*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| N1370 - Vesicoureteral-reflux, unspecified - as a primary diagnosis code | N1370 - Vesicoureteral-reflux, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.28 | |
| Readmission Rate (%) | 28.89 | |
| Unplanned Readmission Rate (%) | 14.89 | |
| 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 699: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 660: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 654: MAJOR BLADDER PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 105,234 | |||
| Total Hospitalizations with ICD N1370 - Vesicoureteral-reflux, unspecified | 31 | |||
| DRG Share of Total Hospitalizations | 0.32 | |||
| % of Total ICD N1370 - Vesicoureteral-reflux, unspecified in DRG | 31.31 | |||
| Avg LOS at DRG | 4.18 | |||
| Avg LOS with ICD N1370 - Vesicoureteral-reflux, unspecified | 5.39 | |||
| Readmission Rate at DRG | 24.62 | |||
| Readmission Rate with ICD N1370 - Vesicoureteral-reflux, unspecified | NA | |||
| Unplanned Readmission Rate at DRG | 17.79 | |||
| Unplanned Readmission Rate with ICD N1370 - Vesicoureteral-reflux, unspecified | NA | |||
| Total Medicare payments at DRG | $723,145,698 | |||
| Total Medicare payments with ICD N1370 - Vesicoureteral-reflux, unspecified | $207,891 | |||
| Total Medicare payment per Day at DRG | $1,644 | |||
| Total Medicare payment per Day with ICD N1370 - Vesicoureteral-reflux, unspecified | $1,245 | |||
| Total Medicare payment per Hospitalization at DRG | $6,872 | |||
| Total Medicare payment per Hospitalization with ICD N1370 - Vesicoureteral-reflux, unspecified | $6,706 | |||
| Total Medicare Charges at DRG | $3,557,869,598 | |||
| Total Medicare Charges with ICD N1370 - Vesicoureteral-reflux, unspecified | $1,297,143 | |||
| Avg Charges at DRG | $33,809 | |||
| Avg Charges with ICD N1370 - Vesicoureteral-reflux, unspecified | $41,843 | |||
| Mortality Rate at DRG | 0.27 | |||
| Mortality Rate with ICD N1370 - Vesicoureteral-reflux, unspecified | NA | |||
| SNF Discharge Rate at DRG | 20.33 | |||
| SNF Discharge Rate with ICD N1370 - Vesicoureteral-reflux, unspecified | NA | |||
| Home Discharge Rate at DRG | 48.52 | |||
| Home Discharge Rate with ICD N1370 - Vesicoureteral-reflux, unspecified | 48.39 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| 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 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 699: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD N1370 - Vesicoureteral-reflux, unspecified | 320 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD N1370 - Vesicoureteral-reflux, unspecified in DRG | 9.56 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD N1370 - Vesicoureteral-reflux, unspecified | 4.07 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD N1370 - Vesicoureteral-reflux, unspecified | 22.83 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD N1370 - Vesicoureteral-reflux, unspecified | 14.79 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD N1370 - Vesicoureteral-reflux, unspecified | $1,602,242 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD N1370 - Vesicoureteral-reflux, unspecified | $1,231 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD N1370 - Vesicoureteral-reflux, unspecified | $5,007 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD N1370 - Vesicoureteral-reflux, unspecified | $9,784,709 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD N1370 - Vesicoureteral-reflux, unspecified | $30,577 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD N1370 - Vesicoureteral-reflux, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD N1370 - Vesicoureteral-reflux, unspecified | 9.38 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD N1370 - Vesicoureteral-reflux, unspecified | 67.19 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 660: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 669: TRANSURETHRAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 652: KIDNEY TRANSPLANT | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD N1370 - Vesicoureteral-reflux, unspecified | 151 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD N1370 - Vesicoureteral-reflux, unspecified in DRG | 4.51 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD N1370 - Vesicoureteral-reflux, unspecified | 4.79 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD N1370 - Vesicoureteral-reflux, unspecified | 25.35 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD N1370 - Vesicoureteral-reflux, unspecified | 19.72 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD N1370 - Vesicoureteral-reflux, unspecified | $853,908 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD N1370 - Vesicoureteral-reflux, unspecified | $1,181 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD N1370 - Vesicoureteral-reflux, unspecified | $5,655 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD N1370 - Vesicoureteral-reflux, unspecified | $5,624,349 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD N1370 - Vesicoureteral-reflux, unspecified | $37,247 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD N1370 - Vesicoureteral-reflux, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD N1370 - Vesicoureteral-reflux, unspecified | 17.88 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD N1370 - Vesicoureteral-reflux, unspecified | 49.01 |
