*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
N138 - Other obstructive and reflux uropathy - as a primary diagnosis code | N138 - Other obstructive and reflux uropathy - as a primary or secondary diagnosis code | |
---|---|---|
OUTCOMES | ||
Avg. LOS | 6.37 | |
Readmission Rate (%) | 23.36 | |
Unplanned Readmission Rate (%) | 14.15 | |
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 693: URINARY STONES WITHOUT ESW LITHOTRIPSY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 660: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 669: TRANSURETHRAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 666: PROSTATECTOMY WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 52,303 | ||||
Total Hospitalizations with ICD N138 - Other obstructive and reflux uropathy | 734 | ||||
DRG Share of Total Hospitalizations | 0.16 | ||||
% of Total ICD N138 - Other obstructive and reflux uropathy in DRG | 49.49 | ||||
Avg LOS at DRG | 2.4 | ||||
Avg LOS with ICD N138 - Other obstructive and reflux uropathy | 3.45 | ||||
Readmission Rate at DRG | 14.49 | ||||
Readmission Rate with ICD N138 - Other obstructive and reflux uropathy | 19.56 | ||||
Unplanned Readmission Rate at DRG | 10.4 | ||||
Unplanned Readmission Rate with ICD N138 - Other obstructive and reflux uropathy | 12.12 | ||||
Total Medicare payments at DRG | $214,183,417 | ||||
Total Medicare payments with ICD N138 - Other obstructive and reflux uropathy | $3,722,659 | ||||
Total Medicare payment per Day at DRG | $1,704 | ||||
Total Medicare payment per Day with ICD N138 - Other obstructive and reflux uropathy | $1,470 | ||||
Total Medicare payment per Hospitalization at DRG | $4,095 | ||||
Total Medicare payment per Hospitalization with ICD N138 - Other obstructive and reflux uropathy | $5,072 | ||||
Total Medicare Charges at DRG | $1,475,612,366 | ||||
Total Medicare Charges with ICD N138 - Other obstructive and reflux uropathy | $18,582,283 | ||||
Avg Charges at DRG | $28,213 | ||||
Avg Charges with ICD N138 - Other obstructive and reflux uropathy | $25,316 | ||||
Mortality Rate at DRG | 0.08 | ||||
Mortality Rate with ICD N138 - Other obstructive and reflux uropathy | NA | ||||
SNF Discharge Rate at DRG | 5.6 | ||||
SNF Discharge Rate with ICD N138 - Other obstructive and reflux uropathy | 13.62 | ||||
Home Discharge Rate at DRG | 80.64 | ||||
Home Discharge Rate with ICD N138 - Other obstructive and reflux uropathy | 55.18 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 667: PROSTATECTOMY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 659: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 665: PROSTATECTOMY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 668: TRANSURETHRAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 654: MAJOR BLADDER PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 2,082 | ||||
Total Hospitalizations with ICD N138 - Other obstructive and reflux uropathy | 39 | ||||
DRG Share of Total Hospitalizations | 0.01 | ||||
% of Total ICD N138 - Other obstructive and reflux uropathy in DRG | 2.63 | ||||
Avg LOS at DRG | 2.52 | ||||
Avg LOS with ICD N138 - Other obstructive and reflux uropathy | 1.92 | ||||
Readmission Rate at DRG | 12.91 | ||||
Readmission Rate with ICD N138 - Other obstructive and reflux uropathy | NA | ||||
Unplanned Readmission Rate at DRG | 9.95 | ||||
Unplanned Readmission Rate with ICD N138 - Other obstructive and reflux uropathy | NA | ||||
Total Medicare payments at DRG | $11,341,949 | ||||
Total Medicare payments with ICD N138 - Other obstructive and reflux uropathy | $229,287 | ||||
Total Medicare payment per Day at DRG | $2,165 | ||||
Total Medicare payment per Day with ICD N138 - Other obstructive and reflux uropathy | $3,057 | ||||
Total Medicare payment per Hospitalization at DRG | $5,448 | ||||
