*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| N211 - Calculus in urethra - as a primary diagnosis code | N211 - Calculus in urethra - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.65 | |
| Readmission Rate (%) | 17.83 | |
| Unplanned Readmission Rate (%) | NA | |
| 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 669: TRANSURETHRAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 693: URINARY STONES WITHOUT ESW LITHOTRIPSY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 52,303 | ||
| Total Hospitalizations with ICD N211 - Calculus in urethra | 110 | ||
| DRG Share of Total Hospitalizations | 0.16 | ||
| % of Total ICD N211 - Calculus in urethra in DRG | 58.82 | ||
| Avg LOS at DRG | 2.4 | ||
| Avg LOS with ICD N211 - Calculus in urethra | 2.01 | ||
| Readmission Rate at DRG | 14.49 | ||
| Readmission Rate with ICD N211 - Calculus in urethra | NA | ||
| Unplanned Readmission Rate at DRG | 10.4 | ||
| Unplanned Readmission Rate with ICD N211 - Calculus in urethra | NA | ||
| Total Medicare payments at DRG | $214,183,417 | ||
| Total Medicare payments with ICD N211 - Calculus in urethra | $402,980 | ||
| Total Medicare payment per Day at DRG | $1,704 | ||
| Total Medicare payment per Day with ICD N211 - Calculus in urethra | $1,823 | ||
| Total Medicare payment per Hospitalization at DRG | $4,095 | ||
| Total Medicare payment per Hospitalization with ICD N211 - Calculus in urethra | $3,663 | ||
| Total Medicare Charges at DRG | $1,475,612,366 | ||
| Total Medicare Charges with ICD N211 - Calculus in urethra | $2,583,817 | ||
| Avg Charges at DRG | $28,213 | ||
| Avg Charges with ICD N211 - Calculus in urethra | $23,489 | ||
| Mortality Rate at DRG | 0.08 | ||
| Mortality Rate with ICD N211 - Calculus in urethra | NA | ||
| SNF Discharge Rate at DRG | 5.6 | ||
| SNF Discharge Rate with ICD N211 - Calculus in urethra | NA | ||
| Home Discharge Rate at DRG | 80.64 | ||
| Home Discharge Rate with ICD N211 - Calculus in urethra | 77.27 |
*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 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 669: TRANSURETHRAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 52,303 | ||||
| Total Hospitalizations with ICD N211 - Calculus in urethra | 219 | ||||
| DRG Share of Total Hospitalizations | 0.16 | ||||
| % of Total ICD N211 - Calculus in urethra in DRG | 13.64 | ||||
| Avg LOS at DRG | 2.4 | ||||
| Avg LOS with ICD N211 - Calculus in urethra | 2.26 | ||||
| Readmission Rate at DRG | 14.49 | ||||
| Readmission Rate with ICD N211 - Calculus in urethra | 9.52 | ||||
| Unplanned Readmission Rate at DRG | 10.4 | ||||
| Unplanned Readmission Rate with ICD N211 - Calculus in urethra | 6.67 | ||||
| Total Medicare payments at DRG | $214,183,417 | ||||
| Total Medicare payments with ICD N211 - Calculus in urethra | $916,797 | ||||
| Total Medicare payment per Day at DRG | $1,704 | ||||
| Total Medicare payment per Day with ICD N211 - Calculus in urethra | $1,856 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,095 | ||||
| Total Medicare payment per Hospitalization with ICD N211 - Calculus in urethra | $4,186 | ||||
| Total Medicare Charges at DRG | $1,475,612,366 | ||||
| Total Medicare Charges with ICD N211 - Calculus in urethra | $6,354,631 | ||||
| Avg Charges at DRG | $28,213 | ||||
| Avg Charges with ICD N211 - Calculus in urethra | $29,017 | ||||
| Mortality Rate at DRG | 0.08 | ||||
| Mortality Rate with ICD N211 - Calculus in urethra | NA | ||||
| SNF Discharge Rate at DRG | 5.6 | ||||
| SNF Discharge Rate with ICD N211 - Calculus in urethra | 5.94 | ||||
| Home Discharge Rate at DRG | 80.64 | ||||