*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 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 654: MAJOR BLADDER PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 694: URINARY STONES WITHOUT ESW LITHOTRIPSY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD N1370 - Vesicoureteral-reflux, unspecified | 76 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD N1370 - Vesicoureteral-reflux, unspecified in DRG | 2.27 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD N1370 - Vesicoureteral-reflux, unspecified | 6.75 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD N1370 - Vesicoureteral-reflux, unspecified | 30.56 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD N1370 - Vesicoureteral-reflux, unspecified | 20.83 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD N1370 - Vesicoureteral-reflux, unspecified | $791,078 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD N1370 - Vesicoureteral-reflux, unspecified | $1,542 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD N1370 - Vesicoureteral-reflux, unspecified | $10,409 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD N1370 - Vesicoureteral-reflux, unspecified | $4,011,881 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD N1370 - Vesicoureteral-reflux, unspecified | $52,788 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD N1370 - Vesicoureteral-reflux, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD N1370 - Vesicoureteral-reflux, unspecified | 26.32 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD N1370 - Vesicoureteral-reflux, unspecified | 39.47 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 659: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 668: TRANSURETHRAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 11,960 | ||||
| Total Hospitalizations with ICD N1370 - Vesicoureteral-reflux, unspecified | 47 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD N1370 - Vesicoureteral-reflux, unspecified in DRG | 1.4 | ||||
| Avg LOS at DRG | 9.38 | ||||
| Avg LOS with ICD N1370 - Vesicoureteral-reflux, unspecified | 9.7 | ||||
| Readmission Rate at DRG | 30.14 | ||||
| Readmission Rate with ICD N1370 - Vesicoureteral-reflux, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 20.05 | ||||
| Unplanned Readmission Rate with ICD N1370 - Vesicoureteral-reflux, unspecified | NA | ||||
| Total Medicare payments at DRG | $290,494,146 | ||||
| Total Medicare payments with ICD N1370 - Vesicoureteral-reflux, unspecified | $1,236,824 | ||||
| Total Medicare payment per Day at DRG | $2,591 | ||||
| Total Medicare payment per Day with ICD N1370 - Vesicoureteral-reflux, unspecified | $2,712 | ||||
| Total Medicare payment per Hospitalization at DRG | $24,289 | ||||
| Total Medicare payment per Hospitalization with ICD N1370 - Vesicoureteral-reflux, unspecified | $26,315 | ||||
| Total Medicare Charges at DRG | $1,326,600,046 | ||||
| Total Medicare Charges with ICD N1370 - Vesicoureteral-reflux, unspecified | $5,098,480 | ||||
| Avg Charges at DRG | $110,920 | ||||
| Avg Charges with ICD N1370 - Vesicoureteral-reflux, unspecified | $108,478 | ||||
| Mortality Rate at DRG | 2.7 | ||||
| Mortality Rate with ICD N1370 - Vesicoureteral-reflux, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 23.64 | ||||
| SNF Discharge Rate with ICD N1370 - Vesicoureteral-reflux, unspecified | NA | ||||
| Home Discharge Rate at DRG | 39.98 | ||||
| Home Discharge Rate with ICD N1370 - Vesicoureteral-reflux, unspecified | 57.45 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| SAINT BARNABAS MEDICAL CENTER | 94 OLD SHORT HILLS RD | LIVINGSTON | NJ | 07039 | 41 |
| TEXAS CHILDREN'S HOSPITAL | 6621 FANNIN ST | HOUSTON | TX | 77030 | 32 |
| UNIVERSITY OF MISSOURI HEALTH CARE | ONE HOSPITAL DRIVE | COLUMBIA | MO | 65212 | 26 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MATTHEW IHN SEONG WHANG | 1001 PLEASANT VALLEY WAY | WEST ORANGE | NJ | 07052 | 18 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MATTHEW IHN SEONG WHANG | 1001 PLEASANT VALLEY WAY | WEST ORANGE | NJ | 07052 | 13 |