Total Medicare payment per Hospitalization with ICD N138 - Other obstructive and reflux uropathy | $5,879 | ||||
Total Medicare Charges at DRG | $71,598,808 | ||||
Total Medicare Charges with ICD N138 - Other obstructive and reflux uropathy | $1,223,456 | ||||
Avg Charges at DRG | $34,389 | ||||
Avg Charges with ICD N138 - Other obstructive and reflux uropathy | $31,371 | ||||
Mortality Rate at DRG | NA | ||||
Mortality Rate with ICD N138 - Other obstructive and reflux uropathy | NA | ||||
SNF Discharge Rate at DRG | 5.38 | ||||
SNF Discharge Rate with ICD N138 - Other obstructive and reflux uropathy | NA | ||||
Home Discharge Rate at DRG | 82.71 | ||||
Home Discharge Rate with ICD N138 - Other obstructive and reflux uropathy | 89.74 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 663: MINOR BLADDER PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 652: KIDNEY TRANSPLANT | DRG 670: TRANSURETHRAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|
Total Hospitalizations at DRG | 4,029 | ||
Total Hospitalizations with ICD N138 - Other obstructive and reflux uropathy | 13 | ||
DRG Share of Total Hospitalizations | 0.01 | ||
% of Total ICD N138 - Other obstructive and reflux uropathy in DRG | 0.88 | ||
Avg LOS at DRG | 4.97 | ||
Avg LOS with ICD N138 - Other obstructive and reflux uropathy | 5.46 | ||
Readmission Rate at DRG | 22.5 | ||
Readmission Rate with ICD N138 - Other obstructive and reflux uropathy | NA | ||
Unplanned Readmission Rate at DRG | 17.0 | ||
Unplanned Readmission Rate with ICD N138 - Other obstructive and reflux uropathy | NA | ||
Total Medicare payments at DRG | $42,294,003 | ||
Total Medicare payments with ICD N138 - Other obstructive and reflux uropathy | $141,740 | ||
Total Medicare payment per Day at DRG | $2,111 | ||
Total Medicare payment per Day with ICD N138 - Other obstructive and reflux uropathy | $1,996 | ||
Total Medicare payment per Hospitalization at DRG | $10,497 | ||
Total Medicare payment per Hospitalization with ICD N138 - Other obstructive and reflux uropathy | $10,903 | ||
Total Medicare Charges at DRG | $222,340,941 | ||
Total Medicare Charges with ICD N138 - Other obstructive and reflux uropathy | $441,264 | ||
Avg Charges at DRG | $55,185 | ||
Avg Charges with ICD N138 - Other obstructive and reflux uropathy | $33,943 | ||
Mortality Rate at DRG | 0.47 | ||
Mortality Rate with ICD N138 - Other obstructive and reflux uropathy | NA | ||
SNF Discharge Rate at DRG | 17.37 | ||
SNF Discharge Rate with ICD N138 - Other obstructive and reflux uropathy | NA | ||
Home Discharge Rate at DRG | 54.46 | ||
Home Discharge Rate with ICD N138 - Other obstructive and reflux uropathy | NA |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
HOSPITAL DR. SUSONI | 55 CALLE PALMA | ARECIBO | PR | 00612 | 17 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. JOSE A ALLENDE | CALLE DR. ROSES ARTAU #156 | ARECIBO | PR | 00612 | 12 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. LUIS PEREZ PEREZ | URB SAN LORENZO 2 CALLE PEDRO MORA | ARECIBO | PR | 00612 | 15 |
*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 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 713: TRANSURETHRAL PROSTATECTOMY WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 1,808,415 | ||||
Total Hospitalizations with ICD N138 - Other obstructive and reflux uropathy | 12,358 | ||||
DRG Share of Total Hospitalizations | 5.5 | ||||
% of Total ICD N138 - Other obstructive and reflux uropathy in DRG | 7.86 | ||||
Avg LOS at DRG | 6.34 | ||||
Avg LOS with ICD N138 - Other obstructive and reflux uropathy | 7.62 | ||||
Readmission Rate at DRG | 24.2 | ||||
Readmission Rate with ICD N138 - Other obstructive and reflux uropathy | 26.51 | ||||
Unplanned Readmission Rate at DRG | 16.78 | ||||
Unplanned Readmission Rate with ICD N138 - Other obstructive and reflux uropathy | 17.88 | ||||