| Home Discharge Rate with ICD N211 - Calculus in urethra | 79.91 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 693: URINARY STONES WITHOUT ESW LITHOTRIPSY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD N211 - Calculus in urethra | 56 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD N211 - Calculus in urethra in DRG | 3.49 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD N211 - Calculus in urethra | 13.59 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD N211 - Calculus in urethra | 27.78 | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD N211 - Calculus in urethra | 22.22 | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD N211 - Calculus in urethra | $1,837,709 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD N211 - Calculus in urethra | $2,415 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD N211 - Calculus in urethra | $32,816 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD N211 - Calculus in urethra | $7,791,062 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD N211 - Calculus in urethra | $139,126 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD N211 - Calculus in urethra | NA | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD N211 - Calculus in urethra | 41.07 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD N211 - Calculus in urethra | 28.57 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 713: TRANSURETHRAL PROSTATECTOMY WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 699: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 668: TRANSURETHRAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 17,330 | ||||
| Total Hospitalizations with ICD N211 - Calculus in urethra | 26 | ||||
| DRG Share of Total Hospitalizations | 0.05 | ||||
| % of Total ICD N211 - Calculus in urethra in DRG | 1.62 | ||||
| Avg LOS at DRG | 3.88 | ||||
| Avg LOS with ICD N211 - Calculus in urethra | 2.85 | ||||
| Readmission Rate at DRG | 14.79 | ||||
| Readmission Rate with ICD N211 - Calculus in urethra | NA | ||||
| Unplanned Readmission Rate at DRG | 11.24 | ||||
| Unplanned Readmission Rate with ICD N211 - Calculus in urethra | NA | ||||
| Total Medicare payments at DRG | $155,091,532 | ||||
| Total Medicare payments with ICD N211 - Calculus in urethra | $222,545 | ||||
| Total Medicare payment per Day at DRG | $2,304 | ||||
| Total Medicare payment per Day with ICD N211 - Calculus in urethra | $3,007 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,949 | ||||
| Total Medicare payment per Hospitalization with ICD N211 - Calculus in urethra | $8,559 | ||||
| Total Medicare Charges at DRG | $834,175,007 | ||||
| Total Medicare Charges with ICD N211 - Calculus in urethra | $1,166,492 | ||||
| Avg Charges at DRG | $48,135 | ||||
| Avg Charges with ICD N211 - Calculus in urethra | $44,865 | ||||
| Mortality Rate at DRG | 0.48 | ||||
| Mortality Rate with ICD N211 - Calculus in urethra | NA | ||||
| SNF Discharge Rate at DRG | 11.4 | ||||
| SNF Discharge Rate with ICD N211 - Calculus in urethra | NA | ||||
| Home Discharge Rate at DRG | 70.23 | ||||
| Home Discharge Rate with ICD N211 - Calculus in urethra | 80.77 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 670: TRANSURETHRAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 663: MINOR BLADDER PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 697: URETHRAL STRICTURE | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 9,196 | ||||
| Total Hospitalizations with ICD N211 - Calculus in urethra | 19 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD N211 - Calculus in urethra in DRG | 1.18 | ||||
| Avg LOS at DRG | 2.37 | ||||
| Avg LOS with ICD N211 - Calculus in urethra | 1.79 | ||||
| Readmission Rate at DRG | 12.59 | ||||
| Readmission Rate with ICD N211 - Calculus in urethra | NA | ||||
| Unplanned Readmission Rate at DRG | 8.69 | ||||
| Unplanned Readmission Rate with ICD N211 - Calculus in urethra | NA | ||||
| Total Medicare payments at DRG | $46,147,767 | ||||
| Total Medicare payments with ICD N211 - Calculus in urethra | $92,080 | ||||
| Total Medicare payment per Day at DRG | $2,121 | ||||
| Total Medicare payment per Day with ICD N211 - Calculus in urethra | $2,708 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,018 | ||||
| Total Medicare payment per Hospitalization with ICD N211 - Calculus in urethra | $4,846 | ||||
| Total Medicare Charges at DRG | $317,627,222 | ||||
| Total Medicare Charges with ICD N211 - Calculus in urethra | $575,170 | ||||
| Avg Charges at DRG | $34,540 | ||||
| Avg Charges with ICD N211 - Calculus in urethra | $30,272 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD N211 - Calculus in urethra | NA | ||||
| SNF Discharge Rate at DRG | 5.54 | ||||
| SNF Discharge Rate with ICD N211 - Calculus in urethra | NA | ||||
| Home Discharge Rate at DRG | 82.06 | ||||
| Home Discharge Rate with ICD N211 - Calculus in urethra | 84.21 |