERCY MEDICAL CENTER | 301 SAINT PAUL PL | BALTIMORE | MD | 21202 | 161 |
| YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 157 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 150 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DWIGHT D IM | 227 ST. PAUL PLACE | BALTIMORE | MD | 21202 | 88 |
| Dr. HOA N. NGUYEN | 3341 JOHNSON ST | HOLLYWOOD | FL | 33021 | 53 |
| Dr. NEIL B ROSENSHEIN | 227 SAINT PAUL PL | BALTIMORE | MD | 21202 | 49 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DWIGHT D IM | 227 ST. PAUL PLACE | BALTIMORE | MD | 21202 | 89 |
| Dr. NEIL B ROSENSHEIN | 227 SAINT PAUL PL | BALTIMORE | MD | 21202 | 49 |
| Dr. STEVEN J MCCLANE | 70 MILL RIVER ST | STAMFORD | CT | 06902 | 43 |