Total Medicare payments at DRG | $21,288,214,047 | ||||
Total Medicare payments with ICD N138 - Other obstructive and reflux uropathy | $155,254,075 | ||||
Total Medicare payment per Day at DRG | $1,857 | ||||
Total Medicare payment per Day with ICD N138 - Other obstructive and reflux uropathy | $1,649 | ||||
Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
Total Medicare payment per Hospitalization with ICD N138 - Other obstructive and reflux uropathy | $12,563 | ||||
Total Medicare Charges at DRG | $107,155,481,388 | ||||
Total Medicare Charges with ICD N138 - Other obstructive and reflux uropathy | $862,577,867 | ||||
Avg Charges at DRG | $59,254 | ||||
Avg Charges with ICD N138 - Other obstructive and reflux uropathy | $69,799 | ||||
Mortality Rate at DRG | 12.11 | ||||
Mortality Rate with ICD N138 - Other obstructive and reflux uropathy | 8.22 | ||||
SNF Discharge Rate at DRG | 27.18 | ||||
SNF Discharge Rate with ICD N138 - Other obstructive and reflux uropathy | 35.89 | ||||
Home Discharge Rate at DRG | 25.81 | ||||
Home Discharge Rate with ICD N138 - Other obstructive and reflux uropathy | 19.32 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 699: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 499,133 | ||||
Total Hospitalizations with ICD N138 - Other obstructive and reflux uropathy | 5,488 | ||||
DRG Share of Total Hospitalizations | 1.52 | ||||
% of Total ICD N138 - Other obstructive and reflux uropathy in DRG | 3.49 | ||||
Avg LOS at DRG | 4.34 | ||||
Avg LOS with ICD N138 - Other obstructive and reflux uropathy | 4.7 | ||||
Readmission Rate at DRG | 17.57 | ||||
Readmission Rate with ICD N138 - Other obstructive and reflux uropathy | 17.24 | ||||
Unplanned Readmission Rate at DRG | 12.56 | ||||
Unplanned Readmission Rate with ICD N138 - Other obstructive and reflux uropathy | 11.59 | ||||
Total Medicare payments at DRG | $3,254,711,780 | ||||
Total Medicare payments with ICD N138 - Other obstructive and reflux uropathy | $37,059,836 | ||||
Total Medicare payment per Day at DRG | $1,504 | ||||
Total Medicare payment per Day with ICD N138 - Other obstructive and reflux uropathy | $1,438 | ||||
Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
Total Medicare payment per Hospitalization with ICD N138 - Other obstructive and reflux uropathy | $6,753 | ||||
Total Medicare Charges at DRG | $16,863,396,143 | ||||
Total Medicare Charges with ICD N138 - Other obstructive and reflux uropathy | $195,448,370 | ||||
Avg Charges at DRG | $33,785 | ||||
Avg Charges with ICD N138 - Other obstructive and reflux uropathy | $35,614 | ||||
Mortality Rate at DRG | 1.33 | ||||
Mortality Rate with ICD N138 - Other obstructive and reflux uropathy | 0.71 | ||||
SNF Discharge Rate at DRG | 19.89 | ||||
SNF Discharge Rate with ICD N138 - Other obstructive and reflux uropathy | 21.08 | ||||
Home Discharge Rate at DRG | 49.27 | ||||
Home Discharge Rate with ICD N138 - Other obstructive and reflux uropathy | 47.08 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 707: MAJOR MALE PELVIC PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 726: BENIGN PROSTATIC HYPERTROPHY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 694: URINARY STONES WITHOUT ESW LITHOTRIPSY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 15,072 | ||||
Total Hospitalizations with ICD N138 - Other obstructive and reflux uropathy | 2,636 | ||||
DRG Share of Total Hospitalizations | 0.05 | ||||
% of Total ICD N138 - Other obstructive and reflux uropathy in DRG | 1.68 | ||||
Avg LOS at DRG | 3.21 | ||||
Avg LOS with ICD N138 - Other obstructive and reflux uropathy | 3.25 | ||||
Readmission Rate at DRG | 8.39 | ||||
Readmission Rate with ICD N138 - Other obstructive and reflux uropathy | 7.58 | ||||
Unplanned Readmission Rate at DRG | 6.2 | ||||
Unplanned Readmission Rate with ICD N138 - Other obstructive and reflux uropathy | 5.45 | ||||
Total Medicare payments at DRG | $167,045,654 | ||||
Total Medicare payments with ICD N138 - Other obstructive and reflux uropathy | $27,926,494 | ||||
Total Medicare payment per Day at DRG | $3,449 | ||||
Total Medicare payment per Day with ICD N138 - Other obstructive and reflux uropathy | $3,255 | ||||
Total Medicare payment per Hospitalization at DRG | $11,083 | ||||
Total Medicare payment per Hospitalization with ICD N138 - Other obstructive and reflux uropathy | $10,594 | ||||
Total Medicare Charges at DRG | $1,066,832,463 | ||||
Total Medicare Charges with ICD N138 - Other obstructive and reflux uropathy | $166,606,913 | ||||
Avg Charges at DRG | $70,782 | ||||
Avg Charges with ICD N138 - Other obstructive and reflux uropathy | $63,204 | ||||
Mortality Rate at DRG | 0.23 | ||||
Mortality Rate with ICD N138 - Other obstructive and reflux uropathy | NA | ||||
SNF Discharge Rate at DRG | 2.81 | ||||
SNF Discharge Rate with ICD N138 - Other obstructive and reflux uropathy | 3.87 | ||||
Home Discharge Rate at DRG | 84.9 | ||||
Home Discharge Rate with ICD N138 - Other obstructive and reflux uropathy | 82.7 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 669: TRANSURETHRAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 666: PROSTATECTOMY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 422,757 | ||||
Total Hospitalizations with ICD N138 - Other obstructive and reflux uropathy | 1,719 | ||||
DRG Share of Total Hospitalizations | 1.29 | ||||
% of Total ICD N138 - Other obstructive and reflux uropathy in DRG | 1.09 | ||||
Avg LOS at DRG | 4.14 | ||||
Avg LOS with ICD N138 - Other obstructive and reflux uropathy | 4.87 | ||||
Readmission Rate at DRG | 24.43 | ||||
Readmission Rate with ICD N138 - Other obstructive and reflux uropathy | 24.47 | ||||
Unplanned Readmission Rate at DRG | 18.48 | ||||
Unplanned Readmission Rate with ICD N138 - Other obstructive and reflux uropathy | 18.2 | ||||
Total Medicare payments at DRG | $2,636,135,714 | ||||
Total Medicare payments with ICD N138 - Other obstructive and reflux uropathy | $11,225,350 | ||||
Total Medicare payment per Day at DRG | $1,507 | ||||
Total Medicare payment per Day with ICD N138 - Other obstructive and reflux uropathy | $1,342 | ||||
Total Medicare payment per Hospitalization at DRG | $6,236 | ||||
Total Medicare payment per Hospitalization with ICD N138 - Other obstructive and reflux uropathy | $6,530 | ||||
Total Medicare Charges at DRG | $11,980,955,733 | ||||
Total Medicare Charges with ICD N138 - Other obstructive and reflux uropathy | $53,445,517 | ||||
Avg Charges at DRG | $28,340 | ||||
Avg Charges with ICD N138 - Other obstructive and reflux uropathy | $31,091 | ||||
Mortality Rate at DRG | 1.01 | ||||
Mortality Rate with ICD N138 - Other obstructive and reflux uropathy | 1.51 | ||||
SNF Discharge Rate at DRG | 16.05 | ||||
SNF Discharge Rate with ICD N138 - Other obstructive and reflux uropathy | 21.23 | ||||
Home Discharge Rate at DRG | 47.18 | ||||
Home Discharge Rate with ICD N138 - Other obstructive and reflux uropathy | 40.37 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 688 |
ST. CLOUD HOSPITAL | 1406 6TH AVE NORTH | SAINT CLOUD | MN | 56303 | 597 |
ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 565 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. ALBERT MCBRIDE | 1700 MOUNT VERNON AVE | BAKERSFIELD | CA | 93306 | 87 |
Dr. CLAUS G ROEHRBORN | 5323 HARRY HINES BOULEVARD | DALLAS | TX | 75390 | 81 |
Dr. GEORGE A HAIKEL | 3879 COON RAPIDS BLVD | COON RAPIDS | MN | 55433 | 64 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. CLAUS G ROEHRBORN | 5323 HARRY HINES BOULEVARD | DALLAS | TX | 75390 | 78 |
Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 71 |
Dr. ALBERT MCBRIDE | 1700 MOUNT VERNON AVE | BAKERSFIELD | CA | 93306 | 69 |